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Home My WebLink AboutPacket Special Health Board Jul 18 2023Whatcom County Council as the Health Board (Special) COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360) 778-5010 Meeting Agenda Tuesday, July 18, 2023 1PM Civic Center Building Conference Room / Hybrid Meeting SPECIAL JOINT HEALTH BOARD/PUBLIC HEALTH ADVISORY BOARD MEETING - HYBRID MEETING (PARTICIPATE IN -PERSON, SEE REMOTE JOIN INSTRUCTIONS AT www.whatcomcounty.us/joinvirtualcouncil, OR CALL 360.778.5010) COUNCILMEMBERS Barry Buchanan Tyler Byrd Todd Donovan Ben Elenbaas Carol Frazey Kaylee Galloway Kathy Kershner CLERK OF THE COUNCIL Dana Brown -Davis, C.M.C. Council as the Health Board (Special) Meeting Agenda July 18, 2023 Call To Order Roll Call Announcements Individuals who require special assistance to participate in the Council's meetings are asked to contact the Council Office at 360.778.5010 at least 96 hours in advance. This committee meeting is also noticed as a meeting of the Whatcom County Council, with the agenda limited to committee business. Public Comment Health Officer/Health Director Updates Opioids in Whatcom County Data Update Update on Settlement Funds MAC Group Structure All Hands Re -cap and Next Steps System challenges and opportunities Short Term Plan Recommendations and Resources Other Business Adjournment Whatcom County Page 2 Printed on 411112025 WHATCOM COUNTY COUNCIL SPECIAL COUNCIL MEETING AS THE HEALTH BOARD JOINT MEETING WITH THE PUBLIC HEALTH ADVISORY BOARD 1:00 p.m. Tuesday, July 18, 2023 Garden Level Conference Room, Civic Building (if virtual: www.whatcomcounty.us/ioinvirtualcouncil) AGENDA Meeting Topics Pages Time 1. Roll Call of Health Board no paper 1:00-1:05 2. Roll Call of Public Health Advisory Board no paper 1:05-1:10 3. Public Comment no paper 1:10-1:20 4. Health Officer/Health Director Updates no paper 1:20-1:30 5. Opioids in Whatcom County Data Update Update on Settlement Funds MAC Group Structure All Hands Re -cap and Next Steps System challenges and opportunities Short Term Plan Recommendations and Resources page 2 - end 1:30-2:30 fjiLWHATCOM COUNTY HEALTH AND COMMUNITY SERVICES HEALTH BOARD Discussion Form July 18, 2023 AGENDA ITEM #5: Opioids in Whatcom County PRESENTERS: Erika Lautenbach BOARD ACTION: ❑ Action Item Q Discussion ❑ FYI - Only Opioid misuse and overdose deaths have been a growing concern in Whatcom County, consistent with the national epidemic. While misuse of prescription opioids has trended downward for the past few years, other synthetic opioids (e.g. Fentanyl) have experienced significant growth. With high potency opioids more available, overdose deaths and EMS responses to overdoses incidents have increased. Poly drug use (use of opioids with other substances) has also been a growing concern. The purpose of this special meeting is four -fold: -Share new information and updates -Provide additional information about the Multi -Agency Coordination Group -Summarize findings from Opioids All Hands meeting -Receive feedback from County Councilmembers about what actions they'd like to take EQUITY CONSIDERATIONS (include data or information about how topic impacts or could impact equity, including racial equity) Washington State data shows that American Indian/Alaska Native and Black populations experience much higher rates of overdose deaths, hospitalizations, and non -fatal emergency department (ED) visits. Rural communities also struggle to access vital services to address the opioid crisis. BOARD ROLE/ACTION REQUESTED Briefing and identification of potential areas for Health Board participation or leadership. ATTACHMENT(S) slide presentation joint City of Bellingham/Whatcom County letter to Health and Community Services response letter All Hands Whatcom summary services and strategies summary WHATCOM COUNTY • HEALTH AND COMMUNITY SERVICES Page 2 of 13 7/12/2023 Washington State Opioid Settlement WHATCOM COUNTY HEALTH ANDCOMMUNITY fjf)k SERVICES $0 M $200 M $400 M $600 M Distributors Resolution: $518 M May 2022 Purdue Resolution: $183 M March 2022 Mallinckrodt Resolution: $24.8 M May 2022 $300M $18 McKinsey Resolution: $13.5 M Feb. 2021 Pharmacies & Manufacturers Resolution: $434.4 M Dec, 2022 Resource: https://www.opioidsettlementtracker.com/globaIsettlementtracker/#statuses $1.28 Page 3 of 13 7/12/2023 Region 10 Opioid Settlement Summary Settlement involvement Settlement amount Over 18 years Staggered distribution McKesson, Amerisource Bergen, Cardinal Health CVS, Walgreens, Walmart, Teva, Allergan $518 million (McKesson, Amerisource, Cardinal Health) $434 million (CVS, Walgreens, Walmart, Teva, Allergan) Who's receiving the 85% state 40% state 45% state 50% state settlement? 5% political 40% participating 55% participating 50% counties subdivisions cities and counties subdivisions 20% participating health districts Resource: https://www.opioidsettlementtracker.com/globalsettlementtracker/#statuses J&J, McKesson, Amerisource Bergen, Cardinal Health $58 million J&J, McKesson, Amerisource Bergen, Cardinal Health $119 million J&J, McKesson, Amerisource Bergen, Cardinal Health, Purdue $97 million (Purdue) $329 million (J&J, McKesson, Amerisource, Cardinal Health) Settlements & WA State McKesson/Amerisouce-Bergen/Cardinal Health 518 Million 18 yrs. CVS 110.6 10 yrs. Walgreens 120.3 15 yrs. Walmart 62.6 15t yr. 97% Teva 90.7 13 yrs. Allergan 50 7 yrs. Purdue 183 Mallincrodt 24.8 McKinsey 13.5 Johnson & Johnson Pending Rite Aid Pending Kroger Pending Albertson Pending Page 4 of 13 7/12/2023 Allocation of Settlement Funds Local governments will determine how to spend their share, and the Legislature will determine how the state share is allocated in communities around the state. In the 2023 legislative session, the Legislature allocated $64.1 million from the opioid payments. Examples of legislative support included: •$18,168,000 for prevention, treatment and recovery support services to address and remediate the opioid epidemic. •$15,447,000 to tribes and urban Indian health programs for opioid and overdose response activities. ' •$5,000,000 for the Department of Health to expand the State Share distribution of naloxone through overdose education and a distribution program. •$4,000,000 for the authority to provide short-term housing vouchers for individuals with substance use disorders. http://www.vitalstrategies.org/wp-content/u pIoads/Wash ington-Opioid-Settlement-Fact-Sheet. pdf Opioid Abatement Strategies PART ONE: TREATMENT a. Treat Opioid Use Disorder (OUD) b. Support People in Treatment and Recovery c. Connect People Who Need Help to the Help They Need (Connections to Care) d. Address the Needs of Criminal Justice -Involved Persons 50% Local Share e. Address Needs of Pregnant/Parenting Women & their Families, including Babies w/ Neonatal Abstinence Syndrome 6 PART TWO: PREVENTION f. Prevent Over -Prescribing and Ensure Appropriate Prescribing and Dispensing of Opioids g. Prevent Misuse of Opioid h. Prevent Overdose Deaths and Other Harms PART THREE: OTHER STRATEGIES i. First Responders j. Leadership, Planning, and Coordination k. Training I. Research Page 5 of 13 7/12/2023 "Distributor Settlement" Allocations From McKesson, Amerisource Bergen, & Cardinal Health Local Government Whatcom County Bellingham Ferndale Lynden County total Allocation % 1.3452637306% 0.8978614577% 0.0646101891% 0.0827115612% 2.3904469386% Based on 215 Settlement $2, 892, 317.02 $1, 930, 402.13 $138,911.91 177 829.86 $5,139,460.92 Blaine, Everson, Nooksock, & Sumas below 10k population *Total allocation doubles from $217 million settlement with CVS, Walgreens, Walmart, Teva, & Allergan Page 6 of 13 Seth Fleetwood, Mayor City of Bellingham City Hall, 210 Lottie Street Bellingham, WA 98225 Telephone (360) 778-8100 Fax (360) 778-8101 May 2, 2023 Erika Lautenbach Whatcom County Health and Community Services 509 Girard Street Bellingham, WA 98225 Director Lautenbach: Satpal Singh Sidhu, Executive Whatcom County 311 Grand Avenue Bellingham, WA 98225 Telephone (360) 778-5200 Fax (360) 778-5201 As you know, fentanyl and other deadly and highly addictive drugs are circulating nationwide and in Whatcom County, and are contributing to public health, emergency service capacity, and public safety concerns in our community. The recent data your department provided in coordination with the Medical Examiner, PeaceHealth, and EMS show a dramatic increase in overdose ED admits, overdose deaths, and 911 overdose calls. This data indicates a local crisis and call for a coordinated approach and response. We understand that Whatcom County Health and Community Services will soon activate an Incident Command Structure (ICS) on opioids internally and are committed to the following: -Providing regularly updated, publicly available opioid overdose data dashboards on your website in coordination with PeaceHealth, Medical Examiner, and EMS by June -Engaging stakeholders to understand needs and gaps in systems of support -Identifying populations most at risk or vulnerable to use and overdose of opioids -Ensuring a system exists to distribute detection and overdose reversal supplies -Coordinating communication and resources to the community In addition, we recognize the need for broader coordination with other stakeholders to facilitate a more seamless and efficient delivery of services and information. We ask that you convene the partners within the next few weeks and provide an outline of a potential structure, roles and responsibilities, and staff identified by mid -June to both of our offices. Please work with relevant partners including school districts, service providers, medical community, Medical Examiner, city Police and Fire, county Sheriff, Corrections and EMS, our offices, and communicators representing all agencies to develop and structure methods to coordinate and collaborate on efforts. We are aware of Snohomish County's Multi -Agency Coordination Group (MAC) on opioids and there may be some applicable ideas and options to explore and consider in that model. We share a great sense of urgency to address this deadly crisis and ensure we have a coordinated and effective response that will save lives, reduce suffering, and increase the safety of our communities. We look forward to hearing more from you in June and thank you for your ongoing efforts to address this and other pressing issues in Whatcom County. Sincerely, SUL." Satpal Si hu Executive, Whatcom County Page 7 of 13 WHATCOM COUNTY Health and Community Services June 15, 2023 Executive Sidhu Whatcom County 311 Grand Ave Bellingham, WA 98225 Executive Sidhu and Mayor Fleetwood, Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Greg Thompson, MD, MPH, Co -Health Officer Mayor Fleetwood City of Bellingham 210 Lottie Street Bellingham, WA 98225 Thank you for your letter on May 2 and your request for more coordination and tangible response activities associated with the opioid/stimulant health crisis. Over the last month, Whatcom County Health and Community Services (WCHCS) has initiated the following: - Convened an Opioid Readiness group internal to our department, that has met weekly to coordinate and share information - Developed a draft website with data dashboards, local information and resources, and an online form to place orders for Narcan. We plan to publish this site before July 1, with additional website resources to following in the coming weeks. - Organized a joint meeting between the Public Health Advisory Board and the Opioid Task Force to develop policy and resource priorities for Health Board consideration at their meeting on July 18 - Co -Led the planning efforts for an All Hands Summit on opioids June 27 and 28, and a follow up event with author Sam Quinones on August 1 - Re -prioritized ARPA funds to acquire and distribute additional naloxone to priority populations and groups. In addition, we will develop a short-term plan to address the issues associated with opioids, track the status of opioid settlements and allowable expenses, participate in the regional allocation group assigned to determine opioid settlement priorities, and make plans to update the Opioid Prevention and Response Plan. Your letter on May 2 requested that WCHCS partner with others in the community to convene a coordinating effort. Beginning in July, WCHCS will convene a Multi -Agency Coordinating Group (MAC Group) consisting of representatives from healthcare, fire and emergency medical services, law enforcement, school districts, substance use disorder treatment and prevention providers, social services, and other community partners who work with individuals and families impacted by the recent rise in opioid usage and deaths. 509 Girard Street Bellingham, WA 98225-4005 WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.whatcomcounty.us/health Page 8 of 13 WHATCOM COUNTY Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Health and Community Services Greg Thompson, MD, MPH, Co -Health Officer The mission of the MAC Group is to coordinate the ongoing community -wide response efforts to the opioid crisis, and identify and prioritize additional short-term objectives and strategies to reduce drug -related deaths and mitigate the impacts to property and public safety in Whatcom county. Our local efforts will align with those outlined in the Washington State Opioid and Overdose Response Plan: Goal 1 — Prevent opioid and other drug misuse Goal 2 — Identify and treat opioid misuse and stimulant use disorder Goal 3 — Ensure and improve the health and wellness of people who use opioids and other drugs Goal 4 — Use data and information to detect opioid misuse, monitor drug user health effects, analyze population health, and evaluate interventions Goal 5 — Support individuals in recovery The MAC Group will meet monthly to improve situational awareness and cross sector collaboration among partnering agencies towards shared goals and objectives, identify systemic gaps, develop proposals to remove barriers, and prioritize policy, service, and funding recommendations. The Mac Group coordinator and support staff will: • Facilitate regular monthly MAC Group meetings, as well as ad hoc workgroup meetings to address identified gaps. • Provide regularly updated opioid overdose data dashboards and other prevention resources via a shared website. ■ Document and share progress toward goals and objectives, and policy guidance needed. ■ Ensure a system exists to prioritize and distribute detection and overdose reversal supplies • Coordinate public messaging I request your help in inviting these agencies to participate. Partner support is critical to the success of any multi -agency response, as is representation by decision -makers at these meetings. My colleague Jennifer Gay will follow up with your respective offices to coordinate invitations to the MAC Group. Thank you for your interest in urgently addressing this public health and safety concern in our community. Sincerely, Erika Lautenbach 509 Girard Street Bellingham, WA 98225-4005 WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.whatcomcounty.us/health Page 9 of 13 In June of 2023, nearly 300 community members engaged in learning and planning over the course of a two-day Summit. Below is a high-level summary of the nearly 1000 action items identified. More info: All Hands Whatcom FUNDING PRIORITIES Prevention Action Highlights: Significant calls to invest in youth and schools: 3" Spaces!, school counselors, mentor programs Fund universal childcare and early education, and extracurricular activities for youth Expand mental health services for children, youth, and their parents/care givers Targeted and Universal Action Highlights: • Overwhelming calls for increasing affordable housing, low -barrier housing, Housing First programs, rental assistance, tiny home villages, housing for elders, re-entry housing, youth dedicated housing, non -religious shelter options • Overwhelming calls to build 3rd Spaces! for youth and specific to LGBTQIA, BIPOC, and others Highest priority actions across all categories: • Significant expansion of SUD treatment facilities/services, & harm reduction programs • Overwhelming support for building 3rd Spaces! • Affordable housing, Housing First programs, and homelessness response • Invest in youth mentoring, prevention, and engagement in schools and community • Fix the siloed nature of community services and expand accessibility and integration • Focus on reducing stigma around SUD • Vast expansion of mental and behavioral health services, and fix insurance barriers • Invest in community -building activities, peer programs, re-entry and employment services • Fund community -based services: supportive employment/job training, community -building, peer programs • Significant calls to fund evidence -based programs and treatment: SUD treatment facilities, harm reduction programs and community education, Narcan and testing strips, mobile harm reduction, and safe use sites • Expand access to mental health services in general and specifically for those on Medicaid POLICY & ADVOCACY Prevention Action Highlights: • Significant calls to move away from punitive responses to youth in schools for drug offenses • Support policies that expand health education for youth in schools • Advocate for funding for: 3rd Spaces!, affordable housing/Housing First, basic needs, accessible transportation, expanded mental health services • Legislation for universal healthcare, universal childcare/early education, and paid parental leave • Rent stabilization legislation Targeted and Universal Action Highlights: • Overwhelming calls to change the policies/laws that create/reinforce service silos (particularly within MH and treatment) to increase cohesion and integrated care • Advocate for policies that supports harm reduction approaches and substance use response/harm reduction (such as community drug testing, safe use sites) • Change laws to fix insurance reimbursements for treatment facilities to increase access to care • Significant calls to decriminalize substance use • Significant calls to address increased regulations on substances entering our community Page 10 of 13 COMMUNITY LEARNING AGENDA Prevention Action Highlights: • Significant investments in youth education: financial literacy, accurate education on harm reduction/Narcan/substance, sexual ed, racism • Community trainings in Hope Science • Parent, caregiver, and community -wide education on: substance use disorder, harm reduction, impacts of childhood trauma, emotional regulation, sexual-ed, racism/white supremacy • Significant interest in learning models for community building through 3rd Spaces Universal & Targeted Action Highlights: • Community trainings on substance use disorder/harm reduction approaches • Trainings on peer support models Models to support employment opportunities for those exiting homelessness or incarceration CONNECTION AND HEALING Prevention Action Highlights: Never heard of 3rd Spaces? We hadn't either. The Opioid Summit featured a Next Gen Panel to elevate the voices of youth in our community planning and response. The amazing Next Gen panelists shared the concept of 3" Spaces as a significant community opportunity and need and Summit participants agreed! 3rd Spaces are safe, community -centered locations for youth to connect with one another and engage in positive activities. Home and School are first and second spaces, and not all youth are safe in either. 3rd Spaces can provide connections with peer and mentor programs, community services, basic needs, healthy activities, and community. Significant calls for supporting youth and schools (3rd Spaces!, trusted adult/mentorship programs) Increase family support & community -building activities (meals, nature, art, etc.) Significant community -wide efforts to decreasing the stigma of substance use Targeted & Universal Action Highlights: Significant calls to increase community gatherings for connection (3rd Spaces!, Youth mentoring programs, community gardens, reconstructing spaces created by colonialism, community education on trauma, more emphasis on wellness), Commitment to integration of lived experience voice into service work, ALL HANDS! INDIVIDUAL ACTIONS AND CONTRIBUTIONS Highlights: o Screen for and reduce child trauma (ACEs), expand mentoring for youth & 3rd Spaces!, help shift the narrative and reduce stigma, increase emotional regulation, educate kids and involve them in skill building and empathy -building activities, involve youth in community action o Build community, share knowledge of resources, love one another, be kind, show respect to those struggling and who use substances, support encampments, provide safe non -religious recovery spaces Page 11 of 13 Opioid Response Planning O` Recommended Services & Strategies to Address Gaps & Needs The community and key stakeholders provided feedback about local needs and gaps related to opioid and other substance misuse. The following programs, services, or strategies were identified from that feedback, which includes over fifty strategies. Some topic areas, such as training, were identified in multiple topic areas but were condensed in the list below (see Needs & Gaps Summary for full listing). Prior to implementation, strategies will consider local data to support the service need, ability of the service to demonstrate outcomes, and general viability for implementation (capacity and resource). I. Prevent opioid misuse 1) Youth Prevention Clubs 2) Peer Education (e.g., Teens Against Tobacco Use) 3) Mentoring 4) Evidence -based programs (see Blue Prints) 5) Restorative Discipline 6) Pro -Social Events 7) SBIRT (screening, brief intervention, and treatment) 8) SAP (Student Assistance Programs -substance use focus) 9) Mental Health Counseling 10) Peer Mentoring in school 11) School -based Evidence -based programs (see Blue Prints)(Good Behavior Game, Great Body Shop, etc.) 12) CARE Teams (Coordinating Available Resources in Education) 13) Strengthening Families Program 14) Family -Focused Evidence -based programs (see Blue Prints) 15) Prevention Coalition Support (strategies and staffing) 16) Marketing Campaign (Whatcom Has Hope) awareness on harm reduction, stigma, safe storage and disposal, social norms, positive social norms, fentanyl awareness, risk and protective factors, Good Samaritan Law, naloxone use and access, etc.) 17) Expand capacity to coordinate opioid response 18) Suicide prevention program expansion (e.g., MAD HOPE -Making A Difference -Helping Other People Everywhere) 19) Youth Mental Health First Aid Trainings; Teen MH First Aid Trainings 20) End the Silence Program (e.g., National Alliance on Mental Illness) 21) Health centers (community and school -based) 22) Incredible Years 23) Roots of Empath (address violence and pro -social involvement) 24) Nurse Family Partnership 25) Training (resilience & coping skills; Positive Youth Development Trainings, brief interventions, seniors using opioids with alcohol, veterinarian education, leadership, facilitation, and self -actualization, peer refusal skills, skill development, hope science, suicide prevention, risk reduction, etc.) Il. Identify and treat substance use disorder 1) Substance Use Disorder (SUD) Assessments 2) Assessments (in Jail, and those re-entering community from Jail) 3) SLID Treatment (including co-occurring disorders) 4) Medication Assisted Treatment (MAT) 5) Jail (treatment/recovery support/MAT) 6) Fund non -Medicaid MAT services 7) Navigator/Peer support (emergency room, jail, transitions from treatment) 8) Workforce development (recruitment, loan repayment, etc.) 9) Care Coordination support 10) One -number support line Page 12 of 13 11) Safe house 12) Suboxone bridge to treatment 13) Training (care coordination, training to housing providers on opioid issues and treatment, etc.) W. Ensure and improve the health and wellness of individuals that use drugs 1) Medication Lock bag distribution 2) Drug Disposal Interventions (and Drug Take Back events) 3) Naloxone distribution 4) EMS Response support (integrate MAT, etc.) Pilot an outreach program that diverts certain opiate OD's to an alternate facility (community support facility) where there could be a bridge to MAT. EMS to offer this diversion as part of the larger Alternative Response Team (ART) response and Ground -Level Response and Coordinated Engagement (GRACE) teams. 5) Street Medicine Program 6) Restorative Justice programs 7) Harm reduction resources (pipes/filters) 8) Drug check testing (strips or available services) 9) Increase access to Syringe Services Program 10) Pregnancy services (neo-natal support) 11) Hope Navigators (early intervention care navigators, pain management, etc.) 12) Trainings (trauma -informed care, trauma -informed training for responders, etc.) IV. Use data to detect opioid misuse/abuse, monitor illness, injury and death, and evaluate interventions. 1) Expand staffing capacity (to coordinate data, evaluation, and communications efforts) 2) Data dashboard for tracking, planning, and evaluation 3) Research through focus groups (substance use clients) and qualitative data analysis V. Support individuals in recovery 1) Youth Peer Support post -treatment 2) Support groups (parents and loved ones) 3) Jail transition support 4) School -based services (ongoing support) 5) Access to interventions (Visions, Drug Court, etc.) 6) Recovery housing Feedback will continue to be collected in the community. This will be an evolving and growing list, and additional programs, services, and strategies not on this list may also be considered for implementation. Page 13 of 13 Updates on the OP101d Crisis Greg Thompson MD MPH Co Health Officer July 18, 2023 ffLWHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Topics. ■ Whatcom Overdose Prevention Website ■ Overdose Data Updates ■ Naloxone distribution activities ■ Settlement Funds— Joe Fuller ■ MAC group — Director Lautenbach ■ All -Hands Summit — PHAB WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES 3tcornuveraose Prevention org ome es .. ws vents Whatcom Overdose Prevention i1 � AV r What to do in case of overdose Information on NarcanlNaioxone What are Opicids? What Are Opioids? How these drugs affect the human body and how they kill. ® News And Events Upcoming events related to prevention, treatment, and recovery. NarcanlNaioxone The basics of drugs that reverse oploid overdoses and how to get them. �+ Treatment kesources for people seeking treatment and their loved ones. lb What To Do in Case Of Overdose Signs Of An Overdose And When To Use Naloxone Talking With Youth Facts -based tools for parents talking to kids about drugs, and alcohol. http://whatcomoverdoseprevention.org/ Whatcomhope.org N•pl.ne Uwh Ar ltL name Belair Clinic L,!Netio• 0-°p-q providers location and website services provided 1130 North Sta Le Si— ALcohodUrug Information School Bell l ngham, WA 9822b Dui Assessment 360.E 'r Outpatient • Outpatient employer support https://eiaritymhr oom/ services Adolescent prop ra m • Family Counseling 1221 Fraser Street Alcohol/Drug Information School Suite E-1. Bell ngham, WA 96Z29 ❑ul Assessments 360.714.8190 Intensive Outpatient • Outpatient . ridgestrea[ment.rnm/ 604a Portal Way, Ste-103 Alcohol/Drug Information School Qul Assessments Ferndale,WA 9i3248 360.393.G216 Intensive Outpatient • Outpatient Bridges Treatment and Recovery - Bellingham Bridges Treatment and Recovery - Ferndale https://www.hridgestreotrniii m/ Cascade Medical 800 E Chestnut St, Suite 3A Advantage: Medication Sellingham, WA 96M 3m=7.uo2 Assisted Treatment https://coscademedical.org/ SIS Lekewey L]ri— Bellingham, WA 90822S CCS Recovery Center 360.67&2187 https://ccsww.org/ I:•cyan wa Su ite 103 Contact Counseling aeo671.32'1 A sps vw.contocteounseling.eom/ • Off ce- based Medica[i on Assisted Treatment (MAT) • 1:l counseling • Alcohol/Drug Information School • ❑ul Assessment • Outpatient • Intensive Outpatient • MAT • QLll Assessmen is • Intervention Services P WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES . jl i Deaths Statewi i e O o WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES Deaths per 100,000 Washingtonians per year 3u 25 20 �15 Any Opioid 10 0 - - J 442002 2004 2006 2006 2010 2012 2014 2016 2019 2020 2022 -* Any opioid + Commonly prescribed opioiria f Heroin Other synthetic opioiris Statewide Fentanyl Deaths Deaths per 100,000 Washingtonians per year 30 25 20 10 8 0 — WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES 2000 2002 2004 2006 2008 2010 2812 2014 2016 2018 2420 Any opioid + Commonly prescribed opioide f Heroin Other eylhelo opioide 2022 S4,0"TCOWhatcom & WAStateDru Death COUNTY HEALTH AND COMMUNITY SERVICES Number of deaths per 100,000 population (age -adjusted) Any drug overdose deaths a WashIngten State a VV hateem Ccunty 311, 4 pioid overdose deaths ■ Was hIngten State • W hateom Gounty 30 5 25 / Z5 CL f � { # # * r #x *+ r ir � a� # L {{{ i I CL r 0 0 1fy ffj 1f} 2010 `�01'� 1f} f/y �{ y� i{j jj'j� ifj ifj 2014 201 G LD1 V 2020 /fj /fj 1fj ifj ffj ��'j{ 1fy �fy 2010 201'� '�014 2016 `�018 20 0 Medical Examiner -reported death Number of Overdose Deaths (ell drugs) overdose Death Status * Confirmed • Probable 21 0 t6 15 — �� 12 12 aD 10 9 1 10 10 9 n s s D6 5 3 0 loll NMI 1111101 111 Z5 � L M 75 L (4 Q Eq C4 Q - 0 0 LL n 2022 2023 0� SWNATCOM COUNTY HEALTH AND COMMUNITY SERVICES 2022 Deaths 92 2023 Deaths (to date) 63 Deaths by Age Overdose deaths per 100,000 population by Age 5 CD CD 0 ID CD co 5. -62 Under :5 years fl 3. :5.4 1.5 5 to 44 years 45 to 64 years 6:5 years and up WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES Cause of Death @ And+ drug overdose a Opieid overdose Emergency Room Utilization Number of Emergency Department visits &Are} drug overdose Opioid overdose WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES so 1 4- 80 76 74 Fn G0 66 61 6 n w o� 5 55 4 54 47 40 44 4 40 44 E 4 34 33 34 5 8 20 am 0 ICL I ID Q 0 LL U) z ❑ 2D22 2023 EMS overdose dispatch calls EMS Dispatch Calls for Suspected Overdoses by Quarter Whatcom County EMS System 339 315 299 287 287 271 2b9 263 M 247 251 2- 216 M 226 222 193 j I N I WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES 9Opioid 9Non 0pioid 352 336 � 57 Qtr 1 Qtr 2 Qtr 3 Qtr d Qtr 1 Qtr 2 Qtr3 Qtr d Qtr 1 Qtr 2 Qtr 3 Qtr d Qtr 1 Qtr 2 Qtr 3 Qtr A Qtr 1 Qtr 2 Qtr 3 2619 0390 2621 M 2023 Naloxone Distribution Nalloxone distribution WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES ■ 4,000 doses of naloxone in 2023 ■ Additionally, EMS over 400 ■ 73 recipients reported reversing an overdose ■ Lives Saved! ■ So far used $28,000 of the $100,000 approved by Council for this purpose ■ Xylazine test strips have just arrived