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The American Academy of Pediatrics (AAP) is actively reviewing and removing outdated race-based medical guidelines. This initiative focuses on eliminating discriminatory practices that have persisted since the organization’s inception in 1930, when race was improperly used to influence treatment protocols for newborns suffering from conditions like urinary tract infections and jaundice. These outdated guidelines contributed to unequal treatment, particularly affecting non-white infants.
New Policy Statement: “Eliminating Race-Based Medicine”
In a new policy statement titled “Eliminating Race-Based Medicine,” recently published in the medical journal Pediatrics, the AAP asserts that race is a socially constructed concept and should not be utilized as a biological determinant. The statement emphasizes the importance of considering social determinants of health and the impact of racism in clinical decision-making, highlighting that these factors should be grounded in evidence rather than outdated racial categorizations.
The Historical Context of Race in Medicine
Historically, observable traits such as skin color were misused to justify colonization and perpetuate discrimination, leading to harmful pseudosciences that falsely positioned white individuals as superior. This legacy continues to affect healthcare outcomes today, with data showing that Black women are three times more likely to die from complications related to childbirth due to the dismissal of their health concerns.
Modernizing Guidelines for Better Care
The AAP’s commitment to modernizing its guidelines is evident in its recent decision to discard recommendations that inaccurately suggested Black infants were less prone to urinary tract infections. Their evaluations found that the real risk factors for UTIs pertain to prior infections and prolonged fever, which are unrelated to race.
As part of this comprehensive overhaul, the AAP plans to continue reviewing its entire catalog of guidelines, including those related to newborn jaundice, which currently mischaracterizes risk based on ethnicity. Joseph Wright, the lead author of the policy and chief health equity officer at the University of Maryland’s Medical System, emphasized the need for rigorous assessment of health risks and accountability in medical practices.
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Conclusion
In summary, the AAP is committed to eliminating race-based medical guidelines in order to address systemic inequities that lead to health disparities. This critical review of outdated practices aims to enhance the quality of care for all infants, irrespective of their racial or ethnic backgrounds.