Category Archives: Injury Prevention

May 7 2014
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Could States’ Efforts to Reduce College Campus Drinking Backfire?

This week Maryland became one of more than a dozen states to ban sales of grain alcohol, also known as extreme-strength alcohol. The drink, which includes the brand name Everclear, is 95 percent pure alcohol. It has no color, taste or smell and so easily mixes—without detection—into juices, soda and punch, making it an effective date rape tool, according to college health officials. And it’s cheap.  A whole bottle can cost $15, which is a price easily shared among college or younger students.

Banning extreme-strength alcohol is among several initiatives a growing number of states are taking to try to reduce college student deaths, injuries and assaults linked to campus alcohol use. A report published in September by The Maryland Collaborative to Reduce College Drinking and Related Problems, which was formed in 2013 to address problems associated with excessive alcohol consumption on ten college campuses across the state, found that alcohol use of any kind on campuses across the country each year results in 1,800 deaths; 600,000 injuries; 700,000 assaults by someone under the influence; and nearly 1 million rapes and sexual assaults.

Many states, including Maryland, have declared college campus drinking to be a public health emergency that goes well beyond the campus because of the noise, vandalism, car crashes and community injuries and deaths linked to campus drinking each year. Banning grain alcohol was the Maryland Collaborative’s first initiative because college students who are binge drinkers—a serious and dangerous issue on campuses, according to the U.S. Centers for Disease Control and Prevention (CDC)—are 36 times more likely to drink grain alcohol than are non-binge drinkers, according to David H. Jernigan, the director of the Center on Alcohol Marketing and Youth at Johns Hopkins' Bloomberg School of Public Health in Baltimore, Md.

But some research shows that banning extreme strength alcohol can actually exacerbate the problem by raising awareness of the drink to students who may not have been aware of it before. This can push students in search of grain alcohol to find other high-octane sources, such as privately made moonshine, which can be even more highly concentrated than commercially available grain alcohol and can contain other contaminants, said Laura Forbes, an associate professor of health education at the University of Alabama/Birmingham and chair of the American College Health Association’s Alcohol, Tobacco and Other Drugs Coalition.

According to Forbes, what is desperately needed is a campus culture change on alcohol just like the culture change that has reduced smoking on campus; many campuses bans tobacco use outright. Forbes said reaching that goal requires collaborations—such as the one in Maryland—that bring together campus administrators, businesses, student leaders, law enforcement, public health and the community.

“The way to change the culture,” she said, “is to start to have a conversation that with students about why they’re drinking and to include administrations, faculty, alumni and others in the talks.”

Forbes said the culture change won’t be a suddenly dry campus. “It will be incremental over time, but each campus has to start the change to where they want to move.”

>>Bonus Links:

  • The Maryland Collaborative has released a best practices guide for reducing campus drinking that includes both individual and campus-wide interventions.
  • The CDC recently updated its Alcohol and Public Health website, which now includes new infographics and links to videos, webinars, e-cards and podcasts, as well as a fact sheet on preventing excessive alcohol use, which highlights evidence-based strategies such as those recommended by the Community Preventive Services Task Force.
May 1 2014
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Public Health News Roundup: May 1

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RWJF Issue Brief Explores Links Between Education and Health
Why is education such a major factor in shaping health? The links are tied closely to income and to the opportunities that people have to lead healthy lives, according to a new issue brief from the Robert Wood Johnson Foundation. Factors such as social networks, early childhood experiences and the type of neighborhood you live in all play a role in connecting education levels to health outcomes. The issue brief and video explore these connections and highlight their impacts through the perspectives of residents of a disadvantaged urban community in Richmond, Va. This is the second brief in a four-part series by the Virginia Commonwealth University Center on Society and Health’s Education and Health Initiative. Read more on education.

Parents with Kids in Car Often Engage in Distracted Driving
Parents with kids in tow are just as likely to engage in distracted driving practices as are drivers in the general population, according to a new study by researchers at the University of Michigan and published in Academic Pediatrics. The study, conducted in two hospital emergency rooms, found that 90 percent of parent drivers said they engaged in at least one of ten distractions examined in the study while their child was a passenger and the vehicle was moving. Distractions included talking on a cell phone, texting, giving a child food and picking up a toy that fell. Each year more than 130,000 children younger than 13 are treated in U.S. emergency departments after motor-vehicle collision-related injuries. The researchers also found that parents with higher education and who were non-Hispanic whites were more likely to report cellular phone and directions-related distractions such as use of navigation systems.

"If this finding is a result of greater access to technology among more highly educated and non-Hispanic white parents, we can expect the problem of technology-based distractions to expand because national rates of cell phone ownership in the U.S. have climbed above 90 percent," said Michelle L. Macy, MD, MS, an emergency medicine physician at the University of Michigan's C.S. Mott Children's Hospital. "Efforts to improve child passenger safety have often focused on increased and proper use of restraining seats. But this study shows that reducing distractions and discouraging unsafe behaviors could prevent crashes.” Read more on injury prevention.

SAMHSA Launches First Spanish-language Web Pages for National Prevention Week
The Substance Abuse and Mental Health Services Administration (SAMHSA) recently launched a series of new Web pages in Spanish to engage the Hispanic/Latino community in SAMHSA’s third annual National Prevention Week. The observance focuses on increasing public awareness of and action around substance abuse and mental health issues. New resources include instructions for participating in SAMHSA’s “Yo elijo” (“I Choose”) Project, Web badges and a 15-second promotional video in Spanish about the observance. Read more on substance abuse.

OSHA Urges Post-Storm Vigilance for Clean Up Workers and the Public
As much of the country begins the cleanup following massive storms since the weekend, the U.S. Department of Labor's Occupational Safety and Health Administration (OSHA) is urging workers and the public to be aware of the hazards they can encounter and take necessary steps to stay safe. Storm and tornado cleanup work can involve hazards related to restoring electricity, communications, water and sewer services. Other hazards relate to demolition activities; cleaning up debris; tree trimming; structural, roadway and bridge repair; hazardous waste operations; and emergency response activities. Information on safe cleanup is available on OSHA’s website. Read more on preparedness.

Apr 30 2014
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Public Health News Roundup: April 30

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Severe Weather Wreaking Havoc Across the U.S. Today
At least 35 people have been killed during severe weather in the past week in the South and Southwest. Severe weather, including significant flooding is expected to continue through much of the country today. Click here for today’s weather alerts for the entire United States from the National Weather Service.

AAP Recommends Precautions to Prevent High Rate of ACL Injuries in children
The American Academy of Pediatrics (AAP) issued a report yesterday on preventing and treating knee injuries in kids. According to the AAP, pediatricians have been seeing an increase in the last twenty years in tears to the anterior cruciate ligament (ACL) which provides stability for the knee as more kids—in particular girls—play sports. According to the AAP, research shows that specific types of physical training can reduce the risk of ACL injury by as much as 72 percent and the Academy now recommends strengthening exercises to reduce athletes’ risks of being injured, and encourages coaches and school sports programs to learn about the programs. The AAP is also advising that surgeries be done by trained surgeons using less-invasive surgery techniques that protect the developing growth plates in kids and teenagers.

According to the AAP, the effects of an ACL tear can be long-lasting and impactful beyond an end to playing a sport. Injured athletes who leave a sport and its social network can experience depression, and time away from school for treatments can impact academic performance. And research shows that athletes with ACL injuries are up to 10 times more likely to develop early-onset degenerative knee osteoarthritis and chronic pain. Read more on injury prevention.

NHTSA Awards Grants to Reduce Pedestrian Deaths
The National Highway Traffic Safety Administration (NHTSA) today announced that Louisville, Philadelphia and New York City will receive grants totaling over $1 million for public education and enforcement initiatives to improve pedestrian safety. The new grants are part of the Department’s Everyone Is a Pedestrian campaign to help communities reduce the rising number of pedestrian deaths and injuries that occurred from 2009 through 2012.

According to NHTSA, the three winners are among the cities with some of the highest rates of pedestrian fatalities nationwide:

  • Louisville was awarded $307,000 and will use the funds to create a pedestrian education program for school-aged children and create safe walking routes for senior citizens. In addition, the funds will be used to conduct law enforcement training and crosswalk enforcement activities. In Louisville, a total of six pedestrians were killed in motor vehicle crashes during 2012, representing 10 percent of the city’s total traffic fatalities.
  • Philadelphia was awarded $525,000 and will use the funds to address pedestrian safety in downtown areas by increasing police visibility and ticketing during high risk hours in 20 high-crash locations. The grant will also be used for marketing to reach pedestrians in these areas and to train officers on pedestrian safety. In Philadelphia, a total of 31 pedestrians were killed in motor vehicle crashes during 2012, representing 29 percent of the city’s total traffic fatalities.
  • New York City was awarded $805,801 and will use the funds to address speeding drivers and drivers who do not yield to pedestrians in crosswalks. The city will work on reaching the demographic most likely to be in pedestrian crashes—young men—through social media and enforcement activities in high-crash areas. In New York City, a total of 127 pedestrians were killed in motor vehicle crashes during 2012, representing 47 percent of the city’s total traffic fatalities.

Read more on transportation.

Apr 28 2014
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Public Health News Roundup: April 28

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Tornadoes Kill At Least 17 in South Central U.S. Over the Weekend
Multiple tornadoes, damaging winds and hail storms over the weekend resulted in 17 deaths in Arkansas and Oklahoma, according to reporting by the Weather Channel. More severe weather is expected in the South and Midwest through Wednesday. According to reporting by Reuters, the hardest hit area was Faulkner County in Arkansas, where 10 people died and cars and homes were destroyed. The Red Cross has opened several shelters in the area. Read about preparedness.

Study: Almost Half of Homeless Men Previously Suffered a Traumatic Brain Injury
Almost half of all homeless men who took part in a study by researchers at St. Michael’s Hospital in Toronto had suffered at least one traumatic brain injury (TBI) in their lives and 87 percent of those injuries occurred before the men lost their homes, according to the study authors. Some men suffered more than one TBI and the researchers found that assaults accounted for 60 percent of the injuries; sports and recreation accounted for 44 percent; and car accidents and falls accounted for 42 percent.

The fact that so many homeless men suffered a TBI before losing their home suggests such injuries could be a risk factor for becoming homeless, said lead researcher Jane Topolovec-Vranic, PHD, a clinical researcher in the hospital’s Neuroscience Research Program. Topolevec-Vranic said the study underscores the need to monitor young people who suffer TBIs such as concussions for health and behavioral changes. In men under age 40, falls from drug/alcohol blackouts were the most common cause of traumatic brain injury, while assault was the most common in men over 40 years old. The study was published in the journal CMAJ Open. Read more on injury prevention.

People on Statins More likely to Eat Foods that Can Lead to Obesity Related Illnesses
A new study led by researchers from UCLA suggests that people who took statins in 2009–10 were consuming more calories and fat than those who used statins 10 years earlier. There was no similar increase in caloric and fat intake among non-statin users during that decade according to the study in JAMA Internal Medicine. "We believe that this is the first major study to show that people on statins eat more calories and fat than people on those medications did a decade earlier," said the study's primary investigator, Takehiro Sugiyama, a visiting scholar at the David Geffen School of Medicine at UCLA. "Statins are used by about one-sixth of adults. We may need to reemphasize the importance of dietary modification for those who are taking these medications...”

The study authors used data from the National Health and Nutrition Examination Survey to compare fat and caloric intake among statin users and non-users in 1999–2000 and 2009–10. They found that caloric intake among statin users had risen by 9.6 percent over that decade and that fat consumption had jumped by 14.4 percent. In contrast, caloric and fat intake by non-statin users did not change significantly during the 10-year period. Read more on obesity.

Apr 24 2014
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Saturday is National Prescription Drug Take-Back Day

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This Saturday, April 26, is The National Prescription Drug Take-Back Day, an effort led by the U.S. Drug Enforcement Administration (DEA) for the eighth time in three years to safely dispose of potentially dangerous expired, unused and unwanted prescription drugs.

Last October, Americans turned in more than 647,000 pounds of prescription drugs at more than 4,100 sites operated by the DEA in partnership with state and local law enforcement offices. More than 3.4 million pounds of pills have been collected since the initiative began. The goal is to help reduce the huge cache of prescription pills that pose a risk of poisoning and death for young children, as well as the potential for abuse, overdose and death by the millions of people who take prescription drugs not prescribed for them in an effort to get high.

Every state has put resources into reducing prescription drug abuse in the last few years and recent surveys indicate abuse rates are dropping—though the problem is still significant. The 2013 National Survey on Drug Use and Health produced by the Substance Abuse and Mental Health Services Administration found that that 5.3 percent of young adults used prescription drugs for nonmedical purposes in the past month, similar to rates in several previous years, but lower than 2009, when 6.4 percent of young adults used prescription drugs for nonmedical purposes.

DEA studies show that a majority of abused prescription drugs are obtained from family and friends, often from home medicine cabinets. Contributing to the pileup is the fact that people are advised not to put many drugs in the trash or down the toilet so as to avoid contaminating water supplies and harming animals.

New laws are being proposed in many states to help families and facilities more easily get rid of unused drugs. Health departments in many communities, including the State of Colorado, can refer people to sites that will accept some unused prescription pills—though often not narcotics—at various times of the year for disposal.

>>Bonus Links:

Apr 23 2014
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NewPublicHealth Q&A: Kathleen Hoke, Network for Public Health Law

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Earlier this month U.S. Department of Transportation Secretary Anthony Foxx kicked off April’s National Distracted Driving Awareness Month by announcing the department’s first-ever national advertising campaign and law enforcement crackdown in states with distracted driving bans. That effort ended last week, but through individual interactions with drivers by law enforcement and through ads on television, radio and online, the effort raised attention to the dangers—and penalties—of distracted driving, according to the National Highway Traffic Safety Administration (NHTSA.) According to NHTSA 3,328 people were killed and an estimated 421,000 were injured in distraction-related crashes in 2012, the latest year for which data is available.

"This campaign puts distracted driving on par with our efforts to fight drunk driving or to encourage seatbelt use," said Foxx.

According to NHTSA, the national campaign built upon the success of federally funded distracted driving state demonstration programs in California and Delaware, “Phone in One Hand, Ticket in the Other.” Over three enforcement waves, California police issued more than 10,700 tickets for violations involving drivers talking or texting on cell phones, and Delaware police issued more than 6,200 tickets. Observed hand-held cell phone use dropped by approximately a third at each program site, from 4.1 percent to 2.7 percent in California, and from 4.5 percent to 3.0 percent in Delaware.

Currently 43 states, the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands ban text messaging for drivers of all ages; 12 states, Washington, D.C., Puerto Rico, Guam and the U.S. Virgin Islands prohibit drivers of all ages from using hand-held cell phones while driving; and 37 states and D.C. ban cell phone use by new drivers.

More state campaigns are expected to be launched, according to NHTSA. To find out more about the ability of public health laws such as laws aimed at reducing distracted driving to improve health and save lives, NewPublicHealth recently spoke with Kathleen Hoke, director of the Network for Public Health Law, Eastern Region. The Network is a program of the Robert Wood Johnson Foundation.

NewPublicHealth: In his announcement of the campaign, Secretary Foxx said that the national distracted driving reduction efforts show how public health laws can be transformative. What public health does this build on? Could this have been done if there hadn’t been a history of using laws to help improve the public’s health?

Kathleen Hoke: I think there is kind of a cycle that we see in public health using law to effectuate improvements in public health, particularly injury prevention. I know we can’t think today that there was a time that children weren’t in car seats, but there was. And what happened was there was an education campaign much like the Department of Transportation’s current campaign that was all about encouraging folks to put their children in safety seats. The law took it to a certain level, so we went from roughly 20 percent of people putting their kids in car seats to maybe 60 percent of people putting their kids in car seats.

Read more

Apr 17 2014
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Public Health News Roundup: April 17

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Study: Banning Chocolate Milk in Elementary Schools Also Decreases Overall Sales, Increases Waste
Banning chocolate milk in 11 Oregon elementary schools and replacing it with healthier fat-free white milk had the unintended consequence of reducing milk consumption overall, according to a recent study in the journal PLOS One. The study determined that the chocolate milk ban led to a 10 percent overall drop in milk sales; a 29 percent increase in the amount of wasted milk; drops in calcium and protein intake; and a 7 percent decrease in the number of students taking part in the Eugene School District's lunch program. "Given that the role of the federal school meal program is to provide nutritious meals to students who may otherwise have no access to healthy foods, I wouldn't recommend banning flavored milk unless you have a comprehensive plan in place to compensate for the lost nutrients when kids stop drinking milk altogether,” said Nicole Zammit, former assistant director of nutrition services at the Eugene School District in Oregon, in a Cornell University news release. The study was conducted by the Cornell Food and Brand Lab. Read more on nutrition.

CDC: Significant Drops in Five Major Diabetes-related Complications
The last two decades has seen declines in five major diabetes-related complications, according to a new study in the New England Journal of Medicine. Researchers at the U.S. Centers for Disease Control and Prevention (CDC) found declining rates of lower-limb amputation (about 50 percent), end-stage kidney failure (about 30 percent, heart attack (more than 60 percent) , stroke (about 50 percent) and deaths due to high blood sugar (more than 60 percent). “These findings show that we have come a long way in preventing complications and improving quality of life for people with diabetes,” said Edward Gregg, Ph.D., a senior epidemiologist in CDC’s Division of Diabetes Translation and lead author of the study. “While the declines in complications are good news, they are still high and will stay with us unless we can make substantial progress in preventing type 2 diabetes.” A recent study determined that approximately one in 10 U.S. adults have either type 1 or type 2 diabetes. Read more on diabetes.

FDA Sees Rising Number of Cases of Injuries Linked to E-cigarettes
The rising use of e-cigarettes has been accompanied by a rising number of injury complaints linked to e-cigarettes, including burns, nicotine toxicity, respiratory problems and cardiovascular problems, according to new data. From March 2013 to March 2014 there were more than 50 such complaints filed with the U.S. Food and Drug Administration (FDA), roughly the total reported over the previous five years. The findings come as the FDA prepares to regulate e-cigarettes and other "vaping" devices for the first time. Read more on injury prevention.

Apr 10 2014
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Public Health News Roundup: April 10

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HHS Releases Data Giving Consumers Greater Transparency on Costs of Medical Procedures
The U.S. Department of Health and Human (HHS) services has released of new, privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care professionals. The new data—which includes payment and submitted charges, or bills, for those services and procedures by provider—provides consumers with more information on how physicians and other health care professionals practice medicine, according to HHS Secretary Kathleen Sebelius. “This data will help fill that gap by offering insight into the Medicare portion of a physician’s practice,” she said. “The data released today afford researchers, policymakers and the public a new window into health care spending and physician practice patterns.” The release includes information for more than 880,000 distinct health care providers who collectively received $77 billion in Medicare payments in 2012, under the Medicare Part B Fee-For-Service program. Read more on access to care.

HUD Grants $1.6B to Support 7,100 Local Homeless Housing and Service Programs
The U.S. Department of Housing and Urban Development (HUD) has announced approximately $1.6 billion in grants to continue support for 7,100 local homeless housing and service programs in all 50 states, as well as Puerto Rico, Guam and the U.S. Virgin Islands. The grants, which come through HUD’s Continuum of Care Program, support programs such as street outreach; client assessment; and direct housing assistance to individuals and families with children who are experiencing homelessness. "Whether it's helping to rapidly re-house families with young children or finding a permanent home for an individual with serious health conditions, HUD is working with our local partners to end homelessness as we know it," said HUD Secretary Shaun Donovan. Read more on housing.

Study: Concussion Symptoms May Be Worse For Girls than for Boys
Concussions may have a more severe and longer-lasting effect for girls than they do for boys, according to new research. Shayne Fehr, MD, a pediatrician at Children's Hospital of Wisconsin, tracked 549 patients who sought treatment at a pediatric concussion clinic, finding that girls on average reported more severe symptoms than boys and needed an additional 22 days to recover (56 days for girls, compared to 34 for boys). Approximately 76 percent of the injuries were sports related and the top five reported symptoms were headache, trouble concentrating, sensitivity to light, sensitivity to sound and dizziness. More research is needed to determine the cause of the disparity. Read more on injury prevention.

Apr 1 2014
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Public Health News Roundup: April 1

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NHTSA: Rear Cameras for All New Cars by May 2018
All new vehicles under 10,000 pounds will be required to have rear visibility technology—or rear cameras—by May 2018, according to a new rule issued by the U.S. Department of Transportation’s National Highway Traffic Safety Administration (NHTSA). According to NHTSA, the technology significantly reduces injuries and fatalities due to backover incidents; there are an average of 210 deaths and 15,000 injuries each year caused by such incidents, with children under age 5 accounting for 31 percent and adults ages 70 and older accounting for 26 percent. "Safety is our highest priority, and we are committed to protecting the most vulnerable victims of backover accidents — our children and seniors," said U.S. Transportation Secretary Anthony Foxx. "As a father, I can only imagine how heart wrenching these types of accidents can be for families, but we hope that today's rule will serve as a significant step toward reducing these tragic accidents." Read more on injury prevention.

Study: Diet of Fruit, Vegetables Linked to Reduced Risk of Death
Diets heavy on fruits and vegetables can reduce the risk of death at any age by as much as 42 percent, according to a new study in the Journal of Epidemiology and Community Health. Using data on the eating habits of more than 65,000 people in England from 2011 to 2013, researchers determined that the risk of death was reduced by 36 percent with five to seven portions, 29 percent with three to five portions and 14 percent with one to three portions. More specifically, they also determined that eating seven or more portions of fruits and vegetables reduced the risk of death from heart disease by 31 percent and the risk of death from cancer by 25 percent. "We all know that eating fruit and vegetables is healthy, but the size of the effect is staggering," study author Oyinlola Oyebode, at the department of epidemiology and public health of University College London, in a release. "Vegetables have a larger effect than fruit, but fruit still makes a real difference. If you're happy to snack on carrots or other vegetables, then that is a great choice but if you fancy something sweeter, a banana or any fruit will also do you good.” Read more on nutrition.

Affordable Care Act Expected to Hit Goal of Coverage for 7 Million
Despite a glitch-filled rollout of HealthCare.gov that allowed few people to enroll over the first month, the Affordable Care Act and its online portals appear to be on track to meet the original goal of enrolling 7 million people by its deadline of yesterday, March 31, according to Obama administration officials. More than 6 million had signed up for health care coverage as of last week and the run up to the deadline saw a surge that should put the total over 7 million. The administration also recently announced an extension of the enrollment deadline for Americans who had attempted to sign up for coverage but were impeded by technological problems. Read more on the Affordable Care Act.

Mar 19 2014
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Public Health News Roundup: March 19

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HHS: Common Sports Injuries Mean High Costs for People Without Insurance
The ASPE Office of Health Policy, part of the U.S. Department of Health and Human Services (HHS), has released a new issue brief analyzing the incidence and average health care charges associated with common sports injuries. The injuries range from minor sprains and strains to more serious injuries such as broken bones and concussions, where direct medical bills can be significant, placing an especially heavy burden on people without health insurance. Such individuals could be made to pay not just out-of-pocket costs, but also providers’ full stated charges. Breaking down health care costs by age and sometimes gender, the brief found, for example, that the average cost to fix a leg fracture for a person 10-19 years old was $4,689 and for those ages 25-40 was $3,403. Read more on injury prevention.

CDC: Drexel Meningitis Death Linked to Princeton Outbreak
Researchers at the U.S. Centers for Disease Control and Prevention have confirmed through “genetic fingerprinting” that a Drexel University student who died March 10 from meningitis died from the same serogroup B meningococcal strain that previously caused an outbreak at Princeton University. Health department officials confirmed that the Drexel student had been in close contact with Princeton students a week before becoming ill, indicating that the strain may still be present in the Princeton University community. Health officials have already administered antibiotic prophylaxis to prevent additional cases of meningococcal disease in people who had been close to the Drexel student. No new cases have since been reported. Read more on infectious diseases.

Study: ICU Survivors Face Heightened Risk for Mental Health Problems
Critically ill people who survive a stay in a hospital intensive care unit (ICU) are at heightened risk for mental health problems such as depression and anxiety in the following months, according to a new study in the Journal of the American Medical Association. Examining the records of more than 24,000 Danish ICU patients, researchers found that in the three months post-discharge that about 0.5 percent had a new diagnosis—which was 22 times higher than the rate in the general population. Approximately 13 percent received a new prescription for a psychiatric medication, including antidepressants and drugs for anxiety and insomnia, during that period. Researchers said the findings indicate that as doctors become better at saving the lives of critically ill patients, more people will also be at risk for problems beyond their physical health. Read more on mental health.