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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 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 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 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 .

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 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 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 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 Foundation.

This legislative , lawmakers approved extending 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

Will Mississippi schools join the cellphone ban bandwagon?

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mississippitoday.org – Simeon Gates – 2024-10-29 14:05:00

Many lawmakers want to take action on teen mental health and say they believe restricting cellphone use in schools is a solution. But opinions and research on the topic are mixed.

Among those who oppose a full ban: Two high school students from opposite ends of the state.

Kate Riddle, a senior from Lafayette County School District, told Mississippi that her social media experience has always been “positive and uplifting.” 

“Social media can be a positive or negative tool; it just depends on how you use it,” she said. 

Riddle said she uses it for communication, news and entertainment. 

Crosby Parker, a junior from the Gulfport School District, also said social media hasn’t had a “tangible impact” on his mental health and that he uses it on a “need-to basis” to to friends.

Neither supports a full cellphone ban. But Riddle acknowledged that “phones are an immense problem in school districts and finding a way to navigate the challenges that they will bring in the coming years is vital to the success of all,” 

Riddle supports a phone ban for elementary school students, but not necessarily for older students. She suggested schools restrict cellphone use without banning phones entirely, such as taking them up before class. 

Parker supports his school’s current policy, where students can use their phones anywhere except during class. 

“This allows students to stay in communication with their throughout the day, and it limits the phones to any time that doesn’t distract others from learning,” he said.

Earlier this month, the state youth mental health task force released their recommendations. Among them was that all school districts implement policies on cellphones and social media use in classrooms. 

House Rep. Sam Creekmore, R-New Albany, listens to discussions regarding the cost of Medicaid expansion, during a public meeting held at the state Capitol, Tuesday, April 23, 2024. Credit: Vickie D. King/Mississippi Today

At the same time, Rep. Sam Creekmore, R-New Albany, a task force member, is drafting a bill to ban cellphones in schools statewide with possibly leaving it up to each of the state’s 144 school districts to determine how to do that.. 

“As we recognize the importance of technology, we also have to recognize the importance of our children’s health, which includes mental health,” he said.

Cellphones are ubiquitous in American culture. Pew Research Center found that 95% of American teenagers between 13 and 17 have a smartphone and 23% reported using social media for four or more hours a day. 

Many educators, and researchers fear phones are driving the nation’s youth mental health crisis with 72% of high school teachers telling the Pew Research Center in June that they think cellphones are a major problem in classrooms.

Jonathan Haidt’s “The Anxious Generation: How the Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness” describes how teen mental health has declined sharply since 2010. In 2020, teen suicide rates increased 91% for boys and 167% for girls. The percent of who reported having at least one episode of major depression increased 145% for girls and 161% for boys. Haidt and many other researchers attribute this decline to the rise of social media and cellphone use. 

Last year, U.S. Surgeon General Vivek Murthy released a warning about how social media harms teen mental health, citing statistics that 46% of teens said social media makes them feel worse about their body image and 64% said they were “often” or “sometimes” exposed to hate content. 

Creekmore said Haidt’s book and the surgeon general’s report are major influences for his bill.

According to a Pew Research Center survey conducted Sept. 30-Oct. 6, 68% of American adults support banning cellphones from middle and high school classrooms. Eight states have passed bans and/or restrictions on cellphones in schools so far. 

In Mississippi this year, Marshall County School District and Greenwood School District introduced bans on cellphone use during school hours. 

“Vast research connects the decline in mental health among children and adolescents in part to the near constant use of smartphones and social media,” Lt Gov Delbert Hosemann said in a statement to Mississippi Today. 

Lt. Gov. Delbert Hosemann answers questions during a press conference after a special at the Mississippi Capitol in Jackson, Wednesday, November 2, 2022. Credit: Eric Shelton/Mississippi Today

Touching on the concerns about school safety in the wake of multiple school shootings, he said, “School safety and ensuring parents can stay connected with their children are also important concerns. We are confident local districts can negotiate these competing concerns and implement policies protecting instructional time from distraction.”

Cellphone bans have their drawbacks. They can be difficult to enforce, and some parents want to be able to reach their children for pick-ups and emergencies. However, the National School Safety and Security Services says that using a phone during an emergency can actually cause more trouble by distracting people, overloading cellphone , disrupting evacuation efforts and more.

The research on cellphone use and its impact on teens is more mixed. There are several places where the research is lacking, what types of content cause the most harm and how exactly social media creates/exacerbates mental health problems.

The National Academy of Sciences‘ report on the topic pointed out the positives to using social media, such as communication, learning and connection. The surgeon general’s report also found that 58% of teens said that social media made them feel more accepted. 

Lynda Stewart, a mental health counselor and director of the Division of Children and Youth Services at Mississippi’s Department of Mental Health, is also part of the state task force. While she said she has no opinion on cellphone bans, she pointed out that they’re not the only factors harming youth mental health.

“Adolescence is a very, very difficult time. It’s a time when children are growing and changing,” she said. 

Stewart cited the pandemic and academic and social pressures as major problems. Young people are also more aware about mental health and are less afraid to reach out for help than previous generations.

“One thing we know about our youth today is that they’re strong and they’re brave,” she said, “and they’re more willing than any other generation of youth to let somebody know when they’re not okay.” 

The task force made several recommendations, including more schools partnering with community health centers, more mental health professionals on school staff and universal mental health screenings for students.

Stewart advised parents to check in with their kids daily and look out for behavioral red flags. This includes them always being alone, dropping hobbies they used to love, getting bad grades, and drastic changes in their style and friend groups.
Mental Health Mississippi provides information on mental health providers in the state. For mental health crises, dial the national suicide and crisis line at 988. You can also dial the DMH helpline at 1-877-210-8513 for help and information about mental health services.

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

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On this day in 1869

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mississippitoday.org – Jerry Mitchell – 2024-10-29 07:00:00

Oct. 29, 1869

Harper’s Weekly Credit: Library of

Klansmen kidnapped and savagely beat Georgia legislator Abram Colby, leaving him for dead. 

Freed 15 years before emancipation, he became an early organizer of Black Americans. A Radical Republican, he represented Greene County in 1865 at a convention for freed African Americans and was elected to the Georgia a year later. 

In 1869, the Ku Klux Klan offered him a $7,500 bribe to not for re-election, but he refused. “I told them that I would not do it if they would give me all the county was worth,” he recalled. 

These Klansmen were hardly impoverished white , he said. “Some are first-class men in our town. One is a lawyer, one a doctor, and some are farmers.” 

During his whipping, they asked him, “Do you think you will ever vote another damned Radical ticket?” When he answered yes, the beating became even more severe. 

“They set in and whipped me a thousand licks more, with sticks and straps that had buckles on the ends of them,” he recalled. Although he survived, he was unable to work or hold office. Three years later, he testified before a joint House and Senate committee investigating reports of Southern violence, detailing what had happened. 

“The worst thing was my mother, wife and daughter were in the room when they came,” he recalled. “My little daughter begged them not to carry me away. They drew up a gun and actually frightened her to . She never got over it until she died. That was the part that grieves me the most.”

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

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Auditor Shad White releases study on Mississippi government spending fat

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mississippitoday.org – Geoff Pender – 2024-10-28 14:14:00

Auditor Shad White on Monday released a study he commissioned to find government waste, saying it identified more than $335 million in government fat that could easily be trimmed without tanking services to taxpayers.

White paid a -based consulting group $2 million for the study. He gave Boston Consulting Group the directive to find at least $250 million in wasteful spending among the 13 state agencies it examined.

It appears White and Lt. Gov. Delbert Hosemann — who have each indicated they have 2027 gubernatorial aspirations and have sparred with each other politically — will have dueling government fat-trimming initiatives. Hosemann said recently he wants legislation to reorganize and consolidate state government.

In a livestreamed press conference and public presentation Monday, White called his study long overdue and, “A roadmap for a leaner, more modern state government that saves money … to make sure we are getting the biggest bang for our bucks.” He said the study had “No criminal findings … but we found inefficiency.”

Mississippi has more than 200 agencies, boards and commissions, and a more than $7 state- budget.

White’s recommends the state consolidate its purchasing and look for better deals when it buys goods and services. For instance, the study noted that when the state buys Dell computers, it “pays a higher price than individual consumers could find from Dell’s consumer website” in some cases. It noted state agencies were paying $245 for a computer monitor that the public could buy for $195 and that could be had for $130 through a federal government purchasing deal available to state and local governments.

Much of the Boston consultant’s report for White covers potential savings or overspending that others — including White — have pointed out in the past. This includes spending on state buildings and office , which some lawmakers and others have questioned over years, and government travel, which media has examined. It also noted potential savings from consolidating purchasing and back-office functions, which others have in the past championed, usually with minimal .

The report found that, compared to other states, Mississippi government is spending too much on office space and insurance for state buildings and on advertising and public relations for state agencies.

White said some government offices have 800 square feet per employee and, “We are a lot of times leasing space we don’t need to be leasing.”

READ MORE: Former Arkansas Gov. Hutchinson gives Mississippi lawmakers tips on streamlining government 

White also said Mississippi could sell the state’s airplane, do like 18 other states and make rely on commercial or charter flights, and save over $1 million a year.

The consultant’s study focused on some of the state’s largest agencies, including the Departments of Education, Corrections, Revenue, , Public Safety and Finance and Administration. Most examined are agencies that report directly to Gov. Tate Reeves. White on Monday praised the governor for his cooperation in the study.

Much of White’s proposed savings in the “Project Momentum” report would require legislative action. He said Monday that numerous lawmakers have been anxiously awaiting his report and he is hopeful “they will look at this very closely.”

Neither Hosemann, who oversees the state Senate, nor Speaker Jason White, who oversees the House, immediately responded to a request for comments sent to their offices Monday.

The report recommends the state “operate more like a business,” and that Mississippi “ruthlessly eliminate or alter failing programs” to save taxpayers money.

“The nature of government is people forget what happened yesterday and forget what went wrong yesterday, and that nature of government is to do nothing,” White said.

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

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