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DisclaimersDisclaimers
Currently a research Currently a research fellow at the Centers for fellow at the Centers for Disease ControlDisease Control
WillWill attend medical attend medical school Fall 2006school Fall 2006
I am not a medical or I am not a medical or public health expertpublic health expert
Volunteer music Volunteer music therapist (in my spare therapist (in my spare time)time)
Interdisciplinary Approach to Interdisciplinary Approach to HealthHealth
““Health is a state of complete physical, Health is a state of complete physical, mental and social well-being and not mental and social well-being and not merely the absence of disease or merely the absence of disease or infirmity.”infirmity.”
- World Health Organization- World Health Organization
Law and Medicine: Intersecting Law and Medicine: Intersecting PathsPaths
Medical Ethics
Public HealthSocial JusticePublic Policy
Human Rights
Health DisparitiesHealth Disparities“Differences in health status that occur by gender, race or ethnicity, education or income, disability, geographic location, or sexual orientation.”
- Healthy People 2010
Source: Black Student Fund
http://translocal-flows.ssrc.org/english/baja09/
Source: California Endowment
When HIPAA Meets When HIPAA Meets CambodiansCambodians
The Health Insurance Portability and The Health Insurance Portability and Accountability Act (HIPAA) was passed Accountability Act (HIPAA) was passed in 1996 to protect privacy of health in 1996 to protect privacy of health informationinformation
““Though HIPAA’s objective is to protect Though HIPAA’s objective is to protect patient privacy,patient privacy, it also prevents those it also prevents those trying to assist them from receiving trying to assist them from receiving information information on behalf of their limited on behalf of their limited English-speaking client.”English-speaking client.”
- Cambodian Health Worker- Cambodian Health Worker
NY Times: The Faces of NY Times: The Faces of DiabetesDiabetes
‘Living at an Epicenter of Diabetes, Defiance and Despair’
‘East Meets West: Adding Pounds and Peril’
‘The Stealth Epidemic’
Voices from the CommunityVoices from the Community
“Back in Africa, we used to walk so much. But here, there are so many cars and too much noise. It is even more dangerous than our home country,
- Ethiopian immigrant
“I don’t have a car, so I need to ask my friend for rides. But I feel too bad for giving him trouble, so I only ask to go to doctor when I get very, very sick.”
- Cambodian refugee“I’m homeless, and I rely on the soup kitchens for meals. My diabetes is always out of control, because all they give me to eat are mashed potatoes with gravy and donated sweet breads from the bakery.”
- Homeless man, metro Atlanta
Brazil: Land of DisparityBrazil: Land of Disparity
Photo by: J. R. Ripper/SocialPhotos
Source: galerie.kiwi-maracuja.de/ albums/rio/Blick_auf
Mangueira Favela, Rio de Janeiro
Photo by: Erling Söderström Mangueira’s Samba School in Carnival
Source: liesa.globo.com
“Favelados say proudly, ‘I am root,’ meaning, ‘I belong to my
past.’”
- Alma Guillermoprieto
Missing the boat…Missing the boat…
““Whereas many providers perceive the Whereas many providers perceive the barriers to their patients’ self-barriers to their patients’ self-management as individual factors such management as individual factors such as . . . as . . . lifestyle behaviorslifestyle behaviors, many , many people with diabetes cite people with diabetes cite environmental barriersenvironmental barriers to their own to their own disease management.”disease management.”
- California Endowment, - California Endowment, The Social and The Social and Environmental Experience of DiabetesEnvironmental Experience of Diabetes
Focus on Land: The Urban Focus on Land: The Urban Archipelago AnalogyArchipelago Analogy
“Unfortunately, in many cases there is more contact, understanding, complicity between citizens of “islands” of different countries than between islanders and floaters (the excluded) of the same country.”
- Jorge Wilhelm, former City Planner; Sao Paulo, Brazil
Our Country is also Our Country is also Affected…Affected…
Images from the Alaskan Yukon-Kuskokwim Delta
Katrina EvacueesKatrina Evacuees
Source: www.katrinahelp.com Source: www.katrinahelp.com
Southeast AsiansSoutheast Asians
Source: U.C. Irvine Archives
Indian CountryIndian Country
Source: www.ed.gov
AppalachiaAppalachia
Source: http://www.bigstonegap.org/pictures/appalachia%20depot.jpg
Promising Policies for Urban Promising Policies for Urban Design and HealthDesign and Health
United StatesUnited States Superfund ActSuperfund Act
Enacted in 1980 to Enacted in 1980 to address the cleanup address the cleanup of sites containing of sites containing hazardous hazardous substancessubstances
These lands have These lands have potential for being potential for being developed into developed into “smart growth” “smart growth” areasareas
Brazil (Sao Paulo)Brazil (Sao Paulo) Building Rights CodeBuilding Rights Code
After a certain amount After a certain amount of space, additional of space, additional land will require the land will require the purchase of additional purchase of additional building rights. building rights.
Income from this Income from this purchase goes to a purchase goes to a fund to be spent only fund to be spent only on land for public use.on land for public use.
What Can Doctors and Lawyers What Can Doctors and Lawyers Do to Tackle Health Disparities?Do to Tackle Health Disparities?
Surveillance (how to obtain data Surveillance (how to obtain data without stepping on privacy rights)without stepping on privacy rights)
Health InsuranceHealth Insurance Building RegulationBuilding Regulation Federal welfare and nutrition Federal welfare and nutrition
Taken from: Richards, Edward et al (2004). Legislative Strategies to Reduce Obesity.
More LessonsMore Lessons
The importance of interdisciplinary The importance of interdisciplinary thinkingthinking
The importance of education (to The importance of education (to communities and other professions)communities and other professions)
The importance of outreach—art, The importance of outreach—art, music, and stories are always keys to music, and stories are always keys to the heart of a person or their the heart of a person or their communitycommunity
Like what you heard?Like what you heard?
Come to my Concert!
Projeto QuixoteProjeto Quixote
Source: Projeto Quixote
“Decency and
beauty walk
hand in hand.”
- Paulo Freire, Brazilian educator and advocate
for social justice; inspiration for the vision
of Projeto Quixote
Thanks, and some concert Thanks, and some concert info…info…
Visit my website: http://www.geocities.com/finding_root
When: Sunday, April 30 at 7:30 p.m.
Where: Our Lady of Assumption Church
Cost: $10 per person--pay at door
For directions and maps, visit:
http://www.olachurch.org/
My email: [email protected]
