Environmental Justice Index
ATSDR, August 2022
The Environmental Justice Index uses data from the U.S. Census Bureau, the U.S. Environmental Protection Agency, the U.S. Mine Safety and Health Administration, and the U.S. Centers for Disease Control and Prevention to rank the cumulative impacts of environmental injustice on health for every census tract. Census tracts are subdivisions of counties for which the Census collects statistical data. The EJI ranks each tract on 36 environmental, social, and health factors and groups them into three overarching modules and ten different domains.
A framework for digital health equity
S Richardson, NPJ Digital Medicine, August 18, 2022
We present a comprehensive Framework for Digital Health Equity, detailing key digital determinants of health (DDoH), to support the work of digital health tool creators in industry, health systems operations, and academia. The rapid digitization of healthcare may widen health disparities if solutions are not developed with these determinants in mind. We examine DDoHs at the individual, interpersonal, community, and societal levels, and discuss the importance of a root cause, multi-level approach.
COVID-19 Vaccine Equity
CDC COVID Data Tracker Weekly Review, August 12, 2022
CDC’s COVID Data Tracker shows that lower proportions of people who are Black, Hispanic/Latino, AI/AN, or NHOPI have received a second booster dose than White and Asian people. There are many factors that create challenges to vaccination access and acceptance, often disproportionately affecting racial and ethnic minority groups. Factors include gaps in education, income and wealth; job access and working conditions; racism and other forms of discrimination; unequal healthcare access and quality; transportation and neighborhood conditions; and lack of trust as a result of past medical racism.
Bringing Sickle-Cell Treatments to Children in Sub-Saharan Africa.
Zhou Albert E et al. The New England journal of medicine 2022 8 (6) 488-491
A diagnosis of sickle-cell disease (SCD) portends a lifetime of crises marked by substantial pain, infections, anemia, and increased risk of stroke. Sub-Saharan Africa is home to the majority of people living with SCD. About 236,000 babies are born with SCD in sub-Saharan Africa each year (more than 80 times as many as in the United States), and up to 90% will die during childhood, typically before their fifth birthday. In the United States, by contrast, people with SCD often live into their 40s or beyond. An important contributor to this disparity is differential access to hydroxyurea, a chemotherapeutic agent that reduces the frequency of sickle-cell crises and prolongs survival.
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