Bay Area

COVID-19’s Unequal Toll on Black Americans: A Q&A With Tina Sacks

Published

5 years ago

April 16, 2020

The recently-released data are shocking: COVID-19 is infecting and killing black people at an alarmingly high rate. An Associated Press analysis — one of the first attempts to examine the racial disparities of COVID-19 cases and deaths nationwide — has found that, of nearly 3,300 of the 13,000 deaths so far, about 42% of the deceased were African American. Black Americans account for about 21% of the total population in the areas covered by the AP analysis.
Other minority groups’ cases and deaths are fairly in line with their demographics, the analysis found, although among Hispanic individuals, there are some hot spots.

Black residents have been hardest hit in several U.S. cities, including New York City, Milwaukee and New Orleans. In another, Chicago, the city’s public health agency reported this week that African Americans accounted for 72% of deaths from COVID-19 complications and 52% of positive tests for the coronavirus, despite making up only 30% of the city’s population.

Tina Sacks

This week, Berkeley News spoke about this issue with Tina Sacks, an assistant professor in the School of Social Welfare and faculty chair of the Center for Research on Social Change at the campus’s Institute for the Study of Societal Issues. Her areas of expertise include racial disparities in health and health care; race, class and gender; and the social safety net.
Before her arrival at Berkeley, she worked for the Centers for Disease Control and Prevention for nearly 10 years as special assistant to the CDC director during the first coronavirus outbreak — SARS (severe acute respiratory syndrome).

Berkeley News: Data are beginning to surface that black Americans are suffering the brunt of the health and economic impacts of the coronavirus pandemic, especially in urban areas. What structural factors in our society are contributing to these alarming outcomes?

Tina Sacks: Unfortunately, the preliminary data that we are seeing is in keeping with what we might expect, given the underlying structural inequality in this country. First, black people have experienced decades of residential racial segregation, unlike any other ethno-racial group. This means that Black neighborhoods typically have fewer institutional anchors, such as grocery stores, good schools and safe places to walk outside and exercise. There is even a relationship, for example, between residential segregation and living in neighborhoods with fewer trees, which leads to poorer air quality.

Black people are disproportionately exposed to indoor and outdoor environmental toxins in their homes and neighborhoods. Black people are more likely to grow up in poverty, live in substandard housing, attend under-resourced schools and are more likely to end up in the carceral system. All of these things exact a terrible toll on black people’s health through the life course, making them more likely to have the chronic conditions — like diabetes, asthma and hypertension — that make them more vulnerable to COVID.

Black people are also more likely to be uninsured, making their access to care spotty. Plus, we know from my work and that of others scholars who research bias during the health care encounter that Black people’s health complaints are less likely to be taken seriously.

So, if someone does present in the emergency room, they may be turned away. Black people face challenges when they need to interface with the health care system, particularly when it is already taxed in the manner it is currently.

Lastly, Black people are concentrated in parts of the labor market where workers cannot stay home to shelter in place, which presumably brings them into contact with more people and ultimately increases their risk of acquiring COVID. This is true for other minorities in the U.S., as well. For example, Black people may be working retail jobs in the ‘essential services’ sector, like the Black woman I encountered at the CVS in downtown Berkeley. She told me she had traveled by bus for three hours to make it to her shift as a checkout clerk. The bus lines have been cut, so it took her even longer to make it to work. People are calling off work because they are afraid to come in. She said she was terrified to come in, but felt it was her responsibility, so she woke up at 5:30 a.m. to go to work wearing her mask and gloves. Black people are also concentrated in industries that do not have paid sick leave. All of these policy level issues disproportionately affect Black people and other people of color.

In addition to all this, Black people live in a society that chronically undervalues their lives and humanity. This really cannot be overstated as another determinant of human health and well-being. Living in a society like that takes a toll.

Why are urban living conditions especially dangerous for the transmission of COVID-19?

Although I haven’t seen data on this, I would speculate that living in densely-populated areas like New York City can speed transmission. We know certainly that in overcrowded institutional settings where Black people are over-represented, like jails and prisons, there is no possibility of social distancing. This is something that really needs to be discussed more. The NYT is reporting that Cook County Jail in Chicago has the largest number of cases with a known source in the U.S., 353.

What is access to COVID-19 testing and treatment like, for low-income African Americans and other low-income people of color?

Because Black people are less likely to be insured (as well as Latinx and poor people), their access to testing is necessarily going to be spotty. We’ve seen that famous people — who, of course, can be black or people of color — have had easier access to testing. In general, I would say that we know that everyone has had a hard time getting tested, but what is happening to Black people during the COVID crisis is akin to a saying in the Black community, ‘When white folks catch a cold, Black people get pneumonia.’ Crises affect the Black community much more profoundly. This is definitely the case for other communities of color. For example, Native people also bear a disproportionate disease burden and are deeply affected by COVID.

Is the nation, and are any cities across America, addressing these issues in a helpful way?

I have heard that some cities are making statements about (the situation), and acknowledging the issue is an important first step. But because the causes are so deeply embedded in the social system and in social policy, I think the solutions also need to be rooted there, but that will take a lot of time and political will.

In the meantime, cities like Chicago are taking steps to try to address the issue, including;

1) Mandating the reporting of the number of cases and deaths by race and ethnicity.

2) Setting up a public health rapid response team comprised of activists and public health experts to talk to people in the black, Latinx and immigrant communities.

3) Re-routing buses to the south and west sides to better enable social distancing on bus lines.

Addressing this will require short- and long-term interventions, and some of the most major ones are to finally address structural inequality — to provide reparations and to work toward a fully-developed safety net that includes health insurance and paid sick leave.

Gretchen Kell

UC Berkeley News - Media Relations

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Activism

City of Oakland Celebrates Reopening of Main Library

“Libraries are such critical facilities for all Oaklanders, whether it’s children coming to story-time, adults reading the newspapers or borrowing the latest novels, and people engaging with a range of services and programs that the library hosts,” said Council President and District 2 Councilmember Nikki Fortunato Bas. “Such library services and programs are only possible when the facility’s electricity, heating, roof, and lighting are fixed and running efficiently. I’m proud to join this re-opening of our Main Public Library.”

Published

6 hours ago

December 18, 2024

Oakland Post

Left to Right- Jamie Turbak, Director of Library Services, LaTonda Simmons, Assistant City Administrator, Nikki Bas, President Oakland City Council, Shen Thao, Mayor of Oakland, Carroll Fife, Oakland City Councilmember District 3, Harold Duffey, Assistant City Administrator, Sean Maher, Projects Coordinator. Photo by Kevin Hicks.

The branch had been closed since May for critical infrastructure upgrades

Special to the Post

The City of Oakland leadership and community partners gathered to celebrate the reopening of the Main Library after completion of critical infrastructure upgrades to enhance the library’s facilities and provide a better experience for patrons.

Renovations include new roof installation, skylight repair, critical electrical system upgrades, new boiler control system installation, auditorium heating and cooling system installation, and improvements to lighting, flooring and ceilings throughout the building.

“This is truly something to celebrate, the reopening of our wonderful Main Library! I congratulate the staff and our partners for this important project to make the Main Library a more comfortable place for everyone for years to come, said Oakland Mayor Sheng Thao. “Thank you to Oakland voters and the California State Library for making these crucial improvements possible.”

“Public libraries are a wonderful resource for our residents, offering a safe space for learning and being,” said District 3 Councilmember Carroll Fife. “It is critical to improve and modernize our libraries so more members of our community can utilize and enjoy them. I’m excited that the necessary renovations to the Main Library have been completed successfully and thank everyone involved, particularly the City team, who helped secured the necessary grant funds for this work.”

“I am proud of the City staff and project partners who kept this important project on schedule and under budget,” said Assistant City Administrator G. Harold Duffey. “The library is an incredibly important resource for our community members, and this project is an investment into the library’s future.”

“December 2nd was a momentous occasion for Oakland Public Library as we proudly reopened the doors of the Main Library following extensive infrastructure repairs,” said Director of Library Services Jamie Turbak. “Closing the Main Library for six months was no easy decision, as it serves as the central hub for our library system and is truly the heart of Oakland. Yet, this renovation was essential, representing more than just physical upgrades—it reflects our ongoing commitment to creating a safe, welcoming space for everyone.”

The City Administrator Jestin Johnson also attended the press conference and signalled his support for the completion of the record-setting completion of the renovations. Gay Plair Cobb, a newly appointed Library Commissioner said the Library represents the soul and brains of our community.

The Oakland Public Library secured funding for these crititcal repairs through a variety of sources. The California State Library’s Building Forward Library Facilities Improvement Program awarded the Main Branch $4.2 million. To comply with the grant terms, the City of Oakland provided matching funds through Measures KK, as approved by the Oakland City Council in October 2023.

The Main Library will host an Open House to celebrate the reopening on February 22, 2025, 10 a.m. – 5:00 p.m.

About the Oakland Public Library

The Oakland Public Library is a part of the City of Oakland in California and has been in existence since 1878. Locations include 16 neighborhood branches, a Main Library, a Second Start Adult Literacy Program, the Oakland Tool Lending Library, and the African American Museum and Library at Oakland (AAMLO). The Oakland Public Library empowers all people to explore, connect, and grow. Oaklandlibrary.org

Oakland Post

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Activism

A Student-Run Group Provides Critical Support Services to Underserved Residents

Those visiting The Suitcase Clinic can get legal advice, sign up for food assistance, receive housing resources, get medical help, or enjoy a hot, fresh meal. They can also get haircuts and foot washes from the student volunteers. Nilo Golchini, executive director of the clinic, said one of the goals for most of the students working there is helping bridge the gap of trust that exists between many unhoused people and the healthcare and social welfare systems.

Published

7 hours ago

December 18, 2024

Oakland Post

UC Berkeley Law Students help a clinic visitor with legal advice at their Tuesday night services. The Clinic offers a variety of resources, including medical, to those in the community who have little access to these services. Photo by Magaly Muñoz

Part One

By Magaly Muñoz

Every Tuesday evening, the dining hall of First Presbyterian Church fills up with dozens of people eating, laughing and moving from table to table, receiving much-needed services from UC Berkeley students – just a few blocks away from the university’s campus.

Individuals seeking support services can be found in this multi-stationed room on the south end of the church talking to law students, student case managers, or receiving medical attention in a corner by healthcare professionals.

This weekly event is hosted by Cal students through a volunteer-run program called The Suitcase Clinic.

The clinic, founded in 1989, was intended to offer free resources to underserved communities in Berkeley and surrounding cities. The majority of the clinic’s clientele are unhoused or low-income people looking for extra support.

Those visiting the clinic can get legal advice, sign up for food assistance, receive housing resources, get medical help, or enjoy a hot, fresh meal. They can also get haircuts and foot washes from the student volunteers.

Nilo Golchini, executive director of the clinic, said one of the goals for most of the students working there is helping bridge the gap of trust that exists between many unhoused people and the healthcare and social welfare systems.

During their tenure in the program, many of the students say they become strong advocates for homelessness rights.

Visitors of the Suitcase Clinic can receive haircuts and foot washing by student volunteers every Tuesday evening. Photo by Magaly Muñoz.

“We’re also standing in solidarity with them. So, it’s not saying, ‘I’m going to help you, but I’m also going to stand with you,’” Golchini said.

Student volunteers get extensive training prior to working directly with clients. Those interested have to take a semester-long class to become versed in areas such as outreach, intersectionality, how to interact with unhoused people, how to sign people up for social services. and more.

Volunteers then get to pick from three different clinics: General, Women’s, or Youth and LGBTQ+.

The General Clinic is the most popular among visiting residents, while Women’s and Youth/LQBTQ+ have more specialized services for attendees.

The Women’s Clinic has many of the similar services to General, but also includes nail painting, childcare, and massages.

The Youth and LGBTQ+ Clinic offers a safe space for young people navigating living on the streets, with services that include housing referrals, wellness and recreation classes and employment resources.

Golchini explained that it’s important for them to keep these clinics separate because the different demographics experience poverty and homelessness differently than those who visit the General Clinic.

Suitcase Clinic student workers posing for a photo with a frequent clinic attendee. The Clinic is open to Berkeley unhoused and low-income residents who need medical or legal service, or a hot meal. Photo by Magaly Muñoz.

“We’re able to provide spaces where people can come in and feel safe and not feel like they’re constantly worried that something’s going to happen to them,” she said.

An outreach team also visits encampments every other Saturday in the Berkeley area to provide hygiene kits and encourage people to visit the in-person clinic, if possible.

However, Golchini said engagement has been low for some time now due to a recent decision by the U.S. Supreme Court that allows cities to ban and cite people for sleeping on the streets.

She said a lot of their clientele got displaced to other cities over time, making it difficult to stay in contact with the services the Clinic was providing for them.

But that hasn’t slowed down the students at the Clinic, if anything, it has pushed them to do more for the community they serve.

Oakland Post

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Arts and Culture

Promise Marks Performs Songs of Etta James in One-Woman Show, “A Sunday Kind of Love” at the Black Repertory Theater in Berkeley

“The (show) is a fictional story about a character named Etta, aka Lady Peaches,” said Marks. “She falls in love with Johnny Rhythm, leader of the Rhythm Players Band and headliners of Madam G’s Glitta Lounge.” Marks channeled the essence of Etta James, singing favorites such as “Sugar on the Floor” and “At Last.”

Published

7 hours ago

December 18, 2024

Oakland Post

Photo Courtesy Of Promise Marks.

Special to the Post

It was “A Sunday Kind of Love” at the Black Repertory Group Theater in Berkeley on Saturday night, Dec. 7. The one-woman musical based on the music of Etta James featured the multi-talented singer Promise Marks

Marks, who wrote and directed the musical, also owns PM Productions.

Marks channeled the essence of Etta James, singing favorites such as “Sugar on the Floor” and “At Last.”

In between her soulful songs, Marks narrated impactful moments of the love story and journey of blues and forgiveness.

Marks sultry voice carried the audience back to an era that echoed with the power of Black music and a time of great change.

Marks said James shared love for the Black community by singing at gatherings during the Civil Rights Movement uplifting the people.

“She spoke to the movement, spoke to the people, and let her music speak for itself,” Marks said.

Backing the musical’s monologues, images and videos of Etta James are projected for the audience to view. While the production is fictional, Marks infused script with the unfairness and heartbreak James experienced while performing.

Marks performed gospel artist Donnie McClurkin’s “We Fall Down” as she narrated acts of reconciliation and forgiveness among the characters at Johnny Rhythm’s deathbed.

Marks, who regularly sings for the Miss America Pageant, was asked to perform as Etta James last year. “(At the event) a lady yelled out to me: ‘You’re Etta James!’ And then the audience went crazy. I said to myself, ‘I may have something here,’” she said.

Within 12 months, Marks created the musical production, which featured a dozen songs honoring “the great legacy of Etta James,” she said.

Marks says she was saddened to see how Etta James was often judged by the struggles in her life and wanted to offer attendees a more layered view.

“Etta’s life was so big. I want people to know that she was more than her drug addiction,” said Marks. “We can’t make that her legacy. Her catalog is too amazing. You can’t just be that and have the catalog that she (created). I don’t want the addiction to be the focus: I want her music, her element, her sassiness, and what she brought to be the focus – her woman-ness, that she was strong, and I wanted to honor that.”

Set Designer Nora Burnette says she created the set segments to mirror James’ life story. A set designer for BRG since 2016, she explained that her process of researching the scenario and the character serve as her inspiration for her design.

“I try to design a set as close to real life as possible so that the actress can deliver the performance sincerely,” said Burnette. “By creating the right setting, it helps the actors release the true essence of a character.”

The set brought the story to life and absolutely floored Marks. “Once Promise (Marks) saw the actual set, she understood my vision: ‘Wow, you get me. You get it,'” Marks told the designer.

Born Jamesetta Hawkins, Etta James, began her career in 1954 and gained fame with hits such “At Last” and “I’d Rather Go Blind.” She faced a number of personal problems, before making a musical comeback in the late 1980s with the album “Seven Year Itch.”

Co-producer and BRG Development Director, Sean Vaughn Scott, works with Overseer Production. According to producer Pamela Spikes, “Marks talent truly does Etta’s life story justice.”

Pam Jacobs of Hercules, a friend of Marks’ mom, Jackie Smith, said, Marks “was fabulous and sang all of those songs flawlessly.”

“I’m so proud of my daughter,” said Smith.

Marks, who has served as an instructor for BRG, will return on Feb. 21- 23 for an encore run of the musical.

“It’s an honor to be a part of the BRG (Black Repertory Group) family and continue our executive director Dr. Mona Vaughn Scott’s vision for the Black Repertory Group theater,” said Marks.

The Black Repertory Group Theatre is located at 3201 Adeline St., Berkeley, CA 94703. For information, visit: BlackRepertoryGroup.com