Segregation was already hurting Black health 100 years ago.

Research links structural racism of 1900s U.S. society to striking disparities in childhood mortality.

La identidad como inscripción del sujeto en la historia, en el film l'm not your negro / Identity as an inscription of the subject in history, in the film "I'm not your negro"

En este trabajo se aborda el documental de Raoul Peck elaborado a partir de la historia personal y de un texto inconcluso de James Baldwin acerca del paradigma instalado de segregación racial, violencia e identidad. Esta problemática es pensada con aportes de la psicología de la liberación y la filosofía crítica, para pensar una ética práctica que aborde constantemente y en distintos ámbitos los mecanismos estandarizados de reafirmación ideológica que consolidan la segregación y producen síntomas sociales e individuales. En este trabajo también se argumenta que la propuesta superadora de Baldwin también porta los mismos síntomas del trauma social, y por lo tanto la construcción de la subjetividad como inscripción del sujeto en la historia también exige esa misma revisión crítica de sí y del reconocimiento de las propias huellas del conflicto social

This paper deals with Raoul Peck's documentary based on personal history and an unfinished text by James Baldwin about the installed paradigm of racial segregation, violence and identity. This problem is thought with contributions from the psychology of liberation and critical philosophy, to think of a practical ethic that constantly addresses and in different areas the standardized mechanisms of ideological reaffirmation that consolidate segregation and produce social and individual symptoms. This paper also argues that Baldwin's overcoming proposal carries the same symptoms of social trauma. Therefore, the construction of subjectivity as an inscription of the subject in history also requires that same critical review of oneself and the recognition of the very traces of social conflict

The Eighteen of 1918-1919: Black Nurses and the Great Flu Pandemic in the United States.

This article examines the role of Black American nurses during the 1918-1919 influenza pandemic and the aftermath of World War I. The pandemic caused at least 50 million deaths worldwide and 675 000 in the United States. It occurred during a period of pervasive segregation and racial violence, in which Black Americans were routinely denied access to health, educational, and political institutions. We discuss how an unsuccessful campaign by Black leaders for admission of Black nurses to the Red Cross, the Army Nurse Corps, and the Navy Nurse Corps during World War I eventually created opportunities for 18 Black nurses to serve in the army during the pandemic and the war's aftermath. Analyzing archival sources, news reports, and published materials, we examine these events in the context of nursing and early civil rights history. This analysis demonstrates that the pandemic incrementally advanced civil rights in the Army Nurse Corps and Red Cross, while providing ephemeral opportunities for Black nurses overall. This case study reframes the response to epidemics and other public health emergencies as potential opportunities to advance health equity.

Black Nurse, White Milk: Breastfeeding, Slavery, and Abolition in 19th-Century Brazil.

Brazil imported more enslaved Africans than any other slave-owning society in the Americas, and it was the last country in the western hemisphere to abolish the institution. Whereas many enslaved persons toiled on plantations and in mines, urban slavery was also prominent, with enslaved men carrying coffee through the streets and enslaved women washing clothes. One gendered aspect of urban slavery in 19th-century Brazil included slave owners renting out enslaved women as wet nurses to breastfeed the children of elite families. This article reviews medical dissertations, debates, and journal articles, as well as advertisements for wet nurses, showing that physicians believed that enslaved women's milk was both nutritionally and morally inferior to white women's milk. In the latter half of the 19th century, physicians viewed abolition as the only answer to what they deemed the increasingly "dangerous" practice of enslaved wet nursing, which they believed was the root cause of high infant mortality rates across races and classes. Readers should consider the ethical dilemmas of the practice of enslaved wet nursing, which often resulted in the violent separation of mother and child.

Roma Housing and Eating in 1775 and 2013: A Comparison.

We compared housing and the eating habits of Roma. Contemporary findings (2013) were compared with those from the first monothematic work on Roma (1775), which depicts their housing and eating habits, especially regarding the differences between social classes. Data were obtained from a journal (1775) and from semi-structured interviews (2013) with more than 70 Roma women and men who live in segregated and excluded settlements at the edges of villages or scattered among the majority. Data were collected in two villages and one district town in the Tatra region, where the data from the 1775 measurements originated. We used classical sociological theory to interpret the obtained data. The main findings showed differences between specific social classes then and now regarding housing, as well as the eating habits related to both conditions among the Roma in the Tatra region. The houses of rich Roma families did not differ from the houses of the majority population. The huts of the poorest inhabitants of settlements did not meet any hygiene standards. Typical Roma foods such as gója or marikla were the traditional foods of Slovak peasants living in poverty in the country. We concluded that the housing and eating habits of the citizens of poor settlements located in the eastern parts of Slovakia are still similar to those of two centuries ago. The existing social exclusion may be explained partly from this finding.

My Path to Bioethics.

In this series of essays, The Road Less Traveled, noted bioethicists share their stories and the personal experiences that prompted them to pursue the field. These memoirs are less professional chronologies and more descriptions of the seminal touchstone events and turning points that led-often unexpectedly-to their career path.

The enduring impact of historical and structural racism on urban violence in Philadelphia.

Public health approaches to crime and injury prevention are increasingly focused on the physical places and environments where violence is concentrated. In this study, our aim is to explore the association between historic place-based racial discrimination captured in the 1937 Home Owners Loan Corporation (HOLC) map of Philadelphia and present-day violent crime and firearm injuries. The creators of the 1937 HOLC map zoned Philadelphia based in a hierarchical system wherein first-grade and green color zones were used to indicate areas desirable for government-backed mortgage lending and economic development, a second-grade or blue zone for areas that were already developed and stable, a third-grade or yellow zone for areas with evidence of decline and influx of a "low grade population," and fourth-grade or red zone for areas with dilapidated or informal housing and an "undesirable population" of predominately Black residents. We conducted an empirical spatial analysis of the concentration of firearm assaults and violent crimes in 2013 through 2014 relative to zoning in the 1937 HOLC map. After adjusting for socio-demographic factors at the time the map was created from the 1940 Census, firearm injury rates are highest in historically red-zoned areas of Philadelphia. The relationship between HOLC map zones and general violent crime is not supported after adjusting for historical Census data. This analysis extends historic perspective to the relationship between emplaced structural racism and violence, and situates the socio-ecological context in which people live at the forefront of this association.

Birds of a Feather: Social Bases of Neighborhood Formation in Newark, New Jersey, 1880.

This study examines the bases of residential segregation in a late nineteenth century American city, recognizing the strong tendency toward homophily within neighborhoods. Our primary question is how ethnicity, social class, nativity, and family composition affect where people live. Segregation is usually studied one dimension at a time, but these social differences are interrelated, and thus a multivariate approach is needed to understand their effects. We find that ethnicity is the main basis of local residential sorting, while occupational standing and, to a lesser degree, family life cycle and nativity also are significant. A second concern is the geographic scale of neighborhoods: in this study, the geographic area within which the characteristics of potential neighbors matter in locational outcomes of individuals. Studies of segregation typically use a single spatial scale, often one determined by the availability of administrative data. We take advantage of a unique data set containing the address and geo-referenced location of every resident. We conclude that it is the most local scale that offers the best prediction of people's similarity to their neighbors. Adding information at larger scales minimally improves prediction of the person's location. The 1880 neighborhoods of Newark, New Jersey, were formed as individuals located themselves among similar neighbors on a single street segment.