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        <h1>Opioid Misuse <br>
in Rural America</h1>
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<p> </p>

<h2 class="usda-featured-header"><strong>The United States is experiencing an epidemic of drug overdose deaths</strong></h2>

<p>In 2020, the age-adjusted rate of drug overdose deaths increased 31% compared to 2019. Adults aged 35-44 experienced the highest rates of drug overdose deaths while young people aged 15-24 experienced the greatest percentage increase in deaths. We must continue our efforts in all aspects of our fight against substance use disorder and the opioid epidemic.</p>

<p><a class="usa-button usa-button" href="https://www.cdc.gov/nchs/products/databriefs/db356.htm">Learn more</a></p>

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				<div style="background-color: #f8f8f8; padding: 10px 20px 15px 20px;"><h2 style="margin-top:10px;">Rural Community Toolbox</h2>
                                <p>The Rural Community Toolbox has information on Federal Funding to help build strong healthy rural communities. It also houses the updated Community Assessment tool with data on broadband access, location information for mental health and substance use facilities, a prosperity index and much more. Please contact Kellie Kubena (kellie.kubena@usda.gov) if you have questions about this resource.</p>
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							An interactive data tool that empowers community leaders to assess the
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							A listing of Federal programs that can be used to build resilient
							communities and address opioid misuse in rural communities.<br>
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The Rural Community Action Guide includes background information, recommended action steps from a diversity of stakeholders, and promising practices for a wide range of issues related to drug addiction in rural America.<p><strong>
<a href="/sites/default/files/documents/rural-community-action-guide.pdf" target="_blank">Download the Rural Community Action Guide</a> (PDF, 4.2 MB)
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<p>The practices described in this supplement have been built and launched by State and local leaders across the country. These activities were identified as promising practices to showcase because they are something that another community can replicate or use to inspire their own action.<strong><br>
<a href="/sites/default/files/documents/rural-community-action-guide-promising-practices.pdf" target="_blank">Download the Rural Community Action Guide: Promising Practices</a> (PDF, 1.1 MB)</strong></p>

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<h2 class="usda-featured-header">Committed to Being a Strong Partner</h2>

<p>As of March 2021, the Centers for Disease Control and Prevention noted that drug overdose death rates continue to rise in both rural and urban areas. In five states, California, Connecticut, North Carolina, Vermont, and Virginia, the rate of drug-overdose deaths in rural counties were higher than those in urban counties. In addition, a December 2017 survey by the National Farmers Union and the American Farm Bureau Federation found that as many as 74 percent of farmers have been directly impacted by the opioid crisis.</p>

<p>At a time when overdose deaths, driven primarily by illicitly manufactured synthetic drugs, have reached a record high, the Biden-Harris Administration took action through its first-year drug policy priorities to significantly expand access to evidence-based prevention, treatment, harm reduction, and recovery support services, as well to reduce the supply of illicit drugs like fentanyl. The opioid epidemic is devastating to its victims and their families. It has a compounding ripple effect throughout communities, affecting quality of life, economic opportunity, and rural prosperity. No corner of our country has gone untouched by the opioid crisis, but the impact of this issue on small towns and rural places has been particularly significant.</p>

<p>USDA is committed to being a strong partner to rural communities on a number of fronts:</p>

<ul>
	<li>Through program resources for prevention, treatment, and recovery opportunities for those in need. See the <a href="/sites/default/files/documents/rd-opioid-misuse-funding.pdf" target="_blank">many ways your community can partner with USDA</a> (PDF, 528 KB) to meet immediate needs in this fight.</li>
	<li>Through program resources to help rural communities address many of the deeper, systemic, and long-term issues making these places vulnerable to the opioid crisis in the first place. Our <a href="https://www.rd.usda.gov/files/USDAOpioidsResourceInfographic.pdf" target="_blank">infographic illustrates</a> (PDF, 4.8 MB) how USDA can help rural communities respond to the opioid epidemic by addressing some of the root causes.</li>
	<li>Through the creation of essential tools for rural leaders to use to understand the impact and cause(s) of the crisis in their community; and tools to understand what federal resources are available to help support grassroots strategies to address this crisis.</li>
</ul>

      </div>
  </div>

        <div class="paragraph paragraph--type-content paragraph--view-mode-default">
      
<section style="background-color: #364351">
<section class="usa-grid">
<br>

<h2 class="usda-featured-header"><span class="usa-hero-callout-alt">Resources</h2>


  <h3><span class="usa-hero-callout-alt">Policy Information</h3>

  <ul class="usa-accordion">
     <li>
      <button aria-controls="a2" aria-expanded="false" class="usa-accordion-button">United States
      Department of Agriculture</button>

      <div class="usa-accordion-content" id="a2">
        <ul>
          <li>
            <a href="https://www.nifa.usda.gov" target="_blank">National Institute of Food and
            Agriculture (NIFA)</a>
          </li>


          <li>
            <a href=
            "https://public.govdelivery.com/accounts/USDANIFA/subscriber/new?qsp=USDANIFA_2"
            target="_blank">NIFA Newsletter</a>
          </li>


          <li>
            <a href="https://www.rd.usda.gov" target="_blank">Rural Development</a>
          </li>
        </ul>
      </div>
    </li>


    <li>
      <button aria-controls="a3" aria-expanded="false" class="usa-accordion-button">United States
      Department of Health and Human Services</button>

      <div class="usa-accordion-content" id="a3">
        <ul>
          <li>
            <a href="https://www.cdc.gov/drugoverdose/" target="_blank">Centers for Disease Control
            and Prevention (CDC) Opioid Overdose Information</a>
          </li>


          <li>
            <a href="https://www.hhs.gov/opioids" target="_blank">Health Resources and Services
            Administration (HRSA): Help, Resources and Information National Opioids Crisis</a>
          </li>


          <li>
            <a href="https://www.samhsa.gov/find-help/atod" target="_blank">Substance Abuse and
            Mental Health Services Administration (SAMHSA)</a>
          </li>

          <li>
            <a href="https://findtreatment.gov/" target="_blank">SAMHSA
            Behavioral Health Treatment Services Locator</a>
          </li>
        </ul>
      </div>
    </li>


    <li>
      <button aria-controls="a4" aria-expanded="false" class="usa-accordion-button">United States
      Department of Justice</button>

      <div class="usa-accordion-content" id="a4">
        <ul>
          <li>
            <a href="https://www.justice.gov/opioidawareness" target="_blank">Heroin and Opioid
            Awareness</a>
          </li>

          <li>
            <a href="https://www.justice.gov/opioidawareness/opioid-facts" target="_blank">Opioid
            Facts</a>
          </li>
        </ul>
      </div>
    </li>


    <li style="list-style: none; display: inline">
        <h3><span class="usa-hero-callout-alt">Additional Information</h3>
    </li>

    <li>
      <button aria-controls="a6" aria-expanded="false" class=
      "usa-accordion-button">Partners</button>

      <div class="usa-accordion-content" id="a6">
        <ul>
          <li>
            <a href="https://www.addictionpolicy.org/" target="_blank">Addiction Policy Forum
            (APF)</a>
          </li>


          <li>
            <a href="https://attcnetwork.org/" target="_blank">Addiction Technology Transfer
            Centers</a>
          </li>


          <li>
            <a href="https://www.cadca.org/en/" target="_blank">Community
            Anti-Drug Coalitions of America</a>
          </li>


          <li>
            <a href="https://farmtownstrong.org/" target="_blank">Farm Town Strong</a>
          </li>


          <li>
            <a href="https://addictions.iu.edu/" target="_blank">Indiana
            University</a>
          </li>


          <li>
            <a href="https://opioidaction.org/" target="_blank">National Association of Counties Opioid Epidemic Resource Center</a>
          </li>

          <li>
            <a href="https://www.ruralhealth.us/" target="_blank">National Rural Health
            Association</a>
          </li>

          <li>
            <a href="https://ncrcrd.ag.purdue.edu/" target=
            "_blank">North Central Regional Center for Rural Development Webinars (NCRCRD)</a>
          </li>


          <li>
            <a href="https://operationunite.org/" target="_blank">Operation UNITE</a>
          </li>


          <li>
            <a href="https://pcssnow.org/" target="_blank">Providers Clinical Support System</a>
          </li>


          <li>
            <a href="https://www.ruralhealthinfo.org/topics/substance-use" target="_blank">Rural
            Heath Information Hub</a>
          </li>


          <li>
            <a href="https://opioidresponsenetwork.org/" target="_blank">State Targeted Response Technical
            Assistance</a>
          </li>
        </ul>
      </div>
    </li>


    <li>
      <button aria-controls="a8" aria-expanded="false" class="usa-accordion-button">State
      Government Resources</button>

      <div class="usa-accordion-content" id="a8">
        <div class="usda-block" id="block-usda-content">
          <div class="contextual-region views-element-container">
            <div class=
            "contextual-region js-view-dom-id-3c5b457b6dc9b9246b4b7ac5a7f0d32088771dcd0dcb5419429815880316b925 opioid-programs">
              <h2>State Government Resources</h2>


              <div class="item-list programs-state" id="AK">
                <h3><span class="programs-state--abbr">AK</span>Alaska</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://dhss.alaska.gov/health/dph/Director/Pages/opioids/home.aspx"
                      target="_blank">Alaska Dept. of Health and Human Services OTF</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="AL">
                <h3><span class="programs-state--abbr">AL</span>Alabama</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.alabamapublichealth.gov/pharmacy/opioid-and-heroin.html"
                      target="_blank">Alabama Dept. of Public Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="AZ">
                <h3><span class="programs-state--abbr">AZ</span>Arizona</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://www.azdhs.gov/opioid/"
                      target="_blank">Arizona Dept. of Health Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="CA">
                <h3><span class="programs-state--abbr">CA</span>California</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.cdph.ca.gov/"
                      target="_blank">California Dept. of Public Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="CO">
                <h3><span class="programs-state--abbr">CO</span>Colorado</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://cdhs.colorado.gov/"
                      target="_blank">Colorado Dept. of Human Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="CT">
                <h3><span class="programs-state--abbr">CT</span>Connecticut</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://portal.ct.gov/DPH/Health-Education-Management--Surveillance/The-Office-of-Injury-Prevention/Opioids-and-Prescription-Drug-Overdose-Prevention-Program"
                      target="_blank">Connecticut State Dept. of Public Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="DE">
                <h3><span class="programs-state--abbr">DE</span>Delaware</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.helpisherede.com/#intro" target="_blank">Delaware
                      Division of Public Health</a><strong><span class=
                      "programs-state--abbr">DE</span></strong>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="GA">
                <h3><span class="programs-state--abbr">GA</span>Georgia</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://dph.georgia.gov/stopopioidaddiction" target=
                      "_blank">Georgia Dept. of Public Health</a><strong><span class=
                      "programs-state--abbr">GA</span></strong>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="ID">
                <h3><span class="programs-state--abbr">ID</span>Idaho</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://healthandwelfare.idaho.gov/providers/behavioral-health-providers/idahos-response-opioid-crisis" target=
                      "_blank">Idaho Dept of Health and Welfare</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="ID">
                <h3><span class="programs-state--abbr">IL</span>Illinois</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://idph.illinois.gov/OpioidDataDashboard/" target=
                      "_blank">Illinois Dept. of Public Health Opioids Dashboard</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="IN">
                <h3><span class="programs-state--abbr">IN</span>Indiana</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.in.gov/fssa/dmha/addiction-services/opioid-treatment-program/" target="_blank">Indiana Dept.
                      Of Public Health OTP</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="IA">
                <h3><span class="programs-state--abbr">IA</span>Iowa</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://hhs.iowa.gov/mat/otp" target="_blank">Iowa Dept. of Public
                      Health OTP</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="KS">
                <h3><span class="programs-state--abbr">KS</span>Kansas</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.kdhe.ks.gov/1298/Substance-Use-Disorder-Overdose-Preventi" target="_blank">Kansas Dept. of
                      Public Health</a><strong><span class=
                      "programs-state--abbr">KS</span></strong>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="LA">
                <h3><span class="programs-state--abbr">LA</span>Louisiana</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://ldh.la.gov/subhome/54" target="_blank">Louisiana
                      Dept of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MA">
                <h3><span class="programs-state--abbr">MA</span>Massachusetts</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.mass.gov/massachusetts-responds-to-the-opioid-epidemic"
                      target="_blank">Massachusetts Dept. of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MD">
                <h3><span class="programs-state--abbr">MD</span>Maryland</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://beforeitstoolate.maryland.gov/" target="_blank">Maryland
                      Dept. of Health</a><strong><span class=
                      "programs-state--abbr">MD</span></strong>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MI">
                <h3><span class="programs-state--abbr">MI</span>Michigan</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/drugcontrol/opioid"
                      target="_blank">Michigan Dept. of Health and Human Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MN">
                <h3><span class="programs-state--abbr">MN</span>Minnesota</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://www.health.state.mn.us/communities/opioids/opioid-dashboard/index.html"
                      target="_blank">Minnesota Dept. of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MO">
                <h3><span class="programs-state--abbr">MO</span>Missouri</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://health.mo.gov/data/opioids/" target="_blank">Missouri Dept.
                      of Health and Senior Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MS">
                <h3><span class="programs-state--abbr">MS</span>Mississippi</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://msdh.ms.gov/msdhsite/_static/44,0,382.html" target=
                      "_blank">Mississippi State Dept. of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="MT">
                <h3><span class="programs-state--abbr">MT</span>Montana</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://dphhs.mt.gov/opioid/" target=
                      "_blank">Montana Dept. of Health and Human Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="NC">
                <h3><span class="programs-state--abbr">NC</span>North Carolina</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.ncdhhs.gov/about/department-initiatives/overdose-epidemic/north-carolinas-opioid-and-substance-use-action-plan" target=
                      "_blank">North Carolina Health and Human Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="ND">
                <h3><span class="programs-state--abbr">ND</span>North Dakota</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.hhs.nd.gov/opioids" target=
                      "_blank">North Dakota Dept of Human Service</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="ND">
                <h3><span class="programs-state--abbr">NH</span>New Hampshire</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.dhhs.nh.gov/programs-services/health-care/substance-misuse" target="_blank">New
                      Hampshire Dept. of Health and Human Services</a>    
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="NJ">
                <h3><span class="programs-state--abbr">NJ</span>New Jersey</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.nj.gov/humanservices/dmhas/initiatives/opioid/" target=
                      "_blank">New Jersey Dept. of Human Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="NV">
                <h3><span class="programs-state--abbr">NV</span>Nevada</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://dpbh.nv.gov/Resources/opioids/Prescription_Drug_Abuse_Prevention/"
                      target="_blank">Nevada Division of Public and Behavioral Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="NY">
                <h3><span class="programs-state--abbr">NY</span>New York</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.health.ny.gov/community/opioid_epidemic/	" target=
                      "_blank">New York Dept. of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="OH">
                <h3><span class="programs-state--abbr">OH</span>Ohio</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://mha.ohio.gov/Researchers-and-Media/Combating-Opiate-Abuse/Opioid-Prescribing-Guidelines"
                      target="_blank">Ohio Mental Health and Addictions Services</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="OK">
                <h3><span class="programs-state--abbr">OK</span>Oklahoma</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://oklahoma.gov/health/health-education/injury-prevention-service/drug-overdose/opioid-overdose.html"
                      target="_blank">Oklahoma State Dept of Health</a><strong><span class=
                      "programs-state--abbr">OK</span></strong>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="PA">
                <h3><span class="programs-state--abbr">PA</span>Pennsylvania</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://www.health.pa.gov/topics/disease/Opioids/Pages/Opioids.aspx"
                      target="_blank">Pennsylvania Dept of Health</a><strong><span class=
                      "programs-state--abbr">PA</span></strong>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="RI">
                <h3><span class="programs-state--abbr">RI</span>Rhode Island</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://health.ri.gov/healthrisks/drugoverdose/" target=
                      "_blank">Rhode Island Dept of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="SC">
                <h3><span class="programs-state--abbr">SC</span>South Carolina</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://scdhec.gov/opioid-epidemic" target="_blank">South
                      Carolina Dept of Health and Environmental Control</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="SD">
                <h3><span class="programs-state--abbr">SD</span>South Dakota</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://doh.sd.gov/news/Opioid.aspx" target="_blank">South Dakota
                      Dept of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="TN">
                <h3><span class="programs-state--abbr">TN</span>Tennessee</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://www.tn.gov/opioids/education-and-prevention/educational-information.html"
                      target="_blank">Tennessee Dept. of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="TX">
                <h3><span class="programs-state--abbr">TX</span>Texas</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://www.texmed.org/Opioid/" target="_blank">Texas Medical
                      Association</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="UT">
                <h3><span class="programs-state--abbr">UT</span>Utah</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://vipp.health.utah.gov/opioid-overdoses/"
                      target="_blank">Utah Department of Health</a>
                    </div>
                  </li>


                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://opidemic.utah.gov/" target="_blank">Opidemic Utah</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="VA">
                <h3><span class="programs-state--abbr">VA</span>Virginia</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href=
                      "https://www.vdh.virginia.gov/"
                      target="_blank">Virginia Dept of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="WA">
                <h3><span class="programs-state--abbr">WA</span>Washington</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
                      <a href="https://doh.wa.gov/community-and-environment/opioids" target=
                      "_blank">Washington State Dept of Health</a>
                    </div>
                  </li>
                </ul>
              </div>


              <div class="item-list programs-state" id="WI">
                <h3><span class="programs-state--abbr">WI</span>Wisconsin</h3>


                <ul>
                  <li>
                    <div class="views-field views-field-title">
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                <h3><span class="programs-state--abbr">WV</span>West Virginia</h3>


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                <h3><span class="programs-state--abbr">WY</span>Wyoming</h3>


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