Health in America is closely tied to where we live. Higher rates of preventable health conditions are concentrated in high-poverty neighborhoods that are more likely to be home to a higher proportion of Americans of color. Despite modern anti-discrimination laws that make people legally free to move wherever they like, the reality is that our cities and communities remain largely racially segregated. This segregation is not a result of chance, but rather the direct result of business practices and government housing policy that date back to almost a century ago. One notorious example is redlining, in which services such as home loans or insurance were denied to Black and Brown Americans by characterizing the communities that the lived in as “too risky”. In this episode of Epidemiology Counts, we discuss the legacy of racial segregation and practices such as redlining that have shaped our communities, and the lasting effect of segregation on health disparities in America. Host Bryan James and Ghassan Hamra, assistant professor in Epidemiology and Environmental Health and Engineering at the Johns Hopkins Bloomberg School of Public Health, talk to Dr. Sharrelle Barber a social epidemiologist at the Drexel University Dornsife School of Public Heath and leader of the new Ubuntu Center on Racism, Global Movements and Population Health Equity.