{"id":47848,"date":"2020-06-19T17:34:47","date_gmt":"2020-06-19T16:34:47","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47848"},"modified":"2020-06-19T17:38:58","modified_gmt":"2020-06-19T16:38:58","slug":"i-cant-breathe-the-chokehold-of-racism-on-americas-public-health-response-to-covid-19","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/06\/19\/i-cant-breathe-the-chokehold-of-racism-on-americas-public-health-response-to-covid-19\/","title":{"rendered":"\u201cI Can\u2019t Breathe:\u201d The chokehold of racism on America\u2019s public health response to covid-19\u00a0"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Racism is a public health crisis. The heartbreaking events of the past few weeks, along with the covid-19 pandemic, have laid bare that stark reality, not only to public health officials who have long grappled with persistent health disparities, but to Black Americans who are forced to confront it every day.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">That fact is once again palpable in the brutal killing of George Floyd, an outrage that has rightfully sparked one of the most intense national demonstrations in a generation. But the deadly consequences of racism are not limited to the epidemic of police violence that disproportionately claims black lives. The fact is, the legacy of slavery and segregation persist across the many social determinants of health\u2014and Black Americans are suffering and prematurely dying as a result.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Look no further than the response to <\/span><a href=\"https:\/\/theundefeated.com\/features\/in-1918-and-2020-race-colors-americas-response-to-epidemics\/\"><span style=\"font-weight: 400\">two pandemics<\/span><\/a><span style=\"font-weight: 400\">, one hundred years apart.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Just over a century ago, at the height of Jim Crow, the 1918 Influenza was ravaging the United States. Cramped living and working conditions meant that Black Americans were more vulnerable to the disease, and those who came down with it were largely left to fend for themselves. They were stigmatized for getting sick\u2014even blamed for inciting the outbreaks. When they did get medical help, they were relegated to substandard hospitals, and the limited healthcare and social systems that were available to them quickly became overwhelmed.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We\u2019re seeing many of the same injustices of 1918 play out in the covid-19 pandemic. The novel coronavirus may not discriminate, but our society always has. And this coronavirus has once again revealed the consequences of structural racism, which today have a tremendous impact on who falls ill, what type of care they\u2019ll have access to, and whether they will suffer from underlying health conditions that make the disease deadly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Black Americans are dying of this coronavirus at a rate <\/span><a href=\"https:\/\/www.apmresearchlab.org\/covid\/deaths-by-race\"><span style=\"font-weight: 400\">2.4 times<\/span><\/a><span style=\"font-weight: 400\"> that of white Americans\u2014and predominantly black US counties are seeing <\/span><a href=\"https:\/\/www.washingtonpost.com\/nation\/2020\/04\/07\/coronavirus-is-infecting-killing-black-americans-an-alarmingly-high-rate-post-analysis-shows\/?arc404=true\"><span style=\"font-weight: 400\">three times<\/span><\/a><span style=\"font-weight: 400\"> the rate of infection compared with predominantly white counties. Sadly, this is not a failure of the system, but a result of its design.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Throughout history, entrenched white supremacy has intentionally robbed Black Americans of benefitting from the very advancements they\u2019ve fought and died for. The continuum of injustice still manifests in a multitude of ways\u2014from police brutality, to underfunded schools and social programs, to financial redlining, mass incarceration, voter suppression, and healthcare disparities.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">A growing body of research shows how these injustices hurt the health and prematurely end the lives of black Americans\u2014both in ways that are caught on video for the world to witness and ways that are far less visible. Yes, Black Americans are more likely to be killed by police. They are also more likely to suffer from a range of underlying health conditions stemming from unequal access to healthcare, education, employment, and more. This is to say nothing of the emotional and physical \u201cwear and tear\u201d that comes from the daily stress of experiencing racism itself.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It is time for us to acknowledge this full spectrum of health outcomes perpetuated by racism\u2014from hypertension and diabetes to heart disease and maternal mortality.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Right now, our nation is uniquely primed for that discussion.George Floyd\u2019s\u00a0 tragic death has sparked a movement that has the potential to change it for the better. We\u2019re seeing that power in cities across the country, as lawmakers consider a range of substantive policing reforms. But overhauling law enforcement policy is merely a start.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Today, more than ever, we have the data to illuminate the countless ways in which racism drives health inequities, both through disparities in healthcare access and the countless other social determinants of health. It\u2019s imperative that we in the public health community draw attention to this wider set of forces at play\u2014and seek intersectional policy solutions that finally begin to address them.\u00a0<\/span><\/p>\n<p><b><i>Michelle A. Williams<\/i><\/b><i><span style=\"font-weight: 400\"> is an epidemiologist and Dean of the Faculty, Harvard T.H. Chan School of Public Health. She is the Angelopoulos Professor in Public Health and International Development at the Harvard Chan School and Harvard Kennedy School.<\/span><\/i><\/p>\n<p><b><i>Jeffery Sanchez<\/i><\/b><span style=\"font-weight: 400\"> is <\/span><i><span style=\"font-weight: 400\">former Chair of the\u00a0House Ways and Means Committee, Massachusetts Legislature. He is Lecturer, Harvard T.H. Chan School of Public Health.<\/span><\/i><\/p>\n<p><b><i>Competing interests<\/i><\/b><i><span style=\"font-weight: 400\">: None declared.\u00a0<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Racism is a public health crisis. The heartbreaking events of the past few weeks, along with the covid-19 pandemic, have laid bare that stark reality, not only to public health [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/06\/19\/i-cant-breathe-the-chokehold-of-racism-on-americas-public-health-response-to-covid-19\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":47849,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263,1357],"tags":[],"class_list":["post-47848","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-global-health","category-us-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u201cI Can\u2019t Breathe:\u201d The chokehold of racism on America\u2019s public health response to covid-19\u00a0 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/06\/19\/i-cant-breathe-the-chokehold-of-racism-on-americas-public-health-response-to-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cI Can\u2019t Breathe:\u201d The chokehold of racism on America\u2019s public health response to covid-19\u00a0 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Racism is a public health crisis. 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