{"id":25847543,"date":"2025-08-08T12:39:11","date_gmt":"2025-08-08T12:39:11","guid":{"rendered":"https:\/\/odalertsdev.wpengine.com\/?page_id=25847543"},"modified":"2026-03-12T15:01:15","modified_gmt":"2026-03-12T15:01:15","slug":"evaluate-possible-explanations","status":"publish","type":"page","link":"https:\/\/odalerts.cste.org\/?page_id=25847543","title":{"rendered":"Investigate Possible Explanations"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; positioning=&#8221;none&#8221; z_index=&#8221;2&#8243; custom_margin=&#8221;|20px||20px|false|true&#8221; custom_margin_tablet=&#8221;|20px||20px|false|true&#8221; custom_margin_phone=&#8221;|10px||10px|false|true&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;||62px|||&#8221; border_radii=&#8221;off|20px|20px||&#8221; border_radii_tablet=&#8221;on|20px|20px|20px|20px&#8221; border_radii_phone=&#8221;on|15px|15px|15px|15px&#8221; 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_builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb image_icon_width=&#8221;40px&#8221; icon_alignment=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#071018&#8243; header_font_size=&#8221;22px&#8221; header_letter_spacing=&#8221;-0.2px&#8221; header_line_height=&#8221;1.2em&#8221; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#64748B&#8221; body_font_size=&#8221;20px&#8221; body_line_height=&#8221;1.4em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;15px||80px|0px|false|false&#8221; custom_padding=&#8221;|56px||56px|false|true&#8221; header_font_size_tablet=&#8221;22px&#8221; header_font_size_phone=&#8221;18px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;&#8221; body_font_size_phone=&#8221;12px&#8221; body_font_size_last_edited=&#8221;on|phone&#8221; custom_css_blurb_title=&#8221;text-transform: none;&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div style=\"text-align: center;\">Once you\u2019ve gathered potential explanations for an overdose, the next step is to evaluate them systematically. Use data to test your hypotheses, uncover patterns, and determine the most likely drivers of the outbreak.<\/div>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#071018&#8243; width=&#8221;68%&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;90%&#8221; width_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;20px|45px|47px|45px|false|true&#8221; custom_padding_tablet=&#8221;20px|20px|20px|20px|true|true&#8221; custom_padding_phone=&#8221;10px|10px|10px|10px|true|true&#8221; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;rgba(100,116,139,0.5)&#8221; border_width_bottom=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_accordion open_toggle_text_color=&#8221;#7ED3FC&#8221; open_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; closed_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; toggle_font=&#8221;Poppins||||||||&#8221; toggle_text_align=&#8221;left&#8221; toggle_font_size=&#8221;19px&#8221; body_font=&#8221;Poppins|300|||||||&#8221; body_text_align=&#8221;center&#8221; body_text_color=&#8221;#FFFFFF&#8221; body_font_size=&#8221;16px&#8221; border_radii=&#8221;off|20px|20px||&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_accordion_item title=&#8221;Analyze the Data&#8221; open=&#8221;on&#8221; open_toggle_text_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; border_width_bottom=&#8221;0.8px&#8221; border_color_bottom=&#8221;#64748B&#8221; global_colors_info=&#8221;{}&#8221; toggle_text_color=&#8221;#FFFFFF&#8221;]<\/p>\n<p style=\"text-align: left;\">Start with descriptive statistics to summarize what you know. Break down the data by key variables such as:<\/p>\n<ul style=\"text-align: left;\">\n<li><strong>Demographics<\/strong> (age, race\/ethnicity, sex)<\/li>\n<li><strong>Geography<\/strong> (neighborhood, ZIP code, proximity to known hotspots)<\/li>\n<li><strong>Substance involved<\/strong> (e.g., fentanyl, xylazine, counterfeit pills)<\/li>\n<li><strong>Time<\/strong> (hour of day, day of week, seasonality)<\/li>\n<\/ul>\n<p style=\"text-align: left;\">Use visualizations (e.g., heat maps, line graphs) to identify clusters or alerts.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Test Risk Factors&#8221; open_toggle_text_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; border_width_bottom=&#8221;0.8px&#8221; border_color_bottom=&#8221;#64748B&#8221; global_colors_info=&#8221;{}&#8221; toggle_text_color=&#8221;#FFFFFF&#8221; open=&#8221;off&#8221;]<\/p>\n<p style=\"text-align: left;\"><strong>Test Risk Factors<\/strong><\/p>\n<p style=\"text-align: left;\">Use statistical methods to explore potential associations and risk factors:<\/p>\n<ul style=\"text-align: left;\">\n<li>Do certain age groups or neighborhoods show a disproportionate increase in cases?<\/li>\n<li>Are overdoses linked to a specific drug formulation or combination?<\/li>\n<\/ul>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\"><strong>Note:<\/strong> Lack of statistical significance doesn\u2019t mean a factor isn\u2019t important\u2014use qualitative data and local knowledge to complement your findings.<\/p>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\">If your data allows, consider formal study designs such as:<\/p>\n<ul>\n<li style=\"text-align: left;\"><strong>Case-control studies<\/strong> to identify exposures linked to overdose<\/li>\n<li style=\"text-align: left;\"><strong>Cohort studies<\/strong> to track individuals at high risk over time<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Analyze Multiple Data Sources&#8221; open_toggle_text_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; border_width_bottom=&#8221;0.8px&#8221; border_color_bottom=&#8221;#64748B&#8221; global_colors_info=&#8221;{}&#8221; toggle_text_color=&#8221;#FFFFFF&#8221; open=&#8221;off&#8221;]<\/p>\n<p style=\"text-align: left;\">To fully understand the anomaly, analyze and triangulate data from a variety of sources:<\/p>\n<ul style=\"text-align: left;\">\n<li>Interviews with people who use drugs<\/li>\n<li>Emergency medical services (EMS) and ambulance run records<\/li>\n<li>Emergency department (ED) data<\/li>\n<li>Police reports and arrest data<\/li>\n<li>Law enforcement drug testing results<\/li>\n<li>Medical examiner or coroner reports<\/li>\n<li>Medical record abstractions<\/li>\n<li>Site visits and community observations<\/li>\n<\/ul>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\">Cross-referencing data sources can help verify trends and provide context behind the numbers.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Real-World Examples: Outbreak Investigation in Action&#8221; open_toggle_text_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; border_width_bottom=&#8221;0.8px&#8221; border_color_bottom=&#8221;#64748B&#8221; global_colors_info=&#8221;{}&#8221; toggle_text_color=&#8221;#FFFFFF&#8221; open=&#8221;off&#8221;]<\/p>\n<p style=\"text-align: left;\">Explore how other jurisdictions have evaluated and investigated overdose anomalies:<\/p>\n<ul style=\"text-align: left;\">\n<li><strong>Georgia:<\/strong> <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/66\/wr\/mm6641a6.htm\" rel=\"noopener noreferrer\" target=\"_blank\">Counterfeit Percocet Overdose Cluster<\/a><\/li>\n<li><strong>Nevada:<\/strong> <a href=\"https:\/\/odalerts.cste.org\/wp-content\/uploads\/2022\/02\/6_2_1-Nevada-Syndromic-Surveillance-Alert-and-Investigation-Plan.pdf\" rel=\"noopener noreferrer\" target=\"_blank\">Syndromic Surveillance Alert and Investigation Plan<\/a><\/li>\n<li><strong>Texas:<\/strong><a href=\"https:\/\/knowledgerepository.syndromicsurveillance.org\/enhancing-tx-sys-integrating-ems-and-poison-data-opioid-overdose-surveillance\" rel=\"noopener noreferrer\" target=\"_blank\"> Integrated Poison Center + EMS data to enhance opioid overdose detection<\/a><\/li>\n<li><strong>West Virginia:<\/strong> <a href=\"https:\/\/knowledgerepository.syndromicsurveillance.org\/utilization-history-emergency-medical-services-among-west-virginia-drug-overdose-decedents\" rel=\"noopener noreferrer\" target=\"_blank\">Linked EMS utilization histories to fatal overdose data to identify prevention gaps<\/a><\/li>\n<li><strong>Wisconsin:<\/strong> <a href=\"https:\/\/knowledgerepository.syndromicsurveillance.org\/opioid-overdose-ambulance-runs-how-wisconsin-uses-free-text-data\" rel=\"noopener noreferrer\" target=\"_blank\">Used free text fields in ambulance data (WARDS) to detect overdose trends not captured by structured data<\/a><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span>For more real-world examples, view Use Cases in the <a href=\"https:\/\/odalerts.cste.org\/?page_id=25847693\" target=\"_blank\" rel=\"noopener\">Resources page<\/a>.<\/span><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Mapping and Responding to Overdose in Rhode Island&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xf0a1;||fa||900&#8243; icon_color=&#8221;#071018&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;846px&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|600|||||||&#8221; header_text_color=&#8221;#071018&#8243; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#071018&#8243; background_color=&#8221;#fccd47&#8243; custom_margin=&#8221;|278px||278px|true|true&#8221; custom_padding=&#8221;27px|23px|27px|23px|true|true&#8221; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#071018&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span data-contrast=\"none\">Rhode Island is divided into 11 overdose regions<\/span><b><span data-contrast=\"none\">,<\/span><\/b><span data-contrast=\"none\">\u00a0each with its own anomaly threshold based on the previous year of data. RIDOH tracks these regions daily and uses a\u00a0<\/span><a href=\"https:\/\/app.powerbigov.us\/view?r=eyJrIjoiN2U1ZTE4YmItZDZkOS00YWI5LTlhZjItOTc5ZDUyZjU2OGRkIiwidCI6IjUyY2E2YTU0LTQ0NjUtNDYzNS1iZmYzLTY1ZDBhODQxMjI4OCJ9\"><span data-contrast=\"none\">Levels of Response<\/span><\/a><span data-contrast=\"none\">\u00a0plan to guide the resources deployed and the partners and outreach involved, ranging from alerts for sudden spikes to strategies for sustained high burden. When thresholds are exceeded, RIDOH activates its Overdose Spike\u00a0Alert Notification\u00a0System, which alerts local leaders, public safety, healthcare providers, and community partners via email list serv about a sudden increase in nonfatal overdoses. Responses may include expanded outreach, harm reduction efforts, and emergency community meetings. Higher rates of overdose burden in a region\u00a0warrant\u00a0a greater response level. For instance, a region with a \u2018Sustained High Rate of Overdose Burden\u2019 may involve community partners for increased outreach and\u00a0convene\u00a0an emergency community meeting. This response plan drives\u00a0timely\u00a0action and helps integrate overdose anomaly data into real-time public health action.<\/span><span data-ccp-props=\"{&quot;335559685&quot;:2160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">RIDOH established a 7-day\u00a0<\/span><a href=\"https:\/\/app.powerbigov.us\/view?r=eyJrIjoiNmUyMmNjZWMtYjkwOC00MWJhLTkyOWQtYmZlNDE4YjUwMzc0IiwidCI6IjUyY2E2YTU0LTQ0NjUtNDYzNS1iZmYzLTY1ZDBhODQxMjI4OCJ9\"><span data-contrast=\"none\">threshold system<\/span><\/a><b><span data-contrast=\"none\">\u00a0<\/span><\/b><span data-contrast=\"none\">to send alerts when an overdose region\u2019s nonfatal overdoses exceeded a level set at three standard deviations above the annual average count for that region. RIDOH developed a more prospective metric that examines overdose rates over the past six months. This approach compares each region\u2019s overdose rate per\u00a0100,000 residents\u00a0to the statewide rate, highlighting areas with sustained burden. By shifting focus from short-term spikes to longer-term trends<\/span><b><span data-contrast=\"none\">,<\/span><\/b><span data-contrast=\"none\">\u00a0RIDOH can better target resources and prevention strategies where\u00a0they\u2019re\u00a0most needed.<\/span><span data-ccp-props=\"{&quot;335559685&quot;:2160,&quot;335559738&quot;:160,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">For more information:\u00a0<\/span><a href=\"https:\/\/ridoh-drug-overdose-surveillance-iss-rihealth.hub.arcgis.com\/\"><span data-contrast=\"none\">https:\/\/ridoh-drug-overdose-surveillance-iss-rihealth.hub.arcgis.com\/<\/span><\/a><span data-ccp-props=\"{&quot;335559685&quot;:2160,&quot;335559738&quot;:160,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;82px|auto||auto||&#8221; 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first_heading_letter_spacing_last_edited=&#8221;on|tablet&#8221; second_heading_font_size_tablet=&#8221;100px&#8221; second_heading_font_size_phone=&#8221;60px&#8221; second_heading_font_size_last_edited=&#8221;on|tablet&#8221; second_heading_letter_spacing_tablet=&#8221;-7px&#8221; second_heading_letter_spacing_phone=&#8221;-4px&#8221; second_heading_letter_spacing_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; overlay_bg_color_gradient_type_tablet=&#8221;linear&#8221; overlay_bg_color_gradient_type_phone=&#8221;linear&#8221; overlay_bg_color_gradient_type__hover=&#8221;linear&#8221; image_bg_color_gradient_type__hover=&#8221;linear&#8221; first_heading_color_gradient_stops=&#8221;#2b87da 0%|#29c4a9 100%&#8221; second_heading_color_gradient_stops=&#8221;#2b87da 0%|#29c4a9 100%&#8221; background_text_color_gradient_stops=&#8221;#2b87da 0%|#29c4a9 100%&#8221; fh_reveal_effect_color_gradient_stops=&#8221;#2b87da 0%|#29c4a9 100%&#8221; sh_reveal_effect_color_gradient_stops=&#8221;#2b87da 0%|#29c4a9 100%&#8221; content_bg_color_gradient_type=&#8221;linear&#8221; content_hover_bg_color_gradient_type=&#8221;linear&#8221; item_bg_color_gradient_type=&#8221;linear&#8221; overlay_bg_color_gradient_type=&#8221;linear&#8221; image_bg_color_gradient_type=&#8221;linear&#8221; front_side_bg_color_gradient_type=&#8221;linear&#8221; back_side_bg_color_gradient_type=&#8221;linear&#8221;][\/dipi_dual_heading][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-4px|auto||auto||&#8221; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847539&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#071018&#8243; body_font_size=&#8221;18px&#8221; link_option_url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847539&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\">&lt; <strong>Previous<\/strong>: Generate Possible Explanations<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847571&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#071018&#8243; body_font_size=&#8221;18px&#8221; link_option_url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847571&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\"><strong>Next<\/strong>: Mitigation &gt;<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#0E151D&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;90%&#8221; width_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;|auto|29px|auto||&#8221; custom_padding=&#8221;30px|30px|30px|30px|true|true&#8221; custom_padding_tablet=&#8221;30px|30px|30px|30px|true|true&#8221; custom_padding_phone=&#8221;20px|20px|20px|20px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; custom_padding=&#8221;50px|30px|50px|30px|true|true&#8221; custom_padding_tablet=&#8221;50px|30px|50px|30px|true|true&#8221; custom_padding_phone=&#8221;20px|20px|20px|20px|true|true&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; link_option_url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847406&#8243; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;rgba(100,116,139,0.2)&#8221; global_colors_info=&#8221;{}&#8221; border_color_all__hover_enabled=&#8221;on|hover&#8221; border_color_all__hover=&#8221;rgba(100,116,139,0.5)&#8221;][et_pb_blurb title=&#8221;Prepare&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xf044;||fa||900&#8243; icon_color=&#8221;#7ED3FC&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;30px&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|||on|||||&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;16px&#8221; header_letter_spacing=&#8221;1px&#8221; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#64748B&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.6em&#8221; image_icon_custom_margin=&#8221;||100px||false|false&#8221; max_width=&#8221;290px&#8221; custom_margin=&#8221;auto||-108px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; link_option_url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847522&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#7ED3FC&#8221; custom_padding=&#8221;50px|30px|50px|30px|true|true&#8221; custom_padding_tablet=&#8221;50px|30px|50px|30px|true|true&#8221; custom_padding_phone=&#8221;20px|20px|20px|20px|true|true&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; link_option_url=&#8221;#&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;rgba(100,116,139,0.2)&#8221; global_colors_info=&#8221;{}&#8221; border_color_all__hover=&#8221;rgba(100,116,139,0.5)&#8221; border_color_all__hover_enabled=&#8221;on|hover&#8221;][et_pb_blurb title=&#8221;Respond&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xf0a1;||fa||900&#8243; icon_color=&#8221;#071018&#8243; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;30px&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|||on|||||&#8221; header_text_color=&#8221;#071018&#8243; header_font_size=&#8221;16px&#8221; header_letter_spacing=&#8221;1px&#8221; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#64748B&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.6em&#8221; image_icon_custom_margin=&#8221;||100px||false|false&#8221; max_width=&#8221;290px&#8221; custom_margin=&#8221;auto||-108px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; link_option_url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847664&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; custom_padding=&#8221;50px|30px|50px|30px|true|true&#8221; custom_padding_tablet=&#8221;50px|30px|50px|30px|true|true&#8221; custom_padding_phone=&#8221;20px|20px|20px|20px|true|true&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; link_option_url=&#8221;#&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;rgba(100,116,139,0.2)&#8221; global_colors_info=&#8221;{}&#8221; border_color_all__hover=&#8221;rgba(100,116,139,0.5)&#8221; border_color_all__hover_enabled=&#8221;on|hover&#8221;][et_pb_blurb title=&#8221;Evaluate&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xf200;||fa||900&#8243; icon_color=&#8221;#7ED3FC&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;30px&#8221; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|||on|||||&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;16px&#8221; header_letter_spacing=&#8221;1px&#8221; body_font=&#8221;Poppins||||||||&#8221; body_text_color=&#8221;#64748B&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.6em&#8221; image_icon_custom_margin=&#8221;||100px||false|false&#8221; max_width=&#8221;290px&#8221; custom_margin=&#8221;auto||-108px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; link_option_url=&#8221;https:\/\/odalerts.cste.org\/?page_id=25847607&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.14.2&#8243; _module_preset=&#8221;default&#8221; 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