W. Montague Cobb/NMA Health Institute, USA.
W. Montague Cobb/NMA Health Institute, USA.
J Natl Med Assoc. 2020 Jun;112(3):324-328. doi: 10.1016/j.jnma.2020.06.010. Epub 2020 Jun 5.
The disproportionately high burden of death and disability observed for racial and ethnic minorities under the Coronavirus pandemic necessitates sustained advocacy by the medical and public health communities around critical determinants of population health. Prompting our advocacy should be the understanding that our collective ability to rebound from such crises may ultimately hinge on protecting and equipping our most vulnerable racial-ethnic minority groups and any susceptible individuals within those populations. If proven effective, recent historic firsts by the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), the Office of Minority Health (OMH) and the Centers for Disease Control and Prevention (CDC) in response to COVID-19 should be championed for permanency within policy, practice and funding. In addition, given the complex history of Black Americans in this country and persistent and substantial Black-white disparities on health and economic measures across the board, some kind of reparations for this group may serve as a logical starting point for further advocacy. Nevertheless, we remain supportive allies of all organizations concerned with communities who suffer the weight of this pandemic and any future world health disasters. Let us as human clinicians and public health professionals capture this moment of challenge and engage in thoughtful unification of effort and commit to measurable progress for as long as the need exists and certainly for the foreseeable future.
在冠状病毒大流行期间,少数族裔承受着不成比例的高死亡率和残疾率,这需要医学和公共卫生界就人口健康的关键决定因素持续进行宣传。我们应该认识到,我们从这类危机中集体反弹的能力最终可能取决于保护和装备我们最脆弱的少数族裔群体以及这些人群中的任何易感个体。如果被证明有效,美国卫生与公众服务部(HHS)最近通过卫生资源和服务管理局(HRSA)、少数民族健康办公室(OMH)和疾病控制与预防中心(CDC)针对 COVID-19 采取的历史性首创措施,应该在政策、实践和资金方面永久化。此外,鉴于美国黑人的复杂历史以及在健康和经济措施方面普遍存在的持续且实质性的黑人和白人之间的差距,为这个群体提供某种赔偿可能是进一步宣传的一个合理起点。然而,我们仍然支持所有关注遭受这场大流行和任何未来世界卫生灾难影响的社区的组织。让我们作为人类临床医生和公共卫生专业人员抓住这一挑战时刻,进行深思熟虑的统一努力,并承诺在需要的情况下,以及在可预见的未来,取得可衡量的进展。