Health & Safety: A Look Back, Gallop Ahead

By John E. (Jack) Roberts
MHSAA Executive Director, 1986-2018

August 7, 2015

By Jack Roberts
MHSAA executive director

We are just completing year six of eight during which we have been addressing the four important health and safety issues that, for ease of conversation, we call the “Four Hs.”

During the 2009-10 and 2010-11 school years, our focus was on Health Histories. We made enhancements in the pre-participation physical examination form, stressing the student’s health history, which we believe was and is the essential first step to participant health and safety.

During the 2011-12 and 2012-13 school years, our focus was on Heads. We were an early adopter of removal-from-play and return-to-play protocols, and our preseason rules/risk management meetings for coaches included information on concussion prevention, recognition and aftercare.

Without leaving that behind, during the 2013-14 and 2014-15 school years, our focus was on Heat – acclimatization. We adopted a policy to manage heat and humidity – it is recommended for regular season and it’s a requirement for MHSAA tournaments. The rules/risk management meetings for coaches during these years focused on heat and humidity management.

At the mid-point of this two-year period, the MHSAA adopted policies to enhance acclimatization at early season practices and to reduce head contact at football practices all season long.

Without leaving any of the three previous health and safety “H’s” behind, during the 2015-16 and 2016-17 school years, our focus will be on Hearts – sudden cardiac arrest and sudden cardiac death.

Coinciding with this emphasis is the requirement that all high school level, varsity level head coaches be CPR certified starting this fall. Our emphasis will be on AEDs and emergency action plans – having them and rehearsing them.

On Feb. 10, bills were introduced into both the U.S. Senate and House of Representatives, together called the “Safe Play Act (see below),” which addressed three of the four health and safety “H’s” just described: Heat, Hearts and Heads.

For each of these topics, the federal legislation would mandate that the director of the Centers for Disease Control develop educational material and that each state disseminate that material.

For the heat and humidity management topic, the legislation states that schools will be required to adopt policies very much like the “MHSAA Model Policy to Manage Heat and Humidity” which the MHSAA adopted in March of 2013.

For both the heart and heat topics, schools will be required to have and to practice emergency action plans like we have been promoting in the past and distributed to schools this summer.

For the head section, the legislation would amend Title IX of the 1972 Education Amendments and eliminate federal funding to states and schools which fail to educate their constituents or fail to support students who are recovering from concussions. This support would require multi-disciplinary concussion management teams that would include medical personnel, parents and others to provide academic accommodations for students recovering from concussions that are similar to the accommodations that are already required of schools for students with disabilities or handicaps.

This legislation would require return-to-play protocols similar to what we have in Michigan, and the legislation would also require reporting and recordkeeping that is beyond what occurs in most places.

This proposed federal legislation demonstrates two things. First, that we have been on target in Michigan with our four Hs – it’s like they read our playbook of priorities before drafting this federal legislation.

This proposed federal legislation also demonstrates that we still have some work to do.

And what will the following two years – 2017-18 and 2018-19 – bring? Here are some aspirations – some predictions, but not quite promises – of where we will be.

First, we will have circled back to the first “H” – Health Histories – and be well on our way to universal use of paperless pre-participation physical examination forms and records.

Second, we will have made the immediate reporting and permanent recordkeeping of all head injury events routine business in Michigan school sports, for both practices and contests, in all sports and at all levels.

Third, we will have added objectivity and backbone to removal from play decisions for suspected concussions at both practices and events where medical personnel are not present; and we could be a part of pioneering “telemedicine” technology to make trained medical personnel available at every venue for every sport where it is missing today.

Fourth, we will have provided a safety net for families who are unable to afford no-deductible, no exclusion concussion care insurance that insists upon and pays for complete recovery from head injury symptoms before return to activity is permitted.

We should be able to do this, and more, without judicial threat or legislative mandate. We won’t wait for others to set the standards or appropriate the funds, but be there to welcome the requirements and resources when they finally arrive.

Safe Play Act — H.R.829
114th Congress (2015-2016) Introduced in House (02/10/2015)

Supporting Athletes, Families and Educators to Protect the Lives of Athletic Youth Act or the SAFE PLAY Act

Amends the Public Health Service Act to require the Centers for Disease Control and Prevention (CDC) to develop public education and awareness materials and resources concerning cardiac health, including:

  • information to increase education and awareness of high risk cardiac conditions and genetic heart rhythm abnormalities that may cause sudden cardiac arrest in children, adolescents, and young adults;
  • sudden cardiac arrest and cardiomyopathy risk assessment worksheets to increase awareness of warning signs of, and increase the likelihood of early detection and treatment of, life-threatening cardiac conditions;
  • training materials for emergency interventions and use of life-saving emergency equipment; and
  • recommendations for how schools, childcare centers, and local youth athletic organizations can develop and implement cardiac emergency response plans.

Requires the CDC to: (1) provide for dissemination of such information to school personnel, coaches, and families; and (2) develop data collection methods to determine the degree to which such persons have an understanding of cardiac issues.

Directs the Department of Health and Human Services to award grants to enable eligible local educational agencies (LEAs) and schools served by such LEAs to purchase AEDs and implement nationally recognized CPR and AED training courses.

Amends the Elementary and Secondary Education Act of 1965 to require a state, as a condition of receiving funds under such Act, to certify that it requires: (1) LEAs to implement a standard plan for concussion safety and management for public schools; (2) public schools to post information on the symptoms of, the risks posed by, and the actions a student should take in response to, a concussion; (3) public school personnel who suspect a student has sustained a concussion in a school-sponsored activity to notify the parents and prohibit the student from participating in such activity until they receive a written release from a health care professional; and (4) a public school's concussion management team to ensure that a student who has sustained a concussion is receiving appropriate academic supports.

Directs the National Oceanic and Atmospheric Administration to develop public education and awareness materials and resources to be disseminated to schools regarding risks from exposure to excessive heat and humidity and recommendations for how to avoid heat-related illness. Requires public schools to develop excessive heat action plans for school-sponsored athletic activities.

Requires the CDC to develop guidelines for the development of emergency action plans for youth athletics.

Authorizes the Food and Drug Administration to develop information about the ingredients used in energy drinks and their potential side effects, and recommend guidelines for the safe use of such drinks by youth, for dissemination to public schools.

Requires the CDC to: (1) expand, intensify, and coordinate its activities regarding cardiac conditions, concussions, and heat-related illnesses among youth athletes; and (2) report on fatalities and catastrophic injuries among youths participating in athletic activities.

Building Beginning as Okemos Follows 1st-Year Coach Scott-Emuakpor

By Geoff Kimmerly
MHSAA.com senior editor

August 9, 2022

OKEMOS – The football lay on the turf, landing there before the play had really begun, and the most booming voice from the tallest man on the field yelled a reassuring, “It’s OK. Let’s go,” followed the next play by “Go again,” and then “Figure it out.”

Mid-MichiganAn hour earlier, first-year Okemos varsity football coach Efe Scott-Emuakpor had been on the phone asking a parent to bring the helmet and practice jersey one of his players had left at home. Nearby, another small group also stood helmetless as they hadn’t yet gotten the pre-participation physical required to join their friends on the field.

Those are typical first-day glitches no matter the school, and fall practices for all sports began Monday at 750 high schools across the state.

But those relatively minor symptoms are what Scott-Emuakpor is focused on treating in the immediate term as he takes on one of the most serious rebuilding efforts in Michigan high school football.

“This is progress,” Scott-Emuakpor said halfway through his team’s first practice, looking out at 39 players on Okemos’ game field – 33 more than showed up for his first offseason workout.

“We’d like to have everything right now. But it’s growing. It’s slowly growing.”

And after Monday, Okemos is one step closer to what would be an incredible turnaround story.

The Wolves have not won since Week 2 of the 2019 season, a stretch of 23 games. After scoring on an 84-yard run during the first quarter of last fall’s opener against Mason, Okemos didn’t score again the rest of the season.

Standing 6-foot-3, and still only a few years from his last college game as a receiver at Ball State University, Scott-Emuakpor looks capable of stepping back into a huddle at a moment’s notice. A little more than a decade ago, in 2011, he was beginning a senior season at East Lansing that would see him cap his varsity career in the MHSAA record book with 134 catches, gaining 1,624 yards, over three seasons. He also was an all-leaguer in basketball and Finals placer in high jump before joining the Cardinals.

Okemos footballAfter graduating from Ball State with a computer science bachelor’s degree, and on the way to earning his master’s in business from Saginaw Valley State University, Scott-Emuakpor came home and has worked nearly six years as a business systems analyst with Red Cedar Solutions Group on efforts including the MI School Data website.

But that’s just his fulltime job. Scott-Emuakpor also co-founded a clothing line, Live For Today, and over the last five seasons served as a volunteer assistant coach with his hometown Trojans – who have made the MHSAA Playoffs six seasons running.

He'd never applied for a head coaching job. He’d never really considered coaching at that level. In fact, he was pretty happy with how assisting at East Lansing for longtime coach Bill Feraco fit into his schedule and other pursuits.

But Scott-Emuakpor also is a studier. And as a past rival and co-member of the Capital Area Activities Conference Blue, he and East Lansing saw Okemos plenty.

The Wolves had made the playoffs as recently as 2018, and won their first playoff game that season since 2011. Scott-Emuakpor had played against Okemos’ Taylor Moton, now considered one of the NFL’s top offensive tackles. And the school has had loads of success in other sports, annually ranking among the Lansing area’s best in just about all of them and coming off a statewide Division 1 championship in boys soccer from last fall.

“I paid attention to how things have been around here. And I know what they could be capable of,” Scott-Emuakpor said. “This program was once a good program that was very well-respected; I respected them playing against them in high school. They had great athletes. I think my senior year we beat them by one point (20-19 in 2011). So we had good battles.

“I just saw where they’re at. … We have some good kids around here, and I know there’s more in the school not playing. Maybe when they’re sophomores, juniors, they’ll come out. I think I’m capable of getting that interest up, getting them out on the field and just building something.”

Okemos footballRaj Singh is a senior this fall, one of only five or so Scott-Emuakpor is expecting to come out this week. He’s also a near all-A student, will play some quarterback and safety along with his receiver spot, and was the guy bringing carloads of classmates to workouts over the summer as he joined his coach in recruiting prospective players.

Singh is following his older brother Joe Singh, an admittedly “smaller than everyone” offensive lineman who earned all-league honors as a senior in 2017. When Joe Singh told his younger brother that playing under the lights on a Friday night is a feeling unlike any other, the idea stuck – which is why it made sense when Raj Singh fractured his wrist in Week 2 last season but was back by Week 7 despite a cast covering one hand.

Watching Singh catch passes one-handed last season during East Lansing’s 49-0 win over Okemos stuck with Scott-Emuakpor. Joe Singh had told his little bother that all that matters is having more heart than his opponent and a fighting spirit – in other words, being the type of player Scott-Emuakpor will rely on to get Okemos up and succeeding again.

“I’ve been playing football since I was 6 years old. It’s just been a dream of mine to be at this moment,” Raj Singh said.

“Coach Efe is bringing in a lot of new aspects, and that’s been very helpful to make it different than last year – make us feel a little more at home this year. Compared to last year, he’s brought a lot of structure. We’ve been really coming together as a family … and it just shows Coach Efe wants to build a community around here.”

The process is about more than building stronger, faster bodies and learning football skills and technique. The Wolves aren’t talking a lot about last year, but there’s something there to overcome – and Scott-Emuakpor started working on that soon after he was hired at the end of March.  

Okemos football“In the springtime, we were fortunate enough to get in the weight room and I was able to see kids put up good weight and do some things. I’d tell them, ‘You’re actually strong. You’re actually a fast kid,’” Scott-Emuakpor said. “But when you’re not successful for so long, and the way they were losing last year, it was easy for them to not feel confident, not feel they were able to ultimately get the job done. And so I was just there working on minds.”

Last season was going to be uphill for Okemos no matter what. A mid-summer coaching change brought on by a major fulltime job promotion for the former coach led to an interim staff, players leaving the program, and an applaudable effort to just keep teams on the field.

Scott-Emuakpor has surrounded himself with a staff that includes a pair of his past coaches growing up in East Lansing, past players from when he was coaching there and others with winning experience playing at DeWitt and Williamston.

In addition to what he learned playing and coaching under Feraco, Scott-Emuakpor brings a ton of insight from his experiences at Ball State; he had only one catch during his college career while battling injuries, but he spent that time on the sideline observing his coaches and taking mental notes. Just Sunday, he was pulling from the 2012-13 Ball State football handbook a few details to incorporate into his work in progress with the Wolves.

Okemos will have varsity and freshman teams this fall, and the majority of players at Monday’s combined practice were juniors and sophomores – so recruiting remains ongoing. But Singh said the number of classmates who did come out Monday exceeded his expectations – and that just added to the excitement of starting again.

“If you walk through the school, you’ll see some guys, you’ll (say), ‘OK, what does that guy do?’ You find out he plays (only) lacrosse, or only wrestles, where in other areas, other schools, they might do everything because that’s what they do, what they’ve grown up doing” Scott-Emuakpor said. “I’ve been trying to rebuild that connection, that love for football. A lot of them are very intrigued; I feel like some of them are kinda peeking and saying, ‘What’s going on? This new coach seems to be young and interesting.’ And I’ve just been trying to stay focused on the process and not get too far ahead of myself.”

Geoff Kimmerly joined the MHSAA as its Media & Content Coordinator in Sept. 2011 after 12 years as Prep Sports Editor of the Lansing State Journal. He has served as Editor of Second Half since its creation in January 2012, and MHSAA Communications Director since January 2021. Contact him at [email protected] with story ideas for the Barry, Eaton, Ingham, Livingston, Ionia, Clinton, Shiawassee, Gratiot, Isabella, Clare and Montcalm counties.

PHOTOS (Top) First-year Okemos varsity football coach Efe Scott-Emuakpor, middle, huddles up his players during Monday's first day of practice. (2) Scott-Emuakpor confers with senior Raj Singh on blocking from his receiver position. (3) The Wolves work on offense during the first part of their Monday session. (4) Scott-Emuakpor speaks with his team at the start of the workout. (Photos by Geoff Kimmerly.)