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OP-ED: Unhealthy state of affairs regarding Black health

THE PHILADELPHIA TRIBUNE — There is no disagreement that African Americans have worse health outcomes across the board. Researchers, scientists, sociologists, and doctor all agree. Data and statistics reflect the dismal reality that if you are African American, you will be more likely to die at birth, die giving birth, grow up sicker, be diagnosed of a life-threatening illness later, and die sooner.

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By Glenn Ellis

There is no disagreement that African Americans have worse health outcomes across the board. Researchers, scientists, sociologists, and doctor all agree.

Data and statistics reflect the dismal reality that if you are African American, you will be more likely to die at birth, die giving birth, grow up sicker, be diagnosed of a life-threatening illness later, and die sooner.

What is less known, and agreed upon, is the fact that the determining factors for all of these outcomes, is not because one is African American, but because of what are known as social determinants of health.

It’s true, research had concluded that medical care and is only responsible for 10 to 20 percent of a person’s health: regardless of what color they are. The remaining 80 to 90 percent is attributed to these social determinants of health (SDOH).

Doctors see this every day in their patient population. A recent survey by The Physician Foundation revealed that 90%of the doctors in this country say that most of their patients have a social condition that poses a serious threat to their health. Only 1 percent of the doctors surveyed felt that none of their patients were affected by SDOH.

So, what exactly are social determinants of health?

According to the World Health Organization (WHO), these are the “conditions in which people are born, grow, live, work, and age”. In other words, the conditions of health are alarming in communities with poor SDOH such as unstable housing, low income, unsafe neighborhoods, and/or substandard education.

One only has to look at every city (urban and rural) to see how this plays out in most of our lives.

In the United States, it is SDOH, not race that accounts for the dismal health outcomes for African Americans. In fact, the inequities in outcome are clear all the way down to the level of neighborhoods in the same city.

Several years ago, The Robert Wood Johnson Foundation initiated a first of its kind initiative to look at life expectancy by neighborhood in respective cities around the country.

Known as United States Small-Area Life Expectancy Estimate Project (USALEEP), the found shocking differences in life expectancy of as much as 20 years for residents in the same city, living just a few miles apart; in some cases, just a few blocks.

Further examination of the data shows that, almost with exception, neighborhoods with the lowest life expectancy were those with substantial African American or Latino populations.

As the cities in this country become more gentrified, we are seeing the health outcomes for the black and brown people in this country worsen.

Are there other reasons that HVI/AIDs is a chronic condition for whites, while it continues to be an epidemic in the African American communities in this country? Or, black women are two to six times more likely to die from complications of pregnancy than white women? And their babies almost three times the infant mortality rate as whites?

Is it due to the genetic makeup of African Americans? I think not!

Every human being on the planet is 99.99 percent identical. A difference of 0.01 percent is all that separates us from each other. That means that the 3 billion pairs of genes (human pairs) that make up our individual genetic code are equal to a book with 262,000 pages. The individual differences between us represents only 500 of those pages!

Understanding this is what will allow us to stop using race, a totally social construct, in the concepts of medicine and healthcare. Instead, we must realize how much of our human and financial resources are “misused” applying race to issues of health.

We can see it in how, even today doctors have been found to believe that there is something about being African American that results in not providing adequate pain medications due to the belief that we have a higher tolerance for pain, because of our skin color. The same phenomena were observed even in children at Emergency room with appendicitis; African American children were denied pain medication for the same reason.

Most alarming to me are the implications as we move further into genomic medicine.

If we are not careful, we can see research from this endeavor to further engrain the notion that there are racial differences that justify our higher rates of high blood pressure; diabetes; and other diseases and conditions.

Currently, policy, legislation, and funding are directed towards supporting the theory that African Americans are more susceptible to poorer health outcomes, while SDOH are being largely ignored.

Dr. Richard Cooper of Loyola University has done research on high blood pressure that has made an indisputable case for the dismissal of the fallacy of African Americans being “predisposed” to poor health outcomes.

In his research, Dr. Cooper studied high blood pressure in Nigerians, Jamaicans, and in African Americans. His conclusions: only African Americans had the highest rates of high blood pressure. To further make the case, he found that Germans and Russians has rates that were significantly higher than African Americans!

Seems like its more about being African American in this country, than it is about just being African American.

It begs the question: Is it race or is it racism?

Glenn Ellis is a Research Bioethics Fellow at Harvard Medical School and author of “Which Doctor?” and “Information is the Best Medicine.” He has a weekend podcast at www.wurdradio.com. For more good health information, visit www.glennellis.com.

This article originally appeared in The Philadelphia Tribune.

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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.

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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
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.

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.

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.

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Activism

Post News Group Hosts Second Virtual Town Hall on Racism

“While our society tends to rebrand over the decades, we find hate as the new word, broadening its arch of issues in society,” said show host and Post News Group Global Features Journalist Carla Thomas. “However, the very first form of hate, which is racism, built this country.”

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Photo courtesy of Post News Group
Photo courtesy of Post News Group

By Post News Group

Post News Group Global Features Journalist Carla Thomas recently hosted a second Virtual Town Hall on Racism, with guests including community builders Trevor Parham of Oakstop and Chien Nguyen of Oakland Trybe.

Thomas opened the town hall by paying homage to the ancestral losses of the African diaspora and to the Indigenous tribes, the enslaved, the freed, and the trailblazers of the Civil Rights Movement, Black Lives Matter Movement, and those more recently victimized by police brutality.

After thanking Bay Area non-profits for their work, Thomas led a thoughtful discussion on the importance of acknowledging racism as the first form of hate that built America.

“While our society tends to rebrand over the decades, we find hate as the new word, broadening its arch of issues in society,” she said. “However, the very first form of hate, which is racism, built this country,” she said.

“That act of othering, creating a narrative that made African people, indigenous people, and ultimately melanated people, labeled as less than human justified the colonizers act of subjugating our ancestors to inhumane, incomprehensible treatment for over 400 years,” said Thomas.

Parham of Oakstop, located at 1721 Broadway, explained that Nazi Germany patterned its mistreatment and extinction of Jews in the Holocaust after chattel slavery in America and the Jim Crow apartheid system that followed it.

“Nazi Germany found America’s treatment of Blacks so inhumane and denigrating that they (decided) it would actually be the perfect ingredient to undermine another group of people,” said Parham. “So, they essentially borrowed from what Americans did to Black people.”

Thomas pivoted the discussion to the limitations placed on Black America’s generational wealth through policies of red-lining, redevelopment, and title deeds to this day, based on the idea that no Black or indigenous person is allowed to purchase property or land.

“For this reason, there continue to be impoverished Black communities throughout the nation,” she said.

“The structures of racism from red-lining to lack of access to capital continue to restrict Black (people) in America; this structural racism kind of finishes you before you even start,” added Parham. “The lack of generational wealth has left our communities at a disadvantage because with generational wealth we’d have the resources to police our own communities and build further.”

Nguyen, Clinton Park site director for Oakland Trybe, spoke about his parents’ journey as immigrants from Vietnam, the challenges of being teased in school, and how his troubled brother was murdered.

Nguyen has turned his personal tragedies into triumph, pivoting from a career as  an eight-year business owner in the Little Saigon community of East Oakland, to now a non-profit leader transforming and reclaiming the community’s Clinton Park at International Boulevard and Sixth Street..

“A park represents community, and between the pandemic, illegal activities, and homelessness, the park needed to be re-established, and we now offer programming for the youth and extended community,” he said.

“Between Oakstop’s business model of purchasing commercial properties and transforming them into beautiful spaces for community ownership, business space, and special event hubs, and Oakland Trybe’s ability to transform public spaces central to a community and empower our communities, we have solutions,” Thomas said.

Throughout the conversation, Parham referred to a press conference hosted at Oakstop in August where NBA icons Jason Kidd and Jaylen Brown pledged to raise $5 billion for Black businesses in the nation.

“Inspired by Black Wall Street, Jaylen began with Boston and created the Boston Xchange because he became aware of a statistic noting that white households in Boston average $250,000 and Black households averaged a mere $8 in wealth,” Parham said.

In Oakland, he established the Oakland Xchange to expand the movement right at Oakstop, he said.

Thomas encouraged viewers to connect with her guests and tap into the dozens of organizations making a change. “I encourage you to join your chambers of commerce, your community-based organizations, non-profits, and churches to uplift and rebuild the community,” she said.

Thomas also suggested that the NAACP as a great start. “The Oakland chapter’s resolution developed around racism was adopted by the national NAACP, and at the Afrotech Conference, national NAACP leader Derrick Johnson announced a $200 million fund to support Black funders.”

Thomas informed viewers of the California vs. Hate,  initiative, a non-emergency hate incident and hate-crime reporting system to support individuals and communities targeted for hate.

“Your reports inform the state of where to designate resources and extra support,” said Thomas.

For more information, visit PostNewsGroup.com, CAvsHATE.ORG or call 1-833-8-NO-HATE.

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Activism

Delta Sigma Theta Alumnae Chapters Host World AIDS Day Event

With members from Berkeley Bay Area, Oakland East Bay (OEB) and Hayward Tri-City chapters present, the event opened with Oakland City Councilmember Treva Reid sharing data and legislation that has passed to address the safety, health, and well-being of Black women in the state of California. Attendees were able to learn directly from expert guest speakers, including Shimere Harrington from ViiV Healthcare, Barbara Green-Ajufo, an epidemiologist from UCSF Center for AIDS Prevention Studies (CAPS), and Dot Theodore, director of the HIV Care Program Division of Center for Disease Control and Prevention (CDC) for Alameda County.

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Petrina A. Perteet, Takija Gardner and Oakland City Councilmember Treva Reid at the World AIDS Day event on Dec. 1. Photo by Kevin Hicks.
Petrina A. Perteet, Takija Gardner and Oakland City Councilmember Treva Reid at the World AIDS Day event on Dec. 1. Photo by Kevin Hicks.

By Don-Neva E. Johnson and Petrina Alexander Perteet
Special to The Post

The International Awareness and Involvement (IA&I) committees of East Bay chapters of Delta Sigma Theta Inc. proudly hosted a successful World AIDS Day event on Dec.1, bringing together community members, healthcare professionals, and advocates to raise awareness and support the fight against HIV/AIDS.

With members from Berkeley Bay Area, Oakland East Bay (OEB) and Hayward Tri-City chapters present, the event opened with Oakland City Councilmember Treva Reid sharing data and legislation that has passed to address the safety, health, and well-being of Black women in the state of California.

Attendees were able to learn directly from expert guest speakers, including Shimere Harrington from ViiV Healthcare, Barbara Green-Ajufo, an epidemiologist from UCSF Center for AIDS Prevention Studies (CAPS), and Dot Theodore, director of the HIV Care Program Division of Center for Disease Control and Prevention (CDC) for Alameda County.

The speakers provided valuable insights into the current state of HIV/AIDS, advancements in treatment, and the importance of prevention and support.

L-R Petrina A. Perteet, Dr. Natalie Wilson, Don-Neva Johnson, Tracy Diop, Sonji Walker and Takija Gardner were part of the World AIDS Day event. Photo by Kevin Hicks.

L-R Petrina A. Perteet, Dr. Natalie Wilson, Don-Neva Johnson, Tracy Diop, Sonji Walker and Takija Gardner were part of the World AIDS Day event. Photo by Kevin Hicks.

“The outcome of this day is more than what we could have hoped for, and we are deeply grateful for the participation of our distinguished speakers and the support of our sponsors,” said Don-Neva Johnson and Tracy Diop, IA&I committee chairs for Berkeley Bay Area and Hayward Tri-City.

“Their contributions helped us create an informative and empowering event for our community,” said event organizer Dr. Natalie Wilson, associate professor of UCSF School of Nursing and IA&I committee chair.

Held at the Samuel Merritt Health Education Center at 400 Hawthorne Ave. in Oakland, the event was made possible by the generous support of sponsors ViiV healthcare, Gilead Sciences, and Good Health WINs. Attendees received gift bags and had the opportunity to engage with educational tables from Gilead, participate in a Q&A session with speakers led by Wilson.

Delta Sigma Theta Incorporated is an organization of college-educated women committed to the development of its members and offer public service with a primary focus on the Black community.  We are dedicated to empowering our communities through education, advocacy, and support around the world.

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