Each day, approximately 130 Americans lose their lives to an opioid overdose. The cost of the opioid crisis has not just been lives lost – families, communities, and the nation are grappling with the magnitude of its scope, adverse outcomes, and enduring effects. As the opioid crisis has evolved, strategies to combat its effects must evolve as well. Through a multifaceted and collaborative approach which incorporates data driven decision making, enforcement, and evidence-based prevention and treatment programs, Nassau County can effectively address the opioid epidemic and enhance the road to recovery. This report, published on October 3rd 2019, outlines these current efforts and changes that have occurred.