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Found 237 results
  1. News Article
    Black and Asian people are up to twice as likely to be infected with COVID-19 compared to those of white ethnicities, according to a major new report. The risk of ending up in intensive care with coronavirus may be twice as high for people with an Asian background compared to white people, data gathered from more than 18 million individuals in 50 studies across the UK and US also suggests. The report, published in the EClinicalMedicine by The Lancet, is the first-ever meta-analysis of the effect of ethnicity on patients with COVID-19. The scientists behind it said their findings should be of "importance to policymakers" ahead of the possible roll out of a vaccine. Read full story Source: The Independent, 12 November 2020
  2. Content Article
    In this blog, published by the Institute for Healthcare Improvement, Kedar Mate discusses the need to explicitly address race and racism in order to work towards health equity. "We never legislated long waiting times. We never imposed rules, regulations, customs, and norms for ineffective care. We did, however, legislate inequity."
  3. Content Article
    Our understanding of race and human genetics has advanced considerably, yet these insights have not led to clear guidelines on the use of race in medicine. The result is ongoing conflict between the latest insights from population genetics and the clinical implementation of race. For example, despite mounting evidence that race is not a reliable proxy for genetic difference, the belief that it is has become embedded, sometimes insidiously, within medical practice. One subtle insertion of race into medicine involves diagnostic algorithms and practice guidelines that adjust or “correct” their outputs on the basis of a patient’s race or ethnicity. Physicians use these algorithms to individualise risk assessment and guide clinical decisions. By embedding race into the basic data and decisions of health care, these algorithms propagate race-based medicine. Many of these race-adjusted algorithms guide decisions in ways that may direct more attention or resources to white patients than to members of racial and ethnic minorities. To illustrate the potential dangers of such practices, Vyas et al. have compiled a partial list of race-adjusted algorithms.
  4. Content Article
    As the race to develop a vaccine for COVID-19 has reached phase 3 clinical trials, concerns are increasing about the low rates of trial participation in important subgroups, including Black communities. Recent data show that although Black people make up 13% of the US population, they account for 21% of deaths from COVID-19 but only 3% of enrollees in vaccine trials. This problem threatens both the validity and the generalisability of the trial results and is of particular concern in vaccine trials, in which differences in lifetime environmental exposures can result in differences in immunologic responses that could affect both safety and efficacy. Despite long-standing calls from the Food and Drug Administration (FDA) and the National Institutes of Health (NIH) to improve the participation of underrepresented subgroups in drug trials, the problem persists. Warren et al., in an article in the New England Journal of Medicine, explore what the barriers are to greater participation of Black people in COVID-19 trials.
  5. Content Article
    Disparities in healthcare exist because of socioeconomic factors, structural racism and implicit bias. The panelists in this video identify the problems and discuss what solutions are in place that could improve health disparities such as medical education, more training for underrepresented minority physicians, more funding for research, and fast-tracking publication of research. Furthermore, the panelists explore how the field of dermatology and other medical specialties can address these issues.
  6. Event
    Westminster Health Forum policy conference. The agenda: Assessing the impact of COVID-19 on the ethnic minority community, and priorities for improving health outcomes. The health and social care response to inequality through the pandemic and taking forward new initiatives. Understanding the data and risk factors for COVID-19 in ethnic minority groups. Wider health inequalities faced by people in ethnic minorities - addressing underlying factors, and the role of COVID-19 recovery strategies in supporting long-term change. Priorities for providing leadership in tackling health inequalities in the workforce. Driving forward and ensuring race equality in the NHS. Providing support to the ethnic minority health workforce and taking forward key learnings from COVID-19. Next steps for action in race disparity in healthcare. Book
  7. Content Article
    On 30 May 2020, NHS England and the NHS Confederation launched the NHS Race and Health Observatory, a new centre to investigate the impact of race and ethnicity on people’s health and to identify and tackle the specific health challenges facing people of black and ethnic minority origin. 
  8. Content Article
    This report is the product of a review by Baroness Doreen Lawrence, commissioned by the Labour Party, into the disproportionate impact of Covid-19 on Black, Asian and minority ethnic communities. In her introduction to the report, Baroness Lawrence says: "Black, Asian and minority ethnic people have been overexposed, under protected, stigmatised and overlooked during this pandemic – and this has been generations in the making. The impact of Covid is not random, but foreseeable and inevitable – the consequence of decades of structural injustice, inequality and discrimination that blights our society. We are in the middle of an avoidable crisis. And this report is a rallying cry to break that clear and tragic pattern."
  9. News Article
    Minority ethnic people in UK were ‘overexposed, under protected, stigmatised and overlooked’, new review finds. Structural racism led to the disproportionate impact of the coronavirus pandemic on black, Asian and minority ethnic (BAME) communities, a review by Doreen Lawrence has concluded. The report, commissioned by Labour, contradicts the government’s adviser on ethnicity, Dr Raghib Ali, who last week dismissed claims that inequalities within government, health, employment and the education system help to explain why COVID-19 killed disproportionately more people from minority ethnic communities. Lady Lawrence’s review found BAME people are over-represented in public-facing industries where they cannot work from home, are more likely to live in overcrowded housing and have been put at risk by the government’s alleged failure to facilitate Covid-secure workplaces. She demanded that the government set out an urgent winter plan to tackle the disproportionate impact of Covid on BAME people and ensure comprehensive ethnicity data is collected across the NHS and social care. The report, entitled An Avoidable Crisis, also criticises politicians for demonising minorities, such as when Donald Trump used the phrase “the Chinese virus”. The report, which is based on submissions and conversations over Zoom featuring “heart-wrenching stories” as well as quantitative data, issued the following 20 recommendations: Set out an urgent plan for tackling the disproportionate impact of Covid on ethnic minorities Implement a national strategy to tackle health inequalities Suspend ‘no recourse to public funds’ during Covid Conduct a review of the impact of NRPF on public health and health inequalities Ensure Covid-19 cases from the workplace are properly recorded Strengthen Covid-19 risk assessments Improve access to PPE in all high-risk workplaces Give targeted support to people who are struggling to self-isolate Ensure protection and an end to discrimination for renters Raise the local housing allowance and address the root causes of homelessness Urgently conduct equality impact assessments on the government’s Covid support schemes Plan to prevent the stigmatisation of communities during Covid-19 Urgently legislate to tackle online harms Collect and publish better ethnicity data Implement a race equality strategy Ensure all policies and programmes help tackle structural inequality Introduce mandatory ethnicity pay gap reporting End the ‘hostile environment’ Reform the curriculum Take action to close the attainment gap Read full story Source: The Guardian, 28 October 2020
  10. Content Article
    Black, Latinx, and Native Americans are experiencing disproportionate burdens of infections, hospitalisations, and deaths from COVID-19. Similar disparities are observed in other countries where minority groups face hurdles in accessing health, education, and social services as well as affordable, healthy food. These stark manifestations of health inequities have emerged in the wake of a body of evidence linking obesity and obesity-related chronic diseases, such as hypertension, diabetes, and cardiovascular disease — conditions that disproportionately affect disadvantaged populations — with severe outcomes from COVID-19. Though the factors underlying racial and ethnic disparities in COVID-19 in the United States are multifaceted and complex, long-standing disparities in nutrition and obesity play a crucial role in the health inequities unfolding during the pandemic.
  11. Event
    Join clinical experts, thought leaders, and advocates for a collaborative discussion on the issues of health disparities, structural racism, and medicine as they examine specific dermatologic diseases in a series of four free and open educational webinars from the Harvard Medical School. Structural racism and racial bias in medicine: Wednesday, October 28, 1:00-2:15 PM ET Hair disorders in people of colour: Thursday, November 12, 1:00-2:15 PM ET Pigmentary disorders and keloids: Wednesday, November 18, 1:00-2:15 PM ET COVID-19 Comorbidities and cutaneous manifestations of systemic diseases in adults and children: Wednesday, December 2, 1:00-2:15 PM ET Implicit bias and structural racism play a central role in the development of healthcare disparities. One of the critically important areas in medicine is the misdiagnosis of disease in people with darker skin types due to implicit bias and the lack of awareness among physicians in recogniszing the disease pattern. Clinicians in primary care, emergency medicine, hospital medicine, surgery, pediatrics, and other medical specialties can deliver improved care if they can recognize and diagnose medical conditions based on skin findings in patients of color. This four-part series aims to improve diagnosis in people of color, describe pathogenesis and treatment of diseases, develop cultural competency, and impact change in health care policy so more is done to reduce racial bias in medical practice and medical research. Providing this education, in turn, will ultimately help reduce health disparities and improve the lives of underrepresented minority populations. Register for one event or all four.
  12. Content Article
    The stark and enduring inequality in mental health outcomes between black and white people is being addressed by two psychiatrists who want to tackle decades of unfounded assumptions. Keith Cooper reports
  13. Content Article
    To mark Black History Month 2020, blog site Hysterical Women has launched it's first mini series, exploring black women’s healthcare experiences. The contributions of five black writers, shine a light on: black health and healthcare experiences black motherhood, black pain black mental health the experiences of black healthcare professionals.
  14. News Article
    Seeking help for mental health is never easy but for some members of London's Punjabi community, the shame and stigma associated means they have struggled more than most. Anyone having "problems of the mind" is often considered a burden upon the family says Dr Rakish Rana, founder of the Clear Coach, who added that a lack of education on mental health means it is considered a taboo subject. "To support those with mental health issues, there needs to be more awareness in the South Asian community, whether that's through religious or community leaders, schools and families," he said. "As with all cases of mental health, it needs to be openly discussed and normalised." Shuranjeet Singh, the founder of Taraki, a not-for-profit mental health organisation, said its research carried out into the Punjabi community found more than half of respondents reported a decline in their mental health as a result of Covid-19. "I can see stigma slowly reducing and I hope that community-focused solutions are well researched and funded, because no community is truly 'hard to reach'." Read full story Source: BBC News, 3 October 2020
  15. Content Article
    Medicine is a mirror for the racial injustice in our society; it is a field riddled with racial disparities in everything from research funding to patient care to life expectancy. There may be no population of patients whose healthcare and outcomes are more affected by racism than those with sickle cell disease (SCD). Patients with SCD are too often marginalised and dismissed while seeking medical care when their bodies hurt and they cannot breathe. As medical leaders around the United States issue statements denouncing racial injustice and calling for us to “dismantle racism at every level,” we must ensure that these pledges translate into durable improvements for patients with SCD. Alexandra Power-Hays and Patrick T. McGann propose a number of changes to reduce the impact of racism on patients with SCD in the US.
  16. Content Article
    Appalling racial inequities in health exist in nearly every realm that researchers have examined. These inequities are a dramatic manifestation of the structural violence that plagues our society. Deborah Cohan, an obstetrician, gives her perspective on this in her article in the New England Journal of Medicine. "How am I confronting the underlying forces that facilitate increased suffering and death among certain groups because of their skin color? Although it’s necessary, it is not enough for me to provide respectful health care to pregnant women of color. If I truly want to be part of the solution, I need to explore those parts of me that are most unwholesome, embarrassing, unflattering, and generally not discussed in the context of one’s career." Her goal is to dismantle the insidious thoughts that reinforce a hierarchy based on race, education, and other markers of privilege that separate her from others. "These thoughts, fed by implicit bias, are more common than I find easy to admit. Although I know not to believe everything I think, I also know that thoughts guide attention, and attention guides actions. Until I bring to light and hold myself accountable for my own racist tendencies, I am contributing to racism in health care."
  17. Content Article
    17 September 2020 marks the second annual World Patient Safety Day. The theme this year is 'Health Worker Safety: A Priority for Patient Safety'. In the run up to this special event, Patient Safety Learning are publishing a series of interviews with staff from across the health and care system to highlight key issues in staff safety and gain a clearer idea of the kind of change that needs to take place to keep staff, and ultimately patients, safe.  In this interview, Yvonne Coghill, Director, Workforce Race Equality, NHS London and nurse by background, shares her insight.
  18. Content Article
    Mind the Gap is a Handbook to raise awareness of how symptoms and signs can present differently on darker skin as well as highlighting the different language that needs to be used in descriptors.The aim of this booklet is to educate students and essential allied health care professionals on the importance of recognising that certain clinical signs do not present the same on darker skin. This is something which is not commonly practised in medical textbooks. It is important that healthcare professionals are aware of these differences so that care of certain groups is not compromised.
  19. News Article
    Almost two-thirds of black Britons think the NHS does less to protect their health than that of white people, research has found. That negative view of the health service is shared by a majority of black people of almost all ages, and is held especially strongly by black women, according to findings of a study commissioned by a parliamentary committee. Overall, 64% of black people do not believe that their health is as protected by the NHS compared with white people’s. When asked if they thought it was, 34.3% disagreed and another 29.6% disagreed strongly, while just 19.9% agreed and a further 2.4% agreed strongly. The survey was commissioned by MPs and peers on the joint committee on human rights as part of its inquiry into black people, racism and human rights in the UK. The report will be published and debated with the authors at an evidence session today. Read full story Source: The Guardian, 7 September 2020
  20. Content Article
    With evidence of the impact of COVID-19 on BAME communities, on 15 April 2020 NHS England CEO Simon Stevens convened a meeting of leaders in healthcare and representative bodies such as the British Medical Association and Royal College of Nursing to agree a plan of action to support staff. The NHS response has since been underpinned by three principles of protecting, supporting, and engaging staff.
  21. Content Article
    In this article Yvonne Coghill, Director of the Workforce Race Equality Standard (WRES) Implementation Team in London, talks about how she is working with others to develop a race equality strategy for the capital.
  22. Content Article
    In this Guardian Long Read, Neil Singh highlights that during his medical training, it was almost always assumed that his patients would be white. He argues this prejudice is harmful in its own right – and when it comes to dangerous skin conditions, it can be deadly.
  23. Content Article
    This investigation, published in Anesthesiology, was specifically designed to determine whether errors at low saturation correlate with skin colour.
  24. Content Article
    This is a report and survey analysis from Runnymede, the UK’s leading independent thinktank on race equality and race relations. Results show that black and minority ethnic (BME) people face greater barriers in shielding from coronavirus as a result of: the types of employment they hold (BME men and women are overrepresented among key worker roles)having to use public transport moreliving in overcrowded and multigenerational households morenot being given appropriate PPE (personal protective equipment) at work. In all of these areas, most BME groups are more likely to be over-exposed and under-protected compared with their white British counterparts.
  25. Content Article
    For physicians, the words “I can’t breathe” are a primal cry for help. As many physicians have left their comfort zones to care for patients with COVID-19–associated respiratory failure, the role of the medical profession in addressing this life-defining need has rarely been clearer. But as George Floyd’s repeated cry of “I can’t breathe” while he was being murdered by a Minneapolis police officer has resounded through the country, the physician’s role has seemed less clear. Police brutality against black people, and the systemic racism of which it is but one lethal manifestation, is a festering public health crisis. Can the medical profession use the tools in its armamentarium to address this deep-rooted disease? Evans et al. explore this further in an Editorial in the New England Journal of Medicine.
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