STATE CAPITOL DISTRICT OFFICES P.O. BOX 942849 A?gemhlg 1130 CIVIC CENTER BOULEVARD. SUITE SAC FIAMENTO. CA 94249-0003 YUBA CITY. CA 95993 (916) 319-2003 (530) 671-0303 FAX (91 6) 319-2103 @?lif?rt?? ?c?Bgi?laf?tB FAX (530) 671-0308 2060 TALBERT DRIVE. SUITE 110 CHICO. CA 95928 (530) 895-4217 FAX (530) 895-4219 THIRD DISTRICT February 18, 2020 Sonia Y. Angel], MD, MPH Director, California Department of Public Health PO Box 997377, MS 0500 Sacramento, CA 95899-73 77 Dear Director Angel], I write to express my strong concerns regarding the North Valley Harm Reduction Coalition syringe distribution program, which was authorized by CDPH pursuant to California Health and Safety Code (HSC) Section 121349 on October 14th, 2019. While HIV and hepatitis prevention are worthy goals, I am concerned that this program is ineffective in addressing future outbreaks while causing extensive negative community impacts. These include the large distribution of needles and drug paraphernalia to drug users, distribution to minors, deterioration of public spaces, and improper needle disposal, among others. I hope CDPH can address these and other issues, speci?cally: I. Underage Distribution. Health and Safety Code Section 11364.5 establishes 18 as the minimum age to have access to drug paraphernalia. However, it has been brought to my attention that minors are able to receive needles through this program. In one documented instance, a minor was given 30 syringes, among other drug paraphernalia, no questions asked. What is the minimum age to distribute and receive needles through programs established under HSC Section 121349? What will the Department do to investigate claims of underage distribution, and what are the penalties for underage distribution? 2. Improper Disposal. Local law enforcement of?cers have described a rapidly deteriorating situation stemming from the syringe distribution program. Of?cers have seen an increase in property destruction and improper disposal. Large quantities of contaminated needles are also being found in public spaces. CDPH required as a condition of approval, to clean up any reported syringe litter within a reasonable time frame. What does CDPH consider a ?reasonable time frame? for to clean up reported syringe litter? 3. Violating Terms of Operation. CDPH required as a condition of approval, to operate a hotline for the public to report improperly disposed syringes. However, the ?hotline? is not adequately staffed, resulting in law Printed on Recycled Paper enforcement of?cers now being taken off the beat in order to safely collect improperly discarded syringes. Additionally, syringes have been found in Oroville, Gridley, and throughout Butte County. However, is refusing to clean up these needles outside of the City of Chico. Does this violate the CDPH terms of operation? Should the permit be revoked until the organization can get a handle on reporting and syringe collection? I appreciate any assistance CDPH can offer to address these questions, and a response by February 24th. It is unacceptable that law enforcement of?cers and the public?s safety are being put at risk While this program continues to operate. Given the public health threats caused by continued operation, I also ask that CDPH consider revoking authorization of this program pending further review. Thank you for your attention to this matter, if you need further information please do not hesitate to contact my of?ce at (916) 319-2003. Sincerely, n, 31?d District cc. Marisa Ramos, Chief, Of?ce of AIDS, Center for Infectious Diseases, CDPH