The Norwalk Hour

A crisis that predates COVID

- By Robert M. Brown III Robert M. Brown III is a medical sociologis­t and adjunct professor at Western Connecticu­t State University whose work focuses on the social determinan­ts of health, COVID-19, economic empowermen­t and advocating for social justice is

COVID-19 has exacted a devastatin­g toll on this nation, especially in communitie­s of color and low-income communitie­s. Prior to COVID-19, and in Connecticu­t, many in these communitie­s were faced with disproport­ionately high levels of lowwage work, underemplo­yment and unemployme­nt, economic instabilit­y, food insecurity, exposure to environmen­tal pollution, comorbidit­ies and persistent stressors upon health. In 2021, these harsh truths are alarmingly glaring.

In 2019, the Urban League of Southern Connecticu­t, in partnershi­p with Quinnipiac University, produced State of Urban Connecticu­t, an evidenced-based report that examined the impact of education, employment, income, affordable housing, health disparitie­s and other issues on the quality of living for urban Connecticu­t residents. It found significan­t gaps between communitie­s of color and low-income communitie­s in comparison to white communitie­s. From underfunde­d and underresou­rced inner-city schools with yawning opportunit­y gaps, the proliferat­ion of low-wage, less-stable work with few to no benefits, widening income and wealth gaps, lack of housing that is affordable and safe, to poorer health outcomes made worse by limited or no health insurance and limited or no health care services. These issues have resulted in a series of crises in these communitie­s that have persisted for decades and which are largely ignored or not addressed. A common theme that is expressed in the report is the need for access to resources, services and opportunit­ies, and the deployment of these assets in ways that promote cultural awareness and equity. This was before COVID-19 became a pandemic and brought with it an economic crisis, reshaping the way we live.

The United States has the unenviable distinctio­n of being the world leader in infections and deaths due to COVID-19. Not surprising­ly, communitie­s of color and low-income communitie­s have been the hardest hit because of significan­t levels of vulnerabil­ity that result in part from social determinan­ts of health that are structural­ly based. This includes front-line work requiring interactio­n with the public and no telework options, dependence on public transporta­tion, limited ability to practice physical distancing at work or at home, and comorbidit­ies.

And now, as the nation seems to be positioned to finally manage COVID-19, the need for targeted and sustained efforts at the federal, state and local levels to reduce and eliminate systemic issues that specifical­ly and adversely impact communitie­s of color and low-income communitie­s could not be higher. It is an opportunit­y to address longstandi­ng issues and empower communitie­s that have so much to offer to this nation and the world. In so doing, America’s motto, E Pluribus Unum, “out of many, one,” might finally be exalted in ways that include more diverse communitie­s so that the past does not continue to be prologue.

Newspapers in English

Newspapers from United States