The Impact of New York City’s 1975 Fiscal Crisis on the Tuberculosis, HIV, and Homicide Syndemic

Dados Bibliográficos

ID11036509
AutoresNicholas Freudenberg (0000-0001-5159-6914, Nicholas Freudenberg and Marianne Fahs are with the Program in Urban Public Health, Hunter College, City University of New York, New York, NY. At the time of writing, Sandro Galea was with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York, NY. Andrew Greenberg is with the PhD Program in Sociology, City University of New York Graduate Center, New York, NY.), Marianne Fahs (Nicholas Freudenberg and Marianne Fahs are with the Program in Urban Public Health, Hunter College, City University of New York, New York, NY. At the time of writing, Sandro Galea was with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York, NY. Andrew Greenberg is with the PhD Program in Sociology, City University of New York Graduate Center, New York, NY.), Marianne C Fahs (The Graduate Center, CUNY), Sandro Galea (0000-0002-7534-0945, Nicholas Freudenberg and Marianne Fahs are with the Program in Urban Public Health, Hunter College, City University of New York, New York, NY. At the time of writing, Sandro Galea was with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York, NY. Andrew Greenberg is with the PhD Program in Sociology, City University of New York Graduate Center, New York, NY.), Andrew Greenberg (Nicholas Freudenberg and Marianne Fahs are with the Program in Urban Public Health, Hunter College, City University of New York, New York, NY. At the time of writing, Sandro Galea was with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York, NY. Andrew Greenberg is with the PhD Program in Sociology, City University of New York Graduate Center, New York, NY.), A E Greenberg (The Graduate Center, CUNY)
Ano2006
Volume96
Fascículo3
Páginas424-434
Data de publicação2006-03-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2005.063511
PMID16449588
PMCIDPMC1470515
OpenAlexW2087810037
IdiomaEN
Citações recebidas28
Referências citadas42

In 1975, New York City experienced a fiscal crisis rooted in long-term political and economic changes in the city. Budget and policy decisions designed to alleviate this fiscal crisis contributed to the subsequent epidemics of tuberculosis, human immunodeficiency virus (HIV) infection, and homicide in New York City. Because these conditions share underlying social determinants, we consider them a syndemic, i.e., all 3 combined to create an excess disease burden on the population. Cuts in services; the dismantling of health, public safety, and social service infrastructures; and the deterioration of living conditions for vulnerable populations contributed to the amplification of these health conditions over 2 decades. We estimate that the costs incurred in controlling these epidemics exceeded $50 billion (in 2004 dollars); in contrast, the overall budgetary saving during the fiscal crisis was $10 billion. This history has implications for public health professionals who must respond to current perceptions of local fiscal crises

Development economics · Economic growth · Economics · Environmental health · Homicide · Poison control · Population · Public health · Suicide prevention · Syndemic · Tuberculosis · Urbanization · COVID-19 epidemiological studies · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine