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Public Health On Call

1029 - What We Know About CTE

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

Medicine, Health & Fitness, News

4.6 • 644 Ratings

🗓️ 30 March 2026

⏱️ 15 minutes

🧾️ Download transcript

Summary

About this episode:

A neurodegenerative disease that can only be diagnosed after death, CTE has made headlines for its prevalence in professional football players. But where does it stand as a public health issue? In this episode: Jesse Mez of the Boston University CTE Center gives an overview of what we know and don't yet know about CTE, as well as tips for parents of children who play contact sports.

Guest:

Jesse Mez, MD, MS, is the co-director of clinical research at the Boston University CTE Center and associate professor of neurology at the Boston University Chobanian & Avedisian School of Medicine.

Host:

Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs.

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Transcript information:

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Transcript

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0:00.0

Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

0:05.9

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

0:16.3

If you have questions or ideas for us, please send an email to public health question at jh.h.edu.

0:23.8

That's public health question at jh.u.edu for future podcast episodes.

0:30.9

Hey listeners, it's Eunzi Smith-Rogers.

0:33.6

Today, CTE, a brain disease linked to repeated head impacts, often associated with professional

0:40.1

athletes and military service members. Boston University researcher Jesse Mez joined Stephanie

0:46.0

Desmond to discuss the public health questions around CTE, such as better diagnosis and what

0:52.1

can be done to prevent it, starting with young athletes

0:54.5

and thinking more broadly about safety and professional sports. Let's listen.

0:59.1

Jesse Mez, thanks so much for joining me. Thanks for having me.

1:02.4

I wanted to start simple. How do you explain CTE to someone outside medicine?

1:07.7

CTE is a neurodegenerative disease, not unlike Alzheimer's disease. The same type of

1:13.7

protein, tau protein, accumulates in Alzheimer's disease as it does in CTE. But the pathology has a

1:20.0

different pattern. So we see it at the folds, the depth of the folds of the brain, and we see it around

1:25.4

blood vessels. And it looks very different in terms of the distribution compared to Alzheimer's disease.

1:31.3

Is it a disease that everyone should be worried about, or is it just certain people?

1:37.3

We've seen it almost exclusively in individuals who have had repetitive head impacts.

1:43.3

So these aren't folks who have had one or two or three concussions. These are individuals who have had repetitive head impacts. So these aren't folks who have had one or two or three

1:46.7

concussions. These are individuals who have had thousands of impacts over their contact sport career

1:52.6

or their military service. So it's this accumulation of hits over time that we think is really

1:59.0

related to this disease. And that's sort of a new discovery, isn't it?

...

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