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31 last year, more than double related deaths of all previous years in combination. The opioid crisis, too, no longer just affected mostly white drug users, but also minority communities. Thomas Gilson, medical examiner of Cuyahoga County, warned that cocaine is now getting mixed into the fentanyl distribution and fentanyl analogs in order to bring the drugs closer to the African-American groups. The states Department of Mental Health and Addiction Services stated that the overdose death toll back in 2015 would have been higher if not for the role of naloxone, an antidote use for opioid overdose cases.

Establishing a risk committee and or Chief Risk Officer to coordinate activities of the risk functions. Establishing ownership for particular risks and responses, demonstrating the cost-benefit of the risk management effort. Developing action plans to ensure the risks are appropriately managed, developing consolidated reporting for various stakeholders.

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