Infusing History into Equitable Futures
November 2023
November 2023
An image of the Adinkra symbol Sankofa
MPH@Simmons alum, students, faculty and friends:
Thanks for laying your eyes of another issue of our MPH Monthly. As we find ourselves into the throes of a busy season that comes with a good amount of celebration, we wanted to pause and consider the importance of history and infusing it into the work of social justice and health equity. In the Simmons MPH program, we stress the need to develop public health solutions that tackle the structural and systemic causes of health inequities. This requires situating those health inequities within the historical contexts from which they stem.
Dr. Camara Phyllis Jones said:
“We are a-historical. The present is seen as disconnected from the past, and the current distribution of advantage and disadvantage is seen as happenstance. We don’t want to take history into account.”
The past is clearly present in all of our lives today. It significantly determines how we all relate to each other, move through the world and enter the future.
We can witness the importance of history as a source of strength for the present and hopeful gaze towards the future in the concept of Sankofa from the Akan people of West Africa, which has developed great importance among the African diaspora in the US and Caribbean. Often represented by a bird with feet forward retrieving an egg from its back, Sankofa can be translated to mean, “It is not taboo to return and fetch it when you forget.”
Strong oral traditions and storytelling among Native American peoples also show the importance of history as a means of survival and preservation. Through ensuring history and traditions are passed down, a collective memory, in a sense, is instilled. Throughout generations, the people can draw from that history to forge paths forward that honor the past and create a sustainable future.
As we go full on into the part of the year where looking ahead (next holiday, next party, new year!) is front and center, it might do us well to meaningfully infuse some of this wisdom and respect for history into our own lives and our work to build just futures.
Thanks for reading,
Leigh Haynes (MPH Program Director)
& Nat Thomson (MPH Graduate Assistant)
November's Topic: History & Health Equity
The 1985 Report of the Secretary's Task Force on Black and Minority Health, referred to as the Heckler Report, was the first attempt to investigate health disparities among African Americans. The Department of Health and Human Services's health equity timeline traces the US government engagement around health disparities and health equity.
Experts weigh in on defining attacks in Gaza as genocide for Time Magazine “Without sticking to the truth, we'll never have a truthful reckoning of how we arrived at the seventh of October, and how we go forward. We need to name it for what it is,” says Raz Segal, the program director of genocide studies at Stockton University.
HHS released their National Climate Assessment 5, where they highlight the continued threat of extreme climate change, making clear that those who have been historically minoritized are more vulnerable to the negative effects on human health created by climate change.
The American Medical Association recently published their 2023 Health Equity In Organized Medicine Report, finding that 74% of organizations have taken at least one action to get grounded in history and their local context, among other findings that generally indicate that the industry is trending towards righting the historical wrongs fundamental to the current landscape of American medicine.
Matika Wilbur and Adrienne Keene of All My Relations explore the true history of European and Native contact in “The Truth about Thanksgiving,” part of their “Lies your teacher taught you” series, breaking apart some of the convenient, comfortable and nicely packaged yet ahistorical ways American history is retold in our country.
In All the Only Ones, a 3-part series for NPR's Embedded, Laine Kaplan-Levenson traces the neglected history of trans youth. Laine uncovers some of the earliest documentation of trans youth in the US and makes parallels between the challenges of trans youth from nearly a century ago and now.
For The Atlantic, Katherine J. Wu explores how A Winter of Low COVID Vaccination Will Probably Seem Fine until we start to see the longer-term consequences of missed shots.
A Simmons MPH graduate in 2022, Chris Marshall, MPH, works as a Research Administrator in the Department of Ophthalmology at Boston Children's Hospital. In this role, Chris contributes to research grant applications and manages the funding of awarded projects,
Chris also works with a small group from his department overseeing the program's participation in one of the hospital’s internship programs. This program helps Boston area high school and college students gain access to opportunities that would potentially be otherwise out of reach. The program even hosted a Simmons undergrad student recently!
In his time at Boston Children's Hospital, Chris has worked with a few different research groups in his department. They have looked into public health and the roles of health equity and social justice in the optical research field. "I’m able to take a lot of the messages from class and from my [Health Equity Change Project] into that world and help to provide that voice or scope to different projects," says Chris about his transition from academia to his post-MPH career.
Congratulations Chris on your great progress in the public health sphere after graduation. The Simmons MPH community celebrates your progress!
Representative in Paraguay at the Pan American Health Organization & Simmons MPH Professor
Interview by Nat Thomson, Simmons MSW Candidate
In this month's feature interview, we speak with Simmons professor, course designer and Representative in Paraguay at the Pan American Health Organization, Marcelo Korc.
Dr. Korc, what initially drew you to the chemical engineering realm of study, where you started your career?
That’s a good question. Immaturity? [laughs] I was living in Uruguay, where I was born. I lived there until I finished high school, and at that time in Uruguay, in your last year of high school you had to guide yourself towards a specific career, so I did engineering, but at the time my love was more so environmental issues, but at the time, environmentalism was just not a career in its own right. So, I started in the chemical engineering field, but I was personally always geared more towards the environmental field. Eventually, I did my undergrad in Israel and my Ph.D. in the States. So then after I finished my Ph.D., my first job was to work in the field of air quality research, in northern California. What you would call today a “startup” but at the time we just called it a little place, made up of researchers of air quality. So, then, that was how I was able to eventually connect my background in chemical engineering with my passion for environmental issues.
I suppose that was when the idea and issue of “smog” was emerging in California and the nation?
Yes, this was the early 90s. At that time many studies were being conducted in the states to understand, three-dimensionally, the air pollution episodes that were happening in different parts of the country. We started in southern California, the typical Los Angeles area, but also the Lake Michigan area as well. We also worked with the Northeast corridor, from North Carolina to Canada. However, instead of just doing surface measurements, we did measurements with aircraft, so we were able to get a more three-dimensional measure of the cloud as it moved and developed, not just the impact on the terrestrial surface level. This data helped us understand the episodes better as well as how to attempt to control them.
I recall how in the media at the time it was largely covered as something that tended to be confined to Los Angeles or Hong Kong; I’d be interested to hear your thoughts on how it’s shifted to a much more mainstream topic over the past 30 years or so.
At the time we were focusing on what were called “episodes” of air pollution at very high levels. However, with the knowledge we were able to collect, the health aspect of air pollution became clearer, and we saw how important it was not just to understand the episodes, but the same phenomena at comparatively lower levels, because even then there is an impact on health. With time the science and public health community realized this, and so air quality standards changed over time, alongside the research findings, to be more stringent and to focus on a day-to-day monitoring and reporting approach, as opposed to only looking at the extreme high-level episodes we researched initially. Looking at the peaks, it becomes clear how emission levels and meteorology combine to create these episodes but looking at air pollution in a day-in-day-out fashion, it’s just a different approach to controlling and lowering. A much more massive effort overall.
So as you worked on this, the philosophy changed, from looking at these “code red” types of days to looking at the daily levels in a permanent monitoring approach?
That’s right. And so today, that’s how or why you see the air quality index alongside the other things that a meteorologist would typically cover. The measure of the index has also changed. What we now call “red” is something that when I started in the research, we would have not called red, because the orientation was around the extreme episodes of pollution. Over time, the research showed that even at that level we would have been considered as “low” back then, there were still health impacts that we just weren’t considering. We also started to think more about susceptible populations, not just the whole average population. For example, we started to look at, let’s say, children with asthma, and the impact was more, but there wasn’t much attention to those populations and their increased susceptibility, at the start. Policies began to become more informed about vulnerable populations, not just the general average whole and the broad issue of polluted air.
You can read our continued, full interview with Dr. Marcelo Korc here.
Wednesday, November 22nd (Online)
Decolonising Public Health : Creating language for action- Discussing a Draft Definition
The WFPHA Indigenous Working Group invites Indigenous peoples, members and organisations to join our webinar on Decolonising Public Health. In this interactive session, together we will explore what decolonisation in public health is and what it might look like in the future. We will be discussing a working definition of decolonising public health for the WFPHA, our members and broader public health community to use moving forward.
Monday, December 4th (Boston, MA)
Social Justice in Data Science Lecture Series with Prof. Veena Dubal
This event series aims to delve into the ways data science operates to advance, transform, and hinder justice-oriented movements by underrepresented and politically marginalized communities in different areas of life, and draw lessons that can help reorient the field of data science toward justice.
Sunday, December 10th (Boston, MA)
Join the 2023 ISWS fundraising auction where you can bid a diverse collection of artwork from renowned artists in support of International Social Work Solutions.
Wednesday, December 13 (Philadelphia, PA & Online)
Featured Speaker, Robert L. Santos, Director of the U.S. Census Bureau
Director Santos will present "The Real Challenge Facing Aspiring Biostatisticians, Data Scientists and Schools of Public Health More Generally Is...Us" and will be available to answer questions after the talk.
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