Kent Sepkowitz is a CNN medical analyst and a physician and infection control expert at Memorial Sloan Kettering Cancer Center in New York City. The views expressed in this commentary are his own. View more opinion at CNN. (CNN)New York state reached a tragic milestone this week: It now has more Covid-19 patients than any country in the world, aside from the United States.The state’s total of 181,026 cases, as of April 11, is higher than Spain’s (161,852 cases) and Italy’s (152,271), countries with populations many times larger than New York.The disease is killing New Yorkers disproportionately. Of the 20,389 deaths in the United States, 8,627, or 42%, have occurred in New York. Its mortality rate is 4.7%, compared with 3.4% in the rest of the country, according to CNN’s figures based on data from the Johns Hopkins University Center for Systems Science and Engineering. New York City and its suburban counties — Nassau, Suffolk, Westchester and Rockland — are responsible for 93% of the statewide case count. Furthermore, in New York City, the Covid-19 death rate is about 6% higher than most countries. Why does New York seem to be having a different epidemic from most other parts of


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