How the COVID pandemic can create security for the next crisis

[Applause]

those

people that population

the poor neighborhoods on the west side

they don’t follow our recommendations

it’s not our problem

only the migrants are getting infected

the community is not concerned

did any of these statements make you

uncomfortable

did they make you cringe a little or a

lot

these are statements i have heard

throughout the kovit 19 pandemic

response

here in utah but this mindset isn’t

unique to utah

when covet 19 was first identified in

the united states

national leaders were calling it the

chinese virus

and asian-american communities across

the country experienced racist attacks

and as

covid 19 has spread we have seen worse

health outcomes in already marginalized

communities

american indians and alaska natives are

3.5 times

more likely to be infected with covet 19

than white populations

black and hispanic populations are twice

as likely to die

from coven 19 as white populations

globally this pandemic is exposing the

gap between the wealthy

and the poor nations this is a health

crisis

but it is not only a health crisis the

world bank warns

that this virus could push between 40

and 60 million people into extreme

poverty this year

with sub-saharan africa and south asia

hardest hit

but at the beginning of this pandemic we

were all susceptible

there was no treatment no vaccine no one

was immune

we were all equals and the ways to

protect yourself from covet 19 are

pretty simple

right stay six feet away from others

wear a face covering wash your hands

so why then does the risk of being

impacted by covet 19

depend on skin color the language you

speak

where you live or where you work

well let’s think of life before covet

i’ve got a couple scenarios for you and

i’m sure most of you can relate to at

least one of them

my husband and i both work full time we

have two young children and no family

around

so we rely on school and child care to

make our lives functional

there have been times more than i will

admit on the stage

where one of my sons would feel sick at

night in the morning he’d seem okay

just slip him a little acetaminophen and

head him off to school

and hope that the school wouldn’t call

me in a few hours to come pick them up

maybe a more common scenario you wake up

with a mild cough

you’re feeling a little tired but you

have several important meetings that day

you take some cold medicine head into

the office and go about your regular

routine falling behind for something so

mild just isn’t worth it

now during covid19 these two scenarios

are completely different

there’s no way i’m sending my kid to

school or going into work if

any of us are symptomatic at all i don’t

want to risk

spreading kova 19 to anyone plus

i have plenty of paid sick leave if i

need to take time off or i can work from

home if i feel well enough to do so

the risks of sending my kid to school or

going into the office

outweigh the benefits now

another scenario probably one unfamiliar

to most of you

imagine you are a 27 year old refugee

from somalia

you live in a small apartment with your

extended family

you came to utah eight months ago after

spending five years in a refugee camp in

kenya

in order to become quickly

self-sufficient you take a job at a

meatpacking plan

there you spend eight hours a day

shoulder

to shoulder with your co-workers you get

paid by the hour

you don’t have any sick leave and

obviously no way to work from home

you know you’ve heard of covet 19 and

that young people typically don’t get

that sick

so when you wake up with a sore throat

one morning

what do you do do you stay home

miss eight hours of income and have to

worry about

how to pay for groceries next week or do

you go into work

with that sore throat i bet you’d go

into work

in that situation in that moment the

benefits of going into work

while you’re sick outweigh the risks

you know protecting yourself and your

family from covet 19 is definitely

easier if you have higher socioeconomic

status

anyone who tests positive for covid19 is

asked to stay home

away from others for at least 10 days

and they have to give the names and

information of all of their close

contacts to the government

this is so the government can tell their

contacts that they too

have to stay home away from others then

if any sick individual lives in a

household with other people

we ask them to use their own bedroom and

their own bathroom

when public health can’t identify how

individuals are getting infected

that means we have community spread and

all individuals are asked to stay home

in order to stay safe that works well

for people with big houses

or those of us who can work from home

but what about the rest of our

communities

it’s no surprise that our hot spots of

coven 19 in utah

have occurred in tourist town apartment

complexes where workers in the service

industry live

and in communities where health and

economic disparities have been prevalent

for years

this virus has shown us that while we

are all clinically susceptible

the disparities ingrained in our society

have allowed specific populations

to bear the biggest burden

you know covet 19 came to utah initially

from people who were infected while they

were on international cruises

and from tourists who were in town on

ski vacations

and for a while we had no secondary

cases

all of our cases and their contacts were

able to stay isolated

we were patting ourselves on our backs

but then on march 4th we had our first

instance of community spread

a worker at a local restaurant likely

infected by someone in town on vacation

and from there more community spread was

identified

changing the demographics of our cases

quickly

on may 27th the number of hispanic

individuals in utah

infected with covet 19 surpassed that of

white individuals

and for the next several months the

burden of disease continued to shift

away from white populations and toward

persons of color

you know even though hispanic

individuals only make up 14

of utah’s population at its peak

they made up nearly 50 percent of our

covet 19 cases

while the utah majority was physical

distancing and staying home

the utah minority was working in

essential jobs they were producing our

food

keeping our lights on and keeping our

water clean

they were putting themselves and their

families at risk for being infected with

covet 19

every day

i-15 is an interstate that separates

salt lake county

into a west and an east side

communities west of i-15 tend to have

lower education

less income higher rates of racial and

ethnic groups

and more individuals living in one

household than the east side

if you live west of i-15 you’re twice as

likely to be infected with covid19

than if you live east but

we know the virus can’t see

socioeconomic status

the virus doesn’t know the skin color or

language spoken

by its host it can be the great

equalizer we saw kovit 19 spread like a

wildfire through our refugee community

in northern utah

and then into surrounding communities of

a variety

of races ethnicities languages spoken

and incomes

this pandemic has taught us that we are

all

interconnected

i know so many of us want to erase this

pandemic experience from our memories

it has been painful health disparities

hurt us all

the virus doesn’t stop at neighborhood

borders

this pandemic has also highlighted the

interdependence of our physical

and economic security when one community

suffers

we are all more vulnerable

but it does not have to be this way

as winston churchill is credited as

saying never

let a good crisis go to waste so i

urge each one of us to use this pandemic

as a catalyst

to effectively address the health

disparities that have been fracturing

our society for decades

yet magnified by covet 19.

each one of us has a powerful voice and

we must

use that voice to strengthen those whose

society has ignored

you are part of the solution

let’s create security now throughout our

communities

so that we are all safer in the next

crisis

and let’s do that by fighting for living

wages

to support physical and economic

security

paid sick leave so that no one has to

choose between staying home when they’re

sick

or putting food on the table affordable

housing

to ensure that all of our communities

are safe environments where people can

thrive

and access to quality health care

allowing individuals to focus on disease

prevention

and general wellness

because the health of each of us depends

on the health of all of us

you

[掌声]

那些

居住在西区贫困社区的人

他们没有遵循我们的建议

这不是我们的问题

只有移民被

感染 社区并不关心

这些言论是否让你

感到不舒服

他们是否让你畏缩 很少或

很多

这些是我在犹他州

的 kovit 19 大流行

应对期间听到的声明,但这种心态并不是

犹他州独有的,

当 covet 19 在美国首次被发现时,

国家领导人称其为

中国病毒

和亚裔美国人 全国各地的社区都

遭受了种族主义袭击

,随着

covid 19 的传播,我们已经看到

已经被边缘化的社区的健康状况更糟

美国印第安人和阿拉斯加原住民

感染 covet 19 的可能性是

白人的 3.5 倍

黑人和西班牙裔人口的可能性是其两倍

死于coven 19,因为全球白人人口

这种流行病暴露了

差距赌注 对于富国

和穷国来说,这是一场健康

危机,

但它不仅是一场健康危机,

世界银行警告

说,这种病毒今年可能使 40

至 6000 万人陷入极端

贫困

,撒哈拉以南非洲和南亚

受灾最严重

但在这场大流行开始时,我们

都很容易受到影响

,没有治疗方法,没有疫苗,没有人

免疫 手

那么为什么

受 covet 19 影响的风险

取决于肤色你

的语言你住的地方或你工作的

好地方让我们想想 covet 19 之前的生活

我有几个场景给你,

我 相信你们中的大多数人

至少可以和他们中的一个

人产生联系 比我在舞台上承认的次数还要多,我的

一个儿子

在早上晚上会感到恶心

几个小时后去接他们

也许更常见的情况 你醒来

时有轻微的咳嗽

你感觉有点累 但

那天你有几个重要的会议

你带了一些感冒药

去办公室 去你的常规

例行程序落后于如此

温和的事情

现在在covid19期间不值得这两种

情况完全不同

如果

我们中的任何一个人有症状我都没有办法送我的孩子上学或上班我不

想要 冒着

将 kova 19 传播给任何人的风险,另外

,如果我需要请假,我有很多带薪病假

,或者

如果我感觉足够好,我可以在家工作

,送孩子上学或去办公室的风险

超过 现在的好处是

另一个 cenario 可能你们大多数人都不熟悉

想象你是一名来自索马里的 27 岁难民

你和你的大家庭住在一间小公寓里

你八个月前来到犹他州

在肯尼亚的难民营呆了五年后

自给自足 你在那里从事

肉类加工计划的工作

你每天花八个小时

与你的同事并肩工作 你

按小时获得报酬

你没有任何病假而且

显然没有办法在家工作

你知道 你听说过 covet 19

并且年轻人通常不会

生病,

所以当你早上醒来喉咙痛时,你

会做什么你会留在家里

错过八小时的收入,不得不

担心

如何支付 下周去买杂货,还是你

带着喉咙痛去上班我敢打赌你会

在那种情况下

上班

如果您的社会经济地位较高,那么 m covet 19 肯定会更容易

任何 COVID19 检测呈阳性的人都被

要求在家中

远离他人至少 10 天,

并且他们必须向政府提供

所有密切

接触者的姓名和

信息 这样政府就可以告诉他们的

联系人,他们也

必须与他人保持距离

个人被感染

,这意味着我们已经社区传播,

所有个人都被要求呆在家里

以保持安全,这

对于拥有大房子的人

或我们这些可以在家工作的人来说效果很好,

但我们社区的其他人

呢? 令人惊讶的是,我们

在犹他州

的 coven 19 热点出现在服务业工人居住的旅游城镇公寓

大楼

和健康社区 多年来,

经济差异一直很普遍

这种病毒向我们表明,虽然我们

在临床上都很容易受到感染

,但我们社会中根深蒂固的差异

让特定

人群承担了

你所知道的最大负担 covet 19 最初

来自那些在他们被感染时被感染的人

在国际游轮上

,来自在城里

滑雪度假的游客

,有一段时间我们没有继发

病例

我们所有的病例和他们的接触者都

能够保持孤立

我们拍拍自己的背,

但在 3 月 4 日,我们有了

社区传播

的第一个实例 当地餐馆的一名工人可能

在度假时被镇上的某人感染,

并从那里发现更多的社区传播 5

月 27 日迅速改变了我们病例的人口统计数据 犹他州感染 covet 19 的西班牙裔人数

超过了

在接下来的几个月里,白人的

负担继续

转移 是的,从白人到

有色人种,尽管西班牙裔

人口在鼎盛时期仅占犹他州人口的 14 人,但

他们却占了我们所

觊觎的 19 例病例的近 50%,

而犹他州的大多数人

保持身体距离并待在

家里,犹他州的少数人是 他们从事

基本工作 他们生产我们的

食物

保持我们的灯亮着并保持我们的

水清洁

他们让自己和

家人处于感染

covet 19

每天的危险中

i-15 是一条将盐湖县与西部分隔的州际公路

i-15 以西的东区社区往往

受教育程度

较低,收入较低,种族和族裔群体比例较高,

居住在一个

家庭中的个人比东区多

如果您住在 i-15 以西,那么您的

可能性是东区的两倍 感染 covid19

比你住在东部但

我们知道病毒看不到

社会经济

地位 病毒不知道宿主的肤色或

语言 可以成为伟大的

均衡器,我们看到 kovit 19 像

野火一样通过我们在犹他州北部的难民社区蔓延

到周围社区,

各种种族的语言

和收入

这种流行病告诉我们,我们都是

相互联系的,

我知道很多 我们想

从我们的记忆中抹去这场流行病的经历

这是痛苦的 健康差异

伤害了我们

所有人 病毒不会在社区边界停止

这种流行病还凸显

了我们的身体

和经济安全的相互依存 当一个社区

遭受苦难时,

我们都更加脆弱

但不一定非得如此,

因为温斯顿·丘吉尔 (Winston Churchill) 曾

说过,

永远不要浪费一场好的危机,所以我

敦促我们每个人都以这种流行病

为催化剂

,有效解决

一直在破坏

我们社会的健康差距 几十年

却被贪婪放大了 19.

我们每个人都有一个强大的声音,

我们必须

用那个声音来加强 那么那些

社会忽视

你的人就是解决方案的一部分,

让我们现在在整个

社区中创造

安全,以便我们在下一次危机中更加安全

,让我们通过争取生活

工资

来支持身体和经济

安全,

带薪病假,这样就不会 人们

必须在生病时呆在家里

或将食物放在餐桌上做出选择

因为我们每个人

的健康取决于我们所有人的健康

你们