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Hamilton County coalition credits decade of harm-reduction work as officials describe recent drug-supply spike and response

2679141 · March 19, 2025
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Summary

County officials and addiction-response partners reported a projected 52% drop in overdose deaths since 2017, outlined prevention, treatment and recovery gains, and said a recent 72-hour spike of 12 overdose deaths prompted a countywide drug-supply alert and coordinated public-health response.

Hamilton County commissioners and members of the Hamilton County Addiction Response Coalition on Tuesday highlighted a decade of coordinated opioid- and stimulant-response work and described a rapid, multi-agency response after a recent drug-supply change that coincided with 12 overdose deaths over 72 hours.

At a presentation to the Hamilton County Board of County Commissioners, Megan Guthrie, director of the Office of Addiction Response, and Abby Fritsch, the office’s grants manager, summarized last year’s work across prevention, treatment, harm reduction, interdiction and recovery pillars and credited the coalition’s network with helping reduce overdose deaths countywide. “We have been able to build something truly unique in Hamilton County,” Guthrie said.

The report presented a countywide projection that overdose deaths have fallen about 52% from the crisis peak in 2017, with an estimated 270 overdose deaths projected for this year; presenters also said more than 4,450 lives have been lost to addiction in Hamilton County since 2015. Commissioners and coalition leaders repeatedly stressed that each number represents individuals and grieving families and that the work must continue.

Why it matters: presenters said the county’s combination of prevention (school and community outreach), treatment (expanded engagement centers and medically monitored withdrawal protocols), harm reduction (syringe services, drug-checking and broad…

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