public health – Page 3 – UAB Institute for Human Rights Blog

America: The Land of the Hungry

To portray what food security means to those experiencing food insecurity — Source: Yahoo Images; A picture of a caregiver and child surrounded with sunflowers, standing in a garden. There are words that run along the image describing what food security means to the people in this community.

As an immigrant from India who has become an American citizen, food insecurity is something that I have witnessed a lot in my short lifetime. As a kid, I remember seeing people on the streets of India, both young and old, begging for mere scraps, and felt guilty for not being able to do anything to help. Yet, little did I know that I would come to experience similar food insecurities, but in America, a land supposedly filled with life, liberty, and happiness. It was in America that I first became aware of the realities of being poor, and it was here that I learned how to live off of $20 a week.

Among other things that have come into the limelight due to the pandemic, people are starting to pay more attention to the growing food insecurities in America. The United States is one of the most affluent nations in the entire world, yet it is also home to some of the largest food deserts in the world. This phenomenon, which is an incomprehensible reality in one of the richest nations in the world, has only become worse over the past few years, mainly due to the increasing inflation coupled with stagnant wages, which have only been exacerbated due to the pandemic. Food insecurity has become a reality to many Americans who live paycheck to paycheck and struggle to make ends meet, even with working multiple jobs.

Food Deserts

I included this image to showcase the precooked meals that are frozen and a convenient meal choice for hard working Americans. — Source: Yahoo Images; An image depicting the frozen foods aisle in a grocery store

So, what are food deserts and why should we care about them? Well, according to the United States Department of Agriculture (USDA), food deserts are areas in which access to healthy food and groceries is limited due to a number of reasons, including distance, individual abilities, and even the location of the neighborhood someone resides in. Distance becomes an issue for those who live far away from stores that sell fresh produce, including those who live in rural areas as well as those who live on the outskirts of urban areas.

Distance can be an even greater challenge if the person or family does not have reliable transportation. This is especially true in rural areas where public transportation does not extend to. Even with public transportation being available, the bus routes in most cities run on scheduled times and have limited hours of service. This means that anyone that works odd hours may not have access to the public transportation system. Furthermore, people that live farther away from grocery stores and that don’t have reliable transportation may have to be able to walk home, meaning that they can only purchase the amount of food they can carry in their hands. This also means that they have to make frequent trips to the grocery store to be able to have their nutritional needs met.

Similarly, individual abilities, such as family income, can greatly impact the food choices a person has access to. Purchasing healthy food is expensive, and if you want something that is free of pesticides or harmful chemicals (organic produce), it’s going to cost you even more money, money that you may not have. Additionally, eating healthy is not always a choice that people with low income have; the choices they are usually presented with are eating something (even if it is unhealthy) or starving for the next few days. You still have to have the energy to go to work and make money to pay your other bills. Roughly half of the American population made less than $35,000 annually, according to the Social Security Administration’s wage reports from 2019. These statistics have only increased as a consequence of the ongoing pandemic.

The neighborhood that a person lives in has a direct impact on their access to fresh food as well. Due to racist policies such as gerrymandering and gentrification, neighborhoods are separated based on the average income of their residents, and this usually means that the poor, (which are made up disproportionately of Black and Brown people), are pushed into underdeveloped areas and away from the up-and-coming neighborhoods in the urban centers. As a result, businesses are more reluctant to open up in impoverished areas, fearing that they won’t make much profit, and this extends to stores that sell fresh produce.

Food Insecurity: Some Hard Facts

I wanted to showcase how prevalent food insecurity is, and how it is concentrated a lot more in the South. — Source: Yahoo Images; A map of the United States from a 2017 analysis of food insecurity in America

If the USDA definition of food deserts is applied in the United States, at least 19 million people live in food deserts. Looking closer to home, in Alabama, as of 2017, over 16% of its residents are facing food insecurities. Even right here in our own backyard, Birmingham Times reported in 2019 that around 69% of Birmingham residents live in food deserts. That is over half of the Birmingham population! As I have learned as recently as this semester during a Social Justice Café event, (a weekly event sponsored by the Institute of Human Rights at UAB that focuses on social justice issues), around 25% of UAB students are cutting meals, close to half of our UAB student population can’t afford to eat healthily, and over 35% of UAB students experience chronic food insecurity! I am one of these students; I am not ashamed to admit it. Despite how much I conserve and try to budget, I still cut meals constantly, I continue to not be able to afford to eat healthily, and I have been experiencing chronic food insecurity since before the pandemic. The reasons behind my struggles are no fault of my own; they are a domino effect of the various systemic failures that continue to plunge millions of hard-working Americans into poverty and as a result, food insecurity.

Eating Healthy: Why it’s a problem especially if you are poor

I wanted to include this image to portray how expensive buying fresh produce can really be. — Source: Yahoo Images; A picture showcasing the various produce selections at a grocery store with prices depicted next to each item

If a person has access to $20 for a week’s worth of groceries, spending it all on a couple of fruits and vegetables will not ensure that they can feed themselves and their loved ones for the next few days. What will help them make it through the week are spending on canned goods and processed food items that have a longer shelf life and cut down the time of food preparation. This means buying dollar menu items at fast-food restaurants or shopping at dollar stores for cheap snacks and pre-cooked meals. Low-income families who have experienced food insecurity for generations may not have acquired the knowledge to cook healthy food in a timely manner. They may not have had the resources to learn how to cook, or never had anyone to learn from.

Additionally, eating healthy requires that people cook with fresh, raw ingredients to avoid the preservatives and chemicals used in processed foods for a longer shelf-life. This also means cooking with items that may go to waste if not cooked in a timely manner. Most Americans struggling with food insecurity work low-income jobs, sometimes multiple jobs at a time, and the last thing they want to do is go home after a hard day of work and prepare meals for their family. Fast food is an easy, convenient alternative, and it is this convenience that has made them successful despite the unhealthy, low-nutritious food they sell.

Furthermore, this consumption of unhealthy foods with little nutritional value leads to chronic health issues, such as diabetes and heart disease. Even eating fruits and vegetables that have been grown with the use of pesticides and herbicides has been proven to expose those consuming them to toxic chemicals known to cause cancer. Therefore, to truly enjoy healthy produce, people have to purchase organic foods, which doubles the costs of groceries. Additionally, having adequate access to healthcare is another major challenge for those that live below the poverty line, and generally targets households that are already marginalized. These disparities have only been exacerbated due to the pandemic. As a consequence of the way that American healthcare is set up, most people living in poverty tend to avoid going to the doctor unless they absolutely have to, which further perpetuates the cycle of reactionary medical care rather than a precautionary one. Food insecurity is also surrounded by stigmatization, blaming the starving people for failing to put food on the table for themselves and their families instead of focusing on why this trend is common amongst almost half of the country’s hard-working citizens.

Non-Government Food Aid and Government Food Aid

I included this image to bring attention to the existence of food pantries and their part in combatting food insecurity — Source: Yahoo Images; A picture outside of a food pantry in Baltimore

Well, what about the government? Doesn’t it help those that are facing food insecurities? Government food aid comes in the form of SNAP/EBT benefits, commonly known as “food stamps,” and while it has helped many people struggling with food insecurity, this program has a lot of issues with it (too many to discuss in this blog). For today, however, let’s just examine some of the eligibility requirements to even qualify for food assistance. For one, Congress sets a threshold, requiring that people applying for the program must prove to the government that their income and expenses together show that they are living over 100% below the poverty line.

Furthermore, states can also add additional requirements such as passing a drug test or passing a background check. Some states disqualify applicants that have a criminal history from receiving assistance. If you’ve read my previous blogs about the realities of re-entering society after being imprisoned, you know why this is problematic.

Additionally, if the applicant is an immigrant, legal or illegal, qualifying for food assistance is almost impossible. Those who think that citizenship should be a requirement for food assistance don’t understand what human rights are. Food is a necessary resource that ALL humans have to have, and any person struggling to eat deserves to be helped, regardless of their citizenship status. There is also a requirement that people applying for assistance should have a job working at least 20 hours a week. This means that if you are unemployed, you cannot qualify for food assistance. That is exactly when you need the most help when you have no income or are transitioning from one job to another. On top of all these extensive eligibility requirements, if you are on strike, expressing your right to protest, something secured to you by the Constitution of the United States of America, you will not be able to qualify for food assistance. These conditions that require the people struggling with poverty to prove they are poor enough to receive assistance are demeaning, insulting, and undignifying to those who require the aid.

There are local non-profit groups and state institutions that provide food banks and food pantries where people can go to access food, but these places are usually located in more populated areas, meaning that people who live in rural areas or on the outskirts of cities face additional struggles accessing these food aid institutions. Transportation again becomes an issue for people living far from food banks and further limits their accessibility. Additionally, due to the stigma that surrounds food insecurity, people are made to feel guilty about their situation, and as a result, many avoid going to the food banks altogether.

How COVID has Made Food Insecurity Worse

The recent pandemic has changed many aspects of day-to-day life for people around the world. It has intensified the struggles of many Americans who were barely making it through life before the virus took hold. This same trend holds true when analyzing the pandemic’s impact on people experiencing food insecurity in America. The number of people struggling to feed themselves and their families has increased from 19 million in 2017 to over 50 million people in 2020. This is understandable, as many Americans lost their jobs during the shutdown of the economy, and many did not qualify for unemployment benefits.

Furthermore, due to the unhealthy nature of cheap foods, many Americans are experiencing malnutrition, dealing with obesity, diabetes, and heart problems, among other health issues. These health conditions have made them more vulnerable to catching the virus, and without an income, paying for healthcare becomes a major issue. Additionally, health insurance in America is tied to employment, and many Americans lost their jobs due to the economic shutdown, and as a result, also lost their health insurance coverage. All these factors have collectively worsened the lives of the poor and marginalized communities, adding to the growing financial instability and food insecurities these families face.

What Can We Do About It?

I decided to include this image to showcase how community gardens can help in the fight against food insecurity — Source: Yahoo Images; A man standing with a shovel inside of a community garden filled with growing vegetables and plants.

There are a lot of systemic issues to unpack that either leads to or exacerbates food insecurities. These issues need to be addressed through public policies that would help those struggling to eat by putting more money back into their pockets. These measures include pressuring our local policymakers to support legislation that would increase wages, lower eligibility requirements to access federal food aid, make healthy food more affordable and accessible, provide better public transportation, make healthcare affordable and accessible, and regulate businesses that exploit people to meet profit margins. All these things could help destigmatize food insecurity in our society and empower people to help themselves.

While food insecurity is a systemic issue that needs greater attention from our policymakers, there are still things that we can do ourselves. First, for those who are experiencing food insecurity here on campus, a resource called Blazer Kitchen is available for students and staff members, and their families to take advantage of. Blazer Kitchen is an onsite food pantry for those experiencing food insecurity. I’ve used Blazer Kitchen before, and while it is still a newly growing program, I have been grateful to have this resource at hand.

Second, for those who want to help reduce food waste, those who wish to shop at home, or those that have transportation limitations, Imperfect Foods is an online delivery service that has partnered with Feeding America (an organization aimed at ending food insecurity) to find a sustainable way to cut down food waste while simultaneously providing access to healthy foods for people who are food insecure. So much food gets wasted due to issues of over-harvested crops, changes in packaging, or even due to cosmetic imperfections that don’t always pass the scrutiny of the retail buyers. Instead of letting all this food go to waste, imperfect foods, and other such companies, strive to make use of these goods. This service also addresses the issue of transportation by having these imperfect goods delivered to your house.

Finally, only people who live on properties with land can have access to personal produce gardens right now. Sponsoring local community gardens around the country can help educate people on how to grow their own food, can provide jobs for people to maintain these gardens, and provide access to healthy food options within walking distance. Localized community gardens can also decrease the carbon footprint left behind by massive corporate grocery stores that have to transport goods across states and can cut down on food waste as well. Also, share your experiences with food insecurity; let others know that you are experiencing it too. This helps start the process of destigmatizing this issue while educating others about the realities and complexities tied into your experiences. If you have the means to, donate to food banks and other such nonprofit organizations that provide help for those who desperately need it. Even if you never get to meet the people you are helping, know that they still greatly appreciate it. I know I do.

COVID-19 and the Native American Population

In retaliation to a day celebrating the world’s best-known colonizer, the infamous Christopher Columbus, on October 11th, Indigenous People’s Day highlights the culture, struggles, and history of America’s indigenous population. A silent struggle, however, persists: disease.

Native Health Disparities in COVID

The early 1600s brought to America the infamous two Gs—guns and germs—the latter proving the most deadly as bouts of influenza took a toll on Native American populations across what is now the United States. In the age of modern medicine, it comes as a surprise that disease still wreaks havoc on America’s indigenous population. The ongoing COVID-19 pandemic is no exception.

While COVID-19 holds a dizzying death count as its trophy, the disproportionate difference between white people and minorities, including Native Americans, is staggering. In fact, Native Americans can experience anywhere from 3 to 4 times the risk of dying from COVID-19 as compared to their white counterparts.

An animation of what COVID-19 looks like at the viral level — Unsplash

Funding the Indian Health Service

This vast gap is a reflection of poor medical and public health services for Native Americans. Health disparities that plague the Native population include diabetes, heart disease, and rates of addiction to harmful substances. These follow a similar pattern of COVID-19 with Natives being more likely to experience these chronic conditions compared to all other racial categories. These disparities could potentially be alleviated by greater equity in access to medical and public health services, but a fundamental issue in providing this care lies in Native sovereignty. As determined by Worcester v. Georgia, 31 U.S. 515, Native American land, or reservations, are considered sovereign land. While at face value this seems to be a win empowering Natives and acknowledging their right to the land that was once theirs, it creates a vacuum of public services.

Encapsulated by possessors of what was once their land, Native health and well-being are bound by the constraints of the state. A lack of widespread taxes, natural resources, and human resources leaves the reservations reliant upon the ‘external’ state of America for support and sustenance. Most money generated on reservations largely consists of gambling and casino money—practices usually outlawed in the surrounding states. This money only goes so far in providing for the tribe as money often stays within certain families, leaving the rest of the reservation in high rates of poverty. Thus, the main provider of health care for nearly 2.2 million members of the tribal communities, the Indian Health Service, is funded by American tax dollars. And yet, the IHS’s hospital system is severely underfunded and understaffed. The main mechanism created to fight disease seems designed to fail. In this sense, disease continues to persist as a remnant of colonialism, which directly violates the fundamental human rights to accessible health care and to acceptable standards of living.

Vaccination Rates on the Reservation

The only light at the end of the tunnel is the rapid rate of Native American vaccination against COVID-19. While co-morbidities and co-mortalities make it such that if COVID is contracted, Natives will be more susceptible to death, the COVID-19 vaccine acts as an equalizer. Once vaccinated, the likelihood of death by COVID-19 significantly decreases.

Native American tribes have been able to boast proud levels of herd immunity with large tribes like the Navajo Nation at roughly 70% fully vaccinated as of May 2021. This commendable statistic is a result of rallied community effort. Cultural values of supporting the elderly and a strong sense of family and allegiance to the tribe—values typically highlighted in Indigenous People’s Day—worked in favor of creating a climate in strong support of vaccination and vaccine acquisition.

Gloved hand pulling the liquid of a bottle labeled COVID Vaccine into a syringe meant to vaccinate people. — Unsplash

Looking Ahead

While the tide has turned in favor of Native Americans, preventing them from being labelled as another health disparity statistic in COVID-19, it is important to remember and to look towards long-term health care equity and solutions for Natives. While increasing funding for the IHS is certainly a good starting point, robust public health interventions and funding for community programs is necessary. Funding dollars from the top could in theory trickle down, but grassroot rallying and support for public health interventions in a community where cultural values of togetherness and unity already exist could prove to be the needed impetus for transforming not only health care access and quality for the Native American population but also general standard of living that leads to health baselines which are robust to disease.

Afghanistan’s Deteriorating Healthcare System

Afghanistan’s healthcare infrastructure is crumbling after its foreign assets were frozen and donor organizations pulled funding after the Taliban takeover. The Taliban is a Pashtun Islamic extremist group that is known for imposing strict religious and conservative rule over their areas of operation including Afghanistan and Pakistan. The organization previously served as the government for southern Afghanistan in 1996-2001 during which the healthcare system had collapsed. The child mortality rate was 2x as high as it was in 2012 and polio was widespread. Safe drinking water and sanitation were also nonexistent.

Over the past two decades, non-governmental organizations (NGOs) have historically provided 75% of the funding and supplies to support the healthcare systems in 31 out of the 34 provinces of Afghanistan. As a result, the Middle Eastern country has seen enormous improvements in the healthcare system. As of 2018, with over 3,000 medical facilities staffed and supplied, about 87% of the population were able to receive services. Maternal and child mortality rates also plummeted and infectious disease treatment programs helped decrease mortality rates.

International donor support started declining even before the Covid-19 pandemic, and Afghanistan’s Ministry of Health and other public health organizations were barely able to compensate. The economic decline at the onset of the pandemic made medical resources even more scarce. Hospitals began charging payment for supplies such as meals and scalpels previously free to patients, and patients were forced to use their own money to buy surgical equipment. In April 2021, President Biden announced that the United States would withdraw all of their 2,500 troops from the Afghanistan, triggering the entire NATO (North American Treaty Organization) alliance to withdraw a total of 7,000 troops. The process was completed in mid-September. Shortly thereafter, the Taliban rose to power once again in Afghanistan.

A pile of international notes from the United States, Turkey, and Europe. Source: Unsplash

The World Bank then froze $600 million in health care aid funded by the US Agency for International Development, the European Union, and others. The $600 million was part of the Sehatmandi project, a global initiative to increase health facilities in Afghanistan, which was a collaboration with the Afghanistan government. The withdrawal shut down 2000 of the 2800 facilities that the project previously funded, leaving healthcare workers and patients out in the wind. Currently, healthcare workers have not received payment in 6 months and do not know when they will receive payment. Many patients struggle to reach the remaining facilities because the trip there is either unaffordable, geographically dangerous, too far, or the route is lined with Taliban conflict.

If provided now, donors feared that donations and allocations would be misused by the Taliban to generate income for the militant group instead of for healthcare problems. There is speculation that if the funds are released, wages will never reach workers and medical supplies will be bought then sold to the public at astronomical prices. All entities are waiting on instructions or action from other governments to search for a way to transfer donations in order to circumvent the regime’s administration.

Healthcare for Children

A toddler girl biting into her shirt sleeve next to her parent. — A toddler girl biting into her shirt sleeve next to her parent in Afghanistan. Source: Unsplash

Hunger is becoming more widespread as inflation rates climb and supply chains grow unsteady. The Integrated Food Insecurity Phase Classification (IPC) reported that half of Afghans will face acute food insecurity before winter arrives.

Malnutrition and malnutrition-related illnesses are far more dangerous than any other disease for children. Specific types of malnutrition called acute severe malnutrition and child kwashiorkor, a severe protein deficiency, is prevalent in Afghanistan and are caused by eating too little food or not at all. It can be treated by administering Ready To Use Therapeutic Food (RUTF) and oral hydration therapy. Over 2 million children under 5 years old do not have access to this life saving treatment in Afghanistan. At least half of the children in the country are victims of malnutrition and in light of the food scarcity, mothers unable to produce breastmilk have resorted to feeding infants water mixed with sugar.

Staffing shortages are also insurmountable. Nurses and doctors fled the country fearing what the Taliban’s takeover could mean for their lives. In the main children’s hospital in Kabul, nurses previously caring for 4 babies now have to care for 24 babies each while hospital staff try to squeeze 3 infants into 1 incubator due to equipment shortages. Current staff are overworked and still have to take up jobs at other institutions to get by. Medicinal needs are also not being met for children and adults. Drug cabinets and storage closets become emptier every day as the influx of patients has depleted the resources faster than can be transported into the country.

A hand holding a cluster of large, yellow tablets. — A hand holding a cluster of large, yellow tablets that are basic medications that Afghans need. Source: Unsplash

Women’s Health

The aid cuts have also decreased access to essential healthcare resources for women and girls, including contraception and family planning. Many women carry out risky pregnancies and are subjected to unsafe reproductive procedures without modern medical equipment. Prenatal and postnatal care for infants is not provided, and postpartum care for new mothers is nonexistent. Despite the labor shortages, a great deal of responsibilities for maternal health clinics are on the backs of midwives. Midwives continue to perform complicated surgeries, dangerous deliveries, and other reproductive procedures.

Expensive medicines and transportation to clinics for health problems are not feasible for the majority of Afghan women. Beginning in early 2017, extremist groups turned their sights on medical facilities in Afghanistan, which led to increase of attacks on aid workers, doctors, and hospitals. Mounting fear against staying in maternity clinics has also driven many women away from seeking help.

Covid-19 Pandemic

The lack of data and accountability in Afghanistan makes it difficult to comprehend the extent to which the virus has contributed to the death rate. Around the world, Covid cases are increasing, and the Afghan population is largely unvaccinated. According to the latest data from the United Nations, only 2.2 million of 39 million individuals have been vaccinated, while 1.8 million doses are waiting to be distributed.

Public health experts worry that an impending 4th wave of the disease will render the healthcare infrastructure irreparable. Dead bodies line hospital morgues and overflow into the outside corridors as the lack of fuel has stopped ambulances from operating. Many sick patients suffering from Covid don’t bother coming to hospitals, because they know they would not be able to receive medical assistance. Hospitals, private practices, and clinics are resorting to hastily assembling makeshift wards outside hospitals to accommodate Covid patients.

The healthcare situation in Afghanistan has been worsening for years, and in light of the looming public health disaster, much more support from the international community is needed. The snowball effect of international neglect will continue unless major monetary, political, economic, and healthcare interventions are considered. Nonprofit health organizations such as Doctors Without Borders have been tackling both maternal and child healthcare as well as managing Covid cases in 5 provinces, but people can help by donating to Doctors Without Borders, United Nations Children’s Fund (UNICEF), and increasing awareness for the healthcare crisis in Afghanistan.

Improper Sex Education and the Effects on Women’s Health in Alabama

Sex Education in the United States

In the United States sex education has historically been underfunded and often used as a tool to shame people for their sexuality. Currently, only 29 states in the United States mandate sex education; however, this still does not ensure that children are taught medical sex education in school. In fact, 37 states within the United States require abstinence to be taught as the only way to prevent sexually transmitted diseases and unwanted pregnancy. Even worse, up until April 2021, seven states in the South prohibited educators from discussing LGBTQ+ identities and relationships, which further stigmatizes youth and puts them at a higher risk of contracting sexually transmitted diseases. Currently, now that Alabama has passed a new bill which removed homophobic language forbidding schools from teaching LGBTQ+ sex education, teachers are able to create sex education curriculum as they please, as long as parents are sent an overview of the curriculum and agree to let their children learn said material.

How U.S. Sex Education Policies Measure Up to the ICPD

According to the 1994 Cairo International Conference on Population and Development (ICPD), “ the objective to achieve universal access to quality education, underlines that gender-sensitive education about population issues, including reproductive choices and responsibilities and sexually transmitted diseases, must begin in primary school and continue through all levels of formal and non-formal education to be effective.” The ICPD further notes that “full attention should be given to the promotion of mutually respectful and equitable gender relations and particularly to meeting the educational and service needs of adolescents to enable them to deal in a positive and responsible way with their sexuality.” When looking at the rights set forth by the ICPD, it becomes clear that the United States is failing their youth populations and exposes them to unnecessary risk by refusing to inform them of the dangers that come with unprotected sex. By not requiring sex education, the United States also fails to inform youth of preventative measures they can take to ensure the utmost safety and consensual enjoyment between parties. This lack of education has not only resulted in a multitude of unwanted pregnancies and an overflooded foster care system; but has led to thousands of people, especially in the South, contracting chronic disease and illness that will impair them for the rest of their lives as well.

Women’s Healthcare in Alabama: The Dangers of Improper Sex Education

While the United States as a whole has failed its constituency by refusing to mandate sexual education to be taught in schools, the state of Alabama stands as a paradigm for just how dangerous a lack of healthy and inclusive sex education can be. According to Human Rights Watch, the lack of sex education in Alabama has led to relatively high mortality rates. These “mortality rates are higher for Black women, poor women, and those who lack access to health insurance.” In fact, according to the CDC, in 2017, Alabama was among the top five states in the country in terms of the highest rate of cervical cancer cases and deaths, and “Black women in Alabama are nearly twice as likely to die of the disease as white women.” While multiple factors are contributing to this alarming statistic, Human Rights Watch found the following issues to be catalysts for these poor outcomes in Alabama: “shortage of gynecologists in rural areas, prohibitive transportation costs often required to travel to see a doctor for follow-up testing and treatment, and Alabama’s failure to expand Medicaid to increase healthcare coverage for poor and low-income individuals in the state”. By refusing to provide access to healthy sex education, Alabama has left thousands of women without the proper knowledge that is necessary to lower the risk of cervical cancer.

A mother and her child during a pediatric check-up — Yahoo Images, a mother and her child photographed during a pediatric check-up

The Current State of Sex Education in Alabama

In Alabama, the current state code claims that abstinence outside of marriage is the “social norm”. By making non-marital sex an abnormality, the legislatures have shown that they have no interest in providing education to youth who may break the “social norm”. Moreover, in the past, Alabama code emphasized that sexual curriculum had to be presented in a “factual manner and from a public health perspective, that homosexuality is not a lifestyle acceptable to the general public and that homosexual conduct is a criminal offense under the laws of the state”. By painting non-heteronormative orientation as “criminal” Alabama consciously stigmatized members of the LGBTQ community for decades, which put them at a higher risk of contracting a chronic disease. In fact, according to SIECUS, Alabama ranked fourth in the nation for reported cases of chlamydia, gonorrhea, and syphilis in youth aged 15-19. Yet, thanks to activists and constituents voicing their concerns, the Alabama legislature has now removed said discriminatory language from their sex education bill. However, there is still a large amount of work that must be done to further advocate for proper, medical sex education to be provided to students.

Yahoo Images, A woman is holding a poster which states “A woman’s place is in the resistance”

Ways to Get Involved

Thanks to the work of activists, legislatures, and constituents alike, Alabama’s laws have been updated so that they no longer criminalize LGBTQ+ individuals within the states schools’ sex education curriculum. Yet, the work is not over, and schools are still able to refuse to educate students on safe sex practices for non-heteronormative relationships, as long as parents of students consent to the curriculum proposed by staff. This continuation of the lack of medical sex education in our school systems is still leaving children vulnerable to ignorance, and exacerbating the current health issues which are prevalent amongst marginalized groups, especially within the South. Certain organizations, such as the Alabama Campaign for Adolescent Sexual Health and Advocates for Youth Sex Education, are currently advocating for proper sex education. If you are interested in getting involved, sign up to be an advocate for proper seed education through AMAZE, or with WISE (Working to Institutionalize Sex Education), to help aid in the fight for proper sexual education for our youth. Furthermore, if you would like to learn more about the rights of LGBTQ+ individuals and current issues within the LGBTQ+ community, then click this link.

An Ongoing Fight for Paid Parental Leave in America

Woman working on a laptop while holding a baby — Source: Yahoo Images

The United States is one of three countries in the world, and the only first world country, that does not provide paid time off upon the welcoming of a new child into the home. Today, eighty-two percent of U.S. voters, across party lines, support implementation of a national paid family and medical leave policy. However, only thirteen percent of American workers have access to such privileges. Much of the debate surrounding the topic involves who will pay for such policies, and who exactly should be eligible to receive the benefits. Whether you have personally been put at a disadvantage by this situation or have the privilege of merely learning about it from media outlets, such as Senator Bernie Sander’s audacious Instagram posts, it is quite difficult to ignore the prevalent issue of the lack of paid parental leave in America.

Paid Parental Leave as a Human Right

The scarcity of paid parental leave is a violation of various aspects of the Universal Declaration of Human Rights. Article 23 of the UDHR states that everyone has the right to “just and favorable conditions of work” and “remuneration ensuring for himself and his family an existence worthy of human dignity and supplemented, if necessary, by other means of social protection.” The definitions of adequate work conditions and social protections can and will obviously be interpreted by society in different ways over time; however, Article 25 goes on to state:

“Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including…medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.
Motherhood and childhood are entitled to particular care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.”

Regardless of not being stated specifically, it is a common belief that paid parental leave exists within the realms of the above stated rights and is an ethical standard to which society should be held. Pushing personal opinions aside, a recent article from The Guardian says “The American College of Obstetricians and Gynecologists (ACOG) recommends women take at least six weeks off work following childbirth. But with no federally mandated paid family leave, for many women maternity leave is an unaffordable luxury.”

The Reality of a Working Mother without Parental Leave

As the participation of women in the workforce has steadily increased since post-World War II, the modern era expects women to work full-time as if they are not raising children, yet also expects women to raise children as if they are not working full-time jobs. This concept is evident in many American women’s lives who push off having a career until their children are grown or wait to have children until they are settled in their career. With the knowledge that many women do not have access to parental leave, another question is evoked: what happens to working women when a child is born? Those who are lucky enough to have a planned pregnancy may opt to save as many sick days as possible before their delivery date to be used during their recovery. But unfortunately, in many cases women can be forced to leave their jobs because of choosing to give birth.

Not all Families are Impacted the Same

In addition to women being disproportionately affected on a large scale, there are various other societal groups which are put at a greater disadvantage. According to a June 2021 article on BBC, “workers in blue-collar jobs are less likely to get paid parental leave than those with corporate jobs.” This not only affects the lower-income spectrum of the working class, but therefore largely affects BIPOC women and families at a higher rate than their white counterparts. Specifically in the post-war years, resistance formed through the idea that granting universal leave to all workers would encourage the “wrong” families to have the ability to produce. The UDHR lays out in Article 2 that all persons should have access to such human rights without any distinction regarding not only sex and gender, but race and social status as well.

What does the fight towards ensured parental leave in America look like today?

map of maternity leave around the world — Source: Yahoo Images

The fight for paid parental leave is not new to the agenda of human rights crises. In November of 1919, The International Labor Organization was quoted by the International Congress for Working Women in stating 12 weeks of paid parental leave is a “medical necessity and social right.”

Today, lawmakers across America’s political spectrum voice their support for paid parental leave. Regarding the public, advocating for paid parental leave should be accompanied by voting for politicians at a federal and state level that will bring action to further implementing this agenda into legislation. There are also various activist organizations nationwide that can be further magnified by volunteers or monetary donations, including the PL+US and the National Partnership for Women and Families.

The Realities of Being Homeless in America

The homeless population in America tends to be neglected by the society they live in. They are among the most vulnerable, belonging to already marginalized communities that struggle to meet their day to day needs. As a result, the unhoused have little to no power or influence on social norms and affairs. As someone who has experienced homelessness both in India and in America, I have come to distinguish some of the common misconceptions society holds about the unhoused population. There are a lot of stereotypes and social stigma that surrounds the discussions around homelessness, which often blames the victims of systemic issues, instead of restructuring the conversation around how we as society can best help these marginalized groups realize their basic human rights to shelter. In order to do so, we must first understand what it really means to be homeless in America.

History of Homelessness in America

Homelessness is not an issue unique to the United States, as it can be found in countries all over the world. While homelessness in America can be found as early as the colonial times, modern homelessness rose as a response to the Great Depression, where people experienced high levels of unemployment and poverty. Especially interesting is the relationship between the growth of urban cities and the rise in homelessness. Coupled with low-wages and higher costs of living, people found it more expensive to find places to live in urban centers, such as New York and California. The aftermath of the Great Depression put a lot of people in desperate need of employment, and as the economy took to the service industry, more and more undereducated, impoverished people had no other choice but to turn to these low-income jobs. The country’s shift to a service economy meant that laborers were now being paid lower wages, leaving service industry employees unable to afford the rising costs of housing. Coupled with higher housing costs and lower wages, when people turned to social welfare programs, they found these programs to be lacking in funds as well.

Additionally, there was a campaign to “Deinstitutionalize” people held in mental asylums. While the campaign itself was well-intended, its applications were lacking in structure, and instead of providing patients with proper access to mental health resources, people with mental disabilities were released to fend for themselves. The neglect of these institutions led to the increasing numbers of mental health patients facing housing insecurity. To make matters worse, gentrification policies (made to bring in wealthy real-estate investors and high-income residents to underdeveloped parts of the city) led to the displacement of many low-income families, putting them out of their homes. These policies disproportionately affect people of color, something that has forced many marginalized communities to fall prey to an endless cycle of poverty and degradation.

Unfortunately, one of the most concerning additions to the homeless population is the disproportionate number of youths that identify as being part of the LGBTQ+ community. According to a recent study conducted by Chapin Hall at the University of Chicago, LGBTQ+ youth had a 120% higher risk of experiencing homelessness. These members who already belong to an ostracized community can become more vulnerable to harassment, violence and hate crimes.

Additionally, unable to find jobs after returning home from military service, many veterans end up homeless with nowhere else to go. Although places do exist to support veterans who experience homelessness, many are either unaware of the resources at hand, or too ashamed to use these resources. As a result of the social stigma surrounding the topic, people experiencing homelessness often become withdrawn from society.

Society’s Attitudes Toward the Homeless

A bench that has armrests in-between to prevent laying down — Source: Yahoo Images; An example of hostile architecture that prevents the unhoused from sleeping on benches

Homelessness is received with wildly different attitudes among different cultures. America is a very diverse country, with people that share hundreds of different cultures and traditions, and these cultural attitudes can carry over in the way they respond to contemporary social issues. Different cultures share a varying definition of what a “home” means, and even more distinctions in their approach toward people experiencing homelessness. What the dominant White culture might consider to be a home, (an individual unit of space for nuclear families), might not be what someone who belongs to the Indigenous population believes. They might argue that a home is where you can interact with your community, a place to feel safe and share with friends and family. Even the attitudes toward helping people who are unhoused have strict cultural implications. As described in Islam, it is part of the every-day religious ritual of a Muslim to give alms and help the poor in their community. In Hinduism, while helping the poor with food and shelter is allowed, certain castes are not allowed to eat alongside with or sit beside people of lower castes. People experiencing homelessness have their own unique culture, where certain skills or strategies for survival on the streets are shared amongst each other.

Along with all these complexities, the unhoused also undergo various types of stigmas, including social stigma, and cultural stigma. Social stigma can be discrimination and harassment directed toward the homeless population by the institutions, systems and people that make up society. Cultural stigma can refer to the stigma expressed by friends and family members or other religious or cultural institutions that may shame and blame the victims for being homeless.

Unhoused people also have a hard time finding employment. This is partly due to the fact that the job application requires a home address for the application process to be completed. As a result, people who are dispossessed also experience difficulties when finding housing. The applications for apartments include a proof of income/employment section and applying for government housing takes months to be processed and reviewed. Many states have long and complicated application processes, and even then, it is not a guaranteed housing option. Nevertheless, applicants can be denied, and they would still need a place to stay while awaiting their application to be approved.

Adding to these difficulties, people in the homeless community are constantly harassed with wild stares or abuse, (both verbal and physical), from members of society. The law enforcement agency, an institution designed to serve and protect people of the community, may make matters worse by deteriorating the situation further. Without proper training, police approach the homeless defensively, ready to attack at the slightest “abnormal” reactions. What they haven’t been trained to realize is that many people experiencing homelessness are also at high-risk of developing mental health issues due to the stress and realities of being homeless. These altercations can turn deadly, and unfortunately, many people of the homeless community have either been locked up or even killed by officers of the law. Many of these instances were even caught on camera, yet these officers faced little to no accountability or legal punishment.

People experiencing homelessness are also easy targets to getting their possessions robbed, and many times, police will raid their camps and confiscate what few belongings they might acquire, including sleeping tents and toiletries. Society also treats the homeless population as a burden and blames them for being “lazy” or “druggies” or “criminals/suspicious,” without any provocation from the homeless community. It can be especially insulting for the people experiencing homelessness to be judged for their situation while society simultaneously fails to criticize the state’s inability to protect peoples’ fundamental human rights to food, shelter, and other basic needs.

The Legal Response to Homelessness in America

Spikes under bridges — Source: Yahoo Images; An example of hostile architecture to deter the homeless from sleeping under bridges

The legal response to the homelessness crisis in America has not been a heartwarming one either. Urban cities all over the United States have put in place anti-homelessness measures, otherwise known as hostile architecture. These include slanted benches, benches divided by armrests, spiked and rocky pavements to prevent people from sleeping there, and even boulders under bridges. Not only are these measures inhumane, they also cost the tax-payers a lot of money. These atrocious tactics are put in place to discourage homelessness, attempting to connect rising numbers of homelessness to increased crime rates. As recently as July of this year, Los Angeles even went so far as to make homelessness downright illegal, restricting homeless encampments in majority of the city. The city has even prohibited the homeless from sitting, sleeping, or laying in public. Due to the fact that homelessness overwhelmingly affects people who belong to already marginalized communities, a rights-based approach is necessary, one that addresses the existing systemic issues which need to be fixed first.

Covid-19 and How it Continues to Impact the Homeless Population

An image of a crowded homeless shelter — Source: Yahoo Images; Homeless shelters can be crowded, without proper social distancing measures in place

The Covid-19 pandemic continues to impact many different communities in a variety of ways. The pandemic hit especially hard among the homeless population, where access to hygienic products are often slim, if not non-existent. People experiencing homelessness may not have the ability to continuously wash and sanitize their hands, with limited access to clean water and soap products. They also been experience complications with social distancing measures, forced to be in crowded spaces like homeless shelters, which has only increased their risks of getting infected. Furthermore, even when infected, or exposed to the disease, the homeless population has very limited ability to quarantine, further allowing the spread of the disease to others in close proximity. The unhoused population has limited access to healthcare and medicinal treatments, and many are already immunocompromised or have pre-existing conditions, which increases their vulnerability of catching the disease. Stereotypes geared toward the homeless population labeling them as “junkies” or “druggies” has influenced the care they receive, leading to many cases of misdiagnoses or mistreatment as a result of biases held by healthcare professionals and others in the health care industry. Due to the rise in unemployment numbers during the economic shutdown as a response to the pandemic, millions of people who did not qualify for unemployment benefits, and could not make ends meet, also became homeless as a result.

Some Successful Approaches to Ending Homelessness

A person sitting next to a hostile architecture with a sign reading, "Homes Not Spikes" — source: yahoo images; An unhoused person advocating against hostile architecture

There have been some successful attempts at ending homelessness in America as well as in other nations. Utah attempted to decrease its rates of homelessness back in 2015, which successfully reduced its homelessness by 91%. They executed a policy known as “Housing First,” which gave their chronically homeless populations free housing, a decision that cost the state less money than alternative anti-homelessness measures. This program unfortunately has not been a complete success, as people experiencing homelessness in other states have been migrating to Utah, making it too expensive for Utah alone to pay for the country’s increasing homelessness crisis. A national policy, on the other hand, that could implement the Housing First approach taken by Utah, may be the easiest, and essentially cheapest option to ending the homelessness crisis in America. This is essentially what Finland did. In 2019, Finland approached the homelessness issue with the most obvious of answers, by providing housing for all those who are unhoused. Like Utah, they applied the “Housing First” policy, (which came with no strings attached), recognizing that housing is an essential human right that should be protected and promoted. They also understand that in the long run, providing the homeless population with housing is the cheaper option to society. Also, as examined earlier, if applied in America, this Housing First policy will inevitably save more lives, with fewer interactions between the homeless and the police.

While homelessness is not something people are normally born into, the unhoused face discrimination, stigmatization, and marginalization from society just as much as any other group. Although people’s socioeconomic status is a major factor in determining who is most vulnerable to experiencing homelessness, as we’ve seen in the case of the LGBTQ+ youth, and older veterans as well, homelessness can impact people of any and all races, at various age levels, and at any given time. The pandemic itself has expanded the homeless population as people are unable to pay their backed-up rent or mortgage payments. While alternative approaches can assist to eradicate levels of homelessness in our society as implemented in Finland and Utah, it is crucial that we also continue to destigmatize being homeless in American society and take a rights-based approach to finding long-term solutions to end their suffering.

Gun Violence and Human Rights – An Event Recap

Bullet casings and crime scene tape — Source: Upsplash

On Wednesday, September 29, the Institute for Human Rights at UAB welcomed Katie White, UAB Masters of Public Health student, to the Social Justice Café. Katie facilitated a discussion on gun violence and human rights.

Katie began by sharing that her research on gun violence in Birmingham emphasizes the intersections with public health and public health responsiveness. Katie shared statistical data on national rates of gun violence as well as in the state of Alabama. In the United States, there are an estimated 393 million guns — more guns than humans. Gun violence accounted for 961 deaths in the state of Alabama in 2020. The state of Alabama has the 5^th highest death rate nationally, and there was a 15% increase in gun related homicides from 2010 to 2019.

Katie also discussed how the city of Birmingham is addressing the growing trend of gun related homicides. Birmingham has invested in various forms of technology such as; ShotSpotter, Predictive Policing, and a state-of-the-art real time crime center. The implementation of new technology is a step in the right direction, according to Katie; however, technology can be flawed and subject to bias and discrimination, especially against People of Color and people living in underserved communities. Additionally, the merger of traditional police work with new technology is inherently reactionary, creating a strong response whether than creating a strong deterrent.

Social Justice Café participants asked questions and shared their personal opinions. One participant asked Katie if she had any suggestions on how to minimize gun related homicides in the Birmingham. Based on her research, Katie suggests a three-point plan beginning with the implementation of economic development within disadvantaged communities that have historically lacked social mobility and access to opportunities. Next, Katie suggested the implementation of “Hospital Based Gun Violence Intervention (HBCVI).” HBCVI is initiated when a gunshot victim is admitted into a medical facility. Katie shared that “people who are most likely to commit gun violence are often likely to become victims of gun violence.” HBCVI is a proactive policy used to break the cyclical nature of gun violence. The victim will be offered social assistance in the form of social workers and a police officer. It will be the responsibility of the police officer to gather obtain information to locate the perpetrator of violence. It will be the responsibility of the social worker to administer much needed support to the victim as they journey down the road to physical and mental recovery. The implementation of HBGVI could solve a plethora of social injustices. The neglect experienced in underserved communities tends to manifest in the form of violence and mental health deterioration. HBGVI can address violence within underserved communities, as well as administer much needed mental health support during moments of extreme stress. Finally, Katie suggests the City of Birmingham create conflict resolution courses to be taught within communities as well as in the classroom. Arming citizens with healthy conflict resolution skills, instead of firearms, will better prepare citizens to avoid conflict.

After a robust discussion, varying in topics ranging from public health initiatives to community building, Katie offered a final sentiment: “Gun violence is a complex issue and requires a complex solution.” It is the responsibility of everyone to prioritize institutional response to the escalating threat of gun violence.

Thank you, Katie White and thank you everyone who participated in this wonderful discussion. Our next Social Justice Café will be held on Wednesday, October 13, and we will be discussing vaccine mandates and human rights with Dr. Suzanne Judd. Everyone is welcome. Register here!

To see more upcoming events hosted by the Institute for Human Rights at UAB, please visit our events page here.

A Glimpse at the Battles Women Face in Nicaragua

by April Alvarez

A Human Rights Internship

This 2021 Spring Semester, UAB’s Institute for Human Rights had the privilege of partnering with Clínica Verde in Nicaragua to dive into the human rights issues that women in the country face, especially regarding health care. The internship, directed by Dr. Tine Reuter and Dr. Stacy Moak, has opened doors to important conversations about the importance of voicing and advocating for people who need support. Although the semester just started, those involved with the internship have already been exposed to several educated and experienced scholars that are making a mark on the country and are looking to equip and inspire others to do the same. In just one month, students have learned about the life of women and children have struggled to find economic stability, and access to basic resources. The purpose of this partnership with Clínica Verde is dive deeper into the ways that UAB (University of Alabama at Birmingham) students can serve others even during a global pandemic. Through the development of the course students will develop programs and educational presentations that aim to advocate the same values and goal displayed by the staff at Clínica Verde to reach out to more people in the clinic’s surrounding community but also to those in more rural areas.

Feed My Starving Children (FMSC)

Yolanda Paredes-Gaitan was the first speaker invited to speak to the students. She lived in Nicaragua for twelve years but is now currently living in California and working for the U.S. government. While in Nicaragua, she worked alongside Clínica Verde helping find ways to advocate for human rights issues, now she does that in partnership with the U.S. Valuable information shared through her presentation revealed that 65% of people in Nicaragua live in rural areas that are usually only accessed by walking or horses. Although the country of Nicaragua is rich in resources such as coffee, chocolate, and honey, however the country has been deemed the second poorest country, after Haiti. So why does this matter? It matters because it affects everything, including the quality of life in the country. Every community in the country has what is known as a health post. Each health post is usually the primary place for individuals to go to for basic health care needs, especially since few people have access to a nearby hospital. However, the problem is that most of the posts are rundown and in need of repairs. With the help of Clinica Verde, one post which had a structure that was falling apart, had holes in the roof, had no running water was transformed into a new and improved post that is now a green building that has natural ventilation, lighting and has access to water and the resources needed to provide the community with quality services. The goal of Clínica Verde is not to keep all the knowledge to themselves but instead to spread it with those in the country. Another thing that the clinic has been able to do is to provide posts with the knowledge necessary to run an intensity garden. The reason the clinic does this is because they are not looking to provide the women and children with short term solutions to their problems. They want to equip people with the knowledge to improve their lives long term, so they are more educated on how to live a more healthy and sustainable life.

Who visits the clinic?

People from all around the country visit the country. One lady traveled by bus and walked two hours up a hill just to get back home, but she did it because she loved the care provided by Clínica Verde. However, unlike the traditional view that when patients need care, they must go to the clinic, Clínica Verde travels to rural communities three times a week. Their mission goes beyond what the four walls of their building. They make it a priority to reach those who would otherwise not have time to visit the clinic. Another important thing to note is that the clinic also Nicaragua had no education in optometry until one donor came to the country and changed that. Now the team at Clínica Verde also has a program that helps provide people in the community with free glasses which is centered around the students but also anyone in the student’s lives that may also need glasses. This optometry program has also allowed senior citizens to have surgeries that have saved them from going blind.

COVID-19 vaccine disparity in Israel and Palestine

Since the middle of November, COVID-19 cases have hit record-highs for the pandemic across the world. Countries around the world are pushing to get healthcare workers and the general population vaccinated to ease the burden of increased cases on health systems, economies, and citizens. The logistics of obtaining and delivering the vaccine have proved a slow, arduous task in many countries across the world.

However, Israel has reported success in rapidly vaccinating health care workers and the general population. At the end of December and early January, Israel reported that it had administered vaccines to around 17% of the population. According to the Jerusalem Post, Israel has secured enough vaccines to have all Israeli citizens vaccinated by March 16th of this year. Israeli Prime Minister Netanyahu has declared, “We will be the first country to emerge from the coronavirus. We will vaccinate all relevant populations and anyone who wants to can be vaccinated.” He went on to say that Israel will be a “model-nation” for how to exit the coronavirus.

A man walks down the street during the Bnei-Brak Coronavirus shutdown in Israel — Source: Amir Appel, Flickr

A significant portion of Israel’s borders is made up of 5 million Palestinians who live in the West Bank, Gaza Strip, and East Jerusalem. Israelis within the defined borders of the state number at 8 million, making Palestineans comprise 39% of the population. Israel occupies the West Bank, meaning most of the territory is under the control of the Israeli government. Gaza Strip has been blockaded, and the Israeli government controls all resources entering and exiting the area. However, Israel has no plans to vaccinate any Palestinians even though they are inoculating residents living in Jewish settlements in occupied territory. They sight the Oslo Peace Accords from the 1990s, saying that Palestine is responsible for their own healthcare. So far, the only Palestinians that have received any vaccines are those living in East Jerusalem, since they have Israeli residency and access to Israeli healthcare.

A view of the West Bank, Palestine — Source: archer10 (Dennis), Creative Commons

Within Israeli territory, Palestinians have carried the higher burden of COVID-19 cases and deaths per capita. Of the people who get COVID-19 in Palestine, 1.1% will die from the disease. In Israel, this number is 0.7% due to better access to higher quality healthcare. Israel has begun to give vaccines to medics, nurses, and doctors working in the 6 Palestinian hospitals, but they were not available until the past few weeks. Vaccines are still unavailable to Palestinians with high-risk health conditions and those over 65, even though all Israelis over 40 are now eligible.

The human rights body of the United Nations has released a statement saying that it is Israel’s responsibility as an occupying power to provide equitable access to Covid-19 vaccines for Palestinians in Gaza and the West Bank. There has been a huge inequality in vaccine distribution between Israel and Palestine, and the people of Palestine need vaccinations like those in the occupying power of Palestine.

UPDATE (March 29, 2021): According to BBC News, in early March, Israel decided to start offering the vaccine to the some 130,000 Palestinians living in occupied East Jerusalem or coming to work in Israel or in Israeli settlements in the West Bank. In other parts of the West Bank and in Gaza, the situation continues to be very bleak – infections are rising, new restrictions are being imposed, and vaccination efforts have been much slower to start. The Palestinian authorities have begun administering vaccines supplied under the international Covax vaccine-sharing scheme, which is intended to help poorer countries access supplies, and the UAE has donated 20,000 doses of the Russian-made vaccine to residents of Gaza. There is some argument over who is responsible for vaccinating Palestinians, with Israel pointing to the specification in the Oslo Accords stating that “Powers and responsibilities in the sphere of Health in the West bank and Gaza Strip will be transferred to the Palestinian side, including the health insurance system.” On the other hand, the United Nations issued a statement saying that according to the Fourth Geneva Convention, Israel (the occupying power) is “responsible for providing equitable access to Covid-19 vaccines for Palestinians in Gaza and the West Bank.” In any case, now that the vaccine is in greater supply, Israel has begun including Palestinians with work permits in the vaccine rollout.

The Texas Social Worker’s Code

social work student listening to lecture — Social Work Students’ Accreditation Visit 3.26.13. Source: Southern Arkansas University, Creative Commons

Social work is a field in which professionals are intended to do their best to help connect members of vulnerable populations with the resources necessary to allow them to live with their rights and general well-being safe. However, on October 12 of this year, during a meeting between the Texas Behavioral Health Executive Council and the Texas Board of Social Work Examiners, a section of the social workers’ code of conduct was altered. A section which previously stated, “A social worker shall not refuse to perform any act or service for which the person is licensed solely on the basis of a client’s age; gender; race; color; religion; national origin; disability; sexual orientation; gender identity and expression; or political affiliation.” During the meeting, the words “disability; sexual orientation; gender identity and expression” were taken out. They instead replaced that phrase with the word sex, making the social workers’ code match the Texas Occupations Code.

This is concerning for a few reasons, the most glaring one being that it leaves members of the LGBTQ+ community and people with disabilities in Texas, two populations that are already seriously vulnerable, even more vulnerable than before, as social workers can now turn away potential clients from those communities.

This led to an uproar among advocates for the LGBTQ+ community and people with disabilities, as at puts their ability to access important resources that are related to their basic human rights directly at risk. There is an increasingly serious concern that members of these populations will face even more obstacles in accessing the things they need than they already do.

The Human Rights Connection

It’s important to recognize that is an issue of human rights, even outside of the clear issue of discrimination against these groups that is involved. Consider some of the jobs of social workers. They include therapists, case workers, workers for Child Protective Services, and much more. In addition to working with people with disabilities and members of the LGBTQ+ community in general, many social workers specialize in work with children and older adults, two groups which overlap with the former. Then these vulnerable populations are unable to get the support they need in order to access the tools, programs, and resources that exist specifically to help them live life and access their basic needs, they are by extension often kept from being able to access their basic human rights.

Sign that reads "Social Workers change the world" — Source: Yahoo Images

One clear example of this is when people with disabilities require financial aid to support themselves do to an inability to be a part of the general workforce. Social workers are an important part of the process of connect the people affected by this issue with the resources and government programs they need. Without the aid of social workers, they might have significant difficulty accessing their “right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control,” as recognized in Article 25 of the United Nations’ Universal Declaration of Human Rights.

The fact that this allows social workers to discriminate certain groups in accepting clients is human rights issue in itself, as according to Article 7 of the UDHR, all are entitled to equal protection under the law and, “All are entitled to equal protection against any discrimination in violation of this Declaration and against any incitement to such discrimination.”

The Purpose of Social Work: Helping Vulnerable Populations

Another reason this change in the Texas social workers’ code of conduct is problematic is that the field of social work is inherently meant to involve professionals helping vulnerable populations (such as the LGBTQ+ community and people with disabilities). According to the National Association of Social Workers’ (NASW) Code of Ethics, “The primary mission of the social work profession is to enhance human well–being and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty.” A vulnerable population is a group or community “at a higher risk for poor health as a result of the barriers they experience to social, economic, political and environmental resources, as well as limitations due to illness or disability.”

Social work is also built a set of core values: service, social justice, dignity and worth of the person, importance of human relationships, integrity, competence. It is the job of a social worker to do what they can to uphold those values by helping vulnerable populations access the resources they need. Therefore, social workers’ turning away members of the LGBTQ+ community and people with disabilities, particularly vulnerable groups, goes against the social work code of ethics.

The ethical principles of social work also bar social workers from participating in acts of discrimination on the “basis of race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, or mental or physical ability.”

There is a meeting set for October 27, 2020 so that the Texas Behavioral Health Executive Council can discuss the issue of discrimination as it applies to the changes that were made to the Texas social workers’ code of conduct. It is vital that we do not underestimate the significance of this situation and the serious harm that it can cause.