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Questions Answered About the COVID-19 Vaccine

As a primary care doctor at the Kaiser Permanente Oakland Medical Center, I get a lot of questions about the vaccines. Many people are confused because they are the first of their kind. I also understand our community’s history of being mistreated by the medical profession, and our ongoing health disparities can make it hard to trust the health care system.

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Dr. Nailah Thompson receiving her COVID-19 vaccination

My 67-year-old mom recently called to let me know she’d gotten her first dose of the COVID-19 vaccine. She said it went well, but she was surprised she was the only Black or Brown person she noticed getting the vaccine.

My mom isn’t the only one concerned about this. We know that Black and Brown communities are getting the virus more and are dying at higher rates than white communities, but fewer of us are getting the COVID-19 vaccine.

As a primary care doctor at the Kaiser Permanente Oakland Medical Center, I get a lot of questions about the vaccines. Many people are confused because they are the first of their kind. I also understand our community’s history of being mistreated by the medical profession, and our ongoing health disparities can make it hard to trust the health care system.

Below are some answers to questions that come up often with my patients, family and friends.

The vaccines were developed quickly. Are they safe?

Yes, they are safe. The vaccines were developed quickly because the new mRNA technology we hear so much about was already in the works, and because the federal government provided significant financial and other support to vaccine developers. A safety board approved every study, and the FDA carefully reviewed the data from every phase of every vaccine trial. I looked carefully at the science and the data and based on that — I decided it was safe to get vaccinated.

Does it alter your DNA?

It does not. The COVID-19 vaccine is a new type of vaccine that uses mRNA not DNA. mRNA teaches our cells to make specific proteins that stimulate our immune system to create antibodies to a virus. This keeps us from getting sick. mRNA does not interact with or alter DNA. In fact, cells break down and get rid of mRNA after it does its job.

Does it contain the COVID-19 virus?

No. The COVID-19 vaccine does not contain the virus and will not give you COVID-19.

Were communities of color part of the vaccine clinical trials?

Yes. Vaccine trial participants were from diverse racial and ethnic backgrounds, 10% African American/Black and 13-20 % Latinx. They also included a significant number of people greater than 55 years old.

What about side effects?

You may have mild to moderate side effects in the first 24 to 36 hours, and that’s normal. It’s a sign your body is building immunity against the virus. Some common side effects are fever, fatigue, headache, chills, muscle and joint pain. An extremely small number of people who have a prior history of allergies to vaccines have had an allergic reaction, which is why you will be monitored for 15 to 30 minutes after getting the vaccine. If you do have vaccine allergies, you should discuss the vaccine with your doctor.

Whether or not you decide to get vaccinated is an important personal decision. I decided to get the vaccine because I believe it’s our best tool to end the pandemic and the suffering it’s caused in our communities.

There have been challenges with getting enough vaccine supply, and Kaiser Permanente, like other health care systems, is working to get more. We’re also working to ensure we’re giving the vaccine equitably, making sure people who are at highest risk of getting infected, or dying from COVID-19, get vaccinated first.

Dr. Nailah Thompson is an internist with The Permanente Medical Group at the Kaiser Permanente Oakland Medical Center. Learn more about COVID-19 vaccine myths and facts at the CDC website.

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U.S. House Minority Leader Hakeem Jeffries Speaks on Democracy at Commonwealth Club

Based on his first speech as House minority leader, “The ABCs of Democracy” by Grand Central Publishing is an illustrated children’s book for people of all ages. Each letter contrasts what democracy is and isn’t, as in: “American Values over Autocracy”, “Benevolence over Bigotry” and “The Constitution over the Cult.”

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: House Minority Leader Hakeem Jeffries at the Commonwealth Club World Affairs Council on Dec. 2. Photo by Johnnie Burrell. Book cover: "The ABCs of Democracy" by Hakeem Jeffries.
: House Minority Leader Hakeem Jeffries at the Commonwealth Club World Affairs Council on Dec. 2. Photo by Johnnie Burrell. Book cover: "The ABCs of Democracy" by Hakeem Jeffries.

By Linda Parker Pennington
Special to The Post

House Minority Leader Hakeem Jeffries addressed an enthusiastic overflow audience on Monday at San Francisco’s Commonwealth Club, launching his first book, “The ABCs of Democracy.”

Based on his first speech as House minority leader, “The ABCs of Democracy” by Grand Central Publishing is an illustrated children’s book for people of all ages.

Each letter contrasts what democracy is and isn’t, as in: “American Values over Autocracy”, “Benevolence over Bigotry” and “The Constitution over the Cult.”

Less than a month after the election that will return Donald Trump to the White House, Rep. Jeffries also gave a sobering assessment of what the Democrats learned.

“Our message just wasn’t connecting with the real struggles of the American people,” Jeffries said. “The party in power is the one that will always pay the price.”

On dealing with Trump, Jeffries warned, “We can’t fall into the trap of being outraged every day at what Trump does. That’s just part of his strategy. Remaining calm in the face of turmoil is a choice.”

He pointed out that the razor-thin margin that Republicans now hold in the House is the lowest since the Civil War.

Asked what the public can do, Jeffries spoke about the importance of being “appropriately engaged. Democracy is not on autopilot. It takes a citizenry to hold politicians accountable and a new generation of young people to come forward and serve in public office.”

With a Republican-led White House, Senate, House and Supreme Court, Democrats must “work to find bi-partisan common ground and push back against far-right extremism.”

He also described how he is shaping his own leadership style while his mentor, Speaker-Emeritus Nancy Pelosi, continues to represent San Francisco in Congress. “She says she is not hanging around to be like the mother-in-law in the kitchen, saying ‘my son likes his spaghetti sauce this way, not that way.’”

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MacArthur Fellow Dorothy Roberts’ Advocates Restructure of Child Welfare System

Roberts’s early work focused on Black women’s reproductive rights and their fight for reproductive justice. In “Killing the Black Body: Race, Reproduction, and the Meaning of Liberty 1997)”, she analyzes historical and contemporary policies and practices that denied agency to Black women and sought to control their childbearing—from forced procreation during slavery, to coercive sterilization and welfare reform—and advocates for an expanded understanding of reproductive freedom.

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Dorothy Roberts. Photo courtesy of the John D. and Catherine T. MacArthur Foundation.
Dorothy Roberts. Photo courtesy of the John D. and Catherine T. MacArthur Foundation.

Special to The Post

When grants were announced Oct. 1, it was noted that eight of the 22 MacArthur Fellows were African American. Among the recipients of the so-called ‘genius grants’ are scholars, visual and media artists a poet/writer, historian, and dancer/choreographer who each receive $800,000 over a five-year period to spend as they see fit.

 Their names are Ruha Benjamin, Jericho Brown, Tony Cokes, Jennifer L. Morgan, Ebony G. Patterson, Shamel Pitts, Jason Reynolds, and Dorothy Roberts. This is the eighth and last in the series highlighting the Black awardees. The report below on Dorothy Roberts is excerpted from the MacArthur Fellows web site.

A graduate of Yale University with a law degree from Harvard, Dorothy Roberts is a legal scholar and public policy researcher exposing racial inequities embedded within health and social service systems.

Sine 2012, she has been a professor of Law and Sociology, and on the faculty in the department of Africana Studies at the University of Pennsylvania.

Roberts’s work encompasses reproductive health, bioethics, and child welfare. She sheds light on systemic inequities, amplifies the voices of those directly affected, and boldly calls for wholesale transformation of existing systems.

Roberts’s early work focused on Black women’s reproductive rights and their fight for reproductive justice. In “Killing the Black Body: Race, Reproduction, and the Meaning of Liberty 1997)”, she analyzes historical and contemporary policies and practices that denied agency to Black women and sought to control their childbearing—from forced procreation during slavery, to coercive sterilization and welfare reform—and advocates for an expanded understanding of reproductive freedom.

This work prompted Roberts to examine the treatment of children of color in the U.S. child welfare system.

After nearly two decades of research and advocacy work alongside parents, social workers, family defense lawyers, and organizations, Roberts has concluded that the current child welfare system is in fact a system of family policing with alarmingly unequal practices and outcomes. Her 2001 book, “Shattered Bonds: The Color of Child Welfare,” details the outsized role that race and class play in determining who is subject to state intervention and the results of those interventions.

Through interviews with Chicago mothers who had interacted with Child Protective Services (CPS), Roberts shows that institutions regularly punish the effects of poverty as neglect.

CPS disproportionately investigates Black and Indigenous families, especially if they are low-income, and children from these families are much more likely than white children to be removed from their families after CPS referral.

In “Torn Apart: How the Child Welfare System Destroys Black Families—and How Abolition Can Build a Safer World (2022),” Roberts traces the historical, cultural, and political forces driving the racial and class imbalance in child welfare interventions.

These include stereotypes about Black parents as negligent, devaluation of Black family bonds, and stigmatization of parenting practices that fall outside a narrow set of norms.

She also shows that blaming marginalized individuals for structural problems, while ignoring the historical roots of economic and social inequality, fails families and communities.

Roberts argues that the engrained oppressive features of the current system render it beyond repair. She calls for creating an entirely new approach focused on supporting families rather than punishing them.

Her support for dismantling the current child welfare system is unsettling to some. Still, her provocation inspires many to think more critically about its poor track record and harmful design.

By uncovering the complex forces underlying social systems and institutions, and uplifting the experiences of people caught up in them, Roberts creates opportunities to imagine and build more equitable and responsive ways to ensure child and family safety.

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Oakland Post: Week of December 18 – 24, 2024

The printed Weekly Edition of the Oakland Post: Week of December 18 – 24, 2024

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