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This commentary critically examines omissions in the Lalonde Report and traces how slavery, colonialism, and systemic racism shape Black health outcomes in Canada. Anti-Black racism perpetuates disparities through economic, political, and social marginalization. Public health research, policy, and practice often fail to address racism’s structural dimensions, despite long-standing community resistance.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/beyond-the-reckoning-addressing-structural-anti-black-racism-in-population-and-public-health/443377/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/beyond-the-reckoning-addressing-structural-anti-black-racism-in-population-and-public-health/443377.png","ImageObject",300,407,{"name":92,"@type":93},"Asher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why does the lack of historical context matter for public health inequities?","Question",{"text":112,"@type":113},"The commentary argues that without historical context, public health tends to overlook structural racism as a key determinant of health inequities.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What does the article say about the Lalonde Report?",{"text":117,"@type":113},"It highlights that the Lalonde Report omitted the role of systemic racism and related systems of dispossession, shaping how inequities were understood.",{"name":119,"@type":110,"acceptedAnswer":120},"How can public health move toward meaningful change for Black communities?",{"text":121,"@type":113},"The article calls for a decolonial, anti-racist approach that shifts power and resources, supports interdisciplinary education, strengthens policy, and promotes accountability and community-led solutions.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},443377,1791014324,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Canadian Journal of Public Health (2025) 116 (Suppl 2):S63–S66  \n[https://doi.org/10.17269/s41997-025-01093-7](https://doi.org/10.17269/s41997-025-01093-7)  \nBeyond the reckoning: Addressing structural anti-Black racism in population and public health  \nSume Ndumbe‑Eyoh1  \nReceived: 6 February 2025 / Accepted: 15 July 2025 © The Author(s) 2025  \nAbstract  \nThe absence of historical context in public health has contributed to the persistent neglect of structural racism as a major determinant of health inequities. This commentary critically highlights the omissions of the Lalonde Report, a foundational document in population health, and explores the enduring impacts of slavery, colonialism, and systemic racism on Black health in Canada. Anti-Black racism continues to shape racial health inequities through economic, political, and social marginalization. However, public health research, policy, and practice have largely failed to address the structural dimensions of racism. Yet, Black communities in Canada have long resisted these injustices through grassroots movements, community advocacy, and systems transformation. A decolonial, anti-racist approach is necessary to disrupt these patterns, shift power and resources, and promote health equity. This requires interdisciplinary education, policy change, and investments in social systems that promote equity for Black communities. Centring community-led solutions, institutional accountability, and leveraging legislative tools are critical steps toward meaningful change. Public health must actively engage in dismantling white supremacy to achieve equitable health outcomes for Black communities.  \nRésumé  \nL’absence de contexte historique en santé publique contribue au désintérêt persistant pour le racisme structurel en tant que déterminant majeur des iniquités en santé. Notre commentaire critique les omissions du rapport Lalonde, un document fondamental en santé des populations, et explore les effets durables de l’esclavage, du colonialisme et du racisme systémique sur la santé des personnes noires au Canada. Le racisme anti-Noirs continue de structurer les iniquités raciales en matièrede santé par le biais d’une marginalisation économique, politique et sociale. Dans une large mesure toutefois, la recherche, les politiques et les pratiques en santé publique n’abordent pas les dimensions structurelles du racisme. Néanmoins, par les mouvements populaires, le plaidoyer communautaire et la transformation des systèmes, les communautés noires du Canada résistent depuis longtemps à ces injustices. Une approche décoloniale et antiraciste est nécessaire pour perturber ces schémas, déplacer le pouvoir et les ressources et promouvoir l’équité en santé . Elle exige une formation interdisciplinaire, un changement de cap et des investissements dans des systèmes sociaux qui favorisent l’équité pour les communautés noires. Un recentrage sur les solutions communautaires, une responsabilisation des institutions et l’utilisation d’instruments législatifs sont les étapes essentielles d’un véritable changement. La santé publique doit activement participer au démantèlement de lasuprématie blanche pour obtenir des résultats équitables pour la santé des communautés noires.  \nKeywords Racism · Black health · Anti-racism · Health equity  \nMots-clés Racisme · Santé des personnes noires · Antiracisme · Équité en santé  \n* Sume Ndumbe-Eyoh[sume.ndumbe.eyoh@utoronto.ca](sume.ndumbe.eyoh@utoronto.ca)  \n1 Black Health Education Collaborative, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada  \nThe absenting of history in population health  \nThe absence of history in public health is a longstanding concern, particularly related to addressing racial health inequities. The Lalonde Report, one of the most influential contributions to population health, disregarded the pervasive role of systemic racism and interrelated systems of dispossession in shaping health inequities. This absence, mirro","cbCaipcjCNMrVWuM","https://ap.wps.com/l/cbCaipcjCNMrVWuM","pdf",585158,"English","# Abstract\n# The absenting of history in population health\n## Slavery in Canada: Looking back to move forwards\n## Racism as the driver of racial health inequities","[{\"question\":\"Why does the lack of historical context matter for public health inequities?\",\"answer\":\"The commentary argues that without historical context, public health tends to overlook structural racism as a key determinant of health inequities.\"},{\"question\":\"What does the article say about the Lalonde Report?\",\"answer\":\"It highlights that the Lalonde Report omitted the role of systemic racism and related systems of dispossession, shaping how inequities were understood.\"},{\"question\":\"How can public health move toward meaningful change for Black communities?\",\"answer\":\"The article calls for a decolonial, anti-racist approach that shifts power and resources, supports interdisciplinary education, strengthens policy, and promotes accountability and community-led solutions.\"}]","Beyond the reckoning - Addressing structural anti-Black racism in population and public health | PDF",1790703812]