from personal experience as my wife was an icu nurse during covid she had patients down in the south who had family members that were part of the tuskeegee experiments. they didnt trust any drugs the government wanted to give them. when you had kamala go on tv and tell people she wouldn't trust a vaccine that came from trump that certainly didn't help the situation. covid rates were like the crime rates. you show them by state but when you break them down the higher death rates were in cities not rural areas. the african americans tend to live in the cities which is where covid spread and they dont have access to great healthcare.