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Black mortality rates in urban populations are nearly double that of white people.

Date: 1890

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The mortality of Black people in the five largest Southern cities averages 35.2 per 1,000, compared to 19.6 per 1000 for white people. Racial segregation in the South increases steadily following Reconstruction, resulting in poor access to quality health care for Black people. This disparity continues to be explained by racist theories of biological determinism rather than understood as a result of sociopolitical, systemic violence.