Category Archives: Injury Prevention
Recommended Reading: As 2014 Begins, the Stanford Football Team is an Exercise Model for the Rest of Us
As the new year begins, the United States is awash in millions of people resolved to go to the gym, run many miles every day, blow the dust off the treadmill in the basement and park yards away from the office front door. But a recent article in The New York Times on the exercise regimen of the Stanford University football team finds that slow and steady, rather than extreme, may be the effective approach toward injury-reduced, successful exercise.
While Stanford lost its Rose Bowl game against Michigan State yesterday, the team’s players have ended the season ahead of many of their competitors in injuries avoided and games missed. What’s different at Stanford is a training regimen by Conditioning Coach Sean Turley, which focuses on each player’s abilities and the muscles and strength they need most to prevent injuries, as well as get their own jobs done on the football field.
The Times reports that from 2006, the year before Turley arrived at Stanford, through last season, the number of games missed because of injury dropped by 87 percent. In 2012, only two players required season-ending or postseason surgical repair, and this year only one did. “For the subtle art of injury prevention, the [Stanford football players] stretch and stretch and stretch. They stretch before and after lifts and before and after practice. They stretch for fun.”
And think again if you think that’s just a regimen needed for elite football players. “These are things that you do for Grandma and Grandpa,” says a Stanford yoga instructor who helps train the team.
>>Bonus Link: Read a U.S. Food and Drug Administration update reminding consumers that, despite advertising they may have seen, dietary supplements cannot prevent concussions.
Help for Keeping Those New Year’s Resolutions from the Federal Government
Losing weight, helping others and quitting smoking are among the top New Year’s resolutions of the American people, according to the General Services Administration (GSA), the agency that oversees the business of the federal government. Links on the GSA site offer strategies, websites and help lines for 2014 resolutions. Click on the quit smoking link on the GSA resolution list for example, and you’ll find yourself at smokefree.gov, which offers tools you can access immediately, even before 2014 begins. Read more on community health.
NIH to Fund Research on Workforce Diversity Programs
The National Institutes of Health (NIH) will establish a national consortium to develop, implement and evaluate approaches to encourage individuals of all backgrounds to start and stay in biomedical research careers. “There is a compelling need to promote diversity in the biomedical research workforce,” said NIH Director Francis S. Collins MD, PhD. “A lack of diversity jeopardizes our ability to carry out the NIH mission because innovation and problem solving require diverse perspectives. The future of biomedical research rests on engaging highly talented researchers from all groups and preparing them to be successful in the NIH-funded workforce.” Read a new JAMA study that finds that minority physicians care for the majority of underserved patients in the United States. Read more on health disparities.
Twenty Percent of Drivers Admit They Often Drive Too Fast
A recent survey by the National Highway Traffic Safety Administration (NHTSA) finds that twenty percent of drivers say they “try to get where I am going as fast as I can." According to NHTSA, speeding-related deaths nationwide account for nearly a third of all traffic fatalities each year, taking close to 10,000 lives. And despite acknowledging the safety benefits of speed limits and reasons drivers should follow them, more than a quarter of those surveyed admitted "speeding is something I do without thinking" and "I enjoy the feeling of driving fast." And sixteen percent felt that "driving over the speed limit is not dangerous for skilled drivers." Most alarming, drivers with the least experience behind the wheel—those 16-20 years old—admitted to speeding more frequently than any other age group. And more than one in ten drivers ages 16-20 reported at least one speeding-related crash in the past five years, compared to 4 percent for the population as a whole. Read more on injury prevention.
Many Still Have Signup Options for Health Insurance Coverage under the Affordable Care Act
Although the December 23 signup deadline for health insurance coverage beginning January 1 has passed, the White House announced on Christmas Eve that signup has been extended for several days for anyone who was unable to complete their online application because of heavy traffic on the site. States and insurers may impose their own deadlines, however, so people not enrolled should reach out to their state insurance hotlines by calling 800-318-2596. Additional information options include clicking the “what is the marketplace in my state” or “live chat” features on the healthcare.gov home page.
The absolute deadline to sign up for 2014 coverage with no financial penalty is March 31, 2014, but signup after Jan 1, 2014 will generally result in coverage beginning a little later in the year. However there is no deadline for people signing up for Medicaid or the Children’s Health Insurance Program. Enrollment for those coverage options, for those that qualify, is open throughout the year, with no penalties assessed.
Professional Truck Drivers Offer Safety Tips for Holiday Travel
America's Road Team Captains, members of the American Trucking Associations who are elite professional truck drivers with millions of accident-free miles, have advice on how to navigate through highway traffic and winter driving conditions during the busy holiday driving season. Their tips include:
- Prepare your vehicle for long distance travel: Check your wipers and fluids. Have your radiator and cooling system serviced. Simple maintenance can prevent many of the problems that strand motorists on the side of the road before you leave your home.
- Plan ahead: Before you get on a highway, know your exit by name and number, and watch the signs as you near the off-ramp. Drivers making unexpected lane changes to exit often cause accidents.
- Do not cut in front of large trucks: Remember that trucks are heavier and take longer to make a complete stop, so avoid cutting quickly in front of them.
- Be aware of truck blind spots: When sharing the road with large trucks, be aware of their blind spots. If you can't see the truck driver in his or her mirrors, then the truck driver can't see you.
- Pack your emergency kit: Contents should include a battery-powered radio, flashlight, blanket, jumper cables, fire extinguisher, first aid kit, bottled water, non-perishable foods, maps, tire repair kit and flares.
- Check the weather: Be aware of changes in weather during your travel even if it’s just a trip of a few hours. Temperatures can drop and rain and fog can develop since you got started on the road. Check weather conditions before you leave and each time you stop.
- Keep your eyes on the road: Distracted driving is a major cause of traffic accidents. Even just two seconds of distraction time doubles the chances of an accident. Use your cell phone when stopped and never text while driving.
Read more on transportation.
CPSC Recommends Checking to See if Winter Gear, Gifts, Have Been Recalled
As you pull out winter clothes or start to use holiday gifts, the Consumer Product Safety Commission (CPSC) recommends you first check to see if anything you or your family will be using was recalled for a safety hazard. Items recalled in 2013 include children’s clothing with appliques and toys with small pieces that can pose choking risks. Read more on injury prevention.
We hate to be the bearers of buzz kill, but folks should think about adding “safety” to their holiday wish lists this year. Researchers at the Consumer Product Safety Commission say there are about 250 injuries a day during the holiday season. Last year the most frequently reported holiday accidents seen in emergency departments involved falls (34%), lacerations (11%) and back strains (10%). And from 2009 through 2011, fire departments nationwide responded to an average of 200 fires in which the Christmas tree was the first item ignited—resulting in 10 deaths, 20 injuries and $16 million in property loss for those years. Candle-related fires during holidays between 2009 and 2011 resulted in an estimated 70 deaths, 680 injuries and $308 million in property loss.
Best tips for avoiding Holiday fires: discard sets of holiday lights with evidence of damage such as broken sockets and bare wires; water Christmas trees frequently; and always extinguish candles before leaving a room.
Here are our top five safety tips for the holidays culled from the websites of the Consumer Product Safety Commission, the American Academy of Pediatrics, the Centers for Disease Control and Prevention and the Food and Drug Administration:
FDA Proposes New Rules for Proving Effectiveness, Safety of Antibacterial Soaps
A new proposed rule from the U.S. Food and Drug Administration (FDA) would require manufacturers of antibacterial hand soaps and body washes to prove not only that their products are more effective than normal soap when it comes to preventing illness and infections, but that they are also safe for daily long-term use. Products that can’t meet these standards would need to be reworked before coming to market. The regulatory move comes as research suggests that not only are antibacterial products not helpful, but they could also be harmful in the long term, leading to bacterial resistance and hormonal problems. Hand sanitizers, wipes and other antibacterial products used in health care settings would not fall under the new regulations. “Antibacterial soaps and body washes are used widely and frequently by consumers in everyday home, work, school, and public settings, where the risk of infection is relatively low,” said Janet Woodcock, MD, director of the FDA’s Center for Drug Evaluation and Research (CDER). “Due to consumers’ extensive exposure to the ingredients in antibacterial soaps, we believe there should be a clearly demonstrated benefit from using antibacterial soap to balance any potential risk.” Read more on infectious disease.
NIH, NFL to Research Ways to Diagnose, Treat Traumatic Brain Injuries
New research projects from the U.S. National Institutes of Health (NIH) will explore methods to diagnose and treat chronic traumatic encephalopathy, or CTE, in football players and others who experience head injuries and concussions. Current science only allows health care professionals to diagnose the traumatic brain injuries after death. "This is a public health problem," said Walter Koroshetz, deputy director of the NIH's National Institute of Neurological Disorders and Stroke. "We don't know the mechanics of the head injuries that lead to this, the number and severity that is required to get this. We don't know whether certain people based on their genes are more susceptible or not. There are a lot of questions to be answered." The National Football League will cover $12 million of the $14 million in research costs. Earlier this year the league agreed to pay as much as $765 million to former players who accused the league of covering up and downplaying the risks of brain injury. Read more on mental health.
Studies: Multivitamins, Supplements Don’t Improve Overall Wellness
Daily multivitamins and mineral supplements don’t prevent heart problems or memory loss, and are also not linked to longer lives, according to three new studies in the journal Annals of Internal Medicine. The researchers said the findings indicate that U.S. consumers should stop taking the dietary supplements, which are part of a multibillion-dollar U.S. industry. "We believe that it's clear that vitamins are not working," said Eliseo Guallar, MD, a professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health, adding “"The probability of a meaningful effect is so small that it's not worth doing study after study and spending research dollars on these questions." Read more on nutrition.
Telehealth Technology Could Help Obese Youth Get Better Treatment, Lose Weight
Telehealth technology—a secure computer system that enables patients to speak “face-to-face” with doctors who are far away—could be an effective strategy to help obese youth who are trying to lose weight, according to new research from UCLA. With a multidisciplinary approach often the prescribed for treating obesity, telehealth services would reduce travel time while giving patients access to expertise that might not be available in their area. This would be especially helpful for low-income families. The UCLA study linked UCLA health care providers with patients at their local health clinics, finding that 80 percent of the 45 study subjects were happy with the technology and would use it again. "One surprise was how natural it was to talk with each other through the telehealth system, even though we never met the patients in person," said lead author Wendy Slusser, MD, medical director of the Fit for Healthy Weight program at Mattel Children's Hospital UCLA and director of pediatric wellness programs at the Venice Family Clinic. "The interaction was very much like being in the same room together. Some kids even thought it was fun to see themselves on the screen." Read more on access to health care.
Study: Psychiatrists Less Likely than Other Doctors to Accept Insurance
Psychiatrists are less likely than other doctors to accept private insurance, according to a new study in JAMA Psychiatry. Researchers analyzed government data from 2005 to 2010, which surveyed approximately 1,250 doctors each year, finding that from 2005 to 2010 the percentage of psychiatrists who accepted private insurance dropped from 72 percent to 55 percent. In comparison, over that same time the rate for doctors in other areas only dropped from 93 percent to 89 percent. While the study does not explain the vast difference, Jeffrey Lieberman, MD, president of the American Psychiatric Association, said reimbursement is a major concern, according to Reuters. "Many doctors can't afford to accept insurance because (insurance companies) don't pay them for the time," he said. "It involves taking more time with the patient and often treating them with psychotherapy.” Read more on mental health.
Even Mild Hits to the Head Can Cause Brain Damage
Even mild hits to the head that don’t cause concussion can still lead to problems with memory and thinking, according to a new study in the journal Neurology. Researchers equipped 80 football and ice hockey players with special helmets that gathered data on mild hits; while none of the players were diagnosed with a concussion, they still showed signs of deficits in thinking after the season. "This suggests that concussion is not the only thing we need to pay attention to," said Tom McAllister, MD, chairman of the department of psychiatry at the Indiana University School of Medicine. "These athletes didn't have a concussion diagnosis in the year we studied them ... and there is a subsample of them who are perhaps more vulnerable to impact. We need to learn more about how long these changes last and whether the changes are permanent." Read more on injury prevention.
HealthCare.gov: After Fixes, More Enroll in First Two Days of December than Did in All of October
The five weeks spent working on many of the problems of the HealthCare.gov website seem to have been time well spent, with more people signing up for the new health insurance in the first two days of December than were able to enroll in all of October. About 29,000 signed up for the insurance, made possible by the Affordable Care Act, on Sunday and Monday; only about 27,000 people signed up in October when the site first went live. While the final numbers have not been released, about 100,000 are estimated to have signed up via the site in November. The website is used in 36 states, with fourteen states and Washington, D.C. running their own sites. Read more on the Affordable Care Act.
Boston Adds Rentable Bicycle Helmets to Bikeshare System
Boston is working to improve the safety of people who use Hubway, the city’s popular bikeshare system, by installing the first vending machine for renting bicycle helmets. The HelmetHub street kiosk will be located at the Boylston Street and Massachusetts Avenue Hubway Station. Riders will be able to rent a helmet for 24 hours for $2, or purchase one to keep for $20; they will be sanitized and inspected after each use. The city intends for this test kiosk to be the first of many throughout Boston. Read more on safety.
Study: Social Ties, More than Biology, Responsible for Changes in Teen Sleep Times
Social ties—especially with parents and friends—may be more responsible than biology for whether a teenager gets enough sleep. While past studies have linked biological development factors to why children tend to sleep less as they age into teenagers, a new study in the Journal of Health and Social Behavior ties the trend more closely to the quality of the teen’s social ties. In an analysis of data on almost 1,000 kids ages 12 to 15—during with the average sleep time drops from 9 hours per school night to 8 hours—researchers concluded that teens who felt that they were a part of school, who were close to their friends and especially who had parents who were active in their life were more likely to get more sleep. "Research shows that parents who keep tabs on their kids are less likely to see them get into trouble or use drugs and alcohol," said David Maume, a sociology professor at the University of Cincinnati. "My findings suggest a similar dynamic with sleep. Parents who monitor their children's behavior are more likely to have kids that get adequate rest. Given that children generally get less sleep as they become teenagers, parents should be ever more vigilant at this stage.” Read more on pediatrics.
NHTSA: Motorcoaches, Large Buses to Require Seatbelts for All Passengers and Driver
New motorcoaches and large buses will be required to provide lap and shoulder seatbelts for all passengers and driver, under a new rule issued by the U.S. Department of Transportation's National Highway Traffic Safety Administration (NHTSA). While the buses are an overall safe way to travel, the large numbers of people they carry and the high speeds at which they travel mean a single collision can lead to a significant number of injuries, according to NHTSA. An average of 7,934 riders are injured each year in motorcoaches, and an average of 21 passengers are killed. "Buckling up is the most effective way to prevent deaths and injuries in all vehicular crashes, including motorcoaches," said Federal Motor Carrier Safety Administrator Anne S. Ferro, in a release. "Requiring seat belts in new models is another strong step we are taking to reach an even higher level of safety for bus passengers." The rule will apply to buses with a gross vehicle weight rating (GVWR) greater than 26,000 pounds,) excluding transit buses and school buses. Read more on transportation.
Study: Women With Breast Cancer Should Get Mammograms Every 12 to 18 Months
Breast cancer patients should undergo mammograms every 12 to 18 months to determine whether their cancer has spread to the lymph nodes, according to a new study to be presented today at the annual meeting of the Radiological Society of North America. Study researcher Lilian Wang, MD, evaluated more than 300 women who were diagnosed with breast cancer because of a routine mammogram, dividing them into three groups based on their treatment history. She found that only 9 percent of the women who had 12- to 18-month intervals between mammograms saw their cancer spread to their lymph nodes; the rates were 21 percent for those who waited one-and-a-half to three years and 15 percent for those who waited three or more years. "If you catch someone with early stage cancer, they are going to need less extensive surgery, and maybe no chemo," said Laura Kruper, MD, director of the Cooper-Finkel Women's Health Center at the City of Hope Cancer Center, in Duarte, Calif., who was not a part of the study. "[The new study] adds more power behind the fact that we do need screening mammograms starting at age 40 and every year.” Read more on cancer.
FDA: Certain HeartStart AEDs May Not Work During Cardiac Emergencies
The U.S. Food and Drug Administration (FDA) announced yesterday that certain automated external defibrillator (AED) devices made by Philips Medical Systems may not function properly when needed. In a new safety communication, FDA revealed that the devices may not deliver the needed shock to restore normal heart rhythm during a cardiac emergency. “The FDA advises keeping all recalled HeartStart AEDs in service until you obtain a replacement from Philips Healthcare or another AED manufacturer, even if the device indicates it has detected an error during a self-test,” said Steve Silverman, director of the Office of Compliance in the FDA’s Center for Devices and Radiological Health. “Despite current manufacturing and performance problems, the FDA considers the benefits of attempting to use an AED in a cardiac arrest emergency greater than the risk of not attempting to use the defibrillator.” Read more on heart health.
Earlier this year, fans of the National Football League’s Seattle Seahawks set a record for outdoor stadium noise with a volume of 136.6 decibels. That record stood for a mere four weeks—the Kansas City Chiefs hit 137.5.
The fans revel in it—both records were set in part through the encouragement of fan organizations—and this record-seeking behavior is encouraged by teams and the league.
“Fans know they are going to a football game and not searching for a book at a library,” said Brian McCarthy, an NFL spokesman.
However, according to a recent story in The New York Times, such loud revelry at sporting events comes with severe costs for people’s hearing health. Elliott Berger, an acoustical engineer at 3M, said the average volume during an NFL game hovers at around 90 decibels. Considering the fact that an average NFL game lasts about three hours—and the National Institute for Occupational Safety and Health recommends limiting exposure to levels that high to 60 minutes—by going to football games people are putting themselves at serious risk for partial deafness and ringing, or even hyperacusis, an intolerance to sound that sometimes can cause pain.
While this may be alright (although very unhealthy) for the casual fans who only attend a few games per year, people who already have auditory problems are at substantial risk. And it’s something that even a simple set of earplugs or earmuffs can prevent.
“People think it’s cool or funny or whatever, but there is increasing evidence that if your ears are ringing, damage is happening,” said M. Charles Liberman, a professor of otology at Harvard Medical School and the director of a hearing research lab at the Massachusetts Eye and Ear Infirmary. “There’s something irreversible going on. It’s only going to worsen as you get older.”
Read the full story at The New York Times.
Study: State Car Seat, Seatbelt Laws Leave Children Vulnerable to Injury, Death
Many state laws on car seats and seatbelts are not current with regards to modern research or are inconsistent from state to state, leaving children vulnerable to injuries or even death, according to a new study in the journal Social Science and Medicine. Researchers look at child passenger safety laws from 1978-2010 across all 50 states [Editor’s note: Go here for an interactive map]. “These laws do not keep up with the published evidence, and even when they do, there are some cases where the laws are unclear,” said Jin Yung Bae, JD, MPH, the study’s lead author, and associate research scientist at the Steinhardt School of Culture, Education and Human Development at New York University. Approximately 250,000 children are injured and 2,000 are killed each year in the United States because of vehicle crashes, which many of these preventable, according to the study authors. The study was conducted by a team from New York University in collaboration with Temple University, and supported by the Robert Wood Johnson Foundation through its Public Health Law Research. The National Institutes of Health’s National Institute on Alcohol Abuse and Alcoholism also funded the study. Read more on injury prevention.
USDA Announces Grants to Improve Rural Housing
The U.S. Department of Agriculture (USDA) has announced that organizations in 45 states, the Western Pacific and the Commonwealth of Puerto Rico will receive grants to make housing repairs and improve housing conditions for limited-income rural residents. The funding is through the USDA Rural Development's Housing Preservation Grant program and will be provided to intermediaries such as local governments; public agencies; federally-recognized Indian Tribes; and non-profit, faith-based and community organizations. The organizations distribute the grants to homeowners and owners of multi-family rental properties or cooperative dwellings who rent to low- and very-low-income residents. Grants may be used to make general repairs, such as installing or improving plumbing, providing or enhancing access to people with disabilities and making homes more energy efficient. Read more on housing.
CDC’s Emergency Management Program Receives Full EMAP Accreditation
The U.S. Centers for Disease Control and Prevention (CDC) has become the first federal agency to achieve full accreditation of its emergency management program from the Emergency Management Accreditation Program (EMAP). “Accreditation is a serious accomplishment for CDC and the emergency management community we support,” said Ali S. Khan, MD, MPH, director of the Office of Public Health Preparedness and Response. “Preparing for and responding to emergencies of any kind—natural disasters, bioterrorism events, chemical terrorism or pandemics—is a core function of public health. Everyone at CDC has a hand, at one point in time, in emergency management and execution.” EMAP’s six steps to accreditation are subscription, self assessment, application, on-site assessment, committee review and accreditation decision. Thirty one states; the District of Columbia; and 14 U.S. cities and counties are accredited. Read more on preparedness and accreditation.