Health Care Seen as Economic Driver in Connecticut, Propelling Growth

The first thought that comes to mind when someone mentions health care is likely not “economic driver.”  If a new marketing initiative by the Connecticut Health Council succeeds, that may be changing. Newly launched in January 2016, the Connecticut Health Council's "Did You Know" campaign is a multichannel content marketing program designed to raise awareness of the health sector's importance as an economic and employment driver in Connecticut. The initiative highlights data that may have escaped widespread attention across the state, with the aim of “promoting Connecticut as a center of health excellence.”

The campaign includes a series of informational posters, now on display at the State Legislative Office Building in Hartford through the end of January, along with “traditional print and broadcast media content, social media alerts, and thought leadership.”  Among the stats highlighted:

• The healthcare sector in Connecticut has grown 12.5% over the past seven years, and now employs 266,400 people.
• There are 20,434 registered healthcare employers in the State of Connecticut.
• From 2007 to 2014, healthcare and social services was the fourth fastest growing employment category in the state.
• Connecticut’s healthcare sector generated $29.6 billion in estimated total before-tax revenue in 2012.

In addition, the marketing campaign also highlights that thee of the top 10 fastest growing companies headquartered in Connecticut in 2014 were healthcare related companies, and that Connecticut’s healthcare sector has the fifth highest number of sole proprietorships of any sector in the state, with the seventh highest revenues. Connecticut’s “unique base of health sector assets” include health insurance companies, hospitals, medical schools, research capacity, and specialty practices, according to the organization’s website.

Founded in 2012 by the MetroHartford Alliance, the Connecticut Health Council is an association of health sector leaders who work to advance the development of businesses, initiatives and technology that improve health care and wellness both nationally and in the State.  The organization, which currently has 90 partners, fosters “collaboration, education, entrepreneurship and networking among leaders of for-profit and non-profit health sector entities.”

Speaking at this month’s Economic Summit & Outlook in Hartford, Oz Greibel, President & CEO of the MetroHartford Alliance, spoke to the need to highlight the data at the State Capitol, where the info-posters are on display.  “(The campaign) is based on the notion of the health sector as an economic and employment driver – and a place for additional capital investment.  Making sure that people at the legislature understand the importance of this sector, and that the actions that they take can be either helpful or detrimental, to long-term growth.”

The Council's primary activity is to host programs focused on health sector topics that feature speakers of regional, national and international renown, the website points out. The Council also provides “a forum for a robust network of experts, professionals and other parties interested in promoting Connecticut as a center of health excellence and the health sector as a primary driver of economic and employment growth in our State.”

As Greibel described it, the Council’s activities are designed specifically “to leverage the extraordinary resources we have in Connecticut in the health care disciplines.”

Highlighting the impact of the state’s hospitals, the Council points out that Connecticut hospitals provide jobs to 55,000 full-time employees and spend $4.2 billion on goods and services.  Overall, Connecticut hospitals contribute $21.9 billion annually to the state and local economies.

The Connecticut Health Council is co-chaired by Marty Gavin, President & CEO of Connecticut Children’s Medical Center, and Bob Patricelli, Chairman & CEO of Women’s Health USA.  The executive director is Amy Cunningham.

Health Care Providers, Insurers Need to Collaborate to Improve Care, Rein in Costs

When Eric Schultz began his keynote remarks, the President and CEO of Massachusetts-based Harvard Pilgrim Health Care made sure to alert his audience to his homegrown pedigree.  Whether his youth in the Naugatuck Valley, college years (five of them) at UConn, or graduate work at Yale contributed to Harvard Pilgrim’s more-than-solid inaugural years doing business in Connecticut isn’t certain, but the above-expectations numbers are indisputable.  And Schmitt made clear that his nonprofit health insurance company is looking for even greater achievements in his home state. Since entering the Connecticut market in the summer of 2014, the company has been aggressively growing its customer base in a competitive market while working diligently to grow and expand its network of doctors.  Harvard Pilgrim Health Care announced recently that its Connecticut membership has grown to more than 24,000, exceeding expectations for 2015. It now serves more than 800 Connecticut businesses.  Twenty-nine of the state’s 30 hospitals are now in-network.

With more than 500 business leaders in attendance at an annual Economic Summit & Outlook last week, brought together by the Connecticut Business and Industry Association and MetroHartford Alliance, Schmitt spent some time touting a new model launched in the state of New Hampshire that he believes may be a glimpse into the direction the industry is moving. Harvard Pilgrim Health Care’s footprint in New England now covers “where 90 percent of New Englanders live,” in Massachusetts, Connecticut, Maine and New Hampshire. 

Schultz, who succeeded now-Massachusetts Governor Charlie Baker in leading the organization five years ago, pointed to what he described as “a practical example of how an insurance company and groups of providers can work together to get control of medical cost trends and to help improve medical outcomes and help create better experiences for physicians and their patients.”

The goals, Shultz explained, are to reduce insurance premium trends by 10 to 15 percent, to improve clinical outcomes, to create a better “practice environment” for medical staff and to grow business.  The partnership is driven to “produce something that’s better than what we have today, because we know the financing of health care is largely broken in the U.S.”

Launched in October 2015 and in business as of January 1, Benevera Health, a joint venture led by senior leadership at Harvard Pilgrim Health Care and Dartmouth-Hitchcock, is a population health company, centered around “clinical and medical informatics.”  Dartmouth-Hitchcock, a nonprofit academic health system that serves a patient population of 1.2 million in New Hampshire and Vermont, is led by Dr. James Weinstein, recently named as one of “100 Physician Leaders to Know” by a national health care trade publication.

“We are combining insurance data with clinical data,” Schultz said, “from their electronic medical records and our claims system, and creating a very powerful source of information.”  That information, he stressed, could be used to better understand what’s happening in regards to patient care, and it can help to redesign and improve clinical care.  This has the potential to be especially important in chronically ill patients, noting that 10 percent of patients drive 50 percent of health care costs.  “It is a great financial opportunity and a great clinical opportunity.”

“The magic,” Shultz noted, is in having the provider and the payer sit down together and figure out” what should be done.  Too often in the past, he said, providers and insurers haven’t gotten together – a lack of cooperation and collaboration that contributes to higher costs and to disconnects regarding patient care.  His expectation is the Benevera will “reduce headaches” that insurance companies often cause providers, reduce duplication and costs, and improve patient care. 

In fact, when the new venture was launched last fall, officials from the two companies stressed that the groundbreaking entity, “will take health care coordination to a new level by bringing together clinical, financial and operational data from across partner institutions to provide actionable analytics for clinicians to further improve the quality and efficiency of patient care.”  They added that  “at the center of this approach will be locally-based care advocates who will identify early opportunities to engage patients – especially those with chronic, complex or emerging conditions - and provide them with one-on-one support.”

Schultz noted that insurance companies tend to resist providers suggesting how insurance plans ought to be designed.  He disagrees with that resistance.  “If more insurers took more input from providers on plan design, we’d be a lot better off.”

Harvard Pilgrim is the only not-for-profit, regional health plan operating in four contiguous New England states.  Harvard Pilgrim’s flagship health plans in New England provide health coverage to 1.3 million members, while another 1.4 million individuals are served through Health Plans, Inc., a subsidiary that provides integrated care management, health coaching and plan administration solutions to self-funded employers nationwide.  Schultz holds an MBA in Health Care Leadership from Yale University’s School of Management, as well as a bachelor of science degree in biology and a bachelor of arts degree in economics from the University of Connecticut.

“We’re about change and driving change,” Schultz told those attending the Hartford summit, “and I believe we need to do more of that.”  He’s hoping to build a similar structure in Connecticut, and in other states around the country, because “it’s exactly what we need to do.”

Link to CT-N video of Economic Summit & Outlook.

Cellphone Likely Won’t Tell 911 Operator Your Location

The Federal Communications Commission has estimated that about 70 percent of 911 calls are placed from wireless phones, and that percentage is growing. For many Americans, according to the federal agency, “the ability to call 911 for help in an emergency is one of the main reasons they own a wireless phone.”  Yet, in an emergency, a cell phone may provide potential first responders with less information than one would expect. The National Emergency Number Association (NENA),which represents dispatchers, supervisors and private-sector service providers, points out that “when 9-1-1 calls are made from wireless phones, the call may not be routed to the most appropriate 9-1-1 center, and the call taker doesn't receive the callback phone number or the location of the caller. This presents life threatening problems due to lost response time, if callers are unable to speak or don't know where they are, or if they don't know their wireless phone callback number and the call is dropped.”  The organization’s motto is “emergency help, any time, anywhere, any device.”

Recent published reports in Governing magazine indicate that “when you check movie times on your cellphone, search for a restaurant or hail a ride, the device automatically knows exactly where you are and can suggest things nearby. So it’s understandable that many people assume the same holds true when they call 911 for emergency assistance.  But the fact is, 911 call centers frequently receive imprecise locations of callers from wireless carriers -- and some don’t get any location information at all. Calls from landline phones are linked to addresses.”

The FCC website explains that “since wireless phones are mobile, they are not associated with one fixed location or address. While the location of the cell site closest to the 911 caller may provide a general indication of the caller's location, that information is not always specific enough for rescue personnel to deliver assistance to the caller quickly.”

More reliable and specific location information could save lives, advocates say, and earlier this year an order from the Federal Communications Commission (FCC) set targets for companies to improve both the availability and accuracy of location information. But those upgrades remain a long way off.

Under the new rules, carriers will have to provide caller location info within 50 meters 80 percent of the time by 2021, along with vertical location information, if the call is being made from an apartment building or high rise office tower -- that would have to be in place in major markets by 2023.

Some have said the industry needs to provide those capabilities much sooner.  While 911 dispatchers routinely ask callers for their location, callers at times hang up before providing that information, for any number of reasons. And, they argue, if a cell phone knows where you are, that information should be instantly made available to 911 dispatchers as well.

The latest FCC guidelines are available for public review.  “We would have liked to have seen a more compressed timetable,” NENA CEO Brian Fontes told Governing.

Published reports in Connecticut indicate that some communities are moving forward with new technology.  The town of Wolcott, according to reports, has begun using a system that will allow police to pinpoint the location of emergency calls made from cell phones.  The Republican-American newspaper reports the town was the first in the state to use the next-generation system in a pilot program that was slated to include the New Britain, Wilton, Enfield, Newington, Valley Shore, Fairfield, Middletown, Mashantucket and Shelton police departments .  The new system shows dispatchers the caller’s location within a 50-foot radius, compared with the old system  which would indicate the location of a wireless 911 call within a quarter-mile radius.

Plans are also in the works that would permit individuals to text 911 from their cell phones.  The CT Post reported last month that about 24 dispatch centers out of 110 statewide are being upgraded to the text-to-911 system. Stratford and Fairfield will be among the first towns in the state to get the texting capability. Officials hope the entire state will have text-to-911 by late 2016 or early 2017, the newspaper reported.

CT Start-Up Wins MassChallenge, Takes Home $300,000 to Advance Work in Glucose Monitoring

Connecticut-based Biorasis, with roots at UConn, was recently awarded the MassChallenge’s top prize at their annual awards ceremony in Boston.  The company was one of only four “Diamond Winners,” receiving a cash prize of $100,000. They were also one of two teams to receive the Sidecar Award, providing an additional $200,000 in non-dilutive funding. Biorasis Inc. is a rapidly growing medical device company committed to advancing the field of metabolic monitoring through development of implantable biosensor platforms and basic research in the areas of drug delivery, nanotechnology and microelectronics.  The company’s goal is to vastly improve the quality of life of diabetics.

The technology developed by Biorasis, the Glucowizzard™, is an ultra-small implantable biosensor for continuous, reliable glucose monitoring. This needle-implantable device wirelessly transmits glucose levels to a watch-like unit for real-time display, which in turn communicates with personal digital accessories like a smartphone. Continuous metabolic monitoring “holds great potential to provide an early indication of various body disorders and diseases,” the company website explains, adding that Biorasis’ implantable multi-sensor platform is “capable of such real-time, continuous monitoring.”

Biorasis is in the business of developing a miniaturized, hypodermic-injectable biosensor for reliable continuous glucose monitoring (CGM) with autonomous operation for 3-6 months that requires no user intervention.

Their solution “eliminates surgery for sensor implantation and extraction, restores active life style, enables remote care for juveniles and the elderly, enhances compliance, and saves 50-70% in annual healthcare costs.”

The company’s co-founders and scientific advisors are:

• Faquir Jaina, a Professor of Electrical & Computer Engineering at the University of Connecticut. He has over 35 years of experience in design, modeling and fabrication of micro/opto-electronic devices, integrated circuits and multiple quantum-well light valves/modulators.
• Fotios Papadimitrakopoulos, a Professor of Chemistry and Associate Director of the Institute of Materials Science at University of Connecticut. He has over 20 years of experience in the areas of polymers, nano/bio-systems and supramolecular assembly of nanostructures.

The company continues to grow, and their scientific team is currently expanding. The Biorasis website indicates that the company is seeking individuals with “a proven track record and experience in the areas of medical devices, electrochemistry, polymer science, pharmaceutics, animal studies, microelectronics and device packaging.” Inquiries can be directed to Biorasis at the UCONN Technology Incubation Program in Storrs.  Additional investors are also being sought.

MassChallenge, an independent nonprofit organization, envisions “a creative and inspired society in which everyone recognizes that they can define their future, and is empowered to maximize their impact.” They note that “novice entrepreneurs require advice, resources and funding to bring their ideas to fruition. Currently there is a gap between the resources these entrepreneurs need and the ability of the entrepreneurial ecosystem to provide them.” To bridge that gap, the organization’s primary activities include running an annual global accelerator program and startup competition, documenting and organizing key resources, and organizing training and networking events.  They “connect entrepreneurs with the resources they need to launch and succeed immediately.”

Laurencin’s International Accolades and Research Objectives Grow, Earns National Medal of Technology and Innovation

In mid-2011, it was announced that after three years at the helm, Dr. Cato T. Laurencin would step down as vice president for health affairs and dean of the University of Connecticut School of Medicine on July 1 of that year. Laurencin, it was said, would continue conducting research, mentoring and providing clinical care. In the four and a half years since, it would seem that stepping down was the best thing that could ever have happened for Laurencin, and UConn.

It was announced last week by the White House that Laurencin will receive the National Medal of Technology and Innovation from President Barack Obama next year.  The award is the nation's highest honor for technological achievement that is bestowed by the president on America's leading innovators.

The news came just weeks after it was announced that Laurencin is the recipient of the 2016 Founders Award, the highest honor of The Society For Biomaterials.  He will be honored at the 2016 World Biomaterials Congress in Montreal, Canada on May 18, 2016.

Laurencin is a world-renowned surgeon-scientist in orthopaedic surgery, engineering, and materials science, and is known as a pioneer of the field of regenerative engineering, UConn said in announcing the award. He has made fundamental contributions in polymeric materials science and engineering, and nanotechnology. His research successes have included the growth and regeneration of bone, ligaments and other musculoskeletal tissues.

In November, UConn announced the launch of a new grand research challenge: regeneration of a human knee within seven years, and an entire limb within 15 years.  This major international research undertaking, called The HEAL Project, stands for Hartford Engineering A Limb. It is the brainchild of Cato T. Laurencin, whose laboratory research successes include the growth of bone and knee ligaments.

For the project, Laurencin is teaming with other top tissue engineering, regenerative medicine, and bioengineering experts dedicated to the mission of advancing the fields and developing future therapies for patients living with musculoskeletal defects or who have limb injury or loss. HEAL’s other research investigators include Professors Lakshmi Nair and Yusuf Khan of UConn, Professor David M. Gardiner of UC Irvine, professors at Harvard University, Columbia University, and Sastra University in India.

Earlier this fall, Laurencin was elected a Foreign Fellow of the National Academy of Sciences in India. He is one of only two 2015 Foreign Fellows elected, and the first from the University of Connecticut and UConn Health Center.  Laurencin was honored by India’s National Academy of Sciences “for his pioneering work in the field of material sciences.” He was recognized as a world leader in polymer-ceramic composites, and recognized for his contributions in tissue generation and bioengineering.

He was also one of select group of research scientists from around the world to be named this year to be a foreign member of the Chinese Academy of Engineering (CAE), one of the most prestigious academic institutions in China.  He was named among a group of foreign members that include five Americans, one Briton, one Canadian and one Austrian, bringing CAE's foreign members to 49.

Laurencin is a professor of chemical and biomolecular engineering; professor of materials science and engineering; and professor of biomedical engineering at UConn.  He is also the chief executive officer of the Connecticut Institute for Clinical and Translational Science (CICATS), UConn's cross-university translational science institute.

At UConn Health, he is director of the Institute for Regenerative Engineering; the Albert and Wilda Van Dusen Distinguished Professor of Orthopaedic Surgery; and director of The Raymond and Beverly Sackler Center for Biomedical, Biological, Physical, and Engineering Sciences.

Laurencin previously received the Presidential Faculty Fellow Award from President Bill Clinton for his work bridging engineering and medicine, and the Presidential Award for Excellence in Science, Math, and Engineering Mentoring from President Obama.

“Science and technology are fundamental to solving some of our Nation’s biggest challenges,” President Obama said. “The knowledge produced by these Americans today will carry our country’s legacy of innovation forward and continue to help countless others around the world. Their work is a testament to American ingenuity.”  Established by the Stevenson-Wydler Technology Innovation Act of 1980, the medal was first awarded in 1985.

Joel D. Bumgardner, chair of the Awards Committee of The Society For Biomaterials said, “Dr. Cato Laurencin has become a world leader in nanomaterials, and tissue engineering, working across the spectrum from establishing basic science and biomaterial properties to translating discoveries into clinical practice. Also, his work has led to the development of a new area called regenerative engineering. This emerging area builds on and synergizes principles in biomaterials engineering and stem cell/developmental biology to formulate new paradigms for effective repair/regeneration of diseased/damaged tissues.

Bumgardner also noted Laurencin’s mentorship of young faculty and students – “a legacy that will have a significant and long-ranging impact in the broad biomaterials community.”

Psychiatric Nurses to Bring Annual Convention to Hartford in 2016

The American Psychiatric Nurses Association 30^th Annual Conference will take place next October at the Connecticut Convention Center.  It is the first time that the organization will hold its annual event in Connecticut.  This year’s program was held at Disney’s Coronado Springs Resort in Florida, where attendees had the opportunity to earn up to 29.5 continuing education contact hours onsite and an additional 100 plus contact hours online afterwards.  The 2016 APNA Annual Conference will be held October 19-22 in Hartford.  The APNA Annual Conference delivers more than 100 varied educational sessions and invaluable networking opportunities to the more than a thousand psychiatric-mental health RNs and APRNs who attend each year. The organization has more than 10,000 members nationwide.

Last month, the APNA joined a White House initiative to address the ongoing epidemic of prescription drug abuse and heroin use across the nation. With organizations from both the public and private sectors participating, the effort seeks to train health care providers, improve access to treatment, and raise awareness of the risks of prescription drug misuse.

Approximately 2.3 million US citizens aged 12 and older have opioid use disorder, and most states have higher rates of treatment need than capacity to treat. In this context, educating health professionals and encouraging them to apply best-treatment practices is critical to improve the health of the nation. APNA is one of 8 nursing groups to pledge to be a part of the solution over the next two years.

The American Psychiatric Nurses Association (APNA) was founded in 1986. In the ensuing 28 years, APNA has grown to be the largest professional membership organization committed to the specialty practice of psychiatric-mental health (PMH) nursing and wellness promotion, prevention of mental health problems, and the care and treatment of persons with psychiatric disorders.

The APNA Annual Conference is held in a new location every year to encourage regional participation, add adventure, and provide a venue to connect with other psychiatric-mental health nurse professionals from across the globe, officials point out.

Plans for the convention in Connecticut include programs designed to “advance the profession through networking and education” and opportunities to “celebrate psychiatric-mental health nurses’ outstanding contributions” through the presentation of the APNA Annual Awards.

In Florida last month, more than 1,800 attendees were on hand for a program “packed with psychiatric-mental networking, updates, and continuing education targeted to psychiatric-mental health nurses.” Session recordings from the Annual Conferences are made available in the APNA eLearning Center in podcast form, along with up-to-date session slides and other relevant materials.

APNA is the only PMH nursing organization whose membership is inclusive of all PMH registered nurses (RN) including associate degree (ADN), baccalaureate (BSN), and advanced practice (APN) comprised of clinical nurse specialists (CNS), psychiatric nurse practitioners (NP), and nurse scientists and academicians (PhD). The American Psychiatric Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

The Journal of the American Psychiatric Nurses Association (JAPNA), with more than 10,000 subscribers, provides quality, up-to-date information to promote PMH nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services.

https://youtu.be/AIys4qoQ5q8

CT Drug Overdose Death Rate Above National Average, 20th Highest in US; Doubles Since 2001

In every state, the rate of young people dying from drug overdoses increased in the past decade, according to a report by Trust for America’s Health. In the past 12 years, the overdose rate for people ages 12 to 25 has more than doubled in 35 states and quadrupled in five, Governing magazine reported.  In 1999, not one state had a drug overdose death rate of more than 6.1 per 100,000 young adults. Fast forward 14 years, and 33 states had drug overdose deaths of 6.1 per 100,000 or higher from 2011 to 2013. The national average is now 7.3 per 100,000 youths. In Connecticut, the average rate between 1999 and 2001 was 4.1 per 100,000.  Between 2010 and 2013, the drug overdose rate had risen to 8.3, above the national average but unchanged from a previous three-year period, 2005-2007.  The data was compiled from the Centers for Disease Control and Prevention.  Males are 2.5 times as likely to overdose as females (10.4 vs. 4.1 per 100,000), according to the report.

In a report this month, Reducing Teen Substance Misuse: What Really Works, Connecticut ranked 31st lowest (20^th highest) for the number of youth drug overdose deaths, with the rate of 8.3 per 100,000 youth, ages 12 to 25. Connecticut is one of 18 states where the overdose death rates have more than doubled in the past dozen years, according to the report.

West Virginia, New Mexico and Utah have the highest rates of young adult overdose deaths, with each around 12 deaths per 100,000 youths in 2013. This is more than five times higher than South Dakota, North Dakota and Nebraska, which had rates around 3 deaths per 100,000 teens and young adults.

The statistics, and the use of opiates and heroin across the country, have been featured in recent weeks on 60 Minutes and The New York Times, focusing on Ohio and New Hampshire, respectively.  Both reports indicated it is a national problem of unprecedented proportion. 

Drug overdose death rates have increased everywhere since 1999, but the rate has gone down Florida, Louisiana, Maine, Mississippi and Tennessee in the past 8 years. Nevertheless, the rate increased in 13 states since 2007 -- and 11 of those states have overdose death rates above 6.1 per 100,000.

In July, Governor Malloy hosted a bill signing ceremony at a New London treatment center to commemorate the final passage of legislation he introduced aimed at reducing heroin and prescription opioid abuse.  The legislation law improves the prescription monitoring program and prescribing practices, with increased education and tools available to health care professionals, and greater accessibility of the overdose reversing drug naloxone in cases of emergency, according to the Governor’s office.

"We have to treat addiction like a public health issue not a crime,” Malloy said.  “Connecticut is taking a stand against a nationwide prescription opioid and heroin overdose epidemic to become a leader in combating opioid and heroin abuse, preventing drug addiction and overdoses.  This common sense legislation will help save lives and address a pressing public health need."

The legislation streamlines the process to help practitioners identify potential abuse that leads to over prescribing by requiring them to check patient history to verify if patients seeking certain prescriptions have recently received these medications from multiple other prescribers or pharmacists.

Under the Connecticut law, in cases of overdose or medical emergency, the drug naloxone will be more widely available, allowing pharmacists, after being trained and certified to prescribe it to Connecticut families, first responders, and the treatment community across the state.  In Connecticut, State Police Troopers have saved more than 30 lives from drug overdose by administering NARCAN.

The Reducing Teen Substance Misuse report also includes a review of 10 key indicators of leading evidence-based policies and programs that can improve the well-being of children and youth and have been connected with preventing and reducing substance— alcohol, tobacco or other drugs—misuse.  Connecticut was one of two states scoring  nine out of 10 and, nationally, 24 states scored a five or lower. Minnesota and New Jersey received the highest score of 10 out of a possible 10 points, while four states scored the lowest, Idaho, Louisiana, Mississippi and Wyoming, with three out of 10 points, according to the report.

Those states with drug overdose death rates above the national average, in addition to Connecticut, include Arizona, Arkansas, Colorado, Delaware, Illinois, Indiana, Kentucky, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, Ohio, Oklahoma, Pennsylvania, Utah, West Virginia, Wisconsin and Wyoming.

Rates have more than tripled in twelve states (Arkansas, Delaware, Indiana, Iowa, Michigan, Minnesota, Missouri, New Hampshire, New York, Oklahoma, Utah and West Virginia); and more than quadrupled in five states (Kansas, Montana, Ohio, Wisconsin and Wyoming).

Overall, the report found a significant jump in overdoses from teen to young adult years. Overdose rates for 19- to 25-year-olds are eight times greater than people 18 and younger.  There isn’t a clear answer for why heroin addiction and overdose deaths have grown so dramatically, although the availability of prescription drugs might have something to do with it, Governing reported.

The New York Times reported that:

• Heroin-related deaths jumped 39 percent from 2012 to 2013, and the longer-term trends are equally disturbing: from 2002 to 2013, the rate of heroin-related overdose deaths nearly quadrupled, according to the Centers for Disease Control and Prevention.
• Researchers have found that prior to the 1980s, whites and nonwhites were equally represented among first-time heroin users. Now, nearly 90 percent of the people who tried heroin for the first time in the past decade were white. And a growing number are middle-class or wealthy.
• Three out of four heroin addicts started out by using prescription drugs. The C.D.C. reports that 45 percent of people who used heroin between 2011 and 2013 were also addicted to prescription painkillers. People who are dependent on prescription opioids are 40 times more likely to abuse or be dependent on heroin, according to the C.D.C.
• Opioid deaths were up 76 percent in New Hampshire in 2014, with 325 people dying from an opioid overdose, according to state figures. Emergency room visits from heroin have more than tripled there since 2013. In Massachusetts, opioid deaths rose 20 percent in 2014, and are up 63 percent over 2012, The Boston Globe reported.

https://youtu.be/CQFITcdG8_4

Will CT School Buses Be Required to Add Seat Belts? New Federal Policy May Spur Change

When word came down from the National Highway Traffic Safety Administration last week that the longstanding preference for school buses without three-point lap/shoulder seat belts was being reversed, one Connecticut town could say: been there, done that. Wilton, which has about 4,200 school children on busses each day, has had the three-point safety belt system installed on its school busses since August 2012.  They apparently were the first in the state to do so.

Earlier this year, Massachusetts legislators considering a requirement for seat belts on school buses were told that passenger restraint systems would add between $11,000 and $13,000 to the cost of buses, which currently range from $90,000 to $105,000.

Frank Underhill, executive director of the School Transportation Association of Massachusetts, which includes more than 100 school bus contractors and municipalities who run their own school buses, told members of the legislature’s Public Safety Committee that six states require seat belts on school buses, but said that none of those states has fully implemented the requirement, due to a lack of funding.

Those states - California, Florida, Louisiana, New Jersey, New York and Texas -- have some sort of legislation in place requiring seat belts on school buses, according to Governing magazine. The states’ laws vary in levels of enforcement; some simply require two-point seat belts to be present on school buses, while others require that all passengers use the more secure, three-point belts.  Connecticut does not have a statewide requirement.

Wilton Transportation Coordinator Mary Channing isn’t aware of other Connecticut communities that have followed her community’s lead.  The town included the three-point belt as an option in their most recent RFP, in 2012, for student transportation, and the winning bid included the lap/shoulder belts.  It is not a board policy.

Statewide, nearly 500,000 children are transported on buses to and from school each day.  National policy, based on numerous studies, has been that buses are designed to be inherently safer than cars because of the high backs/fronts creating a “compartmentalization” and providing better crash protection.  It has been noted, however, that when students lean outside the seating “compartment” – which can occur as students, backpacks, winter gear, overcrowd seats – their level of safety diminishes.

The National Highway Traffic Safety Administration is endorsing three-point seat belts on school buses for the first time.  NHTSA Administrator Mark Rosekind acknowledged that the agency "has not always spoken with a clear voice on the issue of seat belts on school buses. The position of the National Highway Traffic Safety Administration is that seat belts save lives," Rosekind said. "That is true whether in a passenger car or in a big yellow bus. And saving lives is what we are about. So NHTSA's policy is that every child on every school bus should have a three-point seat belt."

The issue of seat belts on schools buses garnered considerable attention in Connecticut in 2010 when 16-year-old Vikas Parikh was killed in a school bus accident. The Rocky Hill High School student sustained a traumatic head injury while riding a school bus that tumbled down an embankment off of I-84 after hitting another car.  As a result, state lawmakers reopened the debate on whether to require Connecticut's roughly 10,000 school buses to install three-point seatbelt systems.  They did not.

Instead, Public Act 10-83, created a Connecticut School Bus Seat Belt account to help school districts respond to the cost of equipping school buses with lap/shoulder (3-point) seat belts, should they choose to do so.  In June 2010, the office of then-Gov. M. Jodi Rell announced that “under the law, the Department of Motor Vehicles will begin offering a program in July 2011 that offsets a portion of the sales tax bus companies pay for school buses equipped with three-point seatbelts. The program will be funded through a $50 increase in the fees paid for restoring suspended or revoked driver’s licenses, commercial driver’s licenses and vehicle registrations. The program will run through at least 2018. During the 2018 legislative session, lawmakers will hold a hearing on the program and decide whether it should be continued.”

Said Rell: “This law provides a modicum of state assistance to districts wanting to add seat belts to their fleet but does not impose a costly new mandate on all districts –- striking a good balance between incentive and choice.”

It is unclear if funds have accumulated in that account, or if any towns or companies have sought the assistance.  Some published reports suggest that the funds have been diverted to other uses in recent years.  The law requires that “school district participating in the program shall provide written notice concerning the availability and proper use of such seat belts to a parent or legal guardian of each student who will be transported on such school bus,” and that participating  school districts “instruct such students on the proper use, fastening and unfastening of such seat belts.”

A 2010 editorial in The Hartford Courant noted that “A study of emergency room visits by Columbus (Ohio) Children's Hospital found 17,000 school bus injuries in the U.S. every year — two to three times National Highway Traffic Safety Administration estimates, which use only a sampling of data and exclude field trips like the one on which Vikas Parikh died.  Seat belts work best in rollover and side-impact collisions in which students are thrown out of their seats, as Vikas was. The American Academy of Pediatrics supports restraints on buses.”

The website of the Connecticut School Transportation Association (COSTA) points out that a three-point system, “similar to the ones in automobiles, works with compartmentalization and, according to NHTSA, could provide some additional benefit to occupants of school buses, if it is consistently and properly used. But the federal government does not believe that a mandate for lap/shoulder belts is justified, because the safety benefits are very small and the cost is high. Furthermore, there are several potential negative factors, such as children wearing the shoulder portion improperly, that could mitigate the benefits of the restraints and result in a net loss of safety.”

The organization goes on to “emphasize that school buses without restraints are still safer than any other current mode of transportation—whether it’s walking to school, riding bikes, or traveling in parents’ cars,” adding “the biggest mistake that districts could make is to reduce the number of students who qualify for transportation in order to afford new buses with restraint systems. Any possible benefit of the restraints would be completely overshadowed by the increased risk to students who were denied school bus transportation.”

Last week, however, the Parikh family was among those lauding the federal change and looking for follow-through from Connecticut policy makers.  Vikas’ mother told NBC Connecticut, “If it can save at least one life, it is worth it.”

https://youtu.be/LGqmgUy2BrM

Questions on Synthetic Turf Continue as New High School Field Opens in Connecticut

Construction of a new, synthetic-surface football field to replace the grass field that had developed drainage problems at Bloomfield High School was driven by concern over player safety.  The conditions on the old field, which had not been renovated in more than a decade, had become dangerous and led to player injuries, according to school officials. But the $1.3 renovation of the field and adjacent track, completed this year and which saw students on the field for the first time last month with the start of football season, has renewed questions first raised months ago locally, and which remain in the news nationally.

Back in March, on the brink of Board of Education approval of the new track and field, concerns were raised about the safety of the proposed turf.  Published reports indicate that “some members expressed concerns over synthetic fields having been linked to carcinogens.”  Board Chairman Donald Harris told The Hartford Courant that BSC Group, the company that was hired to install the field, put those concerns to rest.  "We are fully supportive because there are no carcinogenic concerns," he said.

In recent months, however, questions have continued elsewhere about sand and rubber-pellet based fields, driven in part by a University of Washington women’s soccer coach who complied statistics of players who became ill, and NBC News reporting of her data.  That has spurred members of Congress to call for an independent federal investigation into crumb rubber, citing lingering health questions surrounding the small rubber shreds used as artificial turf.

There have been dozens of studies that have found there to be no elevated health concerns, including a study by Connecticut’s health officials, but questions persist.

Sen. Richard Blumenthal, D-Conn., who has been described as leading the effort, first became concerned about the artificial surface when his children were playing on the crumb-rubber athletic fields.  “I became concerned as a parent, as much as a public official, ten years ago, and at first was somewhat skeptical, but now very firmly believe that we need an authoritative, real study about what's in these fields," Blumenthal told ABC News this month.  He is calling for an independent investigation of the safety of the rubber pellets used in synthetic turf.

EPA Administrator Gina McCarthy, a former Connecticut Commissioner of the Department of Environmental Protection, told ABC News “there is no evidence yet that is making these links, but it doesn’t mean we’re dismissing the concerns.”

The pellets made from ground-up discarded tires are used as turf on more than 10,000 athletic fields and playgrounds around the country, according to the Synthetic Turf Council.

Boston-based BSC Group, with offices in Worcester, West Yarmouth and Glastonbury, was hired to construct the new synthetic turf field in Bloomfield.  The company was founded in 1965, and is a multi-disciplinary firm with expertise in a range of areas including structural engineering, landscape architecture, environmental permitting, ecological sciences and site engineering.  The work at Bloomfield High School renovation included a resurfaced six-lane track, installation of the synthetic turf field and improved drainage.  The football team began play on the field this season.

In Connecticut, like elsewhere around the nation, artificial turf fields have become a popular alternative to natural grass fields. The state Department of Public Health (DPH) website points out that “the advantages of these fields include less maintenance costs, ability to withstand intense use and no need for pesticides.”  To address public safety concerns, four Connecticut state agencies collaborated in 2010 to evaluate the potential exposures and risks from athletic use of artificial turf fields, the DPH website explains.

A two year, comprehensive investigation of releases from five fields during active play was conducted by the Connecticut departments of Public Health, Energy and Environmental Protection, University of Connecticut Health Center, and The Connecticut Agricultural Experiment Station. The study was peer-reviewed by the Connecticut Academy of Science and Engineering.  The overall conclusion of the report, according to the DPH website, is that “use of outdoor artificial turf fields does not represent a significant health risk.”

Gary Ginsberg, a toxicologist with the state Department of Public Health who worked on the states risk assessment study, told The Hartford Courant recently that he has no concerns about his own children playing on artificial fields.  “None at all.”

Driver Distraction Continues Almost 30 Seconds After Text is Sent, Research Reveals

Groundbreaking research by the AAA Foundation for Traffic Safety reveals that the distraction drivers experience using voice activated technology - or their smartphones - to make a call, change music or send a text can linger for almost 30 seconds after the task is complete. “This should be a wakeup call to anyone who feels safe texting while sitting at a red light”, says AAA spokesperson Amy Parmenter. “Just because you can hit the gas when the light turns green, doesn’t mean you’re good to go.”

Researchers studying various push-to-talk technologies found that potentially unsafe levels of mental distraction lasted for as long as 27 seconds after completing a task in the worst-performing systems. And, at the 25 MPH speed limit in the study, drivers traveled the length of nearly three football fields during this time. Using the least distracting systems, drivers still remained impaired for more than 15 seconds.

The researchers discovered the residual effects of mental distraction while comparing the voice activated technology in ten 2015 vehicles and three types of smart phones. The analysis found that all systems studied increased mental distraction to potentially unsafe levels.

“Automakers often promote everything their connected cars can do, but this research paints a frightening picture of what drivers can’t do if they use the popular features” Parmenter says. “Hands free does not mean risk free. It’s that simple”.

Last month, CT by the Numbers reported that in-car electronics that allow drivers to listen to, read and send text messages while at the wheel may be skirting the spirit, if not the letter, of Connecticut law.  In Connecticut, Public Act 10-109, enacted in 2010, states that “no person shall operate a motor vehicle … while using a hand-held mobile telephone to engage in a call or while using a mobile electronic device while such vehicle is in motion. An operator of a motor vehicle who types, sends or reads a text message with a hand-held mobile telephone or mobile electronic device while such vehicle is in motion shall be in violation of this section.”

In the AAA study, researchers rated driver distraction on a scale of 1-5, with 1 being relatively safe, about equal to listening to the radio, and 5 being highly challenging in such a way as to overload the driver’s attention. The best performing system was the Chevy Equinox with a cognitive distraction rating of 2.4, while the worst performing system was the Mazda 6 with a cognitive distraction rating of 4.6.

The systems that performed best generally had fewer errors, required less time on task and were relatively easy to use.  The researchers also studied voice activated smartphone technology and found that Google Now outperformed Apple Siri and Microsoft Cortana but, they say, all were dangerously distracting with ratings of 3.1, 3.4 and 3.8 respectively.

Dr. David Strayer and Dr. Joel Cooper of the University of Utah conducted the research. A total of 257 drivers ages 21-70 participated in the study of 2015 model-year vehicles, while 65 additional drivers ages 21-68 tested the three phone systems. Over the last two weeks, AAA has shared its findings with policymakers, safety advocates and manufacturers in hopes of improving the safety of future technology.