Item Coversheet
BOARD OF HEALTH STAFF REPORT (SR 20-013)
March 10, 2020
Briefings

Naloxone distribution update (SR 20-013; H. Thomas, K. Wansing)

Division:
Administration / Heather Thomas, Public & Government Affairs Manager 
Prior Board Review:
Program Policy Committee, 2/20/20 

Background

In November 2019, the Board of Health adopted Resolution 19-25 declaring its intent to take on naloxone distribution and coordination for law enforcement and city partners. That included the following provisions:

 

  1. Municipalities that contribute per capita dollars will have their naloxone supplies paid for with their contribution, and the Health District will partner with them for expanded naloxone training and opioid outreach in their communities.

  2. Municipalities that don’t contribute per capita dollars will be invoiced for the cost of the requested kits and an administrative fee.

  3. The Health District will actively seek additional funding opportunities to help defray expenses, including applying for MAC Group funding if approved by the County Council and other local, state, and national grant opportunities.

  4. The AmeriCorps VISTA member currently housed with the Health District will assist with tracking and other administrative duties of the program.

  5. The program will remain in place in 2020, and the Board of Health will evaluate the program in one year and make a determination about continuing beyond December 2020.

 

Following adoption of the resolution, staff emailed mayors, city managers, and police chiefs with a copy of the resolution. For those cities that have committed at least $1.00, new interlocal agreements have been sent that include provisions for the naloxone program. There are currently no jurisdictions that have asked to be billed for naloxone purchases only. However, staff have been working with the MAC Group to see if some of those funds could be allocated to the Health District to cover naloxone purchases for cities that do not contribute a per capita.

 

Staff have also met with Snohomish County Human Services to collect information on tracking, contact, procedures, etc. Internal processes and procedures are being developed, as well as outreach to participating police departments to confirm officer assignments and kits on hand. Mountlake Terrace was the first department to need additional kits, so an initial order of 40 kits was purchased through the Health District’s existing contract for medications. The kits from Cardinal Health were $66.45, which is a savings compared to the $75 cost per kit incurred by Human Services.

 

Staff will continue to investigate ways to reduce costs. These efforts and data-tracking will be shared with the Board on an ongoing basis as the year progresses.

 

The table below represents the current status of decisions for per capita contributions in 2020.

 

Jurisdiction

2019 Population

2020 Per Capita Rate

2020 Contribution

2020 Decision

Snohomish County

365,480

$2.06

$751,618

Approved

Arlington

19,740

$0.00

$0

Declined

Bothell

18,180

$1.21

$22,000

Approved

Brier

6,665

$0.00

$0

Declined

Darrington

1,410

$1.00

$1,410

Approved

Edmonds

42,170

$1.00

$42,170

Approved

Everett

111,800

$1.00

$111,800

Approved

Gold Bar

2,150

$0.00

$0

Declined

Granite Falls

3,900

$1.10

$4,307

Approved

Index

175

$0.00

$0

Declined

Lake Stevens

33,080

$0.00

 

TBD

Lynnwood

39,600

$1.00

$39,600

Approved

Marysville

67,820

$1.00

$67,820

Approved

Mill Creek

20,590

$0.00

$0

Declined

Monroe

19,250

$0.00

$0

Declined

Mountlake Terrace

21,590

$1.00

$21,560

Approved

Mukilteo

21,350

$1.01

$21,478

Approved

Snohomish

10,200

$1.89

$19,250

Approved

Stanwood

7,020

$1.00

$7,020

Tentative

Sultan

5,180

$0.00

$0

Declined

Woodway

1,350

$1.00

$1,350

Approved

 

 
Board Authority

RCW 70.05.060 – Powers and duties of local board of health.

 
Recommended Motion

No action required. Briefing only.