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: 200+ Representatives Fill All-Time Council Roster
By
Geoff Kimmerly
MHSAA.com senior editor
May 6, 2025
When Plymouth-Canton Community Schools superintendent Monica Merritt attended her first meeting as a member of the MHSAA’s Representative Council on March 21 in East Lansing, she became the 203rd voting member to serve on the association’s legislative body since the first Council convened Dec. 13, 1924.
We covered how the Council is comprised in our Dec. 3 installment – “MHSAA Work Guided by Representative Council.” Briefly, the Council is the 19-member legislative body of the MHSAA. All but five members are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.
During a typical school year, the Council meets three times, and convened for the third time for 2024-25 this past Sunday and Monday in Gaylord.
The first Representative Council included 11 members, from Ann Arbor, Battle Creek, Detroit, Eaton Rapids, Escanaba, Flint, Grand Rapids, Ishpeming, Otsego, Petoskey and Saginaw. While it’s difficult to say how many high schools specifically have been represented over the years – for example, Detroit Public Schools as a district has one representative, and there are multiple statewide positions – it’s accurate to say at least 130 communities (made of one or more schools) have sent at least one delegate over the last century.
Total, 54 Council members have served at least a decade, and 11 of those 54 have served at least 20 years: Detroit’s George Mead (1930-62) and Roy Allen (1976-96), Gwinn’s Leo P. McDonald (1930-52), Saginaw’s Roy J. McMurray (1932-50, 1952-57), Escanaba’s Dan Flynn (1988-2010), Grand Haven's Scott Grimes (2001-24), Deerfield, Beal City, Hartford and Cheboygan’s Paul Ellinger (1985-2007); Gaylord, Benzonia and Bear Lake’s Karen Leinaar (2000-2021); Clare, Maple City and Sanford Meridian’s William Newkirk (1988-2007), Trenton and Gibraltar Carlson’s Eric Federico (1986-94, 1996-2009) and current director of physical education and athletics for the Archdiocese of Detroit Vic Michaels, who has represented non-public schools on the Council since 2003.
A total of 17 Council members have served multiple terms but not entirely consecutively, with Petoskey’s Robert Doctor the only one with two breaks; he was on the Council from 1972-80, 1988-90 and 1994-95. As noted by his 32 years above, Mead was on the Council longest, representing Detroit Public Schools during his tenure as health and physical education director.
At least eight Council members have represented multiple schools, including current member Fred Smith, who has served a combined 15 years over two tenures while employed at Comstock, Buchanan, Benton Harbor and currently Bangor.
Michigan Department of Education representatives are not counted in the totals above as they are non-voting members – but they has provided an invaluable viewpoint during Council proceedings over the years. The current MDE representative on Council is Ross Fort, who serves as special assistant to the deputy superintendent.
The photo above was taken Monday morning. Front row, from left, are MHSAA executive director Mark Uyl, Michaels (who also serves as Council secretary/treasurer), Midland athletic director and Council president Eric Albright, and Brighton athletic director and Council vice president John Thompson.
Second row, from left, are Gobles athletic director Chris Miller, Freeland Middle School principal Jennifer Thunberg, Kingsford athletic director Chris Hartman and Camden-Frontier superintendent Chris Adams.
Third row, from left: Boyne City High School principal Adam Stefanski, Harbor Springs athletic director Anna Novak, Wyoming Godfrey-Lee Public Schools superintendent Arnetta Thompson, Mt. Morris athletic director Jeff Kline and Fenton High School principal Mike Bakker.
Back row, from left: Westland John Glenn athletic director Jason Malloy, Smith, Merritt, Fort, Detroit Public Schools executive director of athletics Jay Alexander and Calumet assistant principal Sean Jacques. (Portage Northern athletic director Chris Riker is not pictured.)
Previous "Century of School Sports" Spotlights
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