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6.1.D. - Page 8 <br />Defined Terms <br />The County San Mateo County <br />K-9 Canine Law Enforcement Unit <br />Paramedics Fire department and ambulance paramedics in San Mateo County (County) <br />NTF Narcotics Task Force (County) <br />CDC Centers for Disease Control and Prevention (Federal) <br />DEA Drug Enforcement Administration (Federal) <br />SWAT Special Weapons and Tactics Unit (County) <br />CHS San Mateo County Health System (County) <br />EMS Emergency Medical Services (County) <br />FDA U.S. Food and Drug Administration (Federal) <br />HHS U.S. Department of Health and Human Services (Federal) <br />NIDA National Institute of Drug Abuse <br />NIH National Institutes of Health <br />NCHS National Center for Health Statistics <br />BACKGROUND <br />On October 26, 2017, the U.S. Department of Health and Human Services declared the opioid <br />crisis a nationwide public health emergency. 14 Opioid overdoses killed over 42,000 Americans in <br />2016 (an average of over 115 per day). 15 More than 2.5 million Americans abused opioids in <br />2015.16 <br />14 Eric D. Harden, "Determination that a Public Health Emergency Exists" Office of the Assistant Secretary for <br />Preparedness and Response, Last modified October 26, 2017. <br /><httas://www.Dhe. 2ov/emer2encv/news/healthactions/Dhe/pa2es/oDioids. asDx> <br />15 California Department of Public Health, San Mateo Numbers at a Glance (2018). <br />16 Department of Health and Human Services, "Key Substance Use and Mental Health Indicators in the United <br />States: Results from the 2015 National Survey on Drug Use and Health" Substance Abuse and Mental Health <br />Services Administration. Last modified September 2016. <httas://www.samhsa.2ov/data/sites/default/files/NSDUH- <br />FFRl-2015/NSDUH-FFRI-2015/NSDUH-FFRI-2015.Ddf>. <br />2017-2018 San Mateo County Civil Grand Jury <br />