This is an authentic Twitter account representing
@nycHealthy
's Chief Medical Officer. This is the only account for the Chief Medical Officer run by New York City government. You can verify our identity by confirming our handle at:
Racism is the risk factor, not race! We should consider race in order to advance equity. For example, non-White race and Latinx ethnicity are social risk factors for severe COVID because of longstanding structural racism.
Today
@nycHealthy
and
@NYCMayorsOffice
announced an expansion of our citywide doula program and midwifery initiative to reduce maternal and infant health inequities. The time for birth equity is NOW.🧵
Paxlovid is in stock in
#NYC
and same day delivery is available via Alto Pharmacy. A new provider helpline is now available, call 800-874-5881 to speak with an Alto pharmacist about medication interactions or other questions.
Today we honor Dr. Paul Farmer for his contributions to global public health. His pioneering work has changed the way medicine, public health & governments around the world advocate & organize around health equity. We hold his teachings at the center of our health mission in
#NYC
Our community is heartbroken by the news of the passing of Dr. Paul Farmer, a compassionate leader, colleague and humanitarian, who improved the lives of so many, near and far. Our thoughts are with his family and all those fortunate enough to have known this remarkable person.
Structural racism in health care is deeply embedded in policy, unspoken beliefs, and teaching practices replicated through health systems and training programs. One intervention we are using to advance our goals is employing Public Health Critical Race Praxis (PHCRP).
I’m excited to announce
@nychealthy
’s Chief Medical Officer Strategic Plan! My goals are to:
🏥 Bridge public health and health care
👩🏾⚕ Advance the City's commitment to anti-racism in public health practice and policy
📈 Build institutional accountability
For World Lung Day, we are eager to share our letter to the American Thoracic Society, calling to eliminate race adjustment in Pulmonary Function Tests. With this, we can take steps towards advancing racial equity in health care.
Read:
Despite opposition, I will continue to push to make inequities more visible in our most marginalized communities. The time is now to make sure that all patients are taken care of in the best possible way.
@DrAlethaMaybank
@CamaraJones
@Mvmnt4BlkLives
1.The Public Health Corps is a citywide investment and commitment to the public health workforce and just recovery from COVID-19. Over 500 Public Health Corps Members primarily CHWs have been deployed to communities that have been disproportionately impacted by
#COVID19
.
The urgency of this moment is clear. Mortality rates of birthing people are too high, and babies born to Black and Puerto Rican mothers in this city are three times more likely to die in their first year of life than babies born to non-Hispanic White birthing people.
Effective last month, kidney transplant programs will be:
✅Identifying Black patients if they should have qualified sooner to start gaining waiting time for a transplant.
✅Contacting all of their currently registered kidney transplant candidates about the initiative.
For over a year, authors from
@NYCHealthy
and partners have worked to develop a report exploring the racial wealth gap and health inequities.
We are thrilled to share that report, Analyzing the Racial Wealth Gap & Implications for Health Equity:
Healthcare providers have been pushed to the brink since the pandemic started. Their selflessness, resilience and dedication are not without physical, mental and social consequences.
Incredibly excited to share the Inaugural Coalition to End Racism in Clinical Algorithms (CERCA) Report. This report contains a detailed description of
#CERCA
, work that have been achieved thus far, and future directions for the Coalition.
Read more:
It is a research tool that highlights the fact that science is not objective and that race consciousness, not colorblindness, will get us closer to ending racial inequities.
Read more from
@DrChandraFord
&
@CAirhihenbuwa
:
Call for Papers!
Excited to share that I will serve alongside Dr. Nichola Davis,
@mclemoremr
,
@DrChandraFord
, &
@ruqaiijah
as guest editors for a special issue on Race Adjustment in Clinical Algorithms and Other Clinical Decision-making Tools
Submit Now:
Our quest for the removal of race in clinical algorithms continues, now also supported by a study on reconsidering race adjustment in prenatal alpha-fetoprotein screening. Labs typically adjust concentration levels by 10% among Black patients.
Read:
We were thrilled to have joined
@ClintonGlobal
with
@zahirahzahrah1
, announcing our Birth Equity Initiative, a new commitment to expand resources & engage a variety of community partners to reduce birth inequity for Black women & pregnant people in Brooklyn
@HillaryClinton
#CGI22
Let us remember: "The essence of global health equity is the idea that something so precious as health might be viewed as a right." - Dr. Paul Farmer, MD, PhD
@BrighamWomens
@PIH
@equalhealtheqh
“Love is a combination of care, commitment, knowledge, responsibility, respect and trust.”
- bell hooks
Equity is the work of love in action. We honor
#bellhooks
for her contributions to our understandings of racial, gender, and class equity.
PHCRP is an action-oriented framework for public health that combines theory, experimental knowledge, and scientific conceptualization/measurement to prevent and repair racial inequities and begin the steps toward finding solutions.
We need to support birthing people through all aspects of their birthing experience – perhaps the most beautiful and personal gift we can share with birthing people as they navigate the groundbreaking life changing experience of creating life. That is what doulas do.
I am so honored to be presenting at the 21st Annual Jack Berman Lecture at
@UHhospitals
Department of Medicine, focusing on a more just future for medicine & public health in the COVID-19 era and beyond.
Thank you, Case Western!
The distribution of wealth in the US is unequal by race & ethnicity. Reinforced by systemic racism, the US racial wealth gap is rooted in a history of enslavement. Understanding the relationship between Black wealth & health is essential to advance
#healthequity
&
#racialjustice
A significant body of evidence shows that race adjustments in Pulmonary Function Tests are not scientifically justified.
Rooted in a history of racism, this practice leads to under diagnosis & delayed care for lung disease + asthma in patients of color. This must be reformed.
It is key to recognize that
#MPV
can infect anyone regardless of sexual orientation. While many of the cases are spreading among social networks of gay, bisexual & other MSM, it can be spread through ANY sustained close bodily contact or shared bedding.
In a survey from
@NPR
@RWJF
@HarvardChanSPH
, several marginalized groups are worse off than non-Hispanic Whites when it comes to finances, housing, healthcare, safety, & neighborhood conditions. Understanding the racialized nature of the social determinants of health is key.
Too many NYC families experience life-threatening complications from childbirth, and even loss of life of the birthing person or their child. We must hold ourselves and health care delivery organizations accountable to our anti-racism mission and make health equity a realty.
These include childbirth education, newborn care classes, parenting classes, breastfeeding support groups and free resources like cribs, car seat distribution and diapers. Even as
@nycHealthy
provides these services and resources, we know we cannot realize change on our own.
@davechokshi
&
@AdamLBeckman
encourage hospitals to expand what they define as a “Never Event” to eliminate preventable harms to patients, especially those from marginalized communities.
Read their
@JAMAHealthForum
Essay:
20 years ago, medical “never events" (e.g. leaving a sponge in a patient after surgery) were the "cost of doing business"—until we decided they were unacceptable.
Now, some hospitals are suing patients for bills, playing tax games, & more. These too should be
#NeverEvents
. 👇🏾
I imagine a world where all New Yorkers can realize their full health potential, regardless of who they are, where they are from, or where they live. We must fight structural racism and its impact on health.
Thank you Most Influential People of African Descent (MIPAD) for having me this past Sunday for the opportunity to discuss health equity for people of African descent worldwide. It was a great honor to be alongside such change-makers in healthcare and to meet
@DrTedros
!
#UNGA
On Tuesday, 3 Congress members introduced the Dr. Paul Farmer Memorial Resolution, which would make significant strides towards achieving global health equity by increasing global health aid to $135B & reforming aid to build national health systems
Source:
This week is National Public Health Week! I am celebrating our immense strides to bridge the gap between public health & health care towards health equity. Though there is more ahead, let’s acknowledge all that we have accomplished!
@PublicHealth
@CamaraJones
@GeorgesBenjami7
As we head into service, let us remember to humanize the person behind the medical record.
“You treat a disease, you win, you lose. You treat a person, I guarantee you, you’ll win, no matter what the outcome.”
- Patch Adams
#MotivationMonday
New data from
@WHO
show that vaccine coverage for children is the lowest it has been in 30 years. This increases the number of children at risk from devastating but preventable diseases.
Read more:
Providers and healers, we know you are working extremely hard and this is going to be a tough winter. Your tireless efforts are recognized and much appreciated. 🧵
•~70% of contracted polio cases are asymptomatic
•~25% of people experience mild/flu-like symptoms
•<1% of infected people develop paralysis, of which 2-10% die when breathing muscles are immobilized
“On this virus, we simply cannot play the odds.”-
@DrMaryTBassett
@HealthNYGov
Polio in New York today is an imminent threat. The greatest danger is to adults & children who are not vaccinated. Now is the time to ensure that you & your family are. My full piece in
@nytopinion
:
Current practice guidelines (i.e. JNC-8) recommend that Black patients with hypertension w/o co-morbidities initially be treated with a thiazide diuretic or a calcium channel blocker while non-Black patients are initially offered ACE-I.
In our current climate of mis- and disinformation around basic truths, it is critical to have a shared vocabulary that connects our work.
#CriticalRaceTheory
More from
@AMA
We are learning lessons from the COVID public health emergency to build back stronger. A new
@nychealthy
study shows the unfair and deadly results when hospitals are segregated by race, ethnicity, and types of health insurance coverage.
Read:
Groups that may be more sensitive to wildfire smoke include:
•Infants & Children
•Older Adults
•Pregnant People
•People w/ Lung Conditions (i.e., asthma/COPD) or Heart Conditions
•People w/ Social Vulnerabilities (i.e., lack of access to safe housing, health care, etc.)
At
@nycHealthy
’s Neighborhood Health Action Centers in Brownsville in Brooklyn, East Harlem and Tremont in the Bronx, families have a safe, welcoming and supportive space to be connected to resources.
NYC providers: Clinical presentation of recent monkeypox cases has been atypical with shorter incubation periods, absence of prodromal symptoms, and fewer or scattered lesions. Learn more about the current outbreak:
To advance health and wellness for all New Yorkers, I’m committed to working with all sectors of health care including providers, healers, insurers, health systems and community health centers, and our important safety net facilities. Read the plan:
Same day delivery of oral antivirals are now available in NYC. Prescriptions confirmed with Alto Pharmacy by 5pm on weekdays or 1pm on weekends will be delivered the same night. For instructions on how to prescribe oral antivirals in NYC, visit:
Thank you
@NYCHealthCommr
for your leadership through this unprecedented health crisis. In this time of administrative transition, I'm grateful for our continued collaboration as
#NYC
faces the challenges of Omicron, until your own transition in March
Racism is a public health crisis. More than a year after racial justice protests around the world, NYC is continuing its efforts to address structural racism and inequities through the new role of Chief Medical Officer. I am proud and ready to start this work.
#NYCHealthEquity
From sharing our
#CERCA
efforts in the CMO Office, to hearing inspiring words from
@hmcghee
@D_R_Williams1
&
@DrHoward_RECAST
- it was a pleasure to be at the Inaugural Dalio Center for Health Justice Conference. Looking forward for future partnerships!
The use of telehealth expanded during the pandemic and now can be used to prescribe and monitor your patients while taking Paxlovid.
Learn how cities, including NYC, are using telehealth to increase access to Paxlovid:
What I'm trying to do is hold the medical industrial complex accountable for the harms that it's caused to communities of color and to other communities and push for racial justice and health equity in all of the institutions that I'm involved in.
Earlier this month, College Board announced the erasure of topics in its AP African American studies course, such as Critical Race Theory & reparations. We must never forget or erase the existence of long-standing structural racism and its impact.
See:
Climate justice is social justice. Climate change is a matter of public health.
This urgent call to action highlights the disproportionate impact of the climate crisis on Africa despite only contributing to 3% of CO2 emissions since the 19th century:
Alongside 250+ health journals around the world, we have published an editorial urging leaders to deliver climate justice for Africa at
#COP27
.
The damage to Africa should be of supreme concern to us all.
Read our collective call for a
#HealthyClimate
:
I strongly urge New York State to modify the 1332 waiver proposal to include eligibility for undocumented New Yorkers, the single largest population of uninsured New Yorkers. The current proposal would only deepen health insurance inequities.
ICYMI:
#Coverage4All
is in the
@NYSA_Majority
one-house budget! TY,
@CarlHeastie
!
We can save $500+ million in Medicaid $ and provide healthcare to thousands of undocumented NYers. We urge Gov Hochul to keep her word & include these NYers in the 1332 waiver to the fed gov
Providers: Advise monkeypox patients waiting for test results to isolate at home, avoid contact with others, and monitor their symptoms. If they test positive, advise them to follow the same precautions until all scabs have fallen off and a fresh layer of skin has formed. (1/2)
Women are almost 70% of the global health workforce, however only 25% of women are represented in leadership roles in health care. We all must address the systematic barriers to women advancement by protecting, supporting, and advancing our fellow women.
As you wake up and journey into your practice, let’s think of the lives you will change today. “One of the deep secrets of life is that all that is really worth doing is what we do for others.” - Lewis Carroll
#MotivationMonday
1.Providers, please encourage your patients living with HIV to get vaccinated. Vaccination remains the best line of defense against severe outcomes for all New Yorkers. There continues to be a gap in the care of people living with diagnosed HIV. For more:
As schools remain open, only 29% of children in
#NYC
aged 5-17 are fully vaccinated. Providers and healers please do your part in counseling parents about the safety and efficacy of vaccinations. Learn more about getting paid for counseling here:
Black New Yorkers are 5x more likely than white counterparts to die from pregnancy-related causes & 2x more likely to experience serious complications from pregnancy.
Read how the NY Coalition for Doula Access can improve infant & maternal mortality:
March is
#NationalKidneyMonth
!
Throughout the month we will be sharing information about kidney health, emphasizing the disproportionate burden on black Americans and delayed care received due to race adjustment in the tool used for diagnosis underestimating disease.
Without the racial wealth gap, COVID transmission could have been reduced and life expectancy could have increased. We recognize
#Juneteenth
by announcing our new data story on the racial wealth gap:
On the two year-anniversary of the Coalition to End Racism in Clinical Algorithms (CERCA), I’m excited to announce the expansion of our initiative to include race-based hypertension prescribing:
We are excited that the American Thoracic Society has issued an official statement supporting why race & ethnicity should no longer be considered factors in interpreting the results of spirometry. In line with our CERCA mission, this is exciting news!
Doula support is a promising way to reduce racial inequities in birth outcomes. In NYC, Black women are on average 9.4X more likely than White women to die from pregnancy-related causes. We must train more physicians to
#HearHer
. For more:
If your patient is eligible for a COVID-19 Vaccine booster and has recently been infected, they can get a booster shot as soon as they finish their Isolation period. Don’t Wait!
“Of all the inequalities that exist, the injustice in health care is the most shocking and inhuman.”
Today as we honor the life and legacy of Dr. Martin Luther King Jr. I am reminded that we still have work to do.
In a recent qualitative research study, titled “Patients’ Perspectives on Race and the Use of Race-Based Algorithms in Clinical Decision-Making: a Qualitative Study” – researchers found that patients are unaware how race has been used to make risk assessments for clinical care.
We are excited to announce the very first CMO Special Lecture tomorrow from 12-1 PM EST, presented by
@slovinskydesir
, on
@atscommunity
updated guidelines on race/ethnicity in pulmonary function testing.
Register here:
USAID official,
@JeremyKonyndyk
recently emphasized the significant U.S. contributions of nearly $500 million to the effort – other donors must step up to play their part in funding and donations to secure equitable and timely vaccine distribution.
NYC Providers: To start prescribing Paxlovid to your patients, follow these 6 steps -
Step 1: Add Alto Pharmacy to your EHR system for e-prescribing.
To locate Alto Pharmacy, search for
Alto Pharmacy, 100 Park Avenue, Front E, NY, NY 10017
NPI: 1417578899
NCPDP: 5831866
5. We are changing the narrative to build long-term community recovery centered in healing and justice. The PHC’s holistic neighborhood and clinic-based community engagement are actively addressing social, physical and mental health of marginalized
#NYC
communities.
Today is
#WorldHealthDay
! Let's celebrate our work tackling the inequities of COVID-19. Our daily work has helped increase vaccination rates and stop the spread of COVID-19 throughout our communities and the world.
Excited to discuss the critical role of policy in racial health equity & justice today with
@TheLancet
To join our panel at 2 PM ET today, register here:
NYC remains committed to protecting the fundamental right of abortion access and critical reproductive healthcare.
@nycHealthy
will work diligently with our health system partners to ensure quality reproductive services are accessible to those who need it in NYC
#RoeVWade
Updating our guidelines is long overdue. An individualized approach to HTN therapy for all patients has been shown to be more important than race-based guidelines. Our CMO Office is excited to see the progress and change from this future
#CERCA
subgroup.
Interested in becoming a leader in population health and
#HealthEquity
? Gain these skills and more through our Public Health Residency Program. Interns, residents and early career physicians are invited to apply by Feb. 18:
1. As of 1/28/22, 10% of individuals from low-income countries have received at least one dose, in contrast to 78% of the high and upper-middle-income countries.
As we approach the 2-year anniversary of the WHO declaring COVID-19 a pandemic, it is imperative to recognize the need for collective action towards global vaccine equity in order to overcome the pandemic. Global stakeholders must band together for the global community.
NYC Providers: Did you know your patients can get free fruits, vegetables, and beans? Get the Good Stuff is a
@nycHealthy
program that matches every dollar spent using SNAPS/EBT.
Find more information and participating locations:
Race is not the risk factor. The harms caused by race adjustment, especially in kidney function among Black patients, can be stopped. We must reimagine our teaching methods, evaluate the impact, and ensure those effected get the care they deserve.
#CERCA
This is based on the 2002 ALLHAT Trial, an RCT that set out to determine the optimal 1st step in HTN therapy. Using race incorrectly as a proxy for biology has coincided with a decline in HTN control, & limiting treatment options, for Black patients. Read:
Earlier this month I spoke at
@HarvardGH
’s Inaugural Global Health Symposium for a panel on Decolonial Praxis and Health: Challenges and Priorities.
Watch it here:
Happening Now: my
@nycHealthy
colleagues and I are testifying in front of
@NYCCouncil
on the birth equity crisis in NYC. Thankful to
@NYCCouncil
for the opportunity to express our support for legislation that will support pregnant women and persons in NYC.
Maternal mortality and morbidity is an urgent issue with persistent racial and ethnic inequities in NYC. We're grateful to
@NYCCouncil
for introducing legislation for pregnant people and those who may become pregnant.
@NYCHealthCMO