Multnomah County Health Department works to reduce overdoses and overdose deaths.

Our commitment is to our communities. Each of us deserves dignity, choice, and support. This means meeting people where they are with compassion, cultural humility and without judgment. 

Key Focus Areas

  • Prevention 
  • Harm reduction and intervention 
  • Treatment
  • Ongoing recovery support

2024 Overdose Prevention and Response Plan (7.4 MB)

Addiction & Recovery Services

We provide a wide range of services, from prevention to recovery.

Emergency Declaration

On February 1, 2024, Multnomah County Chair Vega Pederson, Oregon Governor Kotek, and Portland Mayor Wheeler declared a 90-day emergency to direct coordinated efforts to address fentanyl use in Portland’s central city.

County activities during this emergency will include activities in our 4 focus areas, and extend throughout the county. 

90-day Overdose Prevention and Response Plan (324.08 KB)


Get Naloxone

Short-acting opioid antagonists (e.g. naloxone) are available by prescription and over-the-counter at most pharmacies

Learn More

Provider Health Alerts

  • Fentanyl | April 26, 2021: Risk of fatal overdose from counterfeit pills containing fentanyl
  • Xylazine | April 19, 2023: Health risks of Xylazine

Reports & Data

Fentanyl Overdose Deaths in Multnomah County: 2018-2023 (2.71 MB)
Fentanyl Overdose Deaths Summary Report: 2018-23 (1.05 MB)
Un resumen del reporte de muertes por sobredosis de fentanilo (1.07 MB)