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Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.
Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.
Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.
Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.
Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.
We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Early Results

May 17, 2016

On May 3 we released a preliminary summation of results of winter season concussions reported by Michigan High School Athletic Association member schools. It was reported that 48 percent of the concussions reported were to female athletes, who make up only 38 percent of all winter season participants.

We will be digging deeper into the reports and providing a more comprehensive summary for all three seasons – fall, winter and spring; but we already see one suspected theme is being confirmed: more concussions reported for girls than for boys.

Even though girls’ participation in basketball is 36 percent lower than boys in MHSAA member high schools, there were 88 percent more concussions reported for girls than boys in that sport this past season.

We hope that researchers will step forward to inquire into the physiological, psychological, social and other reasons for the significant disparity in concussions reported by males and females; and perhaps they will be able to suggest what administrators, coaches, rule-makers and others might do in response to that research.

We expect that other themes suggested by the data from this first-year reporting requirement and then year-over-year comparisons will create interest in other research, all of which will help make school sports an even healthier experience for boys and girls than it already is.