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Rock County hears medical examiner report highlighting overdose deaths, facility upgrades and 2026 training plan
Summary
Dane County chief medical examiner Agnesh Karogalska reported to the Rock County Board on the intergovernmental arrangement with Dane County, operations and 2024 caseload trends — including eight homicides, 22 suicides, three undetermined deaths and that roughly 75–80% of overdose deaths involve fentanyl, heroin or other opiates.
Agnesh Karogalska, chief medical examiner of Dane County serving Rock County, presented the Rock County Board of Supervisors with an annual overview of the county’s medical examiner services and operational plans for 2026.
Karogalska described the existing intergovernmental agreement that gives Rock County access to Dane County’s physician-led medical examiner staff for autopsies, scene response and pathology services. “We are your medical examiner,” Karogalska said, explaining that physician review and the ability to determine cause and manner of death is part of the service provided under the agreement.
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