Community-led Solutions & Movement Building for Health Justice: Lessons from Long COVID Justice

Hosted October 2024

In this webinar, colleagues from Long COVID Justice and the People’s CDC covered the importance of community-led advocacy, the structural determinants of health, and the ongoing challenges faced by individuals living with long COVID and other associated conditions. Browse the resources, clips, and highlights below to learn about innovative approaches to addressing these issues and how to get involved in creating meaningful change. You’ll discover the principles of disability justice, the urgent need for equitable healthcare, and the collective responsibility we share in combating ableism and supporting those affected by long COVID.

A public demonstration; people are leaning against Blue Cross Blue Shield of Michigan offices, with picket signs. The one in the forefront is a young man wearing a wide brimmed hat holding a yellow sign with dark text that reads "Your greed makes me sick".

Community-led Solutions & Movement Building for Health Justice: Lessons from Long COVID Justice

from Rx Foundation’s Power is a Social Determinant of Health series

Session description: Disability justice examines “disability and ableism as they relate to other forms of oppression and identity such as race, class and gender”, and operates with the understanding that interdependence, community care, and solutions led by and for disabled people are crucial to our survival.

Long COVID Justice works through a disability justice lens to build power with people living with Long COVID and associated conditions (pwLCAC) and other disabled people to shape and lead research, policy, advocacy, and narrative organizing around the issues that impact our lives and our communities. Together with our collaborators and colleagues at the People’s CDC, we are organizing community-led solutions and building a long-term movement for health justice.

The panel will dive into questions that include:

  • What is disability justice? How does this framework help us approach questions of health equity through a lens of “structural determinants of health”?
  • What are some examples of people-led health responses resulting from the gaps and failures of healthcare institution, media, and public health systems?
  • How can the Long COVID crisis act as a point of entry or on-ramp to help us build power and grow a movement with and across a wide range of communities?

Meet the Organizations & Leaders

Long COVID Justice

Long COVID Justice (LCJ) is a grassroots, collective effort confronting the Long COVID crisis, all the while centering racial, social, economic and disability justice. Their work is done by and for chronically ill and disabled people, families and communities. LCJ are passionate advocates, helping to link patient-led support groups, leading groundbreaking research and grassroots community organizing efforts, and building a policy analysis and advocacy plan for local, state, federal and international policies on the COVID-19 and Long COVID pandemic, and other associated conditions.

Erica Andrade, President/CEO of El Centro

Gabriel San Emeterio (they/she/he), LMSW

Gabriel is a queer activist raised in Mexico City and living in New York City since the late 90’s. They hold a BA of their own design in Unique and Interdisciplinary Studies from CUNY, focused on Gender Studies and Community Organizing. Following their commitment to social justice, Gabriel obtained his graduate degree with honors from the Silberman School of Social Work with Community Organizing as a method of practice and a certificate in Social Policy. Gabriel’s passion for liberatory community work guides her life efforts, which include advocacy and grassroots organizing around policies and issues that affect the LGBTQIA+ community, welfare rights, and people living with HIV, ME/CFS and other fatiguing illnesses such as Long COVID.

Erica Andrade, President/CEO of El Centro

Emi Kane (she/her)

Emi is a chronically ill educator, researcher, editor, and organizer. She spent many years working for a large university and a small foundation on health and migration, reparations and redistributive justice, and how people think and learn. She is also a former National Collective member for INCITE, a feminist of color anti-violence network, a co-founder of Survived and Punished, and a former but forever proud member of the Allied Media Projects board of directors.

People’s CDC

Most well-known for their “COVID-19 Weather Reports” and their “Urgency of Equity” report, the People’s CDC was formed in 2022 to develop accessible public health education materials amidst an evolving global pandemic. Today, the organization has evolved to build collective power to promote COVID-19 related health and safety issues, advocate for the expansion of a social safety net, and to support a robust public health infrastructure. People from all walks of life, including researchers, epidemiologists, healthcare workers, disabled people, and people living with long COVID make up the People’s CDC. 

Erica Andrade, President/CEO of El Centro

Dr. Lara Jirmanus (she/her)

Dr. Lara Jirmanus is a community organizer, social medicine educator and practitioner and practicing family physician and a Clinical Instructor at Harvard Medical School, part-time, and a faculty member at the Cambridge Health Alliance Center for Health Equity Education and Advocacy. She is a member of the People’s CDC, and was principal investigator of the People’s External Review of the CDC. She is also a cofounder of the Massachusetts Coalition for Health Equity, a group of public health and community leaders advocating for an equitable response to the COVID-19 pandemic and beyond, and the Health and Law Immigrant Solidarity Network, a group of healthcare and legal professionals and community organizations supporting immigrants in Eastern Massachusetts. Jirmanus has been involved in grassroots organizing, advocacy and research for addressing worker and immigrant rights in the US, infectious diseases in Brazil and the impact of conflict and displacement in the Middle East. Her research interests include health equity, immigrant health, community-based participatory research, and community health workers. Her current research is focused on the impacts of social determinants of health screening.

Disability Justice 101 & Long COVID

  • Disability justice examines the structural determinants of health to examine why some people do not have the support and access they need to thrive. The simple availability of healthcare does not mean it’s accessible or equitable.
  • Disability justice, as a framework, focuses on community care, community-led solutions, and interdependence. It acknowledges that everyone has needs and deserves mutual support.
  • Long COVID is a post-infectious chronic health condition, similar to polio syndrome (following polio), Myalgic encephalomyelitis/chronic fatigue syndrome (after an Epstein-Barr, or other type of, infection), and chronic Lyme disease (after Lyme disease).

More Resources

What is Long COVID?
YouTube video

In addition to the video linked above, Long COVID Justice has an entire webpage compiling resources on Long COVID.

Disability Justice Framework
YouTube video

In addition to the comprehensive video linked above, Emi flagged this Instagram post as a resource for understanding the disability justice framework in more detail.

Gabriel’s Op-Ed

In their op-ed for Amsterdam News, Gabriel shares how “The COVID-19 pandemic has left millions disabled, including many of us with HIV—It’s time to fight for disability justice”

The Current Landscape – Challenges & Opportunities

  • The COVID-19 pandemic was a moment to build our society to prioritize collective care and meaningfully challenge ableism. We saw glimmers of this, but the process of unwinding the public health emergency rolled back progress on resources and accommodations including Medicaid expansion, rent assistance, stimulus checks, work from home policies, and more. But we still have the opportunity to build towards this vision.
  • Groups like LCJ and People’s CDC are trying to address the ongoing challenges COVID-19/Long COVID represent while building 1) a movement to improve access to quality healthcare, treatment and support for communities, and 2) the foundations for a broader public health response that centers those most affected by emerging risks and threats.

  • Bans on wearing face masks, like the ones passed in Nassau County, New York and Ballston Spa, New York, threaten individuals’ rights to privacy and health, and make public spaces more inaccessible and unsafe for us all as respiratory illnesses spread unchecked. You can access LCJ’s resources on fighting masks bans, here.

Healthcare researchers and providers must be accountable to the people living with the diseases and conditions that they’re researching or caring for.

Where We’ve Been & Where We’re Going – the LCJ and the People’s CDC share past and current campaigns

Long COVID Justice

Learn more about LCJ’s past and current campaigns by reading through their slide deck.

People’s CDC

Learn more about the People’s CDC’s past and current campaigns in this short 10-minute clip.

Where We Go From Here – Advocacy & Action

  • LCJ is conducting a needs assessment and action plan to hear directly from people living with Long COVID and associated conditions about their current social and medical needs. They are particularly focused on trans people and people living with HIV, who are disproportionately affected by Long COVID, and youth, who are mostly left out of conversations about the condition.
  • People’s CDC has partnered with National Nurses United and others to advocate for continued protections for healthcare workers caring for COVID-19 positive patients in the hospital, and were successful in preventing a rollback of protections that the CDC’s HICPAC Committee considered earlier in 2024.
  • LCJ is collaborating with The Sick Times, a journalist-led online publication dedicated to covering Long COVID, to create concise, medical provider reviewed, health education fact sheets in English and Spanish on the condition, its symptoms, tips for care navigation and self-care, as well as how to talk about Long COVID with family, friends, employers and clinicians. 

For funders, COVID is a disability justice issue. For practitioners and movement builders, bring disability justice into your own work.

Questions & Answers

Do the panelists have any advice for finding a COVID-conscious/chronic illness friendly therapist?

The COVID-Conscious Therapist Directory is a resource to find mental health support in the United States, Canada, and beyond. You can also locate non-clinical and clinical support groups.

If you are a therapist, you can also add yourself to the directory.

 I would love to hear about some ways to get involved in this work as a disabled person, especially outside of care within my own community.

 Long COVID Justice is dedicated to building the power of disabled and chronically-ill people, so join us! You can sign-up for LCJ’s mailing list to get regular updates and resources, as well as information on upcoming volunteer opportunities or events.

If you are looking for more local advocacy, organizing, or support – both online or otherwise – you can search the many directories, discords, online groups, and affinity groups listed on LCJ’s website.

Do you have a template for those of us trying to get masks reinstated in hospitals?

With editing support from LCJ and others, the COVID Advocacy Initiative and COVID Safe Campus created an “Organizing Toolkit to Keep Masks in Healthcare” toolkit that provides ideas for taking action and calling for masks requirements to continue in hospitals and other healthcare settings. There is a list of recommendations plus ideas for actions and tactics.

Green Arrows

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