TY - GEN ID - cogprints2757 UR - http://cogprints.org/2757/ A1 - Wallace, Rodrick A1 - Fullilove, Mindy A1 - Wallace, Deborah TI - Community Lynching and the US Asthma Epidemic Y1 - 2003/02// N2 - We explore the implications of IR Cohen's work on immune cognition for understanding rising rates of asthma morbidity and mortality in the US. Immune cognition is inherently linked with central nervous system cognition, and with the cognitive function of the embedding sociocultural networks by which individuals are acculturated and through which they work with others to meet challenges of threat and opportunity. Externally-imposed patterns of 'structured stress' can, through their effect on a child's socioculture, become synergistic with the development of immune cognition, triggering the persistence of an atopic Th2 phenotype, a necessary precursor to asthma and other immune diseases. Structured stress in the US particularly includes the cross sectional and longitudinal effects of a systematic destruction of minority urban communities occurring since the end of World War II which we characterize as community lynching. Reversal of the rising tide of asthma and related chronic diseases in the US thus seems unlikely without a 21st Century version of the earlier Great Urban Reforms which ended the scourge of infectious diseases, in particular an end to the de-facto ethnic cleansing of minority neighborhood AV - public KW - American apartheid KW - asthma KW - atopy KW - community lynching KW - immune cognition KW - information theory KW - stress ER -