Compensation for slavery could have reduced the transmission and deaths of Covid-19 in the US, says the Harvard study

However, if the U.S. paid for repairs, the descendants of black Americans who were addicted would have a much lower risk of serious illness and death due to the virus, according to a new, peer-reviewed study by the researchers.

The group of researchers, from Harvard Medical School and the Lancet Commission on Repairs and Redistributive Justice, investigated the compensation payments made before the pandemic, Louisiana, a state that still partially remains, and found that the payments affected the could reduce coronavirus transmission. in the state between 31% and 68%.

Because the U.S. lives with Covid-19 for one year, black Americans and other groups, including Hispanic and Native Americans, are four times more likely to be hospitalized than White Americans, according to U.S. Centers for Disease Control. and Prevention Programs.

The researchers’ latest findings highlight the importance of a pandemic strategy that takes into account the racial divide in exposure and transmission of Covid-19, the researchers said.

“The effects of racial justice on black / white health inequalities are rarely investigated, which is part of the version of systemic racism,” the author, dr. Eugene Richardson, an assistant professor of global health and social medicine at Harvard Medical School, said. CNN in an email.

“Our study merely provides another example of how racism invades people’s bodies and makes them sick, which can be added to this litany (evidence for compensation).”

The results of Richardson and his team were published this month in the journal Social Science & Medicine.

The study created a model of compensation

The crux of the research team’s argument focuses on compensation, or payments to African-American slaves. If repairs work the way proponents would, the payments could reduce the racial wealth gap, which would narrow the gap in access to health care, housing, education, employment and more.

To model how compensation would affect the transmission of Covid-19, the researchers selected Louisiana, one of the states that reported Covid-19 cases by race at the beginning of the pandemic, and a state where the population still ” strongly segregated “is between black and black people. non-black residents, according to the study.

Six questions on slavery recovery answered

At the beginning of the pandemic, researchers compared Louisiana to South Korea, a relatively egalitarian society that does not have a “large, segregated subgroup of the slave descendants.” Their aim, according to the study, was to see if the difference in infection rates was driven by differences in social structures.

To do this, the researchers created a statistical model using ‘R-zero’, a mathematical term that represents the average number of people on whom an infected person spreads the virus. The term is also responsible for social structure, behavior and differential risk, Richardson told CNN.

They did their calculations with a model that would pay $ 250,000 per person or $ 800,000 per household. They also compared Louisiana and South Korea using infection rates during the first two months of the epidemic.

The researcher’s model found that Louisiana took twice as long as South Korea to bring the R zero value below 1, “the critical value at which an outbreak in a population would become extinct.”

If the compensation was introduced before the pandemic and the gap in equity between Blacks and Whites was reduced, the transmission of the coronavirus in Louisiana could be reduced by 31% to 68% for residents of all races.

Structural racism has caused Covid-19 inequalities, say researchers

The modeling outlined by the research team is the latest evidence that compensation can tackle systemic racism in the U.S. and begin to dismantle it, Richardson said.

Previous explanations for the high risk of black Americans for serious illness or death due to Covid-19 have indicated a high percentage of pre-existing conditions such as cancer and diabetes or ‘personal failure’ to follow public health advice, the researchers wrote.

But these statements do not address how systemic racism positions black Americans in a way that makes them more exposed to Covid-19 and less likely to survive it.

Institutionalized racism in the U.S. has harmed Black Americans for centuries, beginning with slavery, then segregation and the dangerous policies of the Jim Crow era, and now the inequalities that persist today, such as fatal police encounters, high rates of incarceration and prejudice in health care, employment, housing and more.

Institutional racism contributes to Covid-19s "double whammy" impact on the Black community, says Fauci

“These risks are structural – that is, not determined by personal choice or rational assessment,” Richardson said in an email to CNN.

The “mismanagement” of the Covid-19 response in the US exacerbated these differences, the researchers wrote.

Black workers are over-represented in the front lines in sectors such as food services, healthcare and childcare, all jobs that require direct contact with customers, which increases their risk of exposure to Covid-19.

Black Americans also live more in overcrowded housing than White Americans, which can make it difficult to impossible to maintain social distance. And black Americans make up an excessively large number of the U.S. prison population, where preventative measures are often inadequate and conditions can be stressful, according to the study.

If compensation were introduced before the pandemic, the researchers write, it could reduce the distribution of racial wealth, which would alleviate overpopulation so that black Americans would be better able to distance themselves socially and spread ‘frontline work’ across racial groups.

Study says Covid strategy should include repairs

Recognizing the structural causes in the U.S. pandemic response is essential to alleviate some of Covid-19’s excessive taxes on Black Americans, Richardson said.

Non-Hispanic black Americans are responsible for more than 26% of all deaths in Covid-19, but just over 12% of the U.S. population. According to CDC, the death rate from Covid-19 is higher than the population for Spanish and American Indians and Alaska residents.
Dr. Anthony Fauci, the leading expert on infectious diseases in the U.S. and adviser to President Joe Biden on Covid-19, confirmed that institutional racism has contributed to the excessive impact of the virus among black Americans. But the first few months of the coronavirus response in the country did not explain the differences.
When Biden took office last month, his government said it was’ committed to capturing racial equity in the US Covid-19 response by expanding the CDC’s eviction moratorium and adding more vaccination sites in densely populated areas. to open up residents and coloreds. .

Repairs, Harvard researchers argue, would be a worthy addition to existing strategies, and their consequences would extend far beyond the end of the pandemic.

CNN’s Nicole Chavez and Jacqueline Howard contributed to this report.

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