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As a result of the continued consequences of the opioid crisis affecting our nation, on this date and after consultation with public health officials as necessary, I, Eric D. Hargan, Acting Secretary of the U.S. Department of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby renew, effective January 24, 2018, my October 26, 2017, determination that a public health emergency exists nationwide as a result of the consequences of the opioid crisis.
January 19, 2018_____________________________Date
/s/_____________________________Alex M. Azar, II