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In “ The 1919 Influenza Blues,” Essie Jenkins documented the toll the flu took on the country, noting that viruses don’t discriminate when it comes to their victims.

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Whether it’s the influenza pandemic of 1918 or COVID-19 over a century later, race and ethnicity have been, and continue to be, enormous factors in determining whether people will receive medical attention when they become ill, and the sort of attention they will receive.

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In American epidemics, race is a preexisting condition.