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Twitter Elle Lett @madblqscientist, Emmanuella Asabor @EmmanuellaMDPhD and Theodore Corbin @teddycorbin Acknowledgements EL would like to thank the Penn Medicine Center for Health Equity Advancement and Of fi ce of Inclusion and Diversity for their support. EL and ENA would like to thank the Black Health Scholars Network for their support of this work. ENA would like to thank the Robert Wood Johnson Foundation for their support. Contributors EL, ENA and DB conceptualised the study. EL conducted the statistical analyses. EL and ENA drafted the manuscript. EL, ENA, TC and DB interpreted the results and revised the manuscript. Funding The authors have not declared a speci fi c grant for this research from any funding agency in the public, commercial or not-for-pro fi t sectors. Competing interests None declared. Patient consent for publication Not required. Provenance and peer review Not commissioned; externally peer reviewed. ORCID iDs Elle Lett http://orcid.org/0000-0002-6590-7821 Emmanuella Ngozi Asabor http://orcid.org/0000-0002-5801-2763 Theodore Corbin http://orcid.org/0000-0001-5914-7494 REFERENCES 1 Edwards F, Lee H, Esposito M. Risk of being killed by police use of force in the United States by age, race: ethnicity, and sex. Proc Natl Acad Sci U S A 2019;116:16793 – 8. 2 Bui AL, Coates MM, Matthay EC. Years of life lost due to encounters with law enforcement in the USA, 2015 – 2016. J Epidemiol Community Health 2018;72:715 – 8. What this study adds ► This study extends prior work by demonstrating a persistent longitudinal trend of disproportionate victimisation of Black, Hispanic and Indigenous persons in fatal shootings by police in the USA. Further, we demonstrate that this trend persists among Black and Hispanic victims even when unarmed.

Lett E, et al. J Epidemiol Community Health 2020; 0 :1 – 4. doi:10.1136/jech-2020-215097

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