Melanin, Metrics, and Mississippi: Tech That Fails Black Skin

Photograph of Franklin Everett ShawBy Franklin Everett Shaw
May 14, 2026

The quiet hum of a pulse oximeter, a common sight in homes across America, from bustling New York City to the serene shores of Biloxi, Mississippi, offers a sense of security. But what if that reassurance is a mirage, particularly for Black individuals in the Deep South? Facial recognition software, increasingly used for everything from unlocking phones to security surveillance in cities like Memphis, Tennessee, and Atlanta, Georgia, promises enhanced safety. Yet, these technologies, seemingly objective, can harbor hidden biases with potentially devastating consequences.

These biases disproportionately affect Black communities, leading to delayed diagnoses in healthcare and misidentification in security systems. This isn’t just a theoretical concern; it’s a real-world problem demanding immediate attention.

Pulse oximeters, those small devices that clip onto your finger to measure blood oxygen saturation, rely on light absorption. Melanin, the pigment responsible for darker skin tones, absorbs more light than lighter skin. This difference can lead to artificially inflated oxygen readings in individuals with darker skin, masking hypoxemia (low blood oxygen).

A 2020 study published in JAMA Internal Medicine found that pulse oximeters overestimated oxygen saturation levels in Black patients compared to white patients. This discrepancy was significant enough to delay or prevent needed medical intervention. Imagine a Black resident of Jackson, Mississippi, struggling to breathe, their pulse oximeter reading suggesting they’re fine, while their actual oxygen levels are dangerously low. The consequences could be fatal.

The challenge lies in the calibration of these devices. Many pulse oximeters were initially calibrated using predominantly white subjects. This lack of diversity in the training data creates a systemic bias that disadvantages individuals with darker skin.

So, what can Black individuals in Mississippi, Tennessee, and Georgia do to mitigate this risk? First, be aware of the potential for inaccuracy. If you have darker skin and are using a pulse oximeter at home, understand that the reading may be higher than your actual oxygen saturation.

Second, communicate openly with your healthcare provider. Inform them of your concerns about potential inaccuracies and ask them to consider other methods of assessing your oxygen levels, such as arterial blood gas testing, which is more accurate but also more invasive.

Third, advocate for yourself and your community. Demand that healthcare providers use pulse oximeters that have been validated across diverse populations. Support research into developing more accurate and equitable pulse oximetry technology.

Facial recognition software presents a different, but equally concerning, set of challenges. These systems work by analyzing facial features and comparing them to a database of known individuals. However, studies have consistently shown that facial recognition algorithms are less accurate at identifying individuals with darker skin tones, particularly Black women.

A 2018 study by MIT researcher Joy Buolamwini found that facial recognition systems from major tech companies had error rates of up to 34% for darker-skinned women, compared to less than 1% for lighter-skinned men. This disparity can lead to misidentification, false accusations, and wrongful arrests.

Consider the implications for Black residents of Memphis, Tennessee, where facial recognition technology is increasingly used by law enforcement. A false match could lead to an innocent person being wrongly accused of a crime, subjected to police harassment, or even incarcerated.

The biases in facial recognition software stem from similar issues as those in pulse oximeters: a lack of diverse training data. Many facial recognition algorithms are trained primarily on images of white faces, leading to a system that is less accurate at recognizing individuals with different facial features and skin tones.

Furthermore, the algorithms themselves can be biased. Certain features, such as nose width or lip shape, may be weighted differently for different racial groups, leading to inaccurate results.

What can Black individuals in Atlanta, Georgia, and other cities with widespread facial recognition surveillance do to protect themselves? First, be aware of the presence of facial recognition technology in your community. Pay attention to security cameras and other surveillance systems.

Second, advocate for transparency and accountability in the use of facial recognition technology. Demand that law enforcement agencies disclose how they are using facial recognition, what data they are collecting, and how they are ensuring accuracy and fairness.

Third, support legislation that regulates the use of facial recognition technology. Advocate for laws that require independent audits of facial recognition algorithms, limit the use of facial recognition in sensitive areas, and provide recourse for individuals who are harmed by inaccurate facial recognition.

Fourth, consider opting out of facial recognition systems whenever possible. Some companies offer options to disable facial recognition features on their products and services.

These technologies, while intended to improve healthcare and security, can inadvertently perpetuate and exacerbate existing inequalities. The key is to demand culturally competent evaluation of these technologies, ensuring they are accurate and equitable for all individuals, regardless of skin tone. This requires a multi-pronged approach, including increased awareness, open communication with healthcare providers, advocacy for policy changes, and support for research into more equitable technologies.

The fight for equitable technology is a fight for justice. It’s a fight for the right to accurate healthcare, the right to be free from wrongful accusations, and the right to be treated with dignity and respect. It’s a fight that Black communities in the Deep South, and across the nation, must continue to wage until technology truly serves all people equally. The residents of Birmingham, Alabama, and Savannah, Georgia, deserve the same level of technological accuracy and safety as anyone else.

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