Discover and read the best of Twitter Threads about #StructuralRacism

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Tomorrow's session in our doctoral seminar on public health ethics centers "Disability, Ethics, & Public Health."

We began this convo in the fall history of public health seminar via extensive discussions on eugenics and basic notions in critical disability studies.

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Tomorrow we'll extend our work by attempt to apply working knowledge of #DisabilityJustice and #DisabilityEthics to public health practice and policy. Last week's application exercise of the REAP Framework in evaluating the influence of #StructuralRacism in policy serves +

2/
As a critical bridge to this week's unit, since of course ableism and racism intersect past and present in all sorts of nefarious ways in public health contexts.

(The app exercise involves continuous Medicaid coverage under the current PHE)

3/
Read 4 tweets
1/ For our first #FellowsFriday of #BlackHistoryMonth, we're celebrating Dr. @wendyruns, 2018 Ascend Fellow!

With @childmuseums, she leads place-based work in her hometown of Cincinnati to foster #racialequity w/ families through #TruthandReconciliation: ascend.aspeninstitute.org/four-outstandi…
2/ As Director of @gwpublichealth’s @resilnation, Dr. @wendyruns is a champion of the national movement to address the root causes of childhood trauma, foster equity, and build community resilience. Read more about @ResilNation here: ccr.publichealth.gwu.edu
3/ Last month, Dr. @wendyruns & @resilnation premiered their first documentary, "Truth, Racial Healing and Transformation: Cincinnati" to unpack the history of #structuralracism in Black communities and share the narrative on #HowWeHeal:
Read 6 tweets
1/🧵 @NEJM “Covid19 has rendered U.S. racial, ethnic & social health inequities too stark to ignore.”
 
In the face of staggering inequities in Covid morbidity & mortality, the scientific workforce must confront #StructuralRacism

TY @DrCHWilkins & authors
bit.ly/3fGHycT
2/ The 2020 U.S. Census estimated that 33% of people in the United States identify as members of racial or ethnic groups that are underrepresented in medicine but less than 6% of research faculty are members of such groups.
3/ Only 4 to 5% of participants in trials of drugs submitted for approval by the @FDA between 1997 & 2014 were from groups historically underrepresented in medicine.
Read 5 tweets
This is happening in U.S. & U.K. Once I got to the management & C-suite, especially in #NYC, I was unwilling to send #HCW into unsafe spaces to be injured or die.

@drbreenheroes this is the crux of the issue. “#Mentalhealth” is really #moralinjury from #ethics violated.
The frontline is disproportionately POC, women. Those making guidelines or in C-suite are able to protect themselves. Leadership manipulates data/definitions, then shames, gaslights. Non-clinicians hired to override #HCW with “opinion.” Those at frontline who speak up: fired.
Who is among these flags (& whose loved ones)? It is not those pushing out pre-prints or on TV nor those safely behind a screen from a second home. It is those at the frontline, working without support, protection, or even without pay (some hospitals asking docs to volunteer).
Read 4 tweets
Our report on #policebrutality shows that the same violent patterns are deployed in different European countries to allow police forces to continue brutalising racialised communities; #structuralracism can no longer be ignored in Europe.
The #Covid19 measures have also allowed police and law enforcement to further brutalise racialised communities. We all remember the #MichelZecler case in France:⤵️
The many systemic human rights violations perpetrated against refugees and migrants in Europe with complete disregard towards the protection of their fundamental rights also clearly demonstrates how institutions in Europe target racialized communities.
Read 4 tweets
Did you know that healthcare equity breaks down along race lines? For #IndigenousHeritageMonth, learn about racism's effect on health outcomes. Fixing the problem begins with awareness of it. In this thread, we share our blogs about Native communities' pandemic health outcomes.
Structural racism has created significant morbidity and mortality for minority populations, including Native communities. Read more in Kelly's article: fancycomma.com/2020/11/14/str…

#StructuralRacism #Health
You can also read about COVID-19 in the Diné (#Navajo) Nation in Kelly's article: fancycomma.com/2021/02/28/cov…
Read 5 tweets
Check out "The Roots of #Redlining," a new article @lwinling & I wrote that was just released in the @JournAmHist. Here's the link academic.oup.com/jah/article-ab… but an illustrated thread with summary & our major findings follows ... (1/17)
@UrbanHistoryA @SACRPH
We trace the intellectual roots of #redlining to economist Richard T. Ely and his students & colleagues affiliated with the Institute for Research in Land Economics, which he founded in 1920 ... (2/17)
While a faculty member at Johns Hopkins, the University of Wisconsin & Northwestern from the 1880s-1920s, Ely trained scores of economists, sociologists & historians -- including future president Woodrow Wilson ... (3/17)
Read 18 tweets
Word “racism” silenced, actively, by #MedEd #MedTwitter #healthcare#professionalism” & “communication” labels

Saying “racism” offends or “hurts feelings” > actual #BLM deaths

If #professionalism itself is racist -makes sense that word suppressed
@FutureDocs
What @ayshakhoury experienced pushes out & silences many

If the editors of @JAMA_current resist hearing word “structural racism” then they certainly are not publishing papers using that word

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Journal gatekeeping: men
Behavior gatekeeping: women/HR

#accountability only for white men
-> we miss “Amy Cooper” in #academia, #HR, #professionalism #compliance

insidehighered.com/advice/2020/06…

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Read 18 tweets
Good to see @rcpsych's considered & evidence backed response to the recent race report. All forms of racism can harm health & mental health
Denying the existence of structural racism affects efforts to root out inequality
@DrLadeSmith @DrAdrianJames

rcpsych.ac.uk/news-and-featu…
Some crucial evidence missed is this recent House of Commons & Lords report on Racism & Human Rights (Nov 2020).

Did the CERD researchers fail to locate & read this?
Or did they ignore a Parliamentary report?
(Here it is in full)
committees.parliament.uk/publications/3…
"A succession of reports in recent years, have investigated, and found, structural racial
inequalities in state institutions and processes, from the Home Office to the Youth Justice System"
#StructuralRacism reports as below
committees.parliament.uk/publications/3…
Read 3 tweets
Nobody likes 'BAME', but how to describe all 'BAME' ppl, not just individual communities where the matter is common barriers, disparities etc. People of Colour (a bit American)? Non-white (negative)? Black as a unity term (old fashioned, embraced less by some communities)? 1/
There's totally an issue with 'BAME/BME/BAEM' hiding even worse stats afflicting some groups, eg ppl of African descent (incl Afriphobia) & Bangladeshi/Pakistani (added Islamophobia). But why can't we use unity terms together with disaggregated data for worst impacted groups? 2/
The danger is losing unity terms because some communities are worst hit by the same issue that's also affecting other communities takes away power from the argument to deal with the underlining causes, fracturing an anti-racist coalition & playing into divide-and-rule. 3/
Read 8 tweets
Okay, I'm about to start listening.
Thanks @AmyBaugher for bringing this podcast to my attention, and thanks @statsepi for preparing me for the offenses I'm about to hear.

And to think, this was released during #BlackHistoryMonth

🧵 live tweeting this podcast
@JAMA_current
Title: #StructuralRacism for Doctors- What is it?
1st the title is distressing. Why are we still asking what is it? Why aren't we focused on addressing it? Still defining something that is clear, noted in research, & pervasive is problematic & stalls progress.
Pressing play now
"We discussed structural racism. Going into this interview I didn't understand the concept." I'm confused, who are you? There's no introduction of the narrator. What field is he from? What work does he do? Does he interact with patients & not understand this life & death concept?
Read 27 tweets
This @JAMA_current Clinical Reviews podcast Structural Racism - What Is It? (then verbally retitled, SR - For Skeptics) is a #TotalFAIL.
It is itself an example of SR:
1/
stitcher.com/s?eid=81881824…
to have an elite white man, with skin in the SR game on the status quo side, conduct an interview of current saliece, conduct an interview obviously not having made any serious effort to prepare, the hubris & self-serving naïveté is stunning that this was posted. 2/
& for this unqualified person to then go on to appraise from the hip the results of a formal fields of study & policy analysis, completely outside his areas of expertise & with no effort to seriously prepare for this subject,
3/
Read 7 tweets
There are 328,200,000 people in the USA.
Black Americans make up about 13% of the population
There are currently about 877K practicing physicians in the USA....
4% of the 877K are Black
ONLY 2% of physicians in the USA are BLACK FEMALES.
We are out there, serving our communities, taking care of the sick, the disinfrachised. Listening. Doing. Acting.
We are tired. We are only 13% of the population but we are dying faster and worse from almost every disease/disorder...
We know it isn't just race that determines these outcomes. Its a long standing system of #bias #structuralracism and social determinants of health that make this an almost impossible battle to win....
Read 5 tweets
In the UK, @thetimes seems to glorify murderers when they fit a certain profile

The paper is yet to apologise for its tweet (now deleted) & the article, which remains up

It is disgusting hypocrisy & double standards

thetimes.co.uk/article/kenosh… ImageImage
Reminder: to understand how British media outlets report on terrorism especially when it comes to Muslims:

1. Consistently inconsistent e.g. using terms like "terrorist" inconsistently; &
2. treating Muslims differently to others

See @cfmmuk report:

cfmm.org.uk/wp-content/upl…
Narratives are created in the public conscience when high profile stories of murders & terrorism:

1. Get excused when by white non-Muslim far-right males
2. Get promoted when by non-white Muslim males - often with op-eds

This is how the public are misled
#structuralracism
Read 3 tweets
Continuing @VPrasadMDMPH @walidgellad @AnilMakam discussion on structural racism #HSR @AcademyHealth: A thread on research critique w. a specific application to:
pnas.org/content/early/…
Let's go! 1/
1) When engaging in thoughtful critique, whether your own or someone else's, read the entire paper & supplement.
1x) Critiques of Greenwood et al that raise issues such as SES, comorbidities, etc, imply that the commenter has not read the entire paper. Specificity is key.

2/
2) When identifying limitations of the methodology, differentiate between a) those not mentioned by the authors; b) those mentioned by the authors but not addressed as fully as desired.

3/
Read 39 tweets
It’s an interesting approach at @MITSloanFellows - placed into teams rather than allowed to select own team. The teams are formed so there is likely to be misalignment and conflict. And then we have to work together for grades. We cannot do usual bonding activities via Zoom
Teams are being coached & cautioned that it is easy to create “in” and “out” groups to exclude, marginalize, label some in group. Instead, keep open communication and pause prior to forming any conclusion.

mindtools.com/pages/article/…
“Identify where on ladder you are.

Are you:
-Selecting your data or reality?
-Interpreting what it means?
-Making or testing assumptions?
-Forming or testing conclusions?
-Deciding what to do and why?”

Vet, verify, listen, consider

(This seems especially relevant for biases)
Read 19 tweets
Thread: 👋🏾 Welcome new followers. I am a #nurse #researcher, leveraging my expertise for #health #equity. This includes fighting for #social #justice, #RacialJustice, etc. This #Throwback image depicts wounds that were passed down 1/6

If anyone knows the artist, please tag them.
through generations. You could swap the images out for multiple people groups w/ shared experiences of historical and ongoing #trauma. My desire is to not only show how these #atrocities CONTINUE to affect #population #health, but also to implement multilevel interventions 2/6
that mitigate the influence between the aftermath of such injustices & #health. (#Structuralracism has to be addressed to do this.) This is done in #partnership with communities. For too long too many #Scientists (me included) have been #complicit in documenting differences 3/6
Read 7 tweets
Racism is a public health crisis, a thread:

1/n
(Focusing predominantly on black health inequities, for now.)

2/n
Black life expectancy is 3.5 years less than white life expectancy in the U.S.

(Source: CDC, National Center for Health Statistics)
3/n
Read 24 tweets
Thank you @ColleenKraft for being consistently vocal 💪🏼💪🏿💪🏽

Let’s work on #tweetiatrician #advocacy training by @AmerAcadPeds to have more robust & effective strategies vs increasing backlash & #bullying
as experienced by @NicoleB_MD @DrToddWo, worse for #minoritiesinmedicine
From @bfrist on #LinkedIn: concerning loss of scientific #integrity by political agendas

#scicomm teaching has been to “avoid politics” = sitting in sidelines

why engaged #tweetiatrician were a separate species apart from other #STEM professionals

linkedin.com/posts/activity…
We need to be multidisciplinary like work with school nurse leader @RobinCogan

When I have taught official @AmerAcadPeds guidelines to trainees in hospital settings & staff member has walked by, they assumed “political” & “unprofessional” when per AAP

https://t.co/1ktvts1Fuu
Read 20 tweets
Hi, I’ll be live-tweeting today’s Chicago Board of Health public meeting. #ChiDocumenters
@ChiDocumenters #publichealth #chicagopublichealth
@CHIdocumenters Dr. Arwady reviews high-level updates from the dept, including an anti-#syphillis campaign, a research study on Chicago maternal mortality (#maternitymatters) that will be released soon, and a new program that will provide assistance to #newmom s at 3 Chicago hospitals.
Dr. Arwady shares info about the new training video aimed at Chicago employees who work with youth, centers a #traumainformed approach to working with them.
Read 57 tweets
It's encouraging that the field is beginning to make more room for scholarship on #StructuralRacism and health inequities. Just last year, @socscimed published a Special Issue on the topic compiled by @mhicken and others: sciencedirect.com/journal/social…
#BarberTwitterTakeover
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One of the articles in the Special Issue is an article I published on residential segregation and racial health inequities in Brazil another, country rooted in the legacy of slavery, racism, and oppression...
sciencedirect.com/science/articl…
#BarberTwitterTakeover
#BlackEpiMatters
2/n
While similar to the U.S. in many ways, Brazil has a much more complex system of racialization based on a skin color continuum. Thus as a researcher, I could not transpose my ideas about race in the U.S. to Brazil. A lesson from #CriticalRaceTheory
#BarberTwitterTakeover
3/n ImageImage
Read 7 tweets
Speaking of history... Redlining in the U.S. and the racial residential segregation that persists today represents one of the most visible manifestations of #StructuralRacism and has been the focus of my work for the past few years...
#BarberTwitterTakeover
#BlackEpiMatters
1/n ImageImageImage
For a great resource, check out: segregatedbydesign.com, a 17-minute documentary that shows how segregation has been created through racist policies, racist practices, and racist violence...
#BarberTwitterTakeover
#BlackEpiMatters
2/n
The systematic disinvestment that racial residential segregation creates has widespread implications and is fundamental to our understanding of racial health inequities...
#BarberTwitterTakeover
#BlackEpiMatters
3/n Image
Read 6 tweets
THREAD: After the #TreeOfLifeSynagogue #shooting, the #KrogerShooting before that, and the +14 bombs sent by the #MAGABomber, it's crucial that we call #RightWingTerrorism out for what it is, but we also clearly need to talk about #WhiteSupremacy in the 2018 election.
We celebrate the truly #HISTORIC number of #women and #POC running for office in 2018, but we also refuse to ignore the volume & range of explicit and implicit #racist attacks almost every single candidate of color has faced in this election. That's also #WhiteSupremacy in action
Let's be clear: #POC running for elected office have ALWAYS faced hurdles to victory defined by the strength of #StructuralRacism and our country's long-standing culture of #WhiteSupremacy. But 2018 has taken it to a new level.
Read 12 tweets

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