Chicago Tribune (Sunday)

Election staffs stock up on naloxone

Suspicious mailings prompt push to keep overdose drug handy

- By Gene Johnson and Ed Komenda

SEATTLE — The suspicious letters sent to vote centers and government buildings in six states this month were undeniably scary, some containing traces of fentanyl or white powder, accompanie­d by not-so-veiled threats and dubious political symbols.

Harking back to the anthrax attacks that killed five people in 2001, the mailings are prompting elections officials already frustrated with ongoing harassment and threats to reach out to local police, fire and health department­s for help stocking up on the overdose reversal medication naloxone.

Even if there’s little risk from incidental contact with the synthetic opioid, having the antidote on hand isn’t a bad idea amid an addiction epidemic that is killing more than 100,000 people in the U.S. every year — and it can provide some assurance for stressed ballot workers, election managers say.

“My team is usually in the direct fire just because we’re opening up thousands of millions of ballots, depending on the election,” said Eldon Miller, who leads the ballot-opening staff at King County Elections in Seattle, which stocked up on naloxone after receiving a fentanyl-laced letter in August. “I always say to my team, ‘Your safety is my utmost importance.’ ”

The letters were sent this month to vote centers or government buildings in six states: California, Georgia, Kansas, Nevada, Oregon and Washington. Some were intercepte­d before they arrived, but others were delivered, prompting evacuation­s and briefly delaying vote counts in local elections. The FBI and U.S. Postal Inspection Service are investigat­ing.

Some of the letters featured an antifascis­t symbol, a progress pride flag and a pentagram. While the symbols have sometimes been associated with leftist politics, they also have been used by conservati­ve figures to label and stereotype the left.

The sender’s political leanings were unclear.

Fentanyl, an opioid that can be 50 times as powerful as the same amount of heroin, is driving an overdose crisis as it is pressed into pills or mixed into other drugs. Briefly touching it cannot cause an overdose, and researcher­s have found the risk of fatal overdose from accidental exposure is low, unlike with powdered anthrax that can float in the air and cause deadly infections when inhaled.

Election workers across the country have been besieged by threats, harassment and intimidati­on since former President Donald Trump and his supporters began spreading false election claims after he lost the 2020 election.

“I hope we encourage people to not hurt election officials,” said Anne Dover,

the elections director in suburban Atlanta’s Cherokee County, which did not receive a suspicious letter. “A lot of people are leaving the field. It’s not just threats of physical harm. There’s a lot of emotional and psychologi­cal abuse.”

Dover reached out this month to fire department officials, who provided Narcan, the nasal spray version of naloxone. Naloxone can be obtained over the counter, given to people of all ages and does not harm people who do not have opioids in their system.

Her office also is taking new precaution­s with mail: leaving it in a particular spot and having one person designated to open it wearing gloves and a mask.

Lane County, Oregon, which received a suspicious letter, will provide naloxone kits and train elections staff

on administer­ing it. So will Lincoln County, Nevada, which did not get a suspicious letter.

The office of Georgia Secretary of State Brad Raffensper­ger said last week that it will provide naloxone to any of the state’s 159 counties after a letter intercepte­d on its way to elections officials in Atlanta’s Fulton County tested positive for opioids.

Condemning the letters, Raffensper­ger noted one of his sons died of a fentanyl overdose about five years ago: “We know how deadly this stuff is.”

Some of the letters, including ones sent to King and Pierce counties in Washington state, bore striking similariti­es to the one King County received while counting votes in this year’s August primary. The incident prompted King County Elections to procure naloxone,

though the antidote was not needed then nor when its Renton office received a second fentanyl-laced letter this month. “We felt like it was just a good idea to have on hand for all kinds of scenarios these days,” King County Elections spokeswoma­n Halei Watkins said. “We have it in a few spots in the building, and include it with the first aid and emergency kits that go to our off-site vote centers.”

In Tacoma, Washington, Pierce County Auditor Linda Farmer said her office obtained naloxone after neighborin­g King County’s experience in August. The office received a threatenin­g letter this month containing baking soda and took the occasion to reemphasiz­e that naloxone is available.

“We reminded staff last week of where to find it,” Farmer said.

 ?? KAREN DUCEY/THE SEATTLE TIMES ?? Emergency and law enforcemen­t agencies respond Nov. 8 to a possible hazmat situation at the King County Elections office in Renton, Wash., one of four county elections offices in the state evacuated that day.
KAREN DUCEY/THE SEATTLE TIMES Emergency and law enforcemen­t agencies respond Nov. 8 to a possible hazmat situation at the King County Elections office in Renton, Wash., one of four county elections offices in the state evacuated that day.
 ?? LINDSEY WASSON/AP ?? Narcan is the nasal spray version of the overdose reversal drug naloxone.
LINDSEY WASSON/AP Narcan is the nasal spray version of the overdose reversal drug naloxone.

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