Article #1. COVID-19 Pandemic, Unemployment, and Civil Unrest
Article #2. Diagnosing and Treating Systemic Racism
Article #3. TedTalk by Dr. Camara Jones, MD, PhD, engaging storyteller, national thought leader, and expert on the effects of racism and social inequalities on personal health. Dr. Jones serves on the faculty at Emory, and previously served on the faculty at Harvard and Morehouse. She is a valued lecturer at the NIH National Institute on Minority Health and Health Disparities.
"The Gardener's Tale" is a simple, elegant, and powerful example of privilege and systemic (institutionalized), personally mediated, and internalized racism.
Article #4. Dr. Jones defines institutional=structural racism as "differential access to the goods, services, and opportunities of society by race. Institutionalized racism is normative, sometimes legalized, and often manifests as inherited disadvantage. It is structural, having been codified in our institutions of custom, practice, and law, so there need not be an identifiable perpetrator."
Please reflect on the impact of persistent Structural Racism in Indigenous communities, where plumbing poverty (40% of Navajo households lack running water) is ubiquitous.
Article #5. David R. Williams is the Florence Sprague Norman and Laura Smart Norman Professor of Public Health and chair of the Department of Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health.
Article #6. Podcast with our own Founding Dean of UCSD Public Health School, Dr. Cheryl Anderson on "How Redlining Contributed to Health Disparities"
Article #7. Recognizing and Reacting to Microaggressions in Medicine and Surgery. This article addresses microassaults, microinvalidations, environmental microaggressions, and how to respond to microaggressions.
Article #8. Justice in June app, offers daily antiracism training in 10, 25, or 45 minute increments (similar to mindfulness training).
Article # 9. AHA, Editors, and Cardiologists Ask: How did 'Racist' paper make it to print?
Article #10. Majority Taxes Black physicians pay "minority taxes" performing extra duties to help organizations achieve diversity. Perhaps White physicians should pay "majority taxes" by...
Article #11. Please take the time to hear the concerns of Black, Latinx, Native American student leaders. Please listen with a compassionate and empathetic ear/heart to these poignant stories, which we might not otherwise have the privilege to hear.
Article #12. This article by Dr. Kevin Gutierrez forced me to question the utility of disseminating antiracist articles/videos on Friday afternoons, particularly during a difficult week when yet another unarmed Black man, Jacob Blake, was shot in the back by police in front of his three young sons, while a 17 year old shot and killed two protestors opposing Blake's shooting and pervasive police brutality. Our Black students are undone, feeling defeated, frustrated, and hopeless.
Article #13. One of our Orientation Week sessions for our newest cohort of 134 medical students included an introduction to our new Health Equity Thread, Cultural Humility, and Structural Competence.
We would have liked to show them diverse neighborhoods of San Diego in person, but resorted to a virtual tour instead. Barrio Logan was a residential neighborhood until zoning laws allowed industry, naval shipyards and a labyrinth of freeways to weave through and above its quiet streets and ports.
Article #16. Citing the ongoing pandemics of COVID-19 and racism on the health of the nation, the AAMC (Association of American Medical Colleges) released a framework on Oct. 6 that is designed to guide and inspire the academic medicine community to begin addressing decades of structural racism within medicine.
Article #17. COVID-19 case-fatality rates (case-to-death ratios) in San Diego, Los Angeles, and California are highest among Asian-Americans, but these observations have not informed funding/intervention priorities. This article discusses structural racism in Asian-American communities.
Article #18. Dr. Kimberly Manning (Emory University) gave a very engaging Medicine Grand Rounds Lecture last week on "I May be Biased: What Can I Do About It?. Her strategies to recognize and manage our own biases, especially in a clinical setting, offer practical and feasible solutions. (Thank you to Drs. DJ Gaines and Simerjot Jassal for inviting Dr. Manning.)
Article #19. MS4 Betial Asmerom, 2019 AAMC Herbert Nickens Awardee for Health Equity Leadership, was interviewed in the Washington Post for student-led anti-racism learning and advocacy initiatives.
Article #20. The AMA has taken action to explicitly recognize racism as a public health threat and detailed a plan to mitigate its effects.
Article #21. "Trauma has profound implications for mental and physical health. Historical trauma, as we explore in this article, can create health inequities centuries later.
These include “the first documented case of bioterrorism by the colonial government” in the form of the distribution of blankets that contained smallpox to American Indians, the “Indian removal act” of 1830 that forcibly relocated Cherokee populations and killed thousands in the process, the scalping bounties that made the practice legal and rewarded the killing of American Indians during the Dakota War of 1830–1862, and more.
This trauma is “held personally and transmitted over generations. Thus, even family members who have not directly experienced the trauma can feel the effects of the event generations later.”
Article 22-1. Injustice in health care treatment persists, including among Black physicians who advocate (plead) for appropriate care, as chronicled by Dr. Susan Moore , who died of COVID-19 complications.
Article 22-2. Representatives from all UC medical schools are organizing a 5 part Race-Conscious Seminar Series, where we plan to discuss if and how race should be presented in medical education, and if and how race/ethnicity should be defined and applied in clinical practice. The following article by UCSF faculty leading the Race-Conscious seminar (K. Bibbins-Domingo, E Burchard) offers provocative insight to this timely conversation.
Article 23. Today, January 15, would have been Reverend Martin Luther King's 92nd birthday. While addressing the Medical Committee for Human Rights 55 years ago, Dr. King's words: "Of all the forms of inequality, INJUSTICE in Health is the most shocking and the most inhuman" remains relevant today.
The following article by Dr. Mary Bassett and colleagues (Director of the FBX Center for Health and Human Rights at Harvard) addresses racist policies (Redlining and Racialized Residential Segregation, Police Violence and the Carceral State, and Unequal Health Care) as some of the root causes of US Racial Health Inequities. The article also addresses our role in dismantling structural racism.
Article 24. National Youth Poet Laureate, 22 year old, recent Harvard graduate (Sociology), author and activist, Amanda Gorman, shared her poignant words on Unity and Hope.
Article 25. COVID-19 prevalence in San Diego remains highest among Native Hawaiians/Pacific Islanders, followed by Latinx and Black communities.
EISB COVID-19 Daily Update (sandiegocounty.gov)
UCSD Health (including many student, staff, and faculty volunteers) and San Diego County have worked tirelessly at the Petco Park super station, and in establishing the new RIMAC site and other venues (in development).
COVID vaccination rates are highest among Native Hawaiians/Pacific Islanders (9.1%), followed by Whites (8.9%), Asians (8.1%) and American Indians/Alaskan Natives (7.4%), but lag behind among Latinx (3.4%) and Black (3.3%) communities.
Is this due to access? or Acceptability? Most importantly, what can we do (and how do we engage our medical, pharmacy, and public health students) to increase access and acceptability in impacted communities?