New Orleans' Lower Ninth Draws Tourists, Not Aid

Recently I attended a conference on health disparities in communities of color. The National Health Policy Training Alliance for Communities of Color hosted over 40 journalists of all hues and ethnic origins to convene in New Orleans to discuss how we can better cover healthcare related issues and the health disparities that still plague our communities. For three days, we sat in a top floor of well-appointed hotel in the lovely French Quarter, having a lively discussion on how we can get better and more thorough coverage of the issues.

Turns out the real story about health disparities and racial inequities was but 20 minutes away, across the bridge and down Claiborne Blvd in the Lower Ninth Ward of New Orleans. The Lower Ninth ward was destroyed during Hurricane Katrina five years ago. The area was the hardest hit when the levees broke and the low-income community residents were the last to get help. The images of bodies floating through the water still haunt me.

One would have no idea of what is still going on in the Lower Ninth Ward by walking through the downtown area of New Orleans. I too, enjoyed walking up and down Bourbon Street, looking at all the new apartments, shops and restaurants that were alive and bustling in the downtown area. There, you would think Katrina never happened. The city looks like back to business as usual.

Tale of Two Cities, Still

I've never been one to take things on face value. It is my experience that in most urban environments there is almost always a tale of two cities, and the tale of the brown city that exists across the railroad tracks or the bridge or whatever socioeconomic divide exists in that particular locale, is almost always starkly different.

So when a few of the local community leaders came to address us, what they had to say about the Lower Ninth Ward was appalling but not surprising. They said that of the $90 million that FEMA allocated to rebuilding, that the Lower Ninth Ward has not received any money. Nobody has been told a definitive answer as to why.

They said the Lower Ninth Ward only has one working school for kindergarten through 12 grade with 750 students and a 450 student long waiting list. There are no hospitals in the area and God help you if you need emergency care and have to travel across the bridge and across town to get it.

They expressed their outrage that tour companies bring bus loads of people through the Lower Ninth Ward everyday to gawk at their despair, yet never sharing any of their profits or stopping to support local businesses. They said that many displaced residents would love to return, but can't because there are no schools and no real health care options for the elderly.

Concrete Steps Lead to Empty Lots

On my last day in New Orleans, instead of buying souvenirs and taking in the tourist traps, I asked a friend to drive me to the Lower Ninth Ward. It looked mostly like a wasteland with a few nice new homes put up. I saw plenty of concrete steps that once led to a house, but now only lead to a field of 5- foot-tall grass. I saw where do-gooders like Brad Pitt and other organizations have helped rebuild new and colorful housing, that quite frankly, ust looks weird sitting next to devastation.

But what I mostly saw was the biggest disparity of them all--the wealth disparity. Money given to help those who have and no money to those who don't. In fact, it is clear that the powers that be have no intention of rebuilding that community. To them, Katrina has become a tragic opportunity to rid the city of some of its poorest residents--I mean, really, who wants them around anyway. So why rebuild so they can return?

Now a new plan for the Lower Ninth Ward is in the works and its message is clear: Poor blacks need not apply. New developments and higher rents are on the horizon, but there are no jobs to support them. Even though blacks built that city, created its music and its food culture, the winds of economic racism have no regard for history. So the displaced stay displaced. And the disparities linger. In health and in life.

Note: Please watch Spike Lee's latest documentary, If God is Willing and Da Creek Don't Rise on HBO http://www.hbo.com/documentaries/if-god-is-willing-and-da-creek-dont-rise/synopsis.html for a real look at the Lower Ninth Ward and the impact of the BP oil spill.

The Importance of World Breastfeeding Week In My Piece of the World

August 1-7 marks World Breastfeeding Week. The annual campaign, organized by the World Alliance for Breastfeeding Action, is the one week where over 170 countries worldwide pay attention to our breasts and their power to help our children.

It's no secret that I'm a huge advocate of breastfeeding as one of the most important things a woman can do to give her baby the best start in life and give herself some unparalleled health benefits. And the Black Maternal Health Project proudly supports breastfeeding and is deeply committed to understanding how we can increase breastfeeding rates among black women.

So while the campaign, now in its 19th year, speaks to the entire world, I'm speaking directly to my part of the world. The African American women who historically have had the lowest rates of breastfeeding for the recommended time periods or don't breastfeed at all.

For over 30 years, African American women have had the lowest breastfeeding rates, and though the numbers have greatly increased in recent years, black moms still have the lowest breastfeeding rates of all ethnicities. And when it comes to the gold standard of infant nutrition--six months of exclusive breastfeeding, among African Americans the rate is only 20% compared to 40% among whites.

Some of these forces have been brewing for decades. A long time ago, black women were notorious for nursing. In fact, slave owners used and purchased black women as wet nurses for their own children, often forcing these mothers to stop nursing their own infants to care for others. "On the one hand, wet nursing claimed the benefits of breastfeeding for the offspring of white masters while denying or limiting those health advantages to slave infants. On the other hand, wet nursing required slave mothers to transfer to white offspring the nurturing and affection they should have been able to allocate to their own children," writes historian Wilma A. Dunaway, in the book The African American Family in Slavery and Emancipation, published by Cambridge University Press. And since breastfeeding reduces fertility, slave owners forced black women to stop breastfeeding early so that they could continue breeding, often to health detriment of their infants, Dunaway writes.

But there's more to our story than a stunted and complex breastfeeding experience at the hands of slave owners hundreds of years ago, though many may argue that some vestiges of slavery still exist in the mindset of the black community. Aggressive marketing by the formula companies in the 1930s and 40s made formula feeding the choice of the elite, "the substance for sophisticates" --white or black. And who doesn't want to be like the rich and famous. That marketing continues to this day, down to the formula company-sponsored bag of goodies you probably received on the way out of the hospital. Then there's something I call the National Geographic factor--that is, most of the images we see of black women breastfeeding are semi-naked women in Africa whose lives seem so far away from the African American lifestyle and experience.

To help remedy the global situation BAWA takes aim at hospitals and other maternity care providers. This year the campaign focuses on "Just 10 Steps--the Baby Friendly Way" showcasing the 10 steps hospitals need to do to encourage breastfeeding. Those ten points include:

• Have a written breastfeeding policy that is routinely communicated to all health care staff.




• Help mothers initiate breastfeeding within a half-hour of birth.




• Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.




• Give newborn infants no food or drink other than breastmilk unless medically indicated.




• Practice rooming-in -- allow mothers and infants to remain together -- 24 hours a day.




• Encourage breastfeeding on demand.




• Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants. (read all 10 points at www.worldbreastfeedingweek.org)

In our community, we need to talk and encourage each other more. And speak out. We still long for an African American role model in breastfeeding, like a Michelle Obama. In the meantime, if you are already on the breastfeeding bandwagon, tell others. Check out the "I Breastfeed Because . . . " campaign sponsored by Ameda, a leading breast pump maker. Mothers who are currently breastfeeding and or have in the past can log onto www.ibreastfeedbecause.com to upload 20-second videos that share the reasons why they chose to breastfeed.

The Importance of World Breastfeeding Week In My Piece of the World

August 1-7 marks World Breastfeeding Week. The annual campaign, organized by the World Alliance for Breastfeeding Action, is the one week where over 170 countries worldwide pay attention to our breasts and their power to help our children.

It's no secret that I'm a huge advocate of breastfeeding as one of the most important things a woman can do to give her baby the best start in life and give herself some unparalleled health benefits. And the Black Maternal Health Project proudly supports breastfeeding and is deeply committed to understanding how we can increase breastfeeding rates among black women.

So while the campaign, now in its 19th year, speaks to the entire world, I'm speaking directly to my part of the world. The African American women who historically have had the lowest rates of breastfeeding for the recommended time periods or don't breastfeed at all.

For over 30 years, African American women have had the lowest breastfeeding rates, and though the numbers have greatly increased in recent years, black moms still have the lowest breastfeeding rates of all ethnicities. And when it comes to the gold standard of infant nutrition--six months of exclusive breastfeeding, among African Americans the rate is only 20% compared to 40% among whites.

Some of these forces have been brewing for decades. A long time ago, black women were notorious for nursing. In fact, slave owners used and purchased black women as wet nurses for their own children, often forcing these mothers to stop nursing their own infants to care for others. "On the one hand, wet nursing claimed the benefits of breastfeeding for the offspring of white masters while denying or limiting those health advantages to slave infants. On the other hand, wet nursing required slave mothers to transfer to white offspring the nurturing and affection they should have been able to allocate to their own children," writes historian Wilma A. Dunaway, in the book The African American Family in Slavery and Emancipation, published by Cambridge University Press. And since breastfeeding reduces fertility, slave owners forced black women to stop breastfeeding early so that they could continue breeding, often to health detriment of their infants, Dunaway writes.

But there's more to our story than a stunted and complex breastfeeding experience at the hands of slave owners hundreds of years ago, though many may argue that some vestiges of slavery still exist in the mindset of the black community. Aggressive marketing by the formula companies in the 1930s and 40s made formula feeding the choice of the elite, "the substance for sophisticates" --white or black. And who doesn't want to be like the rich and famous. That marketing continues to this day, down to the formula company-sponsored bag of goodies you probably received on the way out of the hospital. Then there's something I call the National Geographic factor--that is, most of the images we see of black women breastfeeding are semi-naked women in Africa whose lives seem so far away from the African American lifestyle and experience.

To help remedy the global situation BAWA takes aim at hospitals and other maternity care providers. This year the campaign focuses on "Just 10 Steps--the Baby Friendly Way" showcasing the 10 steps hospitals need to do to encourage breastfeeding. Those ten points include:

• Have a written breastfeeding policy that is routinely communicated to all health care staff.



• Help mothers initiate breastfeeding within a half-hour of birth.




• Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.



• Give newborn infants no food or drink other than breastmilk unless medically indicated.



• Practice rooming-in -- allow mothers and infants to remain together -- 24 hours a day.



• Encourage breastfeeding on demand.



• Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants. (read all 10 points at www.worldbreastfeedingweek.org)

In our community, we need to talk and encourage each other more. And speak out. We still long for an African American role model in breastfeeding, like a Michelle Obama. In the meantime, if you are already on the breastfeeding bandwagon, tell others. Check out the "I Breastfeed Because . . . " campaign sponsored by Ameda, a leading breast pump maker. Mothers who are currently breastfeeding and or have in the past can log onto www.ibreastfeedbecause.com to upload 20-second videos that share the reasons why they chose to breastfeed.