Documenting Durham's Health History: Understanding the Roots of Health Disparities (2018-2019)

North Carolina’s “City of Medicine” is also a city of great racial and class health disparities. While these inequities have deep historical roots, we know remarkably little about the specific ways by which structural forces, policy decisions and specific group actions have shaped the landscape of health in contemporary Durham. A better understanding of these phenomena requires historical research and engagement that moves beyond the academy to connect with public health departments, community leaders, multidisciplinary researchers and health professionals. A documentary history of health in Durham, and Duke’s relationship to it, has the potential to expand, and even transform, the vision of healthcare of our community.

This Bass Connections project was structured as a social science/humanities lab, involving a team of students, project leaders, faculty and community representatives. In the first year of this project, the team pursued activities in five areas:

  • Historical overview: Speakers and readings provided background on the history of Durham and its hospitals (Duke, Watts, Lincoln).

  • Longitudinal data analyses and visualization: Using available vital records, the team described long-term secular trends in morbidity and mortality for Durham County since 1900, focusing on racial disparities. Analyses included mapping and other types of geographic visualization.

  • Historical case studies: Team members identified a set of case studies focusing on specific epidemics or diseases with significant racial health inequities. These included examples that are historical (e.g., 1918 influenza epidemic, typhoid, tuberculosis, pellagra) and recent (e.g., HIV, obesity, cancer, opiate overuse).  

  • Archival and contemporary research: Team members investigated each case study using various archival and contemporary sources, such as interviews, oral histories, vital records, photographs, maps, newspapers and popular media. Questions included: How did the particular disease affect different communities in Durham? How did any differences relate to broader social and contextual factors (such as housing, employment, education and municipal utilities)? What kind of healthcare was available (both outpatient and hospital), and did economics and racial barriers shape accessibility? How did implicit bias as well as structural racism play out in healthcare?

  • Exhibition and documentary production: The team developed exhibitions and documentary materials illustrating the findings of the research.

Timing

Fall 2018 – Spring 2019  

Team Outputs 

Documenting Durham’s Health History: An Exhibition (Trent Semans Center for Health Education, Duke University, April 22, 2019)

Documenting Durham’s Health History: Understanding the Roots of Health Disparities (poster by Jeffrey Baker, Kanav Chhabra, Dan Crair, Chelsea Hamlet, Jessica Hauger, Meghana Sai Iragavarapu, Sujeiry Jimenez, Robert Korstad, Suzanna Larkin, Dillon Leovic, Michelle Li, Melissa Norton, Felicity Palma, Alex Paulenich, Brian Rhee, Bianca Rochelle, Nikki Vangsnes, Katie Waeldner, presented at Bass Connections Showcase, Duke University, April 17, 2019)

Reflections

Meghana Sai Iragavarapu

This Team in the News

Bass Connections Team Starts Conversation on How Durham’s History Influences the Health of Its Residents

Your Health, Your Neighborhood. There’s a Connection

Durham Health History Exhibition Opens

An Exhibition: Documenting Durham’s Health History

Meet the Members of the 2019-2020 Bass Connections Student Advisory Council

Documenting Health History Exhibit on Display at Durham County Department of Public Health

Investigating Food and Health in Durham Reminded Me of the Real Reason I Came to Duke

    Three team members at a conference displaying their poster

    Team Leaders

    • Jeffrey Baker, School of Medicine-Pediatrics
    • Robert Korstad, Sanford School of Public Policy

    /graduate Team Members

    • Jessica Hauger, History-PHD
    • Felicity Palma, MFA/Experimental and Doc Arts

    /undergraduate Team Members

    • Kanav Chhabra, Neuroscience (BS)
    • Daniel Crair, Cultural Anthropology (AB)
    • Chelsea Hamlet, Public Policy Studies (AB)
    • Meghana Sai Iragavarapu, Program II (AB)
    • Sujeiry Jimenez, Public Policy Studies (AB)
    • Suzanna Larkin, Int Comparative Studies (AB), Global Health (AB2)
    • Dillon Leovic, Int Comparative Studies (AB)
    • Michelle Li, Public Policy Studies (AB)
    • Alexandra Paulenich, Biology (AB), Global Health (AB2)
    • Brian Rhee, Interdept Biology/Sociol (BS)
    • Bianca Rochelle, Psychology (AB)
    • Kathleen Waeldner, Cultural Anthropology (AB)

    /yfaculty/staff Team Members

    • John Moses, School of Medicine-Pediatrics: Primary Care Pediatrics
    • Melissa Norton, Samuel Dubois Center on Social Equity
    • Nikki Vangsnes, School of Medicine
    • Rebecca Williams, Medical Center Library-Archives

    /zcommunity Team Members

    • Marissa Mortiboy, Partnership for a Healthy Durham

    Theme(s):