County Services           How Do I?     

استخدام المواد الأفيونية والموارد

 IN CRISIS?  Crisis Lifeline dial 9-8-8. If there is imminent danger to anyone, dial 9-1-1.
Never Use Alone hotline dial 877-696-1996. An operator will stay with you while you use, and call emergency services if needed.

Substance Use Data

المكالمات لحالات الطوارئ 911 المتعلقة بالجرعة الزائدة

يتم ترميز جميع المكالمات التي ترد إلى مركز 1-1-9 في مقاطعة تومبكينز بناءً على نوع حالة الطوارئ. يُعلم الرمز (المسمى رمز الطبيعة) المرسل ما إذا كان سيتم تخصيص حالة الطوارئ للشرطة أو الإطفاء أو EMS.  

عندما يتلقى المرسل مكالمة 1-1-9 للحصول على المساعدة الطبية، سيطرح على المتصل بعض الأسئلة الرئيسية للتأكد مما إذا كان السبب قد يكون ناتجًا عن دواء، بناءً على البروتوكولات التي وضعها برنامج الإرسال الطبي في حالات الطوارئ التابع للإدارة. في بعض الأحيان يعرف المتصل السبب، وفي أحيان أخرى يتخذ المرسل قرار الترميز بناءً على الإجابات عن الأسئلة والظروف الأخرى وسنوات الخبرة. 

Total number of 9-1-1 calls per month that are C.A.D. coded as "Overdose/Poisoning," 2019-present. Computer Aided Dispatch (CAD) calls, Nature Code for “Overdoses/Poisoning.” Source: Tompkins County Department of Emergency Response (DoER).

مصدر البيانات: إدارة TC للاستجابة للطوارئ (DoER).

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Drug-Related Deaths

For the purposes of these data, the following definitions are based on records filed by the Tompkins County Medical Examiner (TCME)

  • Unintentional Fatal Overdoses” includes those for which the “Manner of Death” is classified as an accident and substances identified in a toxicology screening are ruled as the immediate cause of death.
  • Drug Related Deaths” includes all deaths in which drugs are involved. In these cases, the immediate cause of death is not or not solely drugs, and drugs are often listed under “Other significant contributions.” These also include those in which the manner of death is not ruled as an accident.

Unintentional Overdose Deaths

The following graphs are intended to provide relevant demographic information about those who died from drug overdose identified as accidental during the years 2019-2023. The larger sample size provided by totaling across five years increases both confidentiality of the individuals involved and confidence in how the data is interpreted. Use the tabs above the graphs to navigate across 10 graphs. Tap or hover over any bar to see details.

This dataset will be updated annually. 

الوفيات المرتبطة بالمخدرات

Deaths may include overdose deaths due to pharmaceutically and illicitly produced, naturally occurring, semi-synthetic, and synthetic drugs. Deaths represented in this graph may not be attributed to overdose.

Death investigations may require weeks or months to complete; while investigations are being conducted, deaths may be assigned a pending status on the death certificate. Pending causes of death may be for the results of toxicology or further investigation.

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NYS Opioid Quarterly Report

In accordance with the recommendations of the New York State Heroin and Opioid Task Force and 2016 legislation, the NYSDOH provides quarterly reports with opioid overdose information (deaths, emergency department (ED) visits, and hospitalizations) by county. Please note that the data presented in these are considered preliminary by the NYSDOH and should be used and interpreted with caution. Subsequent quarterly reports may contain figures which differ from a previous report due to additional confirmations, updates, and timing of data received. The reported cases are based on county of residence.

QUARTERLY RATE CALCULATION (person-years):  [# events / (population X 0.25 years)] X 100,000.

Summary of Tompkins County data published April 2024
(Provisional data as of January 2024)

Full report on the NYSDOH website

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لوحة بيانات المواد الأفيونية في ولاية نيويورك:

المزيد من المعلومات والموارد:  تقارير وبيانات NYSDOH عن المواد الأفيونية

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Opioid Resources

How to lower the risk of opioid overdose

  • Never use alone. Use with others and take turns.
  • Before using drugs, ask someone you trust to check on you regularly.
  • If you are alone call the Never Use Alone hotline. Dial 1-877-696-1996. An operator will stay with you while you use, and call emergency services if needed.
  • Test your drugs. Use test strips to test your drugs for Xylazine and Fentanyl. Drugs with one of these cut in can kill you.
  • Always carry naloxone (Narcan®) with you.
  • Go slow by taking small amounts, especially if you haven’t used for a while.
  • Wait before taking more. Wait long enough to feel the effects of the drugs you took before taking more.
  • Avoid mixing with alcohol or other drugs, especially drugs that make you sleepy.
  • There is no safe dose of opioids.


الفنتانيل مادة اصطناعية شديدة الإدمان تضاف إلى عقاقير الشوارع غير المشروعة لزيادة الاستهلاك. كما أنه يرتبط ارتباطًا وثيقًا بخطر الوفاة بسبب جرعة زائدة. أصدرت إدارة الصحة في مقاطعة تومبكينز تنبيهًا صحيًا من المخاطر العالية لوجود الفنتانيل محليًا في أدوية الشوارع.

تشمل الآثار الجانبية الضارة 

  • Sedation, confusion, drowsiness, dizziness, nausea, vomiting, urinary retention, pupillary constriction, and respiratory depression.

تشمل علامات الجرعة الزائدة 

  • Stupor, changes in pupillary size (pinpoint size pupils), cold and clammy skin, cyanosis (blue discoloration of the skin), coma and respiratory failure leading to death. 

استراتيجيات الوقاية من الجرعة الزائدة 

  • لا تستخدمها أبدًا بمفردك
  • Use fentanyl test strips as a precaution
  • Carry Narcan and be trained in its use
  • ابحث عن العلاج والدعم

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Xylazine (also called “tranq” or “tranq dope”) is a powerful non-opioid sedative or tranquilizer that is increasingly being found in the US illegal drug supply and linked to overdose deaths. Due to its impact on the opioid crisis, fentanyl mixed (adulterated) with xylazine has been declared an emerging threat by the White House’s Office of National Drug Control Policy. In one study, xylazine was found in almost 80% of drug samples that contained opioids (Maryland, 2021-2022). In another, xylazine was found in 31% of heroin and/or fentanyl overdose deaths (Philadelphia, 2019). [Source: CDC]

Symptoms and health risks of xylazine

  • Sedation, difficulty breathing, dangerously low blood pressure, slowed heart rate, wounds that can become infected, severe withdrawal symptoms, death.

Reduce the overdose and the harms of overdose 

  • Never use alone.
  • Provide rescue breaths, especially for people who have used xylazine since xylazine causes breathing to slow down. Harm reduction experts also suggest rolling individuals on their side, into the recovery position.
  • Carry naloxone and learn how to use it. Because xylazine is often mixed with opioids like fentanyl, naloxone should be given in response to a suspected overdose to reverse any possible opioid effects. Importantly, naloxone will not reverse effects of xylazine. In the event of an overdose, call 911 for additional medical treatment.
  • Reduce injection-related risks by using sterile injection equipment, rotating injection sites, allowing skin veins time to heal before another use, and taking drugs in other ways besides injection.
  • Test drugs before using. There are commercially available test strips to test for the presence of xylazine in a sample of drugs. Test strips are available free of cost at a variety of local programs (see "Local services and support" section below).

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Test Strips for fentanyl and xylazine

  • Fentanyl and Xylazine Test Strips can tell you if your drugs contain the synthetic opioid Fentanyl or the non-opioid sedative Xylazine. Both are frequently found in street drugs. Xylazine is always cut in with fentanyl, so drugs that test positive for xylazine will also contain fentanyl.
  • If used correctly, these test strips can help to prevent overdose deaths and, with other risk reduction practices, save your life.
  • Fentanyl Test Strips are blue and marked with the letters “FYL”.
  • Xylazine Test Strips are red and marked with the letters “XYL”.

Image with steps typed out for how to test with test strips. Right click to open the image to full size or click the link below for a PDF version

Image with steps typed out for how to test with test strips. Right click to open the image to full size or click the link below for a PDF version

PDF version for how to use xylazine and fentanyl test strips. 

NYS Drug Checking: Data on New York’s Unregulated Supply

New York's Drug Checking Service offers people who use drugs timely and detailed information on the contents of their drugs, helping them to make more informed decisions.

This service also shares information on New York's unregulated drug supply with harm reduction workers and clinicians to help them tailor the care they provide to people who use drugs, while informing advocacy, research, and policy.

The data page includes: Total samples, Monthly samples, Expected drugs, Expected vs. actual drug, Monthly trends, Noteworthy drug trends. The page also links to FAQs on drug checking, Drug Dictionary, Alerts, Resources.

Opioid Overdose Prevention Program (NYS OOP)

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Naloxone (Narcan®)

Naloxone (Narcan®) is a medicine that can reverse the effects of an overdose from opioids, including fentanyl, heroin, and opioid-based pain killers. It is a tool that community members can use to prevent an overdose from becoming a death.


Using Naloxone

Used correctly, naloxone can reverse an opioid overdose. It works by temporarily displacing the opioids from the opioid receptors in the brain. This allows the person who is experiencing an opioid overdose to begin breathing normally. The effect of naloxone wears off after about 30 to 90 minutes and the impacts of the overdose may return. If the overdose victim does not respond within 2 minutes of giving it, or if the naloxone wears off, a second dose should be given. There is no safety risk associated with naloxone. Click here to open a 5-step guide for giving naloxone nasal spray. Remember to always DIAL 9-1-1 FIRST. (Click here for a PDF.)

Watch this video. It shows you the signs of an overdose and how to respond and take the steps to prevent opioid overdose.

For a quick "Naloxone/Narcan How-To", click here to watch a 30 second video.

If you feel the need to receive further information on how to use Naloxone (Narcan®), dial 2-1-1 for information about where you can get trained on how to use Naloxone (Narcan®) in our community.

Carry Naloxone with you

A statewide pharmacy standing order allows anyone* to get naloxone (Narcan®) nasal spray at a pharmacy without a prescription in NYS. Ask for it at the pharmacy counter. Insurance covers up to $40 copay. If you don’t have insurance you can buy naloxone at the pharmacy or you can get it for free at one of the local community agencies listed below. Or dial 2-1-1 for additional assistance.

*Dispensing to adolescents under age 18 is at the discretion of the pharmacist.


Community Overdose Prevention Education: Project COPE website
Harm reduction tools and strategies to prevent overdose deaths and save lives in our community.

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Local and regional services and support

حالة طوارئ

  • اتصل ب 911 على الفور إذا كنت أنت أو أي شخص تعرفه يعاني من حالة طبية طارئة
  • تقدم خدمة منع الانتحار والأزمات، Crisis Line، 9-8-8، استشارات مجانية وسرية للأزمات، متاحة 24/7.


  • Southern Tier AIDS Program (STAP): يوفر خدمات شاملة لفيروس نقص المناعة البشرية/الإيدز في منطقة Southern Tier من نيويورك. إنهم يوفرون برنامج الوقاية من الجرعات الزائدة من المواد الأفيونية، والذي يوفر للأفراد التدريب وعدة Naloxone ووصفة طبية ليتمكنوا من حمل وتوزيع هذا الدواء الذي يمكن أن ينقذ حياة.
  • تأسست جمعية الصحة النفسية في مقاطعة تومبكينز سنة 1954، الصفحة الرئيسية، لتلبية احتياجات الصحة النفسية في مجتمع Ithaca.
    • مركز Jenkins Center for Hope and Recovery هو مركز استقبال لأولئك الذين يستخدمون أو قد استخدموا في السابق خدمات الصحة النفسية. يوفر مركز Jenkins Center بيئة آمنة حيث يمكن لمستهلكي الصحة النفسية الاسترخاء والاستمتاع مع أقرانهم ومشاركة المعلومات والدعم.
  • يستضيف مكتب ولاية نيويورك لخدمات ودعم الإدمان «Project COPE»، وهو موقع إلكتروني يروج للتوعية بالوقاية من الجرعة الزائدة وتقليل الضرر في ولاية نيويورك. الهدف من هذه المبادرة هو تمكين الناس من تعلم كيفية منع الجرعات الزائدة وإنقاذ الأرواح في مجتمعهم.
  • موارد إضافية لخدمات الوقاية: دليل مزودي معهد NYS AIDS Institute


  • مواقع جمع الأدوات الحادة والتخلص منها في مقاطعة تومبكينز
  • Never Use Alone hotline. Dial 1-877-696-1996. An operator will stay with you while you use, and call emergency services if needed.
  • Test strips for Fentanyl and test strips for xylazine are available for free at the Southern Tier AIDS Program, REACH Medical, Cayuga Addiction Recovery Services, and Tompkins County Whole Health's office at 201 E. Green St.
  • Narcan, fentanyl testing strips and xylazine testing strips can be ordered free of cost and delivered to your home via NYS OASAS. Complete the order form online at:
  • MATTERS facilitates rapid referrals to outpatient treatment for opioid and substance use disorders. Referrals are submitted online 24/7, 365 days a year by participating referral sites throughout NYS. Individuals may request test strips through the MATTERS website. Find them at Get the MATTERS Network mobile app on the App Store or Google Play.
  • تتوفر مجموعات الدعم المجتمعية للأفراد للمساعدة في تعافيك الشخصي، وكذلك للأصدقاء والعائلات المتضررة من تعاطي أحبائهم للمخدرات.

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  • Cayuga Addiction Recovery Services (CARS) offers intensive residential and out-patient treatment services, including Medication Assisted Treatment (MAT). CARS offers Open Access Monday thru Thursday from 8:30 a.m.–4:00 p.m. Clients need only to bring an insurance card, if they have one. 607-273-5500.
  • REACH Medical provides medical and behavioral services, including MAT. The REACH Project is a non-profit operating as a low threshold, harm reduction medical practice in Ithaca. Reach Medical offers a wide range of services including: opioid replacement therapy, medical cannabis certification, Hep C treatment, primary care and behavioral services, in a stigma-free, inclusive setting. 607-273-7000. REACH Project Facebook page.
  • مكتب دعم خدمات الإدمان في ولاية نيويورك (OASAS): مكتشف العلاج
  • About Medication Assisted Treatment (MAT)


  • Ithaca Community Recovery, is a non-profit organization that provides a meeting and activity space for Ithaca’s recovering community. They host a variety of meetings, including Alcoholics Anonymous, Al-Anon Meetings, Narcotics Anonymous, and more. Go to their website for meeting schedules.
  • Mental Health Association in Tompkins County was established in 1954 to address mental health needs in the Ithaca community.
    • مركز Jenkins Center for Hope and Recovery هو مركز استقبال لأولئك الذين يستخدمون أو قد استخدموا في السابق خدمات الصحة النفسية. يوفر مركز Jenkins Center بيئة آمنة حيث يمكن لمستهلكي الصحة النفسية الاسترخاء والاستمتاع مع أقرانهم ومشاركة المعلومات والدعم.

منع الانتحار

  • تقدم خدمة منع الانتحار والأزمات استشارات مجانية وسرية في الأزمات. خط الأزمات متاح 24/7 على الرقم 8-8-9.
  • Tompkins County Suicide Prevention Coalition.
  • The Sophie Fund, Inc.، هي مؤسسة خيرية غير ربحية تأسست عام 2017 لدعم مبادرات الصحة النفسية لمساعدة الشباب في منطقة Ithaca الكبرى ومقاطعة تومبكينز. وهي تدعم البرامج والمشاريع؛ وتزيد من الوعي وتحارب وصمة العار المتعلقة بالأمراض النفسية وعلاجها؛ وتعزز روح "صفر انتحار" في المجتمع؛ وتعمل كمدافع مجتمعي للشباب الذين يعانون من مرض نفسي. 

على الصعيد الوطني

  • SAMHSA National Helpline, 1-800-662-4357 (HELP). يوفر خط المساعدة معلومات مجانية وسرية باللغتين الإنجليزية والإسبانية للأفراد وأفراد الأسرة الذين يواجهون مشاكل تعاطي المخدرات والصحة النفسية. 24 ساعة في اليوم، 7 أيام في الأسبوع. يحتوي موقع الويب أيضًا على أداة البحث عن مواقع أقرب خدمات العلاج بناءً على الرمز البريدي الذي تم إدخاله.
  • موارد SAMHSA للعائلات التي تتعامل مع الاضطرابات النفسية وتعاطي المخدرات

 Need help finding help?   Dial 2-1-1 (877-211-8667) for supportive referrals.

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