At the ASTHO Leadership Forum, Justa Encarnacion, ASTHO member and Commissioner of Health for the U.S. Virgin Islands Department of Health, shared how island jurisdictions are tackling some of the nation’s toughest health challenges with collaboration, data, and community-driven prevention. Encarnacion discusses the Fentanyl Free PR–USVI Initiative, a partnership with Puerto Rico and federal agencies that blends enforcement with public health strategies using targeted education, naloxone training, and even wastewater surveillance to detect opioid trends and respond quickly. She explains how real-time data helps the territory pinpoint where opioids are appearing and tailor prevention efforts to specific communities.
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