Articles by Amanda Merck

Toxic Stress and its Lifelong Health Consequences

January 21, 2021

Toxic stress is brought about by repeated stressful and traumatic experiences with no supportive relationships. This is causing huge mental and physical health problems for people across the nation, including Latinos and other people of color. Dr. Nadine Burke Harris even calls toxic stress a public health crisis. This is why she authored the Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health. “We now understand that a key mechanism by which ACEs [adverse childhood experiences, such as divorce, abuse, poverty, etc.] lead to increased health risks is through a health condition called the toxic stress response,” Burke Harris’ roadmap states. Salud America! is exploring this issue as part of its ...

11 Crucial Insights from the First Roadmap to Address Toxic Stress

January 20, 2021

Stress can happen for many reasons. Abuse. Discrimination. Poverty. But when the human body’s response to stressful situations is activated too frequently or intensely without supportive relationships, stress becomes more than “just stress.” It becomes “toxic stress.” And toxic stress can harm your brain, body, and behavior, and increase lifelong risk for disease, especially for Latinos and other people of color. Fortunately, we can address and even prevent toxic stress. The new Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health is the nation’s first guide to address toxic stress by cutting a main cause─adverse childhood experiences (ACEs)─in half in a generation. We at Salud ...

In New Class Oaths, Medical Students Commit to Fight Racial Injustices

December 31, 2020

University of Houston College of Medicine Class of 2024 student reciting their oath. Source: University of Houston

In medical schools across the country, students in medical, nursing, and physician assistant programs participate in a ritual known as the white coat ceremony. This signifies the beginning of their journeys to achieve the long white lab coat, a well-recognized symbol of respect and professionalism. During the ceremony, students receive a short white lab coat and recite a class oath or pledge, acknowledging their obligation to compassion and scientific excellence as health care providers. Incoming students often write their own class oaths. This year, amid a civil rights movement protesting police brutality and global health pandemic, students at two medical schools stand out for writing class oaths that acknowledge racism’s impact on public health. These new oaths call for ...

4 Reasons to Think Structuralist, Instead of Individualist, to Improve Health Equity

December 21, 2020

Every person is a unique individual. But if you look closely, you’ll see each person lives, learns, works, and plays within social and environmental conditions that influence their individual health and wealth. Some people face health barriers because of structural and systemic policies that curb their access to quality housing, transportation, medical care, food, jobs, schools, parks and other social determinants. Individuals have no choice when it comes to these structural health barriers. “Despite the tremendous, lifelong impact of our community conditions on our health, we focus most of our energy and resources on treating the outcomes of these problems but lack the essential urgency for attacking the root causes of poor health,” according to Brian C. Castrucci, Dr. ...

Jennifer Rangel: Creating Bilingual Cartoons to Teach Zoning 101

December 7, 2020

Jennifer Rangel creates animated videos to teach residents about zoning

“Ever wondered why your neighborhood looks how it does?” Jennifer Rangel once asked herself this question. To find an answer, Rangel got a master’s degree in urban planning. Along the way, this Latina planner learned that discriminatory urban planning practices, like the zoning of land, had been used for white advantage for over a century, segregating communities and forging inequities in health and wealth among Latinos and other people of color. Rangel wanted to share what she learned. So she helped create workshops─then bilingual animated videos─to train neighborhood leaders, social workers, and others about zoning and how to get involved in zoning changes. “Understanding zoning is a critical step for residents as they try to undo previous harms and to ...

Through Shared Ownership, Community Land Trusts Can Help Retain Housing Affordability

November 23, 2020

The prospect of homeownership remains out of reach for many Latinos as incomes fail to keep up with rising property values. The community land trust model is a shared ownership model designed to protect people, neighborhoods, and businesses at risk of gentrification and displacement due to development and the upward pressure of urban land markets. This model can be used for housing, small businesses, agriculture, and community resources. There are roughly 277 community land trusts across the US, many addressing housing instability. Community land trusts could play an important role in supporting economic recovery during and after COVID-19. Unfair Urban Land Markets Leave Many Families Behind Property rights in America were not created equal. They have excluded Latinos, ...

9 Amazing Latino Contributions to Urban Space, Presented by James Rojas

November 16, 2020

Since James Rojas was child, he has been fascinated with urban spaces like streets, sidewalks, plazas, storefronts, yards, and porches. He started noticing how spaces made it easier or harder for families, neighbors, and strangers to interact. For example, his urban space experience got worse when his Latino family was uprooted from their home and expected to conform to how white city planners designed neighborhood streets for cars rather than for social connection. “[Latinos] are a humble, prideful, and creative people that express our memories, needs, and aspirations for working with our hands and not through language,” Rojas said. “However, there are no planning tools that measure this relationship between the body and space. Therefore, our mobility needs can be ...

Webinar 11/18/20: How to Address Transportation Equity in Latino Communities

November 5, 2020

Latinos in the U.S. are more likely to not have a vehicle than their white peers, and Latinos in urban areas are more likely to rely on public transit. This is great for the environment and physical health. It’s also a great way to save money. But many cities are car-centric. They lack safe alternatives to driving─ frequent transit, bike lanes, walkable neighborhoods─making it harder and more dangerous for Latinos to get to work, school, and other places. That is why Vision Zero Network is conducting a webinar, “Understanding and Addressing Transportation Equity in Latino Communities in the U.S.,” at 4 p.m. ET Nov. 18, 2020, to share transportation equity solutions from Salud America!’s recent Latino-focused transportation reports. Register for the ...

9 Ways to Avoid COVID-19 as You Make Holiday Plans

November 2, 2020

The Thanksgiving and Christmas holidays are a wonderful time to express your gratitude and share food with the people you love most in this world. However, the 2020 hits just keep coming. Family gatherings are still not safe during the COVID-19 pandemic. The CDC discourages in-person family gatherings for the holidays. Instead, you can safely deliver/swap traditional dishes to nearby familia, ship gifts, and use a video conference to stay connected. “It is the holidays, but it’s also a global pandemic. Safety has to be a priority over tradition,” said Dr. Amelie G. Ramirez, director of the Salud America! Latino health equity program at UT Health San Antonio. See our “Juntos, We Can Stop COVID-19” bilingual campaign to encourage you─juntos/together─ to do ...

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Amanda Merck

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