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July 2, 2020

Economic Impact of COVID-19
COVID-19 and Households’ Financial Distress
Part 4: Financial Distress and the Second Wave
of COVID-19 Infections
By Kartik Athreya, José Mustre-del-Río, and Juan M. Sánchez
Many observers have noted the recent shift
in new COVID-19 cases from states that were
previously hotspots (i.e., first wave states) to
other states that have become new hotspots (i.e.,
second wave states). In this post, we show that
within “first” and “second wave” states, the evolution of cases has not been uniform. In particular,
county-level data suggest areas that entered the
pandemic with higher levels of financial distress
(FD) have systematically fared worse in terms of
infections than areas with lower levels of financial distress. This fact is noteworthy since our
previous work shows that in response to COVIDrelated earnings losses, higher FD areas are likely
to dissave or increase debt, further exacerbating
their already precarious financial state.

Figure 1 shows the different dynamics of the
disease spread across U.S. states. Between April
15 and June 24, new cases in “first wave” states
(Connecticut, Massachusetts, New York, New
Jersey, and Washington) have fallen from a peak
of 3.5 cases per day per 10,000 people (or 15,000
per day overall) to less than half a case per day
per 10,000 people (1,700 per day overall). In
contrast, over the same time horizon, “second
wave” states (Arizona, California, Florida, Georgia,
Nevada, South Carolina, Texas, and Utah) have
seen infections rise from half a case to over 1.5
cases per day per 10,000 people (or from 4,000
cases to 18,000 cases per day overall). Reported
cases in the remaining states have been somewhat stable, averaging about 0.6 cases per day
per 10,000 people (roughly 12,000 cases per day)
over the same period.

Figure 1: New Cases in the United States, March 16-June 24
New Cases per 10,000 People (7-day moving average)

4

3

2

1

0
16-Mar-20

30-Mar-20

13-Apr-20

27-Apr-20

First Wave

11-May-20

Second Wave

25-May-20

8-Jun-20

22-Jun-20

Rest

Source: USA Facts and authors' calculations

July 2020 – Richmond Fed

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Following our previous work (Part 1, Part 2, Part 3),
we next analyze whether the spread of infection
among first or second wave states has differed by
FD. As before, FD is measured by difficulty in making
timely payments on credit card debt.1 We divide all
U.S. counties into five groups, or quintiles, defined
by the incidence of FD. Counties with FD incidence
in the bottom 20 percent of all counties are in group
one (Q1), while counties in the top 20 percent are in
group five (Q5), and so on.

0.8 cases per 10,000 people (1,000 cases per day
overall). Thus, while case growth in all second
wave counties has risen, it appears to have risen
by more in high FD counties.
On a more positive note, the improvement in
case growth within old hotspots or first wave
states has been associated with substantial decreases in the number of cases among higher FD
counties (albeit from very elevated levels). Figure
2 Panel (b) shows that while daily cases reached
a peak of 5.5 cases per day per 10,000 people
(3,700 cases per day overall) among Q5 counties in mid-April, it has since subsided to roughly
half a case per day per 10,000 people (300 cases
per day overall) in late June. Case growth in Q1
counties has also declined, but from a lower peak
of 1.3 cases per day per 10,000 people (1,200 per
day overall) to 0.3 cases per 10,000 people (250
cases per day overall). Thus, while case growth
in higher FD counties remains above their lower
FD counterparts, the gap has narrowed considerably.

Focusing first on new hotspot or second wave states,
Figure 2 Panel (a) shows the very different time
paths of new cases by the degree of FD. This figure
clearly shows that new case growth within second
wave states has been most rapid in high FD counties relative to low FD counties. For example, relative
to May 15 levels, in Q4 and Q5 counties, new cases
have grown from 0.4 cases per 10,000 people (1,000
cases per day overall) to nearly two cases per 10,000
people (more than 5,000 cases overall). In contrast,
new cases in Q1 counties have grown from roughly
0.3 cases per 10,000 people (380 cases per day) to
Figure 2: New COVID-19 Cases by Quintile of Financial Distress
2

Panel (b): First Wave States and Financial Distress
New Cases per 10,000 People (7-day moving average)

New Cases per 10,000 People (7-day moving average)

Panel (a): Second Wave States and Financial Distress

1.5

1

0.5

0

Q1

Q2

Q3

Q4

Q5

6
5
4
3
2
1
0

Q1

Q2

Q3

Q4

Q5

Source: USA facts, FRBNY/Equifax Consumer Credit Panel, and authors’ calcula�ons

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Lastly, Figure 3 shows that the steady case growth
among all other states masks important differences
by FD. As with the previous figures, it reveals that
higher FD counties have experienced rates of infection nearly twice as high as their lower FD counterparts. Additionally, this figure reveals that these
differences have remained fairly stable since the
pandemic began.

Endnotes
1

S pecifically, we define the level of financial distress as the
percentage of the population that has gone 30 days or
more delinquent on a credit card payment at some point
over the course of a year.

2

S ee Fernando Leibovici, Ana Maria Santacreu, and Matthew
Famiglietti, “Social Distancing and Contact-Intensive Occupations,” Federal Reserve Bank of St. Louis On the Economy
blog, March 24, 2020.

What might be driving the differences in case growth
by FD? Our previous work (Part 1, Part 2, Part 3) highlighted that, in general, areas of higher FD tend to
have higher employment shares in leisure and hospitality. Reopenings have disproportionately affected
these kinds of activities. Moreover, work by Leibovici
et al. (2020) shows that workers in these kinds of
sectors require relatively close physical proximity to
others.2 Combining these two factors, it is perhaps
not so surprising that high FD areas are driving the
bulk of infection increases.
Figure 3: New COVID-19 Cases in All Other States by Quintile of Financial Distress

New Cases per 10,000 People (7-day moving average)

1.5

1

0.5

0
16-Mar-20

30-Mar-20

13-Apr-20
Q1

27-Apr-20
Q2

11-May-20
Q3

Q4

25-May-20

8-Jun-20

22-Jun-20

Q5

Source: USA facts, FRBNY/Equifax Consumer Credit Panel, and authors’ calcula�ons

Katrik Athreya is executive vice president and director of research at the Federal Reserve Bank of Richmond. Juan M. Sánchez is an assistant vice president
at the Federal Reserve Bank of St. Louis. José Mustredel-Río is a senior economist at the Federal Reserve
Bank of Kansas City.

This article may be photocopied or reprinted in its
entirety. Please credit the authors, source, and the
Federal Reserve Bank of Richmond and include the
italicized statement below.
Views expressed in this article are those of the authors
and not necessarily those of the Federal Reserve Bank
of Richmond or the Federal Reserve System.
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