http://blogs.tnr.com/tnr/blogs/the_treatment/archive/2009/04/29/scapegoating-mexicans.aspxBlaming the Flu on Mexicans Is Immoral. And Foolish.
Howard Markel and Alexandra Minna Stern are, respectively, the Director and the Associate Director of the Center for the History of Medicine at the University of Michigan. Both serve as historical consultants on pandemic preparedness planning for the Division of Global Migration and Quarantine, which is part of the U.S. Centers for Disease Control.
The first question to President Obama during Wednesday’s press conference was about whether he’d consider closing the border with Mexico. If you listen to cable television or check around the Internet, you’ll hear that same question--along with some nastier insinuations and conpsiracy theories about Mexicans and their government.
This is all very predictable. And counter-productive.
Epidemics always have scapegoats. In 1892, Eastern European Jews were blamed for outbreaks of typhus and cholera in New York City. In 1900, the Chinese were excoriated for a plague outbreak in San Francisco. Gays were singled out for for HIV/AIDs in the 1980s, Asians for SARS in 2003.
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Not only is such behavior a reflexive exercise in racism. It is, quite simply, a huge detriment to the public health. When groups start getting blamed for epidemics, members of those groups will start to fear--sometimes legitimately--that they will be stigmatized, mistreated, or punished if they seek medical attention. So they simply don’t go to the doctor or hospital, at least not until it’s too late for treatment and too late for detection to have done the most good. Taking care of these people, and containing the outbreak, becomes a great deal harder.
This isn’t mere conjecture. It’s been documented in numerous public health studies. And we’re already seeing anecdotal evidence of this phenomenon. There are stories of mistreatment--real or not--circulating in the immigrant press. According to the Associated Press, some Mexican-Americans in California say that medical professionals are turning them away.
In the coming weeks, we have a lot of work to do--and little time for this sort of scapegoating. Blaming the victim of an epidemic is akin to using lancets for bloodletting: sharp, painful, and counter-productive. And, like bloodletting, it should belongs in a museum--as a historical relic.