COVID-19 and the Present and Future of Black Communities: The Role of Black Physicians, Engineers, and Scientists Proceedings of a Workshop (2021) / Chapter Skim
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2 Keynote Session: The Landscape of COVID-19
2 Keynote Session: The Landscape of COVID-19
Pages 7-16
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. • A third pandemic is accompanying the pandemics of COVID-19 and systemic racism: a mental health crisis (Dr.
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NHLBI Research Strategy The research strategy of the National Heart, Lung, and Blood Institute related to COVID-19 aligns with the NHLBI mission to turn discovery science into human health for all communities, Dr. Gibbons said.
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NHLBI's rapid response is based on existing resources already developed, including cohorts and clinical trial networks reflective of diverse populations that can be knitted together for assessment and understanding. The institute's work is part of a broader effort, called Accelerating COVID-19 Therapeutic Interventions and Vaccines, or ACTIV.
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Dr. Gibbons closed by emphasizing the current situation is an unprecedented public health crisis that converges with vestiges of systematic racism and health inequities.
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Graham questioned the concept that comorbidities among Black and Brown communities explain the disparate rates of severe outcomes: The concept of what is driving these numbers is perplexing. Many of us, including myself, have defaulted to the idea that maybe increased incidence and mortality rates are because of the comorbid diseases in Black and Brown communities.
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Given that higher proportions of Black Americans are essential workers, if they are not being provided personal protective equipment (PPE) and other safeguards, a differential outcome will result in terms of cases.
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He said he has seen more mixed messaging related to COVID-19 than in any other public health crisis. Communication is critical, he continued, especially when the science is limited, people are being asked to do challenging actions based on best available science, and their actions may need to change as the evidence changes.
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In moving forward the discussions about universal health insurance, comprehensive and high-quality coverage must provide significant mental health services, he said. In the immediate term, he said, more must be done to help people cope and be more resilient.
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He expressed worry about the United States withdrawing from the global community and what he termed the demonization of the World Health Organization. Not only will this impact other nations, he said, but also there is a strong case that it places the United States at greater risk.
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Dr. Gibbons said NIH as a research agency needs to turn to trusted voices who have been on the front lines, and community engagement and partnership should be the key drivers.
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