A public health statement against law enforcement violence
Last week, the American Public Health Association (APHA) adopted a statement recognizing law enforcement violence as “a critical public health issue.” Rewire reports that this move by the organization could “galvanize new research that focuses on the root causes of law enforcement violence.” Also, given the “relative lack of good data about law enforcement violence, a dearth caused largely by a lack of law enforcement transparency,” public health researchers could use their expertise to generate statistics and data that have been lacking for too long. [Cynthia Greenlee and Laura Huss / Rewire]
The statement was one of a dozen adopted by the 25,000-member strong organization at its national conference. (Another statement opposed the separation of families at the U.S.-Mexico border.) The group End Police Violence, which drafted the statement and organized for years around its passage, described it as, among other things, “a statement firmly committed to a public health alternative, recommending upstream, community-based and community-led solutions.” In reporting the day after the statement’s adoption, The Guardian described the public health focus on the “upstream” causes of the problem, in contrast with ‘“downstream” answers like ordering officers to wear body cameras or providing them with increased access to less-lethal weapons like tasers.” [Jamiles Lartey and Oliver Laughland / The Guardian]
The physical and psychological dimensions of police violence were the focus of the statement. In 2016 alone, the physical toll included the over 1,000 fatal police shootings documented by The Guardian’s “The Counted” and the over 76,000 nonfatal injuries that resulted from “legal intervention” per data from the Centers for Disease Control and Prevention. Between 2010 and 2015, school-based law enforcement also caused at least 28 serious injuries to children. [2018 Statement of the American Public Health Association]
The APHA’s statement is also emphatic that the impact of law enforcement violence must be understood beyond individual injuries and deaths to include community-wide negative health outcomes that result from deepened health inequities and reluctance to seek healthcare by people fearful of law enforcement contact. The statement’s description of psychological violence looks at “inappropriate stops” by police officers and points to studies that have found that “stops perceived as unfair, discriminatory, or intrusive are associated with adverse mental health outcomes, including symptoms of anxiety, depression and post-traumatic stress disorder.” [2018 Statement of the American Public Health Association]
Among the APHA’s recommendations to federal, state, local, and tribal officials are that funds “disproportionately allocated to policing” could be more effectively invested in social services to improve health, particularly in communities where “historically rooted” and “endemic disinvestment” have driven health disparities. The emphasis on a public-health response to law-enforcement violence was a victory for those who believe, as the sociologist Alex Vitale told Filter, that “the solution to this [health problem] is best public health practices, not procedural policing reforms.” “These public health workers are on the front lines of what’s going on in emergency rooms and clinics, they see the consequences of criminalizing homelessness, mental illness, sex work,” he said. Jade Rivera, an author of the statement, described it as a “big win and big victory that an organization like APHA with 25,000 members can take really clear stances as being anti-racist and anti-oppressionist.” [Sarah Beller / Filter]
Another recommendation in the statement calls for officials to work with public health officials to “document law enforcement contact, violence, and injuries.” It has become increasingly hard to ignore that government databases severely undercount the number of people killed by the police. A study published last year by researchers at Harvard’s School of Public Health found that over half of all police killings in 2015 were incorrectly classified as not having been the result of interactions with police officers. [Jamiles Lartey / The Guardian] Speaking to KQED about the APHA’s failure to adopt the statement in 2017, Rhea Boyd, a pediatrician and fellow at Harvard, told KQED that although there are not enough studies on the relationship between police interactions and health, “I think we can use data that we already know about exposures to violence. We can use data that we already know about racial disparities in police interactions and just put two and two together and start putting together initiatives to actually start addressing it.” [Audrey Garces / KQED]
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