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Mississippi’s infant mortality rate reaches five-year high

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Mississippi’s infant mortality rate reached a five-year high in 2021, according to the latest numbers from the Centers for Disease Control and Prevention.

The death rate of babies under one year of age rose from 8.3 deaths per 1,000 live births in 2020 to 9.39 deaths per 1,000 live births in 2021, the most recent year for which data is available. Nationally, the rate remained relatively stable from 2020 to 2021.

A total of 330 Mississippi babies died before their first birthday in 2021.

Mississippi continues to have the highest rate of infant mortality of any state at nearly twice the national average of 5.44 infant deaths per 1,000.

The report does not break down specific causes of death by state, though Mississippi’s infant mortality review committee will release a report with more details.

“These numbers are extremely concerning, but we will have to wait on the Fetal Infant Mortality Review Committee reports to determine the causes of increased mortality rates. I suspect that we will see that the COVID-19 pandemic, high rates of congenital syphilis, and the issues of poverty and access to care had a detrimental effect on infants in the state,” State Health Officer Dr. Dan Edney said in an emailed statement to Mississippi Today.

The committee releases reports annually.

In the six years ending in 2021, Mississippi saw a 900% increase in babies born with syphilis – a sexually transmitted disease that is passed to an infant during pregnancy. The disease can cause miscarriages and death, and children that survive can have major malformations and life-long complications.

The state Health Department responded by adopting a regulation that mandates physicians test pregnant people for the disease. Before that, Mississippi was one of only six states in the nation that did not require syphilis screenings in pregnancy by law.

Nationally, the leading causes of infant mortality are: congenital malformations; disorders related to short gestation and low birthweight; Sudden Unexpected Infant Death (SUID); unintentional injuries and maternal complications.

Dr. Anita Henderson, the past president of the Mississippi chapter of the American Academy of Pediatrics, said she is “very concerned” by the latest numbers.

“Black babies are more than twice as likely to die before their first birthday compared to white babies. There are several preventable causes of death that are increasing, especially here in Mississippi. Our Sudden Unexpected Infant Death rate includes accidental suffocation and Mississippi, sadly, has the highest SUID rate in the nation,” according to the 2020 data, she said.

Henderson also pointed to several other drivers of the problem: the state's high rate of premature birth, its maternal health provider shortage and the difficulty low-income women have in receiving timely prenatal care.

“Presumptive eligibility for moms on Medicaid would facilitate timely access to prenatal care for that critical, first trimester OB visit. Over half of the counties in Mississippi do not have an OB or a delivering hospital,” she said. “Lack of access is dangerous and potentially deadly for Mississippi moms and babies.”

If a state offers presumptive eligibility, a low-income pregnant woman who is pregnant and seeking medical services will be presumed eligible for Medicaid coverage and the medical provider can provide prenatal care and be reimbursed by Medicaid – presumably allowing her to receive prenatal care earlier. Mississippi does not currently have presumptive eligibility for pregnant women.

Mississippi is also one of only 10 states that has not expanded Medicaid under the Affordable Care Act, leaving hundreds of thousands of Mississippians without health insurance. It is one of only three states that has neither expanded Medicaid or provides pregnancy presumptive eligibility as of 2020, according to the Kaiser Family Foundation.

This legislative session, lawmakers approved extending health care coverage for mothers on Medicaid to one year after giving birth. Moms had previously only been covered for 60 days postpartum. Proponents of the extension said there is a direct link between healthy mothers and healthy babies.

The Mississippi Delta saw some of the highest rates of infant mortality in the state in 2021 at 13.7 infant deaths per 1,000 births, according to state Health Department data. The rate represents 32 babies who died – the highest rate for the area since 2017.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

An ad supporting Jenifer Branning finds imaginary liberals on the Mississippi Supreme Court

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mississippitoday.org – Bobby Harrison – 2024-11-24 06:00:00

The Improve Mississippi PAC claims in advertising that the state Supreme Court “is in danger of being dominated by liberal justices” unless Jenifer Branning is elected in Tuesday’s runoff.

Improve Mississippi made the almost laughable claim in both radio commercials and mailers that were sent to homes in the court’s central district, where a runoff election will be held on Tuesday.

Improve Mississippi is an independent, third party political action committee created to aid state Sen. Jenifer Branning of Neshoba County in her efforts to defeat longtime Central District Supreme Court Justice Jim Kitchens of Copiah County.

The PAC should receive an award or at least be considered for an honor for best fiction writing.

At least seven current members of the nine-member Supreme Court would be shocked to know anyone considered them liberal.

It is telling that the ads do not offer any examples of “liberal” Supreme Court opinions issued by the current majority. It is even more telling that there have been no ads by Improve Mississippi or any other group citing the liberal dissenting opinions written or joined by Kitchens.

Granted, it is fair and likely accurate to point out that Branning is more conservative than Kitchens. After all, Branning is considered one of the more conservative members of a supermajority Republican Mississippi Senate.

As a member of the Senate, for example, she voted against removing the Confederate battle emblem from the Mississippi state flag, opposed Medicaid expansion and an equal pay bill for women.

And if she is elected to the state Supreme Court in Tuesday’s runoff election, she might be one of the panel’s more conservative members. But she will be surrounded by a Supreme Court bench full of conservatives.

A look at the history of the members of the Supreme Court might be helpful.

Chief Justice Michael Randolph originally was appointed to the court by Republican Gov. Haley Barbour, who is credited with leading the effort to make the Republican Party dominant in Mississippi. Before Randolph was appointed by Barbour, he served a stint on the National Coal Council — appointed to the post by President Ronald Reagan who is considered an icon in the conservative movement.

Justices James Maxwell, Dawn Beam, David Ishee and Kenneth Griffis were appointed by Republican Gov. Phil Bryant.

Only three members of the current court were not initially appointed to the Supreme Court by conservative Republican governors: Kitchens, Josiah Coleman and Robert Chamberlin. All three got their initial posts on the court by winning elections for full eight-year terms.

But Chamberlin, once a Republican state senator from Southaven, was appointed as a circuit court judge by Barbour before winning his Supreme Court post. And Coleman was endorsed in his election effort by both the Republican Party and by current Republican Gov. Tate Reeves, who also contributed to his campaign.

Only Kitchens earned a spot on the court without either being appointed by a Republican governor or being endorsed by the state Republican Party.

The ninth member of the court is Leslie King, who, like Kitchens, is viewed as not as conservative as the other seven justices. King, former chief judge on the Mississippi Court of Appeals, was originally appointed to the Supreme Court by Barbour, who to his credit made the appointment at least in part to ensure that a Black Mississippian remained on the nine-member court.

It should be noted that Beam was defeated on Nov. 5 by David Sullivan, a Gulf Coast municipal judge who has a local reputation for leaning conservative. Even if Sullivan is less conservative when he takes his new post in January, there still be six justices on the Supreme Court with strong conservative bonafides, not counting what happens in the Branning-Kitchens runoff.

Granted, Kitchens is next in line to serve as chief justice should Randolph, who has been on the court since 2004, step down. The longest tenured justice serves as the chief justice.

But to think that Kitchens as chief justice would be able to exert enough influence to force the other longtime conservative members of the court to start voting as liberals is even more fiction.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1968

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mississippitoday.org – Jerry Mitchell – 2024-11-24 07:00:00

Nov. 24, 1968

Credit: Wikipedia

Black Panther leader Eldridge Cleaver fled the U.S. to avoid imprisonment on a parole violation. He wrote in “Soul on Ice”: “If a man like Malcolm X could change and repudiate racism, if I myself and other former Muslims can change, if young whites can change, then there is hope for America.” 

The Arkansas native began to be incarcerated when he was still in junior high and soon read about Malcolm X. He began writing his own essays, drawing the praise of Norman Mailer and others. That work helped him win parole in 1966. His “Soul on Ice” memoir, written from Folsom state prison, described his journey from selling marijuana to following Malcolm X. The book he wrote became a seminal work in Black literature, and he became a national figure. 

Cleaver soon joined the Black Panther Party, serving as the minister of information. After a Panther shootout with police that left him injured, one Panther dead and two officers wounded, he jumped bail and fled the U.S. In 1977, after an unsuccessful suicide attempt, he returned to the U.S. pleaded guilty to a reduced charge of assault and served 1,200 hours of community service. 

From that point forward, “Mr. Cleaver metamorphosed into variously a born-again Christian, a follower of the Rev. Sun Myung Moon, a Mormon, a crack cocaine addict, a designer of men’s trousers featuring a codpiece and even, finally, a Republican,” The New York Times wrote in his 1998 obituary. His wife said he was suffering from mental illness and never recovered.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1867

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mississippitoday.org – Jerry Mitchell – 2024-11-23 07:00:00

Nov. 23, 1867

Extract from the Reconstructed Constitution of the State of Louisiana, 1868. Credit: Library of Congress

The Louisiana Constitutional Convention, composed of 49 White delegates and 49 Black delegates, met in New Orleans. The new constitution became the first in the state’s history to include a bill of rights. 

The document gave property rights to married women, funded public education without segregated schools, provided full citizenship for Black Americans, and eliminated the Black Codes of 1865 and property qualifications for officeholders. 

The voters ratified the constitution months later. Despite the document, prejudice and corruption continued to reign in Louisiana, and when Reconstruction ended, the constitution was replaced with one that helped restore the rule of white supremacy.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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