Special Report from the CDC: Readiness to surge: State health departments' workforce infrastructure during the opioid crisis.

INTRODUCTION: As part of scaling up the response to the opioid overdose epidemic, there is an opportunity to examine how state public health departments addressed workforce and other infrastructure needs to implement a large-scale opioid overdose prevention program. Understanding how this was done-and any lessons learned from the process-can inform future workforce development and capital improvement efforts. METHODS: Administrative data from the Centers for Disease Control and Prevention (CDC) Prescription Drug Overdose Prevention for States (PfS) program were analyzed to understand how states adapted to this emerging public health priority. RESULTS: Six months into the first year of funding, 6 of the 16 state health departments had filled all anticipated staffing positions. States faced challenges obtaining timely expenditure authority and hiring staff. However, states were able to overcome these challenges by strategically reassigning staff, hiring from within, and utilizing existing contract mechanisms. CONCLUSION: Our analysis revealed how planning, using existing infrastructure, and maintaining a prepared workforce are critical to ensure that public health agencies have the ability to surge to meet emerging challenges and effectively utilize resources to achieve program goals. practical applications: Greater attention should be directed toward strategically addressing known barriers and timelines in work plans and budgets during the application and selection process to ensure implementation readiness.

Blood chemistry values for shovelnose and lake sturgeon.

Blood chemistry panels are commonly used for assessing the general health of vertebrate animals. Here, we present novel blood chemistry data for two North American sturgeon species, shovelnose sturgeon Scaphirhynchus platorynchus and lake sturgeon Acipenser fulvescens. Measurements were done using a portable chemistry analyzer (VetScan Analyzer; Abaxis). Among the plasma values measured (mean ± SD for shovelnose and lake sturgeon, respectively) were total proteins (3.7 ± 0.9 and 2.8 ± 0.4 g/dL), albumin (2.0 ± 0.5 and 1.1 ± 0.2 g/dL), globulin (1.7 ± 0.7 and 1.7 ± 0.3 g/dL), glucose (107 ± 46 and 62 ± 9.7 mg/dL), sodium (Na(+); 132 ± 3.6 and 150 ± 14 mEq/L), potassium (K(+); 3.5 ± 0.2 and 2.8 ± 1.7 mEq/L), phosphorus (10.4 ± 1.9 and 11.6 ± 3.6 mg/dL), and aspartate aminotransferase (AST; 676 ± 433 and 634 ± 234 IU/L). Higher values for total proteins, albumin, glucose, and Na(+) in shovelnose sturgeon than in lake sturgeon probably are the result of handling stress. In addition, the plasma of male shovelnose sturgeon had higher concentrations of AST, glucose, and globulin than did that of females, whereas the plasma of females had higher concentrations of albumin and K(+) than that of males. This study is the first to report blood chemistry data for shovelnose sturgeon. Robust blood chemistry databases can be used by aquaculturists and fish managers for monitoring sturgeon health.

A single sea lamprey attack causes acute anemia and mortality in lake sturgeon.

The effects of sea lamprey Petromyzon marinus parasitism on hematological variables have not been quantified for lake sturgeon Acipenser fulvescens. Our study objectives were to (1) assess changes in lake sturgeon hematology immediately after a single sea lamprey attack and after a 2-week recovery period and (2) assess changes in the histological condition of major hematopoietic organs. Lake sturgeon from four size-groups (470-570, 570-650, 650-760, and 950-1,500 mm fork length) were individually subjected to a sea lamprey attack in a series of 55 experimental trials. Survival of lake sturgeon after a single sea lamprey attack was size dependent, with fish in smaller size-groups exhibiting higher direct and indirect mortality than individuals in larger size-classes. The most sensitive blood chemistry variable was hematocrit: each 1% decline in hematocrit resulted in a 5.1% increase in mortality risk. Other important variables were plasma protein level, with a 10-g/dL decline resulting in a 4.2% increase in mortality risk; and hemoglobin, with a 1-g/dL decline resulting in a 2.9% increase in mortality risk. Most of the surviving lake sturgeon were unable to restore hemoglobin, hematocrit, and plasma protein to pre-attack levels by the end of the 2-week recovery period. We developed an index of histological spleen condition, which indicated that short-duration (< 5-d) sea lamprey attachments depleted red blood cell reserves faster than longer-duration attacks. Our study results indicate that sea lamprey parasitism has the potential to induce acute anemia in lake sturgeon and that nonlethal attacks on smaller (< 760-mm) fish can have serious physiological implications.