Facing Historical Realities of Infant Mortality

A study of life expectancy in the antebellum Mississippi indicates that a 20-year-old Negro slave could on average expect to live for 17.5 more years. But in Mississippi, as in all slave states, the difference between black-and-white life expectancy changed considerably when infants were included in the statistics. Among white infants the mortality was distressingly high; among slaves  it was fantastic. By the Civil War, the white and Negro populations were almost equal, but slave infants died at a rate of 2:1. In Mississippi, one analysis numbered 2772  Negro infant deaths in one year compared to 1315 for whites.

Everywhere in the south the Negro infant mortality rate was more than double that of whites. In one particularly disturbing account from Georgia, nine slave women were interviewed who together and had 12 miscarriages and 55 live births. 29 of the children were dead before one year.

The Fallacy of the Single Cause

Black infant mortality rate (BIMR) is a public health crisis in the United States. It is a burden that we either are unable or unwilling to see. We must look at the problem through a different lens.
In chapter 97 of a book called The Art of Thinking Clearly by Rolf Dobelli, the author introduces a compelling paradigm. It is called “The fallacy of the single cause.”

He illustrates the paradigm through a story from Tolstoy: Does the apple fall from the tree because the fruit is ripe or because of gravity or because the wind shakes the tree or because the ground is calling the apple to the earth. So, is there just one reason the apple falls, or is there a blending of reasons.

I assert we must study (BIMR) applying a comparable frame. Are the BIMR metrics so disturbing because of preterm births, lack of consistent prenatal care, lack of health insurance, environmental toxins in the air and water, low birth weight babies, smoking or something else— or, perhaps, is it a blending of some (or all) of these. There is no ‘single cause.’

The goal of our series (The_Gap) is to ‘UN-SILO’ the contributing factors influencing BIMR.  We want to determine how these problems are connected instead of how they are separate. Our series will explore these inter- locking narratives. If you haven’t taken a moment to watch the sizzle reel, please take a look.

Black Infants, Black Moms– Our Vision

Does It Truly Matter?

Forces inimical to the lives of black children have been unleashed on our communities. Simply stated, we’re in a mess. And what do we know about ‘messes’? The same level of aberrant thinking that gets you into a mess is neither deep enough or broad enough to get you out.

Film and television represent the most dominant and influential art form and communications methods of the last 100 years. Much of what we see and think and feel is influenced by visual storytelling.

The_Gap will be a documentary series. Upon completion, the story will be available across multiple digital channels— and, if we are fortunate, on public television. Dr. William Callaghan, senior scientist at the National Center for Health Promotion, cited during a Congressional hearing that over 500,000 babies are born premature each year in the United States. Additionally, preterm birth is an important risk for infant mortality and more than 33% of infant deaths can be attributed to preterm birth.
“Preterm birth and infant mortality are particularly critical issues in the African American community,” advises Dr. Callaghan. “African American women are one and half times more likely to deliver a preterm infant compared to white women.” Callaghan continued, “And the infant mortality rate for black infants is more than twice that of white infants.”

“African-Americans in the medical community must take a strong, persuasive leadership role to create awareness and education on this national crisis. Film is a powerful way to tool and I’m pleased to be part of this influential campaign,” said Ladrian P. Brown, MD.

We must face this public health crisis with purpose, resolve and commitment.