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.
Century of School Sports: Upper Peninsula Helps Makes Michigan's School Sports Story Unique
By
Geoff Kimmerly
MHSAA.com senior editor
May 27, 2025
From the parking lot of the MHSAA office in East Lansing, it’s a shorter drive to Kentucky than to Crystal Falls Forest Park High School on the far western border of the Upper Peninsula.
That little fun fact illustrates just a bit of what makes Michigan – made up of two large peninsulas surrounded by four of the world’s largest freshwater lakes and connected by one of its longest bridges – a fascinating place to live and serve as a statewide athletic association.
It also provides a little bit of context in explaining how Upper Peninsula athletics have occupied their own unique space both literally and figuratively in that statewide landscape dating back to well before the creation of the MHSAA in December 1924.
With time and technology, the world indeed has become smaller – and Michigan with it. And over the MHSAA’s 100-year history – with help from achievements like the Mackinac Bridge – the Upper and Lower Peninsulas have come to a place of competing together in most sports, during most of the same seasons, but still with some exceptions to accommodate notable differences that remain.
Consider first these two:
• There are 53 MHSAA-member high schools in the Upper Peninsula, located across roughly 16,000 square miles of land. That’s compared to 701 Lower Peninsula member high schools spread over about 40,000 square miles.
• There is only one high school with more than 1,000 students in the Upper Peninsula – Marquette, with an enrollment of 1,021 this school year to rank as the state’s 127th-largest overall. Escanaba, Sault Ste. Marie and Kingsford are the only other high schools with at least 500 students.
With those comparisons as conversation starters, it’s easy to understand how schools above the Bridge face increased travel time, distance and expenses compared to most of their downstate friends – during both the regular season and MHSAA postseason – and not to mention frequently shorter fall and spring outdoor sport seasons because of winters that start sooner and end later.
To make competition as equitable and worthwhile as possible amid those challenges, the MHSAA has settled on a mix of statewide and U.P.-only championships – and with the Upper Peninsula taking the lead on devising its championship schedules.
This week alone will see Boys Tennis, Girls & Boys Golf and Girls & Boys Track & Field Finals competed in U.P.-only divisions. Upper Peninsula girls tennis, girls and boys cross country, and girls and boys swimming & diving programs also operate their postseason tournaments separately from the Lower Peninsula.
Among other sports, boys basketball played separate tournaments by peninsula from 1932-47, wrestling was contended in separate tournaments from 1967-87, girls volleyball was separate from its first season of 1975-76 until unifying in 1999-2000, and girls gymnastics also was separated by peninsula from 1972-73 until unification in 2003-04.
The Upper Peninsula’s voice in these matters goes back to the MHSAA’s predecessor organizations – beginning in 1904 when Ironwood’s first superintendent Luther L. Wright served on the Michigan State Teacher’s Association’s Committee on High School Athletics. Howard S. Doolittle – formerly representing Saginaw Eastern before becoming principal of Calumet High School – played a major role in bringing Upper Peninsula schools (and the then-Upper Peninsula Association) into the fold with the Lower Peninsula schools under the MHSAA’s predecessor Michigan Interscholastic Athletic Association.
With the creation of the MHSAA and its Representative Council in 1924 came an elected member representing the Upper Peninsula – Escanaba superintendent R.E. Cheney during that first school year. A second representative was added a short time later so both the largest and smallest schools from that region had a vote. Gwinn’s Leo P. McDonald (1930-52) and Escanaba’s Dan Flynn (1988-2010) are among 11 Council members who have served at least 20 years, and as recently as 2014 the Council president hailed from just south of Lake Superior’s shores as Negaunee superintendent Jim Derocher finished his final term. Kingsford’s Chris Hartman and Calumet’s Sean Jacques currently serve as the U.P. reps.
The Upper Peninsula Association ceased when the MHSAA was created, but in 1933 the Council authorized the formation of the Upper Peninsula Athletic Committee, which from the start has taken a leading role in organizing the U.P.-only championships and continues as well to serve as an advisory board providing U.P. input on statewide topics of the day. Among its most memorable actions, the U.P. Athletic Committee played a large role in Upper Peninsula schools’ return to a statewide boys basketball tournament after 15 seasons of separation.
The most recent U.P. Athletic Committee meeting occurred April 24 and included members Hartman, Jacques, Mike Berutti (West Iron County), Vince Gross (Paradise Whitefish Township), Jack Kumpula (Lake Linden-Hubbell), Sam Larson (Menominee) and Paul Jacobson (Negaunee) along with Jim Bobula (Ontonagon), Don Gustafson (St. Ignace) and Dale Hongisto (Gladstone) in advisory roles.
They recommended and/or confirmed tournament sites for this spring’s Upper Peninsula Regional and Finals championships, some 2025-26 U.P. Finals and hosts for the U.P.’s Districts, Regionals and Quarterfinals in both girls volleyball this fall and girls and boys basketball for next winter. Committee members also discussed coaches education opportunities for this fall and the possibility of further U.P. involvement in future L.P.-only tournaments, among other topics.
Previous "Century of School Sports" Spotlights
May 20: From Nearly A to Z, Schools Repped by 221 Nicknames - Read
May 13: These Record-Setters were Nearly Impossible to Defeat - Read
May 6: 200+ Representatives Fill All-Time Council Roster - Read
April 29: MHSAA Programs Prioritize Health & Safety - Read
April 23: Patches Signify Registered Officials' Role in MHSAA Story - Read
April 16: Student Advisory Council Gives Voice to Athletes - Read
April 9: State's Storytellers Share Spring Memories - Read
April 2: Sharp Leadership Synonymous with MHSAA Success - Read
March 25: Athletic Directors Indispensable to Mission of School Sports - Read
March 18: 2025 Finals Begin Next Half-Century of Girls Hoops Championships - Read
March 11: Boys Basketball's Best 1st to Earn MHSAA Finals Titles - Read
March 5: Everything We Do Begins with Participation - Read
Feb. 25: Slogans & Logos Remain Unforgettable Parts of MHSAA History - Read
Feb. 19: MHSAA Tickets Continue to Provide Fan-Friendly Value - Read
Feb. 11: We Recognize Those Who Make Our Games Go - Read
Feb. 4: WISL Conference Continues to Inspire Aspiring Leaders - Read
Jan. 28: Michigan's National Impact Begins at NFHS' Start - Read
Jan. 21: Awards Celebrate Well-Rounded Educational Experience - Read
Jan. 14: Predecessors Laid Foundation for MHSAA's Formation - Read
Jan. 9: MHSAA Blazes Trail Into Cyberspace - Read
Dec. 31: State's Storytellers Share Winter Memories - Read
Dec. 17: MHSAA Over Time - Read
Dec. 10: On This Day, December 13, We Will Celebrate - Read
Dec. 3: MHSAA Work Guided by Representative Council - Read
Nov. 26: Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19: Connection at Heart of Coaches Advancement Program - Read
Nov. 12: Good Sports are Winners Then, Now & Always - Read
Nov. 5: MHSAA's Home Sweet Home - Read
Oct. 29: MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23: Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15: State's Storytellers Share Fall Memories - Read
Oct. 8: Guided by 4 S's of Educational Athletics - Read
Oct. 1: Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read