Mixed Race Studies

Rhineland Children

Arriving In The Future: Stories of Home and Exile
2015-01-20

Asoka Esuruoso & Philipp Khabo Koepsell

Germany’s brief colonial period saw an increase in the community of Africans and Afro Germans in Germany. Many Black Germans were also descendants of Black Askari troops recruited from Germany’s former colonies. Thousands of these men had fought and died for Kaiser Wilhelm during the First World War in Germany’s East African campaign.[i]

Living within a self proclaimed “white” society with a history of misunderstanding, mistreating, and misrepresenting “People of Color,” life was never easy. This was especially so since much of the Colonial German literature at that time depicted Africa and its people in a negative light. The sexuality of African women and men was often described in white colonial literature in base, animalistic ways. In the 1800’s there were even exotic exhibitions of live human zoos[1] where African individuals[2] were displayed in recreated African villages within regular zoos and toured through major European metropolises including Hamburg and Berlin.[ii]

The end of the First World War and the occupation of the Rhineland by French soldiers, including many Afro French soldiers, resulted in the birth of another generation Afro German children that were often referred to within German society by degrading terms such as Besatzungskinder “War Babies” or Rheinlandbastard “Rhineland Bastard.”[iii] For white German nationalists the occupation and policing of the former German colonizer by Black African solders was the final humiliation…

Read the entire article here.

Evidence-based care eliminates racial disparity in colon cancer survival rates, study finds

Stanford Medicine News Center
2015-01-26

Lisa Marie Potter
Office of Communication & Public Affairs

A new study finds that equitable delivery of evidence-based care eliminates the racial disparity in colon-cancer survival rates.

For the past two decades, the National Cancer Institute has documented a persistent racial disparity in colon cancer survival rates in the United States.

African-American patients have consistently had lower survival rates when compared with white patients, despite a nationwide decline in colon cancer deaths overall.

Now, a study by researchers at the Stanford University School of Medicine shows that more equitable delivery of evidence-based care can close this gap. Furthermore, the investigators found that evidence-based care was delivered at higher rates within integrated health-care organizations — those in which one organization provides all the patient’s health-care services, hospital care and insurance. The study reports that five-year death rates were lower for all colon cancer patients treated in an integrated health-care system, and the differences in survival by race were eliminated.

The study’s findings, published online Jan. 26 in the Journal of Clinical Oncology, support the idea that providing equitable, high-quality, evidence-based care is a powerful tool in eliminating cancer-treatment disparities.

“Historically, we’ve taken less than a critical eye on our own health-care system in terms of how we can take the lead in addressing disparities,” said lead author Kim Rhoads, MD, MPH, assistant professor of surgery. “The big takeaway in this paper is that it’s treatment, not necessarily patient factors, but following evidence-based guidelines that gives all patients the best chance for survival. Our work also suggests a real opportunity to equalize these racial differences.”…

Read the entire press release here.

How Do Integrated Health Care Systems Address Racial and Ethnic Disparities in Colon Cancer?

Journal of Clinical Oncology
Published online: 2015-01-26
DOI: 10.1200/JCO.2014.56.8642

Kim F. Rhoads, Colon and rectal surgeon, Colorectal surgeon, Surgical oncologist; Assistant Professor of Surgery at the Stanford University Medical Center
Stanford Cancer Institute
Stanford University School of Medicine

Manali I. Patel, MD
Stanford Cancer Institute
Stanford University School of Medicine

Yifei Ma, Statistician
Stanford University School of Medicine

Laura A. Schmidt, Professor of Health Policy
Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco

Presented as a poster at the American Society of Clinical Oncology Quality Care Symposium, San Diego, CA, November 30-December 1, 2012.

Purpose: Colorectal cancer (CRC) disparities have persisted over the last two decades. CRC is a complex disease requiring multidisciplinary care from specialists who may be geographically separated. Few studies have assessed the association between integrated health care system (IHS) CRC care quality, survival, and disparities. The purpose of this study was to determine if exposure to an IHS positively affects quality of care, risk of mortality, and disparities.

Patients and Methods: This retrospective secondary-data analysis study, using the California Cancer Registry linked to state discharge abstracts of patients treated for colon cancer (2001 to 2006), compared the rates of National Comprehensive Cancer Network (NCCN) guideline–based care, the hazard of mortality, and racial/ethnic disparities in an IHS versus other settings.

Results: More than 30,000 patient records were evaluated. The IHS had overall higher rates of adherence to NCCN guidelines. Propensity score–matched Cox models showed an independent and protective association between care in the IHS and survival (hazard ratio [HR], 0.87; 95% CI, 0.85 to 0.90). This advantage persisted across stage groups. Black race was associated with increased hazard of mortality in all other settings (HR, 1.15; 95% CI, 1.04 to 1.27); however, there was no disparity within the IHS for any minority group (P > .11 for all groups) when compared with white race.

Conclusion: The IHS delivered higher rates of evidence-based care and was associated with lower 5-year mortality. Racial/ethnic disparities in survival were absent in the IHS. Integrated systems may serve as the cornerstone for developing accountable care organizations poised to improve cancer outcomes and eliminate disparities under health care reform.

Read or purchase the article here.

The Garifuna Exodus

Latino USA
2015-01-23

Maria Hinojosa, Executive Producer & Anchor

Marlon Bishop, Producer

For centuries, the Garifuna people — descendents of both Africans and indigenous Arawak people from the Caribbean — have lived peacefully in seaside towns on the North Coast of Honduras. There’s always been a trickle of migration from the community to the United States – especially the Bronx, where the largest Garifuna community outside of Central America lives.

But starting last spring, the trickle of migrants became a flood. Hundreds of Garifuna from each town left, thousands all together, embarking on the dangerous journey through Central America and Mexico to the U.S. border. It was mostly mothers with small children. They showed up in places like the Bronx, seeking refuge with family members, wearing GPS ankle monitors placed on them by U.S. immigration officers who detained them. They await court dates in limbo, unsure if they will be forced to go back to the homes they fled…

Read the entire introduction and listen to the story here.

Black Germans and the Holocaust

International Slavery Museum
Liverpool, England, United Kingdom
2015-01-14

The International Slavery Museum will be marking Holocaust Memorial Day on Tuesday 27 January with a special free guest lecture by Professor Eve Rosenhaft from the University of Liverpool, who will be talking about the experiences of the Black German community during the Holocaust.

Eve tells us more:

“When Hitler came to power in 1933, there were a several thousand people of African descent in Germany. They included African Americans, African-Caribbean and Africans passing through, working or recently settled, but the core of Germany’s Black community was made up of men from Germany’s former colonies – East Africa, Togo, and especially Cameroon – with their German-born wives and ‘mixed-race’ children.

This talk focuses on those families. While Hitler was still hoping to recover colonies in Africa, the Nazis hoped to make use of them for political propaganda. But ‘mixed’ families represented a particular challenge to Nazi racial policies, and in the long run they suffered exclusion, harassment, internment, and compulsory sterilisation. At the same time people’s experiences were varied and sometimes adventurous. Most individuals survived in Germany or as emigrants, thanks to support from other members of the community and from their families, though the community itself came out of World War II largely broken and scattered…

Read the entire article here.