Mississippi Today
Rural Delta counties have highest infant mortality rates in state, new report shows

Every region in Mississippi ranked higher in infant mortality than the national average of 5.4 deaths per 1,000 live births, according to the state’s 2021 Mississippi Infant Mortality Report released last week.
This report comes one month after the Centers for Disease Control and Prevention released data showing that Mississippi’s infant mortality rate reached a five-year high while the national rate remained relatively stable from 2020 to 2021. That report also showed that the state continues to lead the nation in babies who die before their first birthday.
In 2021, 327 Mississippi babies died before the age of one, according to the state’s report.
The leading causes of infant death in Mississippi are prematurity, low birthweight, birth defects and Sudden Infant Death Syndrome (SIDS). Babies whose deaths were caused by SIDS also reached a 10-year high in Mississippi in 2021, the report said.
“Mississippi also has the highest premature birth rate in the nation, and this drives our high infant mortality rate,” said Dr. Anita Henderson, a pediatrician and past president of the Mississippi chapter of the American Academy of Pediatrics. “We encourage all moms to get in to see their OBs in their first trimester for optimal prenatal care.”
While deliveries of babies with very low birthweight (defined as less than 3.3 pounds) decreased from 2020 to 2021, most infant deaths in the state still occurred in infants born with very low birthweight, according to the report. The statistic is more dire for Black babies, who saw three times as many deaths due to prematurity and very low birthweight than their white counterparts in 2021.
Henderson said lack of access to health care in Mississippi is contributing to high rates of prematurity and infant mortality.
“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.
Pregnancy presumptive eligibility, which Mississippi does not have, allows women to receive care during pregnancy, even if they’re not on Medicaid. Providers can enroll their pregnant patients and start billing Medicaid, which reimburses them without delays or questions.
The new report also detailed each county's average infant mortality rate over a 10-year period, showing that only two counties – Rankin and Smith – met the national recommendation of no more than five infant deaths per 1,000 live births. The other 80 counties were above that recommendation, with 31 counties seeing at least twice the recommended rate.
The three counties with the highest 10-year averages were rural counties in the Delta. Issaquena County had the highest rate in the state at 18.7 infant deaths per 1,000 births. Humphreys and Quitman counties were the other two, with rates of 16.9 and 15.8, respectively.
Following the closure of the only neonatal intensive care unit in the Delta, in addition to a labor and delivery unit at a Greenwood hospital, State Health Officer Dr. Dan Edney announced at a July Board of Health meeting a proposal for an “OB system of care,” which would model itself after other systems of care in Mississippi.
“We’re losing too many babies in transfer,” Edney recently said to a legislative committee. The proposed system would evacuate high-risk pregnant women in rural areas to either Children’s of Mississippi in Jackson or out of state.
When asked for updates about how the system of care would work, including what states Mississippi would model its system on, officials with the Mississippi Department of Health did not respond by the time of publication.
Edney was also not available to comment on the latest report, though he said in September the numbers are “extremely concerning.”
Infant morbidity, which the report defines as “any condition that adversely impacts the ability of newborns to survive and thrive,” highlights numerous racial and socioeconomic disparities.
Twice as many Black women as white women in Mississippi are diagnosed with preexisting hypertension, one of the leading causes of infant and maternal morbidity and mortality.
The report referenced a study from the American College of Obstetricians and Gynecologists that found that pregnant women on Medicaid have an increased risk of complications and poor fetal outcomes when compared to women on private insurance. That is significant in Mississippi, where, according to the report, “an estimated 22,633 deliveries are from women who have Medicaid insurance” – nearly two-thirds of the 35,156 live births that occurred in the state in 2021.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
Mississippians honor first Black lawmaker since Reconstruction
Mississippians honor first Black lawmaker since Reconstruction

Former Mississippi Rep. Robert Clark Jr. lay in state Sunday in the Capitol Rotunda as family, friends, officials and fellow citizens paid respect to the first Black legislator in the state since Reconstruction.
Clark, a Holmes County native, was elected to the House in 1967 and served until his retirement in 2004. He was elected speaker pro tempore by the House membership in 1993 and held that second-highest House position until his retirement.
The Senate and House honored the 96-year-old veteran lamaker last week.

“Robert Clark … broke so many barriers in the state of Mississippi with class, resolve and intellect. So he is going to be sorely missed,” Lt. Gov. Delbert Hosemann said last week.
Hosemann was among those who came Sunday to honor Clark. So did House Speaker Jason White, who like Clark hails from Holmes County.

Clark was the only Black Mississippian serving in the Legislature from until 1976 and was ostracized when first elected, sitting at a desk by himself for years without the traditional deskmates. But he rose to become a respected leader.
An educator when elected to the House, Clark served 10 years as chair of the House Education Committee, including when the historic Education Reform Act of 1982 was passed.
Clark served as the only Black Mississippian serving in the Legislature from 1968 until 1976.
“He was a trailblazer and icon for sure,” White said last week.




This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1912

March 9, 1912

Charlotta Bass became one of the nation’s first Black female editor-owners. She renamed The California Owl newspaper The California Eagle, and turned it into a hard-hitting publication. She campaigned against the racist film “Birth of a Nation,” which depicted the Ku Klux Klan as heroes, and against the mistreatment of African Americans in World War I.
After the war ended, she fought racism and segregation in Los Angeles, getting companies to end discriminatory practices. She also denounced political brutality, running front-page stories that read, “Trigger-Happy Cop Freed After Slaying Youth.”
When she reported on a KKK plot against Black leaders, eight Klansmen showed up at her offices. She pulled a pistol out of her desk, and they beat a “hasty retreat,”
The New York Times reported. “Mrs. Bass,” her husband told her, “one of these days you are going to get me killed.” She replied, “Mr. Bass, it will be in a good cause.”
In the 1940s, she began her first foray into politics, running for the Los Angeles City Council. In 1951, she sold the Eagle and co-founded Sojourners for Truth and Justice, a Black women’s group. A year later, she became the first Black woman to run for vice president, running on the Progressive Party ticket. Her campaign slogan: “Win or Lose, We Win by Raising the Issues.”
When Kamala Harris became the first Black female vice presidential candidate for a major political party in 2020, Bass’ pioneering steps were recalled.
“Bass would not win,” The Times wrote. “But she would make history, and for a brief time her lifelong fight for equality would enter the national spotlight.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1977
On this day in 1977
March 8, 1977

Henry L. Marsh III became the first Black mayor of the former capital of the Confederacy, Richmond, Virginia.
Growing up in Virginia, he attended a one-room school that had seven grades and one teacher. Afterward, he went to Richmond, where he became vice president of the senior class at Maggie L. Walker High School and president of the student NAACP branch.
When Virginia lawmakers debated whether to adopt “massive resistance,” he testified against that plan and later won a scholarship for Howard University School of Law. He decided to become a lawyer to “help make positive change happen.” After graduating, he helped win thousands of workers their class-actions cases and helped others succeed in fighting segregation cases.
“We were constantly fighting against race prejudice,” he recalled. “For instance, in the case of Franklin v. Giles County, a local official fired all of the black public school teachers. We sued and got the (that) decision overruled.”
In 1966, he was elected to the Richmond City Council and later became the city’s first Black mayor for five years. He inherited a landlocked city that had lost 40% of its retail revenues in three years, comparing it to “taking a wounded man, tying his hands behind his back, planting his feet in concrete and throwing him in the water and saying, ‘OK, let’s see you survive.’”
In the end, he led the city from “acute racial polarization towards a more civil society.” He served as president of the National Black Caucus of Elected Officials and as a member of the board of directors of the National League of Cities.
As an education supporter, he formed the Support Committee for Excellence in the Public Schools. He also hosts the city’s Annual Juneteenth Celebration. The courthouse where he practiced now bears his name and so does an elementary school.
Marsh also worked to bridge the city’s racial divide, creating what is now known as Venture Richmond. He was often quoted as saying, “It doesn’t impress me to say that something has never been done before, because everything that is done for the first time had never been done before.”
He died on Jan. 23, 2025, at the age of 91.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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