NFHS Voice: We Must Act on Vaping
September 13, 2019
By Karissa Niehoff
NFHS Executive Director
The issue of vaping has reached a crisis stage across the United States, and leaders in our nation’s schools must take immediate steps to stop the use of these electronic cigarette products by our nation’s youth – particularly the more than 12 million participants in high school athletics and performing arts programs.
On Tuesday, CBS News reported that Kansas health officials confirmed the first death in that state linked to vaping. The CBS News release stated that last week, officials in Indiana, California and Minnesota reported deaths in their states linked to vaping. Previous deaths had been reported in Illinois and Oregon.
Also this week, The Associated Press reported that public health officials confirmed two people in Idaho had developed a serious lung disease linked to vaping. The outbreak of vaping-related lung disease has sickened about 450 people in at least 33 states, according to the Centers for Disease Control and Prevention (CDC), causing the CDC to urge people to consider stopping vaping as the number of cases of severe lung illnesses continues to rise.
In February 2019, the CDC reported a 78-percent increase in high school students vaping from 2017 to 2018. Youth e-cigarette use has been called an epidemic by major public health officials.
Students in our nation’s schools have been sold a false bill of goods that vaping is a safe alternative to cigarette smoking – particularly by industry giant JUUL, which held a 76-percent share of the e-cigarette market at the end of 2018 and has wooed the youth market with its products that contain flavors such as cotton candy, chocolate, gummy bear, strawberry and many others.
While the U.S. Food and Drug Administration (FDA) is giving e-cigarette companies until sometime next year to demonstrate that their products can help people stop smoking cigarettes, leaders in our nation’s school activities programs must do everything possible to stop the use of these products by our nation’s youth now – not in 2020.
One educational tool that schools can use immediately is the online course “Understanding Vaping and E-Cigarettes” created by the NFHS with support from the Office of the U.S. Surgeon General. The free course is available on the NFHS Learning Center at www.NFHSLearn.com.
Several articles related to vaping will appear in the September issue of High School Today, which will be posted on the NFHS website.
Dr. Karissa L. Niehoff is beginning her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.
5 Concussion Myths Debunked
February 28, 2020
Henry Ford Health System
Awareness about the dangers of concussions is at an all-time high. In response, athletic organizations — from Pop Warner football (a nonprofit program for kids 5 to 16) to USA Hockey — have safe-play protocols in place. But misconceptions about injury — prevention, management and return to play — are still all too common.
"It's great that parents, coaches and athletes are focused on the potential for concussions, but they also need to be aware of the complexities involved in evaluating, diagnosing and managing concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
The best way to get the knowledge you need? Learn how to separate fact from fiction.
Separating Concussion Fact From Fiction
Here’s the truth behind five common concussion myths:
Myth #1: Concussions are only caused by blows to the head.
Concussions happen in response to force. While they often result from a blow to the head, they can also occur after a hit to the neck, shoulders or anywhere else on the body. To cause brain injury, the force of the impact only needs to cause the head to move rapidly back and forth (think whiplash from a car crash or a spill down the stairs).
Myth #2: Concussions always involve a loss of consciousness.
A very small percentage of all concussions, 10 percent or less, result in a loss of consciousness. For the remaining injuries, parents, coaches and medical providers should watch for additional symptoms such as:
· Confusion
· Balance problems
· Slurred speech
· Physical complaints including headache, nausea and vomiting.
Myth #3: You should keep a person awake overnight after a concussion has occurred.
It's important to observe and interact with a recently concussed person for the first few hours to recognize the potential signs of a more serious injury. However, if they are interacting normally after four hours, it’s okay to let them sleep. If you have any doubts or questions, always err on the side of caution and seek medical attention.
Myth #4: After a concussion, kids should avoid digital media until they feel better.
Unless digital activities or screen time significantly worsen symptoms, there's no reason to avoid them. "You shouldn't force people who have suffered a concussion to rest too much — or deprive them of sensory input — if they are comfortable engaging in activity," Dr. Kutcher says. What’s more, taking away activities that bring a person joy or keep them socially connected could end up prolonging their recovery by creating additional symptoms.
Myth #5: All physical activity should be avoided after a concussion.
It’s important to rest for the first two to three days after a concussion. However, you need to be careful not to rest too much or avoid all activity for too long.
Engaging in physical, mental and social activities can be beneficial. But knowing how much to do and when to take it easy can be difficult. If you have any questions, consult a sports neurologist for specific recommendations.
Ground Rules for Concussion Prevention and Management
When it comes to preventing concussion, common sense offers the greatest impact, Dr. Kutcher notes. He recommends starting with these four tenets:
- Whenever possible, limit the amount of contact in practices and games.
- Wear proper fitting and certified helmets or other head protection whenever appropriate.
- Spread contact drills out over time as much as possible.
- Practice good technique and play by the rules.
Athletes — especially those who play contact sports — should undergo an annual neurological evaluation that includes a comprehensive, focused neurological history and examination. This information provides a critical point of reference for medical professionals.
Knowing the truth about concussions — including what to watch for and what to do if one occurs — is really the best game plan.
Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.