From the Heart to the Brain: Building Bridges to a Better Future

This Presidential Address was delivered at the International Stroke Conference in March 2021, during the coronavirus pandemic. Dr Elkind, the President of the American Heart Association (AHA) at the time, is a vascular neurologist with a research focus on stroke epidemiology. This address interweaves personal reflections on a career in clinical neurology, stroke research, and public health with a discussion of the role of the AHA in improving cardiovascular health at multiple levels. Throughout its history, the AHA has had leaders representing many different areas of cardiovascular science and medicine, including stroke. More recently, its focus has expanded from a traditional emphasis on cardiovascular events illness and events, like heart disease and stroke, to an appreciation of the role of the vascular system in brain health, healthy aging, cognitive decline, and dementia. During the pandemic, as the bidirectional effects of the coronavirus on cardiovascular disease has been elucidated, the benefits of a broad and multidisciplinary approach to cardiovascular disease and public health have become more apparent than ever. In addition, with growing awareness of the disproportionate effects of the pandemic on communities of color in the United States and globally, the AHA has redoubled its focus on addressing the social determinants of health, including structural racism. Central to these efforts is the construction of bridges between the generation of scientific knowledge and action for the public good. Our success will depend on the combination of basic, translational, clinical and population research with programs of public and professional education, advocacy, and social action.

Alternative View of Modernity: The Subaltern Speaks

This article derives from my 2021 ASA presidential address. I examine how sociologists including Karl Marx, Emile Durkheim, Max Weber, and white American sociologists have omitted key determinants of modernity in their accounts of this pivotal development in world history. Those determinants are white supremacy, western empires, racial hierarchies, colonization, slavery, Jim Crow, patriarchy, and resistance movements. This article demonstrates that any accounts omitting these determinants will only produce an anemic and misleading analysis of modernity. The central argument maintains that the sociologist W. E. B. Du Bois developed a superior analysis of modernity by analytically centering these determinants. I conclude by making a case for the development of an emancipatory sociology in the tradition of Du Boisian critical sociological thought.