Update: 130+ Cities, Counties, Leaders Declare Racism a Public Health Crisis!


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Amid protests for racial justice and an end to police brutality in the wake of the death of George Floyd and others, a rising number of U.S. local leaders are creating resolutions to declare racism a public health crisis. They also are committing to specific actions as a first step toward lasting, meaningful change.

Update 9/13/20: San Antonio is now one of 131 cities, counties, state legislatures, and other governmental leaders that have declared racism a public health crisis, as of Sept. 11, 2020, according to Michigan cartographer Alex B. Hill on Twitter.

“It’s a little thing to declare racism to be a public health crisis, but it’s a stake in the sand,” former American Public Health Association (APHA) President Camara Phyllis Jones said in a recent webinar, Bloomberg reports.

Where Are Resolutions on Racism Happening?

As of Sept. 11, 2020, entities in 20 states have made resolutions/declarations on racism as a public health crisis.

These include California, Connecticut, Colorado, Georgia, Illinois, Indiana, Massachusetts, Maryland, Michigan, Minnesota, Missouri, Nevada, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Washington, and Wisconsin, according to a comprehensive list from the APHA.

cities that declare racism a public health crisis - from alexbhill on twitter
Via @alexbhill on Twitter on 8/26/20

Here is a list of some of the entities, including several Latino-majority areas:

  • San Bernardino County, Calif.
  • Los Angeles, Calif.
  • Oxnard, Calif.
  • Denver, Colorado
  • Dekalb County, Georgia
  • Indianapolis City/Marion County, Indiana
  • Cook County, Illinois
  • Flint, Mich.
  • Governor of State of Michigan
  • Kansas City, Missouri
  • Governor of State of Nevada
  • Cleveland, Columbus, and Franklin County, Ohio
  • Pittsburgh, Pennsylvania
  • Memphis, Tennessee
  • Austin, Texas
  • Dallas County, Texas
  • Governor of State of Wisconsin

In June 2020, the Network for Public Health Law explored 24 resolutions on racism as a public health crisis.

racism is a public health crisis - alex b hill on twitter
Via @alexbhill on Twitter on 9/11/20

These resolutions make a clear declaration that racism is a public health crisis or emergency. Most also reference policy with a commitment to assess existing policy or procedure or to advocate for new policies that improve health in communities of color.

“The language of these resolutions, alone, cannot repair the health deficit American institutions have left for communities of color,” according to group. “However, these resolutions can jump start critical efforts to assess the barriers to health created by current laws.”

Hill’s map shows 131 places or leaders that have made these declarations or resolutions, as of Sept. 11, 2020.

This now includes San Antonio (64% Latino).

The City Council, led by Jada Andrews-Sullivan, the only Black council member, approved the city’s resolution on Aug. 20, 2020.

“This declaration and this resolution speaks to inclusiveness,” Andrews-Sullivan said, according to Texas Public Radio. “We are addressing the monster that has divided our nation for far too long.”

Why Are These Resolutions on Racism Happening?

Decades of unfair social, economic, and political systems have created inequitable communities that are disproportionately impacted by injury, disease, and premature death.

These unfair systems aren’t random. They are rooted in racism.

City to Declare Racism a Public Health CrisisSystemic racism makes it harder for Latinos and other people of color to get healthcare, housing, transportation, education, employment, healthy food, safe treatment by police, and more.

Racism qualifies as a public health crisis.

Systemic racial injustices affect a large number of people. Injustices threaten health over the long-term. They also require the adoption of large-scale solutions.

Many health organizations agree.

The American Public Health Association finds racism to be a barrier to health equity. The American Psychological Association, the American Medical Association and the American Academy of Family Physicians also have declared hate crimes a public health concern.

“It’s the right thing to do,” Rogelio Saenz, a professor of demography at the UT San Antonio , told the San Antonio Express-News.

How Can Your City Adopt a Resolution to Declare Racism a Public Health Crisis?

Download the free Salud America!Get Your City to Declare Racism a Public Health Crisis Action Pack“!

The Action Pack will help you gain feedback from local social justice groups and advocates of color. It will also help you start a conversation with city leaders for a resolution to declare racism a public health issue along with a commitment to take action to change policies and practices. It will also help build local support.

Dr. Amelie G. Ramirez, director of Salud America! at UT Health San Antonio, created this Action Pack with input from several San Antonio-area social justice advocates.


By The Numbers By The Numbers



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