2. Chronic Disease Hospitalizations, Boston, 2005- 2010 Average Annual Rates 2

3. 3

4. 4

5. 5

6. Birth Outcomes, Boston, 2005-2010 Average Annual Rates 6

7. Racial & Ethnic Disparities Low Birth Weight & Racism 12% 20% P < 0.01

10. Does Giving People Health Care Coverage Solve the Problem?

11. Racism Education Job Opportunity Socioeconomic Status Environmental Exposure Health Behaviors Access to Health Services Safe and Affordable Housing Reducing Violence Health Outcomes Social Determinants of Health Inequities

12. What is racism? A system of advantage based on race. David Wellman, Portraits of White Racism

13. Levels of Racism MICRO LEVEL MACRO LEVEL Adopted from the Applied Research Center INTERNALIZE D INSTITUTIONAL INTERPERSONAL STRUCTURAL

14. Questions? Fiery Statements? Pushback? Something you are chewing on? Group Conversation

15. Our tasks and Next Steps Put racial justice/racial equity on the agenda in Jamaica Plain and Boston Name racism as a force determining the distribution of other social determinants of health and as a root cause for the health inequity we see in our community Routinely monitor for differential exposures, opportunities, and outcomes by “race” in Jamaica Plain and commit to “leading with race” Ask our elected officials to adopt a Racial and Social Justice framework similar to that used in Seattle, WA.