Public fentanyl emergency update: March 20, 2024

March 20, 2024

3.20 Fentanyl Emergency Situation Report.pdf (1.77 MB)

Executive summary

This report shares data and activities directed by Unified Command for the Incident Management Team (IMT). The information in this report comes from a joint effort among the City, State and County. Please note that not all requested data is included yet, but we expect to add it as soon as it becomes available. 


  • 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 transition plan to expand and improve response efforts, with focus on both short-term and long-term needs.

Situation overview 

Fentanyl overdose deaths in Multnomah County

Key activities/highlights this week

This includes work happening at Unified Command’s direction and actions taken by partner agencies participating in the emergency declarations.

  • Law enforcement, first responders and outreach workers continued to disrupt drug dealing, offer outreach to people using fentanyl in public, and respond to emerging issues in the operational area. 
  • Unified Command is aware of public fentanyl use and related activity near SW 10th & Yamhill. Public safety and outreach teams are responding and working to stop drug dealing and get people into treatment.   
  • As a direct result of the fentanyl emergency, the Clinton Triangle Temporary Alternative Shelter Site helped provide shelter and services to 12 individuals seeking recovery from substance use. Out of the 12, four of them left early prior to completion of their treatment.
  • Unified Command and the Multnomah County Health Department convened a summit on March 13, 2024. The summit included more than 130 participants representing law enforcement, medical, addiction recovery, people with lived experience, and local and state government. The summit allowed outreach staff to improve their work and better serve the community. Their recommendations will be incorporated into a long-term plan following the 90-day emergency.

Guests participate in the 2024 Fentanyl Summit hosted by the Multnomah County Health Department.

  • The Multnomah County Health Department launched a recovery public awareness campaign. The campaign includes nearly 50 billboards at strategic locations throughout Multnomah County based on overdose 911 calls. The goal is to connect people with recovery options. 
An example of a billboard for the Health Department's recovery campaign.

Reportable preliminary data

The Data team is working on gathering specific information for future reports, but not all of it is available yet due to legal and technical barriers. It might take 7 to 14 days before all the statistics are available. These numbers are preliminary and will become more accurate over time.


As of March 6, there were at least 55 staff and experts assigned to the incident, including city, county, and state personnel. Additionally, there have been hundreds of staff, from first responders to administrative personnel, working prior to and throughout this incident.