Strategic Outreach Bridging Racial Gap In Pregnancy-Related Health Outcomes

New Haven resident Kimberly Streater was pregnant with her third of six children when she called her friend for a ride to the hospital after sustaining a hit to her stomach by her then-husband. When she reached the hospital, Streater, not yet 28 weeks pregnant, alerted personnel that her baby was coming—now. “They said, ‘No, no, he’s not coming,’ after I told them he was,” she recalled. Minutes later, Howie was born at 3 pounds and 1.5 ounces in the admitting area of the hospital, just as Streater had predicted. Statistically, the preterm birth of Streater’s baby does not come as a surprise.

Maternal Deaths Rising At Alarming Rate, But Who’s Counting?

Why do so many pregnant women and young mothers die? Your guess is as good as our government’s. We simply don’t know. Even the statistics we have aren’t current, though from all indications the U.S.’s mortality rate is rising, as it is in Afghanistan and Sudan. But in the U.S., the rate has risen by 136 percent between 1990 and 2013.

Connecticut Fertility Trends: Older Mothers And Fewer Babies

As fertility rates fall nationwide, Connecticut continues to rank among the lowest in the country—a trend doctors attribute to women here delaying childbearing. In 2016, the most recent year for which state-level data is available, Connecticut had 53.4 births per 1,000 women ages 15 to 44, compared with a national average of 62 per 1,000 women, according to data from the Centers for Disease Control and Prevention (CDC). Just four states had lower rates than Connecticut in 2016, and all are in New England: Vermont at 50.3 births per 1,000 women, New Hampshire at 50.9, Rhode Island at 51.8 and Massachusetts at 51.9. The states with the highest fertility rates in 2016 were South Dakota at 77.7, North Dakota at 77.3, Utah at 76.2 and Alaska at 76.1, the CDC reports.  Unlike birth rates, which take an entire population into account, fertility rates reflect the share of babies born to women of childbearing age. Connecticut typically ranks low on the list, along with other “high achievement, high education states,” said Dr. Harold J. Sauer, chairman of obstetrics and gynecology at Yale New Haven Health’s Bridgeport Hospital.

ADHD Drug Use Rises Sharply Among Young Women

A growing number of reproductive-age women are taking prescription medication to treat attention-deficit/hyperactivity disorder (ADHD), data show, but doctors warn the effects of such drugs on pregnancies are largely unknown. The number of privately insured women nationwide between the ages of 15 and 44 who filled a prescription for an ADHD medication soared 344 percent from 2003 to 2015, from 0.9 percent to 4 percent, according to Centers for Disease Control and Prevention (CDC). ADHD medication use increased among all age brackets within that group and in all geographic regions, data show. The biggest spikes were seen in women ages 25 to 29, among which medication use jumped 700 percent, from 0.5 percent in 2003 to 4 percent in 2015. The second-largest increase was among women ages 30 to 34, which had a 560 percent increase from 0.5 percent to 3.3 percent, according to the CDC.

As Lyme Disease Spreads, Danbury Lab Focuses On Diagnostic Tools

For nearly nine years, scientists inside the boxy brick Western Connecticut Health Network Research Center have been working to develop a more accurate test to diagnose the scourge of the Connecticut woods: Lyme disease. Lyme disease is carried by the tiny blacklegged tick, commonly known as a deer tick. When a blacklegged tick infected with Lyme bites a human, it can transmit a tiny microscopic organism, called a spirochete, that moves around the human body, evading easy detection. Researchers in Danbury have been trying to detect that spirochete, similar to those that cause syphilis and other diseases, in people’s blood. Pathology research scientist Donna Guralski powered up her microscope and computer recently to show the culprit: a fluorescent green corkscrew-shaped organism that twisted around the screen, just as it would burrow through a person’s blood vessel walls and into tissue.

Recent E. Coli Outbreak Underscores Flaws In Food-Recall Process, Critics Say

A fatal outbreak of E. coli contamination that recently hospitalized at least 26 people in the U.S. and Canada—including two in Connecticut—shows that the federal government is failing to adequately protect people from consuming recalled foods, lawmakers and consumer advocates say. The outbreak that sickened the two Connecticut residents and 16 others nationally, including 1 person in California who died, was probably caused by eating “leafy greens,” but a specific leafy green couldn’t be identified, the Centers for Disease Control and Prevention (CDC) reported. The Canadian government’s Public Health Agency announced on Dec. 11 that the outbreak was linked to romaine lettuce. Maura Downes, the communications director for the Connecticut Department of Public Health, confirmed that two state residents were sickened by the E. coli outbreak.

Connecticut Sees Uptick In Stroke Deaths

While the prevalence of strokes in Connecticut has essentially remained the same in recent years, progress in slowing the number of deaths from stroke has declined in the state, a development the Centers for Disease Control and Prevention (CDC) calls “disturbing.”

The spike reverses a national decades-long trend that brought stroke death rates down. From 1999 to 2014, deaths from strokes were on the decline in the state and nationally. But a recent CDC report found that Connecticut was among 39 states in which the decline in stroke deaths has slowed or the number of stroke deaths has started to increase. From 2012 to 2015, the number of stroke deaths in Connecticut increased 9.5 percent, from 1,263 to 1,384. Stroke deaths were highest in the northeast and northwest regions of the state, CDC data show.

Heavy Drinking Among Women At All-Time High, Despite Health Consequences

An ever-increasing number of women in the state are drinking to excess, state and federal data show. Statewide, female admissions to acute hospital emergency departments for alcohol-related reasons rose by 4.8 percent between fiscal years 2012 and 2016, according to the Connecticut Hospital Association. The female-only Eden Hill Recovery Retreat in Canaan fills an average of 10 to 12 beds per month; earlier in the center’s eight-year history, rarely were there more than eight beds occupied at a time. Researchers at the Yale School of Medicine note an increase in the number of women enrolling in studies that examine the effectiveness of a medication to curb one’s desire to drink alcohol. The uptick in problem drinking among women in Connecticut mirrors a national trend.

Surge In STDs Attributed To Unsafe Sex, Hookups

The number of people diagnosed with a sexually transmitted disease has increased in Connecticut as well as across the country, data from the Centers for Disease Control and Prevention (CDC) reports. Though experts note that some of the increase is due to better screening, they are concerned about an actual rise in cases and attribute that to more casual sex through hookup apps and an increase in unprotected sex. Nationwide, more than 2 million cases of chlamydia, gonorrhea and syphilis were reported in 2016, the highest number ever, with chlamydia making up the majority of cases. The annual Sexually Transmitted Disease Surveillance Report, released in late September, found that a total of 1,598,354 cases of chlamydia were reported in 2016, a 4.7 percent increase over 2015.  Gonorrhea cases increased by 18.5 percent to 468,514, and syphilis increased 17.6 percent to 27,814 cases. In Connecticut, 14,028 cases of chlamydia were reported, 759 more than in 2015, a 5.7 percent rise.

Teen Pregnancy Prevention Programs That Worked Lose Federal Funding

While we’ve been engrossed in the Republicans’ umpteenth attempt to repeal the Affordable Care Act, the Trump administration quietly has stopped funding 80-some teenage pregnancy prevention programs around the country, including a highly successful one in Hartford. The Trump administration has cut nearly $214 million in grants. Those grants were awarded under President Obama, and were supposed to have ended in 2020. Recently, the U.S. Department of Health and Human Services let grantees know that the funds would end in 2018—two years earlier than promised. The cut was first reported by Reveal, a product of The Center for Investigative Reporting.