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

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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

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

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

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.

The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.

Some who oppose Medicaid expansion say the digital tracker is flawed.

During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.

“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”

White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.

Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.

White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.

Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.

People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.

During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.

White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.

They are correct.

But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.

As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.

Some have speculated that Medicaid expansion also could be on Musk’s chopping block.

That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.

Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?

If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.

The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.

In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.

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 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

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

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