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(soft music) - The UR Medicine Recovery Center of Excellence was first established in 2019. It was established to address the issues with the opioid crisis in Appalachia in particular in 23 counties that are most impacted by this crisis and so weve been asked to focus in Ohio, Kentucky, West Virginia and also in two of our counties in Southern New York which is considered the Northern most part of Appalachia. The national average is approximately 27 deaths per 100,000 individuals but in our 23 counties in Appalachia, the average is more like 62 or double that amount and in some of our most impacted counties, its 127 deaths per 100,000 individuals. These counties are greatly impacted due to you know, poverty levels, other determinants of health that make them more susceptible to this crisis and they also have lack of care, lack of access to care, transportation and distance challenges and so forth that make it difficult to get their treatment as needed. - The ecosystem of recovery is
