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Unequal Health Outcomes in the United States

Asthma is a major urban disease and a substantial burden from the standpoint of both the quality of life for the many suffering from the disease and the economics of health care. The global increase in the prevalence of asthma in the last half of the 20th century has affected urban communities in many countries disproportionately. Asthma is an allergic disease for more than 50% of adults and 80% of children. The evidence for a relations- hip between allergic asthma and domestic exposure to cockroaches, mice and dust mites is strong. These pests are common in urban environments, especially impoverished com- munities, and play a significant role. | Unequal Health Outcomes in the United States racial and ethnic disparities in health care treatment and access the role of social and environmental determinants of health and the responsibility of the state Submitted by the CERD Working Group on Health and Environmental Health A Report to the U.N. Committee on the Elimination of Racial Discrimination January 2008 Submitted by Organizations The Opportunity Agenda Poverty Race Research Action Council National Health Law Program Center for American Progress Center for Reproductive Rights New York Lawyers for the Public Interest Families USA Physicians for Human Rights Alliance for Healthy Homes Center for Social Inclusion Out of Many One Summit Health Institute for Research and Education Inc. SHIRE Community Catalyst Lawyers Committee for Civil Rights Under Law Ipas National Economic Social Rights Initiative Uplift International Generations Ahead Natural Resources Defense Council PolicyLink The Praxis Project Kirwan Institute for the Study of Race and Ethnicity Medical-Legal Partnership for Children at Boston Medical Center Kellogg Health Scholars Program Environmental Justice Resource Center at Clark Atlanta University Individuals Dolores Acevedo-Garcia Harvard School of Public Health Ana V. Diez-Roux University of Michigan Jack Geiger City University of NewYork Medical School Rachel D. Godsil Seton Hall University School of Law Professor Sherman James Duke University Nancy Krieger Harvard School of Public Health Vernellia R. Randall University of Dayton Law School David Barton Smith Temple University David R. Williams Harvard School of Public Health Scholars submit this report in their individual capacities. Academic affiliations are provided for identification purposes only. Organizations and scholars submitting this report do not necessarily endorse every assertion made .