evidence: Black Americans continue to be overrepresented in the lowest-paying service and domestic occupations, including taxi drivers and chauffeurs, food servers, and maids and house cleaners [7]. In such works, face-to-face contact with the public is required and social distancing is difficult to maintain. Nor do these jobs permit working from home, denying disproportionately more African Americans opportunities for the social distancing considered essential to mitigating risk [36]. Those who would voluntarily abandon work to reduce exposure to COVID-19 are sometimes denied the opportunity to do so. African Americans’ occupations render them more likely to be considered "essential workers," including grocery store, food service, health care, and courier workers, and they continue to perform their vocations in an environment of greater risk [37]. A recent study demonstrated that African Americans who were at high risk for severe illness for 1.6 time more likely than whites to live in households containing health-sector workers, and 56.5% of Black adults at high risk live in households were at least one worker is unable to work from home, compared to only 46.6% among whites [38]. If these workers become ill, they are less likely to have paid sick leave [39]. The Family First Coronavirus Response Act (FFCRA) attempted to redress the problem by bringing paid sick leave to those previously without it, but exemptions greatly restricted the scope of new coverage [40]. Thus, COVID-19 capitalizes on the lack of work flexibility and control over working conditions to illuminate a previously neglected source of health-related risk [36].