dr. molfese, you're >> dr. molfese, you're recognized for your five minutes. >> thank you for this opportunity. if we could have the slides. go to the next slide. yeah. the earlier group talked about a number of -- if you can go ahead and put that on powerpoint. a number of sports where the rate of concussion is particularly high. there are differences in rates for men and women. dr. gay will talk about that in terms of weaknesses of women's necks relative to men and how that puts them at more risk for concussion. the next slide. concussion accounts for roughly 75% of traumatic brain injuries in the united states. it is a brain injury. there is damage to the brain. there is discussion about whether it is permanent or temporary. in the military, the rate is 77%. youth sports are a good model for looking at concussion in the military. most military concussions occur in situations like they do with the rest of americans. some certainly occur in theater. but the majority occur outside of theater in accidents. next s

dr. molfese, you're >> dr. ese, you're recognized for your five minutes. >> thank you for this opportunity. if we could have the slides. go to the next slide. yeah. the earlier group talked about a number of -- if you can go ahead and put that on powerpoint. a number of sports where the rate of concussion is particularly high. there are differences in rates for men and women. dr. gay will talk about that in terms of weaknesses of women's necks relative to men and how that puts them at more risk for concussion. the next slide. concussion accounts for roughly 75% of traumatic brain injuries in the united states. it is a brain injury. there is damage to the brain. there is discussion about whether it is permanent or temporary. in the military, the rate is 77%. youth sports are a good model for looking at concussion in the military. most military concussions occur in situations like they do with the rest of americans. some certainly occur in theater. but the majority occur outside of theater in accidents. next slide

dr. molfese was a member of the committee. we came with six recommendations. first was the cdc needed to establish a better mechanism for national surveillance to comprehensively capture the incidence of concussions. we you -- you heard a number of figures in one sport or another. we know where they are measured. we do not know the incidences in sports where they are not measured or more closely watched. we need that baseline to know the degree to which we have a problem, and as we take corrective measures, the success rate we are having in making an impact on decreasing the incidence is of concussion. we need better surveillance and epidemiology. the two, a couple of recommendations related to research. we need the nih and dod to look more specifically at what metrics and markers are for concussions. how do you assess the severity of a concussion? alw do you find diagnostic ly whether an individual has had a concussion. now it is based on observation and self-report. are there physiologic markers that could be used to give us better documentation concussion h