老千Black Pregnancy Dangers, Deaths Seen as a ‘Completely Preventable’ Health Crisis_我的网站
A | HOUSTON — Tonjanic Hill was overjoyed in 2017 when she learned she was 14 weeks pregnant. Despite a history of uterine fibroids, she never lost faith that she would someday have a child. But, just five weeks after confirming her pregnancy, and the day after a gender-reveal party where she announced she was having a girl, she seemed unable to stop urinating. She didn’t realize her amniotic fluid was leaking. Then came the excruciating pain. “I ended up going to the emergency room,” said Hill, now 35. “That’s where I had the most traumatic, horrible experience ever.” An ultrasound showed she had lost 90% of her amniotic fluid. Yet, over the angry protestations of her nurse, Hill said, the attending doctor insisted Hill be discharged and see her own OB-GYN the next day. The doctor brushed off her concerns, she said. The next morning, her OB-GYN’s office rushed her back to the hospital. But she lost her baby, Tabitha Winnie Denkins. “This is a public health crisis as it relates to Black moms and babies that is completely preventable,” said Barbie Robinson, who took over as executive director of Harris County Public Health in March 2021. “When you look at the breakdown demographically — who’s disproportionately impacted by the lack of access — we have a situation where we can expect these horrible outcomes.” In fact, Harris County ranks third, behind only Chicago’s Cook County and Detroit’s Wayne County, in what are known as excess Black infant deaths, according to the federal Health Resources and Services Administration. Those three counties, which also are among the nation’s most populated counties, account for 7% of all Black births in the country and 9% of excess Black infant deaths, said Ashley Hirai, a senior scientist at HRSA. That means the counties have the largest number of Black births but also more deaths that would not occur if Black babies had the same chance of reaching their 1st birthdays as white infants. No known genetic reasons exist for Black infants to die at higher rates than white infants. Such deaths are often called “deaths of disparity” because they are likely attributable to systemic racial disparities. Regardless of economic status or educational attainment, the stress from experiencing persistent systemic racism leads to adverse health consequences for Black women and their babies, according to a study published in the journal Women’s Health Issues. These miscarriages and deaths can occur even in communities that otherwise appear to have vast health resources. In Harris County, for example, home to two public hospitals and the Texas Medical Center — the largest medical complex in the world, with more than 54 medical-related institutions and 21 hospitals — mortality rates were 11.1 per 1,000 births for Black infants from 2014 through 2019, according to the March of Dimes, compared with 4.7 for white infants. The abundance of providers in Harris County hasn’t reassured pregnant Black patients that they can find care that is timely, appropriate or culturally competent — care that acknowledges a person’s heritage, beliefs and values during treatment. Regardless of income or insurance status, studies show, medical providers often dismiss Black women’s questions and concerns, minimize their physical complaints and fail to offer appropriate care. By contrast, a study of 1.8 million hospital births spanning 23 years in Florida found that the gap in mortality rates between Black and white newborns was halved for Black babies when Black physicians cared for them. In 2013, Houstonian Kay Matthews was running a successful catering business when she lost the daughter she’d named Troya eight months and three weeks into pregnancy. Matthews hadn’t felt well — she’d been sluggish and tired — for several days, but her doctor told her not to worry. Not long afterward, she woke up realizing something was terribly wrong. She passed out after calling 911. When she woke up, she was in the emergency room. None of the medical staffers would talk to her, she said. She had no idea what was happening, no one was answering her questions, and she started having a panic attack. “It kind of felt like I was watching myself lose everything,” she recalled. She said the nurse seemed annoyed with her questions and demeanor and gave her a sedative. “When I woke up, I did not have a baby.” Matthews recalled one staffer insinuating that she and her partner couldn’t afford to pay the bill, even though she was a financially stable business owner, and he had a well-paying job as a truck driver. She said hospital staffers showed minimal compassion after she lost Troya. They seemed to dismiss her grief, she said. It was the first time she could remember feeling as if she was treated callously because she is Black. “There was no respect at all, like zero respect or compassion,” said Matthews, who has since founded the Shades of Blue Project, a Houston nonprofit focused on improving maternal mental health, primarily for Black patients. To help combat these high mortality rates in Harris County, Robinson created a maternal child and health office and launched a home-visit pilot program to connect prenatal and postpartum patients with resources such as housing assistance, medical care and social services. Limited access to healthy food and recreational activities are barriers to healthy pregnancy outcomes. Studies have also shown a connection between evictions and infant mortality. For Hill, not having insurance was also likely a factor. While pregnant, Hill said, she had had just a single visit at a community health center before her miscarriage. She was working multiple jobs as a college student and did not have employer-provided medical coverage. She was not yet approved for Medicaid, the state-federal program for people with low incomes or disabilities. Texas has the nation’s highest uninsured rate, with nearly 5 million Texans — or 20% of those younger than 65 — lacking coverage, said Anne Dunkelberg, a senior fellow with Every Texan, a nonprofit research and advocacy institute focused on equity in public policy. While non-Hispanic Black Texans have a slightly better rate — 17% — than that overall state level, it’s still higher than the 12% rate for non-Hispanic white Texans, according to census data. Health experts fear that many more people are losing insurance coverage as COVID-19 pandemic protections end for Medicaid. Without full coverage, those who are pregnant may avoid seeking care, meaning they skip being seen in the critical first trimester, said Fatimah Lalani, medical director at Houston’s Hope Clinic. Texas had the lowest percentage of mothers receiving early prenatal care in the nation in 2020, according to the state’s 2021 Healthy Texas Mothers and Babies Databook, and non-Hispanic Black moms and babies were less likely to receive first-trimester care than other racial and ethnic groups. Babies born without prenatal care were three times as likely to have a low birth weight and five times as likely to die as those whose mothers had care. Hill’s twins, though premature, are now preschoolers. “I believe God — and the high-risk doctor — saved my twins,” she says.(Brandon Thibodeaux/KFF Health News) If Hill’s miscarriage reflects how the system failed her, the birth of her twins two years later demonstrates how appropriate support has the potential to change outcomes. With Medicaid coverage from the beginning of her second pregnancy, Hill saw a high-risk pregnancy specialist. Diagnosed early with what’s called an incompetent cervix, Hill was consistently seen, monitored and treated. She also was put on bed rest for her entire pregnancy. She had an emergency cesarean section at 34 weeks, and both babies spent two weeks in neonatal intensive care. Today, her premature twins are 3 years old. “I believe God — and the high-risk doctor — saved my twins,” she said. This article was produced by KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF. It has been published with permission. 。
B | 7月22日，成都高新区，APEC城市侧系列活动“2026太空算力产业生态大会”向全球发出了一封特殊的“太空邀请函”—— 会上，成都发布了《成都市太空算力场景机会清单》，并签约多个重点产业项目。其中，链主企业国星宇航将联合成都高新区未来科技城集团及产业链上下游伙伴，共同组建星座运营主体公司，推进太空算力星座建设。 这场大会向外界传递了一个信号：成都不仅造卫星，还要把数据中心搬上太空。 为什么要把算力搬上天？ 简单来说，太空算力就是把抗辐射芯片、服务器、存储设备部署到太空卫星上，让多颗卫星组网，相当于给卫星装上了“AI超级大脑”。 为什么要这么做？地面上的超算中心正面临两大难题：耗电惊人、散热极贵。而太空是天然的“绿色机房”——可以直接利用太阳能，散热无需风冷、水冷，且太空算力卫星组网可以实现全球无缝覆盖。 更深层的驱动力来自AI算力的爆发式需求。数据显示，2025年全球太空算力市场规模已达1689.1亿美元，2034年有望增长至3450.4亿美元。这场“算力上天”的竞赛，远比想象中激烈。 今年1月，SpaceX向美国联邦通信委员会提交申请，计划在近地轨道部署最多100万颗卫星，构建“轨道数据中心”。6月29日，北京太空算力创新中心在海淀正式揭牌。
C | 同一天，国内首家气动减速可复用火箭公司千亿航天发布了“阿赖耶识”超级算力星座计划。 国家层面的信号同样密集。
D | “十五五”规划纲要提出加快航空航天等战略性新兴产业发展，国家航天局设立商业航天司。
E | 2026年政府工作报告首次将航空航天列为新兴支柱产业。国家航天局商业航天司副司长于国斌表示，太空算力深度融合航天、AI、通信、能源、智算等多领域技术，将推动商业航天从地面计算向空间计算升级。 在这场关乎数据主权与国家安全的竞赛中，成都凭什么争得一席之地？ 底气： 拥有将一颗算力卫星“从图纸送到太空”的完整产业链能力 成都的布局并非始于今日。 按照《成都市商业航天创新发展三年行动计划（2025—2027年）》，到2027年，全市商业航天及关联产业规模力争达到500亿元。截至目前，成都高新区已集聚商业航天产业链核心企业102家，2025年产业规模突破130亿元。 在太空计算领域，成都已拿下多个“第一”：2025年5月，国星宇航以“一箭十二星”成功发射全球首个在轨运行的太空计算卫星星座，在国际上率先打通了“太空AI算力—地面应用”的端到端闭环。 真正让成都具备独特竞争力的，是其深厚的制造业配套能力。 位于成都未来科技城的星火时空（成都）科技有限公司，正在研制大运力液氧煤油运载火箭“薪火号”——高74米、箭体直径4.25米，近地轨道运力超18吨，700公里太阳同步轨道运力超10吨。
F | “目前我们的级间段和尾段都在成都完成，核心零部件大部分可以在成都配套解决。
G | ”该公司CEO兼首席科学家唐亮表示。 计划明年下半年，“薪火号”将迎来首飞。其全自研的“风雷100”发动机实测推重比达170，支持深度变推、多次启动，具备可回收能力，大幅降低每公斤发射成本。 更值得注意的是效率。唐亮透露，从决定在成都建厂到具备投产能力，仅用了一年多时间。
H | “成都高新区给了很大支持，政府效率非常高。”目前占地150余亩的一期火箭总装总测基地已初步竣工，未来将形成年产20发以上火箭的能力。 成都未来科技城发展服务局局长、科技城集团董事长郭盛良透露了一个更振奋人心的消息：从资本赋能、卫星研制、火箭总装到星座测控，除发射场地外，成都高新区已拥有将一颗算力卫星“从图纸送到太空”的完整产业链能力。为此，该区正在组建规模20亿元的航空航天产业基金及太空算力CVC基金，“甘做长期‘陪跑人’”。 数据中心搬上太空 成都要干什么？ 产业有没有吸引力，看钱和人往哪儿走。 洪泰基金创始合伙人、董事长盛希泰在大会现场告诉红星新闻记者，他专门带上了自己投资的全国上下游企业组团来成都。
I | 他说：“一个城市没有龙头企业就没有未来。国星宇航很有可能是成都乃至全国的产业地标。”他明确表示，会继续在成都深耕产业，“围绕国星宇航龙头企业做服务，支持成都产业更好发展”。
J | 来自上海的东太空航天科技有限公司也在现场完成了签约。这家国内卫星太空算力的龙头企业，将深度参与成都太空算力基础设施建设。
K | 该公司董事长李强表示，太空算力就是下一个时代的基础建设服务。 回到最初的问题：把数据中心搬上太空，成都要干什么？ 答案其实不复杂——先解决“怎么上去”，再解决“上去干什么”。
L | 大运力火箭是太空算力的“入场券”。没有低成本、大批量的发射能力，千星组网就是空谈。唐亮对此看得很清楚：“大规模数量的太空战略卫星组网，需要大运力的高可靠液体火箭进行批量化发射才能完成。
M | ” 而成都的优势恰恰在于——它不是只做火箭，也不是只做卫星，而是把从设计、制造、总装到发射的整条链都攥在手里。
N | 当一个城市能让“一张图纸变成一枚火箭再送上太空”的绝大部分环节在本地完成，它就具备了参与这场全球竞赛的资格。 中国科学院空天信息创新研究院研究员许光銮表示，2030年前在轨卫星总数预计突破6万颗，太空将迎来巨星座时代。在这场关乎未来的竞赛中，成都不仅在仰望星空，更在脚踏实地地造火箭、发卫星、布算力，把科幻写进现实。 红星新闻记者 彭祥萍 摄影记者 刘海韵 编辑 成序。 Current article:http://pz8xcv.longdachemakuanshan.pics/3ln/20260826/1327445.html Published on:00:00:00 |
