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Covid-19 may be compuounded by both Anti-Blackness and preceding disasters

Roberto E. Barrios

In New Orleans, African American communities were not only hit hard by Katrina's floods, but also by violent policing during the catastrophe and a disaster "recovery" effort that was fundamentally Anti-Black (closing of publich housing and the privatization of schools and health care). Recovery efforts were not organized along ideals of racial justice that would have addressed gaps in educational and health care resources. Instead, they were imagined along neoliberal principles that systematically excluded the city's Black population. I am interested in looking into how the Anti-Blackness of Katrina "recovery" set the stage for the virulent way COVID 19 is affecting New Orleans' African American communities.

In the US Virgin Islands, Hurricanes Maria and Irma decimated what were already decrepit public school and public health systems. Public schools and hospitals had not been property repaired and remained under-supported as of early March 2020. In places like the Island of St. Croix, residents reported the hospital having only one physicial on staff, and indicated fear of misdiagnosis and prolonged waiting times kept them from seeking health care there. The clientelle of the public health system is predominantly Afro and Hispanic Caribbean. Meanwhile, US "mainlanders" (who are predominantly white) are reported to seek their healthcare off island, something only those with ample financial resources can do. Infection rates and fatality rates for the USVI seem rather low from official reports, but it is important to find out if this is because testing itself is not readily avialable in the territory.

Disproportionate and violent policing of racial/ethnic minorities has continued and evloved.

Roberto E. Barrios

Media coverage from hard-hit cities suggests there is a disproportionate number of arrests and citations related to enforcement of social distancing among racial minorities.

Also, police response seems to have followed very different patterns in the case of "re-open" protests and anti-police brutality protests.

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joerene.aviles

Emergency response is addressed in the "Post-Disaster: Preventing and Treating Mental Health Conditions" section, with the debriefing done by emergency responders referenced. However, critical incident stress debriefing hasn't shown to be effective in the recovery process or preventing mental health disorders. Psychological first aid (PFA) is suggested as a post-disaster intervention, but it seems like a duty for mental health care providers, not emergency responders. 

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joerene.aviles

The main point of the article is that private ambulance and fire department agencies have questionable policies and business practices that hurt not only patients but also their employees. It's supported with anecdotal evidence following several agencies that have filed for bankruptcy, going over incidents of lateness, understaffing, lack of supplies, and aggressive billing or lawsuits to get payments from patients.