Before entering the white house stood on a balcony and took off his mask his recovery is far from over minutes after his return to the white house tweeted out this video dont let it dominate dont let it take over your lives dont let that happen were the greatest country in the world were going back were going back to work were going to be out front and no one better and maybe im immune i dont know but dont let it dominate your lives get out there be careful we have the best medicines in the world and theyre all happened very shortly and theyre all getting approved and the vaccines are coming momentarily thank you very much and want to read what a group of people. Earlier White House Press secretary kelly mccann only became the latest u. S. Official to test positive for corona virus can he says shes experiencing symptoms 2 of her deputies have also been infected there among more than a dozen people connected to the white house who tested positive in recent days also in fake theories for my new jersey governor and trump ally Chris Christie hes now in the hospital. The afghan president is in carter all of the official visit but hes not meeting taliban officials are shoved down these visit comes as peace talks are underway in doha the Afghan Government and the taliban have so far made little progress rwandas top prosecutor is seeking to try and trade as a hero in the film hotel rwanda. d is on trial for terrorism alongside 18 former rebels hes admitted backing opposition groups during rwandas dial 994. 00 genocide but denies taking. We understand the differences and similarities have cultures across the world. So no matter. How to bring you the need and Current Affairs that matter to. Aljazeera. I am to be ok today we return to a subject that was touched on several times on the stream and thats minorities in the us being involved in that scene trials earlier we spoke to public historian mabel reston act who told us why its so critical minorities take part in these facts and its happening. We advocate for diversity and inclusion and incredible trials including challenge trials other social determinants of health and fire mental conditions housing food availability that disproportionately impact nonwhite people and can impact reactions to vaccines and other medications so any Clinical Trial must incorporate a diverse range of participants nonwhite people as well as to go from a range of geographic and other kinds of backgrounds our work or Advocacy Works also involves starting a conversation around racism Equity Inclusion in medical Ethics Health and Public Health and vaccination far more broadly than 1000 exene is on the beginning of a longer project of antiracist work in medicine so this potentially could be an uncomfortable conversation about race medicine. Vaccine trials and the ready for a jump into the comments i want to be part of today. Hi larry linda hello granted we could miss you going to be town team integrate this today they have so much knowledge youre about to see blood on you linda reintroduce your south stream audience. Hello femi thank you for having me im going to go about president and c. E. O. Of the black Womens Health imperative the only National Organization focused on black Womens HealthEmotional Physical Health and Mental Health so happy to be here welcome back hello there glenn tell everybody who you are like i can me look melinda good to see you bald i am arkell and allison based in philadelphia im a currently a visiting scholar at the National Bioethics center and at Tuskegee University and im also a fellow at Harvard Medical School and both Research Bioethics and and on narrative ethics i am going to jump straight into the you cheap comments when i would its knew we were doing this show this this comment here are you kidding are you not aware of the deep mistrust afro americans have about the medical system review your history of medical apartheid and genocide in the u. S. We aint having none of it its. Impact that you know. Yeah there is a lot to unpack there and this is you know as the writer said this is deeply rooted in history this is deeply rooted in 400 years of oppression in this country and then of course colonialism outside of this country going even further back i mean the fact is you know the reason we have trials distance to ensure that vaccines are therapeutics are safe and effective but they need to be safe and effective for everybody and if we dont include everybody then theyre less reliable and so in this country where weve got a history that that i know glenn was going to speak to so well of medical abuse of her griffith abuses you go back to j. Marion sims and the way he brutalized slave women and and you know obviously Henrietta Lacks and having naming herself after her without her permission but come you can come to today i happened to be in georgia and just a month ago we saw where institutionalized let pinas were being sterilized without their permission so this mistrust this reluctance to participate in what comes across as a experimentation is well founded historically but its well founded in whats happening today. Glenn im just going to jump back into you tube again literally our green warner the tonya thank you for joining us she says look up to ski syphilis experiment there. Any way linda just ruled off a number of i would just see an ethical experiments own black people in the United States take one of them take the tuskegee experiment because within the us people know that outside of the u. S. If they dont theyre going to be shocked when you tell them what happened briefly thank you thank you for to me you know this is a classic example of what it means when it says. Until the lion gets his own story tell us the story of the hunt is going to always glorify the hunter and the 1st thing we have to egg knowledge there was no Tuskegee Syphilis study there was a u. S. Publics Health Service study on syphilis at tuskegee it was only the exclusion of the fact that this was the United States government conducting this study of watching the progression of the disease of syphilis in an educated poor black farmers and we have now allowed the narrative to be about. First of all of us syphilis study Tuskegee Syphilis study as though the university was actually the one that did it but more importantly we talk about this mistrust and we dont even acknowledge that myth its almost as though they think mistrust is something that were born with that theres some kind of genetic defect that blacks have mistrust against health care and stead of egg knowledge ing and being accountable for the incredible races history that linda has just articulated that has led to anybody with commonsense mistrusting somebody who has demonstrated as linda said for over 400 years that we dont matter theres no example in this entire societies history where you can point to something that shows that africanamericans and blacks are actually a part of the overall d objectives and goals and aspirations of this country it doesnt exist so mr mistrusts is totally the wrong term to use its like common sense and what people understand they need to do is to only way weve survived for the last 400 years use of the reason why describe this is an Uncomfortable Conversations because. It liddy seen you expect your medical professionals to take care of you weak gondolas of what really looked like where you live what your resources are why does this not happen the 90 states yes it is uncomfortable but it it reveals the the fundamental systemic racism that exists in our Healthcare System let me that the number one reason and we is going talked about theres incredible historical mistrust and warranted but the number one reason black people dont participate in Clinical Trials is because they are not asked their physicians make all kinds of assumptions about what they will and will not do whether or not they were complying with the net they will well be able to travel well and that they have enough money and so because of these races perceptions they simply dont ask their patients to participate and so we leave out an entire group of people who can benefit and just in case people think it doesnt matter it does when you look at for example the h. P. V. Vaccine which has been demonstrated to prevent Cervical Cancer in women the 2 strains that are most responsible for Cervical Cancer in black women are not included in the back scene where there were no black girls in those trials and so this absolutely does matter and you know you come forward to carbon 18 theres a therapeutic dexamethasone which has shown to be effective in people with severe disease well doesnt work as well and africanamericans no no surprise not included in the trials so these met these things matter and if if our physicians would ask just say look you know miss smith i think this trial would be really good for you were going to work with you to make sure that you have the best possible experience in this trial it could make a huge difference but its just nash apne. I mean why is it not happening i feel like if you now do this if we know about the inequities in the house system you ask why it took does not do yes because racism and structural and institutional racism is really designed to protect the power and privilege that white people enjoy so its in their benefit is to their advantage and to their benefit to do everything not to dismantle it because human nature says none of us like to lose power and privilege thats just a human nature thing so the structural is Structural Racism in our medical system i want to Say Something 2 things real quickly one i just got over my 1st ever sinus infection and i feel like i should apologize to everybody i ever blew off to complain about a sinus infection that is a horrible its a horrible experience but anyway the point is i went to an air nose and throat specialist on a referral from my doctor my primary doc i get to the office wait around wait around often as you normally do they call me into the waiting room i go in sit on the exam table look up on the wall there are 48 by 10 photographs of all white men doctors so when the doctor who was seeing me came in the room and said us and enter deuce themself and thats what i was there for us if wait a minute if you tell me what thats all about its all those of some very great doctors and they were very good mentors to the person who found it so what doctor let me ask you a question how confortable what youd be if you where our roles were reversed right now you came in here and there were 40 pitches a black man up on the wall and the exam room he couldnt answer that. And the other point is just that how deeply steeped racism and how black just being black has made medical lies to be a condition a disease that goes back to the 70 all the way to the origins of this country then im so glad you mentioned that because we switched to cali we spoke to clean i was going to get a pickup of the back of a clean about theres something wrong with black bodies is this something wrong. That i think used to be experimented on or avoid it to be putting vaccine trials this is how killeen put it lets have a listen to. By frame in black americans as biologically at risk for this disease for covert 19 were not only communicate the message that black bodies are inherently defective and prone to the disease we obscure the underlying structural causes for Racial Disparities in health and these are the social determinants of Health Including and especially medical racism biological race cannot be the basis for equipment recruiters must reject this harmful logic because it ultimately subjects africanamericans a disparate treatment in research sedens and they must also abstain from stigmatize and africanamericans as irrational in their skepticism and they must contend with the fact that those who are usually are recruited 1st are often denied access to the therapies built upon their bodies. Glenn i thought there had been cleaning but i know linda in particular you are set up with black women being targeted is this something wrong with black when i need to learn pushback all the time absolutely and black women dont view themselves as as we say broke or broke down i mean we have conducted a study years ago where we asked black women to define health and that is not our view we know we are trying we know theres nothing wrong with us but there are the systemic barriers and go and i just want to touch on something you said you talked about going to the Doctors Office and you know youre waiting around well to give you a sense of how ingrained how entrenched systemic racism is it is literally built into technology but the appointment scheduling systems the Artificial Intelligence systems have racism built into them i brought up a coauthored a paper with some colleagues last year that show that racism is literally built into this intelligence into the algorithms of scheduling systems such that black people wait 23 times as long as white people to get an appointment so if youre on a schedule you go see your doctor youve got a 3 oclock appointment and it suddenly 5 oclock of course youre going to lead and perhaps you wont come back so this has real implications for our ability to access care and access quality care when racism is literally built into the technology into the machine language. That that can all schedule i lived in england you have just laid this out kathy youve given Historical Context you put it up to date let me just show you here. Some of the child pages from slices and im going out to families and they are looking at the trial locations the trial progresses is the cause of 19 vaccines participant diversity lets just look here that that to be pretty transparent in the u. S. 5 percent asian 9 percent black. Hispanic allotting x. 12 percent 90 can i can point 7 percent this way its not about 25 percent of that comment that seeing trials the coverage 19 is looking at minorities glenn is that and not well 1st of all why wont we trust those numbers why why is it that if we have watched systemic exclusion of black people in Clinical Trials and i served on 5 different our beings over the course of 15 years so theres nothing about Clinical Research i dont understand and know and i know theres no accountability we already know systemically there is no universal system to collect racial data so why should the 1st thing is why should we trust what they say why. Do you know why should you not trust these 2020 we have Massive Movement everything is turned upside down for 2020 we have 4 lines that were releasing right now as a player ethicist why are you still in a cynical as a people a new cheaper. And let me just say this at the beginning of this pandemic. The guidelines of this your formal recommendations were that if you have if you think you have this virus do not go to your doctor call your doctor so they can arrange for you to be tested the data shows that a significant portion of black people dont have a primary doctor so who are they going to call so its just another example of how deeply embedded systemic racism is so much so that we have black doctors cold at 19 consortium in philadelphia which is a group of black doctors led by dr Alice Sandler who have their full time doctors shes a pediatrics beach pediatric surgeon and down she has the moonlight on Saturdays Sundays at night with the other group of our colleagues to test black people in parking lots at churches because now how could we have the entire Health Care System a Public Health system and in a crisis like on pandemic theres no inclusion of black people just to be tested so why should we trust what pfizer says about how many. Family i have to agree in the early madonna trials and madonna has in at in ajman mean to so this is government funding and the government requires 9 percent at least 9 percent black anticipation in the early modern trials over to black people the great white house of how many im actually looking at their breakdown here with you know if you can see the difference and if they are high standards i think you see this when you see these tiny little colors here these are people you see people of color green is asian. Oh my goodness. Until in the meeting its not exactly the amazed blackall africanamerican so its like its at the very you know its numbers down here these are people of color so you would think by publicizing this this is like were being. Transparent were printing people who are friendly no one is into no im just not happening i want your comment sort of a company theres really no accountability youre not getting government funding so whos looking at you to seem to make sure that you have appropriate representation in your trials i mean are only 4 percent of black people participating in trials anyway but given the disproportionate impact of coping 1000 on the black and brown population tony found he himself said that people of color are to be 66 percent of all trial participants and were nowhere near nowhere near that absolutely because i just quickly say this what we have to also not ignore in this conversation 2 things one its only a difficult conversation to the people who havent experienced what weve experienced before 100 years im not in the business of trying to make people feel good about facing this con this subject because ive had to w