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HomeMy WebLinkAboutCorrespondence - Item 27Flores, Dora From: Jon Watson < Sent: Wednesday, April 10, 2024 10:27 PM To: eComment Subject: Item #27 for City Council Meeting on 4/16 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Dear Santa Ana City Council, I am writing to communicate my opposition to item #27 to be discussed at the upcoming city council meeting. As a board certified addiction medicine physician, I know that opposing the establishment of a safe syringe access program in Santa Ana will harm our city by denying us a proven, cost-effective public health intervention. Safe syringe access programs prevent transmission of disease and do not lead to the increased littering of paraphernalia. As a father who accompanies his toddler to the many wonderful parks in our city, I fear that the city's opposition to a safe syringe access program puts my daughter at risk as people who inject drugs have limited venues to return their used equipment (and thus may be forced to dispose of them in public spaces). Finally, as a resident who cares deeply for this city, I believe opposing a safe syringe access program sends the message that we don't care about our most vulnerable citizens. I know this not to be true, so please do not adopt any resolution that opposes the development of a safe syringe access program in this fine city. Thank you for your time, Jonathan Watson of Baker St. Flores, Dora From: David Carbajal < Sent: Thursday, April 11, 2024 8:55 AM To: eComment Subject: Opposition to Agenda Item #27 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Dear Santa Ana City Council, I am a lifetime resident of the city of Santa Ana and I am writing to express my strong opposition to Agenda Item 27, the resolution to oppose syringe exchange in Santa Ana. This resolution would be a detrimental step backward in addressing the pressing public health concerns we face. It's crucial to recognize that Santa Ana comprises the highest rates of HIV transmission in Orange County. Denying access to proven harm reduction measures like syringe exchange programs only exacerbates this public health crisis. By refusing to implement such programs, the council is turning their back on the urgent need for comprehensive and compassionate solutions to prevent the spread of infectious diseases among vulnerable populations in our community. Syringe exchange programs have been widely acknowledged as effective strategies in reducing the transmission of bloodborne diseases such as HIV and Hepatitis C, while also providing essential pathways to healthcare services and addiction treatment for individuals in need. The CDC and public health experts have urged local municipalities to implement syringe exchange programs for over three decades. The evidence supporting their efficacy is clear, and numerous communities across the country have successfully implemented these programs to great effect. As we strive to address the health disparities and challenges facing Santa Ana, it is extremely important that we prioritize evidence -based approaches that have been proven to save lives and improve quality of life. I urge you to reconsider Agenda Item 27 and instead support initiatives that promote harm reduction and public health in our city. Sincerely, David Carbajal N Flores, Dora From: Nathaniel Greensides < Sent: Wednesday, April 10, 2024 6:22 PM To: eComment Cc: Hernandez, Johnathan Subject: City Council Meeting April 16 2024 Agenda Item 26 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Dear City Council, I strongly oppose the proposed Resolution. People are going to use needles regardless of whether or not the City opposes needle exchange programs. Banning needle exchange programs sends the message that the City Council wants to see more needles on the streets and that the City is comfortable with infectious diseases easily being transmitted on our streets. Fact of the matter is that needle exchange programs help reduce the transmission of diseases. There is no data that suggests that disease increased when Santa Ana had needle exchange programs in the past. Data suggests that needle disease transmission increases where there are no safe and accessible needle exchange programs. (https://www.cdc.gov/hiv/effective-interventions/prevent/syringe- services-programs/index.html) Needle exchange centers also provide centralized and vetted information for people who are seeking to reduce or cease needle based drug use and the support to do so. This resolution isn't going to solve the issue and it sends the wrong message to residents of our city who need access to sterile and safe needle disposal and exchange sites in addition to the ancillary services that needle exchange centers provide. The better resolution would be to hold all other surrounding cities to the same standard of allowing needle exchange sites to exist. Sincerely, Nathaniel Greensides Ward 5 resident Flores, Dora From: Roberts, Dana < Sent: Sunday, April 14, 2024 8:58 AM To: eComment Subject: No Needle Exchange Program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. The residents of SA do not want this in our city! Those pushing for it in SA don't live here. This program failed last time resulting in thousands (14,000+) of used needles in parks, riverbeds, streets etc... We Vote NO on this program. Do what's best for residents not special interest groups who don't reside in our City. Sincerely, Dana Roberts Realtor DRE# 01777972 Coldwell Banker Realty Please excuse any typos. Sent from my iPhone. *Wire Fraud is Real*. Before wiring any money, call the intended recipient at a number you know is valid to confirm the instructions. Additionally, please note that the sender does not have authority to bind a party to a real estate contract via written or verbal communication. Flores, Dora From: Donna Nguyen < Sent: Sunday, April 14, 2024 10:10 AM To: eComment Subject: Public Comments -Needle Exchange Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Dear City Council, I am advocating on behalf of my 19 month old daughter Summer who is against the needle exchange program. I'm not sure how many of you have little children, nieces, nephews or plan on having babies in the future. But, most of us know that these lil kiddos are wild at heart, rambunctious and have the curiosity to explore. It breaks my heart knowing that HRI wants to break ground in my home city. I have witnessed the detrimental repercussions from needle exchange programs while working in downtown Los Angeles. I've stepped on a syringe with blood flashback while on the job. This is just one incident out of many that I have experienced. As a parent, one cannot fathom their own young child ever picking up those bright orange capped needles or even worse and uncapped used needle with whatever drug residue within. When we all grew up, most of us did not experience erratic, mentally impaired, drug induced transients near our parks, schools, churches, businesses and homes. However, this is our new reality. I'm pleading with my heart that each and every one of you will fight with all your might for a safer future for the ones without a voice. Please pray for them and protect them from harm's way. They did not sign up for this. Your efforts today will impact who they become in the future. Please don't fail them! Thank you for your time. Respectfully, Donna Nguyen Resident & Mother Sent from my iPhone Flores, Dora From: Lourdes Delgado < Sent: Sunday, April 14, 2024 11:41 AM To: eComment Subject: Item 27 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. I as a residents and homeowner of SA do not want this in our city! Those pushing for it in SA don't live here. This program failed last time resulting in thousands (14,000+) of used needles in parks, riverbeds, streets etc... Vote NO on this program. Do what's best for residents not special interest groups who don't reside in our City. Thank you, Lourdes Delgado 92704 Sent from my iPhone Flores, Dora From: Lenihan, Jamie (Medical Student) <jlenihal @hs.uci.edu> Sent: Sunday, April 14, 2024 3:29 PM To: eComment Subject: OPPOSITION of ITEM #27, April 16th 2024 Meeting Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. To whom it may concern, I am writing to publicly oppose Santa Ana's resolution to oppose the establishment of HRI's harm reduction program. Harm reduction and syringe service programs are evidence -based practices with well -established individual, community, and public health benefits. As someone who has spent time participating in outreach to communities within Santa Ana, I can confidently say there is a great need for these services, and it is apparent that the city of Santa Ana has not found a solution to adequately address these needs. I would urge the city to consider HRI as a valuable resource with the potential to have beneficial impacts on the safety, health, and well-being of the entire Santa Ana community. Jamie Lenihan Medical Student, UC Irvine Flores, Dora From: Johanna Cervantes < Sent: Monday, April 15, 2024 9:49 AM To: eComment Cc: Jose Rivera Subject: PSA Needle Distribution Program Proposal in Santa Ana Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. To Sanata Ana City Council: As a lifelong resident of Santa Ana and now a parent raising three young boys in this community, I feel a deep responsibility to safeguard their well-being. I'm opposed to the current needle distribution initiative because I believe our children deserve to grow up in an environment free from the pervasive influence of drug use. By continuing this practice, we only contribute to the normalization of harmful behaviors and increase the risk of infectious diseases spreading among addicts. Let's take a stand and put an end to this initiative to ensure that our children are protected and our community remains a safe and wholesome place for all families. I firmly oppose the current needle distribution initiative. Our children deserve an environment where they are shielded from the pressures and dangers of drug use. By facilitating easier access to needles, we inadvertently exacerbate the spread of infectious diseases among addicts. Our community, especially the children of Santa Ana, deserves a clean and safe environment, free from the negative influences that could harm their well-being. It's imperative that we prioritize measures that protect our children and uphold the integrity of our community. Thanks, Johanna Rivera Ph. Resident of Santa Ana Flores, Dora From: tari brand < Sent: Monday, April 15, 2024 10:08 AM To: eComment Subject: Needle program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. I am in full support of the possible upcoming needle distribution program. If it's done well and properly, it cuts down immensely on found needles and individuals in the community who are shooting heroin, etc. Amsterdam has an incredible program. There was a highly successful program in either Texas or Arizona that, unfortunately, was shut down by some politicians. It offered an very safe space for addicts and allowed them to live their lives without arrests and ridicule. But not before the community saw the benefits of it. I am in support of the program if done thoroughly and well. Thank you, Tari Brand Ross St neighbor Flores, Dora From: Lupita Torres < Sent: Monday, April 15, 2024 10:40 AM To: eComment Subject: SUPPORT ITEM 27- RESOLUTION TO OPPOSE NEEDLE DISTRIBUTION PROGRAM Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. SUPPORT ITEM 27- RESOLUTION TO OPPOSE NEEDLE DISTRIBUTION PROGRAM Santa Ana residents already deal with so much of this non -sense that we don't need any more "encouragement" in our communities. I find several needles on the street on almost a daily. Anyone who actually lives in Santa Ana and visits the park, 711 or convince stores or just has to go down an alley to enter their garage knows what I am talking about. We have the highest paying taxes in our county and we demand better. I would like a resolution to oppose needle distribution program in our city once and for all. Lupita Valeriano Yahoo Mail: Search, Organize, Conquer Flores, Dora From: Christina Dorsa-Smith < Sent: Monday, April 15, 2024 10:52 AM To: eComment Subject: HRI Proposed Needle Exchange Program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. To Santa Ana Mayor and City Council, I am strongly opposed to bringing in the needle exchange program again and request that the application submitted by the Harm Reduction Institute (HRI) or any other similar organization be denied. Please VOTE NO on the needle exchange proposal! Christina M. Dorsa-Smith Morrison Park Neighborhood Neighborhood resident Flores, Dora From: Marthamolinaaviles < Sent: Monday, April 15, 2024 12:45 PM To: eComment Subject: Support Item 27 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Please support the resolution to oppose the Needle Exchange Program. Thank you. Martha Molina Riverview Neighborhood Ward 3 Sent from my iPhone Flores, Dora From: Flores, Gaston Sent: Monday, April 15, 2024 2:23 PM To: eComment Subject: FW: Contact the City Council Submission From: notify@proudcity.com <notify@proudcity.com> Sent: Friday, April 12, 2024 1:36 PM To: Flores, Gaston <GFlores@santa-ana.org> Subject: Contact the City Council Submission Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Name Patricia Kane Email Address Santa Ana, California 92705 United States Map It Who is this message for? • Mayor Valerie Amezcua • Mayor Pro Tern Thai Viet Phan • Councilmember Benjamin Vazquez • Councilmember Jessie Lopez • Councilmember Phil Bacerra • Councilmember Johnathan Ryan Hernandez • Councilmember David Penaloza Comments or questions We are opposed to the needle exchange program!! Post Body Please do not allow the needle exchange program in Santa Ana. It is dangerous in so many ways. Thankyou James and Patricia Kane 8 Flores, Dora From: Jeffrey Katz < Sent: Monday, April 15, 2024 5:11 PM To: eComment Subject: Item #27 - Needle Exchange Program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. I am writing to express my support for the resolution opposing the implementation of the Needle Exchange Program (NEP) in Santa Ana. As a resident of Ward 3, 1 am intimately familiar with the challenges posed by homelessness in our community, and I believe that the NEP is not the appropriate solution to address these issues. On a daily basis, I witness the struggles of individuals experiencing homelessness, many of whom are substance users. While I acknowledge that the NEP is well-intentioned and seeks to reduce the spread of diseases among injection drug users, it operates under the assumption of compliance by demographic that has historically demonstrated little desire or capacity for compliance. Needles will litter our City along with the refuse that is habitually abandoned in our public spaces. Implementing the NEP in Santa Ana has the potential to have a deleterious impact on our neighborhoods, which are already burdened by the challenges associated with homelessness. The program will contribute, without a doubt, to an increase in discarded needles in public spaces, posing safety risks to residents and exacerbating concerns about community cleanliness. If, in fact, NEPs have value, I believe the harm they pose to our community members far outweighs the utility.. I respectfully urge you to continue your efforts to encourage the State to deny the application for the NEP program in Santa Ana. Kesher Law Group Jeffrey A. Katz I Attorney at Law Santa Ana, CA 92706 Direct Dial: ( Email: Flores, Dora From: Angelica Nava < Sent: Monday, April 15, 2024 9:01 PM To: eComment Subject: Support Item 27- Resolution to Oppose Needle Distribution Program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Hello, As a resident of the city of Santa Ana I strongly oppose to the needle distribution program in our city. As a mother of a 3 year old, I would like to be able to take my son out for a walk or ride his bike around our home area. Unfortunately, most times we are out by Bristol street, we see people using drugs by the bushes/trees. I always worry my son will pick up drug paraphernalia so he is only allowed to be on the sidewalk. I can only imagine that with this program it will only increase the amount of needles left out in the community. Not acceptable. Angelica Nava Sent from my iPhone Flores, Dora From: Fernando Guzman < Sent: Monday, April 15, 2024 9:28 PM To: eComment Subject: Support item 27- Resolution to oppose needle distribution program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. I oppose to the needle distribution. It affects the community since not only we find dirty needles all over the city, it gives the homeless addiction by already having a needle so the temptation is there to just buy the drugs. If they have zero access to needles, they won't be able to use drugs and they can possibly get clean. Our community is making the drug problem worst by helping homeless and others have access to needles. By telling us that they need to give needles to avoid infections or passing on other illnesses is an excuse. If they don't have needles they won't be doing the worst drugs that kill themselves. Sent from Yahoo Mail for Whone Flores, Dora From: leslie.kato < Sent: Monday, April 15, 2024 10:59 PM To: eComment Subject: PSA Needle Distribution Program Proposal in Santa Ana Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. NO, NO, NO!!!!! I am not in favor of enabling addicts plus I am concerned about used needles being disposed improperly. I also feel the program will draw more addicts/homeless people to Santa Ana. Leslie Kato Santa Ana Sent from my T-Mobile 5G Device Flores, Dora From: Alondra Salazar < Sent: Monday, April 15, 2024 11:52 PM To: eComment Subject: Opposition to Agenda Item #27 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Hello Santa Ana City Council, My name is Alondra (she/her) I was born and raised in Santa Ana and am a 2nd year medical student. I am writing to express opposition towards agenda item 27, which is meant to discuss a resolution that opposes the establishment of a syringe exchange program in Santa Ana. Passing this resolution would represent a failure to act in the best interest of our community's health. Santa Ana has the highest rates of HIV transmission in Orange County and it is imperative to implement a program that helps address and lower the risk of HIV transmission and other blood borne diseases. However, there is sadly a strong commitment to ignore the truth and benefits of syringe service programs and manipulate the public by fear mongering and sharing false information. So far there have been countless statements about the supposed hundreds of syringes that Harm Reduction Institute "did not collect" in the past or "will not collect" in the future but no evidence to prove it. On the other hand, there is an ample amount of evidence based information you can find about the benefits of Syringe exchange programs. You say that syringe exchange programs only increase the presence of discarded needles when in fact studies have already proven that Syringe exchange Programs do the opposite, they reduce presence of needles because they provide an area where people can properly and safely dispose of used syringes. This evidence based information is widely available but you choose to ignore it. You say they enable people to use drugs when they do not and, in fact, provide people with referrals to medically assisted treatment programs and substance use counseling. The health of our community should be city officials' top priority. I strongly urge you to truly act in the name of public health and do not pass this resolution. Sincerely, Alondra Salazar Flores, Dora From: Christina Valenzuela < Sent: Tuesday, April 16, 2024 6:13 AM To: eComment Subject: Support item 27 - resolution to oppose needle distribution program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. I oppose the needle distribution program. These programs need to stop as they don't help and enable drug users. Get Outlook for iOS 10 Flores, Dora From: Dale Helvig < Sent: Tuesday, April 16, 2024 9:44 AM To: eComment; Amezcua, Valerie; Phan, Thai; Vazquez, Benjamin; Lopez, Jessie; Bacerra, Phil; Hernandez, Johnathan; Penaloza, David Cc: Carvalho, Sonia R.; Nunez, Alvaro; Mendoza, Steven; Hall, Jennifer Subject: 2024-04-16 Letter to City Council -Item 27 Needle Distribution or Needle Give Away Program? Attachments: 2024-04-16 Letter to City Council -Item 27 Needle Distribution.pdf Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Please include attachment in tonight's agenda for item 27. BTW... The City website has a clinch and will not allow the opening of any agenda attachments. It just says... -h r a",achment is no longer available. Dale Helvig Resident, Santa Ana Dale Helvig Resident, Santa Ana CA 92706 April 16, 2024 Mayor Amezcua and Santa Ana City Councilmembers City of Santa Ana 20 Civic Center Plaza, 81" Floor Santa Ana CA 92702 Subject: Item 27 Needle Give Away or Needle Distribution Program? I am adamantly against what I'll call the Needle Give Away or Needle Distribution Program and fully support the proposed resolution by the City Council announcing its opposition to the establishment of a Needle Exchange Program in the City. Furthermore, It is my understanding the Harm Reduction Institute (HRI) is using data created by the OC Heath Care Agency to determine the cities that have the highest rate of new HIV cases each year, which I believe is flawed I believe the methodology used by the OC Heath Care Agency is flawed in determining which city has the "highest need" for such a drastic program. A city of 30,000 with 9 new HIV cases would have a rate of 30.00, yet it is not identified as an issue. Santa Ana has a reported population of 310,555, which we all know is extremely low and a reported new rate of 14.9. This is the highest reported rate in OC. FACT 1 (from the OC Heath Care Agency Fact sheet): At the end of 2022, there were 6,916 persons living with HIV (PLWH) in Orange County3 who are aware of their HIV status and an additional estimated 1,288 persons who are unaware of their HIV status. The Centers for Disease Control and Prevention (CDC) calculation methodology estimates that 84.3% of PLWH know their status. Therefore, the total estimated number of PLWH in Orange County is 8,204.` Footnote 4: The total number of persons estimated to be living with HIV is based on the Centers for Disease Control and Prevention calculation methodology updated in 2021. The calculation is the number of persons known to be living with HIV (6,916) divided by 0.843. The difference between this calculation (8,204) and 6,916 is the additional number of persons estimated to be living with HIV but are unaware of their diagnosis (1,288). FACT 2 (from the OC Heath Care Agency Fact sheet): Rates are not calculated for cities where population estimates are unavailable or there were fewer than ten cases reported. FACT 1 is appropriate and logical, FACT 2 is not. County records show positive results. The OC Heath Care Agency takes into consideration individuals living with HIV but are unaware of their diagnosis. Likewise, we should be fully transparent about the new HIV case for every city in Orange County. Use realistic population numbers and don't exclude a city based on an arbitrary threshold for reported cases. Page 1 of 4 2024-04-15 Letter to City Council -Item 27 Needle Distribution Dale Helvig Resident, Santa Ana CA 92706 Additional information directly from the OC Heath Care Agency Fact sheets. Bold is for effect. 2019 FACT Sheet Figure 3 shows the number of new HIV diagnoses each year for Orange County residents as a bar, and the number of those diagnoses that were concurrently diagnosed with AIDS as a line. Concurrent diagnoses in 2019 represents a 47.8% decrease from 2010. 2020 FACT Sheet Figure 3 shows the number of new HIV diagnoses each year among Orange County residents as a bar and the number of those diagnoses that were concurrently diagnosed with AIDS as a line. Concurrent diagnoses in 2020 represents a 37.1% decrease from 2011. 2021 FACT Sheet Figure 3 shows the number of new HIV diagnoses each year among Orange County residents as a bar and the number of those diagnoses that were concurrently diagnosed with AIDS as a line. Concurrent diagnoses in 2021 represents a 21.7% decrease from 2012. 2022 FACT Sheet Figure 3 shows the number of new HIV diagnoses each year among Orange County residents as a bar and the number of those diagnoses that were concurrently diagnosed with AIDS as a line. Concurrent diagnoses in 2022 represents a 18.6% decrease from 2013. What the county From HRI application... 4. What is the estimated annual number of participants you will serve? ANSWER: 500 5. What is the estimated annual number of syringes you will provide? ANSWER: 300,000 6. What is the estimated annual number of syringes you will collect? ANSWER: 180,000 HRI is dedicated to collecting as many used syringes as possible, however, because there are many other places to legally dispose of syringes, HRI cannot assume that it will be able to collect all of the syringes that it distributes. HRI participants may legally dispose of syringes at sharps disposal kiosks in the community and at other syringe services programs. Further, syringes are often confiscated and disposed of by the police. This number reflects these other avenues for syringe disposal. This translates to an average of 600 needles per person per year. HRI mention estimates annual number of syringes you they will collect at 180,000. This could be less due to reason xyx, So in fact there is a very strong likelihood there will be substantially more than 120,000 needles left on the streets. TOTALLY UNACCEPTABLE. Page 2 of 4 2024-04-15 Letter to City Council -Item 27 Needle Distribution Dale Helvig Resident, Santa Ana CA 92706 If you remember when this "Needle Distribution" took place a few years ago, needles were found in library books, playgrounds and parks. My neighbors and I personally found hundreds of needles during Santiago Park clean-up days in the children's playground, the bathrooms, by the baseball diamond and other areas frequented by children. I was told by City staff that as a resident I should not be collecting needles in the park but should contact the city. Any delay in collecting needles only increases the probability that a child would find a needle that could potentially expose them to HIV. This Needle Distribution is not protecting the innocent. Who is looking out for the innocent people using library books, playgrounds and parks? Not anyone involved in this Needle Distribution Program, which would be administered by people that don't live in Santa Ana. This is a small sample of what was collected in a few hours in Santiago Park when the last Needle Distribution program existed. I do not expect any improvement given the HRI proposal. Page 3 of 4 . 2024-04-15 Letter to City Council -Item 27 Needle Distribution Dale HIi Resident, Santa Ana CA 92706 Figure 3. Number of New HIV Diagnoses and Number of Those Diagnoses Concurrently Diagnosed with AIDS by Year of HIV Diagnosis, 2013-2022. [Orange County Health Care Agency 2022 HIV Fact Sheet] Figure 3. Number of New HIV Diagnoses and Number of Those Diagnoses Concurrently Diagnosed with AIDS by Year of HIV Diagnosis, 2013-2022 400 311 341 339 306 300 284 291 244 267 E200 Z 100 �b i 0 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Year New HIV Diagnoses —G—Concurrent Diagnosis Figure 4. Rate per 100,000 Population of New HIV Diagnoses by City of Residence at Time of Diagnosis, Orange County 2022. [Orange County Health Care Agency 2022 HIV Fact Sheet] Figure 4. Rate per 100,000 Population of New HIV Diagnoses by City of Residence at Time of Diaqnosis, Oranqe County 2022 Rate per 100,000 Population La Habra Brea Fewer than 10 cases or rate not calculated Fullerton �� Yorba Linda 0.1-5.7 Buena Park Placentia w 0 5.8-8.7 r 8.8-13.7 { Anaheim Cypress ao -. Villa Park 13.8 14.9 Q L a Orange Westminster, Garden Grove Seal Beach �'a Tustin Foothills Santa Ana Lake Forest �a Fountain Valley Tustin v Huntington BeacW Foothill Ranch ._„�,� Costa Mesa Irvine f Portola Hills Lake Forest l v Newport Beach,,Rancho Santa Margarita Mission Vejo Newport Coast Coto de Caza Alislo V,/iejo Laguna Hills Laguna Beach. I" P" fV'14 Laguna Niguel* San Juan Capistrano Dana Point`�Iemente /--' S Thank you for your thoughtful consideration. Stay safe, stay healthy. Respectfully, Dale A Helvig Resident, Santa Ana Page 4 of 4 2024-04-15 Letter to City Council -Item 27 Needle Distribution Flores, Dora From: Carol Newark < Sent: Tuesday, April 16, 2024 9:49 AM To: eComment Subject: Agenda Item 27 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Honorable City Councilmembers, Given the vitriolic attacks we are receiving on social media, Harm Reduction Institute (HRI) staff are regrettably unable to attend in person this evening to speak on agenda item 27 due to safety concerns. HRI opposes the proposed resolution since it aims to deny HRI the ability to provide vital healthcare services to the most vulnerable residents of Santa Ana by establishing a syringe services program (SSP). To begin with, we would like to correct some of the assertions and accusations that the City has offered in support of its opposition to HRI and its mission. For example, the City claims that HRI's proposed SSP will lead to a large increase in the number of syringes littered in public areas. This claim is completely unsupported by evidence as all data presented by the City is from 2016-2018, two to four years before HRI ever opened. HRI offered syringe access for almost two years from 2020-2022 under the direction of a physician at a medical office, and went largely unnoticed by the broader community while serving the healthcare needs of hundreds of participants. Further, the City ignores the emphasis that HRI places on proper syringe handling and syringe collection. HRI strives to retrieve as many discarded syringes as feasible. As explained in the following paragraph from our application, which the City continues to leave out of the conversation, it is simply not possible for HRI to collect every single syringe it dispenses: HRI is dedicated to collecting as many used syringes as possible, however, because there are many other places to legally dispose of syringes, HRI cannot assume that it will be able to collect all of the syringes that it distributes. HRI participants may legally dispose of syringes at sharps disposal kiosks in the community and at other syringe services programs. Further, syringes are often confiscated and disposed of by the police. This number reflects these other avenues for syringe disposal. We hope our estimated 60% return rate is an underestimate, and plan to do everything in our power to collect as many syringes as possible from the community. HRI in no way intends to ONLY collect 120,000 needles annually. We hope that we will be able to collect more, and that people who utilize our program will use sharps disposal kiosks in the community that the CDPH has offered to provide. As described in our CDPH application, HRI is committed to using its best efforts to collect discarded syringes. The HRI outreach team will be in the community collecting syringes from participants Monday through Friday from 9 am until 5 pm so that they can be safely disposed of. In other words, HRI will be dedicating 40 hours each week to collecting syringes from participants. HRI will also do syringe litter sweeps throughout the city, and will operate a hotline where residents can report syringe litter. We take this issue very seriously, and are committed to increasing access to proper syringe disposal in the community (whether those syringes originated with HRI or elsewhere). Without providing any context, the City also claims that HRI is not transparent and has not worked collaboratively with the City. HRI was originally launched at a medical office under physician supervision in Santa Ana, in direct response to the City's repeated requests in 2017 and 2018 that any syringe program be run out of a physician's office. At the City Council meeting on September 1, 2020, Councilmember Solorio publicly stated that syringe exchange programs should be operated at medical offices so that there could be more oversight. Despite this rhetoric, on September 15, 2020, the City passed an ordinance banning Health and Safety Code syringe services programs, and resolved to pursue other enforcement action against HRI, as HRI's operation was not authorized pursuant to the health and safety code. Despite heeding the City's demand and doing exactly what Councilmember Solorio had asked for, the City still shut down HRI's operations in January 2022. Contrary to the City's claims that HRI has refused to discuss its operations with City officials, the City has turned down HRI's invitation to discuss HRI's operation. In October 2022, HRI emailed the entire Santa Ana City Council asking to discuss our plan to apply to CDPH. We ultimately met with Councilmember David Penaloza and Assistant City Manager Steven Mendoza to discuss the application. When HRI asked about the City's opposition to HRI's medical office location, we were told that its centralized location was a problematic because it drew people from one area of the city to the other. In direct response to the City's concern, HRI proposed switching to a home delivery system, but were told to take our program to another City. We view this suggestion as unreasonable given that the City has consistently had the highest rate of HIV transmission in Orange County since at least 2013 (according to publicly available data from the Orange County Healthcare Agency). Santa Ana is in desperate need of an SSP to address its position as the epicenter of the HIV epidemic in Orange County. As an HIV prevention agency, we must go to where the need is greatest. Lastly, the City's complaint that the CDPH has not yet engaged in the mandatory consultation process pursuant to the Health and Safety Code is false and misleading. HRI is aware of the CDPH's current efforts to schedule consultation meetings with local law enforcement and the Orange County Public Health Officer, and that talks regarding the consultation phase have been going on since HRI applied in December 2023. Despite CDPH's offer to consult with the City since January, the City has consistently dragged its feet and has made no effort to engage in good faith discussions with CDPH officials. HRI has an excellent track record in the community. We continue to work collaboratively with several Santa Ana based organizations and are open to good faith, productive dialogue with concerned citizens and stakeholders. We provide naloxone and naloxone training to community organizations both in Santa Ana and across the county. We ran a successful syringe services program in the City for 18 months. We attempted to dialogue with the City regarding our CDPH application when we were first working on it in the fall of 2022. Based on the City's recalcitrant and dismissive attitude, we have come to believe the City is only interested in shutting down our operation in order to appease a small but vocal minority who are opposed to our life-saving operation. Sincerely, Carol Newark, Ph.D. Executive Director Harm Reduction Institute Mahan Naeim, MD Chairman, Board of Directors Harm Reduction Institute Haden Oliphant, MD Vice Chairman, Board of Directors Harm Reduction Institute Timothy McMullen Secretary, Board of Directors Harm Reduction Institute Flores, Dora From: Lopez, Jessie Sent: Tuesday, April 16, 2024 11:52 AM To: eComment Subject: For City Council Mtg 4/16/24 - Item 27 Attachments: pastedGraphic.png; Santa.Ana.Letter.4.15.24-pg-1.pdf ---------- Forwarded message --------- From: Monica SASEIU-Prez < Date: Mon, Apr 15, 2024 at 11:06 PM Subject: For City Council Mtg 4/16/24 - Item 27 To: Monica-M-Suter-SEIU721-Santa-Ana-Chapter-President < , Ruben- HernandeZ-SEIU-72I-COSA-Code-Enf-Officer < To Honorable Mayor & Council, Please see the attached letter re: Item 27 for tomorrow's City Council Mtg. We're strongly against bringing back the needle "exchange" program. Regards, Monica M. Suter Monica M. Suter, President SEIU Local 721 Santa Ana Chapter Sent from my iPhone LOCAL 72 f April 15, 2024 N_. won 60ME Honorable Mayor & Members of the Santa Ana City Council 05AE,u City of Santa Ana 20 Civic Center Plaza SERVICE EMPLOYEES Santa Ana, CA 92701 INTERNATIONAL UNION, CTW, CLC OFFICERS RE: Unsafe Working Conditions for City of Santa Ana Members David Green PRESIDENT Honorable Mayor & Members of the Santa Ana City Council, Simboa Wright VICE PRESIDENT Lillian Cabral SECRETARY The members of SEIU Local 721 strongly oppose the Needle Exchange program. Adolfo Granados TREASURER This program will severely jeopardize the safety of our membership and their working DIRECTORS conditions. LA.COUNTY Kelly Zhou In the past, the Orange County Needle Exchange Program (OCNEP) had been VICE PRESIDENT IleanaMaze operating in the Civic Center in Santa Ana where needle distributions were scheduled VICE PRESIDENT once a week. Up to two hundred needles per person were given out weekly, even if the Lydia Cabral Jerry Clyde Jr. person did not have any used needles to deposit. The distribution center was only a Patrick Del Conte few away from main library, city hall, and other buildings. Before Kelley Dixon -Turner yards government Ruby Dye OCNEP began operations, the public library never had any incidents related to used Steven Gimian Omar Perez needles found on the premises. The last time this program was around, they have Charlotte Ramos Lawrence Reyes documented two hundred and thirty-four used syringes found inside and outside the Jose Sanchez perimeter of the library. Grace Santillano Theresa Velesco Sharonda Wade We realize that we are experiencing an opioid crisis, but not at the expense of the LA/OC CITIES TIES safety of our membership. We want to the community, and in doing so we do Jose "Joe" Ma protect VICE PRESIDENT not want to compromise the safety and working conditions of our members with this Theodore Sanchez VICE PRESIDENT program. Syl via AI varado Dion Cornelius Saundra Dixon Respectfully Guillermo Martinez Al Reed Victor M' Vasquez (� SalvadorrZambrano j 0V_4e1A_ TRI-COUNTIES Grace Sepulveda David Green VICE PRESIDENT Erika Villa President VICE PRESIDENT MaryBirch SEIU Local 721 Roberto Camacho Jesse Gomez Yuri Gomez cc: Jenita Igwealor, Regional Director, LA/OC Cities Division Eric Lozano Liza Roche Charles Leone, Coordinator, LA/OC Cities Division INLAND AREA Ryan Murillo, Worksite Organizer, LA/OC Cities Division Staci SEIU Local 721 Santa Ana Chapter Board VICE PR SIIDENT Cheylynda Barnard VICE PRESIDENT Bruce Campbell Oracio Diaz Barbara Hunter Christopher Jon as Roger Nunez Maria Sneed Tara Stoddart RETIREE MEMBER Charley Mims EXECUTIVE DIRECTOR Bob Schoonover Flores, Dora From: Roxana Pleitez < Sent: Tuesday, April 16, 2024 12:03 PM To: eComment Subject: Santa Ana Board meeting 04.16.24 Item#27 comment- Pleitez Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Item #27 To whom it may concern: I am in favor of Opposing the Needle Distribution Program from HRI. I pay high property taxes to live in a city that's clean and does not attract more drug addicts to the area. It will be more equitable if the sites are distributed among all cities and not only Santa Ana. Let's propose to open sites in every city, including Irvine, Laguna Beach, Newport Beach, Tustin, and other south cities. According to Cambridge dictionary the word equitable means "treating everyone equally'. This clearly means that we should treat all cities equally, and Santa Ana should not be the only option to create these types of programs. Perhaps, those proposing this type of facility would like to have the needle exchange facility be opened next to their house? Thank you, Roxana Pleitez P) Flores, Dora From: Claudio Gallegos < Sent: Tuesday, April 16, 2024 12:18 PM To: eComment Subject: Item 27: Needle Exchange Program - Letter to SA City Council.pdf Attachments: SAPOA 2024 Needle Exchange Program - Letter to SA City Council.pdf Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Good Afternoon, Please see our letter in support of Item 27 to oppose the proposed needle exchange program. If you could please distribute it to the Mayor and City Councilmembers, thank you. Claudio W. Gallegos Political Director Santa Ana Police Officers Association SANTA ANA POLICE OFFICERS ASSOCIATION 1607 NORTH SYCAMORE SANTA ANA, CALIFORNIA 92701-3513 [714] 836-1211 FAX [714] 836-6108 15"�h * * VIA EMAIL April 16, 2024 DEAR HONORABLE MAYOR AMEZCUA AND CITY COUNCIL, As my role as President of the Santa Ana Police Officers Association, we express our opposition to the proposed Needle Exchange Program and support for Item 27 on tonight's agenda. The proposed Needle Exchange Program by the Harm Reduction Institute will only make the substance abuse problem worse, enabling drug use rather than deter it. This will leave our community littered with needles that will put our residents, who we serve and protect every day, in harm's way. This is the wrong solution to the current drug abuse crisis. The last time there was a needle exchange program in our city, we had an epidemic of dirty needles in our community. Many of our officers had to put themselves in harm's way to clean up the mess. By the applicants own admission, 120,000 needles would once again be left on our streets. In our view, this is unacceptable. We find it interesting that the people who propose these needle exchange programs are NOT from Santa Ana and are often from much more affluent cities. Why not do the program in other cities? Why does Santa Ana always have to be the dumping ground? In our view, it is an insult that out of towners from more affluent communities choose to run their failed social experiments in Latino communities, putting working class and immigrant families at risk and placing more obstacles and challenges to our police officers whose job is to protect and serve these families. At a time that we are understaffed this will cause more calls for service and prolong our response time to emergency calls. These programs will increase the use of drugs at our parks and neighborhood. Drug abuse is being normalized for our youngest residents, who should not have to be exposed to this kind of behavior. Once again, why are children in more affluent cities deserving of being shielded from such behavior, but the children of Santa Ana are not. Santa Ana deserves much better. Please join the Santa Ana Police Officers Association, Santa Ana Police Management Association, our city employees with SEIU Local 721 and thousands of Santa Ana residents in opposing this terrible Needle Exchange Program. Sincerely, JOHN KACHIRISKY PRESIDENT SANTA ANA POLICE OFFICERS ASSOCIATION \\fsapp01\rosie\Documents\13 - PAC\SAPOA 2024 Needle Exchange Program -Letter to SA City Council.doc Flores, Dora From: Amy Lieberman < Sent: Tuesday, April 16, 2024 12:55 PM To: eComment Subject: RE: Agenda Item #27 Attachments: OPPOSE Santa Ana Resolution on HRI.docx Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Please see attached letter in support of the Harm Reduction Institute and in opposition to the city's resolution on NEPs. Thank you, Amy Lieberman, Senior Attorney Harm Reduction Legal Project Network for Public Health Law The Network for Public Health Law Ideas. Experience. Practical Answers. April 16, 2024 Honorable Santa Ana City Councilmembers: The Network — Harm Reduction Legal Project Edina, Minnesota 55435 On behalf of the Harm Reduction Legal Project, I am pleased to provide this letter in support of the Harm Reduction Institute's (HRI) application to provide harm reduction services in Santa Ana and to encourage the Council to reject the proposed resolution against HRI. The Harm Reduction Legal Project is an initiative of the Network for Public Health Law, and provides actionable information, guidance, and support to policymakers, health agencies, providers, and advocates working to create more just, equitable, and health -focused drug policy in the Unites States. We believe that California's authorization process for syringe services programs (SSPs) is careful, thorough, and preempts local law. State authorization is necessary in areas where local government is hesitant to endorse much -needed harm reduction practices. Drug -related harm knows no borders — infectious disease and overdose deaths anywhere in California affects all Californians. We urge you to reject the proposed resolution against HRI and instead work together with HRI to bring the best evidence - based harm reduction policies possible to Santa Ana and become a model community for other cities in California. According to data from the Centers for Disease Control and Prevention (CDC), more than 109,000 Americans died from a drug overdose in 2022. These deaths are overwhelmingly caused the presence of illicit fentanyl in the illegal opioid supply. Participants in syringe services programs (SSPs) are more likely to stop using drugs — new users of SSPs are five times more likely to enter drug treatment than those who do not use an SSP. Those who do not stop using drugs but participate in an SSP are three times more likely to reduce their injection frequency. SSPs also greatly reduce the transmission of disease and save health care costs, all while causing no increase in illegal drug use or crime. Further, the scientific literature is clear that syringe services programs reduce syringe litter in areas where they are implemented. Eliminating SSPs does not stop people from using drugs. HRI's proposed operating plan, with CDPH's endorsement, addresses the County's Local Health Officer mitigation recommendations mentioned in the Resolution's discussion section: (1) demonstrating safe and effective methods of appropriate syringe disposal and collection; (2) providing counseling services, linkage to behavior health and medical services, and provide follow-up to referrals placed; and (3) community collaboration, data collection, and monitoring to identify positive and negative impacts HRI has offered a plan to meet Santa Ana's recommendations. Santa Ana should now choose to work with HRI to protect the health and safety of Santa Ana residents and all Californians. SSPs are evidence -based public health and medical interventions. Their operation should not be restricted by politicians with no training in either field. Restricting SSPs does not stop drug use, it simply makes it more dangerous. The consequences of re -using or sharing injection equipment are incurable disease and death at incredible cost to the public, both financially and in the emotional toll on the community that comes with preventable morbidity and mortality. If the city of Santa Ana is truly concerned about syringe litter or community safety, we strongly suggest that they fully support and work in conjunction with HRI to make the program even more effective and alleviate any remaining concern. Sincerely, Amy Lieberman Senior Attorney, Harm Reduction Legal Project Network for Public Health Law Alcala, Abigail From: D Espi < Sent: Tuesday, April 16, 2024 1:23 PM To: eComment Subject: Support item 27- Resolution to oppose Needle Distribution Program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. As a RESIDENT of Santa Ana I speak on behalf of my entire immediate family when I say we don't need to enable drug users at the expense of the health and safety of our residents. Particularly our children and elderly who frequently use common spaces such as parks, libraries and senior centers. The last time this program was in Santa Ana, our family (who shares a boundary wall with a local business) had to pick up needles thrown over their wall before allowing their children could go outside every day. This is UNACCEPTABLE. NO NEEDLE DISTRIBUTION!! Diana Espinoza Alcala, Abigail From: Natalie Dempster < Sent: Tuesday, April 16, 2024 2:16 PM To: eComment Subject: Support item 27-resolution to oppose needle distribution program Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Good afternoon - I live in ward 3 and urge the city council to support item 27. 1 will be calling in to make a statement as well. This is an incredibly dangerous and detrimental program that will negatively impact our community. All of the works done for the parks throughout Santa Ana will be a waste if a needle distribution program comes here. Thank you, Natalie Dempster Alcala, Abigail From: Sent: To: Ginelle Hardy < Tuesday, April 16, 2024 2:20 PM eComment Cc: Vazquez, Benjamin; Amezcua, Lopez, Jessie; Penaloza, David Subject: agenda item #27 Valerie; Phil Bacerra; Phan, Thai; Hernandez, Johnathan; Am: eiifl.Win, Tlfis eu uffl nror Onawd fug-mnz onut;n de o, 'Cu y oro 'Sawa Anna. Use can fionn when opelfing aflac4gun ews or finks. Agenda Item #27 1 am in support of Agenda Item #27 Recommended Action: Adopt a Resolution opposing the establishment of a needle exchange program in the City of Santa Ana as proposed by the Harm Reduction Institute's application to the California Department of Public Health. Let's get this done! Ginelle Hardy Heninger Park, President Alcala, Abigail From: Tanya Navarro < Sent: Tuesday, April 16, 2024 2:26 PM To: eComment Subject: Opposition to Agenda Item #27 for City Council Meeting 4/16 Am: eiifl.W�in, Tl in eu uffl nror 0na1n°n9 fi-mnz onut;n de o, 'Ci y oro'S: nu a Anna. Use caion when n:pel inn aflac4gun enu s or finks. Hello Santa Ana City Council, My name is Tanya Navarro and although I am part of various groups and organizations in Santa Ana, I am personally emailing you as a lifelong resident. I am writing to express my firm opposition to Item 27, Santa Ana's Resolution to Oppose the Establishment of a Needle Exchange Program in our City. Safe Syringe Programs have consistently demonstrated their efficacy in preventing the transmission of diseases and play a crucial role in providing healthcare services and aiding addiction treatment for those in need. By opposing the implementation of such a program, we risk denying our community a proven, cost-effective public health intervention. I urge you to reject this item and instead advocate for initiatives that prioritize harm reduction and public health in Santa Ana.* In Solidarity Tanya Navarro She/Hers/Any Community Organizer I Chispa e: tanyaii,, Suite 117 Santa Ana, CA 92705 outh in small donation t Tides Advocacya 5oiLcJ4 non-profit Chispa Alcala, Abigail From: Escamilla, Manny < Sent: Tuesday, April 16, 2024 2:31 PM Cc: eComment; Flores, Gaston; Soto, Daniel; Nunez, Alvaro; Mendoza, Steven; Goebel, Yasie Subject: City of Santa Ana - Letter Request - HRI Application Attachments: 04.16.24_Letter to City of Santa Ana -Opposition to HRI.pdf; Attachment 1- CDPH HRI 5.10.2023 signed CK.pdf, Attachment 2 - D2 Transmittal Memo to COB.pdf; Attachment 3 - Board Resolution re HRI Application and Dr. CK Letter.pdf; Attachment 4 - 05.25.23_2nd District -Newsletter Announcement -re HRI Application.pdf Am: eiifl.Win, Tl in eu uffl nror Onawd fi-mnz n:nut;n de o, 'Ci y oro ' Sanm Anna. Use �� a°: fionn when n:pel inn :nflac4gun ews or finks. Dear Mayor and Santa Ana City Council, Please see the attached letter with Supervisor Sarmiento's response to your inquiry regarding the Harm Reduction Institute's application for a mobile needle exchange. All the best, Manny bcc: Supervisor Sarmiento; Mayor and City Council Manuel J. Escamilla Senior Policy Advisor Office of Supervisor Vicente Sarmiento County Administration North Sixth Floor Santa Ana, CA 92701 Office: Cell: VICENTE SARMIENTO C.]; ONace] =.Z•ln1u-d:Z•711NDX0]Z.Y�1]aaWOf. 0101 SUPERVISOR, SECOND DISTRICT COUNTY ADMINISTRATION NORTH 400 W. CIVIC CENTER DRIVE, 6T" FLOOR SANTA ANA, CALIFORNIA 92701 PHONE (714) 834-3220 HTTP://SU PERVISORSARMIENTO.COM April 16, 2024 RE: Letter of Opposition to Harm Reduction Institute's Application for a Mobile Needle Exchange in the City of Santa Ana. Dear Mayor Amezcua, Thank you for reaching out to gather support in opposing the negative impacts that a mobile needle distribution program run by the Harm Reduction Institute would cause to Santa Ana residents. I welcome the City to take up our offer to have our County Health Officer assist in responding to the latest application. During my time as a City Councilmember, Mayor, and now County Supervisor, I have consistently raised concerns of the disproportionate burden being placed on our working-class Latino community. My Supervisorial office worked closely with the OC Healthcare Agency to document and relay these concerns to the CA Department of Public Health in a letter sent on May loth, 2023 [Attachment 1]. On May 23rd, 2023, I proceeded to bring this letter to the attention of the full Board of Supervisors and secured an official stance from the Board in support of the letter sent by the OC Healthcare Agency [Attachments 2 & 3]. My office went on to encourage residents of the 2nd District to submit their concerns during the previous public comment period [Attachment - 4]. I remain committed to opposing the application as the concerns that were raised last year have not been adequately addressed and I agree that HRI is not able to mitigate the harm caused by the proliferation of needles that their service will impose upon our community. I will continue to work with County staff to respond in all channels available to us and will include the City of Santa Ana in my efforts to oppose the opening of a mobile needle exchange in our City. Sincerely, 44" Sarmiento Supervisor, Second District Orange County Board of Supervisors Attachment 1 - May 10, 2023 - OC Healthcare Agency — Letter to CDPH Attachment 2 - May 23, 2023 - Board of Supervisor's Agenda Item S59C Attachment 3 - May 23, 2023 - Board of Supervisor's Resolution [Item S59C] Attachment 4 - May 25, 2023 - Newsletter Announcement healtih CAREAGENCY PUBLIC HEALTH SERVICES May 10, 2023 Ms. Marjorie Katz CA Department of Public Health Office of AIDS — Harm Reduction Unit Dear Ms. Marjorie Katz, CLAYTON CHAU, MD, PhD, MASL AGENCY DIRECTOR REGINA CHINSIO-KWONG, DO COUNTY HEALTH OFFICER/ CHIEF OF PUBLIC HEALTH SERVICES 405 W. 5T" STREET, 7T" FLOOR SANTA ANA, CA 92701 www.ochealthinfo.com Thank you for providing notification of the Harm Reduction Institute's (HRI) application to add home delivery and collection of syringe needles to the organization's ongoing harm reduction program in Santa Ana, California. Orange County recognizes the importance of harm reduction through use of sterile needles to help reduce transmission of infection, including HIV, Hepatitis C, and other injection -related infections and injuries. Unfortunately, in practice, Orange County, and specifically Santa Ana, has had negative experiences with syringe exchange programs, including both the OC Needle Exchange Program (OCNEP) (2016-2018) and Harm Reduction Institute (HRI) (2019-2022). Both programs understandably operated to reduce transmission of infection, including HIV and Hepatitis C, and additionally provided harm reduction services through counseling, referrals, and offering additional harm reduction resources, supplies, and naloxone, however, the burden of used syringes littering the community was overwhelming. The OC Needle Exchange Program initially provided needle exchange in the City of Santa Ana, and at one point in late 2017, OCNEP was distributing over 80,000 syringes in a single day of operation, serving over 200 people in a single 2-hour time frame, while disposing of only 20,000 used syringes per week. OCNEP proposed to expand its syringe needle distribution through a mobile syringe exchange program — to include distribution on a weekly basis to cities of Santa Ana, Orange, Anaheim, and Costa Mesa — operating daily from 10am-5pm, to offer additional public access. In the proposal, OCNEP offered to inspect impacted areas for syringe litter, install permanent disposal bins in hot spots, provide an email address and phone number for members of the community to report inappropriately discarded needles (with response within 48 hours of receipt), and planned annual meetings with law enforcement and the County to address community concerns. Despite these proposals (which may or may not have been performed), OCNEP was met with significant community resistance because of the sheer number of improperly disposed used syringe needles that were found discarded in public settings, public parks, public libraries, public restrooms, near public schools, on sidewalks, in homeless encampments, and specifically in minority -dominant communities. More than 14,000 improperly discarded needles were found in the homeless encampments in the Santa Ana Riverbed. As a result of the volume of syringe litter and the associated public health risks, concerns about OCNEP in 2018 expressed by members of the public (including written and oral comments at public meetings) included (1) OCNEP's failure to properly understand the population it served (i.e., high numbers of unhoused people suffering from debilitating mental health conditions); (2) OCNEP's failure to demonstrate that the program actually decreased the spread of HIV and hepatitis in the County, and (3) OCNEP's minimal effort to follow up on referrals to drug rehabilitation/SUD treatment programs. CDPH — HRI Recommendations May 10, 2023 Page 2 of 4 In my view, the current proposal submitted by HRI is lacking in adequate accountability for safe syringe disposal and syringe collection. The estimated number of syringes HRI expects to collect is only 60% of what the organization expects to distribute. While HRI participants may have other options for disposal, improperly disposed syringe needles will pose direct threats to both environmental health and public health. As with the OCNEP experience, inappropriately disposed syringes is likely and additional efforts to mitigate this risk should be put in place ahead of initiating the expansion of services to include syringe delivery. It is anticipated as in the past, the community will be concerned about the potential danger that syringe litter poses to children at risk of accidentally getting harmed by used needles improperly discarded in public parks and libraries and on sidewalks when traveling to and from school. Prior to reinstating this program, HRI must describe a clear, new, and effective method to prevent the secondary impacts of this needle distribution. Local Health Officer Recommendations Any syringe program that intends to initiate syringe services/exchange in Orange County will need to prioritize efforts to reduce improper needle disposal and demonstrate that the program is not contributing to a rise in inappropriately disposed syringe needles. Additionally, providing counseling, referrals, linkages to medical and behavioral health services, and resources with close follow up will be critical. To overcome the community's negative perceptions from its prior experience with syringe needle exchange programs, the Orange County Health Care Agency (HCA) recommends that CDPH require that HRI incorporate the following additional mitigation measures: 1. Demonstrate safe and effective methods of appropriate syringe disposal and collection. • Ongoing review of operations/logistics with HCA Environmental Health Services o Regular meetings with OC Environmental Health personnel should occur prior to opening the program and intermittently throughout the duration of the program to ensure operations/logistics meet regulatory standards for appropriate needle handling and disposal of medical waste. ■ HRI must maintain compliance with Medical Waste Management Act (MWMA) (Health & Safety Code Section 117904 etseq.) ■ Transport of sharps collected by HRI in a consolidation location will need to comply with MWMA Sections 117904(e) and 117945 ■ Medical waste must be handled in accordance with California Health and Safety Code HSC Section 118025 and transferred in compliance with Health & Safety Code Section 11800(a). Dispense syringes with enhanced safety measures and easy identification o Syringe should be single use, with a retractable needle. o Syringe should have markings that identify that the syringe was dispensed by HRI- Santa Ana. Example: CDPH should require manufacturer/distributor of the syringe needles to include a label or etching identifying that the syringe was dispensed by HRI-Santa Ana, with contact information in the event of improper disposal and emergency contact information in the event of a drug overdose. CDPH — HRI Recommendations May 10, 2023 Page 3 of 4 Effective syringe disposal and collection o Client Education/Disposal/Collection ■ Monitoring of needle collection will need to be completed in an electronic efficient system. Paper log of weighed syringes was inadequate in the past to measure collection and disposal. ■ Tracking method should be instituted to easily identify the origin of each syringe dispensed and collected by HRI. ■ Each dispensed syringe should have markings as noted above to help HRI (as well as City and County) to identify and track HRI dispensed syringes and to enhance HRI's ability to account for properly and improperly disposed HRI syringe needles. ■ If feasible, enhanced RFID technology can be utilized to identify/quantify returned HRI dispensed syringes more easily. Example: RFID technology is now used for inventory management in many different businesses. Similar technology can easily be affixed to each syringe to assist with tracking, to identify syringes originating from HRI, Santa Ana. o Community Collection and Disposal of HRI-identified syringes ■ Expand Hotline hours of operation for the local community to report HRI-identified syringes discarded in public spaces for prompt collection. ■ Response time to collect/dispose HRI identified syringes in the community should take place ideally within 1-2 hours, but no later than within 24 hours of receipt of any report of discarded syringe needles. ■ If HRI fails to respond to a community complaint of syringe litter within 24 hours, HCA Environmental Health response teams should have the ability to recover the Agency's costs for responding to complaints and collecting and properly disposing of HRI-distributed syringe litter. ■ CDPH should consider requiring HRI to post a bond or obtain insurance to allow public agencies to recover their costs in the event of non-payment. 2. Provide counseling services, linkage to behavioral health and medical services and provide close follow up to referrals placed. • HRI personnel and volunteers should have strong knowledge of County behavioral health resources (i.e., referral resources, hotlines, substance use and substance use disorder (SUD) treatment options) and should regularly provide information about these available resources to program participants. o Required regular participation with OC Recovery Collaborative. o Acceptance of drug rehabilitation/SUD treatment should be encouraged by HRI personnel and staff of all program participants. o Referral follow-up. HRI staff and volunteers should closely monitor participants and follow-up on any referrals that were placed or recommended. o HRI staff should log all referrals with outcomes of whether the participant was able to follow-through with referrals to treatment. o HRI should practice close collaboration with referral partners to improve linkage and access through warm handoffs. CDPH — HRI Recommendations May 10, 2023 Page 4 of 4 Community Collaboration, Data collection and monitoring to identify positive and negative impacts. Data Monitoring o HRI should work with City and County to perform Pre -Syringe Service Program/Syringe Exchange Program (SSP/SEP) community assessment of syringe littering. o Conduct syringe littering assessment at 3 months, 6 months, 12 months, and 18 months after initiation of syringe service program and report findings to City and County. o Monitor injection user -related infections, new cases of HIV & Hepatitis C. o Tracking system to identify dispensed/returned syringes. This will enable HRI to determine exact number of its own dispensed syringes that are appropriately disposed of and collected. ■ Understanding where a needle was inappropriately discarded in the community will be important in determining whether the needles were distributed by HRI, the impact that HRI is having on the reduction of syringe litter, and where Environmental Health/waste management resources can most effectively be deployed. o Creation of an SSP/SEP OC Safe Syringe Program Steering Coalition/Group ■ Group that involves city, community businesses, HCA, law enforcement, medical leaders with main mission of ensure safe operations and limited syringe littering in the surrounding community. ■ Group should initially meet just prior to initiation of syringe service program and should then meet quarterly to review and assess impacts of SSP/SEP program on OC and to ensure syringe litter remains at a minimum. ■ Identified negative impacts to the community should immediately be addressed in discussion with this group, the OC Recovery Collaborative, the City of Santa Ana, and HCA. o Provide Annual Report of Impacts to OC that is shared with HCA, OC Safe Syringe Program Coalition/Groups, and the OC Recovery Collaborative Our goal is to ensure that HRI is a success in reducing the spread of disease and infection. To overcome well-founded community concerns, HRI will need to demonstrate safe and effective methods of appropriate syringe disposal and collection, provide behavioral health support/referrals with close follow up and work collaboratively with the community, collect data and monitor both negative and positive impacts to the community. If you have any questions regarding this matter, and if I can provide further assistance or clarification, please do not hesitate to contact me. Regina Chinsio-Kwong, DO County Health Officer/Chief of Public Health Services Orange County Health Care Agency To: Clerk of the Board From: Supervisor Vicente Sarmiento, 2nd District Date: May 19, 2023 RE: Supplemental Item for May 23, 2023, Board of Supervisors Meeting; Resolution in Support of May 10, 2023, Letter from County Health Officer to California Department of Public Health (CDPH) The Harm Reduction Institute (HRI) recently applied to the California Department of Public Health (CDPH) for authorization to add home delivery and pick-up of syringe needles to its current harm reduction program in Santa Ana, California. In accordance with requirements in Health and Safety Code Section 121349, and prior to approving HRI application's, the CDPH was required to provide notice to and consult with the local health officer of Orange County and the chief of police of the City of Santa Ana. On April 10, 2023, the CDPH contacted the Health Officer for Orange County, Dr. Regina Chinsio-Kwong, DO, by email, to inform her of HRI's application and request her consultation. In accordance with Health and Safety Code Section 121349, public comments may be submitted in writing to CDPH until 11:59 p.m., May 26, 2023. On May 10, 2023, County Health Officer Regina Chinsio-Kwong provided a detailed letter to CDPH, noting that Orange County, and specifically, the City of Santa Ana, had negative experiences with syringe exchange programs, including both the OC Needle Exchange Program (OCNEP) (2016-2018) and HRI (2019-2022). In her May 10, 2023, letter, Dr. Chinsio-Kwong included detailed, well -reasoned, and appropriate recommendations as to how the CDPH and HRI can take steps to mitigate the direct threats to both environmental health and public caused posed by syringe litter, including, but not limited to, (1) requiring HRI to hold regular meetings with HCA Environmental Health Services; (2) requiring HRI to dispense syringes with enhanced safety measures and easy identification; (3) requiring HRI to implement effective strategies for syringe needle disposal and collection; (4) requiring HRI to provide counseling services, linkage to behavioral health and medical services, and follow up on referrals placed; and (5) requiring HRI to collect data and monitor positive and negative impacts of the needle exchange program. Please add the attached draft resolution in support of Dr. Chinsio-Kwong's May 10, 2023, letter as a supplemental item to the May 23, 2023, Board of Supervisors' meeting agenda. The title of the agenda item should read: Adopt resolution endorsing the May 10, 2023, letter written by Orange County Health Officer, Dr. Regina Chinsio-Kwong, DO, to the California Department of Public Health concerning the Harm Reduction Institute application for authorization to distribute syringe needles in Santa Ana, California, and urging the CDPH to adopt and implement the recommendations of the Orange County Health Officer, or to show cause why it has not done so. Thank you. Attachments Attachment A RESOLUTION OF THE BOARD OF SUPERVISORS OF ORANGE COUNTY, CALIFORNIA May 23, 2023 WHEREAS, the foremost obligation of the Orange County Board of Supervisors is to ensure and protect the public safety, health, and well-being of County residents. WHEREAS, in 2019, the County of Orange successfully prevailed in its lawsuit against the Orange County Needle Exchange Program (OCNEP) and the California Department of Public Health (CDPH) on the County's claim that the CDPH's approval of a mobile needle exchange program in the cities of Anaheim, Costa Mesa, Orange, and Santa Ana violated the California Environmental Quality Act (CEQA). WHEREAS, the Harm Reduction Institute (HRI) recently applied to the CDPH for authorization to add home delivery and pick-up of syringe needles to their current harm reduction program in the City of Santa Ana. WHEREAS, as required by Health and Safety Code Section 121349, on April 10, 2023, the CDPH contacted the Health Officer for Orange County, Dr. Regina Chinsio-Kwong DO, by email, and requested her consultation for the HRI application. WHEREAS, in accordance with Health and Safety Code Section 121349, public comments may be submitted in writing to CDPH until 11:59 p.m., May 26, 2023. WHEREAS, on May 10, 2023, Dr. Regina Chinsio-Kwong provided a detailed letter to the CDPH, noting that the County of Orange, and specifically, the City of Santa Ana, had negative experiences with syringe exchange programs, including both the OCNEP (2016-2018) and HRI (2019-2022), a true copy of which is attached. WHEREAS, in her May 10, 2023, letter, Dr. Regina Chinsio-Kwong noted that, at one point in late 2017, OCNEP was distributing over 80,000 syringes in a single day of operation, serving over 200 people in a single 2-hour time frame, while disposing of only 20,000 used syringes per week, and that more than 14,000 improperly discarded needles were found in the homeless encampments in the Santa Ana Riverbed. WHEREAS, in its application, HRI proposes no limit on the number of syringe needles it intends to distribute in Santa Ana. WHEREAS, in her May 10, 2023, letter, Dr. Chinsio-Kwong noted that, as a result of the volume of syringe litter and the associated public health risks, concerns expressed by members of the public (including written and oral comments at public meetings) included (1) OCNEP's failure to properly understand the population it served (i.e., high numbers of unhoused people suffering from debilitating mental health conditions); (2) OCNEP's failure to demonstrate that the program actually decreased the spread of HIV and hepatitis in the County, and (3) OCNEP's minimal effort to follow up on referrals to drug rehabilitation/SUD treatment programs. Resolution No. , Item No. Page I of 2 Resolution concerning Harm Reduction Institute Application to Distribute Syringe Needles in Santa Ana Attachment A WHEREAS, in her May 10, 2023, letter, Dr. Chinsio-Kwong stated that the current proposal submitted by HRI is lacking in adequate accountability for safe syringe disposal and syringe collection. WHEREAS, the estimated number of syringes HRI expects to collect is only 60% of what the organization expects to distribute and while HRI participants may have other options for disposal, improperly disposed syringe needles will pose direct threats to both environmental health and public health. WHEREAS, as in the past, residents in central Orange County will be concerned about the potential danger that syringe litter poses to children at risk of accidentally getting harmed by used needles improperly discarded in public parks and libraries and on sidewalks when traveling to and from school. WHEREAS, in her May 10, 2023, letter, Dr. Chinsio-Kwong included detailed, well - reasoned, and appropriate recommendations as to how the CDPH and HRI can take steps to mitigate the direct threats to both environmental health and public caused posed by syringe litter, including, but not limited to, (1) requiring HRI to hold regular meetings with HCA Environmental Health Services; (2) requiring HRI to dispense syringes with enhanced safety measures and easy identification; (3) requiring HRI to implement effective strategies for syringe needle disposal and collection; (4) requiring HRI to provide counseling services, linkage to behavioral health and medical services, and follow up on referrals placed; and (5) requiring HRI to collect data and monitor positive and negative impacts of the needle exchange program. NOW, THEREFORE, BE IT RESOLVED that the Board of Supervisors of the County of Orange hereby endorses the May 10, 2023, letter submitted by Dr. Regina Chinsio-Kwong, and supports each and every recommendation included therein. NOW, THEREFORE, BE IT RESOLVED, that the Board of Supervisors of the County of Orange hereby urges the CDPH to adopt and implement the recommendations of Dr. Regina Chinsio-Kwong or to show cause why it has not done so. NOW, THEREFORE, BE IT FURTHER RESOLVED that the Board of Supervisors of the County of Orange hereby directs the Clerk of the Board to transmit this Resolution to the Secretary of the CDPH and to the Governor of the State of California. Resolution No. , Item No. Page 2 of 2 Resolution concerning Harm Reduction Institute Application to Distribute Syringe Needles in Santa Ana 0 FIP;10? May 25, 2023 Dear Friends and Neighbors, I urge you to join me in submitting a public comment to California's Department of Public Health opposing a proposed expansion to the Harm Reduction Institute's (HRI) application to add mobile delivery of syringe needles to its existing operations within our county. The HRI is a drug intervention nonprofit organization based in Santa Ana. As a lifelong Santa Ana resident and as an Orange County Supervisor representing the second district, which includes the city of Santa Ana, I am personally aware of the opposition from my constituents to the mobile delivery of syringes and needles. I recognize the importance of harm reduction through the use of sterile needles to help reduce the transmission of infections, including HIV and Hepatitis C. However, I disagree with the proposed collection strategy of used syringes since past needle exchange efforts have resulted in most of them turning up as litter near schools, parks, and other public spaces, endangering many in our community, including children, seniors, and frontline emergency workers. We have seen this play out before. Santa Ana has had negative experiences with syringe exchange programs, including the OC Needle Exchange Program (2016-2018) and Harm Reduction Institute (2019- 2022). The burden of used syringes littering the community was overwhelming. HRI's cause is noble, but the proposed requirements and safeguards for collecting used syringes are unacceptable and directly endanger our community. I urge you to submit your comments and let the state's Department of Public Health understand the local perspective on this application and consider other methods to meet the goals of this effo rt. The deadline to submit public comments is Friday, May 26, 2023@ 11:59 PM. Link to submit public comment form Sincerely, Vicente Sarmiento Supervisor, Second District County of Orange Board of Supervisors Alcala, Abigail From: Maria Ceja < Sent: Tuesday, April 16, 2024 2:42 PM To: eComment Subject: Item #28 Am: eiifl.Wiu ll in eu uffl nror 0na1n°n9 fug-om onut;n de o, 'Cu y oro'Sanm Anna. Use caion when n:pel inn aflac4gun enu s or finks. Mayor and City Council, I am writing to express my OPPOSITION of Item 427. The majority of the City Council members are willfully ignoring the expertise of public health officials and scientific data and research that demonstrates that needle exchange programs, also known as Syringe Services Programs (SSPs), effectively work as a public health and safety resource. SSPs have been proven to: • help prevent the transmission of bloodborne and other infections that can affect vital organs and tissues, as well as provide health care resources to treat these health issues • SSP participants are 5 times more likely to enter treatment for substance use and stop injecting than those who don't use an SSP and are nearly 3 times as likely to report a reduction in injection frequency • Research shows that SSPs protect the public and first responders by providing safe needle disposal and reducing the presence of needles in the community • SSPs do not increase drug use or crime • SSPs distribute lifesaving medications and referrals to substance use treatment and other resources, such as housing and health care referrals. • SSPs are a cost-effective strategy for preventing and addressing community outbreaks of HIV and HCV These are just some of the benefits of having a needle exchange program in the City of Santa Ana, especially given that the City is the County Seat with multimodal access, The City needs to utilize actual data and research to provide and strengthen care in the community, not the use of fallacious stigmas and shame toward community members that can benefit from the existence of an SSP in our community. Sincerely, Maria Ceja Born and Raised Santanera Alcala, Abigail From: Summer Myers < Sent: Tuesday, April 16, 2024 2:45 PM To: eComment Subject: Support Item 27 - Resolution to Oppose Needle Distribution Program Am: eiifl.Win, Tl in eu uffl nror 0na1n°n9 fi-mnz onut;n de o, 'Ci y oro'S: nu a Anna. Use caion when n:pel inn aflac4gun enu s or finks. Hello - I'm writing today in support of Item 27 - Resolution to Oppose Needle Distribution Program. There is a crisis in our city when it comes to open drug use in our streets in front of our children! I do not support a needle distribution program in our city because quite frankly our children are suffering at the hands of city officials who continue to encourage this type of behavior in our neighborhoods. No child should be subjected to witness someone freely shooting up in our streets, imagine having to explain to a child what occurred before their eyes (I've had to explain a multitude of times, because its a daily occurrence here). I have two daughters, one is 19 and she grew up in Tustin, the other is 8 and sadly she's witnessed firsthand "zombies walking in our streets." The City stood firm with the last attempt to distribute needles in our society and yet again we're faced with another attempt at subjecting our children to things that other cities do not push upon their children! Where is the safety of our children? Why are we determined to ruin their lives and force feed them into open drug use. Willing handling out needles for drug user is another way of telling our children its okay to succumb to addiction. NO CHILREN deserve to watch someone sticking a needle in the arm and then slump over in the streets looking head or unconscious, to then turn around and ask "why do they look like that mommy?" I would ask that all directors, CEOS and the like open these facilities in their neighborhoods. Encourage their children to witness the destruction these people are creating in our community. I'm sure these doctors that opened HRI went into the field to HELP the sick and dying, not encourage the destruction of so many lives. But once greed and money take over, you have to ask yourself what morals do these doctors have? I ask that HRI send their children into 1 st street, and sit and witness a homeless person shoot up at a bus stop. I ask that they fund these types of distributions in their own community, our children do not deserve this. I'm an adult and what's happening in Santa Ana is frightening. I've lived here for over 46 years and I've never seen the city in such disarray, we're looking like a 3rd world county in our very city. I'm begging that we stand behind our children and stop this before its a common occurrence for EVERY child to witness someone shooting poison into their veins. Please support our residents. Summer Myers WARD 3 JESSIE'S NOT FOR ME! 1 Alcala, Abigail From: Sandra Esmeralda De Anda < Sent: Tuesday, April 16, 2024 3:47 PM To: eComment Subject: Opposition to Agenda Item #27 for City Council Meeting 4/16 Am: eiifl.W�in, Tlfis eu uffl nror 0na1n°n9 fug-mnz onut;n de o, 'Cu y oro ' S: nu a Anna. Use can fionn when opelfing aflac4gun enu s or finks. Hello, my name is Sandra De Anda and I reside in Ward 4 in Santa Ana. I am writing to express my firm opposition to Item 27, Santa Ana's Resolution to Oppose the Establishment of a Needle Exchange Program in our City. Safe Syringe Programs have consistently demonstrated their efficacy in preventing the transmission of diseases and play a crucial role in providing healthcare services and aiding addiction treatment for those in need. By opposing the implementation of such a program, we risk denying our community a proven, cost-effective public health intervention. Harm reduction saves lives. I urge you to reject this item and instead advocate for initiatives that prioritize harm reduction and public health in Santa Ana. Flores, Dora From: CMF < Sent: Tuesday, April 16, 2024 6:12 PM To: eComment Subject: Agenda Item 27 Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Hello, I'm commenting on agenda item 27. I've been a resident of Santa Ana in Ward 6 for 3 years. I am also a medical student. I want to make it clear I am not affiliated with the Harm Reduction Institute, but I'm asking that the council consider compromising on a mobile syringe program. Orange county is the largest county in the country by population without access to a syringe program. The claims submitted in this resolution lack evidence -based support and ignore public health concerns regarding overdoses and the spread of diseases like HIV and Hepatitis C. I find it interesting that the resolution highlights the opposition of a former police chief to the needle exchange program, especially considering that the American Public Health Journal presents ample evidence that policing practices increase the rate of adverse health outcomes in the communities they serve. This suggests they may not be the most suitable guides for public health policy. I also want to add that the effectiveness of these programs is recognized by the World Health Organization and American Medical Association who emphasize that these resources can provide motivation to pursue recovery. Contrary to assertions made in this resolution, studies have confirmed that needle programs do not increase crime or worsen syringe litter. If the council does not come to a compromise on syringe services, rates of preventable disease will inevitably sky rocket, causing a public health crisis with an economic cost far greater than a needle program. Flores, Dora From: notify@proudcity.com on behalf of Michael Wauschek <notify@proudcity.com> Sent: Tuesday, April 16, 2024 6:21 PM To: !City Clerk Subject: New submission from Contact the Clerk of the Council's Office Attention: This email originated from outside of City of Santa Ana. Use caution when opening attachments or links. Name Michael Wauschek Email Message Yes we differently needle exchange but at the sametime the group need received more needles that going vs just disappear on our streets were people can just become into contact with but especially child INGTON OFFICE WASH LUIS CORREA HousE 2391 RAYBURN HOUSE OFFICE BLIlLDING L. was(202)2N--2965 15 46TH DISTRICT CALIFORNIA 12021225-29fi5 r SANTA ANA DISTRICT OFFICE Congregg of the Uniteb *tateg 2323 N. BRSUITE 3 oaowpY, SUITE 19 SANTA ANA, CA 92706 M41559-6190 Jbouse of Repretentatibeg WRAI1110011, W 20515 April 16th, 2024 Dear Neighbors and Fellow Community Members, HOUSE DEMOCRATIC CAUCUS SENIOR WHIP HOUSE COMMITTEE ON HOMELAND SECURITY RANKING MEMBER, SLIDCOMM{TTEE ON BORDER SECURITY, FACILITATION, AND OPERATEONB SUBCOMMITTEE ON INTELLIGENCE AND COUNTERTERRORISM HOUSE COMMITTEE ON THE JUDICIARY RANKING MEMBER, SUBCOMMITTEE oIy THE ADMINISTRATIVE STATE, REGULATORY REFORM, AND ANTITRUST SUBCOMMITTEE ON IMMIGRATION INTEGRITY, SEcuR". AND ENFORCEMENT$ The purpose of this letter is to express my concerns and opposition to the Needle Exchange Program in Santa Ana. Since 2016, the Orange County Needle Exchange has been the source of great contention for city leaders and community members due to public health and safety concerns. The effects and risks of this program center on statistics that show the program does not have adequate resources to prevent or properly clean Lip the needles that end up as litter, creating a clear threat to families and children using public spaces such as parks, libraries, and sidewalks throughout the city. The Harm Reduction Institute in the State of California states that out of the 300,000 needles that are provided to 500 people annually, only about 180,000 are collected, leaving 120,000 needles unaccounted for. While it is important to reduce disease and overdoses for the homeless population in our community, it is also important to be aware of the effects and risks that could impact the thousands of people who live in and visit the City of Santa Ana. I join with Mayor Valerie Amezcua and community members to urge the Harm Reduction Institute and California Department of Public Health to find an alternative way to provide clean needles to those the program is intended to serve, one that keeps used needles out of our parks and playgrounds. Respectfully, J. LUIS CORREA Member of Congress CORREA. HOUSE. GOV Oppose Needle Distribution Program in Santa Ana Sign this petition to OPPOSE ieedle Distribution PnWain land protect Santa Ana Residents From Neer Appli tion In their application, the program plans to hand out at least 600 noodles to Soo people annually That's total The program says they PLAN to collect 60% of those noodles, Leaving Ap.d b. ioi4 Why this petition matters 0 Started by Danny Vega CY Medla inquirles Santa Ana neighbors, join us in taknig a strong stance in opposition to a recent application riled by the Harm Reduction lrtstitute (HRI), to bring a Needle Distribution Program to Santa Ana. Furthermore, send a loud message to any entity that we, the residents of Santa Ana, wrilI oppose any future applications for arty type of Needle Distribution Program to operate within our city. Frorn the City of Santa Ana website: The Hann Reduction Institute (HRI) filed an application in 2023 with the California Department of Public Health (CDIIH) to provide needle distribution services in Santa Ana." This application is currently pending and is riot the first time HRI has tried to bring this program to Santa Ana. Over a dozen Neighborhood Association leaders and appointed Santa Ana Commissioners have already expressed strong opposition to this recent application. We join Santa Ana elected officials who not only have publicly vowed to try to keep a Needle Distribution Program from operating within our city, but have also taken A upon themselves to educate and bring awareness to the public surrounding this program. We want to give a special thank you to those elected officials_ Mayor of Santa Ana Valerie AnteLCUa, Santa And Ward 4 Councilinernber Phil Bacerra, and Santa Ana Ward 6 1,2487 1.500 Srynalures .,L" trail ® 71 people signed today f"O=M oppose t4eed!e U;svibunon Elrog+am 1 44 ; n Santa Ana a Send an email to friends G) Send a message via WhatsApp V Tweet to your followers c-:1 Copy link As o tl/i6/aq q:,,joptn Name City State Postal Cod+Country Signed On Danny Vega Santa Ana CA US 4/8/2024 Diana Espinoza Santa Ana CA 92706 US 4/8/2024 Jeffrey Katz Irvine CA 92602 US 4/8/2024 Mary Lou Babin-Branch Santa Ana CA 92705 US 4/8/2024 John Ramirez Santa Ana CA 92704 US 4/8/2024 Victor Vasquez Santa Ana CA 92703 US 4/8/2024 Katherine Freeman Santa Ana CA 92704 US 4/8/2024 Summer Myers Santa Ana CA 92706 US 4/8/2024 Marnie Schnabel Santa Ana CA 92706 US 4/8/2024 Cheryl Poynter Santa Ana CA 92707 US 4/8/2024 Melissa Flores Santa Ana CA 92701 US 4/8/2024 Fernando Acevez Santa Ana CA 92704 US 4/8/2024 Andrew Ortiz Anaheim CA 92805 US 4/8/2024 Debra Sevilla Santa Ana CA 92704 US 4/8/2024 Kristen Marcucci Santa Ana CA 92704 US 4/8/2024 MONIQUE VERNHES Santa Ana CA 92701 US 4/8/2024 Maria Orendain Santa Ana CA 92703 US 4/8/2024 Christina Dorsa-Smith Santa Ana CA 92706 US 4/8/2024 Ana Padilla Santa Ana CA 92703 US 4/8/2024 Linda Schuma Santa Ana CA 92706 US 4/8/2024 yacsiri solis-andaya Santa Ana CA 92701 US 4/8/2024 SCOTT BURNETF Santa Ana CA 92704 US 4/8/2024 Lawrence Klein Santa Ana CA 92706 US 4/8/2024 BEVERLY Cagle Santa Ana CA 92704 US 4/8/2024 Carlos Barragan Santa Ana CA 92704 US 4/8/2024 Peter Nguyen Santa Ana CA 92707 US 4/8/2024 Nguyen Donna Santa Ana CA 92704 US 4/8/2024 Elizabeth Sandoval Santa Ana CA 92794 US 4/8/2024 Ginelle Hardy Santa Ana CA 92706 US 4/8/2024 Remi Uraje Riverside CA 92509 US 4/8/2024 Jeannie Jovani Estrada US 4/8/2024 Kevin Martinez Santa Ana CA 90707 US 4/8/2024 estefany Torres Tustin CA 92780 US 4/8/2024 Claudio Bornancini Santa Ana CA 92703 US 4/8/2024 Allison Adams Santa Ana CA 97706 US 4/8/2024 Trina Malek Santa Ana CA 92707 US 4/8/2024 Elsa Moreno Santa Ana CA 92707 US 4/8/2024 Genoveva Torres Santa Ana CA 92707 US 4/8/2024 Jorge Amezcua Santa Ana CA 92707 US 4/8/2024 Laura Pickering Laguna Hills CA 92653 US 4/8/2024 Veronica Gonzalez Anaheim CA 92805 US 4/8/2024 Danny Melendez Santa Ana CA 92705 US 4/8/2024 Brian Byrd Santa Ana CA 92703 US 4/8/2024 Nancy Tarin Santa Ana 92704 US 4/8/2024 Silas Drover West Bend WI 53090 US 4/8/2024 Kevin Spanner Santa Ana CA 92704 US 4/8/2024 Michelle Almanza Santa Ana CA 92706 US 4/9/2024 Yuvana Solis Santa ana CA 92707 US 4/9/2024 Gabriela Garcia Santa Ana CA 92706 US 4/9/2024 Lisa Gomez Santa Ana CA 92701 US 4/9/2024 Refugio Ramirez Santa Ana CA 92707 US 4/9/2024 Mary Maduena Santa Ana CA 92706 US 4/9/2024 Karen Briskorn Santa Ana CA 92703 US 4/9/2024 David Jirik Alba TX 75410 US 4/9/2024 Rose Mary Gomez Newport Beacl CA 92660 US 4/9/2024 Ilda Lopez Santa Ana CA 92703 US 4/9/2024 Shahram Makhani Irvine CA 92614 US 4/9/2024 Evelyn Herrera Santa Ana CA 92703 US 4/9/2024 Mayra Montano Santa Ana CA 92703 US 4/9/2024 Laura Garibay Riverside CA 92505 US 4/9/2024 Nancy Feldman Santa Ana CA 92706 US 4/9/2024 Marisela Guzman Santa Ana CA 92704 US 4/9/2024 Claudio Gallegos Santa Ana CA 92701 US 4/9/2024 Veronica Sanchez Santa Ana CA 92703 US 4/9/2024 Kimberly Duran Santa Ana CA 92703 US 4/9/2024 Carlos Rodriguez Santa Ana CA 92707 US 4/9/2024 Marcela Ridriguez Santa Ana CA 92701 US 4/9/2024 Edith Magana Santa Ana CA 92706 US 4/9/2024 Brenda Casares Orange CA 92868 US 4/9/2024 Jose Andrade Santa Ana CA 92701 US 4/9/2024 Donores Almaraz Santa Ana CA 92704 US 4/9/2024 jaime cardenas Santa Ana CA 92703 US 4/9/2024 Paulino Fuentes Santa Ana CA 92703 US 4/9/2024 Roxanne Huddleson Santa Ana CA 92704 US 4/9/2024 Edith Gonzalez Santa Ana CA 92703 US 4/9/2024 Elizabeth LeVin Tustin CA 92780 US 4/9/2024 Stacey Cordova Santa Ana CA 92704 US 4/9/2024 Richard Amezcua Anaheim CA 92804 US 4/9/2024 Gabby Martinez Santa Ana CA 92707 US 4/9/2024 Yury Alvarado Santa Ana CA 92704 US 4/9/2024 Angela Roche Santa Ana CA 92707 US 4/9/2024 Karla Hernandez Santa Ana CA 92703 US 4/9/2024 Anne Davis Santa Ana CA 92703 US 4/9/2024 Luis Hernandez Santa Ana CA 92703 US 4/9/2024 Lourdes Acevez Santa Ana CA 92704 US 4/9/2024 Jenny Hernandez Santa Ana CA 92706 US 4/9/2024 RAMONA PLASCENSIA Santa Ana CA 92706 US 4/9/2024 Jon Inwood Brooklyn NY 11226 US 4/9/2024 N Gonzalez Santa Ana CA 92706 US 4/9/2024 Melissa Navarro Santa Ana CA 92706 US 4/9/2024 Aaron Peralta Santa Ana CA 92706 US 4/9/2024 Alex Ceja Santa Ana CA 92707 US 4/9/2024 Denise Mejia Santa Ana CA 92704 US 4/9/2024 Dulce Zepeda Santa Ana CA 92706 US 4/9/2024 Mike Quach Anaheim CA 92802 US 4/9/2024 Chris Nguyen Santa ana CA 92704 US 4/9/2024 Wendy L. Adams Adams Santa Ana CA 92707 US 4/9/2024 Patricia Caballero Costa Mesa CA 92626 US 4/9/2024 Janet Perez Santa Ana CA 92704 US 4/9/2024 Lorraine Sanchez Santa Ana CA 92704 US 4/9/2024 Brandon Moore Santa Ana CA 92704 US 4/9/2024 Losa Gonzales Santa Ana CA 92704 US 4/9/2024 Jacqueline Montes Santa Ana CA 92705 US 4/9/2024 Cynthia Corona Santa ana CA 92701 US 4/9/2024 Karina Sanchez Santa Ana CA 92703 US 4/9/2024 Martha Santos Santa Ana CA 92707 US 4/9/2024 Sara Martinez Santa Ana CA 92704 US 4/9/2024 Marco Solis Los Angeles CA 90060 US 4/9/2024 Melissa Gallegos Santa Ana CA 92701 US 4/9/2024 Jessica Vega Santa Ana CA 92706 US 4/9/2024 Maria Sanchez Santa Ana CA 92704 US 4/9/2024 Cynthia Trejo Santa Ana CA 92706 US 4/9/2024 Matt Knuth Santa Ana CA 92707 US 4/9/2024 Valeria Cam US 4/9/2024 NATALIE BARRAGAN Santa Ana CA 92701 US 4/9/2024 Ivan Rivas Santa Ana CA 92707 US 4/9/2024 Amanda Knoll Santa Ana CA 92705 US 4/9/2024 Doreen Dawson -Becker Santa Ana CA 92703 US 4/9/2024 Andrew Valverde Santa Ana CA 92706 US 4/9/2024 marc mcmann Santa Ana CA 92707 US 4/9/2024 Maritza campus Irvine CA 92612 US 4/9/2024 Nancy Diaz Santa Ana CA 92707 US 4/9/2024 Jonathan Marcial Santa Ana CA 92701 US 4/9/2024 Yvonne Soto Santa Ana CA 92701 US 4/9/2024 Michelle Chavez Buena Park CA 90620 US 4/9/2024 Jessica Alcantar Anaheim CA 92802 US 4/9/2024 Andrea Alatorre Anaheim CA 92805 US 4/9/2024 Tabitha Aguilar Santa Ana CA 92707 US 4/9/2024 joel de santiago Santa ana CA 92704 US 4/9/2024 Leonor Castillo Santa Ana CA 92706 US 4/9/2024 Aurelio Castillo Santa Ana CA 92706 US 4/9/2024 Rocio Arroyo Anaheim CA 92805 US 4/9/2024 esmeralda Moreno Westminster CA 92683 US 4/9/2024 Lourdes Mejia Santa Ana CA 92706 US 4/9/2024 Miriam De Santiago Santa Ana CA 92704 US 4/9/2024 Hoa Pham Santa Ana CA 92706 US 4/9/2024 Criselda Moreno Anaheim CA 92805 US 4/9/2024 Michelle Reyes Santa Ana CA 92703 US 4/9/2024 Stephanie Pineda Santa Ana CA 92707 US 4/9/2024 Rebecca Amezcua Tustin CA 92780 US 4/9/2024 Priscila Meller Garden Grove CA 92707 US 4/9/2024 Angela Banuelos Santa Ana CA 90805 US 4/9/2024 Isabel Gutierrez Santa Ana CA 92704 US 4/9/2024 Rachelle Fuentes Merced CA 95340 US 4/9/2024 Lillyanna Azevedo Santa Ana CA 92703 US 4/9/2024 Kathi Garcia Santa Ana CA 92701 US 4/9/2024 David Nunez Newport Beacl CA 92660 US 4/9/2024 Jessica Hernandez Pasadena CA 91107 US 4/9/2024 Erika Monjaras Santa Ana CA 92704 US 4/9/2024 Carlos Sanchez Santa Ana CA 92704 US 4/9/2024 Melissa Banuelos Santa Ana CA 92703 US 4/9/2024 Cecilia Brown Santa Ana CA 92704 US 4/9/2024 Luz Martinez Santa ana CA 92703 US 4/9/2024 Aurelia Beltran Santa Ana CA 92704 US 4/9/2024 Sandra Gutierrez Anaheim CA 92805 US 4/9/2024 Celia Salgado Santa Ana CA 92707 US 4/9/2024 Benjamin Cervantes Santa Ana CA 92704 US 4/9/2024 Nichole Brown Bell Gardens CA 90201 US 4/9/2024 Monique moreno Santa ana CA 92703 US 4/9/2024 Daniel Beltran Santa Ana CA 92704 US 4/9/2024 Rebecca Vargas Santa Ana CA 92704 US 4/9/2024 Elsa Saldana Anaheim CA 92805 US 4/9/2024 LESLIE SANCHEZ Santa Ana CA 92704 US 4/9/2024 Ariana Perez Santa Ana CA 92701 US 4/9/2024 Norma Sasa Santa Ana CA 92706 US 4/9/2024 Victoria Do santa ana CA 92707 US 4/9/2024 Matthew Holland Santa Ana CA 92706 US 4/9/2024 Cecilia !Naranjo Anaheim CA 92805 US 4/9/2024 Juan g Rivas Santa Ana CA 92707 US 4/9/2024 Jose Aguayo SANTA ANA CA 92704 US 4/9/2024 Benita Rivas Santa Ana CA 92707 US 4/9/2024 Jovita Martinez Santa Ana CA 92703 US 4/9/2024 Mayor Valerie Amezcua Santa Ana CA 92706 US 4/9/2024 Theresa Cisneros Santa Ana CA 92707 US 4/9/2024 Michelle Bastida Santa Ana CA 92704 US 4/9/2024 Nathan Hittle Santa Ana CA 92706 US 4/9/2024 Juan Lopez Tustin CA 92780 US 4/9/2024 Sandra Olmos Pico Rivera CA 90660 US 4/9/2024 Christina Hernandez Santa Ana CA 92704 US 4/9/2024 Susan Fisher SAN Clemente CA 92674 US 4/9/2024 Nick Sanchez Santa Ana CA 92707 US 4/9/2024 Gabriel Bastida Irvine CA 92614 US 4/9/2024 Mercedes Avila Los Angeles CA 90011 US 4/9/2024 Monica Cantu Irvine CA 92614 US 4/9/2024 Daniela Velasco Gardena CA 90247 US 4/9/2024 brizuela victoria Santa Ana CA 92704 US 4/9/2024 Kevin Gomez Santa ana CA 92704 US 4/9/2024 Vanessa Terrazas Valencia CA 91355 US 4/9/2024 Aaron Villagomez Santa Ana CA 92704 US 4/9/2024 Rainier Venua Santa Ana CA 92706 US 4/9/2024 Gabriela Reil Reil Santa Ana CA 92704 US 4/9/2024 Rocio Loyola Santa Ana CA 92706 US 4/9/2024 Mariana Morales Santa Ana CA 92704 US 4/9/2024 Gloria Alvarado Santa Ana CA 92706 US 4/9/2024 Wendy Nuval Santa Ana CA 92704 US 4/9/2024 Maria Correa Santa Ana CA 92707 US 4/9/2024 Breanna Cantu Santa Ana CA 92704 US 4/9/2024 Janet Marroquin Costa Mesa CA 92626 US 4/9/2024 Kassie Andrade Santa Ana CA 92701 US 4/9/2024 Diana Cantuna Los Angeles CA 90034 US 4/9/2024 Andrew Santacruz Santa Ana CA 92707 US 4/9/2024 Ashley Ariza Santa Ana CA 92704 US 4/9/2024 Irma Flores Santa Ana CA 92707 US 4/9/2024 Julie Morales Santa Ana CA 92704 US 4/9/2024 Bryan Gutierrez Santa Ana CA 92704 US 4/9/2024 Ana Vasquez Santa Ana CA 92704 US 4/9/2024 Angelica Mendez Santa Ana CA 92701 US 4/9/2024 Michelle Arce Santa Ana CA 92704 US 4/9/2024 ELI VELAZQUEZ SANTA ANA CA 92707 US 4/9/2024 Josefina Diaz Santa Ana CA 92704 US 4/9/2024 Magda Nang Santa Ana CA 92707 US 4/9/2024 David Castro Santa Ana CA 92704 US 4/9/2024 Yolanda Guerra Santa Ana CA 92704 US 4/9/2024 Cathy Chavez Santa Ana CA 92705 US 4/9/2024 Santiago Ibarra Santa ana CA 92805 US 4/9/2024 Lloyd Boucher Los Angeles CA 90036 US 4/9/2024 Luis Campos Santa Ana CA 92805 US 4/9/2024 JANICE LAVELLE Santa Ana CA 92705 US 4/9/2024 Danny Guerrero Santa Ana CA 92704 US 4/9/2024 Rocio Maciel Santa Ana CA 92704 US 4/9/2024 Angela Knuth Anaheim CA 92805 US 4/9/2024 Jonathan Velez Santa Ana CA 92705 US 4/9/2024 adriana penaloza santa ana CA 92707 US 4/9/2024 Gustavo Escobar Santa ana CA 92701 US 4/9/2024 daniel castro santa ana CA 92707 US 4/9/2024 Richard Salgado Santa Ana CA 92706 US 4/9/2024 KellyArevalo Santa Ana CA 92703 US 4/9/2024 Sam Marin Placentia CA 92870 US 4/9/2024 Claudia Calvillo Santa Ana CA 92706 US 4/9/2024 Maria Guzman Santa Ana CA 92707 US 4/9/2024 Paola Soto Santa Ana CA 92704 US 4/9/2024 Ofelia Garcia Santa Ana CA 92701 US 4/9/2024 Maribel Sevilla Santa Ana CA 92704 US 4/9/2024 Lavon Barton Santa Ana CA 92704 US 4/9/2024 Patricia Quezada Santa Ana CA 92701 US 4/9/2024 Vivian Martinez Santa Ana CA 92704 US 4/9/2024 Jordan Chavez Santa Ana CA 92707 US 4/9/2024 Jacqueline Bahena Santa Ana CA 92707 US 4/9/2024 Veronica Perez Los Angeles 90019 US 4/9/2024 Denise Garcia Santa Ana CA 92706 US 4/9/2024 Carolina Carranza Santa ana CA 92707 US 4/9/2024 Lucely Pereira Santa Ana CA 92707 US 4/9/2024 Liliana Reyes Santa Ana CA 92707 US 4/9/2024 Luis Aleman Santa Ana CA 92706 US 4/9/2024 Lucero Alvarado Santa Ana CA 92704 US 4/9/2024 Adriana Tomazin Santa Ana CA 92703 US 4/9/2024 Veronica Nava Santa Ana CA 92707 US 4/9/2024 Mark Tomazin Santa Ana CA 92703 US 4/9/2024 Jose Yepes Santa Ana CA 92705 US 4/9/2024 Paul Chairez AL US 4/9/2024 Palmira E Astudillo Santa Ana CA 92701 US 4/9/2024 eddie cantu Garden Grove CA 92840 US 4/9/2024 Cynthia T Santa Ana CA 92703 US 4/9/2024 Cory Miron Munoz Los Angeles CA 90043 US 4/9/2024 John Chairez Los Angeles CA 90011 US 4/9/2024 Patricia DuPont -Tyler Lakewood 90713 US 4/9/2024 Beth Thomas Santa Ana CA 92703 US 4/9/2024 Mike Tardif Santa Ana CA 92704 US 4/9/2024 Isabel Cabrera Anaheim CA 92805 US 4/9/2024 Tommy Cota Santa Ana CA 92704 US 4/9/2024 Aaron Hicks Santa Ana CA 92706 US 4/9/2024 Karenjane Ceballos Santa Ana CA 92704 US 4/9/2024 Roxanne Garza Los Angeles CA 90047 US 4/9/2024 Jennifer Oleman Santa Ana CA 92703 US 4/9/2024 Edward Rios Santa Ana CA 92701 US 4/9/2024 Cynthia Hernandez Costa Mesa CA 92626 US 4/9/2024 Felix Duarte Santa ana CA 92704 US 4/9/2024 sandy lacunza Los Angeles CA 90013 US 4/9/2024 Jeff Schlieder Santa Ana CA 92707 US 4/9/2024 Jose R Santa Ana CA 92701 US 4/9/2024 Art Vega Santa Ana CA 92704 US 4/9/2024 Josie Robles Santa Ana CA 92707 US 4/9/2024 Frances Orozco Los Angeles CA 90047 US 4/9/2024 Baron Duarte Santa Ana CA 92704 US 4/9/2024 Jacqueline Adame Santa Ana CA 92707 US 4/9/2024 alma Nieves Santa Ana CA 92704 US 4/9/2024 Rosa Hernandez Santa Ana CA 92704 US 4/9/2024 Bill Kuffer Carlsbad CA 92008 US 4/9/2024 Trisha Estrada Santa Ana CA 92703 US 4/9/2024 Andreina Carrillo Santa Ana CA 92706 US 4/9/2024 Jasmine Diaz Santa Ana CA 92703 US 4/9/2024 Allison Adama Santa Ana CA 92703 US 4/10/2024 Breida Hernandez Colton CA 92324 US 4/10/2024 Lucia Diaz Santa Ana CA 92703 US 4/10/2024 Ashling Lee New York NY 10027 US 4/10/2024 Debora Karaffa Santa Ana CA 92705 US 4/10/2024 Art Pedroza Los Angeles CA 90060 US 4/10/2024 Liz G Los Angeles CA 90043 US 4/10/2024 Maria Aguilar Santa Ana CA 92704 US 4/10/2024 Michelle Cervantes Costa Mesa CA 92626 US 4/10/2024 Angel Osorio Los Angeles CA 90014 US 4/10/2024 Minerva Garcia Santa Ana CA 92704 US 4/10/2024 Viridiana Hernandez Santa Ana CA 92704 US 4/10/2024 Andrew Hernandez Santa Ana CA 92701 US 4/10/2024 Brittney Giles Santa Ana CA 92706 US 4/10/2024 Maria Mendoza Santa Ana CA 92704 US 4/10/2024 N. A. Santa Ana CA -92707 US 4/10/2024 Becky Hernandez Los Angeles CA 90015 US 4/10/2024 Tere H Santa Ana CA 92706 US 4/10/2024 Yessenia Garcia Santa Ana CA 92707 US 4/10/2024 Adriana Leon Santa Ana CA 92701 US 4/10/2024 Bernice Avila Santa ana CA 92707 US 4/10/2024 Jose Rangel Santa Ana CA 92705 US 4/10/2024 Angelica Duque Anaheim CA 92801 US 4/10/2024 Stacy Hernandez Santa Ana CA 92701 US 4/10/2024 Jose Hernandez Santa Ana CA 92704 US 4/10/2024 Lucy Hidalgo Anaheim CA 92805 US 4/10/2024 Tina Lee Santa Ana CA 92701 US 4/10/2024 Vanessa Vergara Nava Santa Ana CA 92704 US 4/10/2024 Jacqueline Barreto Santa Ana CA 92703 US 4/10/2024 Alejandra Segura Santa Ana CA 92703 US 4/10/2024 Katre Kruus Santa Ana CA 92706 US 4/10/2024 Jeanette Curiel Santa Ana CA 92701 US 4/10/2024 Patricia Jimenez Santa Ana CA 92701 US 4/10/2024 Gabriel Barreto Santa Ana CA 92703 US 4/10/2024 Jackie Barreto Santa Ana CA 92703 US 4/10/2024 Jacqueline Cornejo Santa Ana CA 92704 US 4/10/2024 Silvia Flores Santa Ana CA 92704 US 4/10/2024 Yessica Mendoza Garden Grove CA 92840 US 4/10/2024 Robert Cabalo Costa Mesa CA 92626 US 4/10/2024 Joanna Monter Santa Ana CA 92703 US 4/10/2024 Debbie Alvarez Santa Ana CA 92701 US 4/10/2024 Heidi Schultz Santa ana CA 92704 US 4/10/2024 Mireya Guillen Santa Ana CA 92701 US 4/10/2024 Matias Tomazin Santa Ana CA 92703 US 4/10/2024 Ana Toboada Santa Ana CA 92704 US 4/10/2024 Nancy Duarte Santa Ana CA 92704 US 4/10/2024 Alejandro Cervantes Santa Ana CA 92704 US 4/10/2024 Theresa Chavez Santa Ana CA 92707 US 4/10/2024 Alexis Maldonado Santa Ana CA 92707 US 4/10/2024 Sandi Oneal Santa Ana CA 92707 US 4/10/2024 Yuri Sanchez Santa Ana CA 92703 US 4/10/2024 Diana C San Pedro CA 92701 US 4/10/2024 Maricela Avalos Santa Ana CA 92704 US 4/10/2024 Nancy Del Carmen Santa Ana CA 92705 US 4/10/2024 Angel barajas Santa Ana CA 92701 US 4/10/2024 Austin Miller Santa Ana CA 92701 US 4/10/2024 Adriana Zaragoza Santa Ana CA 92701 US 4/10/2024 Sara Romero Los Angeles CA 90011 US 4/10/2024 jesus zapien Westminster CA 92683 US 4/10/2024 Maria Ventura Santa Ana CA 92707 US 4/10/2024 Daniela Ledezma Santa Ana CA 92701 US 4/10/2024 Maria Mendoza Santa Ana CA 92703 US 4/10/2024 Anicia Sanchez Santa Ana CA 92705 US 4/10/2024 Laura Fariaz Santa Ana CA 92706 US 4/10/2024 LIZ HURTADO Santa Ana CA 92701 US 4/10/2024 Georgina Huizar Santa Ana CA 92701 US 4/10/2024 Jorge Avalos Jr Costa Mesa CA 92626 US 4/10/2024 Saron Borja Westminster CA 92683 US 4/10/2024 Victor Lopez Santa Ana CA 92701 US 4/10/2024 Jack Ara mbula Santa Ana CA 92703 US 4/10/2024 Cecilia Valdez Santa Ana CA 92704 US 4/10/2024 Sandra Rodriguez Tustin CA 92780 US 4/10/2024 Ruben Sanchez Santa Ana CA 92707 US 4/10/2024 Kaylin Walker Santa Ana CA 92707 US 4/10/2024 Kaitlin Arroyo Santa Ana CA 92705 US 4/10/2024 Joana Vasquez Los Angeles CA 90003 US 4/10/2024 Alondra Mijangos Anaheim CA 92805 US 4/10/2024 Judith Ortiz Santa Ana CA 92703 US 4/10/2024 Ernesto Conde Orange CA 92865 US 4/10/2024 Naomi Knox Los Angeles CA 90005 US 4/10/2024 Victoria Torres Santa Ana CA 92706 US 4/10/2024 Christine Sanchez Santa Ana CA 92704 US 4/10/2024 Maria R Nuno Costa Mesa CA 92626 US 4/10/2024 Amy Vaughn Arevalo Santa Ana CA 92704 US 4/10/2024 Christine Robertson Los Angeles CA 90044 US 4/10/2024 Bertha Lopez Santa Ana CA 92701 US 4/10/2024 Lisa Magana Santa Ana CA 92704 US 4/10/2024 Ana Luna Orange CA 92869 US 4/10/2024 Luz Ramirez Costa Mesa CA 92626 US 4/10/2024 Marissa De La Vega Santa Ana CA 92703 US 4/10/2024 Debanhi Hernandez Santa Ana CA 92705 US 4/10/2024 Annette Padilla Anaheim CA 92801 US 4/10/2024 Mayra Chavez Santa Ana CA 92703 US 4/10/2024 Sonia Ramos Santa Ana CA 92704 US 4/10/2024 Kristen Conley Santa Ana CA 92704 US 4/10/2024 Sebastian Juarez San Fernando CA 91340 US 4/10/2024 Jackie olalde Santa Ana CA 92706 US 4/10/2024 Nanzi Cruz Cortez Santa Ana CA 92707 US 4/10/2024 MARIADELCARMEN GOMEZ LI Los Angeles CA 90060 US 4/10/2024 Aracely Pacheco Santa Ana CA 92706 US 4/10/2024 Juan Ledezma Santa Ana CA 92703 US 4/10/2024 Jessica Garcia Santa Ana CA 92707 US 4/10/2024 Michelle Martinez Fountain Valle% CA 92708 US 4/10/2024 Josh Standiford Lake Zurich IL 60047 US 4/10/2024 Rodrigo Gomez Westminster CA 92683 US 4/10/2024 Mayra Hernandez Garden Grove CA 92840 US 4/10/2024 Jocelyn Rubio Santa Ana CA 92707 US 4/10/2024 Martha Garcia Santa Ana CA 92704 US 4/10/2024 Elizabeth Alonzo Corona CA 92882 US 4/10/2024 Nora Castro Santa Ana CA 92705 US 4/10/2024 Oscar Avila Santa Ana CA 92706 US 4/10/2024 Delia Ponce Los Angeles CA 90003 US 4/10/2074 Maritza Perez Santa Ana CA 92701 US 4/10/2024 Rosa Quinonez Santa Ana CA 92704 US 4/10/2024 Ariadna Perez Santa Ana CA 92703 U5 4/10/2024 Daniela Chavez Santa Ana CA 92704 US 4/10/2024 Sonia Orozco Santa Ana CA 92703 US 4/10/2024 Alfonso Bustamante Westminster CA 92683 US 4/10/2024 Angelica Belmudez Santa Ana CA 92704 US 4/10/2024 Shem Pamplin Santa Ana CA 92702 US 4/10/2024 Mario Alvarado Santa Ana CA 92703 US 4/10/2024 Jonathan Alvarado Santa Ana CA 92506 US 4/10/2024 Elisabeth Lopez Santa Ana CA 92706 US 4/10/2024 Jennifer Peat Santa Ana CA 92707 US 4/10/2024 Brian Melendez Santa Ana CA 92706 US 4/10/2024 Yasmin Ramirez Santa Ana CA 92703 US 4/10/2024 Miranda Ramirez Santa Ana CA 92706 US 4/10/2024 Karemi Estrella Santa Ana CA 92706 US 4/10/2024 Katherine Agbunag Los Angeles CA 90046 US 4/10/2024 Liz Campos Santa Ana CA 92707 US 4/10/2024 Mika Denny Santa Ana CA 92703 US 4/10/2024 Alba Chavez Santa ana CA 92703 US 4/10/2024 Daisy Flores Tustin CA 92780 US 4/10/2024 JENNIFER GARCIA Santa Ana CA 92704 US 4/10/2024 Vlad Herrera Santa Ana CA 92703 US 4/10/2024 ASTRID GALVEZ Santa Ana CA 92703 US 4/10/2024 Christopher Agbunag Santa ana CA 92706 US 4/10/2024 Maria Sanchez Santa Ana CA 92701 US 4/10/2024 Jose Rodriguez Stanton CA 90680 US 4/10/2024 Veronica Ruiz Westminster CA 92683 US 4/10/2024 Miguel Casillas Anaheim CA 92801 US 4/10/2024 Jessica Aguirre Santa Ana CA 92707 US 4/10/2074 Melissa Cortes Santa Ana CA 92707 US 4/10/2024 Maribele Rojas Santa Ana CA 92704 US 4/10/2024 Iris Reyes Santa Ana CA 92704 US 4/10/2024 Keith Conley Anaheim CA 92801 US 4/10/2024 Cecilia Hernandez Santa Ana CA 92704 US 4/10/2024 Johnny Cruz Santa Ana CA 92707 US 4/10/2024 Brenda Castillo Santa Ana CA 92704 US 4/10/2024 Daisy Herrera Santa Ana CA 92703 US 4/10/2024 Erika Alejandres Tustin CA 92780 US 4/10/7024 Saul Ayala Santa Ana CA 92701 US 4/10/2024 Richard Whitfield Santa Ana CA 92707 US 4/10/2024 Sarah Lamas Santa Ana CA 92704 US 4/10/2024 Bernardina Navarro Westminster CA 92683 US 4/10/2024 Enrique Cortez Santa ana CA 92705 US 4/10/2024 Audrey Jauregui Santa ana CA 92705 US 4/10/2024 Melissa Chavez Anaheim CA 92801 US 4/10/2024 Melanie Torres Santa Ana CA 92701 US 4/10/2024 Dulce Pineda Santa Ana CA 92704 US 4/10/2024 Cindy Esp Santa Ana CA 92707 US 4/10/2024 Hilda Pichardo Santa Ana CA 92706 US 4/10/2024 Jose Ramirez Orange CA 92866 US 4/10/2024 Frank Ybarra 931 N Highlanc CA 92867 US 4/10/2024 Jesus Noriega Santa Ana CA 92701 US 4/10/2024 Jorge Prado Santa Ana CA 92703 US 4/10/2024 Lucy Sanchez Anaheim CA 92804 US 4/10/2024 Claudia Perez Santa Ana CA 92701 US 4/10/2024 Edna Hinojosa Anaheim CA 92801 US 4/10/2024 Rigoberto Jimenez Anaheim CA 92801 US 4/10/2024 Norymar Sori Santa Ana CA 92704 US 4/10/2024 Xochilth Vazquez SANTA ANA CA 92705 US 4/10/2024 Rick Valdez Santa Ana CA 92706 US 4/10/2024 April Salas Santa Ana CA 92701 US 4/10/2024 taia newland Santa Ana CA 92703 US 4/10/2024 Lizette Flores Santa Ana CA 92704 US 4/10/2024 zyonne bandy US 4/10/2024 Flor Paniagua Santa Ana CA 92704 US 4/10/2024 Sergio Martinez Santa Ana CA 92704 US 4/10/2024 Susan Muzila Santa Ana CA 92706 US 4/10/2024 Nelson Piznik Beaufort SC 29906 US 4/10/2074 Karina Velez Santa Ana CA 92703 US 4/10/2024 Mercedes Salazar Orange CA 92866 US 4/10/2024 Sunny Ross Henderson NV 89015 US 4/11/2024 Lupe Perez-Rincon Costa Mesa CA 92626 US 4/11/2024 Abel Arreguin Santa Ana CA 92703 US 4/11/2024 Roman Grandi Santa Ana CA 92703 US 4/11/2024 Yesica Urbano Santa Ana CA 92703 US 4/11/2024 Marisol Cardenas Santa Ana CA 92701 US 4/11/2024 Khristian Vazquez Santa Ana CA 92701 US 4/11/2024 Janice Homstad Santa Ana CA 92701 US 4/11/2024 Ester Flores Santa ana CA 92703 US 4/11/2024 alejandro velasco Westminster CA 92683 US 4/11/2024 Nadia Puente Santa Ana CA 92707 US 4/11/2024 Derrick Sanchez Santa Ana CA 92707 US 4/11/2024 Jackie Garcia Costa Mesa CA 92626 US 4/11/2024 Catalina Lopez Santa Ana CA 92701 US 4/11/2024 Maria Guillen-Lopez Santa Ana CA 92701 US 4/11/2024 Edith Prado Santa Ana CA 92703 US 4/11/2024 Evelyn Mendoza Santa Ana CA 97703 US 4/11/2024 Karen Zuniga Garden Grove CA 92703 US 4/11/2024 Alberto Echeverria Riverside CA 92507 US 4/11/2024 Jesus Zuniga Santa Ana CA 92703 US 4/11/2024 Cruz Almaraz Santa Ana CA 92706 US 4/11/2024 Raychel Z Riverside CA 92504 US 4/11/2024 MIRNA COTA Santa Ana CA 92701 US 4/11/2024 Lisa Vo Anaheim CA 92801 US 4/11/2024 Vannesa Flores Costa Mesa CA 92626 US 4/11/2024 Ana Perez Garden Grove CA 92843 US 4/11/2024 Joshua Mercado Santa Ana CA 92780 US 4/11/2024 Emilio Carbajal Santa Ana CA 92703 US 4/11/2024 Austin Ward Corvallis OR 97330 US 4/11/2024 Griselda Huerta Madera CA 93638 US 4/11/2024 Dallana Muniz Westminster CA 92683 US 4/11/2024 Angel Garcia Santa Ana CA 92704 US 4/11/2024 Lorena Cuica Santa Ana CA 92704 US 4/11/2024 Diamond William Santa Ana CA 92703 US 4/11/2024 quyen dao Anaheim CA 92801 US 4/11/2024 Lymassiel Perez Santa Ana CA 92707 US 4/11/2024 Grn Can Santa Ana CA 92703 US 4/12/2024 Valeria Ruiz Anaheim CA 92805 US 4/12/2024 Silvia Lopez Santa Ana CA 92703 US 4/12/2024 Oddallis Osornio Irvine CA 92614 US 4/12/2024 Diana Hernandez Westminster CA 92683 US 4/12/2024 Angel Nolasco Santa Ana CA 92704 US 4/12/2024 Nancy Franco Anaheim CA 92806 US 4/12/2024 Maria Hernandez Tustin CA 92780 US 4/12/2024 Stephanie Miles Santa Ana CA 92706 US 4/12/2024 David Diaz Santa Ana CA 92704 US 4/12/2024 michael evans Mine Hill Towr NJ 7803 US 4/12/2024 Katie Mayberry Santa Ana CA 92701 US 4/12/2024 Ben Mayberry Santa ana CA 92706 US 4/12/2024 Juan Cohetzaltitla Santa Ana CA 92707 US 4/12/2024 Bianca Cohetzaltitla Santa ana CA 92707 US 4/12/2024 Shauna Ellis Salt Lake City UT 84123 US 4/12/2024 Connie Domi3 Santa Ana CA 92704 US 4/13/2024 Margarita Villasenor Santa Ana CA 92701 US 4/13/2024 alexis gomez santa ana CA 92706 US 4/13/2024 Nataly Rivera Santa Ana CA 92707 US 4/13/2024 Celsy Hernandez Santa Ana CA 92704 US 4/13/2024 Michelle Bretza Santa Ana CA 92701 US 4/13/2024 Harumi Taniguchi Santa Ana CA 92704 US 4/13/2024 Karina Cruz Orange CA 92867 US 4/13/2024 Vanessa Ortega Santa Ana CA 92703 US 4/13/2024 Bediss Bejjar Yorba Linda CA 92886 US 4/13/2024 joannarodas Santa Ana CA 92701 US 4/13/2024 Cristian Martinez Ontario CA 91761 US 4/13/2024 Jasmine Cervantes Santa Ana CA 92706 US 4/13/2024 Jerry Mouse Martinez Estero , FL 33929-017 US 4/13/2024 Yesenia Cruz Santa Ana CA 92703 US 4/13/2024 Leobardo Chamu Santa Ana CA 92701 US 4/13/2024 Brina Ochoa Santa Ana CA 92707 US 4/13/2024 Jazmine Mora Santa Ana CA 92706 US 4/13/2024 Norma Pacindo Santa Ana CA 92683 US 4/13/2024 Helen Guillen Santa Ana CA 92707 US 4/13/2024 Heriberto Mondragon Santa Ana CA 92704 US 4/13/2024 Suzana Gomez Santa ana CA 92703 US 4/13/2024 Laura Santos Westminster CA 92683 US 4/13/2024 Brenda Bravo Santa Ana CA 92706 US 4/13/2024 Evelyn Macias Anaheim CA 92805 US 4/13/2024 Zaira Medina Anaheim CA 92805 US 4/13/2024 Lorraine Cummings Santa Ana CA 92707 US 4/13/2024 Juan Medina Anaheim CA 92805 US 4/13/2024 regina arocha Santa Ana CA 92704 US 4/13/2024 Bernadette Medranda Santa Ana CA 92704 US 4/13/2024 Connie Fields Santa Ana CA 92701 US 4/13/2024 NANCY M Anaheim CA 92805 US 4/13/2024 Rigoberto Garibay Santa Ana CA 92703 US 4/13/2024 Ken Bryson Chandler AR 85224 US 4/13/2024 Brian Magana Santa ana CA 92706 US 4/13/2024 Erica Morales Santa Ana CA 92703 US 4/13/2024 Sarah Gonzalez Santa Ana CA 92707 US 4/13/2024 Griselda Sandoval Santa Ana CA 92701 US 4/13/2024 Oscar Guillermo Los Angeles CA 90011 US 4/13/2024 Adam Mora Santa Ana CA 92706 US 4/13/2024 Natalie Cardona Santa Ana CA 92707 US 4/13/2024 Sisma Catarino Santa Ana CA 92703 US 4/13/2024 Falefitu Liaga Santa Ana CA 92707 US 4/13/2024 Gabriela Alvarez Santa Ana CA 92707 US 4/13/2024 Pamela Martinez Santa Ana CA 92704 US 4/13/7024 Mellie Clark Santa Ana CA 92701 US 4/13/2024 Ivonne Trujillo Santa Ana CA 92704 US 4/13/2024 Briza Morales Santa Ana CA 92704 US 4/14/2024 Ian Bailey Santa Ana CA 92706 US 4/14/2024 Luis Arevalo Los Angeles CA 90028 US 4/14/2024 Maria Perez doloresp62@gmzSanta Ana CA 92701 US 4/14/2024 Brenda Alegria Westminster CA 92683 US 4/14/2024 Juan Rodriguez Santa Ana CA 92703 US 4/14/2024 Stephanie Gallegos Los Angeles CA 90063 US 4/14/2024 Karen Bautista Anaheim CA 92801 US 4/14/2024 Cristina Ruiz Santa Ana CA 92704 US 4/14/2024 Cecilia Huddleson Laguna Niguel CA 92677 US 4/14/2024 Christine kunkel Indio CA 92201 US 4/14/2024 Robert McDearmon Sacramento CA 95821 US 4/14/2024 Uriei Ramirez Laguna Niguel CA 92677 US 4/14/2024 Linda Contreras santa ana CA 92704 US 4/14/2024 Lupe Dreyer Santa Ana 92703 US 4/14/2024 Gisela Contreras Fontana CA 92335 US 4/14/2024 FTes Anaheim CA 92805 US 4/14/2024 Kayla Rivera Anaheim CA 92801 US 4/14/2024 Michelle Porter US 4/14/2024 Azzy Man Orange CA 92869 US 4/14/2024 Lorraine Galvan Santa Ana CA 92705 US 4/15/2024 MARLFNF GARCIA Santa Ana CA 92704 US 4/15/2024 LuzAnna Figueroa Santa Ana CA 92703 US 4/15/2024 Claudia Ruiz Santa Ana CA 92706 US 4/15/2024 Nataly mora Landin Santa Ana CA 92704 US 4/15/2024 Tuan Dung Phan Santa Ana CA 92706 US 4/15/2024 Hilda Kaneko Santa Ana CA 92706 US 4/15/2024 Jerry Kaneko Santa Ana CA 92707 US 4/15/2024 Patricia Burnette Santa Ana CA 92703 US 4/15/2024 Adriana Sanchez Santa Ana CA 92707 US 4/15/2024 Sabatino Stefanile New York NY 10004 US 4/15/2024 Alma Perez Santa Ana CA 92704 US 4/15/2024 Bridget Tardif Santa Ana CA 92703 US 4/15/2024 Lupita Valeriano Santa Ana CA 92701 US 4/15/2024 Teresa Reyes Santa Ana CA 92704 US 4/15/2024 Fernando Espinoza Santa Ana CA 92704 US 4/15/2024 Jennifer Olvera Santa Ana CA 92704 US 4/15/2024 Veronica Garcia Van Nuys CA 91401 US 4/15/2024 Curtis Jewell US 4/15/2024 Hana Iman Falls Church VA 22042 US 4/15/2024 Nathan Martinez Santa Ana CA 92707 US 4/15/2024 Ana Moreno Santa Ana CA 92703 US 4/15/2024 Jaime Eslick Lynchburg TN 37352 US 4/15/2024 Cecelia Klonowski Gonzalez Coraopolis PA 15108 US 4/15/2024 Bobby Hempfling Austin TX 78746 US 4/15/2024 Maria Melgarejo Anaheim CA 92805 US 4/15/2024 Tyron Faletoi Garden Grove CA 92840 US 4/15/2024 Baldemar Ramos Los Angeles CA 92703 US 4/16/2024 Patty gomez Santa Ana CA 92705 US 4/16/2024 Lourdes Santa Ana CA 92701 US 4/16/2024 Miguel Brito Santa Ana CA 92704 US 4/16/2024 Robert Ortiz San Francisco CA 94945 US 4/16/2024 Xitlaly Cadena Santa Ana CA 92704 US 4/16/2024 Brianna Huerta Santa Ana CA 92707 US 4/16/2024 Betzy Martinez Los Angeles CA 90002 US 4/16/2024 Nora Martinez Anaheim CA 92805 US 4/16/2024 Bryan Marroquin Anaheim CA 92805 US 4/16/2024 breannavazquez Santa Ana CA 92703 US 4/16/2024 Stephanie Martinez Buena Park CA 90620 US 4/16/2024 Salvador Hernandez Santa Ana CA 92707 US 4/16/2024 Melissa Regalado Los Angeles CA 90059 US 4/16/2024 Briana Vargas Santa Ana CA 92704 US 4/16/2024 Marianela Barragan Avila San Jose CA 95127 US 4/16/2024 Lizette Lopez Orange CA 92868 US 4/16/2024 Jorge Baez Orange CA 92868 US 4/16/2024 Monserrat Gomez Santa Ana CA 92704 US 4/16/2024 Miguel Camino Santa Ana CA 92704 US 4/16/2024 Danna Trujillo Anaheim CA 92801 US 4/16/2024 Lorenzo Camarillo Aurora IL 60505 US 4/16/2024 Agustin Jauregui Santa Ana CA 92707 US 4/16/2024 Julissa Garibay Costa Mesa CA 92626 US 4/16/2024 Josslyn Orellana Santa Ana CA 92703 US 4/16/2024 Dale Helvig Santa Ana CA 92704 US 4/16/2024 Christine Denny-Helvig Santa Ana CA 92704 US 4/16/2024 Petition Against the Application Submitted by the Harm Reduction Institute (HRI) to Operate a Needle Distribution Program in Santa Ana The California Department of Public Health's approval of a needle exchange program poses serious concerns regarding public health, safety, and the well-being of our community. A needle distribution program that operated in Santa Ana from 2016 to 2018, resulted in 250,000 used syringes being discarded in public areas frequented by children, including the Civic Center, library, senior center, neighborhoods, and businesses. Presently, HRI plans to operate a needle distribution program in our community that would, on an annual basis, provide 300,000 syringes --while only collecting 180,000. This means that 120,000 needles annually could be discarded in public areas. The operation of a needle distribution program by HRI would seriously jeopardize the health, safety, and well-being of our youth, neighborhoods, and businesses. We cannot afford to ignore the negative impacts that a needle exchange program will have on our community. Not accounting for 120,000 needles in our community is unacceptable. We, the undersigned residents of the flO;ie ' FLIrK. Neighborhood, are concerned residents who oppose the application submitted by the Harm Reduction Institute (HRI) to operate a needle distribution program in Santa Ana. Name Signature Address Date ) Ll ` �-� 2 L( Nl Ap-k -?-_ S t C ,uA- r j ea PLOD?- S D perp Lkj -,�- - f�