Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Does Epidemiology Need a Rethink?

Epidemiology, the broad study of disease incidence and causality, has long formed the backbone of public health. Its rapid tabulations and population-level insights have made it an enduring discipline, which often shapes health policies across the globe. The ongoing COVID-19 pandemic has reasserted epidemiology’s relevance in disease control and prevention. As we have all ...

Reflections on Tribal Primary Care in America

California of the pioneers, peopled by progressives of campsites with bear lockers of pines and berries of easy cilantro in markets of walnut milk of ocean vistas and Apple of fires in the woods. Our tribal health community “We want you to trust us with your primary health care,” I tell the 60-year-old patient whose body mass index (BMI) is just past obese. He is a native man who studied the classics in college and has been working on a book for 25 years. He lives with two sons ...

National Arab American Heritage Month as a Public Health Catalyst

I am a young Arab American, born and raised in New York, yet this is the first year I am celebrating National Arab American Heritage Month (NAAHM). In fact, for as long as I have been alive, Arab American advocacy groups like the American-Arab Anti-Discrimination Committee and the Arab American Institute have been pushing for April to be named

COVID-19 Ravages the COFA Community in Hawai‘i

As of January 31, 2021, Pacific Islanders in Hawai‘i had the highest age-adjusted mortality rate in the United States at 319.6 deaths per 100,000 persons. In comparison, the United States mortality rate during the same period was 153 deaths per 100,000, and Hawai‘i as a whole had the lowest mortality rate in ...

Winds of Change: Communicating the Biden Administration’s Immigration Policies Can Help Combat the Pandemic

With rates of COVID-19 cases, hospitalizations, and deaths falling dramatically from peaks in January, the United States may be turning the corner on the pandemic. At the same time, the Biden administration has signaled a U-turn from the Trump era on immigration. From Day One, the new administration has expressed support for proposals to legalize millions of unauthorized immigrants, advanced executive actions to restore acceptance of asylum seekers at the U.S.-Mexico border, and embraced more welcoming ...

All Essential Workers Deserve a Path to Citizenship

Recently, the Massachusetts Immigrant and Refugee Advocacy Coalition (MIRA) was a proud sponsor of the New England Business Immigration Summit, which brought together members of Congress, business leaders, university ...

Healing Across the Divides: Peace Building Through Health

Shortly after Healing Across the Divides began its work, the Israeli army had placed boulders at the entrance to Sinjil—a Palestinian town in the central West Bank—blocking it off from the outside world. A local Palestinian woman contacted me, persistently urging me to “tell President Bush to end the occupation.” And doing everything possible within my realm of control, I ...

Redefining Our Herd: COVID-19 Vaccine as a Human Right for Non-U.S. Citizens

Basic epidemiological terminology has steadily crept into everyday jargon as the COVID-19 pandemic has been raging globally. “Quarantine,” “physical distancing,” “isolation,” “PCR testing,” “rapid testing”—all words that may have otherwise come from a sci-fi movie are now among the many terms dropped in conversations as friends, family members, and ...

Ensure Access to Care & Protect Patients from Immigration Enforcement at Medical Facilities

There are numerous barriers immigrants face when trying to access medical care in the United States. Unfortunately, the threat and presence of immigration and law enforcement at healthcare facilities is one of them. Immigrants, communities of color, and border residents often fear being questioned, ...
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