Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (2014)

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1 March 2015 Dear Floridians : A Mother s Act is a grassroots coalition of healthcare professionals, treatment providers, law enforcement, advocates, educators, family members, and friends who support increased access to naloxone, the antidote to an opioid overdose, in Florida. Opioid overdose can occur, accidentally, from medical use of prescription opioid pain relievers, non-medical use of prescription opioids, and heroin use. Drug overdose deaths are now the leading cause of injury death nationwide.1 In 2013, approximately 16,000 people in the United States died from overdoses involving prescription opioids.2 That same year over 1,900 Floridians died with at least one prescription drug listed as a cause of death, and the majority involved opioids.3 In addition, heroin deaths in Florida increased by nearly 80% from 2012 to Naloxone is a prescription medication that was approved by the FDA in Traditionally, it has been used in hospitals and by emergency medical services (EMS), but it can also be administered effectively by laypersons. Naloxone temporarily blocks the effects of opioids until EMS arrives. It is not a controlled substance and has no potential for abuse. In addition, research shows that by providing naloxone, community programs can begin to form relationships with people struggling with drug use which may lead to other benefits like health screenings, counseling and drug treatment.5 However, the medication is not often available when needed in Florida due to barriers to access. A Mother s Act calls on all Floridians to work together to increase opportunities for opioid overdose prevention and access to naloxone by advocating for the following key principles: Third party prescription authorization for first responders (such as law enforcement officers and emergency medical technicians), family members, friends and others who may be in a position to assist someone at risk of experiencing an opioid overdose; Access to all generic and proprietary naloxone delivery methods; Increased opportunities for opioid overdose prevention education via community organizations and substance abuse treatment centers;and Prescriber, pharmacist, and layperson administrator liability protections. We look forward to you joining us in this life-saving cause. Naloxone, alone, is not the solution to our state s opioid overdose problem, but it is an important tool which we are failing to utilize - for each time it s prescribed, dispensed, or administered, we are presented with a critical opportunity to provide education, intervention, treatment, and the possibility of long-term recovery. Help us give life, so that we may inspire hope. Sincerely, 1 Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (2014) Available from URL: 2 C DC. Prescription Drug Overdose in the United States: Fact Sheet. Available at Accessed on December 4, FLDE. Drugs Identified in Deceased Persons by Florida Medical Examiners, 2013 Annual Report. 4 Id. 5 Karen H. Seal et al., Naloxone Distribution and Cardiopulmonary Resuscitation Training for Injection Drug Users to Prevent Heroin Overdose Death: A Pilot Intervention Study, 82(2) Journal of Urban Health (2005).

2 A Mother s Act Signature Page FLORIDA MEDICAL PROFESSIONALS AND ASSOCIATIONS Scott A Teitelbaum, MD, FAAP, FASAM Professor and Vice Chair, Department of Psychiatry Professor, Department of Pediatrics University of Florida, College of Medicine Chief, Division of Addiction Medicine Medical Director, Florida Recovery Center Mark S. Gold, MD University of Florida Retired Distinguished Professor and Chairman Aaron Wohl, MD Fellow, American College of Emergency Physicians Lee Memorial Health Systems Department of Emergency Medicine Fort Myers, FL Gary M. Reisfield, MD Assistant Professor Divisions of Addiction Medicine, Pain Medicine, and Forensic Psychiatry Departments of Psychiatry and Anesthesiology University of Florida College of Medicine Penelope P. Ziegler, MD Professionals Resource Network, Inc. Fernandina Beach, FL Joseph Cammilleri, Pharm.D., BCACP Ambulatory Care Clinical Pharmacist Pain Management UF Clinical Assistant Professor UF Health Jacksonville J Rivenbark, MD Fernandina Beach, FL Jason B. Fields MD, ABAM Medical Director DACCO/Drug Abuse Comprehensive Coordinating Office, Inc. Tampa, FL Timothy Huckaby, MD UF Health Florida Recovery Center at Orlando Health Longwood, FL Florida Society of Addiction Medicine FLORIDA ORGANIZATIONS & INDIVIDUALS Julia Negron Lead Organizer, Suncoast Harm Reduction Project (a project of A New PATH) ( SHRP ) Lost sister and mother to overdose Venice, FL Kelly M. Corredor President & CEO, The Skeeterhawk Experiment, Inc.

3 Lisa Brandy President & Founder, Brandi s Wish Foundation & Mother who lost her daughter to an opioid overdose Laura Basilotto Ray Mother who lost her son to heroin overdose Englewood, FL Paul Faulk Jr., MPA, MBA Division Director Broward Addiction Recovery Center Fort Lauderdale, FL Janice Spring John B. McKibbon III Chairman, McKibbon Hotels One of my best friends lost his grandson who would be alive today if Naloxone had been available to the family. Tampa, FL Sharon Kramer Executive Director, Manatee County Substance Abuse Prevention Coalition (MCSAPC) Ruth Lyerly Mother who lost son to struggle with opioid addiction Cindy Harney FAADA Mother who lost son Capt Tim D Christensen Bradenton Police Department Karen Bailey Director, The Skeeterhawk Experiment, Inc. Ocala, FL Alice Conte Patti Durham VetCorp Prevention Coordinator, MCSAPC Wendy B. Nebrija Member of MCSAPC Lakewood Ranch, FL Tamie Langman Thomas K. Bailey, DMD Marion Dental Group PLLC His wife lost her son to an opioid overdose Ocala and Lady Lake, FL Jill Motsett Maliszewski Vice-President & Director, The Skeeterhawk Experiment, Inc. Mark Krancer Volunteer, The Skeeterhawk Experiment, Inc. In recovery from opioid addiction Kelly Erwin

4 Leon Smith, DDS MAGD Trustee, Andrew Smith Memorial Fund for Drug Abuse Father who lost his son to heroin overdose Marineland, FL Janet Colbert CEO STOPPNOW Fort Lauderdale, FL Leonard Buschel Reel Recovery Film Festival Delray Beach, FL Sadie Palmer MCSAPC Palmetto, FL Maureen Kielian Vice-President STOPPNOW Fort Lauderdale, FL Alison Bergmann Parrish, FL Rita Chamberlain MCSAPC James Prior Kersten Schroeder Michael Neuges Catherine Burns Friend passed away Tallahassee, FL Linda Cinque Christine Dolby Registered Nurse Mother who lost son to struggle with opioid addiction Laura Tanksley Founding Student, MCJA, University of South Florida Cindy Graham Mother Diannee Carden Glenn Mother who lost son to heroin overdose Weston, Florida. Cindee Klein DePasquale Coral Springs, FL Roseann O'Brien ESE Teacher, Parent Ellenton, FL Jennifer Peters

5 NATIONAL ORGANIZATIONS & FIGURES David Sheff Author, A Beautiful Boy" and "Clean Harm Reduction Coalition Gretchen Burns Bergman Executive Director & Founder: A New PATH (Parents for Addiction Treatment & Healing) Denise Cullen, LCSW Executive Director - GRASP (Grief Recovery After A Substance Passing) / Broken No More Mother who lost her son to accidental overdose Signatures of additional supporters will be added on a rolling basis.

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