Election officials stock up on naloxone after fentanyl-laced letters disrupt vote count
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 their 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 or millions of ballots depending on the election,” said Eldon Miller, who leads the ballot-opening staff at King County elections in Renton, Wash., a Seattle suburb. The office 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 Washington and five other states: Georgia, Nevada, California, Oregon and Kansas. Some were intercepted before they arrived, but others were delivered, prompting evacuations and delaying vote counts in local elections.
The FBI and U.S. Postal Inspection Service are investigating.
Authorities are trying to determine who sent suspicious letters, including some containing fentanyl or other substances, to local election offices.
Some of the letters featured an antifascist symbol, a progress pride flag and a pentagram. While the symbols have been associated with leftist politics, they also have been used by conservatives 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 often 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.
Election workers across the country have been besieged by threats, harassment and intimidation since former President Trump and his supporters began spreading false election claims after he lost the 2020 election.
The FDA has approved over-the-counter sales of opioid overdose antidote naloxone, the first such drug to become available without a prescription.
“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 officials, who provided Narcan, a naloxone nasal spray that 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, Ore., which received a suspicious letter, will provide naloxone kits and train elections staff on administering it. So will Lincoln County, Nev., which did not get one.
The office of Georgia Secretary of State Brad Raffensperger said this month 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 that one of his sons died of a fentanyl overdose about five years ago: “We know how deadly this stuff is.”
U.S. closes case on anthrax letters
Some of the letters, including ones sent to King and Pierce counties in Washington state, bore striking similarities to the one King County election workers 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 earlier 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 was formed 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,” she 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, Fla., said his office hasn’t received any envelopes containing fentanyl in the mail but obtained several doses of Narcan this month from fire officials, who said they 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, Wash., Pierce County Auditor Linda Farmer said her office obtained naloxone after neighboring King County’s experience
in August. Her office received a threatening letter this month containing baking soda.
“We reminded staff last week of where to find” the antidote, Farmer said.
Johnson reported from Seattle, Komenda from Tacoma, Wash. Associated Press writers Ken Ritter in Las Vegas, Jeff Amy in Atlanta, David Fischer in Miami and John Hanna in Topeka, Kan., contributed.
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