For the most part, asthma, hypertension, and diabetes are inequalities — differences that are a direct result of racism, poverty, disinvestment, and other structural barriers — not “pre-existing conditions.”
#publichealth #healthequity #covid19
#publichealth #healthequity #covid19
Here’s an excellent article by @uche_blackstock that provides an overview of the barriers to equitable treatment and other inequalities that emerge during the #covid19 pandemic and similar disasters: #healthequity #phealth
“The USA is fairly unique [globally] in the extent to which its wealthier residents (earning >$100,000 per year) are more likely than more middle-income residents to obtain the critical resources they need to stay healthy.” ctdatahaven.org/reports/greate… #healthequity #covid19 #nnip 
Data are starting to come in regarding the impact of #covid19 by race/ethnicity. For example, here is a news share from Chicago, a city that is roughly 32% white, 32% Latino, and 29% Black. #healthequity
Note that these new #covid19 reports generally are not disaggregated by age and race together. Given that some groups on average are far younger, age-adjustment is crucial if you want to consider how risks of premature mortality differ. #HealthEquity #nnip
Age-adjustment may show even greater disparities. “African Americans made up almost half of Milwaukee County’s 945 cases and 81% of its 27 deaths (population is 26% black). In Michigan (14% black), AA made up 35% of cases and 40% of deaths.” propublica.org/article/early-… #healthequity
In newly-released data from @LADeptHealth, over 70% of recorded #covid19 deaths are among the African-American population; the state is 32% Black #healthequity #inequality cc @WK_Kellogg_Fdn
New reporting from @WBUR describes a disproportionate impact of #covid19 on Latino adults in New England. #healthequity #bospoli #healthequityweek
”A pandemic exposes the deep and devastating effects of #inequality throughout this country. It was always there, but it’s #coronavirus that has brought it to the surface.”-@ewarren. These situations also create opportunities for community resilience:
washingtonpost.com/politics/covid… #mke
washingtonpost.com/politics/covid… #mke
.@nycHealthy has calculated age-adjusted #covid19 death rates by race/ethnicity. Adjusting for age differences-the standard way to measure how health risks differ by place or community-Latinos and Blacks are dying at twice the rate of whites. #phealth #coronavirus #healthequity
Here’s a comparison of NYC’s population & aggregate #covid19 deaths to the risk of dying by race/ethnicity, after adjusting for age. This is the standard way to understand which places or groups have the highest risk of mortality. #nnip #healthequity @RWJF
”Most #Elmhurst residents can’t #StayHome & order takeout. They are the ones delivering the takeout. [E]ssential employees forced to keep going to work with a cough & fever until they can’t breathe...Elmhurst is 71% foreign-born and over 93% POC.”
yalereview.yale.edu/sirenland #covid19
yalereview.yale.edu/sirenland #covid19
New Haven: A heat map of neighborhood #Covid19 cases by race/ethnicity via newhavenindependent.org/index.php/arch…, juxtaposed with redlining maps & racial residential segregation maps from DataHaven(@ctdata). #nnip #healthequity #nhv
In #STL, all 12 people killed by #COVID19 as of Wednesday were black, the city Health Director said.
In STL County, available data shows African Americans have been hit by the virus at a rate of about 4X that of white county residents.
stltoday.com/lifestyles/hea… #healthequityweek
In STL County, available data shows African Americans have been hit by the virus at a rate of about 4X that of white county residents.
stltoday.com/lifestyles/hea… #healthequityweek
The racial and economic divide in #coronavirus cases is illustrated by this chart of NYC neighborhoods: @theintercept theintercept.com/2020/04/09/nyc… #healthequity #nnip #covid19
(thread continued) Washington, DC data on #covid19 deaths by race/ethnicity: @familyunequal #healthequity #COVID19data #coronavirus
#HealthEquity isn't just about socioeconomic differences. Black & Latino adults are more likely to experience discrimination, regardless of income. In CT, they are 3-9X more likely to have been unfairly treated by police on multiple occasions over the past 3 years. #covid19 #nnip
These differences were even greater when looking at experiences reported in public places, like parks. Another example from the same 2018 survey, which completed live interviews w/ 16,043 randomly-selected adults throughout CT: #covid19 #nnip #healthequity
Across all age groups, residents of high-poverty census tracts were more likely to experience severe impacts from influenza than their counterparts in low-poverty areas, w/ largest disparities among middle-aged adults (5X the rate). portal.ct.gov/-/media/Depart… #covid19 #nnip #phealth
How States Use Race & Ethnicity Data to Identify Disparities & Inform their #COVID19 Responses: New brief and recommendations by @NASHPhealth nashp.org/states-use-rac… #healthequity #healthpolicy #nnip v @CTHealth c @Data4BlackLives @NACCHOalerts
"The spatial patterns presented cry out for explication and informed intervention. But the available data cannot provide the information needed." New @Health_Affairs @hmkyale @gregggonsalves healthaffairs.org/do/10.1377/hbl… #epitwitter #COVID19 #nnip #HealthEquity
#Detroit has responded to >150 “dead person observed” calls from 4/1-4/10, compared to ~40 during same periods the past 3 yrs. "Almost all incidents occurred in areas where household income was <$45,000" @propublica propublica.org/article/theres… #healthequity #COVID19 #covid19mi #nnip
"Officially, as of mid-Tuesday New Haven has reported its seventh case of an African-American dying from #COVID19."
"Meanwhile, funeral directors have buried at least 14 African-American New Haveners who died from Covid-19" @PaulJBass
newhavenindependent.org/index.php/arch… #NHV #healthequity
"Meanwhile, funeral directors have buried at least 14 African-American New Haveners who died from Covid-19" @PaulJBass
newhavenindependent.org/index.php/arch… #NHV #healthequity
In #FairfieldCounty, the wealthiest US metropolitan area, ~25% of adults age >30 identify as people of color, yet 64% of the 432 people who have been hospitalized at the region’s largest hospital with #COVID19 are people of color nhregister.com/news/coronavir… @UWCFC #nnip #HealthEquity
This is a key finding of field work in redlined neighborhoods. We must focus more on how avoidance of health care, due to discrimination & other concerns related to structural racism, escalates poor outcomes in many communities
#COVID19 #healthequity #nnip
#COVID19 #healthequity #nnip
The 3 #Massachusetts towns w/highest #COVID19 case rates per 100K:
Chelsea 1,890
Brockton 1,223
Randolph 1,073
Wellesley, the wealthiest major town, has a rate of 252
% white:
Chelsea 21%
Randolph & Brockton each 34%
Wellesley 78%
@MassDPH mass.gov/info-details/c… #healthequity
Chelsea 1,890
Brockton 1,223
Randolph 1,073
Wellesley, the wealthiest major town, has a rate of 252
% white:
Chelsea 21%
Randolph & Brockton each 34%
Wellesley 78%
@MassDPH mass.gov/info-details/c… #healthequity
”A 6-fold increase in the rate of death for African Americans due to a now ubiquitous virus should be deemed unconscionable. This is a moment of ethical reckoning.”
Hot off press @JAMA_current by @NMHheartdoc: #COVID19 & African Americans
jamanetwork.com/journals/jama/… #healthequity
Hot off press @JAMA_current by @NMHheartdoc: #COVID19 & African Americans
jamanetwork.com/journals/jama/… #healthequity
With revenue nosediving, #cities are now eliminating services like transit & parks.
Which groups will be impacted most?
[Context: Cost of #CARESAct tax cuts for people making >$1,000,000 exceed relief funds for all state+local govts combined]
nytimes.com/2020/04/16/nyr…
#inequality
Which groups will be impacted most?
[Context: Cost of #CARESAct tax cuts for people making >$1,000,000 exceed relief funds for all state+local govts combined]
nytimes.com/2020/04/16/nyr…
#inequality
