Social Determinants of Health - New Jersey

1 Social Determinants of HealthMindy Thompson Fullilove, MDNYSPI at Columbia UniversityNovember 18, 2011 Environmental foundation of Health : Disease rates fall before antibiotics or is inequality created? Segregation Dispossession Profits over people Moving industry to low wage places Cutting taxes for wealthy Shifting costs to working peopleSegregation Urban ghetto is a location within which members of a group must live Not synonymous with slum First ghetto in Italy forced Jews to live in a walled sector of the city People survived by making strong communities that could stand up for them and solve problemsTwo parts of segregation Spatial separation Repeated forced displacementSegregation in

2 PittsburghRedlining System of preferential investment Investment most likely to succeed if directed at green area : white people and new buildings Investment downgraded if directed at red area: old buildings and non-white people Differences in investment compound leading to very large differences over time Redlining triggers a cascade of other policies that injure cities Redlining inSyracuseHILL DEMOLITIONB ecoming Strong AgainBeginning of the fight against eminent domain in Brooklyn, June, 2004.