February 26, 2020
SEX EDUCATION STIs on the rise in S.D., student wants to educate SEE SEX EDUCATION ON A6
Collegian photo by FRANKIE HERRERA
ANTI VAX BILL AXED S.D. proposed bill removing required vaccines for students. University concerned over impact to study abroad and medical science programs.
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WOMEN’S HEALTHCARE SDSU educates female students on when to begin check ups and understanding what’s needed to properly care for the female body. A5
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Read more about student healthcare on pages A3-A10. Look for this symbol:
HEALTHCARE ON CAMPUS A8
SDSU’S STUDENT-RUN INDEPENDENT NEWSPAPER SINCE 1885
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February 26, 2020
NEWS
Seten, Bruley to run unopposed in election J. MICHAEL BERTSCH News & Lifestyles Editor Hattie Seten and Reis Bruley will be running uncontested for the Students’ Association Presidential election. The Students’ Association Senate opened the window to nominate a new SA President ticket during each meeting throughout the month of February. The Feb. 24 meeting was the last window to nominate presidential candidates. Seten and Bruley were nominated for the presidential ticket during the Feb. 10 meeting.
For the second time in three years, the Students’ Association presidential election will be run uncontested. In 2018, Allyson Monson and Spencer Harwood ran uncontested for the office — but still received 471 votes. To officially assume office, Seten and Bruley must receive at least one vote. According to the Hattie & Reis for SDSU Students’ Association Twitter, the team has developed a three-pillared comprehensive plan: communicate, collaborate and elevate. Along with a change to
the Students’ Association presidential ticket, SA will be seeing a drastic change in membership. Out of the 27 current members of the Students’ Association, 14 will not be returning to the senate. At the Feb. 24 Students’ Association meeting, the Political Science Club announced they will sponsor any SA candidates if they wish to reserve a table in the student union for their campaign. For those interested in becoming a SA Senator, petitions close at 5 p.m. Friday, Feb. 28. During the meeting, Beth Vollan, Director
of Financial Aid and Scholarships, updated the Senate on the challenges facing financial aid in South Dakota.
Financial aid issues
Student debt crisis
“As costs have gone up,
students have had to take on a lot more debt. Students leave school with so much debt it sometimes impacts their health and their wellness,” Vollan said.
Providing access
“Some students don’t have access to loans, so instead of getting more debt, they’re not even coming,” Vollan said.
CRIME LOG
2.16.20 2:20 a.m. @ 600 Faculty Drive. DUI 9:06 a.m. @ Union Paylot. Intentional Damage/ Vandalism 11:51 p.m. @ Young Hall. Intentional Damage to Property ($400 or less), third degree vandalism, underage purchase of possession of alcoholic beverages 2.19.20 5:37 p.m. @ Pierson Hall. Ingestion of controlled drug or substance as felony, possession of marijuana (2 oz or less), ingest, inhale substance to become intoxicated, possession or use drug paraphernalia 2.20.20 5:13 p.m. @ UPD. Petty theft less than $400 2.21.20 3:19 p.m. @ Larson Commons. Lost property 8:07 p.m. @ Binnewies Hall. Possession or use drug paraphernalia, ingestion of controlled drug or substance as felony, possession controlled drug or substance Read full crime log online at sdsucollegian.com
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NEWS
February 26, 2020
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HEALTHCARE ON CAMPUS
Inside Brookings’ pandemic preparedness NOAH R. MINCHEFF Opinion Editor
While the coronavirus continues its devastating path abroad, concerns grow throughout rural communities in the U.S. Though much of the focus regarding the coronavirus in the U.S. looks to large cities, the country is more than New York City, Los Angeles or Chicago; for the millions of people in America’s rural expanses, who is watching their backs? B u n ny C h r i s t i e , Infection Preventionist for the Brookings Health System, suggests that the local governments and communities are their own guardians.
SDSU
According to Christie, America’s rural populace is quite fortunate, referring to the nationwide response during the rise of the Ebola virus. “As far as the United States goes, almost all the states were very proactive and were able to sort of mobilize groups and individuals to go ahead and create pandemic preparedness groups. And so in South Dakota, we took that very seriously,” Christie said. The pandemic preparedness group she is a part of encompasses Brookings County as well as the nearby Kingsbury and Moody counties, with Brookings acting as a midsize anchor for the smaller surrounding areas.
“In the event of an emergency, the pandemic p re p a re d n e s s g ro u p would utilize a point of distribution (POD),” Christie said. “We actually exercised that back in October up at SDSU. I don’t know if you remember hearing about free flu shots, that was just
Collegian photo by LEVI OLSON
one of our exercises.” A POD is a place where local authorities can rapidly dispense essential supplies and treatments. Using PODs to vaccinate and supply the populace elsewhere helps reduce strain on care facilities that could focus
on treating the symptomatic infected and helps prevent healthy people from coming into contact with infected individuals within care facilities. Christie also mentioned that counties throughout South Dakota have predesignated areas to set up field hospitals in the event of any kind of emergency. “We have areas in town here — also in nearby southern Moody County and in Kingsbury County — that serve as triage areas or can even be like small hospitals, so we would have cots and medical supplies available,” Christie said. This once again enhances the medical community’s ability to
reach those affected in any state of emergency. Christie mentioned that the U.S. Department of Health holds a yearly convention where infection prevention teams across the nation gather to share information and training. T h e co nve nt i o n s allows for larger research teams like those of Mayo Clinic and Sanford Health to share information and training with clinics with a smaller staff, like Christie’s. These conferences inform the protocol response to certain challenges and emergencies such as an infectious disease outbreak. Read full story online at sdsucollegian.com
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At the 2020 Associated College Press Best of the Midwest, The Collegian won nine awards. The awards are as follows: 2nd Best of Show: Feb. 12 issue “Spotlight shines on Black History Month”, 3rd Special Section: Feb. 5 issue “New Law Clouds Nicotine Legality,” 3rd Magazine: “Hired,” 4th News Story: “Beneath the legal jargon of South Dakota’s HB 1057” by J. Michael Bertsch, 4th Editorial/Commentary: “South Dakota’s meth problem” by The Collegian Editorial Board, 5th Feature Story: “Wilson emerges as next SDSU star” by Victoria Berndt, 7th Design: “LGBTQ+ glossary” by Yeon Ji Eom, 8th Sports Story: “Jacks fall short against top-ranked Bison” by Landon Dierks and Jakob King 9th, Design: “Tobacco infographic” by Emily Seaton. Earlier in the academic year, The Collegian was awarded at the Associated College Press National Convention in Washington, D.C., where the publication won seventh place for the “Hired” special section.
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NEWS
HEALTHCARE ON CAMPUS
sdsucollegian.com
February 26, 2020
How to: Fight against germs in residence halls
JACOB BOYKO Reporter As the colder months sweep over Brookings, students living in jam-packed residence halls have found themselves sniffling victims of seasonally prevalent winter illnesses. If there is one thing that everyone can agree on, it is having a strong distaste toward the germs of coughing and sneezing friends and coworkers. Much to the frustration of SDSU freshman Maddie Gerry, the winter sickness season continues to drag on. “I’ve been sick a lot this year,” Gerry said. “I’ve felt awful for the last two months and have been coughing constantly. It just won’t go away.” But college life doesn’t stop and wait for you when you’re sick. Gerry has taken p re e m p t ive a c t i o n s throughout her room to protect her roommate and friends from her sickness so she can do her best to continue her normal schedule: go to class, do homework and hang out
with friends. “I Clorox everything,” Gerry said about her room in Young Hall. “I clean my desk, door-knobs, microwave handle—really anything that may be contaminated with germs from me or from the outside too.” Gerry suspects she caught the bug from somewhere in her residence hall or dining area. “Some places here aren’t very clean,” Gerry said. “Almost everyone I know has been sick this year.” She expressed concern about dirty railings in the fire escapes, communal toilets and showers and even the spoons students use to serve themselves at Larson’s Commons. Shelbie Keith, a registered nurse at the Brookings Hospital, has been at the forefront of the season of sickness. She explained that while there are several bugs spreading this time of year, there’s one everyone should be on the lookout for. “Influenza is probably the biggest one this year,” Keith said. “And while it affects mostly
those who are old and young, everyone is at risk of catching it.” According to Keith, one of the easiest and most effective ways to protect yourself is by eating responsibly. “Make sure you’re eating a healthy, well balanced diet. And push plenty of fluids,” Keith said. Keith stressed that if you are feeling sick, you should consider staying in your room that day to keep other people healthy—especially if you have a fever. Keith offered more advice to college students living in residence halls. “Practice good hygiene and always cover your cough to protect your roommates,” Keith said. “And stay up to date on your immunization.” The flu shot however, isn’t guaranteed to prevent you from getting the flu. According to the Centers for Disease Control and Prevention, the effectiveness rate of the shot for 18 to 49-year-olds is estimated to be 36%. The flu shot is available at the Avera Clinic on 22nd Avenue in Brookings.
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LIFESTYLES
February 26, 2020
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HEALTHCARE ON CAMPUS
Anti-vaccination bill defeated, potential concerns remain
Collegian graphic by HOLLIE LEGGETT
J. MICHAEL BERTSCH News & Lifestyles Editor After anti-vaccination house bill’s defeat, some are still concerned about its lingering effects. A bill that would make it illegal for South Dakota schools and universities to require students to be vaccinated was defeated 10-2 in the House Committee on Health and Human Services. South Dakota House Bill 1235 was introduced to the House of Representatives by Rep. Lee Qualm, a Republican from Platte. The bill targeted early childhood education, public and private K-12 education and institutions of higher education, stating that no program could require any immunization or medical procedure for enrollment or entry. Another section of HB 1235 attempted to establish the act of “any educational institution, medical provider or person to compel another to submit to immunization” as a Class 1 misdemeanor,
punishable by up to one year in prison and $2,000 in fines. The House Committee on Health and Human Services heard testimony from eight proponents and 26 opponents of HB 1235 at 7:45 a.m. Tuesday, Feb. 25. The committee voted to defer HB 1235 to the 41st legislative day, effectively killing the bill. Though this bill will not be signed into South Dakota law, it poses the question of how elimi n a t i n g va cc i n a t i o n requirements would affect SDSU. For admission into SDSU, provided the student was born after the year 1957, students must have received two doses of immunization against measles, mumps and rubella (MMR). “All the schools require two MMRs, that’s it,” Brenda Andersen, Associate Director and Family Nurse Practitioner for the Student Health Clinic said. “We assume that most students have received their vaccinations required for elementary and high school.”
The MMR vaccine is kept on hand at the Student Health Center for incoming students. Students have 45 days to receive the vaccinations after initially starting school at a South Dakota university. One reason for the MMR requirement is how contagious outbreaks of measles, mumps or rubella can be. “Measles is so contagious that if you had it, I’d probably get it just by sitting in the same room as you,” Andersen said. Additionally, in 2006 an outbreak of mumps on the University of South Dakota campus caused 150 students who had not received the MMR vaccines to be banned from the campus over finals week. But, following the language of the recently defeated bill, eliminating vaccine requirements on campus would affect many other areas of the school. M a ny h e a l t h c a re related programs at SDSU, including pharmacy and nursing, require students to receive certain
immunizations to participate in clinical application courses at local hospitals. “We have a number of colleges that offer medical degrees … All of these programs require some form of clinical rotation to complete your degree,” Nathan Lukkes, general counsel for the South Dakota Board of Regents said in his testimony against HB 1235. “All of the places that we house our students in require immunizations for them to go there. So that paints us in a box that we quite frankly can’t get out of.” To participate in clinical coursework, nursing students are required to be vaccinated for diphtheria, tetanus, pertussis, polio, chicken pox, measles, mumps, rubella, receive an annual influenza vaccine and complete tuberculosis skin tests. If these requirements aren’t met, many hospitals would not allow the students to study at their facility. “Not being able to require vaccines could pose a lot of conflicts between the university and the hospitals,” Moina Syed, SDSU nursing stu-
dent, said. “It could potentially really damage our nursing program.” Students who study abroad would also face implications. Though immunizations are not required by the university to study abroad, many vaccines are encouraged for international travel by the campus health clinic, and, depending on where students travel, certain vaccines are required to re-enter into the United States. For instance, when traveling to Africa or South America, one must receive the Yellow Fever vaccine before leaving if they want to come back to the United States. “If we can’t recommend vaccines, some of our citizens wouldn’t be able to travel internationally,” Andersen said. Other than federal requirements, there are several other reasons that vaccines are recommended for students studying abroad. “You’re paying $3,000 or $4,000 to go on this trip. Why do you want to go for two weeks, not get
immunizations and end up in the hospital there?” Andersen said. “Hepatitis A is a very inexpensive vaccine, and you could end up in the hospital with horrible diarrhea. Why would you want to spend half of your trip like that when you could vaccinate?” Vaccine recommendations by the Student Health Clinic for students planning to study abroad aim to ensure student experiences are positive. This would be illegal if HB 1235 were to be signed into law. “I have no doubts that this bill will cause severe harm to our community,” Fernando BulaRudas, pediatric infectious disease specialist from Sanford Health said. “As someone who has witnessed children and their families suffering from conditions despite having means to prevent them, I strongly urge this committee to vote against this dangerous House Bill 1235.” For now, Bula-Rudas’ fear can be put to rest.
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LIFESTYLES
sdsucollegian.com
Student advocates for sex education on campus From A1
SEX EDUCATION HALEY HALVORSON Reporter Editor’s Note: *name and identifying details have been changed to protect the privacy of the individual *Jane, a 22-year-old senior at South Dakota State University, had been exposed to a Sexually Transmitted Infection from her ex-boyfriend without ever having sex. She was embarrassed and terrified to tell her parents. Cases much like Jane’s are common. STIs can go unnoticed without testing and knowledge of the most common infections. Over the past decade, STIs have continued to rise in South Dakota, with the most common tested for and reported being chlamydia, gonorrhea, Human Immunodeficiency Virus (HIV) and syphilis. According to the South Dakota Department of Health, from Jan. 1–Sept.
30 of 2019, there were 3,420 cases of chlamydia, a 5% increase, and 1,539 cases of gonorrhea, a 67% increase. The most commonly tested STIs at SDSU are chlamydia and gonorrhea. At SDSU, the Wellness Center provides students with access to STI screenings and also has treatment available even though Family Planning has moved out of the Student Health Clinic to Sanford Health in Brookings. “The most common one is chlamydia by far,” Janae Jacobsen, a family nurse practitioner at the Wellness Center said. Chlamydia and gonorrhea are bacterial infections that are treated with antibiotics. For the most common STI, chlamydia, there aren’t always symptoms right away but potential symptoms could include burning with urination, discharge, or itching and irritation. Jacobsen
said it can be silent, and someone can get tested with no symptoms and still be positive. Although numbers aren’t available through the Student Health Clinic because of confidentiality reasons, Jacobsen said that the number of students coming into the clinic varies day to day, and it can be a very common visit for students. In Jane’s situation, she had been with her ex-boyfriend for a total of about three years off and on. Jane made a deal with her dad: if she abstained from sex, drugs or alcohol until 21 years of age, she would get $3,000. “I would avoid actual intercourse, but then he (her dad) said a new rule where I couldn’t go below the belt, but I disregarded it and did it anyway,” Jane said. Jane eventually had her boyfriend get tested since he had been with other people during their breaks.
“I made him go in before we had actual intercourse not knowing that everything I had done before, like oral sex or any kind of touching, I didn’t realize I could get it,” Jane said. Her boyfriend said he didn’t have HIV or syphilis, but later said he was positive for chlamydia. Jane recalls having bad tonsillitis during that time but wasn’t sure if that was because of the infection or because it had occurred naturally. She went into Family Planning when it was still in the Wellness Center and got tested. She tested positive and was then treated with antibiotics. “It was an easy process actually, but I was terrified. And I went through that [Family Planning] so my insurance wouldn’t know and my parents wouldn’t know,” Jane said. At first, Jane kept it from her parents, but when Family Planning mistakenly called her par-
ents’ house, she told them it was for birth control before eventually telling the truth. “I was getting so paranoid and felt so guilty for lying. My dad really values trust and not lying,” she said. Jane told her dad first and he had already assumed that she had broken their deal. Then she told her mom. “ T h ey we re way more cool about it than I thought they would’ve been, so I guess anyone who is scared to tell their parents, chances are they’re not going to be as mad as you think they are,” Jane said. Before she went to her parents or to get tested, she spent a lot of time researching. She found that part of sexual health is getting tested. At a typical testing through the Student Health Center, a nurse will ask why the student is there, go through vitals and blood pressure proce-
dures and then ask other questions about sexual history, any previous infections, how many previous partners and discuss the risks. According to Jacobson, chlamydia and gonorrhea are tested for through urine samples or the use of a vaginal swab for females. HIV and syphilis are tested through blood draws and the results come back within an hour. Chlamydia, gonorrhea and syphilis are tested at the state lab and the results take about two days to get back. Treatment is also available through the Student Health Clinic. According to Jacobsen, chlamydia is treated with antibiotics like azithromycin or doxycycline. Gonorrhea is also treated with antibiotics like azithromycin and a shot of ceftriaxone which is an injection. Both are bacterial and curable. Jane took the two antibiotics and
Collegian photo by JULIA MITCHELL
HEALTHCARE ON CAMPUS
February 26, 2020
LIFESTYLES
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Collegian photos by FRANKIE HERRERA For safe sex, it’s important to know what products to use and when to use them. (TOP LEFT) Male condoms are used for oral and penetrative sex. Condoms are 98% effective in preventing most STIs that are not skin-to-skin transmitted. (BOTTOM LEFT) Dental dams can protect an individual from herpes, gonorrhea, syphillis and hepatitis and are used during oral sex on the vagina. (TOP RIGHT) Lubricant is used with condoms to prevent chafing during penetrative sex.
hasn’t been positive since. T h r o u g h Fa m i l y Planning, the treatment was free since Jane didn’t reach the level of income necessary as a college student. At the Student Health Clinic, the price varies since it’s billed through the student’s insurance. There are also cash-pay options available for students who don’t want their parents to know. That price is different as well. “It’s reduced cost compared to other clinics in town, but we never give people exact (amounts) just because it can vary from month to month,” Jacobsen said. There can be a negative stigma to getting tested.
Students sometimes feel embarrassed, ashamed or scared, but Jacobsen says staff at the Student Health Clinic are very open. “We’ve all worked in college health… We want you to get tested and we want you to get treated if it is positive because otherwise it could lead to further reproductive issues down the road if you’re not treating it,” Jacobsen said. According to the DOH, gonorrhea and chlamydia, if untreated in women, can cause infertility, pelvic inflammatory disease and more. In men, it can cause sterility and sexually reactive arthritis. “We end up seeing more women just because women come in for their
yearly women exams, maybe to get birth control or talk about their menstrual cycle. Whereas maybe the men come in because they’re having symptoms or because they are having concerns,” Jacobsen said. Jane frequently gets tested now and says it takes less than an hour. According to the Centers for Disease Control and Prevention, all adults and adolescents ages 13–64 should be tested for HIV at least once and sexually active women younger than 25 should be tested for chlamydia and gonorrhea every year. It’s also recommended by the CDC that pregnant women be tested for syph-
ilis, HIV and hepatitis B early in the pregnancy. Also, all sexually active gay and bisexual men should be tested once a year for syphilis, chlamydia and gonorrhea. Jacobsen says that if a person is with the same partner and has always been with them, yearly screening is recommended. Whereas if a person has multiple partner changes, screening after every partner is recommended. Whether someone says they don’t have an STI or not, people should still ensure that preventative measures are taken. Jacobsen says abstinence is one way to avoid STIs, otherwise using a condom 100% of the time
and using it correctly will help avoid getting infected. “Obviously, yes, you’re sleeping with that person but you’re also sleeping with every other person that person has had sex with,” Jacobsen said. Another option is to have open conversations with a person’s partner about having sex with other people, how many previous partners and whether either partner may have or have had an STI. Now, Jane has these types of conversations with her partners. She asks if they’ve been tested before and whether or not they say they have been, she gets tested regardless. Having this experi-
ence has taught her to be more open about sexual health with her friends and encourage them to get tested. Because of it, she doesn’t think of it as something society has taught her to be scared of. “It’s a good way to be healthy and you don’t want that to lay dormant for how many years and then pay the consequences in the future,” Jane said. “That would suck if the one time I screwed up when I was 22-years-old and then I had to pay for it when I was 30 trying to have a kid and I couldn’t.”
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LIFESTYLES
sdsucollegian.com February 26, 2020
HEALTHCARE ON CAMPUS
Importance of women’s health awareness GRACIE TERRALL Copy Editor Every morning, Grace Kramer prepares for her day by slowly eating her probiotic-rich yogurt and eggs. For Kramer, fueling her body with probiotics helps her maintain a healthy gut. The freshman nutrition and dietetics major also starts off every morning with meditative yoga. Mindfully filling her body with nutritious foods and staying active are an essential part of Kramer’s day. Staying healthy is the “foundation of everything we do,” Kramer said.
College is a place to try new things and to meet new people, however, many forget to keep their health in mind when they are tackling everything college throws at them. Although everyone at college has the potential of health issues, the sexual and reproductive aspects of a woman’s health puts them at a higher risk. Due to women’s reproductive and sexual needs, they require more healthcare than men according to Mary Beth Johnson, a women’s health nurse practitioner at South Dakota State University’s Student Health Clinic; therefore, it is important
that they have easy, affordable access to this care. SDSU recognizes the need for women’s health, and the Student Health Clinic in the Wellness Center is ready to help. Above anything else, the Student Health Clinic wants to help educate women as to what steps to take for their health. “We provide a lot of education here at Student Health,” Johnson said. “For example, a lot of times, women don’t know they don’t need to start having a pap smear until they are 21.” One way the clinic promotes women’s health and spreads education
is by setting up health booths on main street in the University Student Union. There, they hand out informational pamphlets and hang up posters. Many students feel that they must wait to go home before they can visit the doctor about their feminine health concerns. However, Johnson addressed this issue. “We can do pap smears, STI screenings and breast exams. We offer all forms of birth control and can put in IUDs,” Johnson said. The Student Health Clinic does not have physician gynecologists;
however, they do have nurse practitioners that can “see, assess, order lab procedures, identify what is going on and provide treatments,” Johnson said. Although Brookings does not have a Planned Parenthood where women can utilize these health benefits for a low cost, Brookings does have a Family Planning service within the Sanford clinic that offers similar services to people without insurance. Johnson urges women to go to the Student Health Clinic if they think anything is wrong with their bodies. “Women often know
their own bodies best,” Johnson said. Loran Strunk, assistant athletic trainer for South Dakota State’s Women’s Basketball, has similar advice for women. Strunk sits down with female athletes before the start of each season to discuss their health and how that factors into their sports performance. She advises her female athletes to understand their bodies and listen to them. “If you’re sore or you’re in pain, those are things you should obviously listen to,” Strunk said.
Starting at birth: Dental exams should begin as soon as possible and be done twice a year to check dental and heart health.
Starting at birth: Skin examination should also begin as soon and as frequently as possible to check for skin diseases.
18: Body Mass Index should be monitored starting at this age. BMI is used to test for obesity, diabetes and other concerns.
20: Blood pressure screening should be start at this age and occur every two years to check for heart disease.
20: At this age, cholesterol needs to be monitored once every five years. This tests risk of heart disease and stroke.
21: This is the age to begin pap smears and pelvic exams. These should be performed every three years.
45: Mammograms should be annual until age 55, then be done every two years. This screens for breast cancer.
45: Blood glucose levels should be tested every three years starting at this age. The test checks for kidney diseases.
50: Colon cancer screenings should begin at this age. This should be done every 10 years and sigmoidoscopy every five.
65: Bone density screening begins at this age. The screening checks for osteoporosis. Regularity depends on the person.
Read full story online at sdsucollegian.com
When to start getting tested Women have different needs when it comes to medical care. This graphic shows which ages a woman should begin exams for specific health concerns. Remember, each person requires different attention, so some exams may need to occur more or less often depending on the health of the patient. Source: https://www.everydayhealth.com/womenshealth/10-screenings-allwomen-should-have.aspx Collegian graphic by
YEON JI EOM
OPINION
EDITORIAL
HEALTHCARE ON CAMPUS
result primarily from the relatively maintain exclusive rights to the drug laissez-faire market surrounding for longer terms than usual. Sanofi pharmaceuticals and medical equip- submitted 74 separate patent appliment in the U.S., as well as fearful cations for Lantus, a common diaover-practice of defensive medicine. betes medication. This could result America’s reluctance to interfere in Sanofi controlling U.S. insulin for in any free market permits manufac- 37 years without competition, nearly turers of drugs and medical equip- double the standard 20-year patent. ment to develop powerful economic Another facet of American culplatforms to drive up the price of ture drives hundreds of billions their products. In many first-world in healthcare spending per year: healthcare systems, the government Americans’ infamous tendency negotiates the prices of drugs and toward lawsuits and American phyequipment before these products sicians’ personal vulnerability to reach the market, saving both the them. Jackson Healthcare Market consumer and healthcare systems Research asserts that American money. The Congressional Budget physicians’ personal financial liaOffice estimates that applying this bility for medical errors drives them system to all U.S. drugs would save to employ excessive and expensive the federal government $118 billion diagnostic measures, subjecting the over 10 years. In the absence of inter- patient to unnecessary examinations vention, prestigious institutions and and costing the healthcare system an popular brands can price their prod- extra $650 billion to 850 billion per ucts arbitrarily to maximize profit. year according to the same study. Insulin is a case example where Some American physicians apparabuse of the U.S. patent system ently distrust their own clinical The Collegian 2/26/20 Crossword allows major producers like Sanofi to diagnoses and are considering with-
CROSSWORD
SUDOKU
an 2/26/20 Sudoku
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To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to 9.
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A9
Issue: Broken bones shouldn’t break your bank
Medical expenses in the United States are infamous in the Western World. The high-stakes gamble that uninsured Americans take invites a range of attention from other first world nations, from morbid curiosity to outright pity. One of the most common sights on the forum subreddit, r/askanamerican, is Europeans pitching common medical emergencies to Americans, asking them how much it would cost to receive treatment in an American hospital. When Americans reply with their own anecdotes — usually ending with an astronomical cost — or how they narrowly avoid crippling debt through private insurance, a single question resounds among the entire editorial board: Why? As hot of a topic as healthcare cost is in America, few seem to understand why Americans pay such a premium despite the World Health Organization ranking their healthcare system 37th globally. These costs
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Sudoku Solution
Across 1 Scored on serve 5 Razor sharpener 10 Stadium souvenirs 14 Loud laugh 15 “Common Sense” writer 16 Seed covering 17 Pound of poetry 18 Title holder 19 Quash 20 Lip-___ 21 Pen filler 22 Smallest 23 Hideous 25 So-so 27 Bashes 29 Retaliates 33 Lock site 34 Medical breakthrough 36 Hacienda room 37 Seek a seat 38 They get the lead out 41 Prohibit 42 Flu symptom 44 Bullfight cheers
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The Collegian Editorial Board meets weekly and agrees on the issue of the editorial. The editorial represents the opinion of The Collegian.
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drawing from practice altogether. The sheer complexity behind the clinical economy in the U.S. creates a labyrinthine paper-trail that one cannot trace without undertaking an extensive inquiry. This obscure interconnectedness leaves Americans at large scratching their heads at the $50,000 price tag on a broken leg when higher quality care for common injuries is available to Europeans for free. After wading past the smoke and mirrors, we at the Collegian believe that Americans should draw the line on free market practices when distrust, monopoly and corporate interests leave even well-insured Americans with $1,000-plus bills for common injuries. When entities whose primary responsibility is to shareholders are in charge of public well-being, we are all in jeopardy.
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A10 OPINION
sdsucollegian.com
February 26, 2020
HEALTHCARE ON CAMPUS
Coronavirus-19’s genetic subterfuge IAN HASTINGS Guest Columnist
The Wuhan coronavirus, recently dubbed COVID19, is the latest pandemic to sweep the globe. As the reports of this disease spread, it’s easy to feel a sense of panic at the thought of a pandemic sweeping country to country, indiscriminate of the borders it exists in. All the disease cares about is the host and spreading its malign influence. It is important to remember, however, that this is not the first time this has happened. Coronaviruses have popped up before in the form of diseases like
Severe Acute Respiratory Syndrome, Middle East Respiratory Syndrome and certain aspects of the Swine Flu. These past diseases have come and gone; no new cases of SARS have been recorded since 2014 and MERS has less than a thousand cases a year. Since these past coronavirus outbreaks have been contained, surely this next one can be stopped too, right? The short answer is, maybe. Coronavirus has a nasty trick hidden up its sleeve. The virus can exchange genetic information with other viruses as well as randomize what order its genes are in. This
ficult to treat the disease. It’s like an unending manhunt against a perpetrator whose face can change at will. Previous coronaviruses have been treated, how is this one similar or different? This coronavirus is similar to its predecessors in that there has to be something that keeps it what it is. This might seem confusing but think about it, if COVID-19 keeps reshuffling and taking new aspects from different diseases then eventually it would become something other than COVID-19. There has to be an aspect of similarity between every strain in coronavi-
trick can happen in both human and animal hosts. Therefore, a disease that can infect animals but not humans can shuffle in with a coronavirus and then the parts disease that once afflicted only animals can now afflict humans. When the genetic code changes, the nature of the virus changes as well. Will the new strain be worse? Not as bad? Just the same? There’s no way to tell until it happens. Coronavirus can reshuffle when it infects a host already exposed to coronavirus, making an entirely new strain ready to go and infect the next host. This constant reshuffling makes it dif-
ruses, this allowed scientists to start developing a vaccine for SARS and now begin developing a vaccine for COVID-19. This is one way to beat the disease: pinning down its similarity. Transparency is necessary to develop effective countermeasures. If outbreaks are to be halted, countries need to put politics aside and be forthcoming with information and how they plan on minimizing the outbreak’s damage. China’s closed state politics has done nothing but hinder progress to halt the pandemic despite their other efforts in working with outside universi-
ties to develop countermeasures. Transparency in the SARS pandemic allowed the World Health Organization to adapt and prepare, effectively cutting off the virus from reaching new countries and containing the virus in existing countries, an objective that the Chinese government’s secrecy has thus far muddled. Only time will tell how and when COVID-19 will be dealt with. The only thing we can do is to keep up with events as they unfold and stay healthy. Pandemics come and go, but humanity persists.
Influenza: The great deceiver NOAH R. MINCHEFF Opinion Editor In 1834, Quaker writer John Wilkinson wrote in a letter the following statement: “One of the artifices of Satan is, to induce men to believe that he does not exist…”. Various figures applied this statement to different subjects in magazine articles, short stories and most recently the 1995 film “The Usual
Volume 135 • Issue 16
Suspects.” I would apply the phrase to an illness that most people regard as a seasonal nuisance rather than an ancient enemy. The greatest strategy influenza ever employed was to let the world forget its true danger. The public consciousness has neglected the topic of influenza research, and our government is not supporting the devel-
opment of a universal influenza vaccine as they should be, leaving the entire world at risk. The generations who remember the Spanish Flu outbreak are no longer with us and neither is the wariness they carried. The Spanish Flu arrived near the end of World War I, allowing the virus to take root among malnourished soldiers in the trenches and then ship travel facil-
The Collegian is the independent student newspaper at South Dakota State University in Brookings, S.D. The Collegian is published by and for South Dakota State University students under the First Amendment guarantees of free speech and a free press. Opinions expressed on these pages are not necessarily those of the student body, faculty, staff or administration. The Collegian is published weekly on Wednesday during the academic year of SDSU.
itated the virus’s global spread through returning military personnel. This influenza strain’s symptoms were so horrific that at first, the illness hardly resembled influenza. Many died of bacterial pneumonia, as the virus made them vulnerable to other pathogens, while the influenza itself killed through a massive hemorrhage and fluid build-up in the lungs. Patients Trenton Abrego Editor-in-Chief
Sammi Schrag News Editor
Julia Mitchell
coughed and gasped, bled from the nose, mouth and ears, and died by the millions. To add to the horror, unlike most illnesses which affect infants, the elderly and the sick, the Spanish Flu took the young and strong. The primary means of mortality was an overreaction of the immune system, therefore the stronger one’s immune system, the
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more severe the symptoms. Having just lost 20 million people in the trenches and near the battlefields of World War I, the world reeled as this new virus robbed them of at least 50 million more according to the Centers for Disease Control and Prevention — mostly young men and women. Read full story online at sdsucollegian.com
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sdsucollegian.com
SPORTS
February 26, 2020
A11
Patience, determination pay off for Matt Mims VICTORIA BERNDT Sports Reporter Athletes often acquire leadership roles through on-court action, but Matt Mims’ path has been decidedly different. Coming into the 2019-20 season, not many knew Mims’ influence on the South Dakota State men’s basketball program since he redshirted a year ago. But behind the scenes, Mims was preparing for his opportunity, making an impact on the team through attitude and effort in the process. The area where Mims was most noticeable was his sideline antics. Those who made a habit of glancing at the Jackrabbit bench over the past two seasons could often see Mims supporting his teammates through dramatic celebrations. Now, Mims’ moment seems to have arrived, and there’s little doubt that his preparation went unnoticed.
Finding his place
A redshirt freshman, Mims started leading by example off the court before earning time to lead on the court as well. “Off the court, Matt is off the charts,” head coach Eric Henderson said. “He is a really high energy kid, everyone wants to be around him. You have fun when you’re around Matt and that’s really important for our team — I think he brings our whole team together when he does that.” Serving as the unofficial team unifier makes
Mims’ presence invaluable from the Frost Arena floor to the locker room, but the impact he’s made hasn’t stopped there. The redshirt freshman has slowly carved out his place in the Jackrabbits’ rotation as a sparkplug, bringing high-energy play on both ends of the floor. “Earlier in the season, in the nonconference play, he wasn’t getting as much playing time as he would have liked,” redshirt sophomore Alex Arians said. “Then when conference play came around and his number was called, he was ready.” The Cedar Rapids, Iowa, native has appeared in 21 games this season, averaging 12 minutes per game with at least 15 minutes in eight of the last 14 games. Against Western Illinois Jan. 4, Mims played 19 minutes and scored six points in a 91-56 blowout. Since then, his role has only continued to grow. “We didn’t play him early in the year and he had some DNPs (did not play), but his character and attitude carried him through that,” Henderson said. “That is not an easy deal to go through but then when his number was called, he was able to produce, he responded. When he did that, he ended up just getting more and more because he earned it.” Mims’ work ethic derives from unselfishness — a principle Henderson emphasizes. “Everything we do
we do for each other, they really push me to be the best that I can for them,” Mims said.
Before SDSU
Striving to be the best on and off the court, Mims was a four-year academic honor roll member and 2018 academic letter winner at Xavier High School in Cedar Rapids. As well as academic excellence, he earned many athletic recognitions. “Off the court, my mom definitely pushes me the most,” Mims said. “She’s always been there for me and is always making sure I’m on top of my stuff whether it be grades or being a good person.” In high school, Mims was too scared to disappoint his mother, Michele, after he got one bad grade, so he strove to never again get a bad grade because he was too scared, Mims said. Cu r re n t l y, M i m s is studying consumer affairs, which many think suits his personality. “I’m really interested in sales and marketing,” Mims said. “Some people say I’m a people person, so I should probably work with people.”
Collegian photo by BECCA YMKER
South Dakota State’s Matt Mims (with ball) looks for a passing lane around a University of Denver defender during the first half of a game Feb. 14, 2020, at Frost Arena.
DAKTRONICS STUDENT CAREER NIGHT #SCN2020 3/26/2020 @ 4-6pm Student Union, 2nd Floor Food | Prizes | Jobs
On-site interviews: bring resume & transcript SEE MIMS ON A12 Sponsored by SDSU Office of Career Development
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A12 SPORTS From A11
MIMS
Preparing to play When describing Mims’ athletic ability and his personality, Alex Arians said that he is a teammate and person that you can always rely on. “He’s always smiling,” Arians said. “He’s a funny guy who you always want to be around — just someone you look up to. In the locker room, he’s always telling jokes. … On the court, he’s always encouraging and bringing guys up. Overall, he’s a good teammate.” Being a good teammate doesn’t just mean
sdsucollegian.com being a good player, but Mims has improved his skills over his redshirt season. “He has gotten a lot stronger from last year to this year. When we first recruited him, he was just a skinny little runt and he has really done a good job in the weight room putting on strength and weight,” Henderson said. “He is a tireless worker. He spends so much time in the gym. … He’s a lot more confident with the ball and you can see he is shooting it at a very, very high level.” But it wasn’t just Mims’ ability to come in and knock down shots that helped the young
guard play his way into the rotation. “His ability to guard the ball and guard quicker perimeter players and make open shots has helped our team make another step on the floor as well,” Henderson said. According to Mims, he just had to get his body right and sharpen things up on the court during his redshirt season, adding that the redshirt year was good for him, but he is happy to be back playing games again.
Athletic pedigree During Mims’ recruitment, Henderson was the assistant coach, but the current head coach played
a large role in leading Mims to SDSU. “I built a really good connection with him, so he was actually a huge part of me coming here,” Mims said. “I got to witness the fan base and everything. I just felt like I wasn’t going to get that at any other college.” Mims’ older brother, Michael, plays basketball at Loras College in Dubuque, Iowa, and he was a big part of Mims’ basketball journey. “I remember my brother was big on basketball; he was older than me, so of course you always want to be like your older brother,” Mims said. “There is another player
out of my city named Marcus Paige that ended up going to the University of North Carolina, and I idolized him. I just really wanted to be like those two and I just fell in love with the game because of them. They inspire me to play.” Mims’ father, Mike, was also a collegiate athlete, playing baseball at the University of Nebraska-Lincoln. Although his father played, baseball wasn’t for him, and Mims stuck exclusively to hoops throughout his prep career. With three more years of eligibility, Mims has plenty of time to continue
February 26, 2020 to grow as a leader and as an athlete, and with his play in the second half of this season, expectations moving forward are high. “I see him continuing to expand his role, continue to be one of our leaders on our team,” Henderson said. “Continuing to be a guy that just brings our team together and just playing with more confidence. His attributes will grow, you can see him getting more confident putting the ball on the floor and being more of a playmaker instead of just a shooter. He is such a hard worker; those areas are only going to get better.”
HONORS & RECORDS • 2018 Iowa Basketball Coaches Association State Class 3A Player of the Year • Two-time First Team All-State and All-Conference Selection with conference Player of the Year honors in his senior year • All-Area Player of the Year honors in 2018 • Two-time Iowa State Champion with AllState Tournament Team Captain honors as a junior and made All-Tournament Team as a senior
Collegian photo by BECCA YMKER
Matt Mims drives past a Denver defender Feb. 14, 2020, at Frost Arena. Mims logged 27 minutes, second-most of his career, and scored seven points in a 90-78 win.
• Current record holder at Xavier High School for: -Assists in a game (10) -3-point FGs in a game (tied at 7) -3-point % in a game (tied at 100%, 5-5) -Points scored in a season (567 in 27 games) -Assists in a season (135, 26 games) -FG made in a season (180 in 27 games) -20-plus point games in a season (15) -Points in a career (1,267) And more