CDC issues previously unidentified serious threat to public health.

Discussion in 'Economics' started by Cuddles, Apr 9, 2021.

  1. tsznecki

    tsznecki

    Why is @DiceAreCast aka volpunter so obsessed with myself that she admits to blocking and unblocking me just to reply?

    Here's her blocking me for the second time: https://www.elitetrader.com/et/posts/5342375

    Above ^ is her unblocking me for the 3rd time just to respond to me. What a stalker! #GermansAreWeird

    In this thread: @DiceAreCast could not answer why she said anything about Beijing and the Chinese in a rant.

    https://www.elitetrader.com/et/posts/5362352

    Also, nobody brought up anything about women or sexism, so why did she bring it up? The thread is about racism you dumb German.

    https://www.elitetrader.com/et/posts/5362400/

    And I never discussed anything about racism in this thread in any of my posts. What a lying Nazi. Just wanting another opportunity to interact with me. I'll mail you my used underwear since you love me so much. I know Germans love that kind of stuff.

    Did you stay up all night in Vancouver constantly refreshing your browser hoping that I would reply?
     
    #41     Apr 12, 2021
  2. Good catch! lol
     
    #42     Apr 13, 2021
    DiceAreCast likes this.
  3. That's not gonna work on me. Try something else.
     
    #43     Apr 13, 2021
    DiceAreCast likes this.
  4. Cuddles

    Cuddles

    let's ignore the science, because "personal anecdotes"

    https://www.npr.org/sections/corona...rities-in-covid-19-hospitalizations-and-visit

    Studies Confirm Racial, Ethnic Disparities In COVID-19 Hospitalizations And Visits
    Days after declaring racism a serious public health threat, the Centers for Disease Control and Prevention released a pair of studies further quantifying the disproportionate impact of COVID-19 on communities of color.

    The studies, published Monday in Morbidity and Mortality Weekly Report, examine trends in racial and ethnic disparities in hospitalizations and emergency room visits associated with COVID-19 in 2020.

    CDC Director Rochelle Walensky said at a regular White House COVID-19 Response Team briefing that the new literature underscores the need to prioritize health equity, including in the country's accelerating vaccine rollout.

    "These disparities were not caused by the pandemic, but they were certainly exacerbated by [it]," Walensky said. "The COVID-19 pandemic and its disproportional impact on communities of color is just the most recent and glaring example of health inequities that threaten the health of our nation."

    After assessing administrative discharge data from March to December 2020, the CDC found that the proportion of hospitalized patients with COVID-19 was highest for Hispanic and Latino patients in all four census regions of the U.S.

    Racial and ethnic disparities were most pronounced between May and July, it said, and declined over the course of the pandemic as hospitalizations increased among non-Hispanic white people. But such disparities persisted across the country as of December, most notably among Hispanic patients in the West.

    The findings build on earlier studies about racial and ethnic disparities in COVID-19 hospitalizations by showing how they shifted over time and between regions.

    Researchers point to two driving factors for the disproportionate hospitalizations among these minority groups: a higher risk of exposure to the virus and a higher risk for severe disease. They said differences in exposure risk associated with occupational and housing conditions, as well as socioeconomic status, are likely behind the demographic patterns they observed.

    "Identification of the specific social determinants of health (e.g., access to health care, occupation and job conditions, housing instability, and transportation challenges) that contribute to geographic and temporal differences in racial and ethnic disparities in COVID-19 infection and poor health outcomes is critical," they said, adding that a better understanding of these factors at the local level can help tailor strategies to prevent illness and allocate resources.

    The second study examined COVID-19-related emergency department visits in 13 states between October and December, and found similar disparities between racial and ethnic groups.

    During that period, Hispanic and American Indian or Alaska Native people were 1.7 times more likely to seek care than white people, and Black individuals 1.4 times more likely.


    Researchers noted that these racial and ethnic groups are also impacted by long-standing and systemic inequities that affect their health, such as limited access to quality health care and disproportionate representation in "essential" jobs with less flexibility to take leave or work remotely.

    "Racism and discrimination shape these factors that influence health risks; racism, rather than a person's race or ethnicity, is a key driver of these health inequities," they explained.

    Such inequities can increase the risk of exposure and delayed medical attention, further heightening the risks for severe disease outcomes and the need to seek emergency care.

    Looking ahead, researchers said their findings could be used to prioritize vaccines and other resources for disproportionately affected communities in an effort to reduce the need for emergency care. Walensky also emphasized the implications of the new studies on and beyond the country's pandemic response.

    "This information and the ongoing surveillance data we see daily from states across the country underscore the critical need and an important opportunity to address health equity as a core element in all of our public health efforts," she said.

    A renewed push to address such inequity is now underway at the CDC, which late last week declared racism a "serious public health threat that directly affects the well-being of millions of Americans."

    Walensky has directed the agency's departments to develop interventions and measure health outcomes in the next year. It's also provided $3 billion to support efforts to expand equity and access to vaccines, in addition to $2.25 billion previously allocated for COVID-19 testing in high-risk and underserved communities. The CDC has also launched a Racism and Health web portal to promote education and dialogue on the subject.

    Data so far indicate that Black individuals make up roughly 12% of the country's population but just 8.4% of those who have received at least one dose, Walensky said. And while 18% of the country identifies as Hispanic or Latino, she said, they make up only 10.7% of those who have been vaccinated.

    Officials at Monday's briefing highlighted further progress in the race to get shots into arms, noting that 120 million Americans have been vaccinated — 46% of adults have had at least one dose and 28% are fully vaccinated. And in exactly one week, all adults will be eligible to sign up for an appointment.

    "This means that there has never been a better time than now for seniors and those eligible to get their shots," said Andy Slavitt, senior advisor on the White House COVID-19 Response Team. "Make an appointment today. And if you have someone in your life, particularly a senior, who has not gotten a shot yet, reach out and see what help they need."
     
    #44     Apr 21, 2021
  5. The science? And of course no other variables influence those numbers? For example, different habits among ethnic groups during the pandemic? Large family gatherings, parties, civil obedience/disobedience? Personal attention to one's own health and wellbeing? Nothing of that could possibly have an impact? Tell me it's impossible so I understand where you stand.

    I can tell you that here in Canada all indigenous people qualify to get the vaccine, already a month ago. Today white people can't even get the vaccine if under 50 or so, at least here in BC. Indigenous people don't have any DNA deficiencies that would make them get more seriously affected than anyone else. So, if anything, ethnic minorities get treated a million times better than the rest. So much about facts and the truth.

     
    Last edited: Apr 22, 2021
    #45     Apr 22, 2021
  6. Cuddles

    Cuddles

    More on this serious health threat:

    https://www.medscape.com/viewarticle/950720
    Structural Racism Tied to Psychosis Risk in People of Color

    Social and economic disparities are linked to an increased risk for psychosis in racialized communities, new research shows.

    Results of a literature review of social and economic disparities in mental illness suggest that "structural racism" contributes to social and environmental conditions that affect psychosis risk.

    "Black and Latino people suffer disproportionately from psychosis risk factors, at the neighborhood level and at the individual level, in large part as a result of structural racism,"
    study investigator Deidre M. Anglin, PhD, associate professor, Department of Psychology, the City College of New York, New York City, told reporters attending a press briefing.

    The social environment, which, for minorities, involves disadvantage and discrimination, may account for this increased psychosis risk, perhaps even more so than genetics, she said. Structural racism "is a critical public health threat," Anglin added

    The findings were presented at the virtual American Psychiatric Association (APA) 2021 Annual Meeting and were simultaneously published online May 3 in The American Journal of Psychiatry.

    Perpetual Disadvantage
    The researchers examined US-based evidence connecting characteristics of social environments with outcomes across the psychosis continuum ― from psychotic experiences to schizophrenia.

    Citing numerous studies, the researchers highlighted three key areas that reflect social and environmental conditions, that may affect psychosis risk, and that disproportionately affect minorities. These included neighborhood factors, trauma in a US context, and racial disparities during the prenatal and perinatal periods.

    The data that were related to neighborhoods revealed "just how much racism has historically structured US neighborhoods in ways that generationally perpetuate disadvantage for racially minoritized communities," said Anglin.

    "This happens through inequitable access to resources, such as healthcare, clean air, education, employment, but also in terms of disproportionate exposure to environmental toxins and stressors," she said.

    These neighborhood factors are associated with cumulative stress that may be linked to heightened risk for psychosis, the investigators note.

    US studies show that rates of adverse childhood experiences, such as abuse and emotional and physical neglect, are higher among racial and ethnic minorities.

    Police victimization and gun violence disproportionately affect racial minorities and create what the investigators call "a unique type of collective trauma"
    in the United States. They note that Black men have a 1 in 1000 chance of being a victim of lethal force by police over their lifetime. By comparison, White men have a 39 in 100,000 chance.

    One study of a diverse sample from four large US urban centers showed that those who self-reported different types of police victimization were more likely to report psychotic experiences. Another study showed that greater exposure to gun violence fatalities, regardless of police involvement, was positively associated with psychotic experiences.

    Obstetric Complications
    A variety of obstetric complications, including infection, maternal inflammation, and stress, have been associated with increased risk for psychotic disorders in US samples.

    "What we saw emerge from the literature is that Black women in the US are at substantially increased risk for many of these obstetrical complications compared to White women, and this is not necessarily explained by socioeconomic status," said Anglin.

    Neighborhood- and individual-level factors appear to affect the disparity in these outcomes. A recent study revealed that exposure to environmental contaminants such as air pollution is associated with higher rates of preterm birth and low birth weight differentially in Black mothers compared with other mothers, "possibly as a result of an interaction between prenatal stress and contaminants," the investigators note.

    Research also indicates that Black women are more likely to have lower levels of cortisol during the second trimester of pregnancy compared with women of other racial and ethnic groups. Cortisol is essential for fetal growth. Evidence links lower cortisol levels in later stages of pregnancy with decreased fetal growth in individuals who develop schizophrenia.

    Black women have higher levels of certain stress biomarkers, including inflammatory C-reactive protein and adrenocorticotropic hormone, in mid- to late pregnancy compared with White women of the same socioeconomic status.

    Such findings "highlight a complex picture" involving maternal cortisol levels and other stress biomarkers, "potentially leading to poor birth outcomes and subsequent risk for psychotic disorders in adulthood," the investigators note.

    The researchers call for the dismantling of structural racism and the social policies and norms it shapes. They also recommend changes in healthcare policy and in the approach to early intervention for psychosis among Black and other racially minoritized groups.

    "Altogether, the current evidence suggests the need to identify, address, and tackle the social determinants deeply ingrained in U.S. society, in tandem with empowering the most marginalized communities,"
    the researchers note.

    "We recommend that the field of psychiatry devote considerably more effort to addressing structural racism and social determinants of psychosis in funding priorities, training, and intervention development,"
    they add.

    Anglin suggests that mental health providers use what she called a "cultural formulation interview" that takes a person's environmental and social context into consideration. Studies show that incorporating this into clinical practice helps reduce misdiagnosis of mental illness in Black populations, she said.

    Call to Action
    Commenting on the findings for Medscape Medical News, Ned. H. Kalin, MD, editor of The American Journal of Psychiatry and professor and chair of the Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, said the study was well done and serves as a "call to action" to address the impact of structural racism on mental health issues and psychiatric diseases.

    The article highlights the need for "collecting better data" on structural racism, said Kalin. "We know it's a big issue, but we can't even quantitate it, so we need some fundamental measures to use as a benchmark as we move forward, as we try to make change."

    He noted that racism "is so embedded in one's experience and in our society that we sort of don't even think about it as a trauma."

    In psychiatry, for example, trauma is often thought of as a loss or a traumatic event. "We don't typically think of trauma as an experience that pervades one's entire life," but that needs to change, he said. "At the individual level and in the doctor's office, being sensitive to and aware of these issues is absolutely critical."
     
    #46     May 7, 2021
  7. Overnight

    Overnight

    Those poor underprivileged mommas and their deformed babies due to "socioeconomic stressors".

    STFU!

    They should just get some llamas, that should make their babies feel better and not come out hooked on crack-cocaine.

    Look man, whitey is paying! It should make them all feel better!

     
    #47     May 7, 2021
  8. I think you got the title of the story wrong.

    Structural psychosis tied to constant feelings of institutional racism.

     
    #48     May 7, 2021
  9. If guys like you get really really tired of this constant blaming of the white race then the pendulum has probably swung maximum left by now. I have been saying this all along: A time will come when even extremely moderate people are finally fed up with this constant blame game of innocent and well intentioned white people. So many claims of institutional racism are complete bogus and made up out of thin air. Especially at Canadian universities every left leaning person claims there is institutional racism at play. When you ask them for specific examples hardly anyone can name even a single example. The only answer I got so far was that the number of white faculty by far exceeds the number of black and indigenous faculty members. Laughing my ass off. Those clowns are a complete joke and ordinary people are just too busy with other stuff in their lives to tell them to STFU.

     
    #49     May 7, 2021
  10. Overnight

    Overnight

    Dude man, I got fed up with it long ago, and the pendulum has not just swung far, it's gone into orbit through centrifugal force. So tired of it all.

    It really is all whitey's fault. Here's proof...



    What color are the llamas, and what happens in the background? The white man did that, so now the reparations must come for the victims!
     
    #50     May 8, 2021
    DiceAreCast likes this.