Is it just me, or has anyone else started to worry about the racism and classism evidenced in the way ALL news channels — even the most leftist and objective (our go-tos are Free Speech, Al Jazeera, MSNBC, PBS and C-Span) have chosen to cast the Ebola virus as the newest non-European threat to homeland security while downplaying the virus that is actually killing our children, namely Enterovirus 68? Behind me I hear an excellent MSNBC commentator talking about the racism of hyper-reporting about Ebola. Good job.
But the second part is, what about the race and class factors that might be driving EV-68 right here in the good ol’ US of A?
Here are the glimmers I see: the most visible risk factor for this disease is childhood asthma. Childhood asthma is known to predominate among children living in substandard housing, especially where cockroaches and rodents might be present. A larger proportion of these children are African American, but all of them, of any race, are poor. So by definition, they have parents and other caregivers who have less and less time to spend on housekeeping because minimum wage jobs require more and more high-energy hours to keep a house at all. Poor public transportation adds to those absent hours: how many bus and train systems cut back on route intervals just when overnight and late shift workers need them most? Complicating this factor further is that many of these families lack adequate childcare or neighborhood infrastructure, forcing conscientious parents to shell out big bucks for cable and tell the kids to stay inside, open the door to no one, avoid trouble.
So where are these kids spending time when they’re not in their substandard housing? Why, in their public schools. Here again, budget cuts postpone more and more necessary repairs, much less routine preventive maintenance. Class sizes are going up, so that if one child is sick, more children are in that child’s class. And in many cases, you can forget about a school nurse or sick room. Cut — with no way to send the sick child home to a locked, empty apartment.
And even if the concerned parent wants to bring the child to a clinic or doctor, they might or might not have an accessible, affordable facility. And that facility’s bean counters might not want to screen every coughing child for EV-68 at the first presentation. Fear of one Munschausen Mom will doom how many sick children?
Again, these observations only pertain to asthma, not EV-68. But if asthma (of which I am a chronic sufferer) is the main predictor, then these are relevant questions. Biological tests go only so far; once you hit epidemics and clusters, it’s about public health and public policy.
So far, I have seen only one picture of only one of the children dealing with post-EV-68 paralysis. That young man is black.