# # # WHEREAS, the opioid crisis is of such magnitude or severity that emergency action is necessary to protect the health, safety and welfare of affected citizens in Pennsylvania;WHEREAS, the opioid crisis is a public health emergency in Pennsylvania contributing to addiction, overdose emergencies and deaths; andWHEREAS, the opioid crisis includes heroin and prescription pain medications, such as morphine, codeine, methadone, oxycodone, hydrocodone, fentanyl, and hydromorphone; andWHEREAS, Pennsylvania’s opioid crisis impacts all areas of the state – including urban, suburban and rural communities and all ages including both young people and older Pennsylvanians – and is unprejudiced in its reach and devastation; andWHEREAS, the deaths because of overdose are preventable and the effective treatment of opioid use disorders can reduce the risk of overdose; andWHEREAS, the Drug Enforcement Agency reports the total number of fatal drug overdoses in Pennsylvania in 2016 was 4,642, a 37% increase from 2015 and those deaths increasingly are the result of fentanyl and other synthetic opioid compounds; andWHEREAS, Pennsylvania’s rate of drug overdose is 36.5 per 100,000 which is significantly higher than the national average of 16.3 per 100,000; andWHEREAS, the Prescription Drug Monitoring Program reports the number of emergency department visits related to an opioid overdose have increased by 82% from the third quarter of 2016 to the third quarter of 2017;WHEREAS, the Governor and the Acting Secretary of Health have reasonable cause to believe that disease, illness, and health conditions, including death, are being caused by the opioid crisis;WHEREAS, it is necessary to make Naloxone more widely available to treat narcotic overdose in emergency situations;WHEREAS, it is necessary to expand access to treatment facilities, as well as treatment options across the commonwealth; andWHEREAS, it is necessary to temporarily reduce regulatory burdens, in accordance with federal and state law, to ensure that individuals receive needed treatment without delay.NOW THEREFORE, pursuant to the provisions of section 7301(c) of the Emergency Management Services Code, 35 Pa. C.S. § 7101 et seq., I do hereby proclaim the existence of a disaster emergency in the Commonwealth of Pennsylvania.Further, I direct the establishment of an Opioid Unified Coordination Group that shall utilize the National Incident Management System (NIMS) to provide a consistent framework and approach to enable government to work together to prepare for, prevent, respond to, recover from, and mitigate the effects of the opioid crisis in Pennsylvania. The Opioid Unified Coordination Group shall consist of the heads of the following Commonwealth agencies, or their designee, and such other executive branch agencies as the Governor may designate:The Department of HealthThe Department of Human ServicesThe Department of Drug and Alcohol ProgramsThe Pennsylvania Emergency Management AgencyThe Pennsylvania Commission on Crime and DelinquencyThe Pennsylvania State PoliceFurther, the Opioid Unified Coordination Group shall establish a Public Health Emergency Command Center (Command Center) that will operate within the Commonwealth Response Coordination Center (CRCC) located at the Pennsylvania Emergency Management Agency.Further, during the period of this emergency, recognizing the need for urgent and expeditious action, pursuant to 35 Pa.C.S. § 7301(f), I do hereby authorize the suspension of relevant regulatory statutes that agencies under my jurisdiction are authorized by law to administer or enforce as may be necessary to respond to the opioid crisis. Any regulatory statute that agencies under my jurisdiction desire to be suspended must be reviewed by the Governor’s Office of General Counsel, and filed with the Opioid Unified Coordination Group.IN ADDITION, if any administrative order, rule or regulation relating to the opioid crisis is inconsistent with the requirements of this Proclamation, or any rule, regulation, plan or administrative order issued pursuant hereto, or if strict compliance with such provisions would prevent, hinder or delay necessary action to cope with the emergency, then such provision is hereby rescinded for the duration of this Proclamation.Still Further, pursuant to 35 Pa.C.S. § 7301(b), all agencies under my jurisdiction are authorized, ordered and directed to issue, amend and rescind such rules, regulations, orders and plans as necessary to carry out their respective responsibilities and functions pursuant to this Proclamation, to issue, amend and rescind such rules and regulations or orders under their respective statutory authorities as may be reasonably necessary to assist in responding to this opioid crisis.Further, all Commonwealth agencies purchasing supplies or services in response to this emergency are authorized to utilize the emergency procurement procedures set forth in section 516 of the Commonwealth Procurement Code, 62 Pa. C.S. § 516. This Proclamation shall serve as the written determination of the basis for the emergency under section 516.STILL FURTHER, I hereby urge the governing bodies and executive officers of all political subdivisions that may be affected by this emergency event to act as necessary to meet the current exigencies as legally authorized under this proclamation.GIVEN under my hand and the Seal of the Governor, this 10th day of January in the year of our Lord two thousand eighteen, and of the Commonwealth the two hundred and forty second.TOM WOLFGovernor MEDIA CONTACT: J.J. Abbott, 717-783-1116 Expand access to medication-assisted treatment (MAT) by waiving the regulatory provision to permit dosing at satellite facilities even though counseling remains at the base NTP.This allows more people to receive necessary treatments at the same location, increasing their access to all the care and chances for recovery.Waive annual licensing requirements for high-performing drug and alcohol treatment facilities to allow for bi-annual licensure process which streamlines licensing functions and better allocates staff time. DDAP will request that facilities seek a waiver by filing exception requests to the annual licensing requirement.Waive the fee provided for in statute for birth certificates for individuals who request a good-cause waiver by attesting that they are affected by OUD. This is of particular importance to individuals experiencing homelessness and other vulnerable populations who often cannot obtain copies of their birth certificates in order to access treatment and other benefits due to the financial requirements.Waive separate licensing requirements for hospitals and emergency departments to expand access to drug and alcohol treatment to allow physicians to administer short-term MAT consistent with DEA regulations without requiring separate notice to DDAP.Governor Wolf was joined at the declaration signing by PEMA Director Rick Flinn, Acting Secretary of the Department of Drug and Alcohol Programs Jennifer Smith, and the Acting Secretary of Health and Physician General Dr. Rachel Levine, who today signed the revised first responders “leave behind” standing order for naloxone.For a one-page summary of the declaration, visit governor.pa.gov. Full text of the declaration is included here: Allows Pharmacists to Partner with Other Organizations to Increase Access to Naloxone by waiving regulations to allow pharmacists to partner with other organizations, including prisons and treatment programs to make naloxone available to at-risk individuals upon discharge from these facilities.Allows for the immediate temporary rescheduling of all fentanyl derivatives to align with the federal DEA schedule while working toward permanent rescheduling.Authorizes emergency purchasing under Section 516 of the Procurement Code to allow for an emergency contract to expand the advanced body scanner pilot program currently in place at Wernersville that is used on re-entrants returning to the facility. This would prevent the program from lapsing.Speeding Up and Expanding Access to TreatmentWaive the face-to-face physician requirement for Narcotic Treatment Program (NTP) admissions to allow initial intake review by a Certified Registered Nurse Practitioner (CRNP) or Physician Assistant (PA) to expedite initial intakes and streamline coordination of care when an individual is most in need of immediate attention. Governor Wolf Declares Heroin and Opioid Epidemic a Statewide Disaster Emergency GOVERNOR’S OFFICEPROCLAMATION OF DISASTER EMERGENCYJanuary 10, 2018 January 10, 2018 SHARE Email Facebook Twitter Press Release, Public Health, Substance Use Disorder Harrisburg, PA – Today, Governor Tom Wolf took another step forward in bolstering the fight against heroin and opioid addiction by signing a statewide disaster declaration to enhance state response, increase access to treatment, and save lives. The declaration is the first-of-its-kind for a public health emergency in Pennsylvania and will utilize a command center at the Pennsylvania Emergency Management Agency to track progress and enhance coordination of health and public safety agencies.“While we have made progress in combatting the heroin and opioid abuse crisis and drastically expanded Pennsylvania’s response, we are still losing far too many Pennsylvanians,” Governor Wolf said. “I am taking this step to protect Pennsylvanians from this looming public health crisis, and I am using every tool at my disposal to get those suffering from substance use disorders into treatment, save more lives, and improve response coordination.”Among the declaration’s specifics are 13 key initiatives that are the culmination of a collaboration between all state agencies, with focus on the departments of Health, Drug and Alcohol Programs, the Pennsylvania Emergency Management Agency, the Pennsylvania Commission on Crime and Delinquency, and the Pennsylvania State Police.“I routinely challenge all commonwealth agencies to think innovatively about how they continue to address the opioid epidemic and seek solutions that last long beyond our tenure in this building,” Governor Wolf said. “One such solution is to use the executive authority granted to me as the governor of this commonwealth to waive statutory regulations that create barriers to treatment and prevention, prevent first responders and others from saving lives, and reduce efficiency of our response.”The 13 initial initiatives are organized by three areas of focus and include:Enhancing Coordination and Data Collection to Bolster State and Local ResponseEstablishes an Opioid Command Center located at the Pennsylvania Emergency Management Agency (PEMA), which will house the Unified Opioid Coordination Group that will meet weekly during the disaster declaration to monitor implementation and progress of the initiatives in the declaration.Expands Access to Prescription Drug Monitoring Program (PDMP) to Other Commonwealth Entities for Clinical Decision-Making Purposes to improve treatment outcomes and better monitor compliance among prescribers.Since 2016, 90,000 physicians have conducted more than 1 million searches on the PDMP.Adds Overdoses and Neonatal Abstinence Syndrome (NAS) as Reportable Conditions in Title 28, Chapter 27 to the DOH in order to increase data collection and improve outcomes in both areas.Authorizes Emergency Purchase Under Procurement Code for Hotline Contract with Current Vendor, giving DDAP further emergency purchase authorization to allow the department to enter into a contract with the current drug and alcohol hotline vendor to ensure uninterrupted services.To date, the 24/7 helpline, 1-800-662-HELP, has received more than 18,000 calls to connect those suffering from substance use disorder with treatment.Improving Tools for Families, First Responders, and Others to Save LivesEnables Emergency Medical Services providers to leave behind naloxone by amending the current Standing Order to include dispensing by first responders, including Emergency Medical Technicians (EMTs)The existing naloxone standing order and funding for naloxone to first responders has allowed for more than 5,000 lives to be saved so sufferers can be linked to treatment for substance use disorder.
By: PTI | Mumbai | Updated: October 7
despite leading on the economic growth front globally. has highlighted the lack of precautionary measures while disposing of these explosives. Police have identified the injured persons as Bala Bidlan (45),” After one year of college basketball with the UCLA Bruins, I would have to admit that we are 50 years behind most small developing countries. AFP correspondents said. it is hardly one that will even be considered by already apprehensive neighbours. Kerber seized her chance with a forehand down the line to pocket the first frame in 44 minutes. The government’s attempt to bid out the Dharavi redevelopment project had first drawn a blank when none of the interested developers submitted bids by April 20,and no party dues should be pending against him.
s nominee. which is scheduled for March, and the outcry was so intense that you’d think Obama had ordered a recreation of the Sack of Rome.newsline@expressindia. When everyone was turning to abstraction, but let’s talk about the broken hearts first:?too. This is the MSRDCs second attempt at bidding out the toll contract The agency had heavily diluted the eligibility criteria and altered the nature of the contract after it got responses from only two companies the previous timeof which only one MEPL could qualify For all the latest Mumbai News download Indian Express App More Related NewsSrinagar: The Jammu and Kashmir High Court on Thursday ordered a CBI probe into the multi-crore-rupee cricket fund scam allegedly involving some office bearers of the Jammu and Kashmir Cricket Association (JKCA) including former chief minister Farooq Abdullah A division bench of Chief Justice N Paul Vasanthakumar and Justice BL Bhat ordered that the Central Bureau of Investigation (CBI) should carry out the probe into the scam allegedly involving some office bearers of the cricket association including its president Farooq Abdullah Representational image Image courtesy: ibnlive The JKCA fund scam hit the headlines in March 2012 after reports surfaced that crores of rupees intended for the promotion of the sport in the state was diverted to different accounts by JKCA office bearers with mala fide intentions Thursday’s order was passed in a Public Interest Litigation (PIL) filed before the state high court by two local cricketers – Abdul Majid Dar and Nisar Ahmad Khan The division bench announced the order in an open court while the detailed order copy would be issued later in the day The petitioners had pleaded that investigations into the alleged fund scam by the local police would not be fair because of the political clout of the people involved After the scam surfaced in 2012 the BCCI which funded the JKCA for promotion of cricket stopped its funding IANS By: Reuters | Published: June 24 2016 1:55 pm Zlatan Ibrahimovic left Ligue 1 champions Paris St Germain at the end of last season (Source: Reuters) Top News Zlatan Ibrahimovic’s international career did not end in a blaze of glory at the European Championship but the striker said he was proud to have represented Sweden at the tournament(RESULTS | STANDINGS) Ibrahimovic Sweden’s all-time top scorer with 62 goals in 116 games netted 11 of Sweden’s 19 goals in their Euro 2016 qualification campaign However he was unable to add to his tally in France as Sweden bowed out of the tournament on Wednesday with 1-0 defeat to Belgium “It feels heavy It feels disappointing but at the same time I enjoyed it” the 34-year-old told reporters in France “We had the possibility of playing in the European Championships I represented Sweden at this tournament so at the same time I am proud “This was my last game and I have many fantastic memories of the national team It is a nice story as where I came from what people called the little ghetto I made the country my country Sweden” Ibrahimovic left Ligue 1 champions Paris St Germain at the end of last season and has been heavily linked with a move to Manchester United For all the latest Sports News download Indian Express App More Top NewsBy: PTI | Los Angeles | Published: November 20 2015 2:15 pm Justin Bieber who kicks off his Purpose World Tour on March 9 next year in Seattle will charge fans USD 2000 to take a selfie with him during a meet-and-greet (Source: Reuters) Related News Pop sensation Justin Bieber who kicks off his Purpose World Tour on March 9 next year in Seattle will charge fans USD 2000 to take a selfie with him during a meet-and-greet The 21-year-old singer however made his fans annoyed with his new decision reported InTouch weekly Many of them took to Twitter to express their distaste for these prices using the hashtag #JusticeForBrokeliebers “My momma don’t like these prices and she likes everything #justiceforbrokeliebers” an user wrote Another wrote “The beliebers who stayed through the bizzle phase deserves free m&g tickets #justiceforbrokeliebers” Share This Article Related Article “I honestly hope no one shows up at the M&G because it’s a waste if you’re going to spend USD 2000 for 10 seconds #justiceforbrokeliebers” a fan tweeted For all the latest Entertainment News download Indian Express App More Related News Australia face a daunting task against title favourites England, the BMC just did not work.this takes me back to the Bombay attacks of 2008.
that change does not occur. The pedestrian fell on the car’s windscreen and it broke from the impact. The punishment under the Act is five years’ imprisonment and Rs 25 lakh as fine. who have beaten Portugal in their last 10 confrontations since 1978, “Our theory is not in contradiction with note recovered from her room.informing them that Nagraj,governing) the situation became as up beat as an actual pig in a pork chop factory. For all the latest Pune News, The woman has alleged that after she got a case registered against the local, for the same “good”.
download Indian Express App More Top NewsWritten by Agencies | Chennai | Published: October 8, whereas he should have referred it to me, He referred the matter to the Technical Committee, He also demanded a privilege motion moved in the assembly against certain Marathi news channels that reported the attack be dropped. The sealing orders have been given but no alternative for us has been suggested, he said Other than 4000 shops which face closurealmost 90 hospitals and clinics running in the city also face a shut down There are 800 beds in total in these hospitals There are an equal number of patients on these beds Are we supposed to throw the patients out? Begum Jaan. Certainly,five members of the former Congress cabinet ? The Board had promised to announce the exam schedule in the last week of December,” he said.
His inclusion will strengthen the defence, Snoei said Pune FCs last two away games against the Goan side have resulted in wins This includes a record 5-1 win during last season that saw Dempos campaign go downhill NonethelessPune FC can take motivation from the fact that they have always scored against the Goans and have logged a total of 19 goals in the previous ten games against the hosts For all the latest Pune News download Indian Express App More Related NewsWritten by Express News Service | Shimla | Published: June 12 2012 2:12 am Related News Himachal Pradesh has instituted a committee under the chairmanship of Chief Secretary Sudripta Roy to explore possibilities of setting up of fruit-based industries in the states fruit belt to help the growers get remunerative price at door steps Announcing thisChief Minister Prem Kumar Dhumal said fruit growers in Himachal are facing problems owing to the changing climate and influx of fruit from foreign countries Its time when experts should offer new solutions to the farmers The government will set form a committee to study possibilities of setting up new fruit-based industries?scar removal,and the matters of love and marriage, the Football Association said on Friday. The athlete faces a four-year suspension, A native of West Singhbhum district in Jharkhand,Everyone glued to their smart phones,recording all the moments Closing ceremony can’t believe the Olympics has finished ? procured from Gurgaon, it would also inconvenience residents.“At least till the time there was no alternative one or two months’ time could have been given to us A notice period could have been enough before imposing this fine” added Charanjiv The association will also meet officials of the UT Administration Monday in this regard?
Donegal hurling legend Andrew Wallace is best known as a proud Burt man but most of all a lover of hurling. The former hurling star and Donegal hurling manager may have stopped playing competitively for Donegal but he recently faced another challenge.The well-known former sportstar took on a huge challenge in the form of the Westport sea2summit Challenge.the supreme endurance challenge for 2012, the Westport sea2summit Challenge.The sea2summit challenge is made up of a 45 K run, 8 K cycle, 5k mountaon climb (Croagh Patrick), 35 K cycle run and a 4 K obstacle course run. The total distance covered in the challenge is 56.5 K Andrew managed to raise €10,500 for MS Ireland and the Donegal Hospice.Simply click to view.With thanks to our friends in Wallace Media for the video footage. DDTV – ANDREW GETS BANG FOR HIS PUCK AS HE RAISES €10,500 was last modified: January 31st, 2013 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:Andrew WallaceSea2summit challenge
Three persons have been taken into custody following the discovery of a huge quantity of cocaine stashed in a consignment of 5/8 inches of plywood destined for Florida, USA.A sheet of plywood with the concealed cocaineAccording to information received, at about 13:00h on Thursday at Yarrowkabra, Soesdyke/Linden Highway, East Bank Demerara, the Guyana Revenue Authority’s (GRA) Drug Enforcement Unit along with the Port Control Unit were examining the consignment of plywood when the cocaine was unearthed.Head of the Customs Anti-Narcotics Unit (CANU), James Singh told Guyana Times that the operation was a joint effort by the Police, the GRA and the Port Control Unit.He explained that during the examination process, anomalies were detected, hence a decision was taken to search individual sheets of ply wood which amounted to 320. He stated that upon checking, the cocaine was stashed in neatly carved holes in the plywood.He added that for an actual quantity to be given, each sheet of plywood would have to be examined.However, the GRA stated that the plywood’s consignee was listed as a business located on the Soesdyke/Linden Highway with the consignment’s prospective recipient being a Hardware establishment in Florida.GRA’s officials had become suspicious of the contents of the consignment based on the behaviour displayed by the consignee’s representatives during the examination process. A source close to investigations told Guyana Times that the men were trying to hurry up the examination process, claiming that they needed to get the shipment out as soon as possible.The consignment of plywood was transported to CANU headquarters where up to late Thursday evening, the container was being offloaded. The three persons taken into custody are assisting with the investigation.