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The Centers for Disease Control and Prevention (CDC) issued a new report, “Differences in State Traumatic Brain Injury-Related Deaths, by Principal Mechanism of Injury, Intent, and Percentage of Population Living in Rural Areas-United States, 2016–2018,” that shows Traumatic Brain Injury (TBI)-related death rates are higher in the South and Midwest regions of the United States (U.S.). States with a higher percentage of people living in rural areas also had higher rates of TBI-related deaths during 2016–2018. Suicide and unintentional falls contributed the highest number of TBI-related deaths in most states. Some additional key findings from this report include:

  • The South and Midwest regions had the highest rates of TBI-related deaths (19.2 per 100,000 and 18.1 per 100,000, respectively). The overall U.S. TBI-related death rate was 17.3 per 100,000.
  • The Northeast and West regions had the lowest rates of TBI-related deaths (12.8 per 100,000 and 16.8 per 100,000, respectively).
  • The lowest rate was in New Jersey (9.3 per 100,000), while the three highest state rates were in Alaska (34.8), Wyoming (32.6), and Montana (29.5).
  • Suicide was responsible for the highest number and the highest rate of TBI-related deaths for most states.
  • More than 40 percent of TBI-related deaths were due to homicides or suicides.

Photo by Alena Shekhovtcova from Pexels

ODP Announcement 21-078 announces recent recommendations from the Centers for Disease Control and Prevention (CDC) about booster doses of COVID-19 vaccines. All three available vaccines, Pfizer, Moderna, and Janssen (Johnson & Johnson), now have available guidance regarding booster doses.

On Thursday, October 21, 2021, the CDC issued a recommendation for Moderna and Janssen booster doses for certain groups of individuals. This is in addition to the CDC’s earlier recommendation on September 24, 2021 for the Pfizer booster dose.

Eligible individuals are now able to schedule appointments and receive booster doses. The Office of Developmental Programs (ODP) will not be coordinating vaccine clinics for booster doses.

This announcement provides ODP’s expectations for residential providers, long-term care facilities, individuals and families. Questions about this announcement may be directed here.

Bored and confused little boy sitting in a white chair with his teddy bear, looking at a woman in front of him

Many children who have attention-deficit/hyperactivity disorder (ADHD) have other concerns or disorders. For some children, symptoms that look like ADHD can be better explained by another diagnosis. Recognizing symptoms of ADHD and other disorders and finding ways to help children can be a challenge for families. Read more about how to help children who have ADHD and other disorders.

The Centers for Disease Control and Prevention (CDC) funds the National Resource Center on ADHD (NRC), a program of CHADD — Children and Adults with Attention-Deficit/Hyperactivity Disorder. Visit the NRC for more information and resources for children with ADHD and their families. The NRC also operates a call center (866-200-8098) with trained staff to answer questions about ADHD and related disorders.

The Centers for Disease Control and Prevention (CDC) has designed a new online concussion training for school professionals. This new free training, HEADS UP to Schools: Online Concussion Training for School Professionals, which takes 45-60 minutes to complete, is designed to help classroom teachers (grades K-12), school administrators, paraprofessionals, teacher’s aides, and other staff who work with students to understand the following:

  • How a concussion may affect a student’s learning, emotions, and behavior;
  • How to identify and monitor signs and symptoms of concussion; and
  • How to help students successfully return to school and recover from a concussion.

Preview the CDC HEADS UP Trainings on Concussion:

Microscope, laboratory, monitor, quarantined, virus COVID-19

We’re learning more about COVID-19 all the time. The Centers for Disease Control and Prevention (CDC) looks at the latest available evidence to make the best science-based public health recommendations. Because of new information on the Delta variant currently circulating in the United States, CDC has updated the information for fully vaccinated people.

More About the Delta Variant

Viruses constantly change through mutation. Slightly different forms of a virus are called variants.

Delta is one such variant, and it’s caused more than 80% of recent COVID-19 cases in the United States – according to estimates – and will likely cause more. Delta spreads more easily than other variants. In fact, COVID-19 cases have increased over 300% nationally from June 19 to July 23, 2021, driven by Delta variant.

The best way to stop the spread of Delta is to get vaccinated against COVID-19. Vaccines are preventing severe illness, hospitalization, and death, and are effective against the Delta variant. High vaccination coverage will reduce spread of the virus in your community and elsewhere – and help prevent new variants from emerging.

What Has Been Updated?

CDC is constantly reviewing new data and evidence on the Delta variant. This update is based on recent evidence both here in the United States and in other countries. It shows a small number of fully vaccinated people may be infected with Delta and may infect others.

The highest spread of cases and severe outcomes is happening in places with low vaccination rates. Most vaccinated people are protected from the virus. However, the evidence shows that vaccinated people can get Delta in a breakthrough infection and may be contagious. Even so, breakthrough cases are being seen in a small number of vaccinated people and the vast majority are avoiding serious illness, hospitalization, or death. Virtually all hospitalizations and deaths continue to be in those who are not vaccinated.

The Delta variant is much more contagious than previous versions of the virus. Therefore, CDC now recommends the following for people who are fully vaccinated (more than 2 weeks from the last dose of the vaccine):

  • To reduce the risk of being infected with the Delta variant and possibly spreading it to others, wear a mask indoors in public if you are in an area of substantial or high transmission.
  • Fully vaccinated people might choose to wear a mask regardless of the level of transmission, especially if you have a weakened immune system or if, because of your age or an underlying medical condition, you are at increased risk for severe disease, or if a member of your household has a weakened immune system, is at increased risk for severe disease, or is not vaccinated.
  • If you’ve been around someone who has COVID-19, you should get tested 3-5 days after your exposure, even if you don’t have symptoms. You should also wear a mask indoors in public for 14 days following exposure or until your test result is negative. You should isolate for 10 days if your test result is positive.

CDC recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status. Children should return to full-time in-person learning in the fall with layered prevention strategies in place.

Learn more about these updates. At this time, recommendations for travel have not changed.

How to Protect Yourself and Your Community

Getting vaccinated is the most important thing you can do to end the COVID-19 pandemic. But some people may still need to take steps to protect themselves against COVID-19, such as children too young to get vaccinated or people with weakened immune systems.

In addition to wearing masks indoors in public, consider the following:

  • Choose safer activities, like those outdoors
  • Stay 6 feet apart from people not in your household
  • Avoid crowds and poorly ventilated spaces
  • Wash your hands often
  • Cover coughs and sneezes
  • Clean and disinfect surfaces
  • Monitor your health daily

Find a Vaccine Near You. With the Delta variant, getting vaccinated is more urgent than ever. Please send this information to your colleagues, networks, friends, and family.

Additional Resources

Contact Us

Email: EPIC@cdc.gov
Centers for Disease Control and Prevention
1600 Clifton Rd
Atlanta, GA 30333

Contact CDC-INFO
800-CDC-INFO (800-232-4636) TTY: 888-232-6348

Photo by Daniel Schludi on Unsplash

From National Council:

Yesterday, the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) released their COVID-19 vaccine distribution recommendations. We want to share an update on our ongoing efforts to ensure that behavioral health organizations are prioritized in our nation’s COVID-19 response.

As written, the CDC’s vaccine distribution recommendations have been left open-ended concerning whether or not behavioral health providers and organizations are included under the Phase 1 vaccination category.

Failing to specify whether behavioral health providers and organizations will have immediate vaccine access is unacceptable given the essential work done every day during the pandemic to provide life-saving mental health and substance use disorder treatment and services in communities across the country.

However, the panel’s recommendations are not yet final and must be approved by the CDC director before becoming official CDC state guidance.

To emphasize our point, we recruited partners and sent a letter this morning to US Department of Health and Human Services (HHS) Secretary Alex Azar; CDC Director Robert Redfield, MD; and Advisory Committee on Immunization Practices Chair José Romero, MD, FAAP, calling for mental health and substance use providers to be included as essential frontline providers for the purposes of Phase 1 vaccine distribution.

We also released a public statement in response to the initial vaccine recommendations, citing the need for behavioral health providers and organizations to have uninhibited access to testing support, the funding necessary to meet increased demand, and Phase 1 vaccine distribution.

We are frontline and essential – and we will make sure that behavioral health providers and organizations get prioritized support.

If you have any questions, please contact us!