Diseases of Poverty

2020 ◽  
pp. 135-154
Author(s):  
Johanna Fernández

Beyond its work on sanitation, the Young Lords responded to a series of other neighborhood problems that fell within the scope of public health. In the fall, the group launched its first children’s breakfast program alongside the Black Panthers. In tandem with community groups and hospital medical and administrative staff, the group was thrust into a larger political debate about the changing structure of healthcare in the city to which it contributed a document called the Young Lords’ 10-Point Health Program and Platform. In what is perhaps the Young Lords’ most enduring legacy, the group brought militancy to a pre-existing campaign against childhood lead poisoning that pressured City Hall to take action on a silent public health crisis. But, why health? Close analysis of this lesser-known campaign reveals that larger forces steered the Young Lords’ turn to health. They were, in part, following the example of the Cuban Revolution, which made dignified healthcare-for-all a signature aspiration of revolutionaries around the world. They were also propelled by post-war changes in the structure of medical care in the U.S. as well as by high rates of illness among the new migrants and the unintended consequences of their greater access to healthcare in the age of civil rights, which ironically also increased the incidence of medical discrimination.

2020 ◽  
pp. 91-114
Author(s):  
Johanna Fernández

In summer of 1969, the NY Young Lords launched an ambitious course of community-based protests, involving thousands of residents in East Harlem. They addressed many of the social problems underscored, but unsolved, by the War on Poverty. Their legendary “Garbage Offensive,” name in deference to the Tet Offensive of the Vietnamese, the group barricaded major throughways with East Harlem’s uncollected garbage. It exposed environmental racism and impugned city government for treating Puerto Ricans and Black Americans like garbage. It’s combination of urban guerrilla protest with sharp political messaging pressured politicians to respond, and poor sanitation services became a major issue in the run-up to the heated mayoral elections in November 1969. Although histories of the civil rights and black power movements are popularly understood within the framework of citizenship rights, the work of organizations like the Black Panthers and the Young Lords paint a portrait of struggle that is more composite. They show that the black movement set in motion an awakening of social consciousness wherein virtually no social issue escaped public scrutiny. The Young Lords’ campaigns established standards of decency in city services that expanded the definition of the common good and stretched our nation’s definition of democracy.


2022 ◽  
pp. 279-306
Author(s):  
Claudio Luis de Camargo Penteado ◽  
Eva Campos-Domínguez ◽  
Patrícia Dias dos Santos ◽  
Denise Hideko Goya ◽  
Mario Mangas Núñez ◽  
...  

This chapter addresses the creation of political conflict on Twitter in a comparative study between Brazil and Spain. Based on an analysis of the political debate on dealing with two countries' health crises, it analyses the most retweeted messages published during the first week of vaccination in Europe and the Americas. Firstly, it analysed the general characteristics of the online debate on the immunisation of COVID-19. Secondly, it carried out an analysis of information disorder in each country. Although governmental positions in both countries are opposed, the results allow establishing common patterns of polarized profiles in both countries that question the management of the pandemic. It can be seen how political polarization is shaped as a characteristic of disinformation in both countries. That reveals that, after the health crisis, there is a crisis of democratic institutions that impact public health actions, but specifically to combat COVID-19.


Author(s):  
Johanna Fernández

In 1968, José “Cha Cha” Jiménez sat in solitary confinement wrestling with his record of recidivism. He was the leader of the Young Lords, a Puerto Rican and Mexican gang, which he’d joined to survive Chicago’s mean streets. But his life was about to change. Like other Puerto Rican, Mexican and black American youth, Cha Cha’s people were recent migrants to the city who’d been displaced by urban renewal— structural racism in the form federal housing policy —which forced them to settle in densely populated blocks on the edges of white ethnic neighborhoods. Outnumber, they faced hostility, reaction, and even terror from white resident who resented their presence in Chicago. But with the new confidence produced by the civil rights movement, street organizations like the Young Lords desegregated public spaces with brawn and asserted the rights of racialized people to the city. The social movements also opened up possibilities for self-transformation. Like Malcolm X, Cha Cha was politicized in prison. He transformed the gang into the Black Panthers’ Puerto Rican counterpart—a herculean feat made possible by a series of unforeseen circumstances and conscious interventions, including that of Black Panther leader Fred Hampton and his Rainbow Coalition.


2021 ◽  
Vol 111 (S3) ◽  
pp. S215-S223
Author(s):  
Eva Y. Wong ◽  
Abigail Schachter ◽  
Hannah N. Collins ◽  
Lin Song ◽  
Myduc L. Ta ◽  
...  

Public Health 3.0 approaches are critical for monitoring disparities in economic, social, and overall health impacts following the COVID-19 pandemic and its associated policy changes to slow community spread. Timely, cross-sector data as identified using this approach help decisionmakers identify changes, track racial disparities, and address unintended consequences during a pandemic. We applied a monitoring and evaluation framework that combined policy changes with timely, relevant cross-sector data and community review. Indicators covered unemployment, basic needs, family violence, education, childcare, access to health care, and mental, physical, and behavioral health. In response to increasing COVID-19 cases, nonpharmaceutical intervention strategies were implemented in March 2020 in King County, Washington. By December 2020, 554 000 unemployment claims were filed. Social service calls increased 100%, behavioral health crisis calls increased 25%, and domestic violence calls increased 25%, with disproportionate impact on communities of color. This framework can be replicated by local jurisdictions to inform and address racial inequities in ongoing COVID-19 mitigation and recovery. Cross-sector collaboration between public health and sectors addressing the social determinants of health are an essential first step to have an impact on long-standing racial inequities. (Am J Public Health. 2021;111(S3):S215–S223. https://doi.org/10.2105/AJPH.2021.306422 )


Author(s):  
Adam P. Bress ◽  
Jordana B. Cohen ◽  
David Edmund Anstey ◽  
Molly B. Conroy ◽  
Keith C. Ferdinand ◽  
...  

Abstract The COVID‐19 pandemic is a public health crisis, having killed more than 514 000 US adults as of March 2, 2021. COVID‐19 mitigation strategies have unintended consequences on managing chronic conditions such as hypertension, a leading cause of cardiovascular disease and health disparities in the United States. During the first wave of the pandemic in the United States, the combination of observed racial/ethnic inequities in COVID‐19 deaths and social unrest reinvigorated a national conversation about systemic racism in health care and society. The 4th Annual University of Utah Translational Hypertension Symposium gathered frontline clinicians, researchers, and leaders from diverse backgrounds to discuss the intersection of these 2 critical social and public health phenomena and to highlight preexisting disparities in hypertension treatment and control exacerbated by COVID‐19. The discussion underscored environmental and socioeconomic factors that are deeply embedded in US health care and research that impact inequities in hypertension. Structural racism plays a central role at both the health system and individual levels. At the same time, virtual healthcare platforms are being accelerated into widespread use by COVID‐19, which may widen the divide in healthcare access across levels of wealth, geography, and education. Blood pressure control rates are declining, especially among communities of color and those without health insurance or access to health care. Hypertension awareness, therapeutic lifestyle changes, and evidence‐based pharmacotherapy are essential. There is a need to improve the implementation of community‐based interventions and blood pressure self‐monitoring, which can help build patient trust and increase healthcare engagement.


2021 ◽  
Vol 74 (1) ◽  
pp. 118-129
Author(s):  
Thalia Gonzalez ◽  
Emma Kaeser

Out of the twin pandemics currently gripping the United States¬—deaths of unarmed Black victims at the hands of police and racialized health inequities resulting from COVID-19—an antiracist health equity agenda has emerged that identifies racism as a public health crisis. Likewise, calls for reform of school policing by those advocating for civil rights, racial justice, and Black Lives Matter have simultaneously intensified. Yet each remains siloed, despite the natural connection and implicit overlap between these separate movements and debates. Indeed, there are documented negative health effects of school policing for Black, Indigenous, people of color (BIPOC) youth. But these have gone largely ignored or underemphasized by the movement to reform school police. Similarly, the racial health equity movement has overlooked race-conscious health equity reforms to school policing. This Article aims to fill the gap by connecting these distinct movements and debates and articulating a public-health-based response to school policing.


Author(s):  
Alyshia Gálvez

In the two decades since the North American Free Trade Agreement (NAFTA) went into effect, Mexico has seen an epidemic of diet-related illness. While globalization has been associated with an increase in chronic disease around the world, in Mexico, the speed and scope of the rise has been called a public health emergency. The shift in Mexican foodways is happening at a moment when the country’s ancestral cuisine is now more popular and appreciated around the world than ever. What does it mean for their health and well-being when many Mexicans eat fewer tortillas and more instant noodles, while global elites demand tacos made with handmade corn tortillas? This book examines the transformation of the Mexican food system since NAFTA and how it has made it harder for people to eat as they once did. The book contextualizes NAFTA within Mexico’s approach to economic development since the Revolution, noticing the role envisioned for rural and low-income people in the path to modernization. Examination of anti-poverty and public health policies in Mexico reveal how it has become easier for people to consume processed foods and beverages, even when to do so can be harmful to health. The book critiques Mexico’s strategy for addressing the public health crisis generated by rising rates of chronic disease for blaming the dietary habits of those whose lives have been upended by the economic and political shifts of NAFTA.


2020 ◽  
Vol 20 ◽  
Author(s):  
Miribane Dërmaku-Sopjani ◽  
Mentor Sopjani

Abstract:: The coronavirus disease 2019 (COVID-19) is currently a new public health crisis threatening the world. This pandemic disease is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus has been reported to be originated in bats and by yet unknown intermediary animals were transmitted to humans in China 2019. The SARSCoV- 2 spreads faster than its two ancestors the SARS-CoV and Middle East respiratory syndrome coronavirus (MERSCoV) but has reduced fatality. At present, the SARS-CoV-2 has caused about a 1.16 million of deaths with more than 43.4 million confirmed cases worldwide, resulting in a serious threat to public health globally with yet uncertain impact. The disease is transmitted by inhalation or direct contact with an infected person. The incubation period ranges from 1 to 14 days. COVID-19 is accompanied by various symptoms, including cough, fatigue. In most people the disease is mild, but in some other people, such as in elderly and people with chronic diseases, it may progress from pneumonia to a multi-organ dysfunction. Many people are reported asymptomatic. The virus genome is sequenced, but new variants are reported. Numerous biochemical aspects of its structure and function are revealed. To date, no clinically approved vaccines and/or specific therapeutic drugs are available to prevent or treat the COVID-19. However, there are reported intensive researches on the SARSCoV- 2 to potentially identify vaccines and/or drug targets, which may help to overcome the disease. In this review, we discuss recent advances in understanding the molecular structure of SARS-CoV-2 and its biochemical characteristics.


Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saeed Khan ◽  
Tusha Sharma ◽  
Basu Dev Banerjee ◽  
Scotty Branch ◽  
Shea Harrelson

: Currently, Coronavirus disease 2019 (COVID-19) has transformed into a severe public health crisis and wreaking havoc worldwide. The ongoing pandemic has exposed the public healthcare system's weaknesses and highlighted the urgent need for investments in scientific programs and policies. A comprehensive program utilizing the science and technologydriven strategies combined with well-resourced healthcare organizations appears to be essential for current and future outbreak management.


Author(s):  
Joshua M. Sharfstein

An effective communications approach starts with a basic dictum set forth by the Centers for Disease Control and Prevention: “Be first, be right, be credible.” Agencies must establish themselves as vital sources of accurate information to maintain the public’s trust. At the same time, public health officials must recognize that communications play out in the context of ideological debates, electoral rivalries, and other political considerations. During a public health crisis, this means that health officials often need to constructively engage political leaders in communications and management. Navigating these waters in the middle of a crisis can be treacherous. Figuring out the best way to engage elected leaders is a core aspect of political judgment.


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