New York City metropolitan-area suburbs and some upstate counties are doing more testing for the coronavirus than the city's five boroughs, which lead the state in deaths per 100,000 people.

An analysis by The Journal News/lohud that looks at the rate of testing and the death rate in New York reveals other disparities, including how poorer and largely minority populations in New York City are more adversely impacted than their suburban neighbors.

Medical and race experts said it's no surprise that the city has lower testing rates and higher fatalities than the suburbs.

Dr. Jonathan Zenilman, an expert for the Infectious Diseases Society of America, and Ibram X. Kendi, a professor at American University, agree that accessibility to care is a key factor.

"If you're told to go ask your doctor to get a test and you don't have a doctor, it's really hard to get a test," Zenilman said.

Collectively, New York City is testing at a rate of a little more than 2,000 people out of every 100,000. The surrounding suburbs are testing more than 3,600 people out of every 100,000.

Westchester, the county with the first outbreak in New York, leads the state in testing per 100,000 people, followed by Rockland, Nassau and Orange counties.

Inversely, most of New York City's boroughs — which are also counties — top the state in deaths per capita, with the Bronx far outpacing the other boroughs.

The Bronx and Queens, two counties with large minority populations, have the highest death rates in the state.

The two least-tested boroughs, Brooklyn and Manhattan, are testing only slightly above Putnam county's rate of 1,673 tests for every 100,000 people.

Outside the Lower Hudson Valley, some counties are testing at higher rates than the five that constitute New York City — New York (Manhattan), Kings (Brooklyn), Queens, Bronx and Richmond (Staten Island).

Tompkins County, home of Ithaca College and Cornell University, is testing at a higher rate than both Manhattan and Brooklyn. Tompkins has reported no coronavirus related deaths as of April 9.

Monroe County is testing at a rate of 842 tests for every 100,000 people, which is half the rate of Dutchess County's, at 1,959 tests for every 100,000 people.

Broome County is near the bottom of the list in testing, with at a rate of 397 tests per 100,000 people.

All statistics were as of Thursday.

RACE AND CORONAVIRUS: In New York state, the black and Hispanic populations are at higher risk of dying from coronavirus, preliminary data shows

MEN DYING: New data on New York coronavirus deaths: Most had these underlying illnesses; 61% were men

Upstate, the testing rates are relatively low.

Except for Albany County, which is testing at 1,509 tests for every 100,000 people, other upstate counties are testing at much lower rates.

As the number of deaths in New York continue to show large single-day increases — 799 on Wednesday, surpassing the 779 who died the day before and the 731 who died April 6 —The Bronx, with 73 deaths per capita, is the county with the highest number of deaths in the state.

The Bronx shares a border with the two Westchester cities with the highest number of people with positive test results: Yonkers, with 1,913 and Mount Vernon, which has 805, both as of Wednesday.

Conversely, Staten Island, the highest testing borough per capita, with 2,829 tests per 100,000 people, has the lowest number of deaths in the city at 51.7 per 100,000 per people.

More:New data on New York coronavirus deaths: Most had these underlying illnesses; 61% were men

Deaths by race in New York

Racially, Hispanics and black people are facing some of the highest death rates per capita in Westchester County.

Black people make up 14% of the population in Westchester, but accounted for 20% of COVID-19 deaths. Hispanics, 25% of the county population, accounted for 20% of the deaths, according to state data.

Citywide reports for New York City show that Hispanic people — who make up 29% of the city population — make up 34% of COVID-19 deaths.

Black people represented 22% of the population and 28% of the deaths, the data shows.

Racial breakdowns for individual New York City boroughs have not been released by the state.

More:Dozens of NY's hospitals closed. Then COVID-19 hit. Now marginalized patients are dying. Here's why

Among the factors known or suspected that make blacks and Hispanics more vulnerable to the coronavirus in underserved urban areas, experts said:

Lack of access to health care

Dense living conditions that make social distancing challenging

Higher rates of conditions that increase susceptibility, including high blood pressure, asthma and diabetes

Air pollution and its damaging effects on lungs

High levels of employment in low-wage jobs, which cannot be done remotely

Use of public transportation

Poverty

"Black and brown people are more likely to work in low-wage jobs, so they live close together, and that makes it hard to social distance," Kendi said.

"They also use public transportation, which also puts them at risk."

New state data showing that the coronavirus is killing black and Hispanic New Yorkers at higher rates have spurred some action.

On Thursday, the same day the data was released, Cuomo announced five new testing sites in the city would open in the coming weeks.

More:New York sees drop in hospitalizations, but daily death toll reaches new high

Kendi cited another factor that needs to be addressed: low trust of officials in minority communities. He said this stems from a long history of ignoring catastrophes that have disproportionately affected minorities, most recently, Hurricane Katrina.

"This is part of a larger history of the medical community not heeding the needs of minorities," Kendi said. "This isn't the first disaster that's hit minorities harder, we were fighting racism before this and we will fight it after this."

More:Collecting unemployment in New York: Here’s what to know about the new website and filing claims

Follow Frank Esposito on Twitter @FqEsposito