28/06/2020
Posted • “Racism is a public health issue because it kills people” - Fiona Godlee, Editor in Chief, The BMJ.
Health and healthcare is not free of racism.
On June 2nd, PHE published their report ‘Disparities in the risk and outcomes from COVID-19’ confirming largely what we knew already, the BAME (black, Asian and minority ethnic) community are more likely to be infected and die of COVID-19. The initial report failed to answer two key questions: WHY? And WHAT can we do about it?
A follow up review from PHE ‘Beyond the Data: Understanding the Impact of COVID-19 on BAME Communities’ published June 16 aimed to answer these questions.
The report summarises that the unequal impact of COVID-19 on BAME communities may be explained by a number of factors ranging from social and economic inequalities, racism, discrimination and stigma, occupational risk, inequalities in the prevalence of conditions that increase the severity of disease.
However what was clear from this report, was lives have been lost because of historical racism and poorer experiences of healthcare or at work may meaning that individuals in BAME groups are less likely to seek care when needed or as NHS staff are less likely to speak up when they have concerns about Personal Protective Equipment (PPE) or risk. For many BAME groups lack of trust of NHS services and health care treatment resulted in their reluctance to seek care on a timely basis and fear of diagnosis and death from COVID-19 means BAME groups are less likely to get tested and present early for treatment and care.
Quoting the stakeholders in the report “COVID-19 did not create health inequalities, but rather the pandemic exposed and exacerbated longstanding inequalities affecting BAME groups in the UK”.
This is not just representative of our patients but our NHS workforce - the people who kept our healthcare system running during this pandemic.
Take time to read the above, and the linked resources, have a think and start a discussion. Change the culture in your workplace, in your town. Save lives. Be an anti-racist.