Through the COVID-19 pandemic, a long-simmering US national history of prejudice against individuals of Asian descent has surfaced in a spate of xenophobic hate. A pandemic, exposing widespread health inequities that have disproportionately affected racial and ethnic minority communities, has also triggered racist rhetoric blaming COVID-19 on an often invisible, yet vital, community of Asian American, Native Hawaiian, and Pacific Islander (AANHPI) individuals. With recognition that the terms Asian American, Native Hawaiian, and Pacific Islander encompass a multitude of specific racial and ethnic categories and countries of descent, herein, we will refer to these communities under the collective term and abbreviation (Asian American, Native Hawaiian, and Pacific Islander [AANHPI]). Healing the hate and moving toward health equity for all requires recognizing the special challenges of this rapidly expanding population that represents the fastest-growing racial and ethnic minority group in the US. From 2000 to 2019, the AANHPI population in the US increased by 95%. Now accounting for 7% (23.2 million people) of the US population, it is projected to double by 2060. 1 USresidentsofAANHPIdescent,whohaverichlycontributed to the nation's social fabric for centuries, are still regularly treated as outsiders, as "them" rather than "us," andas"foreigners"intheirowncountry.Overthepastyear, substantial increases in the number and intensity of public assaults against AANHPI individuals have included racebased verbal profanities and vandalism as well as unprovoked physical violence. Rising discrimination culminated in the March 2021 Atlanta spa shootings that caused 8 deaths,including6AANHPIwomen. 2 Accompanyingmany of these assaults have been cries of "you [brought] the virus here" and "go back to where you came from." 3 More than 6600 self-reported hate incidents (March 2020-March 2021) 3 and 1845 hate crimes reported to police (a nearly 150% increase from 2019-2020) 4 harm not only targeted individuals but also the broader AANHPI community. In a national online survey (conducted from April 5, 2021, to April 11, 2021) of 5109 US adults, 81% of the 352 AANHPI respondents said that violence against them is increasing and 45% reported that they have personally experienced an offensive incident tied to their racial and ethnic background during the COVID-19 pandemic. 2 Future studies with larger samples should track and extend these findings. Such explicit discrimination does not escape AANHPI professionals who also face COVID-19 exposure risks while serving on the frontline of health care; AANHPI individuals represented 21% of US physicians and surgeons in 2017 and 9% of US registered nurses in 2019. 5 An analysis by National Nurses United found that, as of September 16, 2020, individuals of Filipinx background (approximately 4% of US

Health data on Asian Americans were deficient pre-pandemic [1,2], with 0.17% of clinical research funded by National Institutes of Health focused on Asian American, Native Hawaiian and Pacific Islander participants between 1992 and 2018 [1], and this deficiency has been magnified during the COVID-19 pandemic [3]. Sparse COVID-19 data for Asian Americans and for specific Asian ethnic groups [4,5] has maintained the misconception that Asian Americans are a low share of the COVID-19 deaths and cases. In reality, Asian Americans have higher COVID-19 case fatality rates (CFR) than other racial/ethnic groups [6] and had the second highest increase (+37%) of excess mortality in 2020 [7].In recognition of deficits in the collection, analysis, and reporting of representative data for Asian Americans, in June 2020, the NYU Center for the Study of Asian American Health (CSAAH) joined the Centers for Disease Control and Prevention-funded Forging Asian and Pacific Islander Community Partnerships for Rapid Response to COVID-19 Project, a national partnership led by the Asian & Pacific Islander American Health Forum and eight coalitions. CSAAH's role in the partnership was to leverage new/existing data to identify highrisk COVID-19 Asian American populations. Drawing upon this work, we offer the following recommendations from our experience which may be applicable to other communities and settings.

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