North America
United States
Main article: African Americans
A map of United States counties that have majority-black populations: although the African-American population is still predominantly in the South, the Great Migration created several black populations in Chicago, Detroit, Harlem, Indianapolis, Oakland, and Washington, D. C.
Several migration waves to the Americas, as well as relocations within the Americas, have brought people of African descent to North America. According to the Schomburg Center for Research in Black Culture, the first African populations came to North America in the 16th century via Mexico and the Caribbean to the Spanish colonies of Florida, Texas and other parts of the South.[96] Out of the 12 million people from Africa who were shipped to the Americas during the transatlantic slave trade,[97] 645,000 were shipped to the British colonies on the North American mainland and the United States. In 2000, African Americans comprised 12.1 percent of the total population in the United States, constituting the largest racial minority group. The African-American population is concentrated in the southern states and urban areas.
In the establishment of the African diaspora, the transatlantic slave trade is often considered the defining element, but people of African descent have engaged in eleven other migration movements involving North America since the 16th century, many being voluntary migrations, although undertaken in exploitative and hostile environments.
In the 1860s, people from sub-Saharan Africa, mainly from West Africa and the Cape Verde Islands, started to arrive in a voluntary immigration wave to seek employment as whalers in Massachusetts. This migration continued until restrictive laws were enacted in 1921 that in effect closed the door on non-Europeans. By that time, men of African ancestry were already a majority in New England’s whaling industry, with African Americans working as sailors, blacksmiths, shipbuilders, officers, and owners. The internationalism of whaling crews, including the character Daggoo, an African harpooneer, is recorded in the 1851 novel Moby-Dick. They eventually took their trade to California.
Today 1.7 million people in the United States are descended from voluntary immigrants from sub-Saharan Africa, most of whom arrived in the late twentieth century. African immigrants represent 6 percent of all immigrants to the United States and almost 5 percent of the African-American community nationwide. About 57 percent immigrated between 1990 and 2000.[100] Immigrants born in Africa constitute 1.6 percent of the black population. People of the African immigrant diaspora are the most educated population group in the United States—50 percent have bachelor’s or advanced degrees, compared to 23 percent of native-born Americans.[101][102] The largest African immigrant communities in the United States are in New York, followed by California, Texas, and Maryland.[100]
The states with the highest percentages of people of African descent are Mississippi (36%), and Louisiana (33%). While not a state, the population of the District of Columbia is more than 50% black.[103] Recent African immigrants represent a minority of blacks nationwide. The U.S. Bureau of the Census categorizes the population by race based on self-identification.[104] The census surveys have no provision for a “multiracial” or “biracial” self-identity, but since 2000, respondents may check off more than one box and claim multiple ethnicity that way.
Canada
Main article: Black Canadians
Much of the earliest black presence in Canada came from the newly independent United States after the American Revolution; the British resettled African Americans (known as Black Loyalists) primarily in Nova Scotia. These were primarily former slaves who had escaped to British lines for promised freedom during the Revolution.
Later during the antebellum years, other individual African Americans escaped to Canada, mostly to locations in Southwestern Ontario, via the Underground Railroad, a system supported by both blacks and whites to assist fugitive slaves. After achieving independence, northern states in the U.S. had begun to abolish slavery as early as 1793, but slavery was not abolished in the South until 1865, following the American Civil War.
Black immigration to Canada in the twentieth century consisted mostly of Caribbean descent. As a result of the prominence of Caribbean immigration, the term “African Canadian”, while sometimes used to refer to the minority of Canadian blacks who have direct African or African-American heritage, is not normally used to denote black Canadians. Blacks of Caribbean origin are usually denoted as “West Indian Canadian”, “Caribbean Canadian” or more rarely “Afro-Caribbean Canadian”, but there remains no widely used alternative to “Black Canadian” which is considered inclusive of the African, Afro-Caribbean, and African-American black communities in Canada.
Medical facilities serviced includes but not limited to:
- Medical Office/Examination rooms
- Outpatient Centres
- Clinics
- Dental office
- Dialysis Centers
- Veterinarian Offices
- Medical Laboratories