On May 25, 2018,, NH DHHS issued a health alert regarding synthetic cannabinoid associated coagulopathy.

Key Points and Recommendations:

1. In 2014, New Hampshire experienced an increase in serious overdoses related to synthetic cannabinoid use: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/syntheticmarijuana.pdf
2. Health care providers should review the attached CDC HAN and provider recommendations related to a new multistate outbreak of life-threatening coagulopathy

On May 16, 2018,, NH DHHS issued a health alert regarding HIV and HCV in persons who inject drugs.

Key Points and Recommendations:

• New Hampshire is at high risk of uncontrolled HIV and Hepatitis C virus (HCV) transmission due to the opioid epidemic and injection drug use.
• Providers should screen all patients who present to clinical care (regardless of the primary purpose of the visit) for substance use disorder, especially injection drug use.

May 2, 2018