>> WELCOME AGAIN.
I'M EXCITED TO BE MODERATING
THIS PANEL, WHICH IS BASICALLY
THE THEME OF THE CONFERENCE ON
EXPANDING ACTIVE LIVING
APPLICATIONS BEYOND CHRONIC
DISEASES TO SYNDEMICS.
WE HAVE THREE WONDERFUL
PANELISTS TODAY AND ACTUALLY I'M
GOING TO ASK YOU ALL, WOULD YOU
PREFER INTRODUCTIONS BEFORE EACH
ONE OF YOUR PRESENTATIONS OR
WOULD YOU LIKE ME TO DO A FULL
PANEL ACROSS THE BIOS?
I NEVER DID ASK.
>> DO THEM ALL.
>> A LOT OF THESE FOLKS DON'T
NEED INTRODUCTIONS BECAUSE I'M
GOING TO BE FORMAL AND INTRODUCE
EACH ONE.
SO, AS WE HEARD, EARLIER, WE
HAVE Dr. JIM SALAS,
DISTINGUISHED -- [OFF MIC]
>> Jennifer Roberts: CAN YOU
HEAR ME BETTER IF I SPOKE OVER
HERE?
IS THIS BETTER?
OKAY, I'LL COME OVER HERE.
HOPEFULLY THERE WON'T BE
FEEDBACK FROM THIS.
SO WE HAVE Dr. JIM PALACE,
DISTINGUISHED PROFESSOR MERIT IS
IN THE SCHOOL OF PUBLIC-HEALTH
THE UNIVERSITY OF CALIFORNIA SAN
DIEGO AND ON THE FACULTY OF
AUSTRALIAN CATHOLIC UNIVERSITY.
A HIGHLIGHT OF HIS CAREER WAS
BEING THE DIRECTOR OF ACTIVE
LIVING RESEARCH, AS HE SPOKE
ABOUT EARLIER THIS MORNING.
HE DID THAT FOR 16 YEARS AND HE
HAS ALSO CO-LED STUDIES OF BUILT
SOCIAL AND NATURAL ENVIRONMENT
AS THEY RELATE TO PHYSICAL
ACTIVITY AS YOU SPOKE ABOUT
EARLIER THIS MORNING AND
SUPPORTED SOME OF HIS RESEARCH
AND CO-AUTHORED -- AUTHORED OVER
800 SCIENTIFIC PUBLICATION AND
ONE OF THE WORDS MOST CITED
AUTHORS IN THE FIELD.
I HAVE CITED HIM NUMEROUS TIMES.
NEXT WE HAVE Dr. AMY EYE DER A R
DEPUTY OF PUBLIC-HEALTH AND
DIRECTOR AT THE BROWN SCHOOL
WASHINGTON UNIVERSITY IN NOT ST.
LOUIS.
THE FOCUS OF HER RESEARCH IS HOW
POLICIES AND THE BUILT
ENVIRONMENT IMPACT CHRONIC
DISEASE PREVENTION THROUGH
PHYSICAL ACTIVITY AND HEALTHY
EATING.
SHE'S THE AUTHOR OF OVER 100
PEER-REVIEWED PUBLICATIONS AND
THREE BOOKS, INCLUDING ONE OF
THE FIRST TEXTBOOKS ON RESEARCH
METHODS FOR PUBLIC-HEALTH.
IN ADDITION TO HER RESEARCH
SHE'S AN ADVOCATE FOR GENDER
EQUITY AT WASHINGTON UNIVERSITY.
SHE'S A PAST PRESIDENT OF THE
ASSOCIATION FOR WOMEN FACULTY
AND SERVES AS A LEADERSHIP AND
GENDER EQUITY FACULTY FELLOW IN
THE OFFICE OF THE VICE PROVOST
FOR FACULTY AFFAIRS AND
DIVERSITY.
SHE'S CURRENTLY FACULTY STATE
COUNCIL CHAIR AND CHAIR OF THE
DANFORTH CAMPUS CONFLICT OF
INTEREST IN RESEARCH COMMITTEE.
Dr. EYLER HAS A BACHELOR'S
DEGREE FROM COMMUNITY HEALTH, A
MASTERS IN PHYSICAL EDUCATION
FROM OHIO UNIVERSITY AND A
DOCTOR IN PUBLIC-HEALTH FROM
OREGON STATE UNIVERSITY AND SHE
ALSO SERVES IN THE EXECUTIVE
BOARD OF GIRLS IN THE RUN IN ST.
LOUIS AND VOLUNTEERS THROUGHOUT
HER COMMUNITY AT PHYSICAL
ACTIVITY EVENTS.
S WELCOME.
LAST WE HAVE Dr. TARA
BLACKSHEAR.
SHE EXAMS THE SOCIAL
DETERMINANTS OF HEALTH AND
PHYSICAL ACTIVITY INEQUITIES IN
EDUCATION A FOCUS ON RACE,
RACISM AND BLACK YOUTH.
HER INTER DISCIPLINARY APPROACH
CHALLENGES THE STATUS QUO AND
CONFRONTS STRUCTURES AND
NEGATIVITY IMPACT THE WELLBEING
OF MARGINALIZED AND MINORTIZIED
GROUPS.
PROGRAM COORDINATOR FOR PHYSICAL
EDUCATION, TEACHER EDUCATION.
HER COMMITMENT TO EQUITY IS HE
HAVE DEPARTMENT IN HER WORK THAT
APPEARS IN PHYSICAL EDUCATION IN
PORTS PEDAGOGY, THE JOURNAL OF
RACIAL AND HEALTH DISPARITIES,
TABOO, THE JOURNAL OF CULTURE
AND EDUCATION, THE JOURNAL OF
AMERICAN COLLEGE HEALTH AND
AFRICAN AMERICAN WOMEN AND GIRLS
IN EDUCATION AND TEACHING AND
PHYSICAL EDUCATION.
ALONG WITH HER COMMUNITIES CIVIC
AND INSTITUTIONAL ENGAGEMENT
WITH SHAPE AMERICA, SHAPE MERRY
LAND, MARYLAND STATE DEPARTMENT
OF EDUCATION, DELAWARE STATE
DEPARTMENT OF EDUCATION,
PHYSICAL EDUCATION, DEPARTMENT
FOR HEALTHY AMERICA, HEALTH
EDUCATION CANADA-U.S.A.,
LACROSSE, PHYSICAL EQUITY, LIGHT
HOUSE WELLNESS AND HEALTH
EDUCATION CONSULTING, BALTIMORE
CITY PUBLIC SCHOOLS, D.C. PUBLIC
SCHOOLS AND SOFIE, SHE'S KEEN ON
WORKING SYNERGISTICALLY FOR
EPIDEMIC AT THE ACTIVE LIVING
CONFERENCE AND WITH THE ACTIVE
LIVING COMMUNITY.
SO WITH THAT LET'S GIVE ALL
THREE PANELISTS A ROUND OF
APPLAUSE.
[APPLAUSE]
WE WILL FIRST START WITH Dr.
SALLIS PRESENTATION.
ALL RIGHT, SO, SYNDEMICS.
HOW MANY SYNDEMICS IS PHYSICAL
INACTIVITY PART OF?
I DON'T THINK WE'RE GOING TO
FULLY ANSWER THAT QUESTION BUT
IT'S A LOT.
I'M GOING TO START OFF WITH
MAYBE THE MOST OBVIOUS AND ONE
OF THE MOST SIGNIFICANT AND IT'S
PHYSICAL ACTIVITY RELATED TO
COVID AND THE SYNDEMIC AROUND
THAT WHICH I WILL GET TO.
I'M GOING TO TELL AS KIND OF A
PERSONAL STORY BECAUSE THIS IS
BECOME MY AVOCATION DURING THE
PANDEMIC.
BECAUSE IN THE FEBRUARY OF 2020,
REMEMBER THAT DATE, I WAS I AM
INVITED TO GIVE A TALK IN INDIA
ON THE TOPIC OF PHYSICAL
ACTIVITY, INFLAMMATION,
IMMUNITY, AND CANCER.
AND AS A PSYCHOLOGIST, I DIDN'T
KNOW ANY OF THOSE THINGS.
SO, I HAD TO DO MY HOMEWORK AND
I READ UP AND I FOUND OUT THAT
THERE'S -- I WOULD SAY A MODEST
LITERATURE ON THE BENEFITS OF
PHYSICAL ACTIVITY FOR FOR
INFLAMMATION AND IMMUNITY.
AS THE PANDEMIC CAME ON US AND
THE EMERGENCY WAS ANNOUNCED, I
THOUGHT, WELL, WHEN I GET BACK
TO THE U.S., SINCE WE DON'T HAVE
ANYTHING ELSE TO FIGHT THE BUY S
WITH, IT'S A GOOD THING WE KNOW
HOW TO IMPROVE INFLAMMATION AND
IMMUNITY THROUGH PHYSICAL
ACTIVITY SO I FIGURED I WOULD
HEAR ABOUT THAT.
I DID NOT HEAR ABOUT THAT.
AND I THOUGHT, WELL HERE IS A
TOOL THAT WE'RE NOT USING THAT
WE SHOULD BE USING.
SO I CONSIDERED THAT SOMEWHAT OF
AN EMERGENCY GIVEN THE
SITUATION.
SO, I RECRUITED MY COLLEAGUE,
Dr. MIKE PRATT, AT THE CDC NOW
AT UC SAN DIEGO.
WE WROTE AN OP-ED ABOUT THE
IMPORTANCE OF PHYSICAL ACTIVITY
FOR COVID.
WE SUBMITTED IT TO A NEWSPAPER
AND IT WAS REJECTED AND WE KEPT
DOING THAT FIVE MORSE TIMES AND
IT WAS REJECTED.
NO ONO ONE WASINTERESTED AND WEE
SCIENTIFIC LITERATURE.
AND YOU KNOW, OF I'LL TELL YOU
THE REST.
YOU KNOW WHAT HAPPENED NEXT,
PART OF THE PANDEMIC RESPONSE
WAS TO CLOSE DOWN PLACES THAT
WERE EXPECTED TO, YOU KNOW,
GENERATE TRANSMISSION OF THE
VIRUS AND THAT INCLUDED MOST OF
THE PLACES WHERE PEOPLE ARE
PHYSICALLY ACTIVE.
AND THERE SEEMED TO BE NO
THOUGHT THAT WELL, IS THIS A
GOOD IDEA TO CLOSE ALL OF THESE
PLACES?
MIGHT THERE BE SOME NEGATIVE
ASPECTS OF THIS?
OF MAKING IT EVEN HARDER FOR
PEOPLE TO BE ACTIVE?
SO, WE SAID, WE PUBLISHED THIS
THE MULTIPLE BENEFITS OF
PHYSICAL ACTIVITY DURING THE
PANDEMIC, AND IT GOES BEYOND
IMMUNITY AND INFLAMMATION
BECAUSE PHYSICAL ACTIVITY IS
GOOD FOR MOST OF THE CHRONIC
DISEASES THAT PREDICTED SEVERE
COVID OUTCOMES INCLUDING DEATH
AND OF COURSE, WE HAVE KNOWN FOR
A LONG TIME, PHYSICAL ACTIVITY
IS VERY POWERFUL BENEFITS FOR
MENTAL HEALTH AND OF COURSE THE
WHOLE WORLD WAS UNDER STRESS.
WE PUT THIS OUT THERE BUT NO ONE
PAID ATTENTION EX WE THOUGHT
WELL MAYBE IT'S BECAUSE THE DATA
THAT WE HAD IS NOT SPECIFIC TO
COVID-19.
WE WROTE A PAPER ON A RESEARCH
AGENDA, PUBLIC-HEALTH RESEARCH
AGENDA FOR PHYSICAL ACTIVITY AND
I WAS ABLE TO WORK WITH SOME
COLLEAGUES AT KAISER PERMANENTE
IN SOUTHERN CALIFORNIA TO SEE IF
PEOPLE WHO WERE PHYSICALLY
ACTIVE BEFORE THEY GOT COVID HAD
BETTER OUTCOMES, WHICH IS WHAT
YOU WOULD PREDICT BASED ON THE
PREVIOUS EVIDENCE ABOUT IMMUNITY
AND INFLAMMATION.
AND SO, THIS IS ONE THE FEW
PLACES YOU WITH DO THAT KIND OF
STUDY AND KAISER PERMANENTE
BECAUSE THEY TAKE PHYSICAL
ACTIVITY MEASURES, SELF-REPORT,
AS A VITAL SIGN AT EVERY OUT
PATIENT VISIT.
SO THEY HAVE THIS DATA ON
MILLIONS OF PEOPLE.
SO, ROBERTS SALAS, NO RELATION,
BUT LEADER OF THE EXERCISES
MEDICINE MOVEMENT LED THIS PAPER
ON ABOUT 50,000 PEOPLE AND I'LL
GIVE YOU THE BOTTOM LINE,
INACTIVITY PRE DIAGNOSIS HAD A
HIGHER ODDS RATIO FOR COVID-19
HOSPITALIZATION AND DEATH THAN
ALL OF THE OTHER CDC RISK
FACTORS, ALL CHRONIC DISEASES,
AND SCDD EXCEPT AGE AND HISTORY
OF TRANSPLANT SO WE THOUGHT THIS
WOULD BREAK THROUGH AND PEOPLE
WILL RECOGNIZE YOU SHOULD
RECOMMEND PHYSICAL ACTIVITY.
WELL, THAT DIDN'T HAPPEN. WAS
PRESENTED TO THE -- TO ALL THE
PEOPLE IN THE CDC WORKING GROUP
OR TASK FORCE ON COVID BY OUR
FRIENDS AT THE CDC'S PHYSICAL
ACTIVITY AND HEALTH BRANCH.
THEY PRESENTED IT AND ON THE
BASIS OF THAT, CDC DID THEIR OWN
SYSTEMATIC REVIEW AND JEFF
WHITFIELD WAS ONE OF THE MAIN
AUTHORS ON THAT AND HE WAS HERE
AND HOPEFULLY HE IS STILL HERE
AND THEY FOUND 25 STUDIES ON
PHYSICAL ACTIVITY AND FITNESS
AND OF COVID-19 OUTCOMES.
25 STUDIES.
AND THEY SAID THE EVIDENCE IS
CONCLUSIVE THAT IT'S PROTECTIVE
FROM HOSPITALIZATION AND DEATH
SO THAT SEEMED GREAT THAT WAS
RECOGNIZED BUT THEY DID NOT MAKE
A PRESS RELEASE OR MAKE AN
ANNOUNCEMENT.
WHILE THEY ADD PHYSICAL
INACTIVITY TO LIST OF UNDERLYING
CONDITIONS, NO ACTION WAS TAKEN.
AND THEN THERE WAS ANOTHER
REVIEW DONE ON PHYSICAL
ACTIVITY, IT WAS A META ANALYSIS
OF 16 STUDIES, AND THEY SAID
RECOGNIZE PHYSICAL ACTIVITY WAS
ASSOCIATED WITH 43% LOWER RISK
OF DEATH.
43%.
NOT 2% REDUCED RISK, 43% AND IN
THE END, NO ACTION WAS TAKEN ON
THE BASIS OF THAT AND THERE WAS
A "NEW YORK TIMES" ARTICLE ABOUT
THIS STUDY AND THEY QUOTED TWO
INFECTIOUS DIS SAYS EXPERTS AND
THEY DISMISSED THE EVIDENCE.
THEY SAID IT'S TOO EARLY TO ACT
ON THESE FINDINGS AND NO ONE
MENTIONED IS THERE A DOWNSIDE TO
IGNORING A POTENTIAL SOLUTION
THAT COULD REDUCE RISK, REDUCE
DEATH BY 43%?
SO, HERE WE ARE.
I'M GOING TO GET TO THE PANDEMIC
NOW.
I MEAN, THE SYNDEMIC.
A COLLEAGUE AND I READ SOME
COMMENTARIES FROM INFECTIOUS
DISEASE PEOPLE WHO WERE ADVISING
THE GOVERNMENT ABOUT WE NEED
FIFTH NEW STRATEGY.
WELL WHEN WE READ THE WE SAID IT
SOUNDS LIKE THE OLD AND WE NEED
BETTER VACCINES, TREATMENTS, WE
NEED MORE PUBLIC HEATH RESOURCE
AND WE THOUGHT IT IGNORED TWO
REALLY ONE WAS THAT PEOPLE OF
COLOR WERE AT MUCH HIGHER RISK
FOR SEVERE COVID-19 OUTCOMES AND
HEALTH INEQUITIES WE SAID YOU
KNOW WAS PART OF THIS WHOLE
PICTURE AND ANOTHER WAS PEOPLE
WHO WERE HOSPITALIZED OR DIED
AND SO CHRONIC DISEASE WAS NOT
ALREADY -- IT IS ALREADY A
PANDEMIC AND HEALTH INEQUITIES
IS A PANDEMIC AND SO ALL
TOGETHER, THEY MAKE THE
SYNDEMIC.
THEY'RE ALL CONNECTED, VERY
INTIMATELY CONNECTED SO WE'VE
PROPOSED THAT THE SYNDEMIC
SHOULD BE DEFINED BY THESE THREE
AND PLANS FOR BETTER PANDEMIC
RESPONSE SHOULD REALLY FOCUS ON
DEALING WITH THE INEQUITIES AND
MAYBE DOING SOMETHING ABOUT THE
CHRONIC DISEASES PUTTING PEOPLE
O MUCH AT RISK.
SO THE LAST THING I WANT TO
MENTION IS A PAPER THAT IS JUST
ABOUT TO COME OUT AGAIN FROM
KAISER PERMANENTE FROM SOUTHERN
CANADA.
DEBRA YOUNG IS THE LEAD AUTHOR
ON THIS ONE.
THIS IS 200,000 PATIENTS.
AND WE'RE LOOKING AT THE
RELATION OF ACTIVITIES TO COVID
OUTCOMES IN SUBGROUPS.
AND I WANT TO SAY THIS PAPER WAS
REJECTED BY SIX MEDICAL
JOURNALS.
THE THE MEDICAL LEADERS WHO
COULD USE THE INFORMATION.
I WANT TO SHOW YOU SOME OF THE
GRAPHS AND SO, THIS IS DOSE
RESPONSE OF INACTIVITY IN MALES
EX FEMALES AND YOU SEE THE DOSE
RESPONSE FOR EACH.
ON THE RIGHT, THE DOSE RESPONSE
AND THIS IS FOR DEATH.
THIS IS FOR DEATH, WE ALSO
SHOWED THIS FOR HOSPITALIZATION.
AND YOU SEE FOR EACH RACE ETHNIC
GROUPS, THE MORE I AM ACTIVE
PEOPLE ARE THE HIGHER THEIR RISK
FOR DEATH.
AND IT SEEMS GOOD FOR EVERYBODY.
YOU SEE IT AT EVERY AIMING RANGE
EXCEPT FOR BELOW 40 WHERE THERE
ARE FEW DEATHS.
YOU SEE IT REGARDLESS OF BODY
MASS INTEXT AND WE SAW IT
REGARDLESS OF WHETHER THEY HAVE
A HISTORY OF HYPERTENSION
ORCHARD YO VASCULAR DISEASE SO
I'M LOOKING AT THIS AND SAYING,
PHYSICAL ACTIVITIES COULD BE A
TOOL FOR REDUCING THE INEQUITIES
IN COVID OUTCOMES AND I THINK
I'LL JUST HAVE TO LEAVE IT THERE
AND HOPEFULLY AND WE CAN CAN
TALK ABOUT THESE THINGS LATER,
SO THANK YOU, VERY MUCH.
>> Amy A. Eyler: I THOUGHT THAT
WAS A GREAT SEG WAY TO WHAT I'LL
TALK ABOUT TODAY AND I'LL BE
TELLING YOU THE STORY ABOUT ST.
LOUIS.
HOW MANY PEOPLE HAVE BEEN TO ST.
LOUIS?
LOTS OF PEOPLE.
YOU WILL UNDERSTAND THE CONTEXT
OF THIS.
SO THE REPRESENTATION IS CALLED
WHAT DOES IT TAKE TO MAKE OUR
STREETS SAFER?
AS YOU CAN SEE, ST. LOUIS IS
KNOWN FOR THE ART, ALSO CALLED
THE JEFFERSON NATIONAL EXPANSION
MEMORIAL BUT WE KNOW IT AS THE
ART, GATEWAY TO THE WEST.
AND YOU WILL SEE LOTS OF MAPS OF
ST. LOUIS SO THAT'S MISSOURI AND
THE LITTLE RED DOT IS ST. LOUIS.
WHAT IT CAUSES IS A LOT OF
JURISDICTION FRAG MEN TAKE.
WE HAVE A CITY HEALTH DEPARTMENT
AND WE HAVE A COUNTY HEALTH
DEPARTMENT.
YOU CAN SEE THE END IS ST. LOUIS
AND THE REST IS THE METRO AREA.
RIGHT NOW IT SITS AT A
POPULATION OF 293,000, 45% BLACK
AFRICAN AMERICAN AND 20% IN
POVERTY BUT HUGE RACIAL ETHNIC
DISPARITIES.
THIS IS FROM THE FORSAKE OF ALL
REPORT BY MY COLLEAGUE JASON
PRANELL, THIS IS BROUGHT TO
LIGHT DISPARITIES IN OUTCOMES
RELATED TO HEALTH AND THIS IS
DEATH.
LIFE EXPECTANCY.
SO YOU CAN SEE IN THE CITY,
THERE ARE SOME ZIP CODES IS LIFE
EXPECTANCY IS 67 AND 20 MILES
AWAY IT'S 82.
THERE WAS A 15-YEAR DIFFERENCE
THERE AND IT REALLY BROUGHT TO
LIGHT THESE EXISTING HEALTH
DISPARITIES.
SO THAT BRINGS THE -- WHAT HAS
HAPPENED RECENTLY AND THESE WERE
THE HEADLINES IN THE NEWS
REPORTS.
CRASHES, CRASHES, DEATHS,
PEDESTRIAN FATALITIES, HIT AND
RUNS, SO THIS IS ALL BROUGHT TO
LIGHT, THIS CONCEPT OF TRAFFIC
VIOLENCE WHICH IS A PANDEMIC
ALONG WITH THE INEQUITIES
BECOMES A SYNDEMIC AND HOW
ACTIVE LIVING CAN INTERVENE
HERE.
IT'S NOT LIKE WE HAVE DATA AND
MAPPING WE HAVE THE DATA.
THERE WERE SIX DEATHS IN THE
PAST THREE WEEKS AND HUGE --
LOTS OF MEDIA COVERAGE AND THIS
IS DONE BY THE ST. LOUIS POST
DISPATCH AND WE HAVE 10 YEARS
WHERE THERE'S BEEN AT LEAST
SEVEN INJURIES SO YOU CAN SEE
USING GIS MAPPING, WE HAVE THIS
NARROWED DOWN WHERE WE CAN
INTERVENE TO REDUCE THIS TERM
"TRAFFIC VIOLENCE" WHICH I
FORGOT TO SAY THAT IT'S OFTEN
LINKED -- IF YOU THINK ABOUT
INTERPERSONAL VIOLENCE, IT
DESCRIBES A TOXIC RELATIONSHIP
BETWEEN PEOPLE SO SAFE STREETS
ADVOCATES USE TRAFFIC VIOLENCE
AS A WAY TO SHOW THIS TOXIC
RELATIONSHIP WITH AUTOMOBILES
AND THINGS THAT WE COULD DO TO
IMPROVE THE LIVES FOR EVERYBODY,
ESPECIALLY THOSE ACTIVE WHO
PARTICIPATE IN ACTIVE
TRANSPORTATION.
SO WE HAVE THIS GREAT
OPPORTUNITY.
LAST WEEK THE MAYOR OF ST. LOUIS
TASHARA JONES SIGNED A
40 MILLION-DOLLAR ACT USING
AMERICAN RESCUE PLAN ACT FUNDS
IT'S THE LARGEST INVESTMENT IN
ROAD AND PEDESTRIAN SAFETY IN
THE HISTORY OF THE CITY AND
THESE BULLET POINTS INDICATE
SOME OF THE THINGS THIS OUTLINES
IMPLEMENTING THE COMPLETED
TRAFFIC STUDIES, I'M SURE THE
PLANNERS ARE STANDING UP AND
CHEERING.
MAKE IMPROVEMENTS TO THOSE 10
DANGEROUS INTERSECTIONS AND SO
ALL THAT DATA IS COMING TO LIGHT
AND THOSE WILL BE THE PRIORITY
AREAS.
IMPROVING MAIN TURO FAIRS, MOW
BILL AND TRANSPORTATION MASTER
PLAN AND MOVING AWAY FROM THIS
TRAFFIC APPROACH SO IN ST. LOUIS
THERE ARE 27 DIFFERENT LITTLE
JURISDICTIONS WITHIN THE CITY,
NEIGHBORHOODS AND THEY'RE CALLED
BOARDS AND OFTEN TIMES THEY ARE
BUT THIS SAINT ST. LOUIS SAFER
STREETS IS TAKING A BROADER
APPROACH AND SPEEDING IS A HUGE
APPROACH.
RED LIGHT CAMERAS WILL BE A PART
IT WAS THE 50/50 SIDEWALK
PROGRAM.
WE'LL PICK UP THE REST AND THERE
WAS AN APPLICATION PROCESS FOR
THIS AND AT ONE TIME THERE WERE
3,000 SIDEWALKS IN NEED OF
REPAIR AND IT JUST WAS TAKING A
REALLY LONG TIME.
RIGHT NOW THERE'S 1500 SIDEWALKS
AND ABOUT 200 OF THEM HAVE BEEN
ON THE LIST SINCE 2017.
IT'S THERE BUT COMING SLOWLY.
THERE'S A HUGE DISPARITY AND
THIS IS FROM ONE OF THE ALDERMAN
IN ST. LOUIS AND THE PROGRAM IS
FAIR AND IT SERVES WITH THE WARE
WITH ALL TO EXPLAIN AND THEY NOW
TO TO EXPLAIN AND THEY HAVE
INTERNET ACCESS AND.
>> IT'S CHALLENGING TO READ
THOSE HEADLINES EVERYDAY,
ESPECIALLY THESE HIGH-PROFILE
CASE THAT'S JUST HAPPEN IN THE
LAST COUPLE WEEKS AND I DON'T
KNOW IF YOU HEARD, A YOUNG
VOLLEYBALL ATHLETE HAD TO HAVE
HER LEGS AMPUTATED BECAUSE OF A
CRASH THAT HAPPENED IN DOWNTOWN
ST. LOUIS BECAUSE OF A SPEEDER
AND CHALLENGING BUT THEY CAN
MOVE TO OPPORTUNITIES AND THAT'S
WHERE WE SEE THIS FUNDING
HAPPENING AND ST. LOUIS IS
REACTIVE BUT WHAT CAN WE LEARN
FROM THIS SITUATION TO HELP
OTHER CITIES BE MORE PROACTIVE
AND INCREASING BOTH MAKING
STREETS SAFER AND HIGHLIGHTING
THE IMPORTANCE OF PEDESTRIAN AND
BICYCLE SAFETY AND THAT'S IT.
[APPLAUSE]
ACKNOWLEDGING THAT RACISM IS A
PANDEMIC AS WELL AS OVER 200
AGENCIES IN AGREEMENT.
LITTLE HAS CHANGED THE WAY WE
APPROACH HEALTH AND PHYSICAL
ACTIVITY RESEARCH AND IN FACT,
APPROACHES TO ACTIVE LIVING
RESEARCH OFTEN REPRODUCES
INEQUITIES IN PARTICULAR RACIAL
INEQUITIES THAT WE CLAIM THAT
WE'RE TRYING TO IMPROVE.
ONE EXAMPLE IS BEFORE A BLACK
BABY IS BORN, IT'S ALREADY
EXPERIENCED THE EFFECTS OF
RACISM IN THE MOTHER'S WOMB.
THINK ABOUT THAT.
THE RACISM THAT THE MOTHER
EXPERIENCES, TRANSFERS OVER TO
THE BABY AND INCLUDING
PHYSIOLOGICAL STRESSES THAT
INCREASE THE LIKELIHOOD OF LOW
BIRTH WEIGHT AND INCREASED OF
INFANT MORTALITY RATES.
FURTHER, THE MOTHER IS
SIGNIFICANTLY AT GREATER RISK
FOR DYING BECAUSE OF SYSTEMIC
AND INSTITUTIONAL RACISM.
ADDINGEN ASSAULT TO INJURY ARE
THE BAND-AID APPROACHES THAT WE
USE WHEN WE ARE TRYING TO
INCREASE PHYSICAL ACTIVITY IN
BLACK COMMUNITIES SPECIFICALLY
AND IN SCHOOLS WHICH IS WHERE A
LOT OF MY RESEARCH
SO THIS WAS A TOLL TAKEN BY MOTT
IN 2020 DURING THE HEIGHT OF
COVID AND WE SEE HOW WE'RE ALL
TIED TOGETHER AND YOU CAN SEE
ACROSS RACIAL ETHNIC GROUPS
PARENTAL CONCERNS AND HOW THEY
VARY AND YOU CAN SEE THAT RACISM
IS ON THE AGENDA FOR BLACK
PARENTS AND HISPANIC PARENTS AND
IT IS A NONISSUE FOR WHITE
PARENTS AND A LOT OF THIS IS HOW
OUR ACTIVE LIVING RESEARCH LOOKS
AS WELL ALSO, DRIVING THE
NARRATIVE OF WHITE PARENTS AS
FAR AS THE LACK OF PHYSICAL
ACTIVITY.
YOU SEE AMONG THE BLACK AND
HISPANIC FAMILIES THAT PHYSICAL
ACTIVITY IS NOT IMPORTANT OR
DOESN'T APPEAR TO BE IMPORTANT
BECAUSE THERE ARE FACTORS LIKE
RACISM THAT THEY ARE CONFRONTED
WELCOME BACK THAT NEEDS TO BE
ADDRESSED BEFORE WE CAN THINK
ABOUT ENGAGING PHYSICAL
ACTIVITY.
WHEN THESE GROUPS ARE COMBINED,
RACISM DOESN'T HIT THE TOP 10 SO
AGAIN, OTHER FAMILIES WHO DO NOT
EXPERIENCE RACISM, ARE CAREFREE
AND THEY CAN THINK ABOUT OTHER
THINGS.
SO, WHILE WE ARE AWARE OF IMPACT
OF RACISM, ON BLACK PEOPLE FROM
THE CRADLE TO THE GRAVE, WE MUST
SEE THE HUMANITY IN BLACK PEOPLE
AND PARTICULARLY BLACK CHILDREN.
THIS IS A RECENT STUDY WHERE
THEY'RE STARTING TO LOOK AT
BRAIN IMPACT OF RACISM ON BLACK
CHILDREN AND THEY JUST REPORT
SEVERAL LEVELS OF TOX SIT TEE IN
THE BRAIN AS A RESULT.
TRYING TO GET THEM MOVE MORE IS
INSIGNIFICANT.
SO I OFFER THE ACTIVE LIVING
COMMUNITY TO USE RACISM AS A
ROOT CAUSE FRAMEWORK OR RRC.
IF WE GENERALLY WANT TO CLOSE
THE GAPS REAL GAPS AND PERCEIVED
GAPS.
SOME OF THEM AREN'T REALLY GAPS
WHEN WE START LOOKING AT THE
DATA MORE CAREFULLY.
BODY MASS INDEX IS ONE OF THEM
AND IT'S FOR ANOTHER OF
DISCUSSION BUT THEY OFFER FOUR
PILLARS UNDER THE RACISM AS A
ROOT CAUSE AND THEY'RE PROMOTING
OR ARGUING THAT WE SHOULD STUDY
ONE GROUP VERSUS STUDYING GROUPS
COLLECTIVELY.
BECAUSE THE NEEDS ARE VERY
DIFFERENT AND AN EXAMPLE IS WHEN
WE SAY PEOPLE OF COLOR, IT
ERASES THE IMPACT OF BLACK
PEOPLE IN AMERICA THE LEGACY OF
SLAVERY, JIM CROW AND THE RACISM
SYSTEMICALLY AND
INSTITUTIONALLY.
THE SECOND POLAR IS PUTTING
POLICIES OVER PEOPLE POLICIES
CHANGE RATHER THAT WE'RE TRYING
TO PROMOTE OR INCREASE PHYSICAL
ACTIVITY OR ENGAGEMENT WITH
THESE POLICIES WE NEED TO
DEVELOP PROGRAMS AND
INTERVENTIONS THAT ARE
SUSTAINABLE AND SO OFTEN WE COME
INTO SCHOOLS AND WE GET OUR WHEN
WE COME INTO SCHOOLS WE NEED
OFFER TO SUN TAPE ABLE AND AND
THE LAST PILLAR IS THE GOAL TO
HEEL THE HISTORICAL RACIAL
PUTTING RESEARCHES BACK INTO THE
COMMUNITY EFFECTED BY RACISM.
ALONG WITH PUTTING RACISM ON THE
AND THESE ARE THE THREE AREAS OF
MY RESEARCH AND THERE'S OVERLAP
BUT ANTI RACISM, RACIAL EQUITY,
ARE AT THE CENTER AND SO THESE
THINGS COLLECTIVELY OR
SYNERGISTICALLY NEED TO BE
EXAMINED BEFORE WE CAN FOSTER
THIS FOR PEOPLE IMPACTED.
I THINK I'M MISSING A SLIDE.
OR AIM OUT OF ORDER?
WHAT TIME DO I HAVE.
I'M OUT OF ORDER AND I THINK I
CHANGED IT BUT I'LL GO BACK AND
I HAVE ON MY BLING HEALTH
T-SHIRT WHICH IS A STUDY THAT
CAME TO MIND OVER 20 YEARS AND
HOPPER OF WOMEN'S HISTORY MONTH
AT THE HIGH SCHOOL IN BALTIMORE
CITY AND IT WAS A PEER-LED
PHYSICAL ACTIVITY INTERCEPTIONS
FOCUSING ON BLACK GIRLS WITH A
BLACK P.I. AND BLACK
UNDERGRADUATE RESEARCH ASSISTANT
AND WE HAVE PARTNERS, GREG SIMS,
WHO IS A COLLEAGUE AND FRIEND
WHO I'VE KNOWN OVER 20 YEARS WHO
I PITCHED THIS IDEA TO HIM AND
I'LL EXPLAIN THAT IN A MOMENT
ALONG WITH PFIZER, PFIZER FUNDED
IT.
AFTER BEING TURNED DOWN FROM
NUMEROUS PROJECTS INTERNAL AT MY
INSTITUTION AND EXTERNAL SO I'M
FULLY FUNDED AND THE ROOT CAUSE
OF RACISM IS APPLIED IN ADDITION
TO THE INNOVATIONS OF DIFFUSIONS
OF INNOVATION THEORY WHERE BLACK
PEERS HAVE SHOWN TO HAVE MORE
IMPACT ON THEIR PEERS THAN OTHER
RADIALIZED GROUPS OR RACIAL
GROUPS AND SO THIS 12-VEHICLE
INTERVENTION HAS FIVE PHASES AND
THE FIRST PHASE WE HAVE ALREADY
IDENTIFIED AND WE'RE TRAIN OUR
PEER LEADERS, STARTING TOMORROW,
AFTER THE KICKOFF ASSEMBLY IN
THE AFTERNOON AND THESE PEER
LEADERS WILL BE CERTIFIED IN HIT
TRAINING CERTIFICATION AND THE
ONLY GROUP FIRST FITNESS
CERTIFICATION COMPANY THAT WILL
CERTIFY A 16-YEAR-OLD SO WE'RE
TRYING WITH TRADE 11.
WE HAVE FIVE PEER LEADERS.
THEY GO THROUGH THE TRAINING AND
THEY'LL BE CERTIFIED IN FIRST
AID AND CPR AND IT'S LIKE THE
OLD SCHOOL CHEER LEADING
APPROACH, THESE PEER LEADERS
WILL TRAIN FUTURE PEER LEADERS
EVERY YEAR SO IT'S UP WITH OF
THE ASPECTS OF SUSTAINABILITY
AND THE PHASE 2 IS WE'RE LOOKING
FOR 30 GIRLS AND I DON'T THINK
IT'S A PROBLEM BECAUSE THE
PRINCIPRINCIPAL AND PHYSICAL EDN
AND ATHLETIC DIRECTOR ARE ON
BOARD.
THEY'LL HAVE BASELINE FITNESS
TESTING, 12-MINUTE RUN, PUSH
UPS, WE WILL TEACH THEM HOW TO
DO, MEASURE THEIR WAIST
CIRCUMFERENCE AND WE DON'T WANT
TO TOUCH STUDENTS AND WE'RE
TRYING TO INCREASE
REPRESENTATION AND PHYSICAL
ACTIVITY RESEARCH EX EX STUDY
AMONG BLACK WOMEN BECAUSE IT'S
ABYSMAL, AS YOU CAN LOOK IN THE
AUDIENCE RIGHT NOW.
THEY'LL HAVE A 12-VEHICLE
INTERVENTION AND IT'S A GRADUAL
INCREASE OF HIT TRAINING, 20
MINUTES WITH POSITIVE CULTURAL
AFFIRMATIONS AND BLACK IS
BEAUTIFUL, 60 MINUTES A DAY,
THINGS OF THAT NATURE.
FROM THERE, AFTER THE 12 WEEKS,
THEY HAVE ANOTHER ROUND OF
ASSESSMENTS AND WE FOLLOW-UP SIX
MONTHS LATER.
WE'VE CONDUCTED FOCUS GROUPS AND
WE'LL HAVE FUTURE FOCUS GROUPS
TO SEE WHAT THE GIRLS NEED, WANT
AND DESIRE AND SOME THINGS THAT
HELP THEM CONTINUE IN FOSTER
SUCCESS WE HOPE TO HAVE A FULL
FLEDGED PROGRAM ASSUMING SUCCESS
THAT WE CAN MODEL IN OTHER
BALTIMORE CITY PUBLIC SCHOOLS
AND WE'RE FOCUSING THERE AND
THAT'S WHERE I LIVE AND THERE'S
A GREAT NEED IN ADDITION TO THE
LOW QUALITY PHYSICAL EDUCATION
THAT WHERE I WAS OUT OF ORDER.
ANOTHER AREA OF PUTTING RACISM
OON AGENDA IS TO REIMAGINE
SCHOOLS AND THIS WORK WITH Dr.
BRIAN COPE.
THE ONLY BOOK OF HIS KIND THAT
FOCUSED ON BLACK YOUTH.
ALL BLACK CONTRIBUTING AUTHOR TO
REIMAGINE SCHOOLS BECAUSE
SCHOOLS IN MANY BLACK
COMMUNITIES LOOK LIKE PRISON.
SOME OF US ARE FAMILIAR THE
SCHOOL TO PRISON PIPELINE.
SO THOSE SCHOOLS ARE A GREAT
PLACE TO CONDUCT RESEARCH, WE
SHOULD BE USING THE DATA WE
COLLECT TO INFORM POLICY AND
PRACTICE IN REFRAMING AND
REIMAGINING WHAT WE ACTUALLY DO
SO THAT WE CAN BRIDGE THE
COMMUNITY AND START TO SEE REAL
CHANGE IN SCHOOLS TO INCREASE
PHYSICAL ACTIVITY FOR BLACK
YOUTH.
SO, I'LL CLOSE WITH THIS PICTURE
FROM GORDAN PARKS, 1956.
THE ULTIMATE GOAL IS REALLY TO
DISMANTLE PHYSICAL STRUCTURES
LIKE THE FENCE THAT YOU SEE HERE
AND THE INSTITUTIONAL AND SOCIAL
ISSUES OR STRUCTURES LIKE JIM
CROW OF THE PAST AND JIM CROW
2.0 TODAY.
THANK YOU.
[APPLAUSE]
>> Jennifer Roberts: THANK YOU,
ALL.
I'M GOING TO START WITH SOME
QUESTIONS AND ACTUALLY I'M GOING
TO GO IN REVERSE ORDER AND
START, I KNOW YOU ARE TRYING TO
DRINK START WITH YOU, Dr.
BLACKSHEAR.
ONE QUESTION I WANT TO ASK, HOW
DO WE IDENTIFY AND DISMANTLE
STRUCTURE BARRIERS IN PHYSICAL
ACTIVITY ENGAGEMENT IN SCHOOLS
THAT SERVE BLACK YOUTH?
[OFF MIC]
>> MAYBE NOT ONE OF THE THINGS I
SEE IN EDUCATION, YOU SAW THE
DATA FROM BLACK HISPANIC AND
WHITE PARENTS AND WE DON'T
CENTER CHILDREN AND WE DON'T
CENTER BLACK COMMUNITIES, WE
DON'T ASK THEM WHAT IS IT THEY
NEED.
WE GO IN THINKING WHAT THEY NEED
SO THAT'S THE FIRST STEP IS
TAKING AN ASSESSMENT IN
INVENTORY WHAT IS REALLY NEEDED
FOR THEM TO ENGAGE IN PHYSICAL
ACTIVITY AND I SAY I THINK IT'S
ONE OF THE TOP FACTORS AND I
THINK WE ALSO NEED TO EVALUATE
OR ASSESS WHAT IS TRANSPIRING IN
SCHOOLS SO I'M IN BALTIMORE CITY
PUBLIC SCHOOLS AND WE'VE BEEN A
FLUENT AREA, ROLLAND PARK IN
PARTICULAR, FOR EXAMPLE, THEIR
ELEMENTARY SCHOOL HAS A
FULL-TIME HEALTH EDUCATOR BUT
WHEN YOU GO TO THE BLACK
SCHOOLS, WHETHER THEY'RE AVENUE
FAVENUEFLEW ENTER OR NOT, THERET
REALLY HAVING AN ASSESSMENT IN
SCHOOLS CAN BE VERY PROTECTIVE.
AN ASSESSMENT OF WHAT IS REALLY
GOING ON AND THEN YOU CAN START
TO MAKE CHANGES OR NECESSARY
CHANGES BUT I THINK THAT
PARENTAL INVOLVEMENT, PARENTAL
FEEDBACK, STUDENT FEEDBACK AND
TAKING AN ASSESSMENT OF WHAT IS
TRANSPIRE NORTH SCHOOLS.
IT'S A SMALL QUESTION WE ASKED
BUT IT SEEMS SO PROFOUND AND
EVEN WITH THE JIM CROW IMAGES
YOU SHOWED IS SO MUCH BELOW THE
SURFACE THAT IT SEEMS LIKE THE
BAND AID APPROACH WE HAVE TO DIG
DEEP TO GET THIS DONE.
QUESTION FOR YOU, Dr. EYLER, I
WANTED TO DEVIATE A LITTLE BIT
FROM THIS FIRST QUESTION.
I HAD A QUICK QUESTION ABOUT THE
TRAFFIC VIOLENCE AND I WAS
ACTUALLY CURIOUS WITH THE NUMBER
OF PEDESTRIAN FATALITIES.
I DIDN'T KNOW IF YOU HAD THAT
DATA AVAILABLE BUT CURIOUS, DO
YOU SEE THE SAME LEVEL OF RACIAL
ICED DISPARITIES IN TERMS OF
MORE?
>> NO, I DID NOT SEE THE -- I
DIDN'T SEE THE BREAKDOWN BY RACE
FOR THAT DATA AND JUST THAT IT
WAS EMERGING.
WE ARE A SIGNIFICANT REGATED
CITY AND YOU LOOK AT THE ZIP
CODES THAT HAVE THE INJURIES AND
FATALITIES AND YOU CAN ASSUME
THAT BUT I HAVE NOT SEEN THE
DATA BUT I'M SURE IF WE DIG
DEEPER IT'S GOING TO THE CASE.
>> PROBABLY SO.
THE OTHER QUESTION IS HOW CAN WE
BETTER PREPARE TO SEE ACTIVE
LIVING IN THIS NEW WAY THAT YOU
HAD SPOKEN ABOUT?
>> SO, I THINK FIRST IS WE NEED
TO KNOW THE OTHER SIDE AND
ACTUALLY I DID THIS AS A CASE
STUDY FOR MY MPH URBAN DESIGN
STUDENTS AND WE READ THE
COMMENTS SO ON-LINE PARTICLES
WITH IS OUR TO THE ARTICLE AND
IT CLEAR LEASE GIVES YOU A
BETTER PICTURE OF HOW YOU NEED
TO FRAME YOUR MESSAGE.
THERE'S A HUGE MISTRUST OF
GOVERNMENT IN SAINT LOUIS AND
ELSEWHERE AND HUGE SEPARATION OF
IDEOLOGIES AND BELIEFS SO REALLY
FRAMING THE ISSUES, GETTING
BETTER AT TALKING ABOUT WHAT IS
JIM WAS TALKING ABOUT AND THAT A
PHYSICAL ACTIVITY SHOULD BE A
PRIORITY AND IT IT WILL HELP ALL
THESE THINGS SO FIRMING THAT
SUPPORT AT THE INDIVIDUAL, THE
STAKEHOLDER AND THE POLICY LEVEL
FOR PHYSICAL ACTIVITY IN ACTIVE
LIVING AND IT SHOULDN'T BE
REACTIVE IT SHOULD HAVE BEEN
WORKED IN PROACTIVELY BUT IT
HASN'T BEEN AND THIS IS A GOOD
OPPORTUNITY TO DO THAT.
>> HOW DO WE FRAME IT WHEN WE
HAVE THIS STRUCTURAL THINGS TO
DISMANTLE BECAUSE WHEN WE LOOKED
AT Dr. BLACKSHEAR'S DATA THE
TWO RACIAL GROUPS, PHYSICAL
ACTIVITY WASN'T EVEN IN THERE
FOR THOUGHT O HOW DO WE GET
THROUGH THE STRUCTURES STUFF TO
PRIORITIZE IT SO IT IS SOMETHING
THAT CAN TAKE A BREATH AND SAY
OH, YOU HAVE THIS EXPERIENCE OF
RACISM TODAY OR THESE OTHER AND
I CAN THINK ABOUT PHYSICAL
ACTIVITY AND HOW DO WE GET TO
THAT POINT?
>> I THINK ABOUT THAT WHEN AS A
HEALTH EDUCATOR MANY, MANY YEARS
AGO AND YOU TELL PEOPLE JUST GO
OUTSIDE AND WALK, IT'S FREE.
YOU KNOW, THEY DON'T COUNT THAT
YOU CAN'T WALK ON THE SIDEWALKS
BECAUSE THEY'RE DANGEROUS OR
THEY'RE DANGEROUS FROM CRIMES OR
OTHER THINGS LIKE THAT BUT IT'S
TRUE THAT YOU HAVE TO WORK
SYNERGISTICALLY TO ELEVATE IT
BUT ACKNOWLEDGE THAT THESE OTHER
THINGS EXIST AND GIVE EACH OTHER
GRACE AS FAR AS THINGS MAY NOT
MOVE AS QUICKLY AS WE WANT THEM
TO AND I AM IN A PROJECT WITH
THE CITY COUNTY HEALTH
DEPARTMENT TO GET WHOA INCOME
PATIENTS INTO DIABETES
PREVENTION PROGRAMS AND OTHER
EVIDENCE BASED PROGRAMS WHICH
HAVE A COMPONENT OF PHYSICAL
ACTIVITY AND DURING THE PANDEMIC
TELLING SOMEONE TO JOIN THIS
PROGRAM AND BE PHYSICALLY ACTIVE
WAS DIFFICULT BECAUSE OF THE
MESSAGES.
I THINK MAKING IT PERSONAL,
MAKING IT, TAILORING TO BE
CULTURALLY APPROPRIATE AND I
THINK THAT EMPHASIZING INTER
GENERATIONAL PHYSICAL ACTIVITY
AND IT'S NOT JUST A BENEFIT FOR
ONE REASON BUT SOCIAL GROUPS AND
FAMILIES AND WHOLE COMMUNITIES
AND WE HAVE OUR WORK CUT OUT FOR
US IN ST. LOUIS FOR SURE AND I'M
SURE OTHER PLACES AS WELL.
OPTIMISM.
>> YES, DEFINITELY.
AND IT'S PIVOT, THIS QUESTION IS
NOW FOR Dr. SALLIS, YOU ARE
THINKING THAT CLIMATE CHANGE IS
ANOTHER GLOBAL EMERGENCY DOES
THE SYNDEMIC CONCEPT FIT WITH
THIS APPROACH AND LOOKING AT HAD
THIS CLIMATE CRISIS AND YOU HAD
SLIDES YOU WANT TODAY SHOW US.
>> YES, IF APPROXIMATE I CAN.
THIS WAS A LITTLE PLANNED, OKAY.
CAN WE MAKE THIS APPEAR?
YEAH, I WANTED TO, YOU KNOW,
THIS IS JUST SUCH AN IMPORTANT
ISSUE AND I WANT TODAY HAVE A
CHANCE TO DEAL WITH THIS.
WE ALL KNOW CLIMATE CHANGE IS
HERE AND IT'S ALREADY CAUSING
PROBLEMS.
FOR MANY PEOPLE AROUND THE
WORLD.
AND PHYSICAL ACTIVITY IS
RELEVANT HERE AND THIS IS DATA
FROM SAN DIEGO COUNTY BUT THE
SAME IS SIMILAR IS TRUE ACROSS
THE COUNTRY.
IN THE UNITED STATES,
TRANSPORTATION IS THE NUMBER ONE
CONTRIBUTE OR AND TO CARBON
EMISSIONS AND OF COURSE, IT'S
NOT WALKING AND BIKING THAT IS
CONTRIBUTING TO THOSE CARBON
EMISSIONS, IT'S CARS.
HOW DOES THAT WORK?
HERE IS THE TREND IF YOU WANT TO
CALL IT A TREND.
THE BLUE-LINE IS PEOPLE WHO
COMMUTE TO WORK BY DRIVING.
90% AND STEADY AS SHE GOES.
YOU SEE, PUBLIC TRANSIT A LITTLE
BIT WALKING A LITTLE BIT OTHER
BY THAT THEY MEAN BICYCLING IT'S
NOT EVEN JUSTIFYING THE TERM.
SO, HOW DOES THIS HAPPEN?
HOW DO WE HAVE SUCH A
PREDOMINANT OF CAR TRAVEL?
WELL, IT'S BECAUSE OF THIS.
BECAUSE 99% OF FEDERAL
TRANSPORTATION MONEY GOES TO
CARS.
THERE'S NOTHING HERE BEFORE 1992
BECAUSE BEFORE 1991, A FEDERAL
INVESTMENTS WERE PROHIBITED
BY-LAW AND THEN THERE WAS A LAW
THAT YOU CAN SPEND UP TO 1% ON
WALKING AND BIKING AND DURING
RECOVERY FUNDS INCREASE THAT BUT
IT'S COME DOWN AND WE PUT ALL
OUR MONEY INTO ROADS AND DRIVING
AND EVERYBODY DRIVES BECAUSE WE
DON'T HAVE AN ALTERNATIVE.
BUT CAN WE CHANGE?
IS IT POSSIBLE?
MANY TRIPS ARE SHORT AND YOU CAN
SEE, 41 PERCENT OF ALL TRIPS ARE
THROW MILES OR LESS AND IT'S A
EASY BIKING DISTANCE SO WITHOUT
DOING SO MUCH WITHOUT CHANGING
OUR SOAPING AND NOT LAPPED USES,
PLACES WHERE PEOPLE GO FOR MANY
TRIPS ARE WITHIN BIKING DISTANCE
NOW THAT BIKING MIGHT NOT BE
SAFE.
SO WE NEED TO MAKE IT SAFE BUT
THIS IS A POTENTIAL FOR
IMPROVING CLIMATE CHANGE.
AND SO, ONE THING I WANT TO
MENTION IS A STUDY PUBLISHED IN
THE LANCE ITS 2016 AND SHOWED
WHAT WOULD HAPPEN IF 10% OF CAR
TRIPS WERE REPLACED BY WALKING
AND BIKING AND IT COULD BE
IMPROVEMENT THIS IS THREE YEARS.
ONE IS REDUCED CRASHES.
OR INJURIES, ONE IS ONE IS
INCREASED POLLUTION WHICH IS
IMPORTANT BUT 90% OF THE HEALTH
IMPROVEMENTS FROM CHANGING TO
WALKING AND BIKING COMES FROM
CHRONIC DISEASES AND BASICALLY
PHYSICAL ACTIVITY SO IF IN OUR
CLIMATE CHANGE EFFORTS, WE SPEAK
ON ELECTRIFYING CARS THEN WE'RE
GOING TO MISS VIRTUALLY ALL OF
THE HEALTH BENEFITS.
SO IT PART OF OUR AGENDA AND
CLIMATE CHANGE IS TO NOT FOCUS
JUST ON ELECTRIC INDICATION BUT
INCREASE AS MUCH OF THIS WALKING
AND BIKING AS POSSIBLE SO WE CAN
HAVE A BRIGHTER FUTURE AND WE
NEED TO BE ENGAGE IN CLIMATE
CHANGE RESEARCH AND ADVOCACY.
SO I THINK I WILL LEAVE IT
THERE.
YOU DON'T HAVE TO APPLAUSE BUT
IT'S GOOD TO STAND UP.
>> Jennifer Roberts: I WANT
TODAY OPEN THE QUESTIONS OUT TO
THE AUDIENCE TO ANY OF OUR PAP
EASTS.
WE HAPANELS.ANY PRESSING QUESTI?
>> THANK YOU FOR ALL OF THIS.
THIS IS GREAT.
I JUST WANT TODAY ADD TO JIM'S
COMMENT ABOUT WE CAN'T JUST FIX
EVERYTHING BY SWITCHING TO
ELECTRIC VEHICLES AND I WANTED
TO POINT OUT AN ARTICLE THAT WAS
IN THE PLANETARY HEALTH RECENTLY
ON LONELY GENIC AND THEY TALKED
ABOUT LONELINESS AND HOW WE
FOCUS ON INDIVIDUALS AS THE
SOURCE OF THE LONELINESS AND NOT
LOOK AT THE STRUCTURE OF OUR
ENVIRONMENT AND THE BUILT
ENVIRONMENT AND THE PRESENCE OF
CARS AS A CONTRIBUTE OR TO THAT
LONELYGENIC ENVIRONMENT AND THEY
MAKE THE SAME POINT, THAT JUST
BY SWITCHING TO ELECTRIC CARS IS
NOT GOING TO FIX THIS.
WE NEED TO RETHINK THE
STRUCTURES OF OUR CITIES.
THANK YOU.
>> GOOD AFTERNOON, EVERYONE,
LOVED THE PRESENTATION AND IT'S
WONDERFUL.
Dr. BLACKSHEAR, YOU TALKED
ABOUT THE RACISM ABOUT THE ROOT
CAUSE FRAMEWORK AND I THOUGHT IT
WAS FANTASTIC AND I'M GOING TO
USE THAT FOR MY DISSERTATION
AWARD CAN YOU TALK A LITTLE BIT
ABOUT THE SECOND PILLAR AND THE
POLICY PIECE AND HOW THEY CAN BE
WRITTEN TO BE RACIST IN NATURE
OR ENFORCED TO BE RACIST?
>> SO THE SECOND PILLAR IS
CHOOSING POLICIES.
POLICY CHANGE INSTEAD OF
BEHAVIOR CHANGE FOR BLACK YOUTH
OR BLACK PEOPLE.
POLICIES, FOR EXAMPLE, IN A
PHYSICAL ACTIVITY SETTING IS
THIS NOTION WE NEED TO CUT
PHYSICAL EDUCATION TO INCREASE
TEST SCORES SO STANDARDIZED
TESTS ARE RACIST AND ANY TIME
YOU HAVE ALL WHILE PETE MAKING
THE ASSESSMENTS, THERE'S GOING
TO BE A RACIAL GAP.
THAT'S WHY I SAY PERCEIVED
RACIAL GAP SO THAT'S JUST ONE
EXAMPLE AND IF YOU LOOK AT THE
DATA IF HE IS DONE CONDUCTED A
LOT OF RESEARCH ON SUCCESS WITH
BLACK CHILDREN AND WHAT HE HAS
FOUND THAT BLACK STUDENTS LOVE
PHYSICAL EDUCATION WHEN IT'S
QUALITY NOT AND AND THEY NEED
IT.
SO FOR ME, LOOKING AT A LOT OF
THESE DATA POINTS, FOR PRE
DOMINANTLY BLACK SCHOOLS, I
DON'T CARE IF THEY'RE POOR, RICH
OR INNED MIDDLE, PHYSICAL
ACTIVITY AND MUSIC NEED TO BE
THE CENTER AND THE CORE AND WE
NEED TO BUILD THE OTHER COURSES
AROUND THE HEART OF THE SCHOOL
SO WE'RE ACTUALLY CUTTING THE
LIFE SUBPOENA OR THE OFF SCHOOLS
BECAUSE WE ARE MAKING DECISIONS
WITHOUT RESEARCH THAT CUTTING PE
OR CUTTING ART OR MUSIC
INCREASES TEST SCORES OR
INCREASES AND COGNITION AND
KNOWLEDGE AND UNDERSTANDING.
THERE'S NO DATA OUT THERE THAT
SUGGESTS THAT SO POLICIES LIKE
THAT WHERE THEY'RE COMING TOP
DOWN OR ON A WHIM WE NEED MORE
AND MORE.
IF IF YOU LOOK AT SOME OF THE
BRAIN RESEARCH AND WE NEED
CHANGING THOSE POLICIES GETTING
PRINCIPLES TO UNDERSTAND THE
BENEFIT OF PHYSICAL ACTIVITY AND
THE BENEFIT OF HOLDING TEACHERS
ACCOUNTABLE EX THERE'S A WHOLE
THING I COULD TALK ABOUT
PHYSICAL EDUCATION PROGRAM AND
IT'S LOWER QUALITY IN BLACK
SCHOOLS NO MATTER WHO THE
INSTRUCTOR IS AND WE HAVE LOWER
EXPECTATIONS FOR OUR CHILDREN
AND FOR BLACK CHILDREN AND SO
THERE NEEDS TO BE SOME DATA
BACKING AND I THINK BY CRITICAL
BLACK SCHOLARS, TO REALLY
HIGHLIGHT THESE POLICIES AND HOW
THEY'RE IMPACTING OUR CHILDREN
AND EVEN WELCOME BACK JIM CROW,
THEY WERE NOT DESIGNED FOR BLACK
CHILDREN SO WE'RE NOT EVEN
LOOKING AT THE HISTORICAL
CONTEXT HOW WE'RE GETTING
EDUCATED AND I'M GOING TO CLOSE
WITH THIS.
BELL HOOKS IN TEACHING TO
TRANSGRESS TAKES ABOUT THE
QUALITY EDUCATION SHE GOT PRE
INTEGRATION AND YOU KNOW, THE
BLACK TEACHERS HAD HIGH
EXPECTATIONS, ALL THE CULTURALLY
RELEVANT PET A GOJI AND HER
QUALITY OF EDUCATION DECREASED
TREMENDOUSLY WITH INTEGRATION
AND SHE WASN'T LEARNING ANYMORE.
I THINK THOSE ARE THE POLICIES
INSTRUCTORS THAT WERE JUST
PUTTING STUDENTS IN THIS
ENVIRONMENT THAT WASN'T AND WE
TEACHING DIFFERENTLY THAN WE
WERE PRE INCOMPETENT
INAUGURATION SO ALL OF THOSE
THINGS, 83% OF TEACHERS ARE
WHITE WOMEN AND I MEAN, ALL OF
THESE FACTORS POLICY AND GETTING
INTO THAT TEACHER EDUCATION
PROGRAMS, WE CAN GO ON AND ON
AND ON AND THOSE ARE THE
POLICIES THAT WE NEED TO HAVE
ACTUALLY EXAM AND WHY DO THEY
REQUEST AND WHY DO WE TEACH
STUDENTS AND SO FOURTH.
THERE NEEDS TO BE COMMUNITIES IN
THE SCHOOLS AND REC CENTERS CAN
WORK IN THE SCHOOL CHERNOFF AND
AFTER SCHOOL CARE, DAYCARE, O
MORE OF A COMMUNITY SCHOOL
APPROACH WHICH IS SHOWN
EFFECTIVE IN MANY BLACK AND
GROUND COMMUNITIES AND YOU SPOKE
ABOUT THE MULTI GENERATIONAL
PHYSICAL ACTIVITY SO I THINK
THOSE ARE SOME CRITICAL FACTORS.
SORRY TO BE SO WINDED BUT
THERE'S A LOT.
>> PERFECT.
THANK YOU.
>> NICOLE SMITH, TRES KNOW STATE
UNIVERSITY.
THANK YOU FOR YOUR WORK AND
PRESENTATIONS TODAY.
Dr. BLANSHARD, SO I SEE VALUE
IN THE COMMUNITY BASED APPROACH
AND USING SERVICE LEARNING AT
THE UNIVERSITY TO CONNECT IN
SCHOOLS WITH AT RISK YOUTH AND
WHO OFTEN ARE CHILD PORNOGRAPHY
OF COLOR BUT I EXPERIENCE VERY
REAL INSTITUTIONS CHALLENGE AND
I THINK BOTH AT THE STUDENT AND
ADMINISTRATIVE LEVEL AND GOING
OUT IN THE COMMUNITY I'VE SEEP
FIRST HAPPENED THE VARIABILITY
AND NEEDS GOING INTO A PARK
SETTING IN DOWNTOWN FRESNO AND
SEEING PATRONS THAT SAY WE JUST
NEED CLEAN WATER AND NOT SEEING
ANY SUPERVISION PRESENT AS
OPPOSED TO SETTINGS IN SCHOOLS.
CAN YOU OFFER SUGGESTIONS FOR
WAYS TO BREAK DOWN THOSE
BARRIERS TO GROW SUPPORT WITHIN
A INSTITUTION FOR TAKING
UNIVERSITY STUDENTS AND INTO
THOSE DIVERSE SETTINGS WHERE MY
COLLEAGUES MAY PERCEIVE THAT
THERE'S GREATER RISK VERY REAL
SAFETY ISSUES AND I'M OPEN TO
SUGGESTIONS.
>> DO YOU HAVE ANY BLACK
FACULTY?
>> YES.
>> HOW MANY?
>> WE HAVE A BLACK COLLEAGUE IN
PHYSICAL EDUCATION TEACHER
EDUCATION IN MY DEPARTMENT.
>> OKAY, ONE.
I'M ASKING BECAUSE I'M THE FIRST
AND ONLY BLACK WOMAN TO BE ON
THE TENURE TRACK AND EASTERN
TENURE AT MY INSTITUTION EX THAT
WAS IN 2016.
I'M NEWLY MINTED BUT I START
INSIDE 2016 AND BEFORE I GOT
THERE, WE HAD NOT ONE BLACK OR
BROWN SCHOLAR IN THE SIM SIL A Y
IN 2016.
SO I THINK THAT IS WHERE IT IT
STARTS.
EXPOS MAG JOR TEE WHITE,
PHYSICAL EDUCATION MAJORS,
TEACHER EDUCATION MAJORS TO
BLACK LITERATURE.
WHEN I FIRST STARTED, WE HAD A
HOME SCHOOL PROGRAM AND IT WAS
WHITE AND WE HAD A FEW BLACK
PEOPLE AND WHEN I STARTED
TEACHING THE COURSE THE WHITE
PEOPLE DROPPED OUT BUT NOW WE
HAVE A STRONG CO COALITION OF
BLACK HOME SCHOOLERS.
IT'S THE STRONGEST HOME SCHOOL
POPULATION WE'VE HAD SINCE
THEY'VE BEEN DOING THAT BEFORE
MY TIME AND WE HAVE LIKE 40
STUDENTS STRONG AND THESE
PARENTS I MEAN, OUR STUDENTS ARE
SHOCKED BECAUSE SOMETIMES THIS
IS THEIR FIRST EXPERIENCE
WORKING WITH BLACK YOUTH SO THE
STUDENTS COME TO US SO IT MIGHT
BE A START.
BECAUSE THIS IS THEIR FIRST
EXPOSURE TEACHING BLACK
STUDENTS.
I'M PROGRAM COORDINATOR NOW IN
YEAR TWO, OUR PART-TIME INTER
SHIPS MUST BE DO AND THEY CAN'T
GO OUTSIDE OF THOSE SCHOOLS AND
FOR THE PUM TIME INTERNSHIPS
THEY CAN AND IT'S ANOTHER
OPPORTUNITY BECAUSE I'VE TAUGHT
BLACK CHILDREN IT'S EASIER FOR
ME TO PROVIDE STRATEGIES AND THE
MISCONCEPTIONS YOU GO THERE IS
OBVIOUSLY FOR EXAMPLE, PEOPLE
MAY SAY BLACK GIRLS ARE
DIFFICULT TO TEACH.
AND IT'S NOT REALLY TRUE AND I
WAS A BLACK GIRL TOO BUT A LOT
OF OUR CHILDREN ARE TRYING TO
ARTICULATE THE RACISM THAT
THEY'RE EXPERIENCING BUT THEY
DON'T HAVE THE VOCABULARY FOR IT
AND THE WAY THEY TEACH AND THEY
NEED TO BE FIRED AND BRINGING
THESE DATA TO YOUR STUDENTS TO
LET THEM KNOW THAT A LOT OF IT
IS WE'RE CREATING I TAUGHT 10
YEARS IN THE UNITED STATES AND
MY TENTH WAS AT A HIGH SCHOOL, A
PREDOMINANTLY BLACK SCHOOL AND
IT WAS MAGNET BECAUSE THEY WERE
TRYING TO ATTRACT MORE STUDENTS
AND I WAS ABOUT TO GO TO UNC
CHAPEL HILL TO WORK ON THE
LARGEST SCHOOL BASED AND IT GOT
MY INTEREST IN SCHOOL BASED
PHYSICAL ACTIVITY PROGRAMS AND I
TOLD THE STUDENTS I'M LEAVING
AND THE STUDENT TOLD ME, OH, YOU
ARE NEVER LEAVING, YOU LOVE THE
BLACK KIDS TOO MUCH.
SO YOU REALLY CENTER TO LOVE
YOUR STUDENTS AND THEY HAVE TO
KNOW IT AND FEEL IT SO IT'S
HEARD TO CHANGE THE HEART AND
SOULS OF PEOPLE BUT EXPOSURE TO
BLACK CHILDREN LIKE BRINGING
HOME SCHOOL AND I'M NOT SURE
YOUR BLACK POPULATION TO DO
THAT.
I'M FORT AVENUE AND UNFORTUNATE
THAT WE HAVE A STRONG BLACK HOME
SCHOOL POPULATION AND THERE ARE
TWO GROUPS, VERY, VERY STRONG
AND IT'S BECAUSE THE BLACK THE
BALTIMORE PUBLIC SCHOOLS ARE
FAILING BLACK CHILDREN SO BLACK
PARENTS HAVE GOTTEN TOGETHER AND
THEY'RE GOING TO EDUCATE AND DO
A PHENOMENAL JOB AND IT MIGHT BE
ONE WAY IF YOU HAVE A STRONG
HOME SCHOOL COMMUNITY AND EVEN
GOING TO THEIR REGULAR PUBLIC
SCHOOLS AND SEEING IF YOU CAN
FILL IN A GAP.
IF THEY'RE HAVING PHYSICAL
EDUCATION DAILY CAN THEY USUALLY
AREN'T SO THERE MIGHT BE AN
OPPORTUNITY STARTING IN
ELEMENTARY WHERE THEY'RE
SMALLER.
A LOT EASIER TO MANAGE AND WE
HAVE ELEMENTARY THROUGH HIGH
SCHOOL COME TO OUR SCHOOL AND
IT'S TOUGH AND -- YEAH.
THOSE ARE THE THINGS THAT I CAN
OFFER IN THIS TIMEFRAME.
>> THANK YOU.
>> HEATH BOWLES FROM NCI.
ONE OF THE BENEFITS OF HAVING
THIS MEETING ON THE NIH CAMPUS
IS YOU GET TO TALK TO LOTS OF
GOVERNMENT PEOPLE WHOSE JOB IS
TO THINK APPROXIMATE POM SEE AND
SO I'M GRATEFUL FOR YOUR
PRESENTATION OF THE RRC
FRAMEWORK AND THIS IS A FOLLOW
ON FROM THE LAST QUESTION AND
YOUR ANSWER.
THERE ARE A LOT OF THINGS THAT
WE NEED TO DO IN TERMS OF
GENERATING THE EVIDENCE TO
REDUCE HEALTH DISPARITIES IN THE
POPULATIONS WE SERVE.
PART OF BEING NIH IS THINKING
ABOUT REDUCING THE HEALTH
DISPARITIES AND OUR FIELD, RIGHT
AND MAKING IT SO THAT YOU KNOW,
THE FACULTY REPRESENTS NOT JUST
WHITE GUYS, RIGHT, LIKE OLD
WHITE GUYS, SORRY TO SAY IT BUT
I WAS THINKING ABOUT THIS HOW IT
TOOK YOU 20 YEARS TO GET YOUR
INTERVENTION FUNDED AND FINDING
THE RIGHT HOME FOR IT AND IF YOU
COULD OFFER SUGGESTION FORCE
YOUR NIH FOLKS HERE ON WHAT WE
COULD DO TO SUPPORT THE RESEARCH
ENTERPRISE FOR OUR COLLEAGUES
AND THE INVESTIGATORS TO MAKE
THIS PATH EASIER.
>> THANK YOU.
IT DIDN'T TAKE ME 20 YEARS TO
GET FUNDED IT WAS A PROJECT THAT
CAME TO BE 20 YEARS AGO.
SO BEING IN A 10 YEAR RESEARCH
ROLE, I HAVE THE OPPORTUNITY TO
ACTUALLY PUT IT IN ACTION AND
THE THE FUNDING STRUCTURE IN
AMERICA, NOT JUST NIH, IT IS
ROOTED IN WHITE SUPREMACY, I'M
JUST GOING TO SAY IT FROM THE
APPLICATION, HOW LOWER TIERED
SCHOOLS ARE DISMISSED.
I HAD AN NIH PERSON SAY, YOU ARE
NOT GOING TO BE COMPETITIVE.
THEY'RE BASING IT ON THE WORK
I'M DOING SO THAT IS A
SIGNIFICANT BARRIER AND I THINK
WHEN THERE'S A NEED, I THINK NIH
AND OTHER LARGE FUNDERS SHOULD
GO SEEK RESEARCHERS WHO ARE
DOING GOOD WORK AND GIVE THEM
THE MONEY.
WHEN I E-MAILED PFIZER, EVEN
THOUGH I HAVE AN INTERNAL
CONNECTION, I SENT THEM THE
PROPOSAL AND MORE MONEY AND THEY
SEPTEMBER ME MORE MONEY THAN I
ASKED FOR.
I SAID THIS IS WHAT I NEED AND
THEY SAID WE CAN DO BETTER.
JUST LIKE THAT.
IT WAS AN E-MAIL, A 24 HOUR TURN
AROUND JUST LIKE THAT SO THE
TIME AND REVIEWERS AND YOU KNOW,
THERE ARE A LOT OF WHITE
INVESTIGATORS WHO ARE GETTING
MONEY TO STUDY BLACK CHILDREN
BUT BLACK INVESTIGATORS
CONDITION GET THE FUNDING TO
STUDY BLACK CHILDREN SO I MEAN I
THINK THOSE ARE SOME THINGS THAT
NEED TO BE ADDRESSED.
IT GOES THROUGH PUBLICATIONS AND
AWFUL THESE THINGS.
THE BLACK SCHOLAR IS DEALING
WITH A SIGNIFICANT AMOUNT OF
RACISM ON THEIR INSTITUTIONS SO
IT'S FROM EVERY ASPECT AND I'LL
GIVE YOU A ASPECT.
MY ENVIRONMENT IS THE MOST
RACIST ENVIRONMENT I'VE WORKED
AND I'VE BEEN THE ONLY BLACK IN
CERTAIN PLACES BUT IT'S THE MOST
RACIST ENVIRONMENT I'VE EVER
EXPERIENCED AND SO, I THINK THAT
PEOPLE DON'T REALLY EVEN YOUR
LIVED EXPERIENCE AND SO I THINK
THOSE THINGS LIKE YOUR BLACK
FACULTY, YOUR BLACK SCHOLARS
HAVE A MORE DIFFICULT TIME EVEN
THOUGH I'M PRIVILEGED IN OTHER
AREAS, IT IS YEAH.
YOU SEE HIM GETTING EMOTIONAL.
HOW THE STRUCTURE IS, NEEDS TO
BE CHANGED.
IT NEEDS TO BE CHANGED AND I
DON'T SEE A PROBLEM SAYING OH,
SO AND SO IS DOING GOOD WORK,
LET'S OFFER THEM A FELLOWSHIP,
LET'S OFFER THEM THIS MONEY THAT
WE HAVE HERE.
SO SOME OF PEOPLE DOING GREAT
WORK AND REALLY SOLVING PROBLEMS
THEY CAN'T GET THE FUNDING
BECAUSE IT'S THE PROCESS AND
IT'S RIDICULOUS.
[APPLAUSE]
>> THAT WAS VERY POWERFUL AND
I'M HESITANT TO FOLLOW IT.
I REALLY APPRECIATED YOUR
REMARKS ON PHYSICAL ACTIVITY AND
COVID AND I'M JEFF WHITFIELD
FROM THE CDC PHYSICAL ACTIVITY
AND HEALTH BRANCH.
I HOPE I CAN ADD CONTEXT AROUND
WHY IT WAS FEBRUARY OF 2022
BEFORE PHYSICAL ACTIVITY BECAME
A IT WAS A NOTED RISK FACTOR FOR
SEVERE COVID.
OTHER PEOPLE IN THE ROOM HAVE
HEARD ME SAY THIS BEFORE BUT
I'LL KEEP SAYING IT.
THERE'S A STRUCTURAL UNDERLYING
PROBLEM WITH THE DATA THAT WE
HAVE AVAILABLE TO IDENTIFY
THINGS IN ELECTRONIC MEDICAL
RECORDS AND CDC IDENTIFIED
OBESITY, HYPERTENSION, DIABETES
AS RISK FACT FORCE FOR SEVERE
COVID AND THE REASON FOR THAT IS
THEY'RE THERE, THEY'RE IN THE
MEDICAL RECORDS SO WHEN CDC
GANES ACCESS TO THINGS LIKE THE
PREMIERE EMR DATASET TO DO
EXPLORE EPIDEMIOLOGY WE CAN LOOK
BETWEEN THOSE THINGS AND SEVERE
COVID OUTCOMES AND I HAVE A CALL
TO ACTION HERE.
THERE ARE GREAT EFFORTS BEING
CONDUCTED BY OUR PARTNERS OF THE
PHYSICAL ACTIVITY LINES AND
AMERICAN HEART ASSOCIATION TO
GET PHYSICAL ACTIVITY ADD TODAY
THE STANDARDS FOR ELECTRONIC
MEDICAL RECORDS IN THIS COUNTRY
AND STAY OPT LOOK OUT FOR
OPPORTUNITIES TO DO PUBLIC
COMMENT ON THOSE EFFORTS BECAUSE
IT CAN BE SOMETHING THAT CAN
CHANGE THE LANDSCAPE.
IT TOOK US TWO YEARS TO IDENTIFY
IT BECAUSE WE NEEDED PEOPLE LIKE
BOB SALLIS TO GET IT ON THE
RECORD SO JUST A NOTE THERE THAT
THERE IS GREAT WORK BEING DONE
AROUND THE U.S. COURT DATA
STANDARDS FOR ELECTRONIC MEDICAL
RECORDS AND I WOULD ENCOURAGE
PEOPLE TO LOOK INTO IT AND OFFER
PUBLIC COMMENT WHEN POSSIBLE
THAT'S ALL.
>> HI, MAY NAME IS LAURA I AND
WORK WITH CREATING HEALTHY
SCHOOLS AND COMMUNITIES FOR
CORNELL CO-OPERATIVE EXTENSION.
MY QUESTION IS A FOLLOW UP TO
WHAT HE WAS SPEAKING ABOUT, IT'S
A LITTLE CONTROVERSIAL.
I GUESS WHEN Dr. SALLIIS, WHEN
YOU SHOWED THE SLIDE ABOUT THE
STUDY THAT WAS DONE AND IT IT
HELPED PHYSICAL ACTIVITY, IT WAS
41% HELPFUL IN FIGHTING COVID
AND UNDER IT HOW THE "NEW YORK
TIMES" AND SOME INFECTIOUS
DISEASE EXPERTS CHALLENGED THAT
AND SO MY QUESTION TO YOU IS
WHEN DATA LIKE THIS IS RELEASED
AND THEN YOU SEE IT CHALLENGED,
IN A MAJOR NEWSPAPER AND BY
SCIENTISTS, DO YOU FEEL
DISCOURAGED IT'S NOT BEING PUT
OUT PROPERLY INTO THE WORLD AND
THAT PEOPLE WILL THIS ISN'T
GOING TO HELP BECAUSE OF THE WAY
IT'S BEING PRESENTED?
>> I WAS BOTH DISCOURSED AND UP
SAID.
FOR A COUPLE OF REASONS.
ONE, IT WAS VERY HELPFUL TO HAVE
THOSE COMMENTS FROM THE
INFECTIOUS DISEASE EXPERTS AND
BECAUSE I HAVE BEEN ABLE TO
RECEIVE NO FEEDBACK ON THESE
STUDY EVEN THOUGH I E-MAILED
THEM DIRECTLY AND I JUST GET NO
RESPONSE.
I FELT LIKE THAT DISCOURAGEMENT
FROM ACTING ON THE EVIDENCE
WAS -- I FOUND IT TO BE
INAPPROPRIATE AND BIASED AT THE
VERY LEAST SO I IMMEDIATELY
WROTE A COMMENT IN THE NEWSPAPER
BUT YOU KNOW, WHY THINK TOO MANY
PEOPLE READ THE COMMENTS LIKE
YOU DO.
YOU READ THE COMMENTS.
SO I SAID, I'M GOING TO GO TO
THE NEXT STEP.
I'M GOING TO WRITE A LETTER TO
THE EDITOR SO I REFUTED THOSE
COMMENTS.
WELL, YOU KNOW, WHAT THAT MEANS
IS THE TRUE IT'S MORE OR LESS
CORRECT BUT THE NAMES THAT THE
TRUE ASSOCIATION IS UNDER
FELTING SO IT PROBABLY MEANS
THAT IT'S MORE PROTECTIVE THAN
THEY FOUND AND THEY SAID WELL
YOU DON'T HAVE A MECHANISM.
THE MECHANISM WAS NOT DETERMINED
AND YOU DON'T NEED A MECHANISM.
WE HAVE EVIDENCE ABOUT THE
NECKISMS, THE INFLAMMATION AND
THE IMMUNITY AND THE CHRONIC
DISEASE AND YOU KNOW, THEY
WEREN'T PUT IN THAT STUDY AND AS
SUCH AND I HAVE NEWS FOR THAT
GUY.
PHYSICAL ACTIVITY HAS BEEN
RECOMMENDED FOR A COUPLE OF
DECADES.
TO EVERYBODY.
SO THAT SHIP HAS SAILED SO I
WROTE A LETTER TO THE EDITOR
POINTING THOSE THINGS OUT AND
THEY DID NOT PUBLISH IT SO I'M
UPSET AND WE NEED TO BE PUSHING
BACK AGAINST IT THIS AND WE NEED
ATTENTION FOR PHYSICAL ACTIVITY
AND I WANTED TO PRESENT MY
EXPERIENCE BECAUSE IT'S BEEN
ACTIVITY AND THE RESEARCH OF
THAT PHYSICAL ACTIVITY IS PRETTY
HIGH-QUALITY AND SHOWS AMAZING
RESULTS.
THE ACTION IN RESPONSE TO THE
EVIDENCE IS ALWAYS ABSENT OR
UNDERWHELMING AND IN THIS CASE
IT'S I THINK PUBLIC-HEALTH HARM
IS IGNORING THE PHYSICAL
ACTIVITY EVIDENCE SO I'M
PRESENTING MY FAILURES AND IN
HOPES THAT YOU WILL HAVE BETTER
IDEAS DID HOW TO HIGHLIGHT THE
EVIDENCE TO COMMUNICATE IT MORE
EFFECTIVELY AND TO GETTING POWER
OF PHYSICAL ACTIVITY AND
IMPLEMENTED OR ACTUALLYIZED IF
NOT, FOR THIS PANDEMIC,
SYNDEMIC, AT LEAST GETTING ON
THE AGENDA FOR PREPARATIONS FOR
THE NEXT ONE.
>> OKAY, THANK YOU.
JUST ONE SECOND PART TO THAT
QUESTION, I GUESS, IS, WHY DO
YOU THINK OF IT IS NOT -- WHY DO
YOU THINK WHEN YOU WOULD SEND A
LETTER LIKE THAT, WHAT IS THE
DOWNSIDE I DON'T UNDERSTAND THE
DOWNSIDE TO THEM ACKNOWLEDGING
IT NOT AND SAYING OH, YES,
PHYSICAL ACTIVITIES CAN HELP I
DON'T UNDERSTAND THAT PART.
THAT'S WHERE I HAVE THE
DISCONNECT AND DO HAVE YOU ANY
REASON TO WHY PEOPLE IGNORE YOU
AND YOU HAVE NOTHING TO ACT ON
EX CEMENT YOUR ON PRECONCEPTION
AND I'VE ACCUMULATED A LOT OF
REJECTION AND BEING IGNORED
DURING THIS PROCESS AND I TOLD
YOU ABOUT OUR FIRST ON SID THAT
WAS REJECTED SEX TIMES AND WE
WROTE A THIRD OP-ED ON DIFFERENT
TOPICS OF PHYSICAL ACTIVITY AND
ONE ON THE LIKELIHOOD THAT
PHYSICAL ACTIVITY COULD MAKE
VACCINES WORK BETTER AND LONGER.
SO I DON'T KNOW YOU ARE ASKING
THE WRONG PERSON.
>> OKAY.
ALL RIGHT.
>> I WANT TO PRESENT THIS AS A
ISSUE TO OUR FIELD.
SO THIS IS A CHALLENGE THAT TO
ME HAS BEEN VERY SIGNIFICANT.
IT'S A VERY SIGNIFICANT
EXPERIENCE TO HAVE HAD THIS
EVIDENCE AND NOT USE IT WHEN WE
HAD A MILLION PEOPLE DIE IN THIS
COUNTRY.
>> THANK YOU I REALLY APPRECIATE
YOU BRINGING IT TO THE FOREFRONT
AND EXPLAINING ABOUT YOUR
EXPERIENCE.
THANK YOU.
>> THE LAST TWO QUESTIONS AND
THEN WE'LL HAVE FINAL THOUGHTS.
>> ALL FOR YOUR REPRESENTATION
AND MY NAME IS MARILYN AND I'M
FROM BAYLOR UNIVERSITY.
THIS QUESTION KIND OF FOCUSES ON
PEDESTRIAN INJURY AND DEATH BUT
I THINK YOU CAN ALL SPEAK TO
THIS SPECIFIC TOPICS INCLUDING
Dr. ROBERTS' FROM HER
PRESENTATION THIS MORNING AND I
WANTED TO TALK ABOUT POLICING AS
A SOLUTION FOR PEDESTRIAN INJURY
AND DEATH AND I SEE IT IN A LOT
OF VISIONS ZERO INITIATIVES AND
MISSING BUILT INTO THAT AND IT'S
THE ASSUMPTION THAT MISSING A
SOLUTION TO ENFORCING TRAFFIC
LAWS AND VIOLENCE AND AS I
STARTED TO INVESTIGATE THAT A
LITTLE AND I REALIZES THERE'S
VERY LITTLE EVIDENCE THE VIDEO T
Dr. ROBERT SHARED THIS MORNING
SHOWS LIKE, WHAT IMPACT IT HAS
ON HEATH QIKIQTARJUAQ AND BLACK
AMERICANS TO BE PHYSICALLY
ACTIVE AND IT'S DIFFICULT
BECAUSE YOU SEE IT IN THE MEDIA
THEY'RE MANUFACTURING CONSENT
AROUND POLICE BUDGETS.
THEY DRAW THIS ASSOCIATION
BETWEEN MEDICINE DEATHS AND
POLICING AS A SOLUTION WITH NO
EVIDENCE TO REALLY PROMOTE THAT
SO I'VE BEEN STRUGGLING WITH
THAT HOW WE CAN COMBAT THAT
NARRATIVE AS RESEARCHERS AND
ALSO AS JUST PUBLIC-HEALTH
WORKERS GENERALLY AND IS IT
THROUGH RESEARCH AND SO IF
ANYBODY HAS ANY THOUGHTS ON THAT
I WOULD LOVE TO HEAR.
>> I CAN MAKE A COMMENT FIRST ON
THAT.
IN TERMS OF THIS COUNTRY, THE
INSTITUTION OF THE POLICE
DEPARTMENTS HAS TO BE DISMANTLED
ENTIRELY AND IT'S BORN OUT OF A
JIM CROW ERA AND THE MENTALITY
THAT WE SEE NOW AND IT'S JUST
WITH THIS IDEOLOGY OF
CRIMINALIZING BLACK AND BROWN
BODIES AND WE ARE GOING TO DO A
THREE CITY STUDY FINDED AND
BALTIMORE IS A CITY TO SEE HOW
THE IMPACT OF THE GEORGE
EMPLOYED ACT HAS EVEN CHANGED
ANY ELEMENTS OF POLICING AND THE
CITIES OF BALTIMORE, A LAN TA
AND ST. LOUIS AND MY
CONTRIBUTION WILL BE A LOT
LOOKING AT THE WHOLE IDEA OF
RACIAL PROFILING AND OF
PEDESTRIANS CYCLISTS, ET CETERA
WITHIN BALTIMORE SPECIFICALLY.
IT'S THE TRAINING AND THE
CULTURE THAT GOES O YOU MAY COME
INTO THE ACADEMY AND HAVE SO
MUCH OF THESE -- YOU MAY HAVE
MISS CONCEIVED NATIONS AND THEY
MIGHT NOT HAVE AN ACTIVATED AND
WHEN YOU ARE IN THAT CULTURE, WE
LOOK AT TYREE, THOSE WERE NOT
WHITE OFFICERS SO THAT CULTURE
BECOMES A FORCE AND SUCH THAT
YOU SEE IT THE BRUTALITY AND THE
SUBSEQUENT DEATH OF BLACK BODIES
SO STAY TUNED THEY WILL LOOK AT
THE QUESTIONS THAT YOU WERE
POSING.
>> THANK YOU SO MUCH FOR DOING
THAT.
IT'S SO SURPRISING THAT LIKE I
LIVE IN A SMALL TOWNSHIP AND THE
POLICE BUDGET IS OVER
$400 MILLION.
IT BLOWS PACKS AND RESKE OUT OF
THE WATER AND SO IT'S -- THAT
WORK IS SO NEEDED.
THANK YOU.
>> THE THINGS WITH THE STREETS
INITIATIVE IS THEY DID
ACKNOWLEDGE THE DIFFERENT
COMMUNITIES AND THE STOPPING FOR
THINGS HIGHER IN CERTAIN AREAS
AND OTHERS AND THAT IS ONE OF
THE THINGS THAT THEY'RE LOOKING
TO ADDRESS AS WELL.
>> CAN I MAKE ONE COMMENT.
I HAVE A SMALL PIECE OF HOPEFUL
NEWS, GOOD NEWS.
THAT I BELIEVE THAT THERE'S THE
BEGINNING OF THIS YEAR HAD
CALIFORNIA.
THEY DECRIMINALIZED JAYWALKING.
ON THE PAPER BASIS THAT IT WAS
BLACK AND BROWN PEOPLE WHO WERE
BEING TARGETED FOR JAYWALKING.
AND SO STATE LEGISLATURE PASSED
THAT AND YOU CAN'T BE STOPPED OR
FINED UNLESS YOU ARE JUST
RUNNING ACROSS CARS BUT YOU CAN
WALK IN A CROSSWALK OR EVEN IF
THE LIGHT IS AGAINST YOU OR NOT
ANOTHER A CONSTRUCT AND THERE'S
NOT A FINE OR A ARREST.
>> I THINK THIS QUESTION IS A
GOOD SEG WAY ALIGNED WITH MANY
WHAT ARE SAYING.
I'M MA LISA GREEN PARKER HERE AT
NIH.
WHERE IT'S NEGATIVE BEHAVIOR OR
NEGATIVE AGGRESSION BECAUSE AS
WE TALK ABOUT BLACK AND BROWN
CHILDREN PARTICULARLY WHO MAY
HAVE FIFTH NEED TO STAND UP AND
MOVE IN THE MIDDLE OF A READING
LESSON BUT THAT'S INTERPRETED AS
BAD BEHAVIOR IN ABSENCE OF GOING
DOWN THE SCHOOL PATH OF
OBTAINING AN IEP OR 504 PLAN
YOUR CHILD CANNOT GET PERMISSION
TO STAND UP ON REGULAR INTERVALS
TO MOVE HIS OR HER BODY.
NOT AS WE TALK ABOUT AND I DON'T
WANT TO LEAVE WITH THIS MIND
SET, PARENTS, ESPECIALLY BLACK
PARENTS DON'T PRIORITIZE
PHYSICAL ACTIVITY.
THE PROBLEM IS OUR MOVEMENT IS
INTERPRETED AS AGGRESSION SO
TRYING TO NOT FIND THIS BALANCE
IN THIS PHYSICAL ACTIVITY
RESEARCH SPACE, WHERE IT BEHAVED
CULTURALLY RELEVANT AND
APPROPRIATE BEHAVIORS NOT
MISINTERPRETED AS A
MISUNDERSTANDING OF HOW YOU ARE
SUPPOSED TO GET PHYSICAL
ACTIVITY.
OUR DESIRE TO MOVE AND WE JUST
HAD THE CONVERSATION, WE MOVE
THE WRONG WAY AND IN FRONT OF A
POLICE OFFICER, THAT'S
INTERPRETED AS AGGRESSION.
SO, AS A PARENT, NO, I'M NOT
ENCOURAGING MY CHILD TO MOVE A
LOT.
I'M NOT ENCOURAGING MY CHILD TO
WALK HOME FROM SCHOOL IN HIS
HOODIE.
AS MUCH AS IT WOULD BE VERY,
VERY HELPFUL TO HIS GROWTH BUT
THERE ARE THESE MIND SETS THAT
SEEM TO APPLY TO SOME POPULATION
THAT'S DON'T APPLY TO OTHERS AND
CAUSE US AS PARENTS TO PARENT
DIFFERENTLY.
I WOULD JUST, WE DON'T HAVE TIME
BUT I JUST WANT TO THROW THAT
OUT THERE AS SOME RESEARCH
QUESTIONS, SOMEWHERE, AS WITH
THIS INVENTORY OF HOW CERTAIN
BEHAVIORS FOR WHATEVER REASON,
MOVE TO BEING AGGRESSIVE AND NOT
IN LINE WITH THE APPROPRIATE
PHYSICAL ACTIVITY
RECOMMENDATIONS.
I HAVE TWO BLOCK SONS 25 AND 28
THEY WERE THE IMPOTENCE FOR ME
MOVING ABROAD AND WE WERE IN THE
RACIST EXPERIENCES AND I
ENCOUNTERED AND THEY NEVER,
WELL, AN DESPITE AN RACISM OR
COLORISM IN PARTICULAR.
MY OLDEST SON, SO ONE WAS IN
MIDDLE SCHOOL AND ONE WAS IN
HIGH SCHOOL.
HE WENT TO A GIFTED AND TALENTED
SCHOOL IN RAL NORTH CAROLINA, IT
WAS A MAGNET, DIVERSE SCHOOL.
THEY HAD A DANCE FOR BOYS, IT
WASN'T PART OF THE CULTURE.
HE STARTED DANCING IN EGYPT AND
PEOPLE HAVE THIS PERCEPTION ARE
IN THE MIDDLE-EAST AND YOU ARE
ISLAMIC NATION AND HE SAID I
HAVE SO MUCH FREEDOM BUT HE WAS
GIVEN THE OPPORTUNITY TO DANCE
BECAUSE HE DIDN'T HAVE THAT
TOXIC MASCULINITY OF WHAT BLACK
MEN ARE -- HOW THEY'RE SUPPOSED
TO BEHAVE SO HE HAD THE FREEDOM
AND ENDED UP GRADUATING AND HIS
UNDERGRADUATE DEGREE IS IN
DANCE.
SO, THAT GAVE HIM A FREEDOM AND
IT WAS NICE TO NOT HAVE TO DEAL
WITH THE ISSUES HERE BUT FOR YOU
AS A PARENT, I WOULD JUST BE
VERY DIRECT WITH EDUCATING THE
TEACHERS.
WHEN WE WERE IN THE UNITED
STATES, I WOULD TELL THEM, I
SAID, I HAVE TWO BLACK, MALE
CHILDREN, THEY COME FROM TWO
EDUCATED PARENTS.
DON'T MESS WITH OUR CHILDREN
BECAUSE YOU WILL BE DEALT WITH.
AND SO THAT WAS JUST THE
EXPECTATION.
BUT WE HAD TO ADD VERY INDICATER
BLACK CHILDREN AS WELL BECAUSE
PARENTS WANT TO DO BETTER, THEY
DON'T KNOW HOW TO.
OR THEY ARE SO SUBTLE, I WOULD,
THERE NEEDS TO BE MORE EDUCATION
AND AWARENESS AND BLACK CHILDREN
MOVE.
THAT AFRICAN DRUM BEAT COMES,
RIGHT.
IT'S A PART OF OUR SPIRIT WHICH
HAS BEEN ROBBED THAT WE DON'T
EVEN KNOW WHY THAT AFRICAN DRUM
BEAT MOVES US.
IT'S IMPORTANT.
IT HELPS WITH ACADEMIC LEARNING
AND UNDERSTANDING SO I THINK YOU
AS A PARENT, YOU KNOW, YOU MIGHT
BE A ONE-WOMAN SHOW AT THE
MOMENT BUT THE MORE TEACHERS
HEAR THIS, THE MORE THEY WON'T
HOPEFULLY PERCEIVE OUR BLACK
BABIES MOVING AS A THREAT.
AND THEN YOUR TEACHER EDUCATION
PROGRAMS, THAT'S, YOU KNOW,
THERE'S NOT A LOT OF CULTURALLY
RELEVANT PET A GOJI TAKING
PLACE.
>> WE REALLY GET THIS POINT OF
THIS SPIRIT OF THE AFRICAN
MOVEMENT AND IT'S JUST ONE DROP
AND IT MAY CAUSE YOUR CHILD TO
JUST MOVE A LITTLE BIT MORE.
SO, I'M GOOD.
>> LET'S CONNECT.
>> I WANT THIS PHYSICAL
ACTIVITY.
>> OKAY, YOU AND I AND BRIAN
COPE WHO DOES A LOT OF
SPACIALALITY WITH BLACK, THE
THREE OF US SHOULD DO IT.
>> ALL RIGHT.
MAKE SURE WE CONNECT.
[APPLAUSE]
>> Jennifer Roberts: ANY OTHER
FINAL THOUGHTS?
I WOULD LOVE TO LEAVE IT ON OUR
BLAB BABIES -- DANCING SHOULD
NOT BE A THREAT BUT I WANT TO
OFFER SOME COMMENTS FOR FINAL
THOUGHTS RELATED TO THE OVER ALL
THEME?
AND ALL OF WHAT WE'VE DISCUSSED.
>> IT'S AN INVITATION.
AT LUNCH TODAY, WHICH I THINK IS
NEXT, WE'RE GOING TO HAVE A
TABLE WHERE WE'RE GOING TO BE
OPEN TO DISCUSSING A CLIMATE EX
PHYSICAL ACTIVITY RELEVANT
INITIATIVE AND IT IT COMES OUT
OF OF TWO LANCEIT IS SERIES SO
WE'RE RECRUITING PEOPLE TO LEAD
THE DEVELOPMENT OF INDICATORS OF
HEALTHY AND SUSTAINABLE CITIES
IN YOUR CITY.
AND SO THERE ARE POLICIES
ANALYSIS TO LOOK FOR SPECIFIC
INDICATORS AND THEN USE OF OPEN
SOURCE G.I.S. DATA AND TO AND
JUST TO MENTION THAT JENNIFER
ROBERTS WAS PART OF OUR KIND OF
FEASIBILITY STUDY IN 25 GLOBAL
CITIES AND LED THIS WORK IN
BALTIMORE AND HAD A FANTASTIC --
ORGANIZED A FANTASTIC MEETING
WITH STAKEHOLDERS WHERE SHE HAD
THE MAYOR COME IN BY VIDEO, I
THINK AND REALLY USED THIS AS A
JUMPING OFF POINT