This report from the National Association of County and City Health Officials (NACCHO) summarizes the results of an environmental scan of 198 local health departments (LHD) regarding their local opioid overdose prevention and response activities.

This document outlines and compares statistics by the size of the population the LHD serves. In addition, the report discusses efforts and activities related to workforce, clinical and programmatic services, policy, communication, partnership, and data collection. Stories from the field are also included.