{"id":11836,"date":"2024-09-23T14:45:57","date_gmt":"2024-09-23T14:45:57","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/roanoke\/?p=11836"},"modified":"2024-10-01T15:33:22","modified_gmt":"2024-10-01T15:33:22","slug":"substance-use-disorder-finding-the-good-news","status":"publish","type":"post","link":"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/23\/substance-use-disorder-finding-the-good-news\/","title":{"rendered":"Substance Use Disorder &#8211; Finding the Good News"},"content":{"rendered":"<div id=\"pl-11836\"  class=\"panel-layout\" ><div id=\"pg-11836-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-11836-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-11836-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<table style=\"height: 62px;background-color: #0e4c90\" width=\"1637\">\n<tbody>\n<tr>\n<td>\n<h1 style=\"text-align: center\"><span style=\"color: #ffffff;font-size: 24pt\">RCAHD Community Health Update<br \/>\n<\/span><span style=\"color: #ffffff;font-size: 12pt\">A Roanoke City &amp; Alleghany Health Districts publication<\/span><\/h1>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400\">As public health servants, we are always pleased to have opportunities to share good news. We are thrilled to report that we have started to see decreases in the rates of drug overdose deaths in some of our localities, particularly those experiencing higher rates of fatalities. Although it is too soon to know if this will continue, this local trend appears consistent with national declines in overdose deaths.<\/span><\/p>\n<p>The Centers for Disease Control and Prevention (CDC) made headlines earlier in September when they announced a remarkable <a id=\"m_1977089894531926674OWAb884554a-0c67-5c68-a753-30c923cfcebb\" title=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug-overdose-data.htm\" href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug-overdose-data.htm\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug-overdose-data.htm&amp;source=gmail&amp;ust=1727882910826000&amp;usg=AOvVaw3rpkwNIA07QOFchDd3W-4h\">10% drop in overdose deaths<\/a>\u00a0across the United States. This decline in deaths has both national and local experts cautiously optimistic about progress for people experiencing substance use disorder.\u00a0<\/p>\n<div>Like many places, our area witnessed a steep increase in overdose deaths during the pandemic. Locally, the\u00a0<a id=\"m_1977089894531926674OWA351e7c1c-8493-5785-dbaf-9e0280d4257c\" title=\"https:\/\/www.vdh.virginia.gov\/medical-examiner\/forensic-epidemiology\/\" href=\"https:\/\/www.vdh.virginia.gov\/medical-examiner\/forensic-epidemiology\/\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.vdh.virginia.gov\/medical-examiner\/forensic-epidemiology\/&amp;source=gmail&amp;ust=1727882910826000&amp;usg=AOvVaw0xYChbNwuWBW1Vwy7Y_ZEt\">rate of overdose deaths in Roanoke City and Salem<\/a>\u00a0more than doubled between 2019 and 2022.\u00a0<a id=\"m_1977089894531926674OWA45caed17-b640-ae9f-ca24-34bf495973f9\" title=\"https:\/\/www.sfchronicle.com\/projects\/us-drug-overdose-deaths\/?fips=51770\" href=\"https:\/\/www.sfchronicle.com\/projects\/us-drug-overdose-deaths\/?fips=51770\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.sfchronicle.com\/projects\/us-drug-overdose-deaths\/?fips%3D51770&amp;source=gmail&amp;ust=1727882910826000&amp;usg=AOvVaw2-M_Y4hnDSX7HkxZSNt3oh\">Reporting by the San Francisco Chronicle<\/a>\u00a0revealed that the Roanoke Valley has been among the top 30\u00a0<a id=\"m_1977089894531926674OWA06d088d5-5021-a0c5-b3b4-f584924d3472\" title=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/prov-county-drug-overdose.htm\" href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/prov-county-drug-overdose.htm\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/prov-county-drug-overdose.htm&amp;source=gmail&amp;ust=1727882910826000&amp;usg=AOvVaw3_f_miOMbpyL9LdQcV4AMp\">U.S. areas with the highest rates of overdose<\/a> fatalities. However, we are encouraged that the 2023 overdose death rates dropped by 20-35%.\u00a0(Overdose death rates in the Alleghany Highlands and Botetourt, Craig, and Roanoke Counties remain elevated but mostly stable in recent years.) We are also encouraged that the rate of emergency department visits for nonfatal overdoses in the wider Roanoke Valley dropped 10% in 2023. This is an important improvement as our area\u2019s rates have been <a id=\"m_1977089894531926674OWA00151fbf-132e-9da7-3169-f0f889dd4c8a\" title=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/syndromic-surveillance\/drug-overdose-surveillance\/\" href=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/syndromic-surveillance\/drug-overdose-surveillance\/\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/syndromic-surveillance\/drug-overdose-surveillance\/&amp;source=gmail&amp;ust=1727882910826000&amp;usg=AOvVaw2bDjud7ZzTzSBamyQjIIFE\">two times as high for emergency overdose visits<\/a>\u00a0compared to the rest of Virginia for more than ten years.<\/div>\n<p><span style=\"font-weight: 400\">While many people offer theories about the reasons behind this dramatic drop in deaths, most experts agree the data doesn't yet provide clear answers. There is growing evidence that community harm reduction efforts are showing results, including greater availability of naloxone (Narcan), a\u202fmedication\u202fthat reverses most opioid overdoses. In fact, our local health department and other partner agencies such as the Virginia Harm Reduction Coalition, the Drop-In Center and Blue Ridge Behavioral Health are among the most active in the state in making naloxone available to residents in our community. (Visit our <\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.vdh.virginia.gov\/roanoke\/overdose-prevention\/\"><span style=\"font-weight: 400\">website<\/span><\/a><\/span><span style=\"font-weight: 400\"> to learn how to respond to an overdose with our free Revive! trainings.)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Harm reduction tools have a well-documented connection to overdose prevention. They can be used to interrupt the cycles of trauma and isolation that drive addiction, substance use, and overdose fatalities. When people enter treatment programs with medication-assisted treatments like buprenorphine or methadone, the risks of overdose and death are markedly reduced. Research shows that when people receive medication for their opioid use disorder, <\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/nida.nih.gov\/publications\/research-reports\/medications-to-treat-opioid-addiction\/efficacy-medications-opioid-use-disorder\"><span style=\"font-weight: 400\">they are more likely to stay in treatment<\/span><\/a><\/span><span style=\"font-weight: 400\"> compared to people who don\u2019t.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">While we are optimistic these trends are a step in the right direction, 100,000 U.S. overdose deaths per year for the last three years is still alarming and unacceptable. We still have far too many individuals who are harmed by substance use disorder. There is much work to be done. Our focus now is to ensure we keep gaining momentum through increased partnerships to expand access to prevention, destigmatize substance use disorder, and to make treatment and recovery as widely available as possible.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">October is National Substance Abuse Prevention Month. If you or a friend or loved one has an opioid use disorder (OUD), talk with a health care provider to learn how medications can help. <\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.samhsa.gov\/find-help\/national-helpline\"><span style=\"font-weight: 400\">SAMHSA\u2019s National Helpline<\/span><\/a><\/span><span style=\"font-weight: 400\"> is a free, confidential, 24\/7, 365-day-a-year treatment referral and information service (in English and\u202f<\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.samhsa.gov\/linea-nacional-ayuda\"><span style=\"font-weight: 400\">Spanish<\/span><\/a><\/span><span style=\"font-weight: 400\">) for individuals and families facing mental and\/or substance use disorders.\u00a0\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-11836-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-11836-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-11836-1-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-11836\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/community-update\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe904;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tCommunity Update Home\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-11836-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-11836-1-1-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-11836\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-right ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe900;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tRCAHD Homepage\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-11836-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-11836-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-11836-2-0-0\" class=\"so-panel widget widget_sow-post-carousel panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-post-carousel so-widget-sow-post-carousel-base-8415c3b0c03d-11836\"\n\t\t\t\n\t\t>\t<div\n\t\tclass=\"sow-post-carousel-wrapper sow-post-carousel-theme-base\"\n\t\tstyle=\"overflow: hidden; max-width: 100%; min-height: 182px\"\n\t>\n\t\t<div class=\"sow-carousel-title\">\n\t\t\t<div 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data-responsive=\"{&quot;desktop_slides_to_scroll&quot;:3,&quot;tablet_landscape_breakpoint&quot;:1366,&quot;tablet_landscape_slides_to_scroll&quot;:2,&quot;tablet_portrait_breakpoint&quot;:1025,&quot;tablet_portrait_slides_to_scroll&quot;:2,&quot;mobile_breakpoint&quot;:480,&quot;mobile_slides_to_scroll&quot;:1}\" data-variable_width=\"true\" \t>\n\t\t<div\n\t\t\tclass=\"sow-carousel-items\"\n\t\t\t\t\t>\n\t\t\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/11\/13\/taking-steps-to-address-heart-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/02\/Heart-Awareness-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11948\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/11\/13\/taking-steps-to-address-heart-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11948\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tTaking Steps to Address Heart Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/10\/15\/updated-tips-for-the-2024-respiratory-season\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/10\/Covid-Lungs-Graphic-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11895\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/10\/15\/updated-tips-for-the-2024-respiratory-season\/\"\n\t\t\t\tid=\"sow-carousel-id-11895\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tUpdated Tips for the 2024 Respiratory Season\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/03\/protecting-our-pets-and-families-from-rabies\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/08\/World-Rabies-Day-489x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11784\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/03\/protecting-our-pets-and-families-from-rabies\/\"\n\t\t\t\tid=\"sow-carousel-id-11784\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tProtecting Our Pets and Families from Rabies\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/08\/12\/disease-defenders-how-epidemiology-protects-community-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2021\/02\/Vaccination-barriers-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11727\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/08\/12\/disease-defenders-how-epidemiology-protects-community-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11727\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tDisease Defenders \u2013 How Epidemiology Protects Community Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/07\/22\/aging-and-brain-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2023\/10\/Strokeaware-488x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11617\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/07\/22\/aging-and-brain-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11617\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tAging and Brain Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/05\/20\/taking-care-of-our-mental-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2021\/05\/Mental-Health-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11536\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/05\/20\/taking-care-of-our-mental-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11536\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tTaking Care of Our Mental Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/29\/fight-the-bite-tick-borne-diseases\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/08\/Tick-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11504\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/29\/fight-the-bite-tick-borne-diseases\/\"\n\t\t\t\tid=\"sow-carousel-id-11504\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tFight the Bite: Tick-Borne Diseases\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/08\/finding-solutions-to-improve-reproductive-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/04\/clinicianAndPatient488x326-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11459\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 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class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/03\/18\/national-public-health-week-2024\/\"\n\t\t\t\tid=\"sow-carousel-id-11420\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tNational Public Health Week 2024\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/02\/26\/stopping-the-comeback-of-measles\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/04\/vax-awareness-week-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11372\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/02\/26\/stopping-the-comeback-of-measles\/\"\n\t\t\t\tid=\"sow-carousel-id-11372\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tStopping the Comeback of Measles\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t<\/div>\n\t\t<input type=\"hidden\" name=\"instance_hash\" value=\"f25c3750\"\/>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>RCAHD Community Health Update A Roanoke City &amp; Alleghany Health Districts publication As public health servants, we are always pleased to have opportunities to share good news. We are thrilled to report that we have started to see decreases in the rates of drug overdose deaths in some of our localities, particularly those experiencing higher [&hellip;]<\/p>\n","protected":false},"author":450,"featured_media":11837,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","footnotes":""},"categories":[1],"tags":[],"class_list":["post-11836","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community-updates"],"modified_by":"shannonbowles","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Substance Use Disorder - Finding the Good News - Roanoke Health District<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/23\/substance-use-disorder-finding-the-good-news\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Substance Use Disorder - Finding the Good News - Roanoke Health District\" \/>\n<meta property=\"og:description\" content=\"RCAHD Community Health Update A Roanoke City &amp; Alleghany Health Districts publication As public health servants, we are always pleased to have opportunities to share good news. 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