1/ Kick-off question from @DJDevakumar in the launch of @TheLancet racism and health series @raceandhealth

What does #racism mean to you?

This made me reflect on my personal definition of racism so here goes 🧵
2/ To me personally I think of #racism as discrimination whether *by thought and/or action* based on skin colour or geographical place or culture or religion or language or social attitudes that never operates in isolation, which brings us to the concept of #intersectionality
3/ Racism is always compounded or diluted by other systems of oppression or privilege like #patriarchy #classism #homophobia.
4/ One of the most challenging questions we can ask ourselves is whether an action towards us was #racist or not. I believe this is at least partly because we try and isolate the effect of our race on the action without accounting for the intersections of how others see us.
5/ I'm many other things besides my race. Without seeing me as a whole rather than a box where identity characteristics are stacked independently of each other, you'll get how racism interacts with other social systems defining my identity to shape my advantage or disadvantage.
6/ That doesn't mean the question of whether one experiences racism is too complicated to answer. It means that you always have to consider the answer in the context of the whole person rather than the isolated trait that is only one dimension of their identity.

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More from @Dr2NisreenAlwan

Nov 21
1/ I watched the men’s WC opening ceremony last night because as someone with an Arab background I wanted to see how an Arab country would do it. I wasn’t impressed and personally didn’t feel any sense of pride or representation. However I understand that other Arabs might.
2/ I get why some of those negatively stereotyped and routinely discriminated against in Western settings might feel it hypocritical that once a country that speaks their language & carries elements of their culture hosts a global event like this many call for boycotting it.
3/ Also it may appear to those fleeing oppression & human right abuses in middle eastern countries that the west only recognises their ordeal when it comes to this ‘fun’ event not before or after when they’re trying to seek safety & dignity for them and their families. I get it.
Read 4 tweets
Nov 19
Lots of sadness about Twitter potentially going or significantly changing among the #LongCovid & #ChronicIllness communities. Also remember how It amplified voices that could’ve not been heard otherwise on issues like #pandemic #science #racism #GenderEquity. But don’t despair 1/
We know how to do it now so we’ll do it again. Preferably on platforms not totally controlled by billionaires and not using our connection to gain massive profit and increase inequalities. I’m an optimist on this. Because life is change. Nothing stays the same. However 2/
It’s important that those who found solace & empathy on here don’t lose that. I’m now using Mastodon (non-profit SM platform with far less hostility and toxicity so far) and I see a place for less heard communities getting established there. Find me on @nisreen@mastodon.online 3/
Read 4 tweets
Nov 8
1/ Systematic review of the prevalence of #LongCovid

Now out as a preprint (not peer reviewed yet). It was a LOT of work. So grateful to my co-authors for their monumental effort: @MirembeWoodrow @NidaZiauddeen Darren Greenwood @vlutje1 Rebecca Thomas, @AthenaAkrami Chales Carey
2/As expected we found a huge variation between studies (0-93%). Prevalence generally higher in studies with mostly hospitalised patients. Because of our search period, studies estimating prevalence post vaccination were not included but we know these generally show lower numbers
3/ The main message is that the way #LongCovid is defined & measured affect prevalence estimation. However, even with the most conservative estimates, given past and continuing #SARSCoV2 infection, the burden of chronic disease post infection on population health is substantial.
Read 7 tweets
Nov 7
Hey, you can say the UK needs to train more doctors and nurses without throwing NHS workers who trained abroad under the bus. Easy.
Totally fine if you wanna unfollow me for saying this btw.
..and please please spare me the patronising talk about stealing healthcare staff from poor countries. However, poor countries may benefit from UK politicians taking a break from anti-immigrant rhetoric to focus a bit more on fair policies though!
Read 4 tweets
Nov 4
1/ I'm back to feeling excluded.

Recently I got an invitation to an evening networking event that thought leaders in my professional field attend. I can't go. Because it's not local to me and I have no childcare arrangement for that evening. Not a big deal? Please hear me out..
2/ In 2020/21 I attended similar ones virtually. I didn't feel excluded then. I was able to participate, meet great people & generate new opportunities for work within my discipline. Many colleagues (mostly women) shared the same sentiment with me. A positive step for equity...
3/ Most people organising/attending such events champion equality, diversity & inclusion. But this is not equitable. It's not really about me because I'm more senior in my career now. It's about those more junior in their career trying to juggle caring & health issues with work..
Read 6 tweets
Oct 30
Two thirds of Leave votes believe I'm not 'truly British'. Gosh, that's pretty traumatising.

Data source: bsa.natcen.ac.uk/latest-report/… Image
And more shocking: a third of Remainers!
*Voters, not votes.
Read 6 tweets

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