Heart Disease, Cancer Leading Causes of Death in CT; Septicemia Deaths Among Highest in USA

Heart disease, cancer and accidents were the leading causes of death in Connecticut according to data released by the National Center for Health Statistics of the Centers for Disease Control and Prevention.  The other major causes of death in Connecticut include chronic lower respiratory diseases, stroke, alzheimer’s disease, diabetes, influenza/pneumonia, kidney disease and septicemia. In all but two instances, Connecticut ranked in the lowest quintile among the states, ranking 40^th in the rate of heart disease deaths, 43^rd in cancer deaths, 48^th in deaths due to diabetes, and 48^th in deaths caused by stroke.  The state ranked 15^th, however, in deaths caused by septicemia and 35^th in accidental deaths.

Septicemia, or sepsis, is a life-threatening complication of an infection in the bloodstream. Sepsis is the body’s overwhelming response to infection which can lead to tissue damage, organ failure, and death. It kills 258,000 Americans each year, according to the Sepsis Alliance, but remains largely unknown. Although it is among the 10 most frequent causes of death nationwide, in a 2015 online survey of 2,000 participants, only 47 percent of Americans were aware of sepsis, the Alliance reported. The deaths this year of actress Patty Duke and boxing legend Muhammad Ali have brought some increased attention to sepsis.

Connecticut had 578 recorded deaths caused by septicemia, a rate of 12.6 per 100,000 total population, in 2014, according to the CDC data.  The United States rate was 10.7.  The highest death rates from septicemia were in Mississippi, Louisiana, Alabama, Texas, New Jersey, Kentucky, Arkansas, Maryland, Georgia, and Virginia.

There were 7,018 deaths from heart disease and 6,621 from cancer in Connecticut in 2014, according to the data.  The next most frequent cause of death, accidents, totaled 1,642, followed by chronic lower respiratory diseases, which caused, 1,368 deaths, and stroke, which caused 1,266.

Connecticut’s rate of deaths per thousand population by stroke, 26.3, is among the nation’s lowest.  The national rate is 36.5.  The only states with lower rates of stroke deaths are Rhode Island and New York.  Connecticut is tied with Arizona, just ahead of Massachusetts, New Hampshire and Wyoming.  The highest rate of deaths from stroke are in Mississippi, Alabama, Tennessee, Louisiana and Arkansas.

Heart disease has long been the leading cause of death for all U.S. states, with cancer as the second leading cause, according to the CDC. In 1990, Alaska became the first state to experience a switch in ranks between these two causes. In 2000, Minnesota experienced the same switch. As of 2014, there are now 22 states with cancer as the leading cause of death.  Heart disease remains the leading cause in Connecticut.

In 2013, the leading causes of death in Connecticut were heart disease (7.090), cancer (6,619), chronic lower respiratory diseases, accidents, stroke, alzheimer's disease, diabetes, influenze/pneumonia, kidney disease and suicide.

Opioid Epidemic Leads Conference Marking 100 Years of Public Health in CT

Tackling the opioid epidemic at the federal, state, and local levels will be the focus of the featured panel when the Connecticut Public Health Association (CPHA) celebrates 100 years of public health in Connecticut at the 2016 CPHA annual conference in November. In addition to the expert panel on opioid abuse, there will be more than 30 presenters on public health topics, a presentation on the history of CPHA and public health in the state, and a look forward to the future and innovations on the horizon in health research, policy, and community programs.

“Today, more than ever, the value of public health in saving lives and reducing health care costs is at the forefront of public policy,” the organization’s website points out.  Members represent a wide variety of disciplines, and “are united in the goal of protecting and promoting the public's health.”

Keynote speaker will be Camara P. Jones, MD, MPH, PhD, President of the American Public Health Association (APHA).  Dr. Jones is a research director on social determinants of health and equity in the Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion and President of the American Public Health Association (APHA).

She seeks to broaden the national health debate to include not only universal access to high quality health care but also attention to the social determinants of health (including poverty) and the social determinants of equity (including racism). As a methodologist, she has developed new ways for comparing full distributions of data (rather than means or proportions) in order to investigate population-level risk factors and propose population-level interventions.

Opioid abuse has hit record levels in the United States, with drug overdose deaths quadrupling over the last 15 years, the CPHA points out. According to the Centers for Disease Control, Connecticut is experiencing a death rate for drug and opioid overdoses that surpasses the national rate and has reached epidemic proportions.

The conference is being held at Anthony’s Ocean View in New Haven on November 10.  The theme is “Back to the Future – 100 Years of Public Health in Connecticut and Beyond.” The annual meeting is the oldest and largest gathering of public health professionals in Connecticut, attracting hundreds of attendees each year.

UConn Study: Look-alike ‘Smart Snacks’ Confuse Students, Parents

Unhealthy snack food brands such as Cheetos, Fruit-by-the-Foot and Froot Loops have reformulated their products to meet new USDA Smart Snacks nutrition standards so they can be sold to kids in schools. But these products often come in packages that look similar to the unhealthy versions of the brands that are still sold in stores and advertised widely to youth. Selling these look-alike Smart Snacks in schools confuses students and parents, provides companies a way to market their brands to kids in schools, and may hurt schools’ credibility, according to a new study by the Rudd Center for Food Policy and Obesity at the University of Connecticut, published in the journal Childhood Obesity and reported by UConn Today.

It is the first to examine how selling look-alike Smart Snacks in schools affects attitudes about the brands and perceptions of schools selling these products.

“Kids think the healthier Smart Snacks they can buy in school are the same products that are sold in stores,” says Jennifer Harris, lead author of the study and director of marketing initiatives for the UConn Rudd Center. “It’s confusing because the packaging for these look-alike Smart Snacks looks so much like the less nutritious versions that kids see advertised on TV and in the stores.

“This is a great marketing tool,” she adds. “The snack makers get to sell their products in schools and at the same time market their unhealthy brands to kids every school day.”

The study involved an online experiment with 659 students 13 to 17 years old, and 859 parents of children 10 to 13 years old.  The participants viewed information about a hypothetical school that sold either look-alike Smart Snacks, regular versions of the same brands sold in stores, Smart Snacks in redesigned packages, or only brands whose regular products met Smart Snacks standards.

Specific findings of the study include:

• Students and parents rated the healthier look-alike Smart Snacks similarly in taste, healthfulness, and purchase intent as the store versions, while considering Smart Snacks in different packages to be healthier but less tasty.
• Most participants inaccurately believed they had seen look-alike Smart Snacks for sale in stores.
• Participants also rated schools offering the look-alike Smart Snacks and the store versions of the brands as less concerned about students’ health and well-being.

“The practice of selling look-alike Smart Snacks in schools likely benefits the brands,” says Harris, “but may not improve children’s overall diet, and undermines schools’ ability to teach and model good nutrition.”

The Rudd Center for Food Policy & Obesity relocated to UConn in 2015 after 10 years at Yale.  The Center is a distinguished multi-disciplinary policy research center dedicated to promoting solutions to childhood obesity, poor diet, and weight bias through research and policy. The Rudd Center is a leader in building broad-based consensus to change diet and activity patterns by conducting research and educating policy makers and the public.

The research was funded by a grant from the Michael & Susan Dell Foundation.

CT Residents Concerns About Health Care Affordability, Job Prospects Increase; More Expect to Leave, Even as Optimism Grows

Nearly two-thirds of Connecticut residents are concerned about the affordability of health insurance, a jump of 12 percentage points in just the past year, and the highest level since the quarterly Inform CT Consumer Confidence Survey began 18 months ago. And slightly more than 4 in 10 Connecticut residents now say it is likely that they will move out of the state within the next five years, reflecting concerns about a lack of jobs, declining business conditions and health insurance costs. Yet, many residents continue to say that Connecticut is a good place to live and raise a family, and some optimism is evident in consumer spending expectations.  The survey found that:

• 41% say it is likely they will make a major consumer expenditure (for furniture or other products) during the next six months.
• 31% say it is likely they will purchase a car in the next six months.
• 71% indicated they expected to take a vacation outside of Connecticut in the next six months.

All are the highest percentages since the quarterly survey began in 2015.

The quarterly survey is released by InformCT, a public-private partnership that provides independent, non-partisan research, analysis, and public outreach to help create fact-based dialogue and action in Connecticut.  Administered by researchers from the Connecticut Economic Resource Center, Inc. (CERC) and Smith & Company, the analysis is based on the responses of residents across Connecticut and addresses key economic issues, providing a glimpse of the public’s views.

Despite qualms about the state’s economy, residents are increasingly optimistic about their own financial circumstances.  One-third (32%) say they are better off now than six months ago, and 42 percent believe they will be better off six months from now than they are today.  Both numbers are 5 percentage points higher than they were a year ago.  The overall view of the state’s fiscal picture differs:

• A year ago, 40 percent of those surveyed disagreed with the statement that the Connecticut economy is improving. That percentage has now climbed – one year later – to 49 percent, nearly half the state.
• The percentage who believe that the state’s economy is improving has dropped from 29% a year ago to 23% during the second quarter of this year.
• Residents of New London and Fairfield County most strongly believed that business conditions had improved over the previous six months, with Middlesex, Windham and Litchfield more likely to say that business conditions had worsened.

Increasingly, residents believe that jobs are “very hard to get” in Connecticut compared with six months ago (from about one-quarter to one-third of those surveyed in Q2 2016 versus Q2 2015), and are, in growing numbers, saying they would rather leave than stay.

• A year ago, 32 percent of those surveyed said it was very likely or somewhat likely that they would move out of Connecticut within the next five years.
• A year later, that percentage has climbed by 10 points to 42 percent.

At the same time, about half of those surveyed say that “Connecticut is a good place to live and raise a family” – a number that has remained consistent for the past year and a half.  Only 1 in 4 disagree.  More than half of 18-21 year-olds and 22-25 year olds say they are likely to leave in the next five years; in all other age categories it is less than half, with those age 56-65 the least likely.

Concerns about having “enough money to retire comfortably” have remained steady for six consecutive quarters, with about less than 1 in 4 expressing the opinion that they anticipate having sufficient funds. And 1 in 4 now say it is likely that they will refinance their home or purchase a new home in the next six months, the highest percentage since the quarterly survey began.

With increasing calls for regional support of Hartford and regional approaches to tackling budget challenges, the survey found that an increasing number of residents in Connecticut believe that a range of services “could be effectively delivered regionally.”

Forty-three percent, an increase from 40 percent in the year’s first quarter, answered “all of the above” when asked if education, libraries, public health, public safety and animal control could be provided regionally.  Among those services individually, there was slightly greater support for a regional approach to public safety, slightly less for each of the others.  The largest increase was for “all” of the services.

The question of what residents in the region consider to be the “best way to grow the economy” saw a preference for investing in schools and community features over recruiting companies, by an increasing margin.  In this year’s first quarter, the margin was 52% to 48%. In the most recent quarter that margin had grown by 9 percentage points to 61%-39%, from just over half to more than 6 in 10.

Connecticut’s Anxiety Above National Average, Analysis of Google Searches Shows

High anxiety.  It is apparently as American as apple pie.  At least that is what an analysis of Google searches is showing.  And Connecticut is above average, although less anxious than the rest of New England. In a state-by-state comparison of anxiety levels based on Google searches, topping the list was Maine, 21 percent above the national average.  At the other end of the spectrum was Oregon, 26 percent below the U.S. average. 

The states with the highest percentages of Google searches for “anxious” and related terms include Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Pennsylvania, West Virginia and North Dakota.  The least anxious:  Oregon, Nevada, Virginia, Kansas, Alaska and Hawaii.

The New York Times reports that Google’s measure of anxiety includes a broad range of searches, including “anxiety help,” “anxious” and “anxiety symptoms.”

“While Google searches may not be a perfect measure of anxiety,” a Times columnist reports, “there is increasing evidence that searches on a health condition highly correlate with the number of people suffering from that condition.” The rates of Google searches for anxiety in a state also correlate with survey measures of anxiety, explained Seth Stephens-Davidowitz, an economist and a contributing opinion writer for the Times.

Nationwide over the past eight years, Google search rates for anxiety have more than doubled. They are higher this year than they have been in any year since Google searches were first tracked in 2004, according to Stephens-Davidowitz.  Anxiety, however, is not uniquely American.  A review of online searches in the United Kingdom in 2014 found that 'What is anxiety?' was one of the top 10 most searched for questions.

Among the leading searches this year in the U.S. are driving anxiety, travel anxiety, separation anxiety, anxiety at work, anxiety at school and anxiety at home. Connecticut is the only New England state where the rate of Google searches for anxiety is not more than 10 percent above the national average.  The analysis indicates that “Americans anxieties are up 150 percent compared with 2004, based on internet searches.”  And still climbing.

The two leading drivers, according to the analysis:

• Poverty, and/or a major recession. States that were more deeply affected by the Great Recession saw bigger increases in anxiety during and after the recession. The estimate is that each percentage point increase in unemployment is associated with a 1.4 percent increase in anxiety. Google searches for anxiety tend to be higher in places with lower levels of education, lower median incomes and a larger part of the population living in rural areas, the analysis discovered.
• High opiate prescription rates — and high search rates for opiate withdrawal — are among the places with the highest search rates for panic attacks. These areas include Appalachia and the South. During years in which many people complained of opiate withdrawal, many people also complained about panic attacks. Searches for opiate withdrawal consistently start high at the beginning of the year. They mostly drop through the year, although they rise in the summer and then surge around Christmas.

Some have raised questions about the inferences in the analysis, wondering if opiate usage, for example, is a cause or effect reflected in the Google searches.  Others have suggested that merely the act of using Google to investigate real or perceived symptoms can make an individual more anxious, and more likely to search Google again, and the pattern could then repeat, leading to more frequent searches.

Travelers Initiative Aims to Predict Chronic Pain from Workplace Injuries

Can chronic pain, often the lingering result of a workplace injury, be predicted? The Travelers Companies, Inc. believes the answer is yes.  The company has developed what it describes as the first predictive model designed to reverse a sharp rise in chronic pain caused by workplace injuries.

The Travelers Early Severity Predictor (patent pending) identifies the likelihood of an injured employee developing chronic pain so that they can avoid it in recovery and reduce the need to use opioids or other painkillers.

“Millions of American workers are injured on the job each year, and the number of cases in which chronic pain interferes with an employee’s recovery has risen from less than 10 percent a decade ago to more than half of all serious injuries today,” said Dr. Adam Seidner, the National Medical Director at Travelers, when the initiative was announced in April.

According to A.M. Best, Travelers is the largest workers compensation carrier in the United States. The company manages more than 250,000 workplace injury claims and 3.5 billion medical treatments per year.

“When someone develops chronic pain, they are prescribed opioids or other painkillers more than 90 percent of the time. Our goal is to work with injured employees and their doctors to eliminate or substantially reduce the need for painkillers that can slow their recovery or lead to devastating long-term addiction.”

The Travelers Early Severity Predictor has been applied in more than 20,000 cases since early 2015. Of those, more than 9,000 injured employees were identified as being at risk of developing chronic pain. These employees received a customized, sports medicine-like regimen of treatment precisely sequenced to aid and accelerate their recovery, the company explained.

Injured employees who participated in the program in the past year have, on average, recovered and returned to work more quickly, the company said. They were also far less likely to receive a prescription for opioids, and when they did, it was typically a lower dosage or only for short-term use. At the same time, medical expenses, which cost American employers an average of nearly $40,000 per injury, were reduced by as much as 50 percent.

In 2014, there were 107.1 cases of nonfatal occupational injuries or illnesses requiring an employee to miss work for every 100,000 full-time American workers, according to the U.S. Bureau of Labor Statistics (BLS), the website IPWatchdog reported. Although this represented a decline from 2013’s workplace injury numbers, it still resulted in 1,157,410 days away from work among private, state government and local government employees. BLS statistics show that workplace injury incidence rates were highest in the industries of transportation and warehousing as well as health care and social assistance, according to the website.

Two patent applications published this year by the U.S. Patent and Trademark Office cover technologies associated with the Early Severity Predictor project, IP Watchdog reported.

The Centers for Disease Control issued a guideline earlier this year, the Insurance Journal reported, for primary care physicians for treating chronic pain. The new CDC guideline aims to lessen opioid use disorder and overdose. When opioids are used, doctors should prescribe lowest possible effective dosage, according to the guideline. The CDC guideline also suggests increasing the use of other effective treatments available for chronic pain, such as non-opioid medications or non-pharmacologic therapies.

According to research into physician dispensing of opioids, the Workers Compensation Research Institute (WCRI) noted that three out of four injured workers with pain are prescribed opiods, with the amount per claim varying by state, the Insurance Journal reported.  Nearly 1 in 12 injured workers given narcotics are still on them 3 to 6 months later as few doctors appear to be following recommended treatment guidelines to prevent abuse, according to WCRI research in 2012.

A 2012 study in the Journal of Occupational & Environmental Medicine found that when long-acting opioid painkillers are prescribed, workers’ compensation claims are nearly four times more likely to turn into catastrophic claims with costs tallying more than $100,000.

“Helping employees avoid chronic pain and the slippery slope to possible opioid dependency is critical to reversing this disturbing and costly health crisis,” Seidner emphasized.

The Travelers Companies, Inc. is a leading provider of property casualty insurance for auto, home and business. The company’s main offices are in New York, Hartford and St. Paul.  A component of the Dow Jones Industrial Average, Travelers has approximately 30,000 employees and generated revenues of approximately $27 billion in 2015.

E-Cigarettes Remain Controversial as New Federal Law, Yale Academic Study Weigh In

Even as new federal rules restricting the sale of e-cigarettes take effect, advocates in Connecticut continue to urge state lawmakers to impose tougher restrictions on electronic cigarettes and vapor products when they reconvene next year.  They warn that a growing number of young people are using these electronic delivery systems to "smoke" what could be harmful and addictive substances. The U.S. Food and Drug Administration announced rules earlier this year that will forbid e-cigarette shops nationwide from selling the products to people younger than 18 and will require staff to ask for identification that proves customers are old enough to buy.  The rules – which take effect this month - would also extend long-standing restrictions on traditional cigarettes to a host of other products, including e-cigarettes, hookah, pipe tobacco and nicotine gels. Minors would be banned from buying the products.

Teens who initially tried e-cigarettes because of their low cost had significantly stepped up their use of e-cigarettes by the time researchers checked in six months later, according to a study that senior researcher Suchitra Krishnan-Sarin, a professor of psychiatry at Yale University School of Medicine, told WebMD in an article published last week.  The low cost of the devices and the promise they can help teens quit smoking tobacco are the two strong predictors of continued use, she said.

In addition, teens who tried e-cigarettes to quit smoking were more than 14 times more likely to keep using e-cigarettes than those who did not consider this a reason to try the devices, the findings showed.  However, e-cigarettes didn't seem to help the kids quit. Four out of five teens who tried e-cigarettes to quit smoking were still puffing regular cigarettes six months later, the investigators found.

"Even though they said they were using e-cigarettes to quit smoking, it doesn't appear to have necessarily helped them," Krishnan-Sarin said.

Jennifer DeWitt, executive director of the Central Naugatuck Valley Regional Action Council, told members of the General Assembly's Public Health Committee this spring that every principal in the 12-town region her organization covers "has a desk drawer of these items that were confiscated from teens this year," including some retrofitted to smoke marijuana, the Associated Press reported.

"Tobacco is a success story for us in the overall picture of prevention. However, we will take a back-slide if electronic nicotine delivery devices continue to be available in the ways that they are currently," DeWitt said.  She said 7.2 percent of Connecticut high school students are e-cigarette users, marking a higher usage rate than all tobacco products combined.

According to the CDC, nationally, 7 out of 10 middle and high school students who currently use tobacco have used a flavored product. In addition:

• 63% of students who currently use e-cigarettes have used flavored e-cigarettes (1.6 million)
• 61% of students who currently use hookah have used flavored hookah (1 million)
• 64% of students who currently use cigars have used flavored cigars (910,000)

Beginning this month, retailers are prohibited from selling the tobacco products to those under 18, placing them in vending machines or distributing free samples, under the new FDA rules. While nearly all states already ban sales of e-cigarettes to minors, federal officials said they will be able to impose stiffer penalties and deploy more resources to enforce the law. The FDA action comes five years after the agency first announced its intent to regulate e-cigarettes and more than two years after it floated its initial proposal, according to published reports.

“Millions of kids are being introduced to nicotine every year, a new generation hooked on a highly addictive chemical” Health and Human Services Secretary Sylvia Burwell said. “We cannot let the enormous progress we’ve made toward a tobacco-free generation be undermined by products that impact our health and economy in this way.”

The CDC indicated that in 2013, more than a quarter million middle and high school students who had never smoked regular cigarettes had used e-cigarettes, a number that had grown three-fold in just two years. A high proportion of middle and high school students saw e-cigarette advertisements (in 2014) from one or more of the following four sources: retail, Internet, TV/movies, and Magazines/newspapers. Overall, 66% of Middle School Students and 71% of High School Student.

The New Haven Register reported that Dr. Roy Herbst, chief of medical oncology at the Yale Cancer Center and Smilow Cancer Hospital, said state and federal policy-makers should do more to rein in the spread of the devices.

“It didn’t go as far as we would’ve liked but it’s a good step in the positive direction and allows for more research,” Herbst said of the new federal rule. “I think now that we finally have this regulation, it will begin to stem the rapid use of e-cigarette use that is running rampant in the United States and around the world.”

New Documentary, Travelers Championship Heighten Attention to ALS, Sports is Once Again Common Theme

Public awareness of ALS - amyotrophic lateral sclerosis – has been intertwined with sports since Lou Gehrig played with the New York Yankees, and saw his career and his life, tragically shortened by the neurodegenerative disease eight decades ago.  Gehrig’s Yankee Stadium speech in 1939 has endured as one of the century’s most memorable. Earlier this month, the Travelers Championship on the PGA Tour raised more money for charity than in any previous year, when $2.8 million was raised with ALS as the primary charity.  Travelers Executive Chairman of the Board Jay Fishman announced in August 2015 that he had been diagnosed with ALS.

And now, a new motion picture documentary telling the story of a former NFL player afflicted with ALS is reaching theaters across the country, including Connecticut.  The film, Gleason, goes inside the life of Steve Gleason, the former New Orleans Saints defensive back who, at the age of 34, was diagnosed with ALS and given a life expectancy of two to five years. Gleason played for the Saints from 2000-2008.

The primary beneficiary for the 2016 Travelers tournament was the ALS Clinic at the Hospital for Special Care (HSC) in New Britain. Each year, HSC cares for more than 250 Connecticut residents with amyotrophic lateral sclerosis (ALS). HSC is the only facility in Connecticut that is part of the ALS Association’s national network of Certified Treatment Centers of Excellence and is certified by the Muscular Dystrophy Association for ALS care.

According to the ALS Association, amyotrophic lateral sclerosis is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. When a muscle has no nourishment, it "atrophies" or wastes away. "Lateral" identifies the areas in a person's spinal cord where portions of the nerve cells that signal and control the muscles are located. As this area degenerates it leads to scarring or hardening ("sclerosis") in the region.  Motor neurons reach from the brain to the spinal cord and from the spinal cord to the muscles throughout the body. The progressive degeneration of the motor neurons in ALS eventually leads to their demise.

ALS burst back into the public conversation during the 2014 ALS Ice Bucket Challenge, as millions of people started talking about ALS. Recently, there have been some indications that the money raised during that social media explosion may have helped to advance research into ALS.

As the movie tells it, just weeks after his diagnosis, Gleason found out his wife, Michel, was expecting their first child. A video journal that began as a gift for his unborn son expands to chronicle Steve’s determination to get his relationships in order, build a foundation to provide other ALS patients with purpose, and adapt to his declining physical condition—utilizing medical technologies that offer the means to live as fully as possible, according to the movie synopsis appearing on the film’s website. The documentary was highly regarded at the 2016 Sundance Film Festival, and is making its Connecticut debut at Cinema City at the Palace 17 in Hartford.

ALS usually strikes people between the ages of 40 and 70, and approximately 20,000 Americans can have the disease at any given time (although this number fluctuates), the ALS Association reports. For unknown reasons, military veterans are approximately twice as likely to be diagnosed with the disease than the general public.

The Greater Hartford Walk to Defeat ALS will take place on September 25 in East Hartford.  The New Haven Walk will be held on October 2 in New Haven.

https://youtu.be/WgkQU32XSFQ

CCMC Study Brings Attention to Dramatic Increase in Trampoline Injuries Nationwide

As trampoline parks are becoming more common in Connecticut and across the United States, so are emergency department visits for injuries that occur at these facilities, a new national study led by physician researchers at Connecticut Children’s Medical Center (CCMC), has found. The study published this month in the journal Pediatrics, co-authored by CCMC emergency physicians Steven Rogers, MD, and Jesse Sturm, MD, and pediatric emergency medicine fellow Kathryn Kasmire, MD, came about after the physicians began noticing a sharp increase in trampoline injuries, including some that were serious.

For the study, the CCMC physicians analyzed emergency room reports from a national database to estimate the total number of trampoline-related injuries both from parks and trampolines at home. From 2010 to 2014, the average annual number of Emergency Department visits for trampoline injuries was close to 92,000.

The vast majority happened at home - but injuries at trampoline parks surged more than 10-fold during the study period. The study found that emergency room visits related to injuries at trampoline parks grew from 581 in 2010 to 6,932 in 2014, which was the latest year represented in the study. Patients injured at trampoline parks were more likely to be males, with an average age of 13.

The study concluded that “trampoline park injury patterns differed significantly from home trampoline injuries. Trampoline park injuries are an emerging concern; additional investigation and strategies are needed to prevent injury at trampoline parks.”

The number of trampoline parks in the United States also increased during that time frame from around 40 in 2011 to 280 in 2014. It is now estimated that nationwide, five to six new parks open each month. Over the last year alone, it is estimated that more than 50 million people visited trampoline parks in North America, according to the International Association of Trampoline Parks.

In Connecticut, trampoline parks are up and running in communities including Hartford, New Britain, Trumbull, Bethel, Stamford, Norwalk, Manchester, Milford, Danbury, New Milford, Ridgefield, Brookfield, Wallingford.  Another is expected soon in East Haven.

The state’s official tourism website, www.ctvisit.com, includes six trampoline parks among the places highlighted for “safe, family-friendly indoor recreation.”  The “Connecticut – Still Revolutionary” site features information about, and links to, Launch Trampoline Park in Hartford, Sky Zone in Bethel and Norwalk, Chelsea Piers in Stamford, Rockin’ Jump Trampoline Park in Trumbull and Flight Trampoline Park in New Britain.

The study found that the majority of trampoline-related accidents occur at home — rather than at a park — and these accidents did not increase significantly from 2010 to 2014, nor did overall trampoline injuries.

The International Association of Trampoline Parks (IATP) said the rise in injuries should be expected because of more parks in recent years. "We believe that the positives of youth recreational sports far outweigh the negatives, and we are actively engaged in programs aimed at promoting the safety and well-being of jumpers who visit our member parks," the organization said following publication of the study.

"I don't think trampoline park injuries are increasing because they are especially dangerous compared to home trampolines, but rather because of their growing popularity and the increasing number/availability of these facilities," said Kasmire, indicating that 1 in 11 children or young adults who went to the emergency room for park injuries was admitted to the hospital.

Most of the injuries were leg injuries, including strains and fractures. Children injured at trampoline parks were less likely to have head injuries than those injured on trampolines at home, but the severity of park-related injuries was concerning, the authors said.

In a published report, Kasmire said that parks generally have done a good job of ensuring that youngsters do not fall off trampolines, reducing the likelihood of head injuries, because the floors are covered with a bouncy surface. This floor, though, can increase the risk of other injuries if a person lands between two trampolines, she said.

The American Academy of Pediatrics advises against trampoline use for all children but says if children do use them, they should not do flips or have more than one jumper at a time on a trampoline. The academy said adult supervision is needed and that trampolines should also have proper padding.

The IATP indicated that the organization “welcomes studies like the one published” because they “provide a deeper understanding of safety issues and provide data on our sport allowing us to better educate parents, jumpers and parks so all can fully enjoy indoor trampoline park facilities.”

The trade organization also noted that “if the study reported Trampoline Park Injuries (TPIs) as a percentage, rather than a total, a more accurate industry picture would develop. As a point of reference, high school football players experience injuries at a rate of 3.87 per 1,000 exposures. The rate of reportable injury at a typical trampoline park is less than one per 10,000 jumpers.  Therefore, the rate at which injuries occur is a much more meaningful statistic than total number of injuries.”

The study in Pediatrics notes “adult supervision has been proposed to reduce trampoline injuries in children, although trampoline injuries often occur despite adult supervision.”  The study also states that “although only a fraction of trampoline-related injuries occurred at trampoline parks (11% in 2014), the trend is alarming.”

CT Has 3rd Lowest Teen Birth Rate in U.S.

Connecticut has the third lowest teen birth rate in the nation, and ranks among the states with the lowest incidence of low birthweight babies, preterm birth rate and percent of births to unmarried mothers, according to data from the National Center for Health Statistics of the Centers for Disease Control and Prevention. The data, reflecting statistics from calendar year 2014, indicate that Connecticut ranked  32^nd in Percent of Births to Unmarried Mothers, 30th among the states in Low Birthweight Rate, and 28^th in Preterm Birth Rate.  The state ranked 48^th in Teen Birth Rate, third lowest in the U.S.

The NCHS data also ranked Connecticut 12^th in the Cesarean Delivery Rate.

The Teen Birth Rate, determined by the number of births per 1,000 females age 15-19, was 24.2 nationally.  In Connecticut, it was 11.5.  The only states with a lower rate were Massachusetts at 10.6 and New Hampshire at 11.0.  Among the other states with low teen birth rates, well below the national average, were New Jersey, Vermont, Minnesota, Rhode Island, New York, Maine and Maryland.

The highest rates were in Arkansas (39.5), Oklahoma (38.5), Mississippi (38.), Texas (37.8) and New Mexico (37.8).

Regarding the percentage of babies born to unmarried mothers, a statistic long tracked by federal health officials, three states saw more than half the children born in that category.  The highest percentages were in Mississippi (54.0%), Louisiana (52.7) and New Mexico (51.3%).

Connecticut ranked 32^nd, at 37.1 percent, slightly lower than the national average of 40.2 percent.  The state with the lowest rate was Utah, at 18.6 percent, followed by Colorado (22.4%), Idaho (27.8%), Washington (32.1%) and Minnesota (32.3%).