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Granville County approves three‑year renewal with North Carolina Harm Reduction Coalition to expand naloxone distribution
Summary
The board accepted the opioid advisory committee's recommendation to renew a three‑year contract with the North Carolina Harm Reduction Coalition to continue community naloxone distribution, which staff said delivered more than 230 kits and reached about 40 people in its initial months.
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The Granville County Board of Commissioners voted to renew a three‑year contract with the North Carolina Harm Reduction Coalition to continue community naloxone distribution and associated outreach.
Kathy (speaker 10) introduced Elise Powell (speaker 11), executive director of the North Carolina Harm Reduction Coalition, who said the organization distributed more than 230 naloxone kits across the county and served more than 40 people during a brief initial contract period. Powell described the program as more than shelf distribution: outreach teams go to locations where people at highest risk are and connect them to additional services, she said, and argued community naloxone distribution can reduce costly hospitalizations. Powell cited average hospitalization costs of about $11,000 per overdose and $20,000 when ICU care is required, and said Granville Medical is on track to see over 45 overdose hospitalizations this year.
Commissioners questioned the recommended three‑year term and staff answered that multi‑year contracts provide stability for program implementation and for hiring and retaining staff. Commissioner (speaker 4) asked for clarification on the contract length; staff said a single‑year contract had not supported program staffing in the past and three years balances continuity with reasonable contract length.
The board accepted the opioid advisory committee's unanimous recommendation and authorized staff to finalize the three‑year renewal, with contract language subject to county attorney and county manager review.
What this means: The renewal funds ongoing naloxone distribution and engagement work in Granville County; county staff and the board framed the contract as a public‑health investment intended to prevent overdose deaths, reduce hospital burden and connect people to treatment options.
Next steps: County staff will finalize contract language and return with the executed agreement per standard procurement and contract review procedures.

