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disproportionately devastating impact on people of African descent, including racial
disparities in pandemic fatalities and negative health impacts, as well as the
socioeconomic costs over time.
59. This period has also seen a particularly intense recognition of police violence
against people of African descent globally. Popular protests have been met with State
violence. Video evidence has been compiled of brutality and incidents of violence,
including the use of tear gas and pepper spray, arbitrary arrest, detention and
intimidation, physical assaults with batons, rifle butts or vehicles, attacks on
journalists or legal observers, use of kettling to prevent civilians from leaving the site
of a protest, and injury caused to minors.
60. The collection of data on COVID-19-related infection and mortality
disaggregated by race, ethnicity and more should inform the elaboration of the policy
responses to COVID-19.
61. Peaceful demonstrators and civil society advocates, including those supporting
the widespread, transnational Black Lives Matter movement, experienced violent
State responses, while nationalist and white supremacist groups received conciliatory
and non-violent treatment by State actors, including in the face of violence and
property destruction.
62. Deaths in police custody remain a matter of concern globally. Many cases arise
from the wrongful use of restraint or from situations properly warranting mental
health, rather than police, intervention.
63. Various forms of structural racism persist globally. Their relationship to health
inequities is insufficiently studied. The human right to the highest attainable standard
of physical and mental health intersects and implicates other human rights, such as
the right to information, the right to freedom and security of the person, the right to
equality and non-discrimination and the right to bodily autonomy.
64. COVID-19 has revealed the urgency of ending the colonialism and racism
embedded in the global health architecture, which has a disproportionate impact on
Black and indigenous communities and communities of people of colour and th ose in
the global South. In many parts of the world, challenges related to the realization of
the right to health were rooted in slavery, colonialism, apartheid, xenophobia,
Afrophobia, transphobia, homophobia, and ableism, sexism and racism. Thus, any
effort to reduce structural health inequities must challenge the distribution of power
within society and empower individuals and groups to strongly and effectively
advocate for their rights. For COVID-19 to truly come to an end, it must be stamped
out in every country, for each person, around the world.
65. Despite significant advances in health care and technology over the past
decades, racialized health inequities have been profound and persistent. Studies show
that the chronic stress of living with daily racism is resulting in premature ageing
(i.e. the “weathering effect”). Moreover, these are rarely discernible in the absence of
data disaggregated by race. For example, it took many years to update protocols for
the treatment of hypertension among people of African descent, and this was possible
only with disaggregated data.
66. Distrust in the health-care system among people of African descent is a result
of a historical legacy of centuries of neglect, abuse and exploitation, as well as
measurable bias, inequality, inequity and discrimination at present.
67. Research has shown that health-care workers demonstrate racial bias,
particularly under conditions of stress, that results in relatively positive attitudes
towards white patients and conversely negative attitudes towards Black patients.
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