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#COVID19 has sadly been a masterclass in longstanding, entrenched systemic injustices and inequities, & how they harm pop'ns that these systems continue to make vulnerable.
How do we engage those who have reasons to distrust the system that has been shown to work against them?
https://twitter.com/VoiceOfFranky/status/1342684808124768257
How do we engage those who have reasons to distrust the system that has been shown to work against them?
https://twitter.com/VoiceOfFranky/status/1342684808124768257
To try to work on solutions, we must acknowledge & understand the underlying issues.
This gives a thoughtful look at issues the US, many of which can be applied in Canada for context: /2 https://www.nbcnews.com/news/us-news/racial-disparities-create-obstacles-covid-19-vaccine-rollout-n1249627
This gives a thoughtful look at issues the US, many of which can be applied in Canada for context: /2 https://www.nbcnews.com/news/us-news/racial-disparities-create-obstacles-covid-19-vaccine-rollout-n1249627
There have been too many examples this year alone in Canada showing the persistent racism that Indigenous people face in accessing healthcare:
#systemicracism
https://thetyee.ca/News/2020/07/09/Indigenous-People-Accessing-Health-Care-Not-Safe/ @TheTyee
https://globalnews.ca/news/4398976/indigenous-patients-still-waiting-for-equity-in-health-care-canadian-doctor/
@AlikaMD
#systemicracism
https://thetyee.ca/News/2020/07/09/Indigenous-People-Accessing-Health-Care-Not-Safe/ @TheTyee
https://globalnews.ca/news/4398976/indigenous-patients-still-waiting-for-equity-in-health-care-canadian-doctor/
@AlikaMD
And now add in the fact that racialized Canadians are disproportionately affected by #COVID19 illness in Canada.
https://www150.statcan.gc.ca/n1/pub/45-28-0001/2020001/article/00079-eng.htm
Here is a deeper dive into Ottawa's data: https://globalnews.ca/news/7482070/ottawa-coronavirus-impact-racialized-black-residents/
https://www150.statcan.gc.ca/n1/pub/45-28-0001/2020001/article/00079-eng.htm
Here is a deeper dive into Ottawa's data: https://globalnews.ca/news/7482070/ottawa-coronavirus-impact-racialized-black-residents/
In addition to illness from #COVID19, the same ppl & communities are more affected by the negative social impacts from the pandemic.
These experiences of discrimination decrease trust in institutions & governments in Canada.
#DismantleInequities
#COVID19
https://www150.statcan.gc.ca/n1/daily-quotidien/200917/dq200917a-eng.htm
These experiences of discrimination decrease trust in institutions & governments in Canada.
#DismantleInequities
#COVID19
https://www150.statcan.gc.ca/n1/daily-quotidien/200917/dq200917a-eng.htm
So to get back to the original Q:
How do we engage w those who have reason to be hesitant re vaccines due to systemic inequities?
Given the complex factors & persistent history, it is difficult but imperative to work with communities to earn trust: https://www.nejm.org/doi/full/10.1056/NEJMp2030033#.X-bV26VWklo.twitter
How do we engage w those who have reason to be hesitant re vaccines due to systemic inequities?
Given the complex factors & persistent history, it is difficult but imperative to work with communities to earn trust: https://www.nejm.org/doi/full/10.1056/NEJMp2030033#.X-bV26VWklo.twitter
"Public health agencies will have considerable discretion in rationing scarce COVID-19 vaccines. They could become agents of change toward improving social and racial justice."
Is this possible? Necessary? If so, how?
#COVID19 https://jamanetwork.com/journals/jama/fullarticle/2771874
Is this possible? Necessary? If so, how?#COVID19 https://jamanetwork.com/journals/jama/fullarticle/2771874
Here are the key populations that have been identified by Canada for early immunizations. Indigenous populations have been rightly prioritized.
Would like to know where other adversely impacted racialized groups fit in the prioritization too. https://www.cmaj.ca/content/192/48/E1620
Would like to know where other adversely impacted racialized groups fit in the prioritization too. https://www.cmaj.ca/content/192/48/E1620
This is the Equity Matrix that is ref'd in the 
#COVID19 vaccine roll-out recommendations.
I hope all provinces can directly articulate how each province's roll-out measures against this matrix that considers intersectional risks & inequities because
https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/guidance-key-populations-early-covid-19-immunization.html#a14
#COVID19 vaccine roll-out recommendations. I hope all provinces can directly articulate how each province's roll-out measures against this matrix that considers intersectional risks & inequities because
https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/guidance-key-populations-early-covid-19-immunization.html#a14
I have seen firsthand & heard from colleagues that these recommendations are up to individual public health interpretation & discretion.
We must ensure interpretation doesn't lead to intentionally or unintentionally upholding inequities that could further vaccine hesitation...
We must ensure interpretation doesn't lead to intentionally or unintentionally upholding inequities that could further vaccine hesitation...
Transparency re vaccine allocation decisions, open public communication, & sincere engagement w grps affected by inequities will help build trust.
Explaining why/how complex decisions made, acknowledging competing tensions, directly/openly addresses Q's+concerns./fin
#COVID19
Explaining why/how complex decisions made, acknowledging competing tensions, directly/openly addresses Q's+concerns./fin#COVID19
@FionaMattatall @pamelamroach @doreen_rabi @DocMCohen @Monika_Dutt @RitikaGoelTO @AlikaMD @MaryFernando_ @SharkawyMD
Please consider amplifying. Decisions are being made now and we need community members AT THE TABLE NOW! Thank you!
Please consider amplifying. Decisions are being made now and we need community members AT THE TABLE NOW! Thank you!
