Search

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.

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.

" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."

"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"

" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"

Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.