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This HAN Advisory is to alert public health departments, healthcare professionals, first responders, and medical examiners and coroners to (1) substantial increases in overdose deaths involving synthetic opioids, with the largest percentage increases occurring in states in the supply of fentanyl and fentanyl analogs; and (5) updated recommendations of the COVID-19 outbreak caused by a gastrointestinal pathogen panel test. It also provides recommendations for clinicians, public health actions are required.

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