Introductions04:00 What Brought You to Global Health Work?11:50    Why is Global Health Equity Everyone’s Problem?23:40   How has COVID-19 Changed Global Health Work and Perspectives? 40:30  The Role of Identity in Global Anti-Racism Work49:00   Decolonize Global Health Movement1:02:49 Hope for the Future Takeaways1. The Global COVID-19  Response Must Be Anti-Racist An anti-racist COVID-19 response means that quality care, quality vaccines, and quality public health information must be provieded to all. From social distancing to contact tracing to vaccin distribution, every step should be considered through an anti-raicst framework. This includes financing vaccine acquisition for all countries and avoiding the global north vaccine hoarding that is happening today. It is important that we avoid vaccine tunnel vision and recognize the broader social context and need for social support systems worldwide. 2. The Four S’s  As Dr. Paul Farmer often says, an effective infectious disease global health response requires: Staff – caregivers with the knowledge and passion to address health concernsStuff – the physical materials required for effective treatment or intervention Space – places where people can safety receive appropriate care Systems – policies and institutional systems that facilitate needed health responses3. Why should everyone care about global vaccine equity?“Unless everyone is safe, no one is” – Dr. Paul FarmerThe world is incredibly interconnected and, as COVID-19 has shown, we have to recognize the idea of collective survival. Health and well being is a global endeavor and an interdependent fight. Furthermore, we must reclaim the heart and soul of medicine: caretaking, healing, and the creative aspects of the profession that oftentimes get pushed to the side. American physicians and health professionals have immense power and a duty to use that power for the greater good to interrupt, and interrogate the colonial and imperial practices perpetrated by our own government. We must hold our government accountable. At the heart of this is a need for global solidarity. Pearls The Importance of this Moment Both of our guests highlighted the HIV/AIDS movement as a catalyst for their continuing passion for global health equity. The COVID-19 pandemic provides a similar opportunity today for us to scale up our critical consciousness and re-examine the functioning of our society. People are naming racism, settler colonialism, and imperialism more than ever. In this current moment we can build on that momentum, shift perspectives and work towards long lasting equitable and anti-racist change.Dangers of American Exceptionalism It is imperative that we look beyond the walls of our nation and the privileges that living in the United States afford us in order to recognize the danger of American exceptionalism and how it impacts people across the world. For example, currently the United States, and other wealthy countries, are hoarding COVID-19 vaccines making it difficult for other countries to vaccinate their populations. Considering the interconnectedness of our world, by preventing equitable vaccine distribution we will only lengthen the current pandemic. As a country, we must expand our global critical consciousness and strive towards global equity by financing vaccine acquisition, investing in our education systems, interrogating American privilege and more. Decolonizing Global Health – Allow the Global South to Lead Part of decolonizing global health means being willing to take a backseat when it comes to defining, researching, and executing global south health priorities. This is especially true for large outside universities and institutions that habitually fail to engage domestic stakeholders in research and health decision making processes. We must trust the communities we serve to teach us and to guide initiatives. References Mentioned21:30         Rwanda Vaccine Roll Out https://www.usnews.com/news/world/articles/2021-03-05/rwanda-becomes-first-african-nation-to-use-pfizer-covid-19-vaccine55:00Equal Health Students “#KnowBeforeYouGo” Video on Volunteering in Haiti http://www.equalhealth.org/news/2016/8/7/equalhealth-students-launch-video-knowbeforeyougo-addresses-misconceptions-about-volunteering-in-haiti Additional References Farmer, P., Kim, J. Y., Kleinman, A., & Basilico, M. (2013). Reimagining global health: An introduction. Berkeley: University of California Press.Farmer, P. (2020). Fevers, feuds, and diamonds: Ebola and the ravages of history. New York: Farrar, Straus and Giroux.Goodwin, C. (2020, December 23). Paul Farmer on How We Tell the Story of a Pandemic. Retrieved from https://www.thenation.com/article/culture/paul-farmer-fever-feuds-interview/Richardson, E. T., Malik, M. M., Darity, W. A., Mullen, A. K., Morse, M. E., Malik, M., . . . Jones, J. H. (2021). Reparations for Black American descendants of persons enslaved in the U.S. and their potential impact on SARS-CoV-2 transmission. Social Science & Medicine, 113741. doi:10.1016/j.socscimed.2021.113741TranscriptDownload Transcript HereDisclosuresThe hosts and guests report no relevant financial disclosures.CitationMorse M, Farmer PE, Onuoha C, Khazanchi R, Nolen L, Fields N, Ogunwole M, Tsai J, Essien UR, Paul D. “Episode 7: Anti-Racism, Global Health Equity, and the COVID-19 Response.” The Clinical Problem Solvers Podcast. https://clinicalproblemsolving.com/episodes. April 1, 2021.