Abstract In the scenery for Coronavirus Disease 2019 (COVID-19), the early data has indicated a decline in presentation and an improvement in pre-hospital latency for acute patients with stroke or AMI,3,4 the condition in Michigan, but it is not clear how acute stroke and AMI (COVID-18) should be administered and how these are treated. In reported cases and deaths, COVID-19 has had a disproportionate effect on Black Americans. Blacks make up about 14 percent of the population in Michigan but 19 percent of cases of COVID–19 and 36% of the deaths by October 22, 2020.5 The rise in the incidence of pre-hospital delay among Black Americans which further worsen established racial disorders6 compared with their white counterparts. We wanted to use a quick appraisal methodology in order to advise existing and prospective public health camps, both locally and globally, because of the pressing repercussions for clinical and public health.