How To Get A Job At The Cdc – Dr. Rochelle Walensky speaks at an event at the Queen Theater in Wilmington, Delaware on December 8, 2020.
If the COVID-19 pandemic has taught us anything, it’s that health is a commodity that is readily given to some and denied to many others. In the months after the COVID-19 virus reached U.S. shores, it became clear that the disease was hitting certain groups harder, contributing to more severe illness and higher rates of hospitalization and death among the Black, Hispanic, and American Indian/Alaska Native communities. as well as representatives of lower socioeconomic status.
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The reason for this distorted influence has less to do with biology or genetics than with many other factors such as where people live, the purity of the air they breathe, what they eat, whether they work and what they do. they do, what kind of work they do, and whether they rely on public transportation to get around. Dr. Rochelle Wolensky, the new director of the US Centers for Disease Control (CDC), knows this dynamic well. As Director of the Division of Infectious Diseases at Massachusetts General Hospital, her research and clinical work has focused on HIV, and she served on Massachusetts Gov. Charlie Baker’s COVID-19 advisory board, helping to shape pandemic policy in that state. “I come from a place of care for patients with HIV and infectious diseases, and those who work in public health have always known that diseases that affect the poor and those who have access to medical care, and that affect racial and ethnic minorities, various. than the diseases that affect white Americans or more privileged Americans,” Walensky says. “I came to work with this reality every single day.”
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COVID-19 has simply brought burning attention to this reality. The hospitalization rate for blacks and Hispanics is about three times higher than whites, according to the CDC, and the death rate is about two percent higher. And in this harsh truth, Valensky sees an opportunity.
On April 8, she is launching a new agency-wide initiative called “Racism and Health” to refocus the CDC’s public health efforts on recognizing, recognizing, and most importantly, taking action on the myriad ways race affects people’s health. From historical abuse that has led to constant indecision and fear of the medical establishment among certain racial and ethnic communities, to lack of access to good medical care, lack of representation in scientific research and within the ranks of medical professionals, racism has long been ingrained. in the US healthcare system.
“I’ve pretty clearly declared racism to be a major public health threat,” Walensky says. “The word ‘racism’ is used intentionally in this [initiative] by the CDC. It’s not just about the color of your skin, but where you live, where you work, where your children play, where you pray, how you get to work, what kind of work you have. All this contributes to the health of people and their opportunities for health.”
This is not the first time the CDC has sought to eliminate health inequities due to race. In the late 1980s, the agency was the first in the Department of Health and Human Services to create its own Office of Minority Health and Health Equity. Leandris Libourd joined the office shortly after its inception and is currently its Deputy Director. Libourd acknowledges that while some departments of the agency are making active efforts to combat racism among their employees and in their own work, others are not. The new Racism and Health initiative will make health equity a priority for everything the CDC does, she said. “Now we can expand our network and really get to the bottom of these issues,” Libourd says.
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According to Walensky, this entails a shift in focus from observation to action. She directed all CDC centers and offices to develop measures and health outcomes that they will measure next year to combat racism in their respective areas, whether it be child immunizations, nutrition, or chronic diseases. In two agency-wide virtual meetings she has held with 30,000 employees since becoming director in January, she has made it clear that this is a priority for her leadership. “It should be baked in a pie; it should be part of what everyone does,” she says.
COVID-19 serves as an effective means to achieve this goal. With additional funding from the federal government to fight COVID-19, CDC has $2.25 billion at its disposal to address COVID-19-related health inequalities, and by understanding why some communities have been disproportionately affected by this pandemic, Walensky says that the country will be in a better position to understand and hopefully reverse this trend before the next outbreak. The key to this is understanding the so-called social determinants of health, the epidemiological collection of non-medical factors that can affect people’s health. For example, people living in areas with limited access to fresh produce are more vulnerable to developing obesity and chronic diseases such as diabetes and hypertension, which are associated with a less nutritious diet. And because the same demographics without access to fresh produce are less likely to seek medical attention, these conditions are more likely to lead to serious complications that can be life-threatening.
Walensky’s vision is to make better use of the CDC’s capacity as a national health authority to embed racism awareness into every effort the agency undertakes. That starts with a revamped Racism and Health website, “behind which stands the CDC brand and the CDC credibility,” she says. The site will become a hub for the public to learn about the intersection of race and health, as well as how the CDC is working to close inequalities and fill gaps caused by race.
“The problem has been documented,” Walensky says. “I want to start thinking about… how we can intervene to fix the problem. Not all of them will be successful, but I would really like to think about how we can start looking at interventions that will make a difference.”
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Building on this will be stronger community efforts to vaccinate underserved communities against COVID-19, including a new $300 million effort to fund community health workers—key local leaders that can range from religious leaders to barbers and other trusted individuals. local residents. individuals who live in and know communities that are not included in the existing health care network for economic, cultural or other reasons. With additional funding, local health departments, for example, help mobile teams reach people where they are and relieve the burden of traveling to vaccination sites. Religious leaders and their churches are also becoming community vaccination centers as parishioners urge others to get vaccinated against COVID-19.
“Now it’s because attention has been brought to it and resources have been brought to it,” Walensky says of the COVID-19 vaccine rollout. “We are making a concerted nationwide effort to reach those who have not been reached because we are reaching out to locals and trusted messengers. I just really want to make sure that as we make this effort and reach people where they are, we do it in a way that allows us to not only vaccinate them against COVID-19 today, but also vaccinate their children against COVID-19. . any missed shots, treat their blood pressure, test them for cancer, and do all the things that have long been neglected due to lack of access.”
Both Walensky and Libourd understand this won’t happen overnight, but say an important step is a more focused agency-wide approach to how race affects people’s health. Because COVID-19 has exposed the profound disparities in access and outcomes that exist between various racial and ethnic groups in the US, “continuing to pretend they don’t exist is against all public health principles and ethical standards.” public health practice,” Liburd says. “Now we have the opportunity to really raise and accelerate our focus on these issues.” “Talented employees work dedicatedly 24/7 to share their knowledge of public health for the benefit of others.” – Dr. Valensky
Rochelle P. Walensky, MD, MPH, is director of the Centers for Disease Control and Prevention and administrator of the Toxic Substances and Disease Registry Agency.
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Racism as a Public Health Crisis to lead our country in the fight against racism and health inequity.
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On July 1, 1946, the Center for Infectious Diseases () opened its doors. His main task was simple, but very difficult: to prevent the spread of malaria throughout the country. Today it is recognized as the leading national agency for health promotion, prevention and preparedness.
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