San Diego Union-Tribune (Sunday)
CDC DIRECTOR DECLARES SYSTEMIC RACISM A PUBLIC HEALTH THREAT
Racism is a public health threat that “affects the health of our entire nation,” the director of America’s top public health agency said Friday.
In a statement, Centers for Disease Control and Prevention Director Rochelle Walensky vowed to invest more in minority communities, though she did not lay out specifics. Racism “directly affects the well-being of millions of Americans. As a result, it affects the health of our entire nation,” she said.
Local and state authorities have also increasingly labeled racism a public health emergency, spurred by the coronavirus pandemic, which disproportionately impacted communities of color.
According to a Washington Post report, Black Americans were 37 percent more likely to die of COVID-19 than Whites, after controlling for age, sex and mortality rates over time. Asians were 53 percent more likely to die; Native Americans and Alaskan Natives were 26 percent more likely to die; and Hispanics were 16 percent more likely to die.
The outsized impact of the pandemic on communities of color laid bare the disparate health conditions among races in the United States, where White Americans’ life expectancy rates are historically higher than those for Black Americans.
A recent study in the Proceedings of the National Academy of Sciences found that White Americans’ life expectancy even amid a pandemic surpassed that of Black Americans during NON-COVID times.
Experts said that treating racism as a public health problem would help get resources to the communities that need them.
“When one just looks at social economic status as a filter to decide where to allocate resources, that limits the ability of the problem to be solved, because racism is a substantial contributor to the unequal health outcomes and unequal life expectancy,” said Leon Mcdougle, president of the National Medical Association, a nonprofit that represents Black physicians and patients.
Racism in health can manifest in a number of ways, at both systemic and individual levels, said Ranit Mishori, chief public health officer for Georgetown University and senior medical adviser for Physicians for Human Rights.
Housing, education and other aspects of systemic racism can contribute negatively to the health of minority populations, she said. Because of segregated housing, Black people are nearly four times more likely to die of pollution exposure than White people, according to recent studies.
The cumulative stress of exposure to micro-agressions and biased systems, known as the allostatic load, can also affect a person’s health, Mishori said.