Harm Reduction
The Midland County Health Department is partnering with local organizations in an effort to reduce harm associated with drug use and prevent deaths caused by opioid overdose.
Harm Reduction Resources
1-877-696-1996 or 1-800-484-3731
If you’re going to use by yourself call: Never Use Alone.
You will be asked your first name, location, and the number you are calling from.
An operator will stay on the line with you while you use.
If you stop responding after using, the operator will notify emergency medical services (EMS) of an unresponsive person at your location.
The Midland County Department of Public Health offers harm reduction supplies for safer use.
Access to harm reduction supplies and services is an evidence-based public health service that reduces the spread of HIV and Hepatitis C infections, and creates a pathway to substance use disorder (SUD) treatment and recovery.

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Visit the Harm Reduction Station located outside the Northwest side of the Midland County Services Building 24/7, or walk-in to the clinic on the second floor during business hours.
Items typically stocked in the Harm Reduction Station:
- Naloxone
- Drug Test Strips (Fentanyl, Medetomidine, Nitazene, Xylazine)
- Wound Care Kits
- Lock Bags
- Gun Locks


CLICK FOR A LIST OF ADDITIONAL NO COST NALOXONE DISTRIBUTION LOCATIONS IN MIDLAND COUNTY.
The map below shows additional locations throughout Midland County where Naloxone is available at no cost:
Naloxone Distribution Site Map- Link
Harm Reduction Michigan’s mission is to decrease substance use-related harms in Michigan, in a respectful manner in collaboration with all people involved.
Midland Location
805 Townsend
Drop-in Hours:
Wednesday 12pm-8pm
Thursday 8am-2pm
Call or text:
231-493-5124
Naloxone (commonly known by the brand name Narcan, or Padagis brand) is a life-saving medication used to reverse the effects of an opioid overdose.
Signs of an opioid overdose include:
- Pinpoint pupils
- Unusual sleepiness or drowsiness
- Unresponsive, limp body
- Slow, shallow, or absent breathing
- Gurgling or snoring sounds
- Cold and clammy skin
- Blue nails and lips
- Nausea or vomiting
- Low blood pressure
If an overdose is suspected, administer Naloxone Nasal Spray, and call 911 immediately.
Naloxone, the active ingredient, competes with opioids to bind with the same receptors in the brain, reversing the effects of an opioid overdose.
- Naloxone does not require a prescription and is available "over-the-counter".
- Naloxone is not addictive.
- Naloxone can be used for a suspected overdose in infants, children, teens, adults, and the elderly.
- Naloxone will not cause harm if given to someone who is not experiencing an opioid overdose.
ALWAYS CALL 911 when naloxone nasal spray is administered. Naloxone is NOT a substitute for emergency medical care.
- Long-acting opioids pose a risk of repeat overdoses for several hours and may require multiple doses of naloxone nasal spray (given 2-3 minutes apart).
Click HERE for a list of No-Cost naloxone distribution sites in Midland County.
- If you cannot travel to one of these locations or access naloxone locally, request naloxone by mail from NEXT Distro and the Grand Rapids Red Project: https://nextdistro.org/migate
Naloxone Distribution Site Map- Link
Our goal is to reach individuals within the Midland community that could benefit from having naloxone on hand, such as:
1) Individuals who receive prescription opioids or have prescription opioids in their home (e.g. Oxycodone/OxyContin, Hydrocodone/Vicodin, Morphine, Methadone, Codeine, Fentanyl).
2) Individuals who use non-prescribed or illegally manufactured opioids or have them in their home (e.g. heroine, illegally manufactured fentanyl).
3) Individuals who have an increased potential to witness an overdose.
Individuals and businesses should make naloxone nasal spray part of their FIRST AID KIT.
- Naloxone is most effective when administered quickly!
Resources:
FDA News Release: FDA Approves First Over-the-Counter Naloxone Nasal Spray- March 29, 2023
Narcan Frequently Asked Questions
Take precautionary measures to prevent accidental overdose and poisoning:
1) Practice safe storage:
- Lock up medications
- Keep away from kids and pets
- Know how much is left
2) Closely follow dosing instructions for prescribed opioids and other medication
3) Do not share prescribed opioids or other prescribed medication with others
4) Safely dispose of unused medication at designated drop-off locations when you are done using them
5) If opioids are in your home, keep naloxone readily available in case of an overdose, and ensure household members know the signs of an overdose and how to administer naloxone!
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Proper disposal of sharps is an important step in the prevention of needlesticks, which could lead to exposure to bloodborne pathogens such as Hepatitis B, Hepatitis C, and HIV.
The Sharps Disposal Flyer outlines how you can properly dispose of sharps:

Link to: City of Midland Restricted Refuse Items
There is a sharps disposal container located on the harm reduction station outside of the Midland County Service Building- 220 W. Ellsworth St.

Opioids – The Legacy Center (tlc4cs.org)
Coalition for Substance Free Resiliency
Michigan Harm Reduction and Syringe Service Programs
Michigan Overdose Prevention Coalition
Drug Overdose | Injury Center | CDC
SAMHSA - Substance Abuse and Mental Health Services Administration
NEXT Distro- Resources in Michigan

Four Lakes task force






Chippewa Nature Center


https://neverusealone.com/

