Infographics
Native Americans & Health Equity
Published on: June 22, 2021.
1 in 3 Navajo Nation residents
do not have access to running water
About this Data Insights
American Indians have been hospitalized from COVID-19 at 3.3 times the rate of White Americans. The disproportionate impact seen in this community, and across many communities of color, can be linked to underlying social and economic inequities. In the Navajo Nation, one third of residents do not have access to running water and/or electricity, and face challenges accessing broadband. These challenges, rooted in the historical impacts of colonization, directly impacted the ability of many Tribal Nations to follow COVID-19 safety protocols and access key virtual health care services. Learn more about the inequities illuminated during the pandemic and what can be done going forward.
COVID-19 Hospitalization & Death Rate Ratios: The Centers for Disease Control and Prevention, Risk for COVID-19 Infection, Hospitalization, and Death By Race/Ethnicity, updated May 26, 2021
Navajo Nation unemployment: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Median household income: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Casino shutdown impact: Meister Economic Consulting, LLC, Coronavirus Impact on Tribal Gaming
Doctrine of Discovery: Presentation by Stacy Bohlen, CEO of the National Indian Health Board, during a NIHCM webinar, “Achieving Health Equity: What’s Next?”
Navajo Nation, electricity and water access: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Broadband: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Higher rates of diabetes, obesity and heart disease: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Smoking statistics: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Tribal lands & access to health care facility: Talha Burki, COVID-19 among American Indians and Alaska Natives, The Lancet Infectious Diseases, Volume 21, Issue 3, 2021.
Unrecognized tribes & COVID-19 aid: NPR, Unrecognized Tribes Struggle Without Federal Aid During Pandemic
Solutions for Health Equity:
Education and anti-racism training in academia and medical school: “Combating Bias in Medicine, Insights from HMS course offer model to counter inequitable care,” Harvard Medical School
Address racial biases in algorithms and other tools: Obermeyer Z, Powers B, Vogeli C and Mullainathan S. “Dissecting Racial Bias in an Algorithm Used to Manage the Health of Populations.” Science, 36(6464):447-53, October 25, 2019
Incorporate incentives for improving health outcomes: Chin MH. Creating the Business Case for Achieving Health Equity. J Gen Intern Med. 2016;31(7):792-796. doi:10.1007/s11606-016-3604-7
Consider accountability standards for unmet metrics: A Practitioner's Guide for Advancing Health Equity - Community Strategies for Preventing Chronic Disease, National Center for Chronic Disease Prevention and Health Promotion, The Centers for Disease Control and Prevention
Invest in community health workers and centers: Presentation by Denise Octavia Smith, Founding Executive Director of the National Association of Community Health Workers, during NIHCM webinar, Community Health Workers & Pharmacists: Their Frontline Role in the Response to COVID-19
Build and maintain trust by working within the community: Mother Jones, There’s Never Been a More Urgent Moment to Build Black Americans’ Trust in the Medical System, May 8, 2020
Address social determinants of health, including food and housing security: Kaiser Family Foundation, Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity, May 10, 2018
Address equitable access to clean air, water and land: Aspen Institute, Driving Equitable Access to Water and Public Lands
Establish initiatives & policies that prioritize equitable access to resources: Promoting Health Equity, A Resource to Help Communities Address Social Determinants of Health, Centers for Disease Control and Prevention
Build capacity for equitable public health emergency preparedness: American Medical Association, 4 ways to integrate equity into public health emergency response
Increase broadband access: Brookings Institute, Digital prosperity: How broadband can deliver health and equity to all communities
Expand tribal public health services: National Indian Health Board, Strengthening Tribal Public Health Systems (Formally Tribal ASI)
Improve transportation options to increase accessibility: US Department of Transportation, Health and Equity
Infographics
Published on: June 22, 2021.
Health Equity: What did we learn from COVID-19 and what is next?
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