Officials stock up on overdose antidote naloxone after fentanyl-laced letters disrupt vote counting

SEATTLE – The suspicious letters sent to vote centers and executive constructions in six states this month have been undeniably horrifying, some containing lines of fentanyl or white powder, accompanied through not-so-veiled threats and doubtful political symbols.

Harkening again to the anthrax attacks that killed 5 other folks in 2001, the mailings are prompting elections officers already pissed off with ongoing harassment and threats to achieve out to native police, hearth and well being departments for assist stocking up on the overdose reversal drugs naloxone.

Even if there’s little possibility from incidental touch with the factitious opioid, having the antidote on hand is not a foul concept amid an addiction epidemic this is killing greater than 100,000 other folks within the U.S. annually — and it can give some assurance for stressed ballot workers, election managers say.

“My team is usually in the direct fire just because we’re opening up thousands or millions of ballots depending on the election,” stated Eldon Miller, who leads the ballot-opening workforce 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: Georgia, Nevada, California, Oregon, Washington and Kansas. 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,” stated Ann Dover, the elections director in suburban Atlanta’s Cherokee County, which failed to obtain 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 fireside officers who equipped Narcan, the nasal spray model of naloxone. Naloxone will also be acquired over-the-counter, given to other folks of every age and does not harm individuals who shouldn’t have opioids of their machine.

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 one.

The office of Georgia Secretary of State Brad Raffensperger said this week 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.”

Maya Doe-Simkins, co-director of Remedy Alliance/For The People, which launched last year to provide low-cost or free naloxone to community-based, harm-reduction programs, said governments should be more focused on providing the antidote to those who work with people likely to overdose.

There is no shortage of naloxone, which is available online and at some pharmacies, but its distribution leaves something to be desired, Doe-Simkins said.

“It is an absolute gross misuse of resources to spend money on ensuring that election officials have naloxone,” Doe-Simkins said, especially because “the actual appropriate and evidence-based intervention for naloxone distribution is underfunded and under-resourced.”

Chris Anderson, the elections supervisor in Seminole County, Florida, said his office hasn’t received any envelopes containing fentanyl in the mail, but obtained several doses of Narcan this month from the fire department, which said it had plenty of supply.

“We can immediately save a life with those,” Anderson said. “I appreciate the advice given to us from medical professionals, and we certainly will do everything we can not to have to use Narcan, but in that one instance where it’s needed, I’d rather have and not need than need and not have.”

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 re-emphasize naloxone is available.

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

___

Komenda reported from Tacoma, Washington. Associated Press writers Ken Ritter in Las Vegas, Jeff Amy in Atlanta, David Fischer in Miami and John Hanna in Topeka, Kansas, contributed.

——

The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP’s democracy initiative right here. The AP is simply accountable for all content material.