Okay, it will look good.

Because I want to do something that happened.

So I just say it's so much more than you were like, I think that's like if you were exactly where mine is like, you know, and so what's crazy is uh rolling down that way.

And it's where uh is like let's just say this is the road.

I don't know if she can either walk in there, or maybe so I hear she won't go there because they have some little clouds right there, but I thought I'd just try and do it.

Was it the other one?

No, it was more up with what you said.

Um, has been the roundabout.

It was a little bit of a okay.

And so I was trying to figure out because I just missed my time, you know.

So, you wouldn't work in all the other texting, he's like, Do you think you should make this over here?

I think he's saying about it.

I said, I don't want to not really leave the five water.

I was like, I say something otherwise, you know, like when it's not going to be a good one.

But I think I do it, I think.

Yeah, and then I went back and I didn't have a card.

You get stuck to it fast, yeah.

Oh, yeah.

It's what I say all the time.

It's like I see people walk out of the way.

Once you get to the other one, you can get started, you know.

Yeah, okay.

I brought my own.

So you make sure she's not just to make it once it is to my goal.

You're crazy.

Downtown.

Yeah, I don't know.

Yeah, we can't see.

But every time I look at it, I have to go out because I don't want this room or she's washing rather than that, where it's cancer.

But I can't look at it, right?

Um, and so I'll often allow it.

But it was probably too much.

So, I'm not sure.

So, I will not allow that in everything.

So, what I was in college, I would find a car, and so we trusted something down to the castle.

I don't know how it's hard, and then we got she's like, Oh yeah, she's quite a bit no one offered to help us.

We're like, Oh, chicken, like you can expand.

I can't stand it.

Sounds like in the front.

You already have to do it.

So it comes off of the water, it's a house.

Oh, yeah, you can then want to take a look at it.

I think it is.

And I drive it.

Oh, these are the things.

Oh, there you go.

Yeah, that might be a side.

I mean, uh, maybe these are actually like the question.

Uh, yeah, I think it's a good thing.

I think it's you can't even get on.

If I'm wrong, so you can't say the way that it's a little bit like a little bit of a wet end and you can't let it go in.

I mean, you can across the water, and that will be in the uh.

Oh, it might still be a good thing too.

And that's like, right, so my guy has around that he's taken out of so putting something around the house and he's like.

And you have to do it like that, no?

But then we found one that was like, you know, to.

I guess it's a change.

So I get three service.

Like I'm not a little bit of a free feet.

Okay.

Yeah.

So they can go on us top, right?

It's kind of a little, right?

We're using it here.

So one day, I just want to still have a sit.

Hey, quick, pushing in the corner.

It's all flat.

Oh, we're talking to the birds.

All right.

Good evening, and welcome to our municipal corporation committee meeting for Wednesday, May 20th, 2026 at 5 30.

Thank you very much for joining us this evening.

I'm filling in for Councillor Jared Evans this evening.

We'll have introductions from the counselors to my left.

Thank you, Madam Chair.

Mike Dilk, District 24.

Thank you, Madam Chair, Josh Bain, District 21.

Thank you, Madam Chair.

Brian Mowry, District 25.

Thank you, Madam Chair.

Jesse Brown, District 13.

Thank you, Chairwoman Jones, Arena Allen, district 15, 40 Sat.

Thank you.

Thank you, Chairwoman Allie Brown, District 10.

And I'm Kristen Jones representing District 18.

First up, we have proposal number 140, 2026, which renews the Marion County Public Health Department Safe Syringe Access and Support Program by adopting the declarations of the Director of the Marion County Public Health Department and approving the program.

Before we hear the presentation, I will let my colleague introduce himself.

Thank you, Madam Chair Ron Gibson, District 8.

I apologize for my delay.

Absolutely.

Thank you so much.

And uh we'll let you take it away.

Thank you very much.

Can everyone hear me okay?

All right, good evening, everyone, and thank you, madam chair, and other members of the committee for allowing me to take some of your time tonight.

Uh most of you probably expected to see my predecessor Madison Weintrout in this chair this evening, but she is since transitioned out of her role, and I've been honored to take over our program.

Uh I know I have very big shoes to fill in the next couple years, but I'm really grateful to be here.

Uh those who have not met me yet, my name is Carly Van Syke, and I'm just really glad to be amongst those who have supported us over the years, and thank you again for your time tonight.

So those may remember that in 2018 the Marion County Public Health Department sought council's approval to launch a syringe services program in response to a ten-fold increase in acute hepatitis C cases related to injection drug use.

In previous outbreaks, evidence has shown that increase in hepatitis C often precedes outbreaks of HIV related to injection drug use.

If an outbreak sounded for that of the 2015 infamous Scott County occurred here in Indianapolis, we would be looking at over 500 new cases in the span of a year at a cost of nearly 500 million dollars.

So our primary goal at Safe Syringe is to prevent the transmission of infectious diseases through injection drug use by providing a unique access point for people who inject drugs to receive health care and recovery services.

Of course, at our core, we're a syringe exchange program.

So we provide sterile supplies, naloxone, and sharps containers for our participants.

However, over the years we've been able to expand and provide testing for HIV, hepatitis C and sexually transmitted infections, referrals for health insurance, so that when a person is ready for or ready and interested in treatment, I should say, they have as few barriers as possible.

We've also been able to uh implement consultations for wound care, vaccinations, and referrals for social services.

In January of this year, we were able to actually hire our first full-time nurse who's here with me this evening, Daria.

And so she's been able to help us uh implement more of these programs as long as alongside, excuse me, our two full-time peer support specialists.

Since launching in 2019, we have served over 5,800 unique individuals at over 39,000 visits.

We serve folks at five geographic locations throughout the city with considerations to accessibility by public transportation, biking, and footpaths.

Nearly half of our clients, unfortunately, are unstably housed, and one in five are actually without shelter entirely.

So we've increased our provision of hygiene supplies as well as blankets and warm clothing in the winter, and as most of you probably know, Indiana is very unpredictable when it comes to weather, so we do try to have those available at all points throughout the year, as well as ponchos and rain for thunderstorms, and we even have a closet available to our clients with clothing and shoes available as well.

Since 2019, we've watched as a primary opioid on the street, has transitioned from heroin to fentanyl, and so in response to that, we've uh ramped up our naloxone distribution efforts, which I'll be able to talk about more on our next slide.

There's an argument that the best first responders to overdoses are people who use drugs themselves.

They are already at the scene, they know how long the person's been down, they likely know what they used and how they used it.

It's our goal that this can relieve the burden on first responders to hopefully prevent burnout and free up resources so that they're able to respond to other emergencies.

We've been able to distribute over 90,000 doses of naloxone directly into the hands of people who are most likely to use it.

We actually teach all of our participants how to use both intramuscular and intranasal naloxone, and our clients have reported back to us that they've been able to reverse over 3,700 overdoses.

That's over 3,700 times that IMPD did not have to respond and secure a scene and also 3,700 instances where somebody got a second chance at life.

Our program is staffed by peer recovery coaches, which I actually think is one of our greatest strengths.

We have one full-time coach on staff and two supplemental coaches throughout the week.

So every time a person visits our exchange, they're interacting with a peer recovery coach.

Since 2019, 684 individuals have been formally connected to treatment programs.

A 2021 survey of Safe Syringe demonstrated that the primary reason people return to our program other than syringes is our staff.

The non-judgmental and welcoming environment that we strive to create every day is what keeps people coming back to us.

Self-motivation is known to be one of the greatest predictors of treatment success, and because of the non-coercive approach to treatment found at harm reduction programs, studies have shown that people who participate in syringe services are actually five times more likely to enter treatment.

In 2023, Safe Surge was recognized by the National Alliance of City County and Health Officials as a model practice, which means our program sets a standard for other syringe services to replicate across the United States.

This was due to our evidence-based practices, policies, and partnerships.

Our program model is actually available online as a resource for others to learn and build from, and we view that as a national success.

Our vital partnerships include program expansions with the Damien Center and Step Up, and I'm actually honored to have Carrie O'Brien and Dexter Edder here tonight from the Damien Center.

These uh, excuse me, these partnerships have allowed us to access additional pockets of people who use drugs, as well as provide access to additional resources such as HIV prep navigation services, hepatitis C care navigation, LGBTQ plus services, as well as re-entry services.

In 2023, we received a substantial award in partnership with Eskenazi Health Primary Care from the Substance Abuse and Mental Health Services Administration that has allowed us to create a connections cafe inside of our cottage corner location within Safe Syringe.

This program has also allowed us to employ an Eskenazi Health Clinic nurse that helps us with immunizations, testing, and direct linkage to care for substance use, hepatitis C treatment, and more.

This has aided our full-time nurse on staff and has also become another familiar face for our participants to trust and hopefully be more likely to engage in services in the future.

We've also established a unique partnership with HealthNet to provide syringe services at their HealthNet Southwest location in the fall of 2025.

That's actually where we were at today.

This access point is actually only one of a handful of syringe services hosted within an FQHC, which will allow for direct access to primary care, behavioral health, women's health, and dental services.

Beginning in September of 2021, we partnered with the Indiana Department of Health Laboratory to test syringes collected at our program for the substances contained inside, being one of the first programs in the Midwest to do such testing.

Fentanyl has dominated our drug supply since 2021, but our recent data has actually shown a rise in cocaine and methamphetamine methamphetamine in the supply as well.

We're able to track the appearance of emerging substances and disseminate that information information to our partners.

Some substances we've been able to see recently is the animal trinkilizer xylozine that many of you may have heard of before.

We've also been seeing metatomidine, which if you're unaware is an animal tranquilizer that's actually estimated to be 100 to 300 times more potent than xylozine.

And then our newest substance on the block we've been seeing recently is cyclorophine.

This is a synthetic opioid that's estimated to be four to ten times more potent than fentanyl.

The ability to track these substances has actually allowed our staff field to provide appropriate education and interventions for our participants since we know what's there.

Our program has also recently launched individual paraphernalia testing that allows our participants to bring us individual syringes or other items like baggies or cookers that we can swab and test for them.

Participants are able to receive a full report of what was found, or they can just ask for our staff members to review this with them at the next time they come to our exchange.

This program allows participants to take control, reduce their risk of overdose, and actually make more informed choices.

Earlier I mentioned that our primary goal is to prevent an HIV outbreak related to injection drug use, and so far we've successfully been able to do that.

The increase in diagnosis in 2021 and 2022 that you see on our slides here was expected due to decreased outreach and testing from the COVID-19 pandemic in 2020.

Historically in Marion County, HIV has primarily been limited to sexual transmission, and that trend has continued prior to the launch of Safe Syringe in 2018.

The percentage of new HIV cases reporting injection drug use was 6.4%.

However, our most recent data in 2024, only 2.3% of new cases reported injection drug use.

The rate of acute hepatitis C infections rose from 0.6 to 8.5 per 100,000 people between 2013 and 2018.

In 2024, acute hepatitis C cases were reported at just 3.5 cases per 100,000.

I'm proud to say that this demonstrates that we're reaching our target population with fewer than half the number of new hepatitis C transmissions occurring since our program has launched.

In 2018, we promised that safe syringe will be grant-funded for the third first three years of our operation, and not only have we been able to keep that promise, we're actually able to remain entirely grant-funded through 2029 at a minimum.

The Marion County Public Health Department has raised over $4 million for our program directly since 2018, not including grant funds that are shared with other programs and in kind cost.

30 years of cost-benefit studies showed that for every $1 spent on syringe services, up to $7.58 is saved on HIV treatment cost alone.

In our own cost-effective analysis that was performed by Myers and Staffer as part of our Fairbanks Foundation grant, it was estimated that $4.2 million are saved in Marion County per year in HIV and hepatitis tree hepatitis C treatment costs locally.

This also included our bulky startup cost of the program.

This analysis also showed to us that up to 45%, fewer overdose deaths occur per year, which no price can really be assigned.

And with all this data in mind, I ask that you please consider that the Safe Syringe program receive another two-year renewal.

I thank you for your time and attention.

And if it's okay with you, Madam Chairman, I'm happy to take any questions.

And if there's anything I can answer, my colleagues would be happy to assist as well.

Thank you.

Thank you, Carly, and thank you for your work.

We appreciate it.

Yes, Council Brown.

This is amazing.

In a previous life, I worked for three and a half years doing drug and alcohol teaching by HIV and STDs and drug and alcohol treatment centers and prisons and jails.

So what you're doing is so important.

That was before safe syringe, and that was before all the funding got cut to Rhine White and all the stuff that made it harder.

So I have two questions for you.

One is when people are bringing in their syringes and are asking for them to be tested, which I love that that's happening.

Are they finding out often that what they think they're injecting, they're not?

Because that's as you talk about the tranks that are much stronger.

That's extra scary, right?

Um so are we seeing a lot of that where people are being missold?

Absolutely.

Um a lot of our most recent reports were actually, we've been calling it synthetic soup.

A lot of our participants are actually seeing 12 to 15 plus different substances each time.

Yeah.

Which leads to overdosing because they don't know what they're using.

Yes, that, but I I a pro, I will say our full-time peer recovery coach Tierney has had many participants say, you know, I'm not even getting what I'm paying for.

So, why am I why am I continuing to do this?

She's encouraging them to turn in their drug dealer for bad sales, right?

We can we can handle that.

Um then my other question is when we're we're testing people in these populations, right?

If we're coming across somebody who has high risk for other situations now that we're partnered with like the Damien Center, are we able to say, hey, this isn't necessarily for needle share, but did you know there's prep or there's and getting them connected to those programs, thus reducing their risk in other forms?

Yeah, absolutely.

Um we have MOUs with each other uh at the Daming Center and staff.

So we we spend a lot of time with one another and refer each other to our participants as well.

So if they can't get something from us at Merrigan County, we have no problem sending them to our our friends across the street.

Fantastic.

I enthusiastically will be voting to keep this going.

So thank you for the computer.

Thank you for your support.

Thank you, thank you.

Leader Mallory.

Thank you.

I just want to make sure, kind of follow up on the question we just had.

Um, when you said testing, is that I go out here, I get a needle that has stuff already loaded in it, I bring it to you and say, hey, what's in this?

You can test it, tell me, and then let me go about my way to go use it.

So we to that we offer test strips at our sites, so that's a little bit faster of a detection.

These uh individual prayer for nearly testing can take up to a month to get results back.

So our participants often will use whatever substance they believe they're using.

It will have a different intended reaction to them, and they will bring whatever is left over and share with us and say, I expected to go up, but I went down.

Can you tell me what was in here?

And then that way they can decide if they want to continue seeing who they're seeing.

So then you test it.

Do you tell them what it is?

Do you give them back what is ever left over what you don't test or what happens with the stuff from there?

No, that that stays within uh the Department of Health Laboratory.

They just send us the a physical report back of what was in it and then it's disposed of.

Okay, I just want to make sure we're like enabling people to come get it tested so they know what they're shooting up first.

So I thank you.

I was confused there, but thanks for that clarification.

Yes, Counselor Bang.

Thank you, Madam Cairn.

Thank you for the presentation.

On slide six where it says you know, five times more likely to enter treatment, three times more likely to stop injecting.

And prove me wrong, but I think I've heard you say that's kind of like a national studies that do it.

Is that mirror the local data that we see as this local data?

Like are you specifically seeing that when you interact with these individuals, they are about times more likely in their treatment.

Uh so that statistic is from a national study.

It's very hard for our program to get the 100% uh numbers on that, since we are anonymous and even with the passing of Senate Bill 91 still try to allow our participants to stay asonymous as possible.

The number that I shared with you, the 684 is who we know for a fact, Tierney or whomever else on our team was able to connect them directly with services.

So oftentimes they we give them information and they go about their way, and then later down the line, maybe a week later the next day they reach out to those services.

So we don't always get a clear understanding on if they followed through with our referrals or not, until they often come back and share with us after the fact.

Like, hey, I just want to let you know I'm doing well, and thank you for your time and services they allowed me to recover.

So is it 684 individuals since the beginning of the program back in 2019?

Yes.

Thank you.

Councilman Gibson.

Thank you, Madam Chair, and uh thank uh to uh Mary Garner Public Health Department, your partners uh for this program and trying to keep us our community safe.

Um I'm grateful too the NL General Assembly who extended the law to to July 1st, so I guess 2020 2031.

So grateful for that.

I noticed one of the changes to the law was about the one for one exchange, and I guess it's got a lot to do with the syringe testing.

Is that is that connected to something separate?

The one for one exchange.

Uh the one for one exchange was implemented to uh it's my understanding the intention was to decrease any syringe litter, as well as I believe the intention was to not give folks more than what they're coming back with for us.

But since then, yes, we have we now give them whatever they give back to us.

So good.

So when they I guess conduct themselves in this legal activity uh or what they're doing, but uh they don't ex- I guess uh throw the stuff uh out for the public to have to deal with.

So in other words, they have to bring that back in order to get a a clean syringe.

Correct, okay, good.

Um in terms of um insurance, uh I noticed that uh um a great deal don't have insurance, so uh how do you help them connect with uh get enrolled and available coverage that they may uh uh qualify for?

Sure.

Um, if they are ready and willing or wanting, we have uh I believe it's called covering kids and families with the Marion County Public Health Department that we can refer them to.

Uh Eskenazi Health also has their own partners that they're able to assist with.

So if they're not able or wanting to have a chat with us about it, right then and there we can refer them to other folks.

Thank you for the great work.

Appreciate you.

Thank you.

Thank you.

Counselor Brown?

Oh, we have sorry, I wasn't sure.

The other Council Brown was good.

Um this just popped into my head.

Are we, because you're doing testing, do we see people coming in with needles for diabetics medication, GLP ones and other things that are uh ejected subcutaneously?

Um, those things sometimes you get the I my stepdad's type one, sometimes you get the medication with insurance, but you don't get the needles, and then you have to purchase them.

And then even though he was an EMT and incredibly smart about this, would we use needles because it saved money?

Yeah, um, so is that something you're seeing too?

Is people using legally prescribed drugs not having enough needles and bringing those in for an exchange?

Uh not as often for the exchange, but we do have folks that will uh give us their use to dispose of safely, uh especially with the rise of the GLP 1 use.

Counselor Jesse Brown.

Okay, Councilor Brown.

Thank you, Madam Chair, and thank you for that presentation.

Uh yeah, strong advocate for this uh type of program.

You know, my biological father actually passed away from a fentanyl overdose um using drugs a lot more.

Uh I wish he didn't use them at all, of course, but he used them in a much more risky way because he didn't have access to programs like this.

So I think he'd probably still be alive if he had been uh participating in a program, not in the state.

I did want to ask uh in terms of your slide four about the people served.

Uh I was a little bit surprised by the demographics.

It seems like far, far more white people using the service than you would think from looking at um, you know, just general population.

Is that do you think attributable to who's using intravenous drugs specifically, or like what other explanations do you have?

Like why is it not better serving you know what our city looks like?

And first I want to say I'm so sorry for your loss.

Um I would have to say uh as someone who's been in public health for several years now, I think there's unfortunately just still a lot of mistrust with our minority communities.

Um, and even our participants their first couple times they seem a little uncertain that we're not lying to them, or you know, we're not a cop's gonna come around the corner, you know.

But uh I unfortunately think these are a lot of systemic issues that not just us, but a lot of folks will have to combat over the years.

Yeah, that definitely makes sense.

Um yeah, would love to think through how the council could partner better to help you know publicize the program and make it clear, you know, this isn't an excuse to send someone to jail or anything.

Thanks.

Thank you.

Counselor Allen?

Thank you, Chair Brown.

Thank you, Chairwoman Jones.

Um picking back off of counselor Brown's question, I was looking at the demographics and then I was kind of curious to know about the age range in which I do see it here.

So is there some type of education?

Because I thought I heard you mention it earlier about there was uh education that was being provided, and if it was, can you expound a little bit more on that?

Sure, just uh clarify, is there something specific education-wise that you're wanting to use?

I guess around a syringe because you know, when I look at this number, it says the ages of 15 and 29 who enjoy who inject drugs continues to increase both nationally and in the state of Indiana.

And so I guess for me, you know, how you know when you provide education about syringes, our drug use, HIV, and all of that.

How are we going about doing that?

You know, especially for this age group.

Cause age 15, I mean, I understand nowadays everything is at our hands, but age 15, that's yeah, yeah, absolutely.

Um, I will clarify that our syringe exchange programs do not allow anyone under the age of 18 to participate or even be near our any of our sites actually.

Um if we have anyone present with children, we ask them to leave.

Um as far as education goes, I will say we really hit on the um you may have heard Madison in years past kind of describe us as the the cool aunt of the syringe exchange worlds.

We do try to be non-coercive, non-judgmental, just kind of be straight up, if you will, with folks, you know, uh, especially our people that have lived experience that are now seeing uh a different way of life, can share, you know.

I was living this way, you don't have to.

Um if you continue to do XYZ, you are at a higher risk for infection or things of that nature.

So we try to base it off whatever demographic we're talking to, or unfortunately sometimes folks just aren't aren't quite ready there to even be ready to have a conversation about anything education-wise.

And I would agree with that.

Well, thanks for all the hard work that you all are doing around this.

Um, this is very informational, and I would be happy to really support this and continue the work.

So great job and keep doing, you know, doing the great work that you all are doing.

Thank you, Counselor Allen.

Thank you.

Counselor Bain.

Thank you, Madam Chair, just quick follow-up here.

Uh, I'm looking at slide six again with six hundred and eighty-four people engaged with recovery programs.

And it looks like since the program began in 2018, the it's cost a little over four million dollars.

So if we just say that's four million dollars, it's roughly six thousand dollars per person that engages with a recovery program.

Just curious what your thoughts are on that.

If you think that's uh an appropriate spend per individual.

I'm sorry, do you mind clarifying your question for me?

I are you saying we have saved six thousand dollars on no, it's uh so if the entire program since twenty eighteen has cost us four million dollars, it says over four million, but let's just say four million for ease of math.

And since the program began in 2018, 684 individuals have engaged with a recovery program.

I see the four million dollars we've raised okay, yes, I see what you're saying now.

Um so that four million dollars goes towards um salaries, our mobile unit, upkeep of cost for the syringes and other supplies.

Um, I would say that the 684 engaged.

I don't I don't know that I could comfortably put an exact number on how much we spend on those folks.

Um I know we have a multitude of resources that we're able to refer them out to.

Um sometimes insurance covers their stay, sometimes it doesn't.

Um, so it's hard for me to put a number on it.

I don't know if my peers are making that.

I think it's your question.

Can you please come to the microphone to the microphone and give us your name, please?

Yeah, thank you so much.

Oh, right.

Okay, look out, right there.

You're okay.

You're fine to stay here.

You're good.

Thank you.

Welcome.

Just give me my name is there, I'm the senior director of community health at being in century.

And it sounds to me like your question is like do you think it's worth six thousand dollars per outcome that we're getting?

Well, I don't necessarily want to put a cost on getting someone necessarily rehabilitated, but kind of view our job as spending the taxpayer dollars or cost analysis.

I guess in this case, you know, it's grand dollars, so it's I'm literally saying that right now, Councilor Brown.

Thank you.

Yes, so yeah, I literally just said that, thank you.

So the question is, is that the best way to spend six thousand dollars?

Yeah, and I think it's a great question, and I think it's um it's about multiple different outcomes as well.

It's not just about recovery, but it's also about avoided emergency room visits because we prevented someone from getting a wound from using a non-stermal syringe.

It's about a prevented hepatitis C infection.

Each hepatitis C infection costs about a hundred thousand dollars to treat.

The lifetime cost of an HIV infection is like four to six hundred thousand dollars.

So I think you have to think about it about uh how it prevents more than just uh or how it helps people in more than just the recovery model.

Um and there's a lot of other costs that we can associate with the program.

But I think it's a I'm glad you're thinking about it.

Money matters.

Yeah, for sure.

And where do most of your grants come from?

Uh our grants team, admittedly, just looks uh through applications for us and see what we can acqu we qualify for.

Uh we do a lot of partnerships with Eskenazi Health since we're under the Health and Hospital Corporation together.

So if there's anything we can jump in on together, we will.

Unfortunately, uh as of recently, any syringe exchange programs are becoming much more limited for grant funds.

So our participation, we we try to fit in wherever we can, but uh SAMHSA has offered us some grants.

The um Fairbanks Foundation has been very wonderful for us too, as well as the Health Foundation of Greater Indianapolis.

Okay, thank you.

Thank you.

Thank you.

Councilor Perkins.

Thank you, Madam Chair.

Um I too want to to echo and thank you for the work that you're doing.

Um I was drawn to the previous two slides to what my colleague just uh referred to uh in the number of people served and the number of overdoses reversed.

Um and I think that's really uh kind of a true reflection of the work that you're doing.

Uh, that it's not just the individuals that are engaged with recovery, but the number of people that are served and the number of overdoses that have been reversed.

Um and I think that even in putting that in context with almost 3,800 overdose being reversed, we really can't put a value on individuals' lives.

And so thank you for the work that you continue to do, and I'm more than happy to support you guys going forward.

Thank you, Councillor.

Thank you.

Counselor Dill.

Thank you, Madam Chair.

Uh, in regard to the 3,717 overdose reverses, are there any type of programs that these people can get involved so they're not repeating that overdose or is there a way to follow up with them or how do you do that?

So the way that we retrieve that data is when any time someone utilizes our exchange, we ask them if they've utilized any um the lockstone since they last saw us, and then we ask them if 911 was called, so that way we can also better understand the burden, if you will, on our EMS services.

Um we ask them if it's them that overdosed or if it was a friend, and then we obviously always encourage whenever you're ready, we're here for you for our recovery coaches.

But um with the anonymous, excuse me, of our program.

We just keep trying to tell people we're here for them, and then when they're ready, we're there for them as well.

Okay, thank you.

Any other comments, questions from the counselors?

Anyone in the public who wishes to speak on proposal number 140 2026?

Okay.

I will take a motion.

So we'll have to second.

All right.

It's been moved and seconded to send proposal number one forty, twenty twenty-six to the full council with the due pass recommendation.

All those in favor say aye.

Aye.

Opposed say nay.

The ayes have it.

Thank you very much.

Thank you for you all being here with us this evening, and we appreciate your advocacy and your work.

Thank you so much.

Safe travel shown.

Thank you.

Oh, sorry.

Sorry, I was like, oh my god.