Primer: Opioid-related Public Health Emergency Declarations

This Primer on Opioid-related Public Health Emergencies provides key information and visual snapshots of federal, state, tribal, and local emergency declarations in response to the opioid crisis across the U.S. 

 

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Authority to Prescribe the Overdose Reversal Medication Naloxone in Wisconsin

A requester recently contacted the Network for guidance and clarification on who is permitted to prescribe naloxone directly or via standing order in Wisconsin. Specifically, the requester wanted to know the prescriber authority and criminal liability for advanced practice nurses versus registered or licensed nurse practitioners.  

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Plastic Bag Regulations and Preemption

A climate and health specialist contacted the Network for information about resources related to preemption of local laws by states, specifically state-level preemption of bans on the use of plastic bags by grocery stores, convenience stores and other establishments.

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“Over the Counter” Naloxone Access

All 50 states and the District of Columbia have now modified their laws to increase access to naloxone, a drug that can reverse the effects of an overdose to heroin or other opioid painkillers. The Network was recently asked about the number of states in which naloxone can be purchased “over the counter”.  While there are a wide variety of steps that states, localities, and private businesses can take to increase access to naloxone, they cannot make it available “over the counter” or “without a prescription.”

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Resources, Tools, and Ordinances to Create Incentives for Bike Facilities

The Network was recently contacted by a policy analyst at a state health department about whether there were known best-practices or resources that focus on zoning ordinances, requirements, or incentives for developers that encourage biking through the creation of bikes lanes, the installation of bike racks and similar initiatives in new housing developments. The Network provided the requester with information on several resources, evaluative tools and sample ordinances on biking.

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Fact Sheet: Declared States of Emergency - Opioid Crisis

High rates of morbidity and mortality among Americans related to opioid use have lead multiple jurisdictions to declare a formal state of emergency and public health emergency. Declaring a state of emergency grants states and localities additional resources to address the epidemic immediately. This Fact Sheet provides a brief summary of the emergency declarations in six states, and the Primer provides a visual snapshot and synopses of state-and tribal-based emergency declarations across the U.S. based on currently-available information.

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Animal Control Enforcement

A requestor in Michigan recently contacted the Network with concerns regarding animal control management since stray and wild animals can pose a public health threat. Animal bites can spread rabies and some animals can cause injuries. Because the county in which the requester lived lacked funding for an animal control agency, the requester wanted to know who is responsible for providing animal control and animal quarantine services.

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Primer: Emergency Legal Preparedness - Hurricanes Harvey, Irma and Maria

This primer provides a visual snapshot and a timeline on state and federal emergency declarations in relation to Hurricanes Harvey and Irma, and is being updated as things develop with regard to Hurricane Maria.

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Legal Efforts to Reduce Barriers to Accessing the Anti-overdose Medication Naloxone

Opioid overdose is at epidemic levels in the United States. It is estimated that over 33,000 Americans lose their lives from opioid overdose. Opioid overdose mortality is preventable with the timely administration of naloxone and the provision of emergency medical care. Naloxone is a prescription medication, making it difficult for the drug to be readily available by those who need it. In response, many states have made an effort to reduce barriers to accessing naloxone.

A requestor recently contacted the Network with several questions regarding naloxone access.

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Resource: Legal Interventions to Reduce Overdose Mortality

It is estimated that 15,000 deaths each year are caused by opioid overdose. These overdoses are typically reversible through the timely administration of the drug naloxone and the provision of emergency care. In an attempt to reverse this increase in preventable overdose deaths, many states have recently amended older laws to increase access to emergency care for opiate overdose and encourage those who assist a person experiencing an overdose.

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