Wake County outlines $67M+ opioid-settlement spending plan and early program wins

Mar 2, 2026

Opioid-settlement program manager Lissa Kittless told the committee the county is set to receive over $67 million (possibly nearing $76M when dashboards update), reported a 2024 decline in overdose deaths to about 162, and reviewed settlement-funded expansions in mobile treatment, naloxone distribution and transitional housing.

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Lissa Kittless, Wake County's opioid-settlement program manager, presented the county's multiyear settlement strategy and early implementation outcomes, saying the county is "set to receive over $67,000,000 over an 18 year period" and that 2024 marked the first decline in overdose deaths since the start of the COVID-19 pandemic. "So we're at about 162 individuals," she said of 2024 overdose deaths.

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