International Overdose Awareness Community Partnership between Rappahannock Area Community Services Board and Germanna Community College Overdose Awareness Lethality Control: While hospital emergency volumes decreased overall, local facilities like the Mary Washington Hospital Emergency Department in Fredericksburg reported that a high percentage of incoming opioid-related admissions required multi-dose applications of naloxone (Narcan) due to heavy fentanyl contamination in the local illicit supply. Demographic Spikes: Even with lower macro-level emergency visits, local data matched a troubling state-level trend where teenagers aged 15-19 experienced the highest rate of drug overdose ED visits compared to any other age group during 2025. RACSB Mobile Harm Reduction Deployments The Prevention Van: The Rappahannock Area Community Services Board (RACSB) anchors localized IOAD response by deploying its specialized Prevention Van directly to community hubs. Free Rapid Kits: Onsite teams issue free Narcan nasal spray and emergency fentanyl testing kits directly to the public. On-the-Spot Training: Medical specialists use these pop-up locations to provide instant, rapid-response training, teaching bystanders how to correctly administer overdose reversals.