The COVID-19 equity leadership task force was codified by Senate Bill 1296 to ensure that emergency management programs and plans provide support to at-risk individuals and populations disproportionately impacted by disasters. This task force directs the work of the Health Equity Work Group (HEWG) as part of the unified command for the Commonwealth of Virginia. Given the Commonwealth's commitment to inclusive excellence, this innovative and historic equity mechanism will be institutionalized and embedded in all future disaster planning events. The Governor's Office of Diversity, Equity, and Inclusion will partner with the Virginia Department of Emergency Management and all other relevant agencies or stakeholders as part of the leadership of any future unified command structure.
Dr. Norman Oliver, the Virginia Commissioner of Health created HEWG during the initial formation of the COVID-19 Unified Command. Formal planning by the HEWG leadership team began on March 13, 2020. The Equity Leadership Taskforce works collaboratively to guide the overall work of HEWG and its subgroups. HEWG is the first-of-its-kind to exist within an emergency response body both in Virginia and the United States. The nearly 60-member HEWG serves as a cabinet-level mechanism and convenes representatives from the following groups:
A diverse HEWG is essential to ensure health equity is central to every decision made throughout the current crisis.
The purpose of the HEWG is to apply a health equity lens to the Commonwealth of Virginia’s COVID-19 response by:
Equality ≠ Equity While sometimes used interchangeably, it is important to understand that equality does not equal equity. This is best demonstrated and explained by referencing the picture below. (Braveman & Gruskin, 2003)
In the image below, the bottom frame represents equality: people of different needs receiving the same resource. Since they all have different needs, it is evident that they all cannot use the resource to their benefit. As you can see, the woman in the wheelchair cannot use the resource effectively.
The top portion of the image below represents equity: people of different needs receiving resources that fit them specifically. Now, everyone can benefit from the given resource.
When all people and communities have the opportunity to attain their full potential and highest level of health. (CommonHealth ACTION, Braveman and Gruskin, 2003).
Differences in health status among distinct segments of the population including differences that occur by gender, race or ethnicity, education or income, disability, or living in various geographic localities.
Disparities in health [or health care] that are systemic and avoidable and, therefore, considered unfair or unjust.
Communities of color are identity-based communities that hold a primary racial identity that describes shared racial characteristics among community members.The term aims to define a characteristic of the community that its members both share and use to self-define their community. It typically denotes a shared history and current experiences of racism. An example of a community of color would be a group that self identifies as African American.
A term previously used to denote communities of color is ‘minority communities.’ As this term continues to age, it becomes increasingly inaccurate. First, the term can easily be interpreted as a reference to inferior characteristics. Second, the term ‘community’ can refer to a community that transcends geographical space. It is important to remember that race is a socially defined construct and therefore definitions of communities are dynamic and evolve over time. (Curry-Stevens, Reyes & Coalition of Communities of Color, 2014)
In order to ensure that we emerge from this crisis as a stronger Virginia, the HEWG has determined that every facet of the Unified Command response and recovery must apply an equity lens. This lens is of even greater imperative in light of the predicted implications and complications this unique public health crisis event will have on at-risk populations. As a result of this crisis, the demographic of at-risk, under-resourced, and underserved populations will grow. Therefore, it is imperative to use a health equity lens in the communications, policy, operations, logistics, planning, finance, and recovery components of Virginia’s response. HEWG predicts that the impact of this public health crisis has the potential to impact historically marginalized communities for generations.
Leading with an equity lens is generally commensurate with, but not limited to the following factors:
(Curry-Stevens, Reyes & Coalition of Communities of Color, 2014)
The HEWG is committed to serving the community with comprehensive and innovative community outreach strategies and interventions. In the past, we have:
Braveman, P. and Gruskin, S. (2003). Defining equity in health. Journal of Epidemiology community Health, 57(4), 254-258.
Curry-Stevens, A., Reyes, M. E. & Coalition of Communities of Color (2014). Protocol for culturally responsive organizations. Portland, OR: Center to Advance Racial Equity, Portland State University.
Virginia’s Health Equity Leadership Taskforce is utilizing a novel data-driven approach to inform the COVID-19 Unified Command about at-risk populations and geographic areas of increased risk.This task force is the first-of-its-kind both in the Commonwealth of Virginia history and the United States to exist within an emergency response body.
Janice Underwood, PhD
Chief Diversity Officer
Office of Governor Ralph S. Northam
Alaysia Black Hackett, MPA, JD
Deputy Chief Diversity Officer
Mona Hafeez Siddiqui, JD
Deputy Chief Diversity Officer and Senior Policy Advisor for the Office of New Americans
Sable K. Nelson Dyer, JD
Unified Command Health Equity
Office of Health Equity Virginia Department of Health (VDH)
Curtis C. Brown, MA
State Coordinator of Emergency Management
Virginia Department of Emergency Management (VDEM)
Lauren R. Powell, MPA, PhD
Equity Consultant, VDEM
National Health Equity Leader