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The impact pre-existing inequalities have on a household or community's ability to <br />recover is intersectional. Research shows that pre-existing racial and gender disparities <br />exacerbated the disproportionate economic and health impact COVID-19 and the economic <br />downturn had on workers of color, and specifically, women of color.185 Another study found that <br />during the first six months of the pandemic counties that were both high -poverty and majority <br />non -white experienced COVID-19 infection rates eight times higher than high -poverty, majority <br />white counties.186 Many residents in these communities are still coping with the negative health <br />and economic impacts. <br />Summary of the Interim Final Rule and Final Rule Structure <br />As described previously, the interim final rule provided a broader list of enumerated <br />eligible uses to respond to the pandemic in disproportionately impacted communities, in <br />recognition that pre-existing health, economic, and social disparities contributed to <br />disproportionate pandemic impacts in certain communities and that addressing the root causes of <br />those disparities constitutes responding to the public health and negative economic impacts of <br />the pandemic. The interim final rule described eligible uses in disproportionately impacted <br />communities in four categories, spread across public health and negative economic impacts: 1) <br />addressing disparities in public health outcomes, 2) building stronger communities through <br />investments in housing and neighborhoods, 3) addressing educational disparities, and 4) <br />promoting healthy childhood environments. As described above, Treasury has moved eligible <br />uses related to community violence intervention, assistance accessing or applying to public <br />185 Darrick Hamilton et al., Building an Equitable Recovery: The role of Race, Labor Markets, and Education, The <br />New School's Institute on Race and Political Economy (February 2021). <br />186 Adhikari S, Pantaleo NP, Feldman JM, Ogedegbe 0, Thorpe L, Troxel AB. Assessment of Community -Level <br />Disparities in Coronavirus Disease 2019 (COVID-19) Infections and Deaths in Large US Metropolitan Areas. <br />JAMA Netw Open. 2020;3 (7):e201693 8. doi:10.1001 /j amanetworkopen.2020.1693 8. <br />124 <br />