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Jun 15, 2020 21 tweets 6 min read Read on X
Happening NOW - the first day of #SERweek2020 closing out with SER in the Moment: A Community-Wide Conversation with @oacarah @YYandtd @MarthaWerler and Sherman James.
Sherman James defines overlapping pandemic-related and endemic stressors faced by African American individuals:
1) COVID-19 (disproportionate deaths)
2) Economic collapse (increased unempl, loss of small businesses)
3) Systemic anti-black racism by police / vigilante killings
"Racism is a fundamental cause of racial health inequities".
Mechanisms of systemic racism shift over time. Forces interact making it difficult for African Americans to gain economic security & prosper - often supported by gov't.

What does this look like? Redlining, voter suppression, gentrification, mass incarceration to list a few.
Dr. James highlights recent attention to systemic racism in science:

Diagnosing and treating systemic racism, N. Engl. J. Med. June 10, 2020, pp. 1-3.

Time to look in the mirror, Science. June 12, 2020, pp. 1161.
Systemic racism in science includes Black/White gap in NIH R01 grants, mentioned in "Time to look in the mirror". A study (Erosheva et al. 2020) found that strongest predictor of racial differences in avg. prelim. impact scores was perception of rigor in the analytic approach.
About SER - Black SER members had highest response rate to assessment of representation and perceived inclusion amongst members! But white males have highest % feeling very welcomed (66%), and minority m/f (40/48%) and non-response m/f (11/16%) is much lower. We can do better.
What can SER do: Established scientists

Welcome young black epidemiologists on behalf of SER, with timely/constructive feedback re grants, publishing, peer review <- which can punish young Black scientists
What can SER do: SER Leadership

Continue to be intentional about ensuring diversity of voices/perspectives at meetings, intensify efforts to make SER more BROADLY welcoming, welcome Black-led initiatives and create space for them (like the #SER2019 Critical Race Theory workshop)
What can SER do: SER journal editors-in chief (AJE and Epid Reviews)

Ensure editorial boards/associate editors represent field's diversity.

"Now is the time to step up & intensify efforts to make sure these journals that represent SER broadly represent diversity of the field".
Thank you Dr. James, moving on to @oacarah who raises questions to ponder: does SER have a role to play? What business is SER in? And at what points can we actually act?
If SER is in the business of epidemiology, and epidemiology is a core part of public health, then the answer is yes. SER has a role to play.
Where we can act: Look at the research we do. Who we're studying. Our publishing. Our mentorship. Just to name a few of the many. Be part of the solution!
Moving on to @YYandtd with a history of centuries of poor health. Other highlights not shown below (there's so much to show!):

Slavery lasted a quarter of millenia (246 years) and was extended for 99 years through Jim Crow laws - our current time is only 56 years later. Image
Race as an exposure: "The race/ethnicity variable is a terrible proxy for a lot of different things. We spend so much time thinking about other things, but when it comes to talking about racial issues, we get sloppy with our theory and methods" (@oacarah)
Race as an exposure: Dr. James calls for more research on structural dimension of racism, noting that this research doesn't tend to appear in mainline epi journals (more in SSM, public health).
Would SER consider endorsing the statement on principles on race/ethnicity and health from American College of Epidemiology?

@MarthaWerler notes SER has traditionally shied away from acting on matters of policy, but leaves question of whether now is the time to change that.
Also noted that room size issues at #SER2019 were by no means targeted, and SER has taken action to prevent this from happening at #SER2020!
Whew, what a session! There were so many good points that were inevitably missed here (especially some great Q&A) so if you missed this session, recordings will be made available to SER members and make sure to check out these other great live tweets 👇:

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More from @societyforepi

Feb 17, 2021
Now, what exactly is an applied epidemiologist, and why are they needed? In the late 90s- early 2000's there were a series of articles in AJPH, AJE, JECH, and IJE dedicated to answering these questions. I'll focus on Stephen Thacker's review.
academic.oup.com/ije/article/30…
He states, “The applied epidemiologist is by definition an activist, moving rapidly from findings to policy, putting epi knowledge to good use. The 21st century epi must do all these things while maintaining a foundation of high-quality epi research and practice.”
Susser warns the field of what he considers “the black box paradigm… the current international focus on risk factor epidemiology.” He advocates for expanding our academic training to include socializing epis to “keep the improvement of the public’s health as a primary value”
Read 10 tweets
Feb 17, 2021
Before we get started on our applied epi journey, I want to give honor to a great epidemiologist. Today is the second anniversary of his death, Dr. Bill Jenkins. At one point, it was said that 50% of Black US epis could track their career back to him. I'm one of those.
If Bill has had a positive impact on your career or life, I'd love to hear your #BecauseOfBill story.
Dr. Bill Jenkins started as a statistician in the United States Public Health Service in the 60s. Within 1 yr of working there, he learned of the Tuskegee Study of Untreated Syphilis in the Negro Male. He brought it to the attention of his supervisors and was told to drop it.
Read 8 tweets
Sep 23, 2020
let’s talk about covid stress.

even if you and your loved ones are healthy and you still have your job and your home, your stress, pain, sadness, frustration, etc. are legitimate! 1/
#epitwitter #BodnarTwitterTakeover
this is not the Olympics of suffering, where only people with the worst situation get to be the ones who are in pain. we are ALL struggling (even if people seem like they have it together)! 2/
we are collectively grieving. Grief requires a lot of energy. Therefore, our mental reserves are low, meaning that “small” stressors that you could handle without so much emotion pre-covid now feel overwhelming. why? 3/
Read 16 tweets
Sep 23, 2020
#epitwitter #BodnarTwitterTakeover i've had a few requests to tweet on 'How to Say No." lots of people have published smart pieces on this. doing a google or a twitter search on 'saying no in academia' will help! but i'm happy to share a few things and take any questions! 1/
first, i've gotten undeserved credit for the idea of establishing a No Committee. it was originally written about by Professor Vilna Bashi Treitler at Baruch College and CUNY. i started my own No Committee after someone pointed me to her blog years ago 2/
tinyurl.com/y242d4sj
we all have had the experience of saying yes to what seem at the time like great opportunities and then realizing that we have WAY too much on our plates and becoming super overwhelmed. 3/
Read 20 tweets
Sep 23, 2020
let's talk about boundaries! (saying no)

@Doc_Courtney asked this great question to @ProfMattFox and me after this week's @ShinyEpiPeople episode on kindness.

to me, questions about balancing kindness and your own work are about setting boundaries. 1/
Anne Katherine has a couple of great books on setting boundaries. the quotes here are from her book Where to Draw the Line:
'A boundary is a limit. By the limits you set, you protect the integrity of your day, your energy and spirit, the health of your relationships,...' cont. 2/
'...Each day is shaped by your choices. When you violate your own boundaries or let another violate them, stuffing spills out of your life.'
(ok and who wants to lose their stuffing and become one of those stuffed animals with the droopy head b/c you have no neck stuffing??) 3/
Read 21 tweets
Aug 26, 2020
Last century saw two very deadly pandemics the #GreatInfluenza of 1918 and #HIV. Is there anything we can learn from these about the future of #COVID19? The obviously parallel is the 1918 pandemic, a respiratory pathogen, though flu and #COVID19 have a lot of differences (1/5)
The #1918Pandemic tells us not to be overconfident after a receding summer wave. Pandemic flu often has a summer wave, followed by a big resurgence in the fall/winter. Is #COVID19 as seasonal as the flu? We don't know, but don't get too comfortable. (2/5) researchgate.net/figure/fig2_56…
...the data from the Southern hemisphere is mixed, and everything is muddled by control and surveillance. But even it is important to remember even if the virus isn't directly climate sensitive, behavior is, and can lead to strong seasonal effects. (3/5)
covid19.who.int/?gclid=CjwKCAj…
Read 5 tweets

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