PPH Program Team Discussion

1. PPH Program Team Discussion September/October 2017 PPH Staff Development Available online: http://nccdh.ca/resources/entry/lets-talk-racism-and-health-equity

2. Consider race as a “social construct” • Race is an idea created by humans, with no basis in biology • A social construct is something that does not exist independently in the “natural” world, it is an invention of society • Stereotypes are an example of social constructs Page 1

3. Racism is a structural system that assigns value and grants opportunities and privileges based on race. Page 1

4. Racialization – a process that attaches racial meaning to create inequity • White supremacy – a system that assumes that the practices of whiteness are the right way of organizing human life • Anti-Indigenous Racism; Anti-Black Racism; Orientalism Page 2

5. Directly and indirectly, racism harms health and causes premature death through: • state-sanctioned violence and disruption of relationships with traditional lands; • racism-induced psychosocial trauma; • economic and social deprivation and inequality such as reduced access to employment, housing and education; • increased exposure to toxic social, physical, and environmental environments; • inadequate or inappropriate health and social care; • racially motivated individual and structural violence; and • harmful changes to internal biological processes. Page 3

6. “If racism was constructed, it can be undone. It can be undone if people understand when it was constructed, why it was constructed, how it functions and how it is maintained.” Anti-racism is an “action-oriented, educational and political strategy for systemic and policy changes that addresses issues of racism and interlocking systems of social oppression” Page 4

7. Decolonial, anti-racist public health practice: • makes Indigenous self-determination and resurgence a priority; • provides Indigenous and racialized peoples with the tools to understand how racism distorts interactions with each other and acts on opportunities for solidarity across different Indigenous and racialized peoples; • questions settler privilege for non-Indigenous people (racialized and non-racialized); • analyzes the ways in which anti-racism can reinforce or disrupt ongoing colonial practices and processes; • equips White people to act against structural racism and settler colonialism Page 4

8. A reflective approach to anti-racism encourages individual to accept that we are all part of the systems we are trying to transform. To stay focused: • Avoid substituting settler colonialism and racism with ‘diversity’ or ‘multiculturalism’ • Stay focused on settler colonialism and racism • Centre the leadership of Indigenous and racialized communities • Broaden your concept of racism • Focus on the impact rather than the intent • Address internalized, interpersonal, and institutional racism Page 5

9. Discussion Questions • How can our organization’s commitment to health equity better include racial equity goals? • How can our organization create spaces that encourage staff to challenge and examine racism within public health practice and society? • What actions can our organization [and team] implement to reduce racism? • What stereotypes and beliefs do you hold about Indigenous and racialized people? How and where did you learn these stereotypes? • How do your beliefs impact your behaviour and your practice? Page 4