Today is National Fentanyl Awareness Day

Reading Time: 3 minutes

Today marks the first ever National Fentanyl Awareness Day, a day of action to raise public awareness about an urgent problem: people dying at alarming rates due to illegally made fentanyl.

But what is fentanyl?

Fentanyl is a powerful opioid many are unaware has entered the market. Fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin.

There are two types of fentanyl: medical grade (prescribed by a doctor) and illegally made (illicit). Illegally made has been involved in the majority of U.S. drug deaths in recent years.

Fentanyl is very cheap and extremely addictive. There is an alarming nationwide trend of drug dealers mixing illegally made fentanyl with, and disguising it as, other common drugs like Oxycodone, Percocet and Xanax to increase profits. People may not be able to tell if fentanyl is present based on taste, smell, or the look of the drug. In Washington, fentanyl has been found in counterfeit pills made to look like prescription opioid pills, as well as in powders and black tar heroin. According to the WA Department of Health, people should assume that any drug not from a pharmacy could have fentanyl in it.

Most recent cases of fentanyl-related overdose and death have been linked to illegally made fentanyl. New data show that deaths from drug overdoses continue to increase for Washington residents and that fentanyl is a major driver. Preliminary data as of April 13 show drug overdose deaths involving synthetic opioids in all of 2020 is nearly twice the number in 2019. In 2021, the number of overdose deaths were 72% higher than overdose deaths in 2020. Fentanyl overdose deaths have increased about 10-fold since 2016.

What can Skagitonians do to help?

Know the facts about fentanyl and share them with your friends.

  • Fentanyl is extremely potent. As little as two milligrams of fentanyl, an amount equal to a few grains of salt, can kill a person.
  • Do you know where your pill came from? Any pill you don’t directly get from a pharmacy may contain a lethal dose of fentanyl. Real prescription drugs are not available on Instagram or Snapchat.

If you are a parent or educator, don’t avoid the topic.

  • Young people are dying from lack of information about this. 35% of youth ages 13-17 say they don’t know enough about fentanyl and its rate of danger, and 73% have never heard of fentanyl in counterfeit pills.
  • In our region, fentanyl is most commonly seen in blue, greenish, or pale colored counterfeit pills. There may be other colors. These pills may be marked as “M30” and sometimes as “K9,” “215,” and “v48.” Fentanyl may also be in white powders.

If you’re a person who uses drugs, or is considering using drugs, exercise caution.

What should you do if someone may be overdosing?

  • Under the statewide standing order, anyone can get naloxone at a pharmacy without seeing a doctor first.
  • The Good Samaritan Overdose law (RCW 69.50.315) says neither the victim nor people assisting with an overdose will be prosecuted for drug possession.

Help people struggling with opioid use disorder to find the right care and treatment. If you, or a loved one, want treatment or just want to learn more, see the Washington Recovery Helpline, or call 1-866-789-1511.

For information about what Skagit County is doing about the opioid and fentanyl crisis, for list of local treatment providers, or to learn how to use naloxone, go to www.skagitrising.org or call (360) 416-1500.

Want COVID data? The Data Dashboard has you covered!

Reading Time: 3 minutes

[UPDATE: Significant changes were made to the Data Dashboard on January 21, 2022. Read the full press release for more information.]

As of January 3rd, 2022, Skagit County Public Health is no longer updating ongoing COVID-19 case, hospitalization, death, and demographic data on its website. Instead, Skagitonians are asked to refer to the statewide COVID-19 Data Dashboard for all COVID-19 related data.

We understand that it can be uncomfortable navigating a new website, especially when you’ve gotten used to using a different one. As we transition away from updating COVID-19 data on the Public Health website, please know that we’re here to help! Below you will find a video with directions on how to navigate the Dashboard. This video can also be found on our website at www.skagitcounty.net/coronavirus.

If you need further assistance using the Dashboard, please call the state COVID-19 hotline at 1-800-525-0127. You can also contact Skagit County Public Health directly at danicas@co.skagit.wa.us.

Data Dashboard Navigation Video – Skagit County Public Health

Video Transcript:

Hello, my name is Danica Sessions and I’m with Skagit County Public Health. In this video, I will be providing some directions on how to navigate the Washington state COVID-19 Data Dashboard, seen here on my screen.

This dashboard is updated Monday through Friday by the Washington State Department of Health and includes a variety of COVID-related data sets and helpful reports. This is the best tool to use to stay up-to-date about current state and county-level case, hospitalization, and death rates. It is also a helpful tool to see current our current vaccination status here in Skagit County—and throughout the state.

To get to this dashboard, please go to www.doh.wa.gov/Emergencies/COVID19/DataDashboard.

Once here, scroll down slightly to find the dashboard.

The first thing you’ll see is our state’s current status. In order to narrow it down to Skagit County, find the “select county” box along the left of the dashboard and scroll down to Skagit County. Click the box to select.

So once you’ve clicked on Skagit County, you’ll see our current status. This includes total confirmed cases, as well as total hospitalizations and deaths to date. You’ll also notice a few other helpful data points.

To see how we compare to other counties, you can go to the tabular view here. To get back to maps, click on the Map View button.

You’ll note that in the upper-right hand corner, a different date will appear instead of today’s date. This is because all of this data must be verified by the state before it is published. Typically, data will lag by 2 to 3 days. You’ll also notice that the state no longer updates data on the weekends.

To find our vaccination status, click on Vaccinations when you’re still in the “Current Status” tab. Please note that sometimes when you move throughout the dashboard, the county will unselect. To ensure that you’re looking at Skagit County data, make sure that the box is checked.

Here you can see total doses administered in our county to date. By clicking here, you can see our percentages of partially and fully vaccinated populations. You can also see who is getting vaccinated by clicking here. Data is broken out by sex, age, and race/ethnicity.

If you’re looking to see historic case counts or you’d like to know how many new cases we’re seeing each day, go to “Cumulative Counts” here. Click Skagit County. You can navigate by hovering on the blue line. To see our current status, go to the far right. You’ll see our total cases to date, as well as how many new cases were reported since yesterday.

As you can see, we’re seeing some of our largest daily increases right now compared to any other time during the pandemic.

You can see similar data for hospitalizations and deaths by toggling between these tabs here.

If you’re looking for case, hospitalization, and death rates (essentially trends over time), click on “Epidemiologic Curves,” then click “rates.” You can see 7 day or 14 day averages. The waves of the pandemic are very obvious here. This is also a good place to go to see whether we will be trending upward or downward. Please note that the grey dots are an estimation based on prilimary data, and numbers can change.

Find hospitalization and death rates by toggling between the two buttons here.

There are a few more helpful functions including demographics, COVID-like illness hospitalizations, and healthcare system readiness (which shows statewide ICU occupancy). Play around with these different functions to gather more information.

Lastly, I wanted to highlight some really awesome reports that are available on the dashboard webpage. Scroll down to Reports. Some that I have found very useful are the COVID-19 Cases, Hospitalizations, and Deaths by Vaccination Status Report, the Sequencing and Variants report, and the Breakthrough Surveillance Report.

Most reports are updated weekly or bi-monthly so it is helpful to check back for the most recent information.

We understand that it can be uncomfortable navigating a new website, especially when you’ve gotten used to using a different one. As we transition away from updating COVID-19 data on the Public Health website, please know that we’re here to help.

If you need further assistance with the Dashboard, please call the state COVID-19 hotline at 1-800-525-0127. You can also contact Skagit County Public Health directly at danicas@co.skagit.wa.us.

Thank you for watching.

Skagit County Reports 10,000 COVID-19 Cases and 100 Deaths

Reading Time: 2 minutes

October 12, 2021

According to the WA Department of Health Data Dashboard, on Saturday, October 9, Skagit County surpassed a cumulative total of 10,000 COVID-19 cases since the beginning of the pandemic. The day prior- October 8- Skagit County reported its 100th death due to the virus.

Jennifer Johnson, Skagit County Public Health Director said, “This is an upsetting milestone for the County. These numbers represent people. Our residents—families, friends, and neighbors—have dealt with so much over these past 20 months, with loved ones getting sick and battling this awful virus. We want to encourage people to continue to do their part to curb the spread of COVID-19, to mask up, and get vaccinated as soon as possible.”

Skagit currently has a case rate of 666.2 per 100,000 residents over the last 14 days, and a hospitalization rate of 13.0 COVID-19 patients per 100,000 over the last 7 days. These rates are still extremely high—with Skagit County expecting to see a record case rate high of 670.0 in the next day or so. It appears, based on incomplete data on the Data Dashboard, that the county will start to see a decrease in new cases and hospitalizations over the coming days. However, it is too early to say whether this downward trend will continue, and for how long.

Skagit County is currently sitting at 66.9 percent fully vaccinated amongst residents 12 years and older. Of the entire population, the percentage of fully vaccinated is 57.4 percent. This means that 42.6 percent of Skagit County residents, including children under 12 years old, are still unprotected against COVID-19.

The recommendation continues to be the same: Get vaccinated as soon as possible. Vaccination is a critical tool for containing the COVID-19 pandemic. COVID-19 vaccines are highly effective and greatly reduce the risk of severe illness, hospitalization, and death from COVID-19.

As weather gets colder and people begin to move inside, it is important that Skagit County residents continue to use precaution when gathering with people from outside of their households. All the risk mitigation strategies that people have been using since the beginning of the pandemic continue to be the best course of action: mask up when in crowded indoor and outdoor locations, get tested when feeling sick or when notified of recent COVID-19 exposure, and stay at home when ill with COVID-like symptoms.

To find a list of COVID-19 testing and vaccination providers in Skagit County, go to: www.skagitcounty.net/COVIDvaccine or call the WA COVID-19 Information Hotline: Dial 1-800-525-0127, then press #.

Skagitonians Urged to Get Vaccinated; Wear Masks in Light of Increasing COVID-19 Cases

Reading Time: 3 minutes

August 5, 2021

Skagit County Public Health is extremely concerned about the rise in COVID-19 cases and hospitalizations being seen locally and across the state due to the spread of the delta variant. This concern is felt at the state level, as well, with the Washington State Department of Health releasing a statement on Tuesday, urging Washingtonians to get vaccinated immediately and wear masks in indoor spaces to combat the variant’s spread.

In the last 7 days alone, Skagit County has reported 90 new confirmed COVID-19 cases and 10 new COVID-19 hospitalizations. State-wide hospital occupancy is at the highest levels seen to date in 2021 due to increased COVID-19 transmission and patient demand.

The highly contagious delta variant, which is a more transmissible strain of the virus, is now the dominant strain in Washington making up roughly 76% of sequenced cases. While no vaccines are 100% effective, it is proven COVID-19 vaccines provide strong protection against variants, prevent severe illness and hospitalization, and lower your risk of death. 

More than 94% of all cases, deaths, and hospitalizations in Washingtonians 12 years of age and older can be attributed to people who have not been fully vaccinated. In Skagit County, between February 1 and July 30, 2021, 95.3% of all PCR-confirmed COVID-19 cases were in unvaccinated individuals. During this same period, 100% of deaths due to COVID-19 were in unvaccinated individuals.

“We are pleading with Skagitonians to get vaccinated now” said Jennifer Johnson, Skagit County Public Health Director. “Getting vaccinated will give our community a chance to breathe again. It will keep our hospitals operating the way they need to be during cold and flu season. It will ensure the safety of our children as they go back to school in the fall. If there was ever a time to get vaccinated, it is absolutely right now.”

“These vaccines are a medical marvel, and I would confidently recommend to every family member, friend and patient I have to take advantage and get vaccinated. The vaccines are saving lives,” said Dr. Howard Leibrand, Skagit’s Health Officer. “I am also recommending that everyone return to masking in indoor public spaces. This is in light of emerging information about the delta variant and will help protect yourself, kids under 12, immunocompromised people and others who may be unvaccinated. We need to keep this disease under relative control to prevent deaths and hospital overwhelm.”

Getting vaccinated is a very personal choice, and also an extremely important one. If someone has questions or concerns about the vaccine, it is recommended that they speak with their doctor or visit the WA DOH Frequently Asked Questions page for fact-based information. To find a list of vaccine providers near you, go to: https://vaccinelocator.doh.wa.gov/ or call Public Health at (360) 416-1500.

Lastly, with case numbers on the rise and delta circulating in Skagit County, Public Health wants to remind everyone that getting tested is still essential in our fight against the spread of COVID-19.

Whether you have been vaccinated or not, if you’ve been around someone who has a suspected or confirmed case of COVID-19, you should get tested 3-5 days after your exposure, even if you don’t have symptoms.

For information about when you should get tested (for both vaccinated and unvaccinated individuals) and for current testing locations, read our blog post: https://bit.ly/3Aa2v8f. For a list of testing providers, go to: https://www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19/TestingLocations.

Overdose Prevention: Preparedness Saves Lives

Reading Time: 3 minutes

Overdose deaths accelerated in Washington State in 2020, increasing by 38% in the first half of 2020 compared to the first half of 2019. Preliminary data show 835 overdose deaths in Washington State in the first six months of 2020 compared to 607 deaths in the first half of 2019. Fentanyl-involved deaths more than doubled from 137 to 309 during that time. Most deaths involved multiple substances and many involved fentanyl. In Skagit County, a total of 143 nonfatal and 28 fatal overdoses were reported in 2020. Of those, 18 nonfatal and 10 fatal were related to fentanyl.

Substance use disorder is a disease that impacts many in our community. Overdose deaths are preventable with preparedness, education, and community care.

Illicit fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin. In Washington state, fentanyl has been found in counterfeit pills made to look like prescription opioid pills, as well as in powders and black tar heroin. People may not be able to tell if fentanyl is present based on taste, smell, or the look of the drug. According to the WA Department of Health, people should assume that any drug not from a pharmacy could have fentanyl in it.

Everyone can play a role in saving lives in our community. If someone in your life is struggling with substance use disorder, learn the the signs of opioid overdose including; the inability to wake up; slow or no breathing; and blue, gray or ashy skin, lips or fingernails.

If you are struggling with substance use, do your best not to use alone and start slow using a tester amount to determine strength. If you must use alone, call 800-484-3731 (Never Use Alone) to ensure someone can help in the event of an overdose.

Skagit County also encourages those dealing with substance use disorders to carry at least two doses of Naloxone. Naloxone (also called Narcan®) is a safe and simple medication that reverses the effects of opioid overdose. If someone may be overdosing, call 9-1-1, give naloxone, and perform rescue breathing.

Naloxone can be administered nasally or intramuscularly. There are currently four types of naloxone available. For more information, visit SkagitRising.

Naloxone is easy to access in Washington State:

Under the statewide standing order, anyone can get naloxone at a pharmacy without seeing a doctor first.

Remember, the Good Samaritan Overdose law (RCW 69.50.315) says neither the victim nor people assisting with an overdose will be prosecuted for drug possession.

Help people struggling with opioid use disorder to find the right care and treatment. If you or a loved one want treatment or just want to learn more, see the Washington Recovery Helpline, or call 1-866-789-1511.

For information about what Skagit County is doing about the opioid and fentanyl crisis, for list of local treatment providers, or to learn how to use naloxone, go to www.skagitrising.org or call (360) 416-1500.

Overdose Prevention & You

Reading Time: 3 minutes

Bob Lutz, Washington State medical advisor for COVID-19 response, states that “Washingtonians with substance use disorders may have found themselves using more frequently [during the COVID-19 pandemic], and unfortunately, the data suggests they are also overdosing more often.” Alarmingly, Skagit County has also observed an increase in opioid-related overdoses. Keep reading for preliminary, 2020 State- and County-level overdose data.

But first, a quick terminology refresher!

Overdose happens when a toxic amount of a drug, or combination of drugs, overwhelms the body. People can overdose on lots of things including alcohol, Tylenol, opioids or a mixture of drugs. When an opioid overdose occurs, the overdosing individual may experience slow or no breath, choking or snore-like sounds, pinpoint pupils, blue/ashy skin, nails and lips, unconsciousness and/or death. Fortunately, there are harm reduction practices and prevention interventions that can significantly reduce one’s chances of overdose and death. Visit SkagitRising to learn more.

Fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin. There are pharmaceutical forms of fentanyl that are used for anesthesia and pain. However, most recent cases of fentanyl-related overdose and death have been linked to illegally made fentanyl. Any illicit drug in any form – powder, pill, etc. – could have fentanyl in it. You can’t necessarily tell if fentanyl is present based on taste, smell, or look of the drug. According to the DOH, we should assume that any drug not from a pharmacy could have fentanyl in it.

POTENTIAL TRIGGER WARNING:

In Washington, fentanyl has been found in counterfeit pills made to look like prescription opioids (often with an imprint of “M30” or “A215”), as well as in powders and black tar heroin.

Opioid Overdose Data

Last month, the Washington State Department of Health published a News Release, which includes preliminary overdose data for the first six months of 2020.

Here is a Brief Snapshot:

  • Overdose deaths in Washington State increased by 38% in the first half of 2020, compared to the first half of 2019. Most of this increase came from deaths involving fentanyl.
  • Fentanyl-involved deaths more than doubled from 137 to 309.
  • Most deaths involved multiple substances, sometimes called polysubstance use.

Skagit County also observed an increase in opioid-related deaths when compared to 2019. While Public Health and many other community partners have been working diligently to reduce the impacts of opioid misuse and overdose in our communities (see list of collaborative efforts here: https://skagitrising.org/what-is-being-done/), we need your help!

How YOU Can Help

We all play an important role in reducing opioid overdoses and saving lives in our communities.

  • The COVID19 pandemic has affected us all. Stress and social isolation may increase risk of substance misuse and overdose. Offer support to friends and family – send a text, call, video chat, get together in one-on-one or in a small group outside.
  • Know the signs of an opioid overdose and how to help.
  • Naloxone (also called Narcan®) is a safe medication that reverses the effects of an opioid overdose. If you use opioids or know someone who does, make sure to carry naloxone. You could save a life! Under the statewide standing order, anyone can get naloxone at a pharmacy without a prescription.
  • If you think someone is overdosing don’t hesitate to call 911. The Good Samaritan Law (RCW 69.50.315) protects you and the person overdosing from prosecution of drug consumption and drug possession.
  • Help those struggling with opioid use disorder find the right care and treatment. Buprenorphine and methadone, two medications used to treat opioid use disorder (MOUD), can cut the risk of a fatal opioid overdose in half, and support long-term recovery. Find local MOUD treatment programs by visiting https://skagitrising.org/  
  • If you use drugs, please practice harm reduction techniques. If you must use alone, call 800-484-3731 (Never Use Alone Hotline).

Additional Info

Feeling overwhelmed and/or don’t know where to start? You are not alone. Visit the WA Recovery Helpline (or call 1-866-789-1511) where they provide emotional support and connect callers with local treatment resources and community services. You can also learn about local resources by visiting https://skagitrising.org/resources/

If you have questions, want to learn more about behavioral health services in Skagit County, or would like to pick-up free naloxone or fentanyl test strips, contact McKinzie Gales, Community Health Education Specialist at mgales@co.skagit.wa.us or (360)416-1528.