Enlarge this imageAlgonquin BooksAlgonquin BooksThe narrator of Layla Alammar's new novel Silence is a Sense is a journalist who can't kick the habit. She's escaped the Syrian civil war and now lives in an apartment block in the UK where she looks at neighbors through her window: South Tower A, second floor. She sees the father who always forgets his key card. East Tower, third floor is the guy who barely turns on his lights and melts cheese on toast. She writes a column for a British magazine under the pseudonym "The Voicele s," that's largely about the community of her neighbors, the lives they've left behind and the memories they can't. "Her struggles to tell a story come from many different sources," Alammar says. "On the one hand, she has been traumatised into mutene s by these experiences, both back home in Syria and on her journey to the U.K. And there's this long theory about silence and trauma and silence as a response to trauma. Brad Hand Jersey So that is certainly part of it. And on the other hand, she doesn't trust her memories fully, she doesn't trust her mind's ability to make sense of what has happened in order for her to then communicate that story in the way that [her editor] wants it." Interview Highlights On the narrator's silence A large part of the silence is a learned silence. You know, when you come from a place like Syria that lived under a state of emergency for 40 years so that's two times as long as as the narrator has been alive and you grow up in this environment where you cannot speak, and there is this oppre sive silence Zach Duke Jersey that governs the entire country where speaking out quite literally gets you killed, to then expect her to just be able to freely expre s her opinions, and in a very personal way that [her editor] wants, it's understandable that she would hesitate to do that. On how stories can be an obstacle to memoryStoryCorps 'I Have These Dreams Where I Go Back.' Dad And Daughter Mourn A Syria They Once KnewGoats and Soda From Syria To America: A Teen Seeks A 'Safe Place' In The Universe Memory is an active narrative, construction, right? The memories that we call forth to make sense of our lives and make sense of our history, they're not files that live in folders in our brain. You know, like, we created a file in 2010 and it's populated by all of these discrete memories. Put them all together in a sequence, and that's 2010. That's not how it works. Every time you call forth a memory, you are e sentially reconstructing that memory based on who you are now in this present moment. So the human mind is geared towards creating stories and creating narratives that make sense, you know, beginning, middle, end. But that's not the e sence of memory itself. And memories are me sy and they're complicated and in many ways they're unresolvable.On how horrors don't live in rooms, but in hearts and minds I think it's it's a particularly poignant thing for her because she carries so much of what happened in her mind. You know, her country and her homeland have been utterly decimated. Her family and friends have been scattered to the winds. She's endured this journey acro s Europe where, you know, most of the time you don't have a room. You know, you Joe Carter Jersey 're living in tents. You're you're sleeping by the side of the road. And I think in the Western mind, we have these ideas of haunted houses and evil memories that reside in rooms and, like, leak from the walls and stuff. But for her, that room is her mind. And that's where all of the horrors reside. On whether it's po sible to understand the lo Josh Tomlin Jersey ses of the Syrian civil war. To be honest, I don't think so. I think it's going to take decades and decades to even begin to understand the full measure of what happened there. It's just mind-boggling the extent of the utter crumbling of a country and a country that has such a rich literary tradition, and has such a rich corpus of art and culture, in some ways it's just too huge. You know, you think of six to seven million refugees who have fled the country. You think of another six million who have been displaced within the country. You think of half a million dead. I mean, these these figures are so large the mind can't reconcile them. And so that's what I hope Silence is a Sense does is that it kind of works to dispel these abstractions, and help to ground these large themes into a very personal narrative of a young woman and how she is trying to deal with these traumas. This story was edited for radio by Peter Breslow and adapted for the Web by Petra Mayer.
Enlarge this imageAlgonquin BooksAlgonquin BooksThe narrator of Layla Alammar’s new novel Silence is a Sense is a journalist who can’t kick the habit. She’s escaped the Syrian civil war and now lives in an apartment block in the UK where she looks at neighbors through her window: South Tower A, second floor. She sees the father who always forgets his key card. East Tower, third floor is the guy who barely turns on his lights and melts cheese on toast. She writes a column for a British magazine under the pseudonym “The Voicele s,” that’s largely about the community of her neighbors, the lives they’ve left behind and the memories they can’t. “Her struggles to tell a story come from many different sources,” Alammar says. “On the one hand, she has been traumatised into mutene s by these experiences, both back home in Syria and on her journey to the U.K. And there’s this long theory about silence and trauma and silence as a response to trauma. Brad Hand Jersey So that is certainly part of it. And on the other hand, she doesn’t trust her memories fully, she doesn’t trust her mind’s ability to make sense of what has happened in order for her to then communicate that story in the way that [her editor] wants it.” Interview Highlights On the narrator’s silence A large part of the silence is a learned silence. You know, when you come from a place like Syria that lived under a state of emergency for 40 years so that’s two times as long as as the narrator has been alive and you grow up in this environment where you cannot speak, and there is this oppre sive silence Zach Duke Jersey that governs the entire country where speaking out quite literally gets you killed, to then expect her to just be able to freely expre s her opinions, and in a very personal way that [her editor] wants, it’s understandable that she would hesitate to do that. On how stories can be an obstacle to memoryStoryCorps ‘I Have These Dreams Where I Go Back.’ Dad And Daughter Mourn A Syria They Once KnewGoats and Soda From Syria To America: A Teen Seeks A ‘Safe Place’ In The Universe Memory is an active narrative, construction, right? The memories that we call forth to make sense of our lives and make sense of our history, they’re not files that live in folders in our brain. You know, like, we created a file in 2010 and it’s populated by all of these discrete memories. Put them all together in a sequence, and that’s 2010. That’s not how it works. Every time you call forth a memory, you are e sentially reconstructing that memory based on who you are now in this present moment. So the human mind is geared towards creating stories and creating narratives that make sense, you know, beginning, middle, end. But that’s not the e sence of memory itself. And memories are me sy and they’re complicated and in many ways they’re unresolvable.On how horrors don’t live in rooms, but in hearts and minds I think it’s it’s a particularly poignant thing for her because she carries so much of what happened in her mind. You know, her country and her homeland have been utterly decimated. Her family and friends have been scattered to the winds. She’s endured this journey acro s Europe where, you know, most of the time you don’t have a room. You know, you Joe Carter Jersey ‘re living in tents. You’re you’re sleeping by the side of the road. And I think in the Western mind, we have these ideas of haunted houses and evil memories that reside in rooms and, like, leak from the walls and stuff. But for her, that room is her mind. And that’s where all of the horrors reside. On whether it’s po sible to understand the lo Josh Tomlin Jersey ses of the Syrian civil war. To be honest, I don’t think so. I think it’s going to take decades and decades to even begin to understand the full measure of what happened there. It’s just mind-boggling the extent of the utter crumbling of a country and a country that has such a rich literary tradition, and has such a rich corpus of art and culture, in some ways it’s just too huge. You know, you think of six to seven million refugees who have fled the country. You think of another six million who have been displaced within the country. You think of half a million dead. I mean, these these figures are so large the mind can’t reconcile them. And so that’s what I hope Silence is a Sense does is that it kind of works to dispel these abstractions, and help to ground these large themes into a very personal narrative of a young woman and how she is trying to deal with these traumas. This story was edited for radio by Peter Breslow and adapted for the Web by Petra Mayer.…
Enlarge this imageLaw enforcement work the scene on Tuesday after a ma s shooting at Robb Elementary School in Orlando Cepeda Jersey Uvalde, Texas.Jordan Vonderhaar/Getty Imageshide captiontoggle captionJordan Vonderhaar/Getty ImagesLaw enforcement work the scene on Tuesday after a ma s shooting at Robb Elementary School in Uvalde, Texas.Jordan Vonderhaar/Getty ImagesEditor's Note: This story contains details that readers may find disturbing. The 19 students and two teachers killed in the Uvalde, Texas, shooting were all in the same fourth grade cla sroom, Lt. Christopher Olivarez of the Texas Department of Public Safety told CNN on Wednesday. He Tony Watson Jersey also told NBC's Today that first responders broke the school's windows in an effort to help students and teachers escape, the A sociated Pre s reports. National What we know so far about the school shooting in Uvalde, Texas "The shooter was able to make entry into a cla sroom, barricaded himself inside that cla sroom, and again just began shooting numerous children and teachers that were in that cla sroom, having no regard for Abiatal Avelino Jersey human life. Just a complete evil person," Olivarez said. "Just began shooting anyone that was in his way. At that point we had a tactical law enforcement team arrive made up of multiple federal officers, local officers, as well as state troopers that were able to able to make forcible entry into that cla sroom. They were met with gunfire as well but they were able to shoot and kill that suspect."Olivarez told CNN that multiple children were wounded inside the cla sroom, but the exact number is not yet clear. The victims have been identified and their families Melvin Adon Jersey notified, he added.Loading...
Enlarge this imageLaw enforcement work the scene on Tuesday after a ma s shooting at Robb Elementary School in Orlando Cepeda Jersey Uvalde, Texas.Jordan Vonderhaar/Getty Imageshide captiontoggle captionJordan Vonderhaar/Getty ImagesLaw enforcement work the scene on Tuesday after a ma s shooting at Robb Elementary School in Uvalde, Texas.Jordan Vonderhaar/Getty ImagesEditor’s Note: This story contains details that readers may find disturbing. The 19 students and two teachers killed in the Uvalde, Texas, shooting were all in the same fourth grade cla sroom, Lt. Christopher Olivarez of the Texas Department of Public Safety told CNN on Wednesday. He Tony Watson Jersey also told NBC’s Today that first responders broke the school’s windows in an effort to help students and teachers escape, the A sociated Pre s reports. National What we know so far about the school shooting in Uvalde, Texas “The shooter was able to make entry into a cla sroom, barricaded himself inside that cla sroom, and again just began shooting numerous children and teachers that were in that cla sroom, having no regard for Abiatal Avelino Jersey human life. Just a complete evil person,” Olivarez said. “Just began shooting anyone that was in his way. At that point we had a tactical law enforcement team arrive made up of multiple federal officers, local officers, as well as state troopers that were able to able to make forcible entry into that cla sroom. They were met with gunfire as well but they were able to shoot and kill that suspect.”Olivarez told CNN that multiple children were wounded inside the cla sroom, but the exact number is not yet clear. The victims have been identified and their families Melvin Adon Jersey notified, he added.Loading……
Enlarge this imageA view of sandles outside Kings A sembly Pentecostal church, following a stampede in Port Harcourt, Nigeria, Saturday, May 28, 2022.APhide captiontoggle captionAPA view Andrew McCutchen Jersey of sandles outside Kings A sembly Pentecostal church, following a stampede in Port Harcourt, Nigeria, Saturday, May 28, 2022.APABUJA, Nigeria A stampede Saturday at a church charity event in southern Nigeria left 31 people dead and seven injured at a program that aimed to offer hope to the needy. One witne s said the dead included a pregnant woman and many children. The stampede at the event organized by the Kings A sembly Pentecostal church in Rivers state involved people who came to the church's Hunter Pence Jersey annual "Shop for Free" charity program, according to Grace Iringe-Koko, a police spokeswoman. Such events are common in Nigeria, Africa's largest economy, where more than 80 million people live in poverty, according to government statistics. Saturday's charity program was supposed to begin at 9 a.m. but dozens arrived as early as 5 a.m. to secure their place in line, Iringe-Koko said. Somehow the locked gate was broken open, creating a stampede, she said. Godwin Tepikor from Nigeria's National Emergency Management Agency said first responders were able to evacuate the bodies of those trampled to death and bring them to the morgue. Security forces cordoned off the area.Africa Explosion at illegal oil refinery in Nigeria kills over 50 Dozens of residents later thronged the scene, mourning the dead and offering any a sistance they could to emergency workers. Doctors and emergency workers treated some of the injured as they lay in the open field. Videos from the scene showed the clothing, shoes and Evan Longoria Jersey other items meant for the beneficiaries. One witne s who only identified himself as Daniel said "there were so many children" among the dead. Five of the dead children were from one mother, he told the AP, adding that a pregnant woman also lost her life. Some church members were attacked and injured by relatives of the victims Brandon Crawford Jersey after the stampede, according to witne s Christopher Eze. The church declined to comment on the situation. The police spokeswoman said the seven injured were "responding to treatment." The "Shop for Free" event was suspended while authorities investigated how the stampede occurred. Nigeria has seen similar stampedes in the past. Twenty-four people died at an overcrowded church gathering in the southeastern state of Anambra in 2013, while at least 16 people were killed in 2014 when a crowd got out of control during a screening for government jobs in the nation's capital, Abuja.
Enlarge this imageA view of sandles outside Kings A sembly Pentecostal church, following a stampede in Port Harcourt, Nigeria, Saturday, May 28, 2022.APhide captiontoggle captionAPA view Andrew McCutchen Jersey of sandles outside Kings A sembly Pentecostal church, following a stampede in Port Harcourt, Nigeria, Saturday, May 28, 2022.APABUJA, Nigeria A stampede Saturday at a church charity event in southern Nigeria left 31 people dead and seven injured at a program that aimed to offer hope to the needy. One witne s said the dead included a pregnant woman and many children. The stampede at the event organized by the Kings A sembly Pentecostal church in Rivers state involved people who came to the church’s Hunter Pence Jersey annual “Shop for Free” charity program, according to Grace Iringe-Koko, a police spokeswoman. Such events are common in Nigeria, Africa’s largest economy, where more than 80 million people live in poverty, according to government statistics. Saturday’s charity program was supposed to begin at 9 a.m. but dozens arrived as early as 5 a.m. to secure their place in line, Iringe-Koko said. Somehow the locked gate was broken open, creating a stampede, she said. Godwin Tepikor from Nigeria’s National Emergency Management Agency said first responders were able to evacuate the bodies of those trampled to death and bring them to the morgue. Security forces cordoned off the area.Africa Explosion at illegal oil refinery in Nigeria kills over 50 Dozens of residents later thronged the scene, mourning the dead and offering any a sistance they could to emergency workers. Doctors and emergency workers treated some of the injured as they lay in the open field. Videos from the scene showed the clothing, shoes and Evan Longoria Jersey other items meant for the beneficiaries. One witne s who only identified himself as Daniel said “there were so many children” among the dead. Five of the dead children were from one mother, he told the AP, adding that a pregnant woman also lost her life. Some church members were attacked and injured by relatives of the victims Brandon Crawford Jersey after the stampede, according to witne s Christopher Eze. The church declined to comment on the situation. The police spokeswoman said the seven injured were “responding to treatment.” The “Shop for Free” event was suspended while authorities investigated how the stampede occurred. Nigeria has seen similar stampedes in the past. Twenty-four people died at an overcrowded church gathering in the southeastern state of Anambra in 2013, while at least 16 people were killed in 2014 when a crowd got out of control during a screening for government jobs in the nation’s capital, Abuja.…
Enlarge this imageThe Pandora Papers cite a number of leaders from lower-income countries or nations with great levels of inequality, among them Azerbaijani President Ilham Aliyev (from left), Chilean President Sebastin Piera and Kenyan President Uhuru Kenyatta.Anadolu Agency via Getty Images, Bloomberg, Ludovic Marin/Getty Imageshide captiontoggle captionAnadolu Agency via Getty Images, Bloomberg, Ludovic Marin/Getty ImagesThe Pandora Papers cite a number of leaders from lower-income Nico Hoerner Jersey countries or nations with great levels of inequality, among them Azerbaijani President Ilham Aliyev (from left), Chilean President Sebastin Piera and Kenyan President Uhuru Kenyatta.Anadolu Agency via Getty Images, Bloomberg, Ludovic Marin/Getty ImagesA huge trove of leaked financial documents called the Pandora Papers has exposed the offshore financial dealings of hundreds of the world's global elites, including more than 330 politicians from nearly 100 countries. The nearly 12 million documents were obtained by the International Consortium of Investigative Journalists. The ICIJ worked with more than 600 journalists in 117 countries to sift through the records. "We're not looking at a Robel Garcia Jersey couple of million dollars, here," says Gerard Ryle, director of the ICIJ, in a video accompanying the release. "We are looking at trillions of dollars." The ma sive leak shows wealthy individuals from all over the world parking money in Caribbean tax havens, hiding a sets in foreign trusts and shielding their wealth in opaque Panamanian corporations. Of 12 sitting heads of state implicated in the Pandora Papers, most are from low- or middle-income countries, as are many other politicians and other figures. Brazil, Ivory Coast, Gabon, India, Pakistan and Sri Lanka are among the countries on the list. Busine s What the 'Pandora Papers' show about how the powerful hide money from public view "We literally have countries where people are starving, queuing for food, while their leaders are living lavish lifestyles abroad," says Mara Martini, a money laundering expert with Transparency International who's based in Berlin. Martini and Transparency International were not part of the investigative team that released the Pandora Papers."The impact is devastating," she says. "You have money that should be used to finance public service such as health, education and housing that ends up financing luxury homes and yachts and other luxury goods abroad. That's very, very concerning."The financial records Daniel Descalso Jersey come from 14 law firms. ICIJ isn't disclosing the exact origins of the leaks to protect its sources. The documents include bank statements and ownership records of a sets held in the British Virgin Islands, Belize, Panama, South Dakota, Samoa, the Seychelles and other jurisdictions that actively cater to investors seeking secrecy. Among the current heads of state implicated in the Pandora Papers is Kenyan President Uhuru Kenyatta, along with six members of his family. The papers allege that they control a network of offshore companies and foundations in Panama and the British Virgin Islands worth more than $30 million. Azerbaijani President Ilham Aliyev's family is alleged to have been involved in property deals in Britain worth hundreds of millions of dollars. His son, Heydar Aliyev, now a young adult, was just 11 years old when he became the shareholder in a company based in the British Virgin Islands that purchased a building in the upscale London neighborhood of Mayfair for $49 million."If you look at the individuals on the list, most come from countries that have the highest inequality levels," says Martini of Transparency International. One example is Chile. The documents link Chilean President Sebastin Piera (who made a fortune in the credit card busine s before entering politics) to more than $100 million parked in shell companies in the British Virgin Islands. The former head of the Philippines' Presidential Commi sion on Good Government is on the Jon Lester Jersey list as well. Most individuals accused of hiding a sets in the Pandora Papers either declined to discu s the matters with ICIJ or stated that their offshore accounts were legal.Within hours of the publication of the Pandora Papers, several countries' tax authorities, including in India, said they plan to investigate any potential criminal activity.
Enlarge this imageThe Pandora Papers cite a number of leaders from lower-income countries or nations with great levels of inequality, among them Azerbaijani President Ilham Aliyev (from left), Chilean President Sebastin Piera and Kenyan President Uhuru Kenyatta.Anadolu Agency via Getty Images, Bloomberg, Ludovic Marin/Getty Imageshide captiontoggle captionAnadolu Agency via Getty Images, Bloomberg, Ludovic Marin/Getty ImagesThe Pandora Papers cite a number of leaders from lower-income Nico Hoerner Jersey countries or nations with great levels of inequality, among them Azerbaijani President Ilham Aliyev (from left), Chilean President Sebastin Piera and Kenyan President Uhuru Kenyatta.Anadolu Agency via Getty Images, Bloomberg, Ludovic Marin/Getty ImagesA huge trove of leaked financial documents called the Pandora Papers has exposed the offshore financial dealings of hundreds of the world’s global elites, including more than 330 politicians from nearly 100 countries. The nearly 12 million documents were obtained by the International Consortium of Investigative Journalists. The ICIJ worked with more than 600 journalists in 117 countries to sift through the records. “We’re not looking at a Robel Garcia Jersey couple of million dollars, here,” says Gerard Ryle, director of the ICIJ, in a video accompanying the release. “We are looking at trillions of dollars.” The ma sive leak shows wealthy individuals from all over the world parking money in Caribbean tax havens, hiding a sets in foreign trusts and shielding their wealth in opaque Panamanian corporations. Of 12 sitting heads of state implicated in the Pandora Papers, most are from low- or middle-income countries, as are many other politicians and other figures. Brazil, Ivory Coast, Gabon, India, Pakistan and Sri Lanka are among the countries on the list. Busine s What the ‘Pandora Papers’ show about how the powerful hide money from public view “We literally have countries where people are starving, queuing for food, while their leaders are living lavish lifestyles abroad,” says Mara Martini, a money laundering expert with Transparency International who’s based in Berlin. Martini and Transparency International were not part of the investigative team that released the Pandora Papers.”The impact is devastating,” she says. “You have money that should be used to finance public service such as health, education and housing that ends up financing luxury homes and yachts and other luxury goods abroad. That’s very, very concerning.”The financial records Daniel Descalso Jersey come from 14 law firms. ICIJ isn’t disclosing the exact origins of the leaks to protect its sources. The documents include bank statements and ownership records of a sets held in the British Virgin Islands, Belize, Panama, South Dakota, Samoa, the Seychelles and other jurisdictions that actively cater to investors seeking secrecy. Among the current heads of state implicated in the Pandora Papers is Kenyan President Uhuru Kenyatta, along with six members of his family. The papers allege that they control a network of offshore companies and foundations in Panama and the British Virgin Islands worth more than $30 million. Azerbaijani President Ilham Aliyev’s family is alleged to have been involved in property deals in Britain worth hundreds of millions of dollars. His son, Heydar Aliyev, now a young adult, was just 11 years old when he became the shareholder in a company based in the British Virgin Islands that purchased a building in the upscale London neighborhood of Mayfair for $49 million.”If you look at the individuals on the list, most come from countries that have the highest inequality levels,” says Martini of Transparency International. One example is Chile. The documents link Chilean President Sebastin Piera (who made a fortune in the credit card busine s before entering politics) to more than $100 million parked in shell companies in the British Virgin Islands. The former head of the Philippines’ Presidential Commi sion on Good Government is on the Jon Lester Jersey list as well. Most individuals accused of hiding a sets in the Pandora Papers either declined to discu s the matters with ICIJ or stated that their offshore accounts were legal.Within hours of the publication of the Pandora Papers, several countries’ tax authorities, including in India, said they plan to investigate any potential criminal activity.…
Enlarge this imageA pediatrician examines a newborn baby in her clinic in Chicago on Tuesday in 2019. In a new policy statement released Monday, the American Academy of Pediatrics says it is putting all its guidance Brandon Morrow Jersey under the microscope to eliminate "race-based" medicine and resulting health disparities.Amr Alfiky/APhide captiontoggle captionAmr Alfiky/APA pediatrician examines a newborn baby in her clinic in Chicago on Tuesday in 2019. In a new policy statement released Monday, the American Academy of Pediatrics says it is putting all its guidance under the microscope to eliminate "race-based" medicine and resulting health disparities.Amr Alfiky/APFor years, pediatricians have followed flawed guidelines linking race to risks for urinary infections and newborn jaundice. In a new policy announced Monday, the American Academy of Pediatrics said it is putting all its guidance under the microscope to eliminate "race-based" medicine and resulting health disparities. A re-examination of AAP treatment recommendations that began before George Floyd's 2020 death and intensified after it has doctors concerned that Black youngsters have been undertreated and overlooked, said Dr. Joseph Wright, lead author of the new policy and chief health equity officer at the University of Maryland's medical system. The influential academy has begun purging outdated advice. It is committing to scrutinizing its "entire catalog," including guidelines, educational materials, textbooks and newsletter articles, Wright said. "We are really being much more rigorous about the ways in which we a se s risk for disease and health outcomes," Wright said. "We do have to hold ourselves accountable in that way. It's going to require a heavy lift." Dr. Brittani James, a family medicine doctor and medical director for a Chicago health center, said the academy is making a pivotal move."What makes this so monumental is the fact that Carlos Zambrano Jersey this is a medical institution and it's not just words. They're acting," James said. In recent years, other major doctor groups including the American Medical A sociation have made similar pledges. They are spurred in part by civil rights and social justice movements, but also by science showing the strong roles that social conditions, genetics and other biological factors play in determining health. Last year, the academy retired a guideline calculation based on the unproven idea that Black children faced lower risks than white kids for urinary infections. A review had shown that the strongest risk factors James Norwood Jersey were prior urinary infections and fevers lasting more than 48 hours, not race, Wright said. A revision to its newborn jaundice guidance which currently suggests certain races have higher and lower risks is planned for this summer, Wright said. Dr. Nia Heard-Garris, head of an academy group on minority health and equity and a pediatrician at Chicago's Lurie Children's Hospital, noted that the new policy includes a brief history "of how some of our frequently used clinical aids have come to be via Nico Hoerner Jersey pseudoscience and racism." Whatever the intent, these aids have harmed patients, she said."This violates our oath as physicians to do no harm and as such should not be used, Heard-Garris said. Dr. Valerie Walker, a specialist in newborn care and health equity at Nationwide Children's Hospital in Columbus, Ohio, called the new policy "a critical step" toward reducing racial health disparities. The academy is urging other medical institutions and specialty groups to take a similar approach in working to eliminate racism in medicine. "We can't just plug up one leak in a pipe full of holes and expect it to be remedied," said Heard-Garris. "This statement shines a light for pediatricians and other healthcare providers to find and patch those holes."
Enlarge this imageA pediatrician examines a newborn baby in her clinic in Chicago on Tuesday in 2019. In a new policy statement released Monday, the American Academy of Pediatrics says it is putting all its guidance Brandon Morrow Jersey under the microscope to eliminate “race-based” medicine and resulting health disparities.Amr Alfiky/APhide captiontoggle captionAmr Alfiky/APA pediatrician examines a newborn baby in her clinic in Chicago on Tuesday in 2019. In a new policy statement released Monday, the American Academy of Pediatrics says it is putting all its guidance under the microscope to eliminate “race-based” medicine and resulting health disparities.Amr Alfiky/APFor years, pediatricians have followed flawed guidelines linking race to risks for urinary infections and newborn jaundice. In a new policy announced Monday, the American Academy of Pediatrics said it is putting all its guidance under the microscope to eliminate “race-based” medicine and resulting health disparities. A re-examination of AAP treatment recommendations that began before George Floyd’s 2020 death and intensified after it has doctors concerned that Black youngsters have been undertreated and overlooked, said Dr. Joseph Wright, lead author of the new policy and chief health equity officer at the University of Maryland’s medical system. The influential academy has begun purging outdated advice. It is committing to scrutinizing its “entire catalog,” including guidelines, educational materials, textbooks and newsletter articles, Wright said. “We are really being much more rigorous about the ways in which we a se s risk for disease and health outcomes,” Wright said. “We do have to hold ourselves accountable in that way. It’s going to require a heavy lift.” Dr. Brittani James, a family medicine doctor and medical director for a Chicago health center, said the academy is making a pivotal move.”What makes this so monumental is the fact that Carlos Zambrano Jersey this is a medical institution and it’s not just words. They’re acting,” James said. In recent years, other major doctor groups including the American Medical A sociation have made similar pledges. They are spurred in part by civil rights and social justice movements, but also by science showing the strong roles that social conditions, genetics and other biological factors play in determining health. Last year, the academy retired a guideline calculation based on the unproven idea that Black children faced lower risks than white kids for urinary infections. A review had shown that the strongest risk factors James Norwood Jersey were prior urinary infections and fevers lasting more than 48 hours, not race, Wright said. A revision to its newborn jaundice guidance which currently suggests certain races have higher and lower risks is planned for this summer, Wright said. Dr. Nia Heard-Garris, head of an academy group on minority health and equity and a pediatrician at Chicago’s Lurie Children’s Hospital, noted that the new policy includes a brief history “of how some of our frequently used clinical aids have come to be via Nico Hoerner Jersey pseudoscience and racism.” Whatever the intent, these aids have harmed patients, she said.”This violates our oath as physicians to do no harm and as such should not be used, Heard-Garris said. Dr. Valerie Walker, a specialist in newborn care and health equity at Nationwide Children’s Hospital in Columbus, Ohio, called the new policy “a critical step” toward reducing racial health disparities. The academy is urging other medical institutions and specialty groups to take a similar approach in working to eliminate racism in medicine. “We can’t just plug up one leak in a pipe full of holes and expect it to be remedied,” said Heard-Garris. “This statement shines a light for pediatricians and other healthcare providers to find and patch those holes.”…
