Fentanyl State of Emergency


On January 30, 2024, the State of Oregon, Multnomah County and City of Portland each declared a 90-day state of emergency and launched a unified approach to address the fentanyl crisis in Portland’s City Center. The tri-government approach was a first-of-its-kind strategy to better coordinate City, State and County efforts for short term and long term success. At least 55 staff were assigned either full or part time in the incident management team. There are also hundreds of first responders, outreach workers and frontline staff working daily with those most impacted by the crisis.

90-Day Fentanyl Emergency Report

This report details the objectives, accomplishments, and next actions following the end of the emergency orders.

90-Day Fentanyl Emergency Report (3.55 MB)

May 3, 2024 press conference

Situation Reports

Situation reports will be published on a regular basis and uploaded below.

4.30 Fentanyl Emergency Situation Report.pdf (1.02 MB)

4.22 Fentanyl Emergency Situation Report.pdf (863.14 KB)

4.16 Fentanyl Emergency Situation Report.pdf (1.05 MB)

4.8 Fentanyl Emergency Situation Report.pdf (1.03 MB)

3.28 Fentanyl Emergency Situation Report.pdf (1 MB)

3.20 Fentanyl Emergency Situation Report.pdf (1.77 MB)

3.11 Fentanyl Emergency Situation Report.pdf (5.54 MB)

3.4 Fentanyl Emergency Situation Report.pdf (4.7 MB)

2.28 Fentanyl Emergency Situation Report.pdf (259.61 KB)

Multnomah County Overdose Map

This map shows suspected and confirmed fatal overdose deaths from fentanyl by geographic area and time. Darker colors show higher counts of fatal fentanyl overdose. You can see the specific number for an area by hovering over it with your computer mouse.

View the map

Fentanyl Emergency Health Dashboards

As part of the 90-Day Fentanyl Emergency, the Health Department has released a series of fentanyl dashboards. The data contains information from:

  • Multnomah County Medical Examiner's Office
  • Fentanyl-related visits to emergency departments and urgent cares
  • City of Portland’s Bureau of Emergency Communications
  • American Medical Response (AMR) ambulance responses
  • Portland Fire & Rescue responses

The data gives us useful information about overdose trends. The data in the dashboard should not be added together. Each dashboard is a different set of data and some of the information overlaps.

View the dashboards

Objectives and principles

Unified Command is guided by the following objectives and principles.

  • Objectives

    • Leverage the city, state and county’s resources to improve livability in Portland’s city center.
    • Enhance coordination and accessibility of housing, treatment, and recovery services in Portland.
    • Combine health, law enforcement, and other data into a countywide dashboard for better response and monitoring.
    • Identify housing, health and law enforcement gaps and obstacles, then make specific policy recommendations to leaders and lawmakers for better coordination.
    • Develop a 90-day plan to expand and improve response efforts, with focus on both short-term and long-term needs.
  • Guiding Principles

    • Reduce overdose deaths by improving prevention and access to support and treatment.
    • Enhance communication among responding agencies for better collaboration.
    • Develop scaleable tools and methods for broader impact.
    • Address inequalities, prevent unintended consequences, and embed equity in policies.
    • Educate the public on the unique dangers of fentanyl and how it’s different from other substances of abuse. 
    • Use evidence-based practices and input from communities with lived experience for effective solutions.
    • Recognize the role of stable shelter in supporting treatment as a bridge to housing.
    • Demonstrate good stewardship of public funds.
    • Leverage existing staff and resources in service to the incident management team.
    • Share timely and accurate information with stakeholders, the public and the media.
    • Provide for the safety, security and general well-being of all incident responders.

Participating departments and agencies

Relevant Documents

Resolution to Adopt a 90-day Emergency to Address the Fentanyl Crisis (122.49 KB)

Chair Jessica Vega Pedersen Emergency Order (120.44 KB)

Gov. Tina Kotek's Emergency Order on Fentanyl (137.49 KB)

Mayor Ted Wheeler's emergency order on fentanyl (183 KB)