Michigan records lowest rate of infant mortality in its history

Michigan records lowest rate of infant mortality in its history

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Press Release


FOR IMMEDIATE RELEASE: June 18, 2025

CONTACT: Lynn Sutfin, 517-241-2112, SutfinL1@michigan.gov

Michigan records lowest rate of infant mortality in its history;
continues focus on resources to keep moms, babies healthy
Multidisciplinary group of partners gather to advance maternal, infant
and family health at 8th annual Maternal Infant Health Summit

LANSING, Mich. – As the state marks the lowest recorded infant mortality rate in its history, attendees of the 8th annual Maternal Infant Health Summit gathered today and Tuesday to share ideas on how to continue efforts to improve the health of Michigan moms and babies. The event, hosted by the Michigan Department of Health and Human Services (MDHHS), convened a multidisciplinary group of state and national partners.

“We are proud of the improvements we are making and will continue to make when it comes to the health of moms and babies,” said Elizabeth Hertel, MDHHS director. “The dedication of Governor Whitmer and the legislature, quality work conducted by partners across the state and collaboration with Michigan families and communities are key to our current and future success.”

Infant mortality is defined as the death of a live born infant prior to their first birthday; the top three causes are prematurity and low birth weight, congenital anomalies and accidents and adverse outcomes.

In 2023, 607 infants under the age of one died and the state’s infant mortality rate declined to 6.1 infant deaths per 1,000 live births. While there is still work to be done, this is a decrease from 2022’s, 650 deaths and 6.3 deaths per 1,000 live births. Deaths among Black infants fell to 11.9 deaths per 1,000 live births in 2023, also a record low. This is a reduction from 2022’s 14.1 deaths per 1,000 births, however, this rate is still nearly three times the rate of white infant deaths.

MDHHS continues to focus efforts on keeping moms and babies healthy through the Healthy Moms, Healthy Babies initiative that was launched in 2021 to improve health outcomes and reduce disparities. It includes the expansion of postpartum Medicaid coverage to one year after birth and programs designed to assist families through pregnancy, birth and beyond, such as doula services and the Centering Pregnancy model of care.

Doula services associated with improved birth outcomes 

Doulas provide non-clinical physical, emotional and educational support services to pregnant individuals during prenatal, labor and delivery and postpartum periods. Doula services have been shown to positively impact social determinants of health, support birth equity and decrease existing health and racial disparities.

During her fourth pregnancy, Mia Jones of Detroit found the support and guidance she was seeking with doula services from Black Mothers Breastfeeding Association (BMBFA). The experience was so positive, Jones became a Mommy Ambassador for BMBFA, sharing her story and supporting other mothers as they go through their pregnancies.

“Every pregnancy and birth are special and different,” Jones said. “I knew a little bit about having doula services, but wasn’t able to find or utilize a doula during my three previous pregnancies. Black Mothers Breastfeeding Association and the doula they provided me became the village and support I was searching for. My maternal health and the health of my unborn child was a concern for me considering my age, race and fourth pregnancy. I was looking for support I hadn’t received in my previous pregnancies including having a birth plan and breastfeeding for the first time. It was also important to me to receive emotional support because I was a high-risk pregnancy. My doula provided me with everything I wanted and more. I don’t think I could have gotten through my pregnancy without the support of my doula. This experience allowed me to have a voice to inform, educate and advocate in my community for doula services. The presence of a doula during a woman’s pregnancy is not only powerful, but very essential to positive maternal health outcomes.”

There are currently more than 700 doulas on the MDHHS Doula Registry; nearly 500 of which are Medicaid-enrolled providers.

Robena Hill has served as a doula for seven years as part of BMBFA and is a member of the state’s Doula Advisory Council. Her work is rooted in love, advocacy and education, and she ensures the families she serves are informed about safe sleep practices and the realities of infant and maternal mortality.

“I’ve walked alongside countless families during one of the most sacred and vulnerable times of their lives,” said Hill. “The loss of two babies to sudden infant death within my doula journey forever changed me. It deepened my commitment to ensuring every family I serve is equipped with the tools and knowledge they need to create safe sleeping environments and make informed decisions. Every mother I support in labor is a life I fiercely protect not only to help bring their baby into the world safely but to make sure they survive childbirth as well. Black women are three to four times more likely to die from pregnancy-related complications, and that’s unacceptable.”

Active as a trainer and mentor, Hill says she is extremely proud to help guide new generations of doulas to help continue improving birth outcomes in the state.

“We are building a stronger, more informed and more compassionate birth community, one that uplifts, protects and advocates for every mother and baby, especially those in the Black community,” Hill said.

CenteringPregnancy offers an innovative approach to prenatal care  

CenteringPregnancy is a model of care that integrates routine prenatal care and extra education about health, pregnancy and parenting within a group setting. It brings together moms due at the same time for discussion and interactive activities designed to address health topics including nutrition, common discomforts, stress management, labor and delivery, breastfeeding and infant care.

In Michigan, there are currently 35 CenteringPregnancy sites and three CenteringParenting sites.

Grassroots efforts address local needs 

Michigan Perinatal Quality Collaboratives are a network of diverse partners working to improve outcomes for mothers and babies. Nine regional perinatal quality collaboratives bring together health care professionals, community partners, families, faith-based organizations, Great Start Collaboratives, home visiting agencies and others to address clinical care and environment, socioeconomic factors and health-related behaviors.

In FY24, the collaboratives identified key areas to focus on within their respective regions and provided $5 million in grant funds to 141 community-based projects. These projects spanned across all four priority areas of the Advancing Healthy Births plan, supporting breastfeeding, access to doula services, infant safe sleep education, increased access to prenatal and postpartum care, behavioral and mental health support and community health workers.

In FY25, the collaboratives are providing another $5 million for additional community-based projects. In addition, each region is focusing on improving cardiac care in pregnant and postpartum patients.

Improving care at birthing hospitals 

The Michigan Alliance for Innovation on Maternal Health (MI AIM) equips hospitals with best practices, including protocols and staff education, that make birth safer, improve maternal health outcomes and save lives. Currently, 89% of the state’s birthing hospitals are participating in MI AIM, with more than 80% implementing both hypertension and hemorrhage patient safety bundles.

In FY24, Michigan birthing hospitals were provided funding to apply to The Joint Commission’s Maternal Levels of Care (MLC) Verification Program, resulting in 53 of Michigan’s 75 birthing hospitals applying to the program.

For more information about programs to improve the health and well-being of women, infants, families and communities, visit MDHHS’ Maternal & Infant Health webpage.

MDHHS promotes firearm safety resources

MDHHS promotes firearm safety resources

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Press Release


FOR IMMEDIATE RELEASE: June 16, 2025

CONTACT: Lynn Sutfin, 517-241-2112, SutfinL1@michigan.gov

MDHHS promotes firearm safety resources as part
of National Gun Violence Awareness Month

LANSING, Mich. – As part of National Gun Violence Awareness Month, the Michigan Department of Health and Human Services (MDHHS) is promoting firearm injury prevention resources to help keep families safe.

Firearm injuries are the number one cause of death among children and adolescents in the U.S. This is true among Michigan children and adolescents between 1 and 19 years of age.

“Firearm injuries are preventable, and everyone has a role to play in preventing these tragedies,” said Dr. Natasha Bagdasarian, chief medical executive. “Gun violence is a public health crisis that affects the well-being and safety of all Michigan residents, which is why Michigan is taking a strong public health approach to addressing this issue.”

MDHHS website, video provide secure storage information

The MDHHS Firearm Injury Prevention webpage provides information about public health and safety strategies to address gun violence. This includes firearm storage requirements and penalties information and a firearm safety and harm prevention fact sheet.

To help inform Michigan residents about the state’s safe storage law and its importance, MDHHS has produced a flyer and public service announcement, which are also available on the website.

Free gun locks available

Free gun locks are available at MDHHS county offices and some local health departments through a partnership between MDHHS and the Michigan State Police. The cable-style gun locks are being offered as part of an effort to protect children from unsecured firearms.

Gun locks are available while supplies last and can also be obtained through Project ChildSafe police partners across the state.

Task force makes recommendations

As part of the public health approach to addressing gun safety, the Michigan Gun Violence Prevention Task Force reflects a wide range of community partners, including state department directors, medical experts, law enforcement professionals, tribal representatives, academic researchers and more.

As part of its mission to identify root causes of gun violence, compile and report relevant data, maximize existing resources, solicit perspectives from diverse community partners and recommend policies to save lives, the task force has released recommendations designed to address gun violence and reduce firearm-related deaths and injuries.

Recommendations address firearms-related suicide, community violence, school safety, intimate partner violence and implementation of existing legislation. The task force is working to refine recommendations; create an implementation and analysis roadmap; and explore opportunities for collaboration and funding.

Visit the Gun Violence Prevention Task Force webpage for more information

MDHHS expand access to fall prevention resources

MDHHS expand access to fall prevention resources

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Press Release


FOR IMMEDIATE RELEASE: June 4, 2025

CONTACT: Lynn Sutfin, 517-241-2112, SutfinL1@michigan.gov

MDHHS and Michigan Falls Prevention Coalition launch 211
feature page to expand access to fall prevention resources
Health care providers, community organizations asked to add resources to site

LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) Bureau of Aging, Community Living and Supports Health Services, Oakland University and the Michigan Falls Prevention Coalition have partnered with Michigan 211 to offer fall prevention resources on mi211.org. The information is designed to connect health care providers, community organizations and residents with vital fall prevention resources.

About 30% of Michiganders ages 65 and older report falling each year and most of these falls occur at home.

“This initiative aims to improve statewide access to evidence-based fall prevention programs, durable medical equipment and nutrition services that support older adults and individuals at risk of a fall,” said Dr. Natasha Bagdasarian, chief medical executive. “Falls can lead to serious injuries, including head trauma and broken bones. By collaborating and sharing resources, we can work together to make Michigan a safer place for everyone.”

Individuals and health care professionals can access resources and services through the site or by calling 211. Searches for education and safety planning resources, physical health and wellness services, daily living supports and home accessibility modifications can be conducted by ZIP code. In addition, 211 specialists have been trained to assist callers in locating fall prevention services.

The website was made possible through a $408,499 grant from the Michigan Health Endowment Fund Healthy Aging Grant. Funding also supported development of the Michigan Falls Coalition website and an awareness campaign about the Michigan 211 resource. The coalition is supported through partnerships with MDHHS and Oakland University and brings together organizations and providers to collaborate to reduce fall risks among older adults and adults with disabilities, identify state or community needs, recommend policy changes and build capacity.

“Oakland University is proud to lead innovative research and community partnerships that improve the health and safety of Michiganders,” said Dr. Chris Wilson, lead author on the grant application and associate professor in the Physical Therapy Program at Oakland University’s School of Health Sciences. “Through our leadership within the Michigan Falls Prevention Coalition and initiatives like the 211 resource platform, we are committed to connecting older adults and individuals with disabilities to the services and supports they need to stay safe, active, and independent in their homes and communities.”

“The National Kidney Foundation of Michigan (NKFM), which provides falls prevention programs in the community, is excited to have this resource available so people can locate programs,” said Ann Andrews, MPH, senior program manager, National Kidney Foundation. “The MI Falls Prevention Coalition started in 2021 as a small advisory group for a federal grant the NKFM received. There was great interest in the group from among stakeholders across the state and it’s exciting to see what the coalition has grown into from these initial efforts.”

Health care providers and community organizations can help expand this resource by adding fall prevention programs to the website. Eligible programs include:

  • Fall prevention education and exercise programs.
  • Senior-focused exercise programs.
  • Urinary incontinence prevention initiatives.
  • Nutrition services supporting fall risk reduction.
  • Durable medical equipment providers offering fall prevention-related items.
  • Home and environmental modification programs.
  • Other related fall prevention-focused programming.

Organizations and providers interested in listing their programs or updating existing details can visit mi211.org/providers. Once a 211 representative speaks with the organization liaison directly, updates and new listings will typically be posted within 10 business days.

For more information, visit the 211 falls prevention page mi211.org or the Michigan Falls Prevention Coalition’s website at mifallsprevention.org.

Health emergencies linked to recreational nitrous oxide use

Health emergencies linked to recreational nitrous oxide use

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Press Release


FOR IMMEDIATE RELEASE: June 4, 2025

CONTACT: Laina Stebbins, 517-241-2112, StebbinsL@michigan.gov

Health emergencies linked to recreational
nitrous oxide use increase significantly

LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) is warning residents about a dramatic increase in emergency health care incidents related to recreational use of nitrous oxide or “laughing gas” in Michigan.

Calls to the Michigan Poison and Drug Information Center (MiPDC) involving recreational nitrous oxide use and its adverse health effects increased by 533% from 2019 to 2024. Emergency medical service responses related to nitrous oxide misuse increased by 553% in that same time frame, and emergency department visits also increased by 757% from 2019 to 2023.

“The drug landscape is constantly changing and the increases in nitrous oxide misuse are concerning, given the widespread availability of the product and the increase in multiple substance use,” said Dr. Natasha Bagdasarian, chief medical executive. “It is crucial that individuals who use nitrous oxide are aware of the risks of chronic use and take steps to reduce its harms.”

Nitrous oxide is used in medical settings as an anesthetic and analgesic, as well as commercially in steel aerosol whipped cream dispensers. It can be bought online or at grocery and convenience stores and smoke/vape shops. Nitrous oxide products come in a variety of flavors and are often marketed to young individuals.

Nitrous oxide is used recreationally because it is widely available and can induce euphoria, relaxation and a hallucinogenic state. However, chronic use can have serious adverse health effects. As of 2024, state law prohibits the sale of objects specifically designed for recreational nitrous oxide use.

“This is a serious public health problem. At the MiPDC, our consultants are encountering a significant increase in cases involving neurological and cardiovascular effects related to the recreational use of nitrous oxide,” said Dr. Varun Vohra, MiPDC senior director and clinical toxicologist. “Individuals who use nitrous oxide and clinicians who treat them should be aware of the symptoms and long-term risks associated with chronic recreational misuse.”

Frequent or long-term use can lead to severe neurological damage and negative psychiatric effects. Symptoms can include weakness, numbness/tingling, loss of sensations in arms or legs, memory impairment, delusions, depression and mood changes. Severe effects can include hypoxia (low oxygen in blood) and asphyxiation.

Anyone who notices concerning symptoms after using nitrous oxide recreationally should immediately stop and seek emergency medical care. Individuals can also call the MiDPC anytime at 800-222-1222 for more information or consultation with board-certified toxicologists.

For more information, see this recent Morbidity and Mortality Weekly Report publication.

Comprehensive substance use disorder (SUD) services are offered throughout Michigan to support the health and well-being of residents impacted by SUDs. Additional information is available at Michigan.gov/SUD.

Michigan releases 2025 Eat Safe Fish Guides

Michigan releases 2025 Eat Safe Fish Guides

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Press Release


FOR IMMEDIATE RELEASE: June 2, 2025

CONTACT: Lynn Sutfin, 517-241-2112, SutfinL1@michigan.gov

Michigan releases 2025 Eat Safe Fish Guides to help
residents learn about and plan for local fish consumption

LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) has released the 2025 Eat Safe Fish Guides to help Michigan residents choose which fish are safe to eat for them and their families.

The Eat Safe Fish Guides provide consumption guidelines for eating locally caught fish. Guidelines are based on levels of chemicals found in the portions of fish that people eat – typically the filets. Test results from the MDHHS Bureau of Laboratories are used to determine what is safe for people to eat over the long term.

“There are many health benefits to eating fish and the Eat Safe Fish Guides provide consumption recommendations based on the levels of certain chemicals found in fish in waterbodies across the state,” said Dr. Natasha Bagdasarian, chief medical executive. “Michigan families can use these guidelines to help make healthy choices about the fish they eat.”

MDHHS’ Eat Safe Fish Guides are not laws or regulations, but instead serve as a free resource for those who want information about which fish and how much of those fish are healthy to eat from various bodies of water across the state.

A recent scientific review of perfluorooctane sulfonate (PFOS) has provided MDHHS more information about the toxicity of PFOS and its impact on human health. PFOS has been found to be a greater threat to human health than previously thought and has resulted in changes to this year’s Eat Safe Fish Guides. Additional guidelines are included due to PFOS for both entire waterbodies and specific fish species, including an increase in the number of Do Not Eat guidelines.

MDHHS also produces the Buy Safe Fish Guide to help residents choose seafood that is lower in mercury from local grocery stores, fish markets and restaurants. The Eat Safe Fish Guides and Buy Safe Fish Guide are available online at Michigan.gov/EatSafeFish

For more information on how to buy, eat or prepare safe fish, or to get the 2025 Eat Safe Fish Guide for your region, visit Michigan.gov/EatSafeFish and select Find Your Area or call the MDHHS Division of Environmental Health at 800-648-6942.

More information on the data that resulted in changes in PFOS guidelines is available in the PFOS Reference Dose Health Consultation.

Health emergencies linked to recreational nitrous oxide use

MDHHS establishes mandatory reporting rule for ALS cases

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Press Release


FOR IMMEDIATE RELEASE: June 3, 2025

CONTACT: Lynn Sutfin, 517-241-2112, SutfinL1@michigan.gov

MDHHS establishes mandatory reporting rule for ALS cases

LANSING, Mich.  – The Michigan Department of Health and Human Services (MDHHS) has announced the adoption of a new administrative rule requiring mandatory reporting of Amyotrophic Lateral Sclerosis (ALS) cases. ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. It currently has no cure, and slowly impacts diagnosed individuals’ ability to move, speak, eat and breathe.

The rule went into effect Thursday, May 15, making Michigan the fifth state in the U.S. to implement mandatory ALS case reporting, which will improve the state’s ability to monitor the disease.

“There are between 4,000 and 6,000 cases of ALS diagnosed across the country annually,” said Dr. Natasha Bagdasarian, chief medical executive. “Mandatory reporting will help provide a better picture of who gets ALS and identify risk factors for the disease. This information will assist with research and could help offer a better future for those with ALS.”

“Establishing ALS as a reportable disease is a critical step toward reducing the burden of ALS in the state of Michigan,” said Dr. Stephen Goutman, Michigan Medicine Pranger ALS Clinic director. “Without a registry, we do not know the rates of ALS in the state or whether these rates are changing. Given the projected increase in ALS by 2030, it is essential that we collect this information now to inform changing disease trends, identify disease clusters and optimize the availability of care for all persons living with ALS.”

Under the new rule, health care professionals and health care facilities that diagnose and treat individuals with ALS will be required to report cases to MDHHS. These reports will help the department continue to develop a comprehensive registry of chronic diseases and contribute to the broader understanding of chronic disease trends in Michigan.

The rule allows public health officials to track the number of ALS cases and where they occur, offering important insight into the incidence and distribution of the disease across Michigan. Statewide ALS reporting will support trend analysis and epidemiologic understanding that can guide future research and public health actions.

“We applaud the State of Michigan and the Michigan Department of Health and Human Services for approving the creation of an ALS registry for the state,” said Dr. Eva L. Feldman, Michigan Medicine ALS Center of Excellence director. “We will now be the fifth state in the United States to have such a registry, pivotal in our fight against ALS. Michigan has one of the highest rates of ALS in the country, and this registry will help in our quest to solve why.”

The ALS reporting rule is available online. For questions about the rule or how chronic diseases, including ALS, are tracked in Michigan, contact MDHHS’ Chronic Disease Surveillance Team at MDHHS-Chronicle@Michigan.gov.