Why declaring racism a public health crisis is an important step to closing racial gaps in healthcare

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Racism is as much a public health issue as it is a social justice issue.

  • On April 8, CDC Director Dr. Rochelle P. Walensky declared racism a public health threat.
  • This declaration will create a sharper focus on healthcare inequality, says Dr. Paul Halverson.
  • Treating racism as a disease will also boost public health funding and lead to healthier communities.
  • See more stories on Insider’s business page.

The Centers for Disease Control and Prevention has joined hundreds of cities and counties across the country in declaring racism a public health threat. On April 8, 2021, CDC Director Dr. Rochelle P. Walensky called racism an epidemic that affects “the entire health of our nation.”

Declaring racism a public health threat will create a sharper strategic and operational focus on understanding and combating racism. Walensky said the CDC will invest more in communities of color and will work to create more diversity within the CDC.

The agency will create a portal on the CDC site called “Racism and Health” to help provide resources and to educate people.

As a professor and founding dean of the Fairbanks School of Public Health at Indiana University, I agree drawing attention to the racial gaps in healthcare is an important step in addressing them.

Read more: As Black Harvard Law School students, we’ve encountered racism at Harvard and elsewhere. But anti-Blackness goes far beyond our privileged Ivy League experiences – it’s deeply rooted in American law and policy.

Bringing up the rear

Acknowledging racism as a public health threat allows for the creation of workforce training programs in public health, medicine, nursing, and other fields. It also may require all health-related professional training programs to include structural racism identification and implied bias and anti-racism strategies within the curriculum. This will put a sharper focus on the measurement of the factors that influence racism. Designating racism as a public health emergency can create institutional focus on actions taken to address this long-overlooked issue.

The US pays more per capita for healthcare than any other industrialized nation in the world, but look at the health statistics and you’ll see the US brings up the rear. Canada, Japan, Malta, New Zealand, Singapore, and Switzerland do better. Among the industrialized countries, the US’s health system is currently ranked 37th in the world.

The reality is that health is a result of many factors. The most striking one has nothing to do with intelligence, diet, or job status. Instead, it’s a person’s ZIP code. Where someone lives is the greatest predictor of health and life expectancy. A person’s ZIP code is also a good predictor of their race and ethnicity. Those things too have a major impact on how long someone lives and, maybe even more importantly, how well.

I live in Indiana. Here, a baby born today in a southern urban neighborhood will live 14 years less than another baby born in the northern suburbs, less than 20 miles away. How a nation protects the health of its children tells you an enormous amount about that society. In the US, our infant mortality – babies who die before their first birthday – is among the highest in the world, with the highest rates in the Midwestern and Southern states. And across the board, infant mortality affects Black communities at a rate higher than other races.

Higher risks across the board

If you are an African American mother in Indiana, your baby is three times more likely to die before its first birthday. Being born Black also means you’re twice as likely to suffer from high blood pressure and have a stroke. Black Americans are also more than five times as likely to serve prison time and will earn substantially less money than their white neighbors. And people of color are up to 10 times more likely to test positive for COVID-19.

Where you live, how much you earn, your access to transportation, and your ability to shop at a supermarket in your neighborhood are all part of the social determinants of health, the most powerful predictor of how long and how well people live.

In the past century, US life expectancy went up 30 years. New medicines or gadgets had little to do with it. Most of those extra years came because of the protection afforded by the public health system. That includes clean water, a food supply that’s safe, and an improved environment.

Decades of discriminatory housing practices have burdened Black communities with poverty, substandard housing, and environmental hazards. Unfortunately, most federally assisted housing is located in segregated areas at a greater risk of lead poisoning, exposure to air pollution, or lack of access to healthy food.

Nearly 18% of the US economy goes toward healthcare spending. That is many times the investment of many other countries that enjoy substantially better health – such countries as France, Italy, Singapore, Colombia, Saudi Arabia, and Denmark.

Of the $3.8 trillion spent on healthcare, public health and prevention is allocated less than 3% of this gigantic budget. However, a 2018 report showed a 3-1 return on investment on public health funding.

Treating racism like the disease that the CDC says it is suggests boosting our investment in public health funding would be money well spent.

Paul K. Halverson, dean, Fairbanks School of Public Health, IUPUI

The Conversation
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Dr. Fauci responds to uptick in gun violence in the US: ‘How can you say that’s not a public health issue?’

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  • Dr. Fauci spoke on the rise in gun violence in the United States this year, calling it “horrifying.”
  • “How can you say that’s not a public health issue?” Fauci said on CNN’s “State of the Union” Sunday.
  • Fauci’s remarks following a rise in mass shootings across the country.
  • See more stories on Insider’s business page.

Dr. Anthony Fauci called the uptick in mass shootings “horrifying” when asked on CNN’s “State of the Union” if gun violence is a public health emergency.

“When you see people getting killed, I mean, in this last month, it’s just been horrifying what’s happened. How can you say that’s not a public health issue?” Fauci said Sunday.

According to data from the Gun Violence Archive, there have been 150 mass shootings in 2021 at the time of publication. As Insider’s Haven Orecchio-Egresitz and Hannah Beckler reported, shootings have been up nearly 73% compared to last year during the same time span.

Amid the COVID-19 pandemic that has resulted in over 500,000 deaths, mass shootings have seen a significant increase and have taken more lives. Last month, two mass shootings occurred a week apart. Eight people, six of them women of Asian descent, died in the Atlanta-area shootings, and at Boulder, Colorado grocery store, 10 people were killed by an armed man.

Last week, eight people were killed, and others were wounded following a shooting at a FedEx facility by Indianapolis, Indiana International Airport on Thursday.

Following the shooting in Indiana, President Joe Biden released a statement on Friday calling gun violence “an epidemic in America.”

“Last week, I called on the Justice Department to better protect Americans from gun violence. I also urged Congress to hear the call of the American people – including the vast majority of gun owners – to enact commonsense gun violence prevention legislation, like universal background checks and a ban of war and high-capacity magazines,” Biden said in the statement.

He continued: “Too many Americans are dying every single day from gun violence. It stains our character and pierces the very soul of our nation. We can, and must, do more to act and to save lives.”

Read the original article on Business Insider