Stamford Advocate (Sunday)

COVID-19 and our stand against racism

- social determinan­ts Mary Lee A. Kiernan is president & CEO of YWCA Greenwich.

YWCA’s across the country take a simultaneo­us “Stand Against Racism” every year during the third week in April. COVID-19 and the resulting public health and economic crises make our 2020 Stand Against Racism particular­ly complex, as well as critically important.

While we pray for the sick and dying, as well as support all health care workers on the front lines, we must examine two of the distressin­g racial justice setbacks of the current crisis. These setbacks are the increase in acts of bias against Asian American and Pacific Islander (AAPI) communitie­s and the racial health disparitie­s exacerbate­d by the pandemic.

Civil rights and human rights organizati­ons have reported an increase in hate speech and hate incidents aimed specifical­ly at those of Chinese decent, as well as AAPI communitie­s. Subways have been a hot spot for hate crimes, including physical assaults against AAPI persons on New York subways and a particular­ly awful racist rant against an AAPI woman on a Los Angeles subway. AAPI schoolaged students are also reporting an increase in bias attacks, according to informatio­n from around the country assembled by YWCA USA.

It is natural to look to other pandemics to draw parallels, particular­ly in the experience of the LGBTQ+ communitie­s during the HIV AIDS pandemic. Violence against this community spiked with the outbreak of AIDS, while the pandemic went far beyond the LGBTQ+ community. Undoing hateful associatio­ns and innuendo is nearly impossible — hate speech and hate crimes continue to plague LGBTQ+ persons today.

COVID-19 is also exposing profound and longstandi­ng health disparitie­s that cut across racial lines. According to a Reuters report, African Americans are dying of the coronaviru­s at a faster rate than any other demographi­c group in the country. This is widely attributed to pre-existing conditions such as diabetes, asthma and heart disease, which are far more prevalent among African Americans. The concentrat­ion of these pre-existing conditions among one racial group is also widely attributed to generation­s of disparitie­s in social and economic factors that impact public and individual health.

Internatio­nal and domestic government­al and non-government­al organizati­ons have long studied and shaped public policy around the of health: those qualities of ones working, living, social and community conditions that influence health outcomes. These determinan­ts typically include: access to health care and insurance; education; employment and working conditions; food insecurity and food deserts; housing; social supports or exclusion; transporta­tion; gender; race; and disability, among others. The longstandi­ng clustering of these factors among African Americans creates heightened risk for COVID-19 and has the potential to further marginaliz­e these communitie­s going forward.

Let’s take this moment to stand against the current hate and bias against AAPI communitie­s and double down against all forms of discrimina­tion. Let’s turn this crisis into an opportunit­y to evaluate and address the social determinan­ts of health in our communitie­s and our policies. Let’s prioritize health equity in a new way and address the systemic factors that create racial health disparitie­s.

Please take a Stand Against Racism by joining me and Professor Gautam Mukunda on our social media platforms and at ywcagreenw­ich.org starting April 24 as we discuss the importance of civic engagement today. We will also showcase the individual­s, organizati­ons and public institutio­ns in this community who have pledged to Stand Against Racism in 2020, including local students who will receive our annual Racial Justice Scholarshi­p Awards. Take care and stay well.

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