►
Description
Regular Meeting of the Buncombe County Board of Commissioners' From June 5, 2018. Part 2 of 3. To view the meeting agenda or future meeting agendas, please visit buncombecounty.org/commissioners.
A
B
All
right,
chair,
Newman
and
commissioners.
Thank
you
for
this
opportunity
to
speak
to
you
tonight.
So,
as
we
all
know,
the
ongoing
opioid
and
injection
drug
use
epidemic
has
raised
significant
public
health
concerns,
including
those
about
overdose
deaths,
communicable
diseases
and
unsafe
needle
disposal.
B
We
have
heard
stories
in
these
meetings
and
many
of
us
have
stories
of
our
own
about
seeing
used
syringes
on
the
ground
in
our
community
or
clogging
up
toilets
in
public
housing
complexes
or
of
employees
at
local
businesses
or
sanitation
workers
suffering
from
needle
stick.
Injuries
from
syringes
that
were
thrown
into
regular
trash
cans
and
I.
Think
it's
important
for
us
to
remember
that
syringes
are
used
by
a
wide
swath
of
our
population.
B
People
use
them
to
inject
substances
that
are
illicit
like
heroin
and
other
opioids
methamphetamine,
but
we
also
have
many
medications
these
days
that
are
injected
from
the
long-standing
insulin,
as
well
as
many
rheumatologic
and
autoimmune
medications.
And
so
we
need
to
recognize
that
there
is
an
increase
in
the
use
of
syringes
by
many
people
in
our
community
and
that
we
need
to
make
easy
access
to
disposal
a
priority,
and
so
Buncombe
County
has
starting
to
explore
or
continuing
to
explore
opportunities
to
make
safe
needle
disposal
more
accessible
to
residents.
B
So
working
on
increasing
public
awareness
about
what
safe
dispose
Sharp's
is
to
invest
in
community
organizations
that
are
engaged
in
trash
pickup
to
provide
them
with
tools
and
training
to
ensure
that
they're,
safe
and
working
with
solid
waste
department
so
I
know.
Dan
is
back
there
working
with
the
solid
waste
department
to
increase
the
availability
of
sharps
disposal
units
throughout
the
county
and
public
locations.
B
So
Dana's
working
on
finalizing
expansion
of
household
sharps
disposal,
access
points
in
the
county
to
include
the
landfill,
as
well
as
the
the
SOL
site
currently,
which
is
at
the
transfer
station.
So
I
think
that
we
have
great
opportunities
to
make
it
even
more
accessible
to
people
in
our
community.
B
With
regards
to
communicable
diseases
that
are
potentially
related
to
injection
drug
use.
This
is
a
graph
from
North
Carolina,
local
health,
director
region,
2,
and
so
that
includes
Buncombe,
but
also
Avery,
Burke,
Caldwell,
Henderson,
Madison,
McDowell,
Mitchell,
Polk,
Rutherford
and
Yancey
counties,
and
so
this
is
looking
at
acute
hepatitis,
B
confirmed
cases
from
2012
to
2016,
and
we
can
see
the
significant
rise
in
acute
hepatitis
B
over
these
years
in
this
region.
B
Recently,
the
North
Carolina
Department
of
Health
and
Human
Services
reported
that
from
2012
to
2016
newly
diagnosed
cases
of
hepatitis
B
in
the
state
increased
by
62%
and
newly
diagnosed
cases
of
hepatitis,
C
increased
by
200%
in
North
Carolina
as
a
whole.
Acute
hepatitis,
B
virus
exposure
through
injection
drug
use
has
also
been
increasing.
Since
2014
and
the
highest
rates
of
acute
hepatitis
B
in
North
Carolina
were
among
residents
in
Western
North
Carolina.
B
This
graph
shows
again
region
two.
This
is
looking
at
acute
hepatitis,
C
confirmed
cases,
and
you
can
again
see
the
increase
from
2012.
The
most
frequently
reported
risk
factor
by
people
with
acute
hepatitis.
C
virus
infection
is
injection
drug
use
and
we
know
that
acute
Hep,
C
exposure
through
injection
drug
use
has
been
increasing
since
2013
and
again,
the
highest
rates
of
acute
hepatitis,
C
in
the
state
are
being
seen
in
Western
North,
Carolina
residents.
B
We
know
that
hepatitis,
B
and
C
are
very
Hardy
viruses
and
can
live
for
days
to
weeks
outside
of
the
body,
and
we
know
that
they're
very
highly
infectious
I
think
when
people
think
about
injection
drug
use
or
a
needle
stick
injury.
They
first
get
worried
about
HIV,
which
is
fine
and
appropriate,
but
hepatitis
B
is
a
hundred
times
as
infectious
as
HIV
and
hepatitis.
C
is
ten
times.
That's
infectious,
so
we
know
these
things
are
very
easily
transmitted
through
through
injection
drug
use.
B
So
people
with
HIV
aren't
just
infected
with
HIV
they're,
often
infected
with
hepatitis,
B
and
potentially
even
hepatitis
C,
and
the
CDC
has
recognized
that
Western
North
Carolina
is
vulnerable
to
an
outbreak
of
HIV,
similar
to
that
that
was
seen
in
Scott
County
Indiana
several
years
ago.
Small
rural
community,
high
rates
of
poverty
and
unemployment,
and
so
people
were
sharing
their
injection
drug
use
equipment
in
a
county.
That's
all
very
few
cases
of
HIV
a
year.
B
It
had
an
exponential
increase
to
100
over
100
cases
in
a
year,
and
so
the
state
has
been
very
highly
focused
on
Western
North
Carolina.
They
were
out
here
recently
exploring
and
investigating
a
network
of
injection
drug
users
in
the
western
part
of
the
state
where
they
were.
They
were
seeing
an
increase
in
HIV
and
hepatitis
cases
and
then
something
that
isn't
necessarily
reportable
disease
to
Public
Health,
but
are
things
that
we
know
we're
hearing
from
Mission
Hospital
that
they're
seeing
increases
in
infectious
endocarditis?
B
So
in
fact,
of
the
heart
valves
related
to
injection
drug
use,
a
very
costly
treatment
weeks
of
an
intravenous
antibiotics.
For
this,
which
again
is
a
burden
on
not
just
the
individual
suffering
from
that,
but
our
entire
healthcare
system
and
community,
and
so
just
looking
at
picking
that
data
down
to
our
local
level.
This
is
our.
This
is
data
from
Buncombe
County,
our
acute
hepatitis,
B
cases.
The
2017
data
is
not
yet
finalized.
B
B
And
so
a
public
health
approach
to
reducing
the
spread
of
communicable
diseases
through
injection
drug
use
is
harm
reduction
and
harm
reduction
strategies
are
all
about
reducing
the
harmful
consequences
of
drug
use
and
other
high-risk
behaviors,
and
they
operate
on
a
spectrum
of
safer
use
to
managed
use
to
abstinence
right.
We
know
I
know
in
my
clinic
work
that
it's
really
hard
to
go
in
and
talk
to
somebody
who's,
a
smoker
or
who's
engaging
in
sexual
activity
to
go
and
get
them
to
to
become
abstinent.
B
All
of
a
sudden
right
that
that's
not
my
reality
and
it's
the
same
way
with
with
drug
use,
and
so
we
employ
harm
reduction,
routinely
medication-assisted
treatment
which,
at
the
opioid
town
halls
you've.
You've
talked
about
or
heard
about,
medication
assistant
treatment
with
with
methadone
or
buprenorphine.
B
B
This
is
what
they
look
at
is
like
the
idea
of
components
of
a
syringe
exchange
program
and
just
to
give
a
little
background
on
the
law.
So
in
July
on
July
11,
2016,
North,
Carolina
law
allowed
for
the
legal
establishment
of
syringe
exchange
programs
run
by
governmental
and
non-governmental
organizations
in
the
state,
and
the
law
requires
free
access
to
syringes
and
injection
supplies
and
sufficient
quantities
to
prevent,
sharing
or
reusing
of
supplies.
B
That
would
allow
allow
local
funds,
but
still
not
state
funds
to
be
used
for
purchasing
the
syringe
exchange
supplies
and
the
North
Carolina
communicable
disease.
Branch
of
the
division
of
Public
Health
has
really
sought
to
integrate
syringe
exchange
programs
into
other
programs
that
have
shared
goals
of
prevention
and
treatment
and
care
for
HIV
and
viral
hepatitis
and
sexually
transmitted
infections.
And
so,
when
I
look
at
this
graphic
and
I
think
about
our
clinic,
we
do
a
lot
of
this
already,
so
we
clearly
provide
hepatitis,
A,
&,
B
vaccination.
B
We
provide
testing
for
HIV
and
hepatitis
and
Link
people
to
treatment
and
care.
We
offer
the
tools
to
prevent
HIV
and
hepatitis
through
education
and
counseling
through
provision
of
condoms.
We
do
post-exposure
prophylaxis
currently
for
HIV.
We
screen
people
for
substance,
use
disorder
and
try
to
link
them
to
care.
We
screen
for
mental
health
services
and
try
to
link
them
to
care,
so
the
things
that
we
don't
currently
do
are
we
don't
provide
naloxone
for
overdose
prevention.
We
don't
necessarily
advertise
safe
disposal
of
needles
and
syringes.
B
This
slide
is
to
show
that
syringe
exchange
is
mentioned
as
part
of
the
state's
opioid
response.
This
is
from
a
presentation
given
by
the
section
chief
of
the
chronic
disease
and
injury
section
of
the
division
of
Public
Health,
and
it
talks
about
how
syringe
exchange
is
a
way
to
engage
people
who
are
already
caring
about
their
health
and
to
get
them
connected
and
to
care
for
their
addiction.
B
This
is
a
map
current
as
of
April
30th
of
this
year.
That
shows
the
counties
that
currently
are
served
by
syringe
exchange
programs.
This
is
showing
that
there
are
29
active,
syringe
exchange
programs
that
cover
34
counties.
I
would
say
that
we
know
that
at
least
one
of
our
syringe
exchange
programs
locally
and
probably
both
definitely
see
people
coming
from
other
counties
surrounding
counties
to
get
services.
B
B
Some
funding
from
the
county
and
I
want
to
acknowledge
the
staff
of
NEPA
and
steady
who
are
here
tonight
because
I
know
some
of
them
are
here.
So
if
you
would
grace
or
stand
or
do
something
recognize
yourself,
these
existing
syringe
exchange
programs
have
worked
really
hard
for
years
and
in
the
case
of
NEPA
for
decades
to
protect
individual
and
public
health
and
our
in
our
community
and
I.
We
in
public
health
are
very
grateful
for
their
service
and
dedication
and
commitment
to
an
often
like
we
mentioned
often
stigmatized
and
marginalized.
B
Population
and
I
truly
believe
that
without
their
services,
the
numbers
of
hepatitis
and
HIV
cases
in
our
county
would
be
much
higher.
I
think
that
they
have
helped
shield
many
people
from
those
infections,
and
so
so.
Our
next
steps
at
this
point
are
to
continue
to
collaborate
with
the
needle
exchange
program
of
Asheville
and
study.
B
To
identify
areas
of
unmet
need
for
syringe
exchange
in
harm
reduction
in
our
County,
something
that
has
surfaced
and
some
conversations
as
far
is
the
need
in
our
community
for
a
mobile
unit
that
would
get
out
to
outlying
areas
of
our
County,
where
people
are
unable
to
come
into
the
to
get
services,
and-
and
so
that's
something
that
that
has
come
up
that
we'd
like
to
explore
and
then
we
would
also
want
to
learn
from
the
North
Carolina
health
departments
that
have
syringe
exchange
programs.
Currently.
B
So
there
are
three
counties:
Orange
County,
Wilson,
County
and
Cabarrus,
where
they
have
their
health
departments,
have
syringe
exchange
programs
and
so
I've
connected
with
all
of
them
and
I'm
trying
to
learn
from
them
about
what
type
of
model
they
use
and
how
what's
worked.
What
hasn't
worked,
but
we
need
to
recognize
that
people
who
use
drugs
may
not
be
comfortable
coming
into
a
government
agency
and
willingly
talking
about
their
drug
use.
B
I
mean
we
ask
those
questions
of
clients
currently
in
our
clinic,
but
they're
they're
coming
to
us
for
other
services,
and
so
we
anticipate
that
that
hesitation
will
be
there
and
especially
at
40
cocked
Avenue,
where
we
have
deputies
present
in
the
lobby.
We
know
that
that
is
a
potential
concern
that
may
be
a
deterrent
to
people
coming
to
us.
B
Syringe
exchange
programs
there's
no
way
that
a
clinic-based
syringe
exchange
program
would
ever
be
able
to
meet
the
demand
that
they
have
met
so
well
over
the
path
of
the
many
years.
I
think
that
we
there
are
different
populations
that
are
served
by
the
different
programs
and
and
different
opportunities
and
and
so
I,
don't
ever
I
don't
want
to
take
away
from
what
greatness
they've
been
able
to
accomplish
in
our
community
and
so
based
on
all
that
information.
B
We
would
like
to
design
a
clinic
based,
syringe
exchange
program
for
our
Health
Department,
Health
and
Human
Services,
and
and
consider
it
another
access
point
for
the
community
and
then
going
back
to
what
I
started
out
with.
We
really
want
to
focus
on
educating
the
public
about
safe
sharps
disposal
and
make
it
easier
for
people
to
safely
dispose
of
their
sharps
throughout
the
county.
So
if
you
have
any
questions-
and
we
have
experts
in
the
room
clearly
but
I,
thank
you
for
your
time.
C
You
know
people
can
be
torn
with
with
this
issue,
and
so
you
know
for
me
personally
and
there
there's
there's
a
few
quite
a
few-
that
think
the
way
that
I
do
I
think
that
you
know
I
I,
don't
think
anybody's
really
interested
in
in
promoting
bad
behavior
when
it
gets
down
to
it.
I'm
not,
but
I
do
support
saving
lives
there.
It
is.
It
is,
and
should
be
a
goal
of
this
county
to
compassionately.
C
Reach
out
I
do
think
that
abstinence
can
be
a
reality
with
compassionate
counsel
and
family
and
faith
support.
I
do
think
that
all
of
these
things
can
work
together
to
achieve
the
goals
that
I
believe
that
you're
after
and
I.
Thank
you
for
your
presentation
and
I.
Think
those
that
have
passionately
came
in
and
presented
many
many
times
for
this
and
have
listened
to
our
advice
to
come
in
and
do
it.
C
It
is
something
that
people
are
torn,
you
know
with
their
deep
beliefs,
and
but
if
we,
if
we
can
save
lives
in
Buncombe
County,
then
that
gives
those
that
believe
in
outreach
through
faith
and
opportunities
to
exercise
that
and
I
see
this
as
as
something
that
gives
that
opportunity
and
for
me
I.
Thank
you
for
coming
and
presenting
it.
I.
D
We
know
now
that
heroin
is
a
whole
different
ballgame.
It's
a
disease
was
rain.
Nobody
intentionally
goes
down
this
path,
and
if
someone
had
cancer,
we
would
never
ever
think
of
not
giving
them
treatment
and
addiction.
It's
not
it's
not
a
choice.
People
become
addicted.
We
know
now
that
8
out
of
10
people
that
are
addicted
to
heroin
started
with
legal
prescriptions,
so
I
think
every
I
think
this
is
just
one
part
of
what
we
can
do
in
our
community,
but
nobody
wants
to
be
addicted
to
heroin.
D
C
Know
I
want
to
meet
someone
who
mentioned
something
else
as
a
young
man
that
that
I
knew
still
know.
Thank
goodness
that
I
know
who
says,
since
he
was
young
man,
he
attended
our
church
and
because
of
some
of
the
reasons
that
you
discussed,
you
know
who
he
was
around
where
you
live.
You
know
his
economic
impact
upon
his
household,
whatever
the
reason
he
he
ended
up.
C
You
know
he
ended
up
in
the
hospital
and
they
were
cleaning
out
his
heart.
He
was
in
his
20s
and
I
went
to
see
him
and
there's
only
one
thing
on
your
mind
when
you
go
to
see
someone,
that's
in
that.
In
that
condition,
it
is
not
how
they
got
there.
It
is
not
how
they
got
there.
It
is
to
fix
it
and
to
keep
that
person
from
getting
back
in
that
situation
again
and
I.
Think
every
Commissioner
up
here
you
know,
believes
that
supports
at,
but
it
touches
everyone
in
the
in
the
community.
C
So
there's
nobody
that's
sitting
on
a
high
horse.
When
we
talk
about
this
it
you
know
somebody,
you
know
either
close
to
you
or
in
your
family
or
your
church,
family
or
or
where
you
work,
and
it's
it's
a
big
deal,
so
they
mean
to
talk
so
much
best.
Couple
things
on
the
heart
figure:
I'd
get
them
off.
If
I,
don't
get
rid
of
my
exploding.
They've
got
a
deal
with
me
in
the
back,
so
we
don't
want
to
do
that.
Thank.
E
You
for
coming
just
echo
that
to
say
thank
you
to
you
and
community
partners
in
the
room
and
folks
at
Health
and
Human.
Services
who've
worked
really
hard
on
this.
The
thoughtfulness
of
it
and
the
compassion
is
really
evident
in
the
way
you're
approaching
this
process
and
just
to
echo
that
I
do
think
it's
important.
We
talk
about
addiction
and
how
many
lives
have
been
touched
by
it.
E
My
family
certainly
has
and
I
think
anyone
who
has
struggled
with
addiction
or
or
has
loved
someone
who
has
knows
and
a
in
a
heartbreaking
way
what
what
that
can
do
to
someone's
life
into
a
family
but
also
what's
possible
and
that
sometimes
recovery
starts
with
waking
up
one
day
and
feeling
ready
to
do.
One
thing
you
weren't
ready
to
do
the
day
before
so
the
more
I
think
our
community
can
be
creating
openings
like
that
and
opportunities
and
and
I.
You
know
this.
E
A
Do
have
a
couple
of
a
couple
of
quick
questions,
so
there's
there's
34
counties
across
the
state
that
have
some
type
of
syringe
exchange
program
operating
within
the
counties.
Three
of
those
are
operated
from
county
facilities,
and
so
I
guess
all
the
others
are
operated
out
of
some
type
of
private
or
nonprofit
facilities.
Is
that
right,
yeah.
B
A
A
Wilson,
okay
and
water
and
water
I
mean
I'm
curious.
When
you
think
about
the
you
know
the
local
government
facilities
versus
community,
you
know
private
facilities,
I.
Certainly
you
know
your
comment
that
some
folks
are
not
going
to
come
into
a
government
facility.
You
know
and
would
naturally
maybe
be
you
know,
oriented
around
going
to
a
private
facility
within
the
community
when
you
think
about
the
local
government
facilities.
What
are
some
of
the
you
know
the
pros
and
cons
of
thinking
about
doing
it
directly
from
those
facilities
as
well,
so.
B
When
I
think
about
our
model
at
Health
and
Human
Services,
we
always
talk
about
being
a
one-stop
shop
right
where
people
come
and
get
everything
they
need,
and
so
I
I
feel
like
that
would
fit
into
that
model.
If
you
have
that
sort
of
robust
agency
like
we
will
have
when
we
move
back
to
40,
Cox
I
think
it
just
fits
it's
a
public
health.
So
it's
just
another
public
health
service.
B
B
Wilson
County
I'm
still
waiting
to
connect
with,
but
they
I
think
they
also
they
have
it
within
their
health
department
and
then
they
also
partner
with
a
nonprofit
that
goes
out
into
the
community
and
does
maybe
more
mobile,
so
I
can't
say:
I've
been
necessarily
blown
away
by
the
volume
that
any
of
these
do.
At
this
point
and
I
think
that
that
may
be
because
they're
housed
in
a
government
agency.
B
A
And
but
you
feel,
like
you
know,
there's
you're
sort
of
looking
at
these
gaps.
What
else
can
be
done
in
the
future,
but
based
on
the
you
know,
the
process
you've
gone
through
so
far.
You
feel
like
there's
enough
information
to
be
clear
that
we
should
you
know
in
addition
to
supporting
that
partnerships
in
the
community.
This
is
something
that
should
be
one
place
in
the
community
where
this
is
a
resource.
May.
B
We
know
that
we
see
people
who,
because
we
asked
if
they
use
injection
drugs,
and
so
we
know
we're
seeing
people
and
so
right
now
we
just
give
out
information
about
NEPA
and
steady
and
encourage
them
to
go.
But
it's
it's
that
barrier
right,
we're
putting
another
barrier
in
front
of
them
and
versus
if
we
could
just
hand
them
for
supplies
and.
B
I
mean
we're
not
projected
I,
don't
think
to
move
back
to
our
40
cox.
Building
until
the
february
there
are
currently
space
is
not
I
would
say
conducive
at
all
to
see
this,
but
I
think
that
if
we
have
these
next
several
months
to
plan
it
I
would
hope
that
we
could
initiate
that
upon
entry
into
back
into
40
Cox.
A
Yeah
all
right
well,
I
would
also
just
want
to
say
thanks
for
the
update,
you
know,
I
think,
as
we've
discussed
before
we're
just
looking
for
different
ways
that
we
can
try
to
make
a
positive
difference
on
this
and
I
know
that
you
know
when
this
idea.
First,
you
know
started
getting
some
more
attention.
Think
thanks
to
some
of
the
folks
in
the
community
who
are
really
engaged
on
this
issue.
You
know
it's
it's
something
that's
been
I,
think
you
know.
A
A
But
when
we
look
at
the
status
quo
and
then
you
know
we,
we
see
that
that
not
doing
something
creates
its
own
additional,
worse
problems
in
some
ways,
so
I'm
really
supportive
of
what
the
county
is
doing
in
this
arena
to
both
support
partners,
who've
been
doing
it
for
a
long
time
and
then
looking
at
what
we
can
do
and
should
be
doing
in
house
too.
So
I
really
appreciate
the
update
and
I
do.
F
C
A
reality
here,
but
for
some
people
that
can
be,
and
it
needs
to
be,
and
it
it
is
a
journey
that
as
a
county
that
that
needs
to
be.
As
as
we
look
at
these
things,
we
need
to
be
prepared
to
have
those
conversations
have
those
discussions,
because,
ultimately
we
want
to
help.
You
know
an
individual
to
reconnect
with
with
someone
whether
it
be
family
or
faith
or
friends
to
where
that
can
become
very
much
a
reality
for
them,
because,
ultimately,
that's
that's.
C
B
C
A
H
G
Nygaard
I
am
I,
have
the
privilege
of
working
as
director
of
strategic
partnerships
and
in
that
role
get
to
work
with
those
partners
that
are
working
to
increase
access
to
early
care
and
education
to
partner
with
our
departments
and
community
organizations
on
preventing
and
responding
to
opioid
addiction
and
other
topics
like
our
criminal
justice.
So
this
evening
is
to
provide
an
update
to
you
about
some
of
the
latest
work
that
has
been
occurring
related
to
criminal
justice
and
to
share
with
you
about
an
exciting
grant
opportunity.
That's
before
us.
G
We
have
spent
a
lot
of
time
over
the
last
year
together
talking
about
issues
related
to
criminal,
justice
and
justice,
resource
support
and
coordination
to
begin
just
setting
the
stage
as
a
reminder
that
this
is
one
of
the
top
policy
items
that
this
board
has
established,
with
the
priority
being
to
coordinate
a
justice
system
that
is
efficient,
effective,
equitable
protects
our
public
safety
and
holistically
addresses
the
needs
of
people
who
are
involved
in
the
system.
We
we
approach
that
priority
through
a
number
of
activities
and
goals
that
are
listed
here.
G
G
Over
the
last
year,
like
I,
said,
we've
been
working
together
pretty
closely
and
intensely
hired
justice,
Resource
Coordinator
Tiffany
Hanna
chodas
in
the
room
this
evening.
It's
it's
hard
to
believe
that
she's
been
on
board
less
than
12
months.
We
created
a
justice
resource,
Advisory
Council.
That's
that
criminal
justice
steering
committee
we've
made
up
of
partners
and
stakeholders
within
the
system
that
work
together
to
launch
their
first
initiative,
which
is
the
justice
Resource
Center,
which
I'll
talk
about
just
a
little
bit
in
a
second.
G
G
Resource
Center
opened
last
October
and
has
already
served
more
than
600
people
in
the
center
helping
people
get
access
to
case
management
to
diversion
services,
career
educator
in
navigation
and
education,
opportunities,
connection
to
benefits,
reentry
and
ex
function
really
providing
that
place
of
opportunity
for
people
who
are
involved
in
the
justice
system.
No
matter
what
place
they
are
with
their
justice
system,
man.
We
thank
the
commissioners
for
your
investment
in
these
services
and
thank
those
on-site
partners
that
are
there
every
day,
delivering
services
with
dignity
and
care
to
those
individuals.
G
This
is
the
national
conversation,
here's
what
they
have
to
say
on
the
topic.
The
primary
purpose
of
jails
is
to
detain
those
awaiting
trial
who
are
a
danger
to
public
safety
or
a
flight
risk.
Jailing.
Someone
who
is
neither
results
in
huge
costs
for
families
and
communities
resulting
in
lost
income
parents
separated
from
their
children,
untreated
mental
health
and
substance
abuse
problems,
a
greater
risk
of
reoffending
and
wasted
taxpayer
dollars,
and
so
the
MacArthur
Foundation
is
setting
out
to
work
with
jurisdictions
across
the
country
to
rethink
how
we
use
jails.
G
Many
of
the
people
in
our
jails
are
there
for
nonviolent
offenses
and
we
have
hard
realities
to
face
related
to
the
disparities
in
our
deal
and
in
jails
across
the
country.
More
people
with
mental
illness
and
substance
abuse
disorders
are
in
jail
than
are
represented
in
the
gym.
Public
and
african-americans
are
jailed
nationally
at
almost
four
times
the
rate
of
white
Americans.
Our
preliminary
analysis
of
local
data
show
that
those
disparities
ring
true
here
in
our
in
our
own
community
as
well.
G
We
can
house
between
500
and
600
maximum
individuals
in
in
the
jail
at
any.
Given
time
we
have
the
makeup
of
those
that
are
in
our
jail
again
just
like
nationally.
We
see
that
most
people
that
are
in
the
jail
are
there
at
a
pretrial
status,
a
waiting
resolution
of
their
case.
We
do
have
some
sentenced
individuals
through
the
say,
short
state
sentences,
like
the
state
misdemeanor
confinement
program.
G
G
7300
people
roughly
that
were
released
from
the
jail
over
a
year's
time
that
was
in
this
looked
at
and
this
an
hour.
I
find
this
pretty
staggering.
Almost
a
third
of
those
individuals
had
three
or
more
releases
in
that
year,
almost
a
third
29%
you'll,
see
they're
listed
10%
had
five
or
more
releases
in
that
time.
So
we
know
that
we
have
work
to
do
the
particular
grant
opportunity
that
we're
discussing
is
related
to
its
the
safety
and
justice
challenge.
Grant
Buncombe
County
was
a
previous
recipient.
G
The
Board
of
Commissioners
approved
through
budget
amendment,
the
use
of
those
funds.
It
was
a
smaller
grant,
$50,000
that
was
funded
in
our
pretrial
services
program
on
a
specific
project
related
to
domestic
violence
protocol
as
a
result
of
our
performance
on
that
grant,
and
as
a
result
of
that
strong
track
record
that
we
are
that
we
have
we've
been
invited
to
apply
for
the
full
implementation
grant,
which
is
up
to
two
million
dollars
over
two
years.
This
is
a
grant
that
requires
system
approaches.
G
It
requires
collaboration
from
our
partners
at
a
level
that
at
a
high
intensity
level
and
has
those
same
emphasis
that
we
have
locally
around
protecting
safety
and
ensuring
wellness
our
partners
in
the
newly
formed
justice
resource
Advisory
Council,
many
of
whom
are
here
this
evening
and
I
thank
them
for
their
support,
and
their
leadership
are
here
as
a
reminder.
Some
of
the
places
of
strength
that
we're
beginning
from
we
have
a
below-average
incarceration
rate.
The
work
that
we've
been
doing
for
diversion
over
the
over
the
past
decades
is
working.
G
G
We
have
growth
in
our
jail
population,
rising
numbers
of
women
in
jail.
We
have
when
we
look
at
the
number
of
people
that
detox
they
have
a
detox
protocol
while
they
are
staying
in
our
Jail,
whether
that's
for
opioids
or
alcohol,
or
anything,
those
numbers
are
severely
rising.
We
have
lengths
of
stay
for
nonviolent
charges.
We
have
people
who
cycle
in
and
out
of
the
jail.
G
We
have
a
lot
of
growth
in
our
pretrial
supervision
and
want
to
make
sure
that
we're
using
that
smartly,
not
over
supervising
people
that
don't
need
a
lot
of
supervision
in
order
to
reappear
in
court
and
stay
safe
during
their
time.
We
want
to
make
sure
that
we're
using
that
supervision,
smartly
for
those
who
need
it
most
and
then,
like
I,
said,
we've
got
those
disparities
to
face
and
we
have
lack
of
public
confidence
in
many
of
the
areas
within
our
criminal
justice
system
that
we
would
use
this
grant
to
address.
G
Signing
on
to
be
a
part
of
the
safety
and
justice
challenge
means
committing
to
a
jail
population,
reduction
of
15%
or
more.
That
is
significant,
given
that
we've
been
busy
doing
diversion
and
jail
population
reduction
efforts
for
years.
The
385
number
is
smaller
than
that
500
number
that
I
had
up
on
the
screen
earlier,
because
it's
it's
it's
based
on
a
figure
that
removes
those
contract
feds
and
removes
the
state
sentence
beds,
and
so
385
is
our
baseline
down
by
15%
or
more.
G
The
justice
resource
Advisory
Council,
together
with
the
staff
support
team,
have
been
busy
working
over
the
past
five
weeks
to
develop
strategies
and
activities
within
those
strategies.
Very
many
of
those
follow
the
conversation
that
we
had
with
the
Board
of
Commissioners.
When
we
met
about
the
detention
facility
last
fall
and
we
were
charged
by
the
board
to
find
are
there
any
stones
that
we
haven't
turned
over?
G
Are
there
any
strategies
and
efforts
and
reforms
going
on
in
other
jurisdictions
across
the
country
that
we
haven't
yet
tried
or
fully
maximized,
and
we
have
built
a
portfolio
of
strategies
that
we
propose
to
the
safety
and
justice
challenge
and
when
we
submit
our
application
to
them?
June
15th,
that's
next
Friday,
10
days
from
now,
we
will
include
those
with
the
support
of
the
county
and
with
the
support
of
those
justice,
Resource
Partners.
We
we
anticipate
that
we
will
join
a
small
number
of
jurisdictions.
G
There
are
only
20
communities
across
the
country
that
are
part
of
the
safety
and
justice
challenge
at
this
time
to
join
them
and
be
continue
our
leadership
across
the
country
in
criminal
justice,
regardless
of
the
outcome
of
that
grant.
We
are
here
with
you
and
with
the
support
of
our
partners,
I'm
working
on
these
efforts
over
the
long
haul.
A
A
I
think
this
said:
does
any
Commissioner
wanted
TS
offer
I'll
be
happy
to
so
we
I'll
just
jump
in
so
we
we
have
gone
through
a
process
to
do
interviews
in
a
search
process
for
a
new
County
Commission
attorney
as
I.
Think
folks
will
recollect
Bob,
Noyce
retired
late
last
year.
A
The
position
has
been
vacant
since
then,
so
we've
gone
through
a
process
to
advertise
for
a
new
attorney
that
would
represent
the
County
Commission
and
we
had
a
number
of
really
great
folks
apply
and
we've
gone
through
a
process,
and
so
that
has
led
us
to
a
resolution
to
appoint
Heather
Hockaday
to
serve
as
the
new
County
Commission
attorney.
This
is
a
considered,
a
part-time
position
and
are
there
other
comments?
Other
commissioners
would
want
to
add
at
this
time.
C
I'm
gonna
do
that
good
I
would
say
that
I've
had
an
opportunity
to
visit
with
with
Miss
Hockaday
and
found
her
to
be
a
good
fit
I
believe
for
Commission
we're
needing
someone
to
sit
over
there.
Their
reflection
on
mr.
Frey
he's
got
a
big
job.
We
need
someone
to
sit
over
there
that
handles
us
within
here
and
answer
his
other
questions.
You
know
outside
of
that,
and
you
know
and
I
believe
she'll.
Do
it
she'll
do
a
good
job,
for
experience
comes
out
of
how
the
Burnsville
right.
C
I
H
A
Everyone
please
speak
into
the
microphone,
so
the
the
contract
is
a
public
contract
as
a
person
that
reports
directly
to
the
board,
so
that
is
a
public
contract,
so
we'll
be
happy
to
get
that
for
any
members
of
the
public
that
are
interested
I
believe,
but
just
to
sort
of
summarize
some
of
the
key
elements
of
it.
The
county
is
contracting
for
sort
of
a
base
amount
of
time
of
10
hours
per
week,
working
for
the
county
ma.
C
A
You
for
making
sure
I
get
it
right
and
then
would
be
compensated
on
an
hourly
basis
at
$150
an
hour
for
any
time
above
and
beyond
that
am
I
gonna
get
the
rest
of
it
right.
That's
correct,
okay,
great
all,
right
any
other
questions
or
comments
from
the
board.
We
will
take
public
comment
on
this
once
there's
a
motion.
I'll
make
a
motion
to
approve.
G
A
J
Brownie
I,
thank
you
for
reply.
I.
Did
it
private,
so
I'll?
Do
it
in
public,
because
you
do
something
good
I
tell
you
that.
Would
you
do
something
bad
I
tell
you
that
I
don't
want
to
change,
appreciate
you
taking
public
comment
on
it.
I
also
appreciate
you
having
this
as
a
at
least
a
resolution
and
not
under
the
consent
agenda.
We
know
we
went
through
that.
One
time
and
I
think
this
good
is
there.
J
I
would
also
suggest
that
I
would
like
to
have
a
copy
of
the
contract
and
I
appreciate
you
making
that
available,
but
based
upon
some
information,
that's
a
citizen
times
just
released
I
think
you
better
start
another
search
for
another
attorney
that
can
prosecute
federal
fraud
and
laundering
of
money,
because
it
might
get
some
money
back
forties.
You
might
not
have
to
pay
that
person
as
much
as
you
could
get
back
and
if
you
don't
know
what
I
mean
I
think
you
do,
because
you've
been
back
there
behind
closed
doors.
J
Talking
and
I
want
to
caution
you
about
what
goes
on
in
closed-door
meetings,
because
the
general
statute
says
after
the
action
occurs.
I,
don't
want
to
know
who
you're
interviewing,
but
after
the
action
occurs
and
this
contract
signed
the
minutes
of
that
closed
session,
you
should
be
able
to
read
them
and
understand
what
went
on
and
I've
already
told
your
county
manager
I've
always
seen
from
Joe
Connelly
days
that
never
done
it's
always
been
redacted.
J
Shall
we
say
by
the
legal
department
and
I
think
you
need
to
keep
an
eye
on
that
because
you
know
as
long
as
I'm
alive
I'll
be
reminding
you
of
that
and
thanking
you
for
the
checkbook
and
looking
for
the
cost
of
each
library
per
library,
because
if
you
break
out
your
units
and
you
monitor
the
cost
per
unit
at
the
ground
level,
you
won't
have
a
beefs,
a
big
money.
Thank
you.
All.
H
Mr.
chairman
members
board,
don't
ever
count
me
in
darn
out
we've
been
sent
Becker,
we
evaluated
you
already.
You
know
if
you've
got
evaluation
from
us,
you
don't
look
too
good
in
the
general
public.
You
know.
Did
you
hear
that
I
mean
for
us
to
get
the
news
for
it?
For
you
do
tell
us,
you
know,
that's
pretty
good
anyway.
H
This
attorney
that
you're
wanting
to
appoint
I
think
the
contract
should
be
put
out
for
people
to
look
at
before
you
actually
hire
to
see.
If
there's
anybody
in
the
community
that
might
have
something
that
you
don't
know
about,
and
it
don't
be
an
embarrassment
to
you
when
you
do
find
out.
Did
you
get
that
because
all
the
stuff,
you
do
behind
closed
doors,
don't
always
bring
out
things
that
might
be
to
your
benefit?
H
Yes,
okay,
hourly
basis
after
the
first
10
hours,
all
right
now,
if
you're
gonna
include
her
travel
time
and
if
she
lives
in
Burnsville,
we're
gonna
burn
a
lot
of
money
up
if
you're
gonna
travel
town
so
I
want
to
know
if
that
is
part
of
it,
because
that's
a
long
way
to
come
when
we
got
a
town
full
of
lawyers.
Of
course,
I
say
this:
I
admire
a
lawyer
for
not
taking
the
job
instead
of
taking
it
I
think
we
need
to
do
a
national
search
like
me,
and
mr.
A
A
A
A
You
guys
don't
mind,
we
do
have
the
the
we
have
that
item,
that
we
added
and
then
the
Zygon
or
poll,
but
since
we're
just
on
these
deployments,
I
thought
we
would
just
go
ahead
and
do
that
one.
Now,
if
that's
all
right,
so
the
recommendation
is
to
appoint
Eric
Hardy.
As
an
interim
finance
director,
the
county
will
be
doing
a
search
process
for
a
new
financial
officer,
and
so
is
there
a
motion
to
a
point.
Your
Accardi
as
the
interim
and
so.
A
Right,
there's
a
motion
in
a
second
to
appoint
eric
hardy
as
the
interim
finance
director.
Are
there
any
members
of
the
public
who
would
like
to
comment
all
right
all
in
favor,
say
aye
all
right,
thank
you
and
Tim.
We
want
to
acknowledge
your
service.
So
thank
you
very
much
and
we
appreciate
your
10
years
of
work
for
Buncombe,
County,
okay,
last
item
under
new
business
resolution
authorizing
payments
for
maintenance
and
operation
of
the
zoo,
ignore,
pull
and
Mike
FRU
will
Jim
Holland
will
take
this
item.
F
Mr.
chairman
commissioners,
thank
you
when
the
replacement
for
Zordon
er
was
approved
by
the
Commission.
At
that
time,
you
turned
over
the
operation
and
maintenance
of
the
existing
Zorgon
air
pool
to
the
Buncombe
County
Schools.
At
that
time,
through
a
resolution
you
approved
up
to
a
hundred
and
fifty
thousand
dollars
per
year
to
pay
the
schools
for
the
maintenance
and
operation
of
zorg
nur
during
the
construction
of
the
new
pool.
That
resolution
authorized
those
payments
until
June
30th
of
2017
those
payments
averaged
about
$65,000
each
year.
C
A
A
motion
in
a
second
for
a
resolution
authorizing
payment
for
the
maintenance,
an
operation
of
swag
neural.
Are
there
any
members
of
the
public
who
would
like
to
comment
all
in
favor
of
the
motion?
Please
say
aye
any
opposed
all
right.
Thank
you
board
appointments.
We
have
one
vacancy
to
the
mound
area.
Workforce
Development,
Board,.
A
Thank
you
very
much.
We've
got
more
public
comment.
Thank
you
very
much.
I'm
sorry
I
jumped
I
jumped
over
it.
It's
written
differently
than
my
sheet
here,
all
right.
The
time
limit
for
individual
comment
to
the
board's
three
minutes.
Are
there
any
additional
members
of
the
public
who
would
like
to
come
in
mr.
rice,
followed
by
mr.
Yellen,
and
then.
C
H
That
good
enough,
yes,
sir,
take
kids
minutes,
not
mine,
finishing
up
on
my
public
comment
for
the
board.
While
the
fund
balance
school
fund
balance
of
systems
bow
system
continues
to
grow
by
millions
millions
with
s,
the
classroom,
teachers
should
not
worry
about
the
need
of
their
kids
and
supplies
with
millions
of
dollars
in
their
fund
balance.
They
went
to
Raleigh
on
this
thing.
You
know,
and
their
school
board
has
got
me
in
$2
sitting
over
and
they
wouldn't
even
offer
it.
H
The
teachers
ought
to
know
that
I
spoke
to
a
lot
of
teachers
and
they
didn't
even
know
they
had
that
in
the
fund
balance.
Shame
on
them.
They
can't
ain't,
got
good
math
teachers
again,
salary
supplement
should
not
be
where
it
should
be
to
retain
the
best
teachers.
Yes
I
agree,
but
to
have
a
state-run
school
system.
The
teachers
have
enjoyed
increases
more
than
the
county
staffs
and
the
average
household
has
enjoyed.
H
There
is
a
way
to
correct
this
problem
now,
not
next
year
without
hurting
anyone.
The
first
step
give
me
the
policy
and
I
want
to
see
you
get
the
policy,
because
you
ain't
got
it
I,
want
you
to
work
on
a
policy,
that's
going
to
spell
out
specific
and
it'd
be
separate
to
the
current
expense,
because
all
counties
do
not
get
this
money.
There's
five
counties
that
don't
even
get
supplements.
This
should
not
be
lumped
into
the
current
expense.
This
should
be
something
that
you
talk
talk
in
consideration.
H
Every
year,
I've
already
talked
to
the
finance
director
on
one
of
the
schools.
They
said
they
do
not
have
any
policy
and
they
do
not
have
any
requirements.
The
only
thing
they
got
to
do
is
give
the
amount
they
want
to
give
to
the
county.
I've
got
it
in
writing.
If
you
only
said
now,
you
she
had
a
policy
in
place.
The
school
fund
balance
could
not
have
got
to
the
point
that
it's
got.
H
It
stayed
at
six
million
for
years
and
I'm
talking
about
I,
made
a
presentation
in
97
on
exactly
what
understanding
here
and
Kevin
new
commissioners
on
what
was
going
to
happen,
and
it's
happened
more
times
than
one.
It
takes
an
idiot
and
I,
don't
think
we
got
them
up.
Setting
up
her
I'm
gonna,
say
younger,
ignorant,
I,
think
it's
politics
I
do
not
think
it's
financially
responsible
for
what
you've
been
doing
with
this
fund
balance
and
I
want
it
to
be
in
an
open
meeting
here
and
talk
about
a
policy
on
this
very
subject.
J
I
walked
up
while
Jerry's
going
back
to
save
a
little
time,
because
I'm
sure
you
all
are
in
a
hurry
to
get
out
of
here
and
go
to
your
closed-door
meeting.
Then
you're
gonna
talk
real
good,
but
am
I
just
getting
used
to
you
here
you
are
leaving.
Thank
you
for
the
questions
you
asking.
You
know
what
I'm
talking
about.
I
appreciate
it:
okay,
because
that's
in
the
article
too,
but
I
wanted
to
bring
another
solution
to
you.
I
mentioned
this
before
Mike
and
I.
J
Think
as
I
went
through,
the
budget
I
saw
that
our
buildings
are
in
bad
shape.
If
you've
not
read
the
budget
details,
you
need
to
read
it.
Water
is
penetrating
the
building's
yes
Allport,
building
the
one
over
here
on
the
corner
of
having
you
there,
where
the
old
county
commissioners
office
used
to
be
you're,
going
to
have
to
replace
the
chiller
in
the
Justice
building,
and
it's
only
five
years
old,
because
it's
not
doing
capacity
well.
J
So
if
it's
not
reaching
capacity,
somebody
missed
designed
it
or
there
was
enough
change
orders,
which
normally
happens
in
the
contract
to
exceed
the
capacity
of
the
chiller.
And
if
that
happened,
then
your
general
contractor
should
have
counted
so
I
think
you
need
to
look
at
starting
a
program
on
maintenance
at
a
BTEC
I'm
dead,
serious
about
it.
Folks,
you've
got
a
purpose
villains
going
all
up
all
over
the
county,
somebody's
going
to
have
to
be
able
to
monitor
the
heating
and
the
cooling,
the
plumbing
repair
work.
J
Finding
anybody
to
do
any
maintenance
work,
we're
to
the
point
now
where,
if
you've
got
a
pickup
truck
the
cell
phone
in
the
toolbox
in
the
back
you're
a
builder-
and
it
was
this
way
one
time
before,
and
you
know
what
that
calls
to
Al
you've
made
a
lot
of
bad
loans
on
houses
that
weren't
built
right.
So
I
suggest
strongly
that
you
start
that
program
at
a
BTech.
J
That's
right
up
there
with
an
open,
checkbook
and
right
up
there
with
the
libraries
being
individually
accountable
and
that's
right
up
there
with
everything
else
that
you
oversee
being
individually
accountable
at
the
bottom
level.
If
then,
you'll
have
the
facts
in
the
figures
you
need
and
we
might
create
some
good
jobs.
Thank
you.
Thank.
A
A
K
L
Hi
I'm,
Hillary
Brown
and
with
the
study
collective
Jennifer,
spoke
a
little
bit
about
what
we
do
and
I
just
wanted
to
come
tonight
to
thank
y'all
for
the
funding
that
we've
received
in
the
past
from
you.
We
received
20,000
dollars
last
year
and
I
want
to
ask
that
you
double
it
this
year
and
I
want
to
tell
you
a
little
bit
about
why.
L
In
the
first
quarter
of
this
year,
there
were
935
reversals
reported
to
the
state.
A
hundred
and
one
of
those
were
done
by
studies
participants.
So
a
tenth
of
the
reversals
for
opioid
overdoses
that
were
done
in
the
state
were
done
here
by
participants
of
study.
We
pass
out
in
the
locks
and
folks
who
are
actively
using.
So
all
of
those
reversals
are
happening
from
folks
who
receive
services
from
our
program
and
are
actively
using.
L
We
also
passed
about
73,000
syringes
last
year,
as
Jennifer
noted,
and
we
did
27,000
this
first
quarter,
which
means
this
year.
We
will
do
35,000
more
syringes
than
we
did
last
year.
We're
also
now
doing
fentanyl
strip
testing.
So
folks,
who
are
using
drugs
can
test
their
drugs
to
make
sure
it
doesn't
contain
fentanyl
or
fentanyl
analog
and
to
help
prevent
overdose.
L
Today,
I
was
at
exchange,
and
we
had
eight
positive
reports
just
today,
fentanyl
being
present
in
the
drugs
that
folks
are
using.
Six
of
those
were
heroin,
one
was
xanax
and
one
was
meth,
so
that
shows
you
how
prevalent
fentanyl
is
and
the
drugs
that
folks
are
using
in
town.
We
need
more
funding,
because
the
crisis
is
getting
worse.
L
We
are
having
to
do
more
work
and
the
need
is
just
not
being
met
and
I
know
that
the
opioid
crisis
is
one
of
the
county
commissioners,
six
most
important
issues
that
they're
focusing
on,
and
we
need
that
part
of
that
money
allocated
for
the
opioid
crisis
to
be
allocated
for
harm
reduction,
because
we
really
are
the
first
line,
we're
meeting
people
where
they
are
and
we're
meeting
folks
in
active
use.
So
I.
Thank
you
all
for
listening
to
me,
I'm
going
to
hand
y'all
some
stats
just
so
you
have
those.
Thank
you
great.
M
The
best
practices
that
we've
learned
all
these
years.
I
would
highly
encourage
you
at
all
of
us
so
who
are
listening
to
this
to
go
to
the
website.
Wwas
2018
org,
that
is,
to
the
International
AIDS
Conference,
which
will
be
held
in
Amsterdam
this
summer.
There'll
be
high
science
there
and
all
sorts
of
questions
may
be
answered
about
harm
reduction
about
the
vulnerable
populations
of
injecting
drug
users
among
the
others
that
I've
mentioned
here
before
there's.
Also
a
conference
coming
up,
the
US
Conference
on
AIDS
it'll
be
held
in
Orlando.
M
It's
another
opportunity
for
you
to
be
educated
about
the
issues
and
the
real
reason
that
we
even
started
needle
exchange
in
the
first
place.
The
reason
I'm
wearing
this
red
ribbon
is
because
of
hiv/aids
awareness
and
so
I
wear
that
for
prevention,
I,
wear
the
yellow
ribbon
for
hepatitis
C
prevention.
These
were
tools
that
were
kind
of
implemented
mottos
that
people
used
over
the
years.
There's
one
final
conference,
I
think
you
may
be
of
interest
knowing
about,
and
that
is
the
National
harm
reduction
conference.
M
It
will
be
held
in
New
Orleans
this
year
in
October
and
I
would
challenge
you
if
somebody
would
match
me
and
if
they
wouldn't
I
will
provide
a
grant
for
one
county
commissioner
to
attend
that
conference.
If
they
would
like
to
go,
I
will
make
sure
that
I
pay
for
that
completely
hotel,
accommodations
travel
and
the
conference
registration.
M
It
is
so
important
to
me
that
we
see
harm
reduction
and
the
vulnerable
populations
that
we
serve
at
the
needle
exchange
program,
Asheville
at
the
study,
collective
at
the
full-circle
Recovery
Center
and
hopefully
at
our
health
department
and
all
health
departments
in
Western,
North,
Carolina,
all
85
of
them
across
the
state
of
North
Carolina.
It
is
so
important
that
we
take
this
seriously
and
I
am
grateful
to
you
for
taking
it
seriously.
M
I'm
grateful
to
the
health
department,
the
Health
Director
here
in
Buncombe
County,
for
taking
this
seriously
for
hearing
me
out
and
for
putting
up
with
me
and
for
what
I
don't
believe
are
my
shenanigans,
but
certainly
my
compassion
for
the
people
that
we
serve.
There
are
human
beings
and
at
no
point
do
they
lose
their
humanity.
They
deserve
dignity,
they
deserve
respect.
They
deserve
all
that
we
can
do
to
provide
the
health
care
services
that
we
can
provide
to
them
and-
and
I
am
grateful
to
you
all.
M
I
am
grateful
to
you,
Jennifer
making
this
I'm
grateful
to
my
colleagues
Michelle
into
the
study,
collective
Hillary
and
two
other
people
in
our
community
who
are
doing
this
work.
I,
thank
you
again
and
I'll
see
you
one
more
time,
I'm
sure
before
February,
when
we
perhaps
will
implement
needle
exchange
at
our
County
Health
Department.
Thank
you
very
much.
Thank.
A
N
Name
is
dr.
baylow,
austrack,
I'm,
a
medical
anthropologist
and
a
research
scientist
at
mayic
and
I
study,
HIV
and
hepatitis
C
interactions
and
harm
reduction
and
I
just
wanted
to
echo.
Actually
what
other
folks
have
said
tonight
about
the
importance
of
community-based
trusted,
syringe
access
programs
where
participants
know
and
trust
the
people
that
they're
coming
to
for
these
services,
all
of
the
existing
research
nationally
internationally
and
in
this
region.
N
Actually
much
of
it
has
been
done
in
Appalachia
and
in
the
South
shows
that
people
are
more
likely
to
engage
with
these
services
in
ways
that
are
going
to
result
in
the
reduction
in
disease
transmission
and
specifically
in
a
reduction
in
overdose
and
when
they're
coming
to
a
community-based
exchange.
That
is
not
in
a
County
Health
Department
or
in
a
government
facility,
they're
more
likely
to
come
to
a
site
where
they
know
and
trust
people,
and
we
know
that
not
just
locally
but
from
existing,
published,
peer-reviewed,
evidence-based
research.
N
Specifically,
there
are
articles
that
I
can
get
you.
The
citations
for
I
can
get
you
the
full
articles.
If
you
want
those
showing
a
major
concern
that
Jennifer
mentioned
policing,
activity
and
police
presence
near
syringe
access
program
is
associated
with
more
risky,
injecting
behavior
and
is
associated
specifically
with
an
increase
in
disease
transmission
and
an
increase
in
overdose.
N
Some
people
are
actually
less
likely
to
use
a
syringe
access
program
if
it's
in
a
building
where
there
is
police
activity-
and
we
also
know
that
syringe
access
participants
report
that
their
overdose
and
safe
injecting
supplies
their
overdose,
Spahn,
SMED,
ocation
and
injecting
supplies
are
often
confiscated
by
law
enforcement
folks
and
which
is
illegal,
and
that
happens
nationally.
There
are
a
lot
of
articles
about
this
at
places
where
it's
been
going
on
for
a
long
time,
but
we're
also
hearing
that
locally.
N
In
addition
to
the
research
that
I
do
I'm,
also
a
volunteer
with
a
study
collective,
so
Hilary
could
speak
to
this
more
directly,
but
it's
something
that
we
know
has
been
happening
locally.
So
all
of
that
is
just
to
say
that
it
explains
why
that
some
of
these
community-based
programs
are
more
trusted
and
people
are
more
likely
to
go
there
and
actually
get
the
naloxone
and
the
overdose
response
medications
and
the
safe,
injecting
supplies.
N
So
while
we
certainly
understand
why
people
want
to
have
these
services
in
County
Health
Department's,
there
is
actually
a
fourth
County
Health
Department
that
has
these
services.
I
was
there
earlier
today
in
Cherokee.
Obviously,
it's
a
different
funding
models,
tribal
health,
but
that
program
started
in
February.
N
So
I
was
there
meeting
with
some
of
the
staff
today
they
have
some
specific
unique
challenges:
it's
a
different
environment,
but
it
would
be
another
model
to
look
at,
but
there
are
advantages
and
disadvantages
that
are
important
to
understand,
but
we
know
that
there
are
there's
a
model
that
works
and
it's
a
community-based
trusted
model.
We
know
folks
are
going
there.
We
know
people
are
using
those
services.
So
I
think
you
know
there's
an
expression
about.
If
it
ain't
broke,
don't
fix
it.
Please
continue
funding.
N
What
we
know
is
working
where
we
know
people
are
going
continue,
funding
it
fund
it
at
a
level
it'll
work,
particularly
while
you're
exploring
something
else.
If
you're
thinking
about
doing
something
new
and
additional
as
you're
exploring
how
that
could
look,
please
continue
funding.
What
you
know
is
working.
Thank
you.
Thank.
A
O
I'm
Caitlin
Johnson
and
I'm,
a
teacher
for
Buncombe
County,
Schools
I
teach
early
childhood
education
to
high
school
students
who
are
interested
in
working
with
young
children
and
I
also
serve
as
the
director
for
our
in-house
preschool.
We
are
one
of
four
of
these
programs
in
Buncombe
County
Schools.
However,
we
are
only
one
of
19
in
the
state,
so
we're
pretty
special.
It
was
extremely
exciting
when
many
of
you
came
out
to
visit
us
and
we
appreciate
that
and
work
in
our
early
childhood
education
by
chance
when
I
earned
my
undergraduate
degree.
O
My
intention
was
to
be
an
elementary
school
teacher.
However,
my
program
included
enough
credits
for
a
dual
license
in
elementary
and
early
childhood,
as
there
were
more
early
childhood
jobs
out
there
and
my
college
understood
that
it
was
by
chance
that
when
I
was
at
Robertson
high
school
and
day,
I
saw
a
small
preschool
playground
and
began
asking
questions
and
that's
when
I
learned
about
the
high
school
early
childhood
programs.
O
While
studying
I
found
myself
watching
the
EC
workforce
session,
where
Miss
Beach
Ferrera
asked
the
question,
what
is
working
with
regards
to
the
early
childhood
education,
workforce
and
I
knew
had
some
answers
to
that
with
our
program
at
the
end
of
that
session,
mr.
Nygaard
Xiomara
was
posted
and
I
contacted
her,
and
it
was
then
her
who
took
the
chance
on
me
as
an
intern
and
currently
I'm,
working
on
a
case
study
on
Buncombe
County's
progress
with
workforce
development
with
regards
to
early
childhood
and
should
complete
my
degree
in
July.
O
While
my
story
is
nice
to
hear
I
tell
it
because
I'm
a
product
of
the
work
you
are
doing
every
day
for
our
children,
families
and
for
making
our
early
childhood
education
a
priority.
The
work
you
are
doing
is
giving
more
people
more
opportunities
and
it
directly
impacts
me
and
the
students
I
work
with
every
single
day.
So
thank
you.
As
I
said,
it
was
by
chance
that
I
ended
up
here.
But,
however,
when
I
look
at
it
more
closely,
it's
truly
opportunity.
O
These
people,
you
were
providing
people
with
a
good
life
and
a
solid
future
with
these
opportunities
in
2015,
an
evaluation
of
the
each
scholarship
program
found
that
54%
of
the
teach
early
childhood
participants
were
not
working
on
a
degree
before
they
learned
about
the
project
and
I'm.
One
of
those
people
I
was
not
planning
on
getting
a
master's
degree
in
early
childhood,
so
in
the
words
of
mr.
Nygaard,
that
shows
us
that
when
we
create
passive
opportunities,
people
will
step
into
them.
O
P
Good
evening
my
name
is
Kim
Roni
and
I'm,
a
piano
teacher
and
service
industry
worker
that
lives
in
West
Asheville
in
district
1.
I
came
here
today
to
watch
the
budget.
Hearing
and
I
wasn't
planning
to
speak
on
this,
but
I
wanted
to
amplify
the
voices
of
Michael
and
the
folks
from
the
steady,
collective
I
am
thankful
that
we're
looking
at
a
pilot
program
with
another
location,
especially
one
where
folks
are
already
coming
to
Buncombe
Health
and
Human
Services.
P
But
I
also
heard
in
the
presentation
that
we
need
trusted
resources
and
to
meet
people
where
they
are
so
as
a
taxpayer,
it
seems
like
it
would
lessen
the
bureaucracy,
but
also
amplify
the
efforts
if
we
can
meet
people
where
they
are
and
increase
the
efforts
and
funding
for
the
study,
collective
and
through
endcap.
So
thank
you
for
that
consideration.
Thank.
A
A
All
in
favor,
please
say:
aye
aye
any
opposed
agricultural
advisory
board,
one
vacancy
all
in
favor
of
Gary
Roberts,
please
say
aye
aye
any
opposed
all
right.
We've
got
a
couple
of
brief
announcements.
June
12th
at
10:00
a.m.
the
commissioners
will
attend
the
mission
health
update
at
200,
College
Street
in
downtown
Asheville,
and
that
will
be
a
joint
Mandy
that'll,
be
a
joint
meeting
with
the
Asheville
City
Council
right
so
there'll
be
a
joint
meeting
with
Asheville
City
Council
and
the
County
come
On
June
12th
at
10:00
a.m.
A
I
Mr.
chairman
commissioners,
we
had
one
item.
We
now
have
two
items
pursuant
to
150
143
318
11,
a
3
1,
is
regarding
the
United
States
of
America
roses.
Wanda
s,
green
docket,
number,
18,
CR,
6
8
bill
of
indictment.
The
other
is
to
get
direction
from
the
board
on
a
another
legal
matter
and
I
think
we
need
to
leave
the
door
open
of
to
take
further
action.
Ok,.