In 2019, staff worked with the Board to assess the feasibility of the Health District taking over the naloxone distribution program for law enforcement in Snohomish County. In November 2019, the Board of Health approved Resolution 19-25 (Exhibit A), which stated that:

1. Municipalities that contribute at least $1.00 per resident in per capita funding in 2020 will have their police department’s 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, but would still like to have the Health District coordinate their police department’s naloxone purchasing and data collection, will be invoiced for the cost of the requested kits and a 32.63% 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.

In 2020, Snohomish County and 13 of the 20 cities signed interlocal agreements with their per capita contributions. Staff worked with those law enforcement agencies to update their records and replenish naloxone supplies throughout the first two quarters. There were some cities that did not contribute per capita dollars that inquired about the program, but elected to purchase independently.

Staff estimated $45-50K to purchase naloxone for 2020. As of October 2020, total expenses were $48,750. Staff have a small quantity on hand, so future orders before the end of the year are not anticipated. The 2021 budget currently has $50K as a placeholder to continue the naloxone program.

Below is a table showing the agencies that contributed in 2020, the number of kits purchased by the Health District on their behalf, the approximate value of total purchases based on $75 per kit, and the number of kits used by the police department as of October 2020.

Staff recommend adoption of Res. 20-27 (Exhibit B) stating the Board’s intent to continue the program in 2021 and beyond.

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

MOVE TO adopt Res. 20-27 regarding intent to continue naloxone coordination and tracking for law enforcement and per capita partners in the county.