Opioids Episodes
March 12, 2026
1085: How the U.S. Virgin Islands Is Using Data and Prevention to Fight the Opioid Crisis
On today's episode, 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 using real-time data, advanced training, and wastewater surveillance.
Nov. 26, 2025
1033: How Telehealth Is Expanding Access to Care and How North Dakota’s Academic Health Department Model is Growing Public Health Talent
In this episode: how telehealth has evolved from a pandemic-era necessity into a powerful tool for improving access to health care. ASTHO senior analyst Ashley Cram breaks down the different types of telehealth, from video visits and audio-only consultations to remote patient monitoring, and why each plays an essential role for patients facing challenges like provider shortages, transportation barriers, or limited broadband access. Also, State Epidemiologist Tracy Miller explains how a partnership with North Dakota State University created a student assistantship program that gives MPH students hands-on experience, builds leadership skills among early career staff, and strengthens public health capacity. She shares lessons learned, how the model evolved, and why it could be a blueprint for other states and health departments looking to grow the next generation of public health professionals.
Guests: Ashley Cram, MPH , Tracy K. Miller, PhD, MPH
385
Aug. 29, 2025
980: New Rural Health Program, Synthetic Opioid Policy Update
Madison Hluchan, ASTHO assistant director of Medicaid and value-based payment, details how a new ASTHO resource can help your team with the Rural Health Transformation Program; and JoAnne Deehr, ASTHO senior analyst for state health policy, shares prevention and response policies to reduce overdoses involving synthetic opioids.
Guests: JoAnne Deehr MSW , Madison Hluchan MPH
350
July 9, 2025
943: Mental Health + Overdose Prevention, Island Challenges
Dr. Allison Arwady, director at the National Center for Injury Prevention and Control at the CDC, details a recent webinar focused on mental health and overdose prevention; Beth Giambrone, ASTHO senior analyst for state health policy, explains..
Guests: Beth Giambrone, MPP , Allison Arwady, MD, MPH
343
June 27, 2025
936: Reducing Opioid Overdoses, FY26 Budget Breakdown
Kelly Dougherty, deputy commissioner at the Vermont Department of Health, shares how drug testing has helped reduce the state’s opioid overdose deaths; Jeffrey Ekoma, ASTHO’s senior director for government affairs, breaks down this week’s View From Washington, D.C. report on public health news from Capitol Hill; Dr. Ralph Alvarado, commissioner of the Tennessee Department of Health, shares how he works with legislators to improve public health
342
June 26, 2025
935: Federal Funding Cuts, Opioid Overdose Death Decline Strategies
Dr. Joseph Kanter, ASTHO CEO; Dr. Scott Harris, ASTHO president; Dr. Susan Kansagra, ASTHO chief medical officer; Dr. Lindsay Weaver of Indiana; Dr. James McDonald of New York; and Dr. Ralph Alvarado of Tennessee, share more from Tuesday’s deskside briefing on the Impact of Nutrition on Chronic Disease Prevention; Kelly Dougherty, deputy commissioner at the Vermont Department of Health, explains...
329
June 5, 2025
921: Anonymous Naloxone Kits; Performance Management Help
Melissa Magstadt, secretary of health for South Dakota and an ASTHO member, explains the state’s first-in-the-nation anonymous naloxone kit distribution program; Colton Anderson, ASTHO senior analyst for public health systems and improvement, tells us about ASTHO’s Quality Advisory Group...
326
June 2, 2025
918: Tick-Borne Diseases At All-Time High, PH Legislation Roundup
Laura Harrington, professor in the department of entomology at Cornell University and director of the Northeast Regional Center for Excellence in Vector-Borne Diseases, explains how public health can combat tick-borne diseases; Beth Giambrone, ASTHO senior analyst for state health policy, discusses public health legislation in states around the country...
Guests: Beth Giambrone, MPP , Laura Harrington PhD
509
May 7, 2025
901: Opioid Engagement, Radiological Readiness
Dr. Alex Walley, professor of medicine at the Boston University Chobanian and Avedisian School of Medicine, addresses the opioid overdose crisis and community engagement, topics at the Rhode Island’s Community Overdose Engagement (CODE) Summit; Sean...
Guests: Alexander Walley, MD, MSc , Sean Graham DEM NRP
503
April 29, 2025
895: Opioid Efforts, Long COVID Programming
Dr. Kaitlan Baston, former commissioner of health for the New Jersey Department of Health and ASTHO alumni, outlines what New Jersey has been doing to address opioids; Kate Murray, program supervisor for Long COVID and post-COVID conditions at the...
Guests: Kaitlan Baston MD MSc , Kate Murray MPH
497
April 21, 2025
889: Skills for Public Health Leaders, CDC Opioid Data
Christy Jones, president and CEO of the Monday Solutions Group, details how leaders can benefit from skill development in preparation for several upcoming ASTHO Ignite Leadership Series webinars; Dr. Allison Arwady, director of the National Center for...
Guests: Christy Jones MS , Allison Arwady, MD, MPH
496
April 18, 2025
888: Historic Strides For Overdose Prevention, SLF Advocacy Roundup
Dr. Allison Arwady, director of the National Center for Injury Prevention and Control at the CDC, tells us about historic progress in the field of overdose prevention; Catherine Murphy, ASTHO government affairs analyst, discusses the advocacy effort...
Guests: Catherine Murphy , Allison Arwady, MD, MPH
478
March 25, 2025
870: Opioid Overdose Declines, Tobacco Roundup
Dr. Sameer Vohra, director of the Illinois Department of Public Health and an ASTHO Member, tells us how Illinois worked to successfully reduce opioid overdoses; and Beth Giambrone, ASTHO senior analyst of state health policy, recaps some of the...
475
March 20, 2025
867: Ethics of Wastewater Surveillance, Opioid Funding for Next Two Decades
Allison Wheeler, wastewater surveillance unit manager at the Colorado Department of Public Health and Environment, and co-director of the Wastewater Center of Excellence in Colorado, tells us about a recently published ASTHO report on ethical considerations in public health wastewater surveillance; Dawn...
Guests: Allison Wheeler, MSPH , Dawn Yohey MFT LCADC
469
March 11, 2025
860: Levine’s Proudest Accomplishments, Funding Local Subrecipients
Dr. Mark Levine, commissioner of health for the State of Vermont and an ASTHO Member, looks back on his time as commissioner as he gets ready to depart his post; Melissa Touma, ASTHO director of the Public Health Infrastructure Program, tells us how a...
Guests: Mark Levine MD , Melissa Touma MPH
465
March 5, 2025
856: Kansagra New ASTHO CMO, “Career Honeycomb”
Dr. Susan Kansagra, former ASTHO member and most recently the assistant secretary and state health officer for the North Carolina Department of Health and Human Services, has been named ASTHO’s new chief medical officer; Jennifer Schmidt, PHIG fund manager...
Guests: Susan Kansagra, MD, MBA , Jennifer Schmidt
450
Feb. 11, 2025
841: Opioid Overdose Tool, Adolescent Behavioral Health
Mia Christopher, research epidemiologist at RTI International, explains how the Opioid Overdose Community Decision Tool could benefit public health; Lexa Giragosian, ASTHO senior analyst for Maternal and Infant Health, tells us why she believes her...
Guests: Lexa Giragosian, MPH , Mia Christopher MPH
448
Feb. 7, 2025
839: Drug Overdose Death Decline, View from Washington, New ASTHO Member
Dr. Heidi B. Miller, chief medical officer of the Missouri Department of Health and Senior Services, explains how her state was able to see the first significant decline in drug overdose deaths in nearly a decade; Jeffrey Ekoma, ASTHO senior director...
Guests: Jeffrey Ekoma, MBA, MS , Heidi B. Miller MD
415
Dec. 9, 2024
806: Substance Misuse and Overdose Prevention Outlook, PHAB Journey
Dr. James McDonald, commissioner of the New York State Department of Health, discusses substance misuse and overdose prevention as part of ASTHO’s Legislative Prospectus Series; Dr. Lindsey Kato, director for the Division of Public Health with the...
Guests: James McDonald, MD, MPH , Lindsey Kato MPH
285
May 31, 2024
676: How Tobacco Cultivates Young Customers, Opioid Crisis Solutions
Ellen Cartmell, Tobacco Prevention and Cessation Program manager at the Kentucky Department for Public Health, updates us on her state’s tobacco situation for World No Tobacco Day; an ASTHO blog article outlines how your jurisdiction might leverage...
Guests: Ellen Cartmell , Timothy Hunt PhD MSW
249
April 10, 2024
640: NY Study Compares Naloxone Doses, New Tools to Improve Behavioral Health
Dr. Sharon Stancliff, associate medical director for Harm Reduction in Healthcare at the AIDS Institute with the New York State Department of Health, discusses a study the state performed to test the pros and cons of different doses of naloxone; Tanya...
238
March 25, 2024
628: PA Overdose Training, PH’s Role In Transportation
Dr. Debra Bogen, acting secretary of health for the Pennsylvania Department of Health and ASTHO member, discusses Pennsylvania’s work to expand overdose training to many different populations; Beth Giambrone, ASTHO senior analyst for State Health...
Guests: Beth Giambrone, MPP , Debra Bogen, MD, FAAP
224
March 4, 2024
613: Members Meet Legislators, Islands Discuss Priorities
Dr. Manisha Juthani, commissioner of the Connecticut Department of Public Health, spent her week in Washington, D.C., discussing the importance of the Public Health Infrastructure Grant to her state; Arthur San Agustin, special assistant for health to...
222
Feb. 29, 2024
611: Harm Reduction Strategies, A Recruiter Calls Mike Fraser
Dr. Kaitlan Baston, ASTHO Member and acting commissioner of the New Jersey Department of Health, discusses a new law in New Jersey that decriminalizes many harm reduction supplies; Andra Samoa, a Department of Health consultant and liaison, wants...