The COVID-19 epidemic in the United States is already exposing a disastrous convergence of demographic and socioeconomic inequities that make some communities more vulnerable than others. Hotspots of COVID-19 are emerging in urban cities, from New York City, to Detroit, Milwaukee to New Orleans, and Chicago, with the greatest harm concentrated in neighborhoods that are home to Black and Hispanic populations. While social determinants influencing the impact of COVID-19 on…