NFHS Voice: No HS Football Link to CTE
October 21, 2019
By Karissa Niehoff
NFHS Executive Director
When it comes to the long-term effects of concussions in sports, there is a wide range of information published – almost on a daily basis. Unfortunately, much of the media coverage as it relates to high school sports – and particularly the sport of football – is misleading.
Last week, the Concussion Legacy Foundation introduced its new public-service announcement that compared youth football dangers to smoking. As the pre-teen football players puff on cigarettes, the voiceover says, “Tackle football is like smoking, the younger I start, the longer I’m exposed to danger.”
The “Tackle Can Wait” campaign by the foundation is an attempt to steer children under the age of 14 into flag football. Although establishing a finite age may be difficult, reducing contact at youth levels is certainly a positive. USA Football is doing just that nationally through its Football Development Model. Likewise, the 51 member state associations of the National Federation of State High School Associations (NFHS) have enacted limitations on contact during preseason and practice sessions.
Our concern is the term “exposed to danger.” These types of messages continue to spread unwarranted fear to parents of high school student-athletes. The “danger” refers to reports that players who incur repeated concussions can develop chronic traumatic encephalopathy (CTE).
A 2017 study from the Journal of American Medical Association (JAMA) linked CTE in the brains of deceased National Football League players. Even if this report is accurate, these are individuals who endured repeated blows to the head for 20 to 25 years BEFORE any concussion protocols were in place.
Less publicized is a study by Dr. Munro Cullum and his colleagues at the Peter O’Donnell Jr. Brain Institute, which is a part of the University of Texas Southwestern Medical Center in Dallas. Cullum’s group studied 35 former NFL players age 50 and older who had sustained multiple concussions throughout their careers. The findings showed no significant association between the length of the individuals’ careers, the number of concussions and their cognitive function later in life.
Two studies, two different conclusions. Regardless of the outcome, however, they are not applicable to kids playing football before and during high school. There is absolutely no linkage to CTE at these levels, and the word “danger” should not be a part of the discussion.
A more applicable and significant study was also published in JAMA in 2017. In a study of about 4,000 men who graduated from Wisconsin high schools in 1957, there was no difference in cognitive function or decline between those who played football and those who did not as they reached 65 years of age. We would assume the majority of these individuals discontinued football after high school.
With more than one million boys – and girls – playing the contact sport of football each year, severe injuries do occur from time to time, but parents should know that efforts to lessen the risk of a catastrophic injury, including head injuries, have never been stronger than they are today.
In fact, new data from the National High School Sports-Related Injury Surveillance Study indicates some positive trends in concussion rates. The study, which was released in the American Academy of Pediatrics online issue of Pediatrics last week, indicated that concussion rates during football practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures between the 2013-14 and 2017-18 seasons.
In addition, repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.
Concussion laws are in place in every state. All NFHS sports rules books have concussion management protocols. Helmet-to-helmet hits are not allowed in football. Limits on contact in preseason and practice in football are in place in every state.
After considering all the available research, we encourage parents to let their kids play their sport of choice in high school, but we would discourage moving away from football – or any contact sport – solely based on the fear of developing CTE later in life.
Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.
Lifelong Hawkeye: Joostberns Continues Legacy of Service in Hamilton
By
Zach Harig
Hamilton Community Schools
September 19, 2025
For nearly half a century, the voice behind Friday night football games in Hamilton has belonged to one man: Loren Joostberns.
A 1970 graduate of Hamilton High School, Joostberns has worn many hats in his hometown – teacher, coach, announcer, scorekeeper, school board member – but all of them share a common thread: a deep commitment to giving back to the community that raised him.
“This is my 45th year of announcing football games for Hamilton,” Joostberns said proudly, his voice carrying the same warmth that has welcomed fans to Hawkeye Stadium for decades. “I’ve done some volleyball, a lot of wrestling, occasionally some basketball, but mostly the scorebook in basketball for 44 years, and I do announce baseball in the spring now, which has been fun.”
With so much experience and history from the community, Joostberns is regularly asked to serve as the voice of many school district and community videos. His voice is arguably the most recognizable in town. From morning coffee at the round table at the local restaurant in town, to school board meetings, to microphones all around the district, Joostberns is seen and heard no matter where he goes around Hamilton.
Building a life in Hamilton
Not many can claim that they have been involved in a school district before it was even a school district.
However, Joostberns can make that claim as he was in kindergarten in 1957-58, with Hamilton becoming its own school district on June 23, 1958. He then continued in the school district as a student through graduation.
After graduating from Hamilton and then Hope College, Joostberns returned to the district as a teacher. He taught for 30 years, then continued his connection to the classroom as a substitute teacher for another nine. Today, he remains an active part of Hamilton Community Schools as Board of Education secretary, now in his 13th year of service.
Through it all, he has found joy in staying close to athletics. Since announcing his first football game in 1981, he’s become a fixture at sporting events year-round. His passion is not about statistics or wins and losses – it’s about making sure young athletes have the best possible experiences.
“I think one thing is, what can you do to contribute to kids having good experiences?” he said. “That’s one thing I always keep in the back of my mind. You want to do what you can to help kids have positive experiences, and if that contributes in a small way, then it’s worth it.”
Of course, Joostberns admits there’s a little fun in the job, too. “You’re in the center of the action. I’ve got the best seat in the house for football, and for basketball you’re at center court. You get to know the officials, get to know people from other schools, and it’s a good way to be involved.”
Memories from the press box
The Hamilton facilities Joostberns works in today look nothing like what he started with in the early 1980s. He chuckled as he recalled the first press box from which he worked.
“In football, if you would have seen what we had in Hamilton back in 1981 and 1982 compared to what we have now in terms of facilities, it’s incredible,” he said. “The press box was a little green building basically on stilts that swayed with heavy winds, and it held six people – two coaches from each team on either side and an announcer and timer in the middle. You were elbow to elbow and you felt in a precarious position because you didn’t know if the press box was going to stand up or not.”
That humble start makes him especially proud to see how the district has grown its athletic facilities and opportunities for students.
While Joostberns has devoted his life to Hamilton, he also holds a special passion for the University of Michigan. He has been a season ticket holder for 51 years, attending countless games at “The Big House” in Ann Arbor. The dual loyalties complement one another: Hamilton football on Fridays and Michigan football on Saturdays.
But no matter how big the stage gets, his heart always comes back to Hamilton. “At Hamilton, we have always prided ourselves in trying our best to do the best we can for kids, to do things the right way,” Joostberns said. “That’s why I’ve stayed involved for so long.”
Lasting Legacy
Few communities can point to someone who has continuously served across so many different roles for more than four decades.
Joostberns’ contributions can’t be measured in titles or statistics, but rather in the memories he has helped shape – whether it’s an athlete hearing his name announced before a big play, a student remembering him as a teacher, or a fellow community member working alongside him on the school board. Numerous times a year, veteran opposing coaches greet Joostberns before the game to say hi because he is such a staple of the community and school district. His warm and friendly demeanor is appreciated by all, both on the home and opposing sidelines.
Hamilton’s athletic director and coaches often describe him as the kind of person every school hopes to have: reliable, passionate, and selfless. He doesn’t do it for recognition, but for the chance to leave things a little better than he found them.
For Joostberns, the motivation is simple: “It’s about helping kids, and being part of something bigger than yourself.”
And for Hamilton, the community is grateful that one of its own has been willing to give back for so many years. As recognition for his countless years of service in and out of the classroom, “Mr. Hamilton” was honored with the high school basketball court being renamed the Loren Joostberns Court in 2021.
From the rickety old press box of 1981 to the modern facilities of today, from chalkboards in the classroom to discussions in the boardroom, Joostberns has remained a steady, positive presence. His story is a reminder of how one person’s steady commitment over a lifetime can shape a school and community for generations.
Not all lessons or legacies are cemented in the classrooms or fields, but some are passed on from behind the mic and echoed over the airwaves for all to hear and cherish.
PHOTOS (Top) Hamilton’s Loren Joostberns poses for a photo in front of the high school stadium this fall. (Middle) Joostberns has served the district in several roles over the years, including as a member of the school board. (Below) Joostberns takes a moment for a photo while behind the microphone. (Photos courtesy of Hamilton Community Schools.)