EATON COUNTY BOARD OF COMMISSIONERS PUBLIC SAFETY COMMITTEE MINUTES OF DECEMBER 6, 2018

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1 EATON COUNTY BOARD OF COMMISSIONERS PUBLIC SAFETY COMMITTEE MINUTES OF DECEMBER 6, 2018 Present: Chairman Commissioner Kent Austin, Vice Chairman Commissioner Wayne Ridge, Commissioner Brian Droscha, Commissioner Howard Spence, and Commissioner Jeanne Pearl-Wright Absent: Commissioner Heather Wood and Commissioner Jane Whitacre Also Present: Controller John Fuentes, Commissioner Blake Mulder, Commissioner Christine Barnes, Dispatch Director Michael Armitage, Emergency Services Manager Ryan Wilkinson, Sheriff Tom Reich, Undersheriff Jeff Cook, Jeremy Mulvany, Youth Facility Director, Mike Atayan and Jeff Lutz, Davis Auto Mart, and Jerri Nesbitt The meeting was called to order at 4:00 p. m. Pledge of Allegiance was given by all. Agenda additions/ changes Request to add an item under Miscellaneous regarding report on drug- relating deaths from the County Medical Examiner' s Office, and a communication regarding Medical Marihuana Oversight and Operation Grant opportunity. Vice Chairman Commissioner Ridge made a motion to approve the Agenda as amended. Commissioner Droscha seconded the motion. Motion carried. Approval of Minutes Vice Chairman Commissioner Ridge made a motion to approve the minutes of the November 1, 2018 meeting, as presented. Commissioner Droscha seconded the motion. Motion carried. LIMITED PUBLIC COMMENT None. SHERIFF' S OFFICE UPDATE Sheriff Reich reported on the November highlights. The Sheriffs Office annual Awards Ceremony is scheduled for January 9, Undersheriff Cook provided an update on the operational impacts the passage of Proposal 1 will have on departmental operations. Discussion held. Page 1 of 3

2 MONTHLY REPORTS Prisoner Boarding Report Controller Fuentes reported that billings of approximately 200, 000 for 2 months this fiscal year have occurred. Jail Census and Reimbursement Report Controller Fuentes reported that housing of MDOC and WRAP inmates remained consistent and jail capacity averaged 65 percent for the month. Of this percentage, 75 percent are residents of Eaton County. Overtime Report Controller Fuentes reported that the overtime estimate of the first four payrolls reflects an unfavorable variance of$ 28, 000. This is a preliminary estimate and will continue to be monitored. Court Security Report There was one firearm brought into the courthouse by someone who thought they had to bring in the gun to have it registered; it was returned to the vehicle without incident. There were no unusual events to report at the Juvenile Facility. CENTRAL DISPATCH UPDATE Director Armitage reported average call volume for the month. The Deputy Director position has been posted, and there are four new Dispatchers in training. A 30- day extension has been requested and granted to address the LEIN violation. There has been an 81 percent increase in people registering for Smart and downloading of the App. has been steadily moving forward since Over 10, 000 have registered for RAVE alerts. NEXGEN Tower construction related to the radio project is ongoing. Overall the project remains on schedule. EMERGENCY SERVICES UPDATE Emergency Services Manager Wilkinson reported assisting in the response of an Hydrous Ammonia leak in Hamlin Township. There was discussion regarding upcoming training opportunities being coordinated and hosted by the Department. MISCELLANEOUS Controller Fuentes presented the Medical Examiner quarterly drug- related fatality report. In Eaton County there were nine drug- related fatalities last quarter. An overview of the new Recreational Marihuana law (Proposal 1) was distributed for informational purposes. Additionally, the Medical Marihuana Operation and Oversight Page 2 of 3

3 Grant in the amount of$ 40,000, which is prohibited to be used for law enforcement use was discussed. The Michigan Sheriffs' Association is lobbying to remove the current restriction. It was reported that possible uses of the grant funds are being researched. Commission Spence asked for an update on the Opioid Litigation. Controller Fuentes reported that Eaton County has met the deadline for submission of multi-jurisdictional order for preliminary plaintiff fact sheets required by the court. Chairman Commissioner Austin thanked the committee for allowing him to serve as their Chairman. He recapped the accomplishments of the committee over his tenure. LIMITED PUBLIC COMMENT Mike Atayan and Jeff Lutz, Davis Auto Mart, expressed concern over the response to two separate weather-related tractor-trailer incidents on 1-69 December 5, Discussion held. Commissioner Austin adjourned the meeting at 5: 25 p. m. Chairman Commissioner Kent Austin Chairperson Public Safety Committee Eaton County Board of Commissioners Page 3 of 3

4 United States Attorney s Office Western District of Michigan FOR IMMEDIATE RELEASE CONTACT: KAYE HOOKER TUESDAY, NOVEMBER 20, 2018 PHONE: (616) FAX: (616) SERIAL ROBBERS SENTENCED TO PRISON GRAND RAPIDS, MICHIGAN Shaun Michael Cook, 31, of Lansing, Michigan, was sentenced to 102 months in federal prison for his role in a series of Lansing area robberies, U.S. Attorney Andrew Birge announced today. Cook and his codefendants, Donald Charles Westmoreland and Shackeem Louis Jones, committed a series of armed robberies of various businesses in the Lansing metropolitan area from November 2016 through May Cook, Jones and Westmoreland each pleaded guilty earlier this year to interference with commerce by robbery and brandishing a firearm. United States District Judge Janet T. Neff, who sentenced Cook, sentenced Westmoreland to 87 months in prison and Jones to 96 months. She ordered Cook to pay $2, in restitution and Jones and Westmoreland to pay $4, Reducing violent crime rates is a priority for this office as well as the Department of Justice, said U.S. Attorney Andrew Birge. Repeated violent behavior involving firearms will be met with increased law enforcement attention, swift justice, and severe punishment. During most of these robberies, two of the men would enter a business, point a gun at the employees and customers, demand money, and order everyone to the ground. During some of the robberies, the men destroyed the businesses telephones or stole cell phones from employees in order to prevent calls for help. At sentencing, Judge Neff attributed the following robberies to this group (all occurred in the Lansing area unless otherwise indicated): November 16, 2016: Cook and Jones robbed a Subway restaurant on Saginaw Highway; December 18, 2016: Cook, Jones, and Westmoreland robbed a Subway restaurant on Larch Street; December 24, 2016: Cook and Jones robbed a Subway restaurant on Grand River Avenue; December 27, 2016: Cook, Jones, and Westmoreland robbed a Beauty Max beauty supply store on West Saginaw Highway; December 27, 2016: Cook, Jones, and Westmoreland robbed a Citgo Gas Station near Wildwood Avenue in the Jackson, Michigan area; December 28, 2016: Cook, Jones, and Westmoreland robbed a Subway on East Saginaw Highway; December 29, 2016: Jones and Westmoreland robbed a Biggby coffee shop on Elmwood Road; January 10, 2017: Jones and Westmoreland robbed a Subway on East Lake Lansing Road; January 23, 2018: Jones and Westmoreland robbed a Family Dollar store on South Pennsylvania Avenue;

5 March 13, 2017: Jones and Westmoreland robbed an Admiral gas station on West Saginaw Highway; March 15, 2017: Jones and Westmoreland robbed a Quality Dairy convenience store on Waverly Road; March 27, 2017: Jones and Westmoreland robbed a Little Caesars pizzeria on East Grand River; April 27, 2017: Jones robbed a Jimmy John s restaurant on East Grand River Avenue; and May 1, 2017: Jones robbed a Little Caesar s pizzeria on East Grand River Avenue. The case was investigated by the Federal Bureau of Investigation, with assistance from the Eaton County Sheriff s Office, the Lansing Police Department, the Lansing Township Police Department, the Meridian Township Police Department, and the Michigan State Police. Assistant U.S. Attorney Alexis M. Sanford handled the prosecution. ###

6 JAIL BOARDING Fiscal Year NOVEMBER 2019 PAYEE REVENUE ANNUAL MONTHLY YTD YTD ACCOUNT BUDGET BILLED BILLED COLLECTED PAROLE VIOLATORS MDOC HOUSING $500, $21, $57, $0.00 DIVERTED FELONS MDOC HOUSING $200, $23, $47, $0.00 WRAP PROGAM MDOC HOUSING $657, $46, $94, $0.00 TOTAL BOARDING $1,357, $92, $200, $0.00 GENERAL FUND SENTENCED CURRENT MONTHLY YTD YTD INMATES BUDGET BILLED BILLED COLLECTED INDIVIDUALS HOUSING $65, $147, $265, $0.00 OUIL IMPAIRED $35, $0.00 $0.00 $0.00 FALSE ALARMS $4, $0.00 $0.00 $0.00 ABAN. VEHICLES $5, $0.00 $0.00 $0.00 INMATE MEDICAL $3, $3, $5, $0.00 TOTALS $112, $151, $270, $ /5/2018 Prepared by Tammie Brand, Corrections Accounting

7 Building Total Eaton County Pop. JAIL COUNT SUMMARY Nov-18 Female Inmates MDOC WRAP % of Capacity % of Eaton County Pop Day % 75% % 76% % 78% % 78% % 78% % 77% % 77% % 76% % 76% % 76% % 77% % 77% % 76% % 76% % 76% % 78% % 79% % 80% % 79% % 77% % 76% % 77% % 77% % 79% % 79% % 78% % 76% % 76% % 75% % 75% % #DIV/0! TOTAL % 50% Bldg Total 7244 Avg/Day 241 Eaton Cty. Total 5574 Avg/Day 186 Housing Total 623 Avg/Day 21 Female Total 1147 Avg/Day 38

8 Court Security Screening Monthly Report 2018 People Scanned Guns Confiscated / Returned Knives Confiscated / Returned Chemical Agents Other January February March April May June July August September October November December Totals

9 Juvenile Court Security Screening Monthly Report 2018 People Scanned Guns Confiscated / Returned Knives Confiscated / Returned Chemical Agents Other January February March April May June July August September October November December Totals

10 Analysis of Sheriff Department Overtime by Division Through month end date 11/30/ Year-to-Date Estimated Total Department Overtime Payrolls Per Payroll Payrolls Final Budget Variance County 301 $ 28, $ 7, $ 188, $ 180, $ (8,182.47) 301 -Detective 2, , , , , , , , , Delta 303 $ 23, , $ 159, $ 125, $ (34,016.19) 303 -Detective 3, , , , $ 26, $ 6, $ 180, $ 155, $ (25,243.59) Jail 351 $ 30, $ 7, $ 203, $ 180, $ (23,229.39) General Fund $ 87, $ 22, $ 588, $ 560, $ (28,034.67) Jail Millage $ 8, $ 2, $ 59, $ 73, $ 13,068.98

11 Analysis of Sheriff Department Overtime by Division Through month end date 11/30/ Department Amended Budget Y-T-D % of Budget % of Payroll Charged Projected to End of Year Final Total Variance County Regular $ 1,847, $ 270, % 14.94% 1,539, ,809, $ 37, Overtime 180, , % 188, (8,182.47) Detective OT 45, , % 16, , $ 2,072, $ 300, ,014, $ 58, Delta Regular $ 1,840, $ 277, % 14.94% 1,562, ,839, $ Overtime 125, , % 159, (34,016.19) Detective OT 30, , % 21, , $ 1,995, $ 304, ,019, $ (24,775.91) Jail Regular $ 1,717, $ 226, % 14.94% 1,381, ,608, $ 108, Overtime 180, , % 203, (23,229.39) $ 1,897, $ 257, ,811, $ 85, General Fund Total $ 5,965, $ 862, ,845, $ 119, Jail Millage Fund Regular $ 647, $ 108, % 14.94% 526, , $ 12, Overtime 73, , % 14.94% 59, , $ 720, $ 117, , $ 25,253.46

12 Eaton County Central Dispatch 911 Courthouse Dr. Charlotte MI Phone: Fax: Michael Armitage, Director 10,896 Total telephone calls o 3,971 on emergency lines o 6,925 on non-emergency lines 4 Text-to-911 sessions 7,502 Incidents o 5,691 Law Enforcement o 1,248 EMS o 563 Fire 3 New addresses issued Monthly Report November 2018 Training: Telecommunicator Metlon attended Emergency Medical Dispatch school. Technology and Radios: The NG-911 project with Peninsula Fiber Network is moving forward. We should begin cutting over to the new network in March of We have been working closely with Fox47 to coordinate upgrades of their tower for our equipment. Ingham County voters approved funding for their MPSCS project. Clinton County is also working on county approval for an MPSCS project. All foundations have been poured for the towers and equipment shelters. The towers should be constructed in the next two weeks. The Sunfield Twp site, however, is dependent on soil conditions for the crane as it is very wet. The siren communication equipment is being installed countywide and should be live by the end of the year. Operations: The Deputy Director position is posted through December 16 th. We have three telecommunicators in training and three on FMLA leave. We requested and received a 30 day extension for compliance relating to our LEIN violation. The supervisors and telecommunicators have all stepped up to help carry the workload of not only our low staffing, but also the duties of Deputy Director. I really appreciate their hard work! Outreach: Staff attended the Eaton Rapids Health Fair. We topped the 10,000 mark for Rave Alert opt-ins! Emergency Management and 911 met with Olivet College to discuss addressing on campus. A local school district and Eaton County 911 were interviewed for a publication on the successful use of the Rave Panic Button during a school security incident. We worked closely with Emergency Management on messaging for the first significant snowfall. We received several very positive responses from the public.

13 Rave Report: **Safety profiles have increased by 81% over this time last year! Yours Truly, Michael Armitage Director

14 Eaton County Central Dispatch Total Calls For Service November 2018 Type Agency Month To Date Year To Date Calls %/Total Calls %/Total EMS 1, % 13, % Fire % 6, % Police 5, % 67, % Total Calls 7, % 87, % 911ADMIN\REPORTS\PFE PFE-2018 NovTot 12/1/2018

15 Eaton County Central Dispatch EMS Calls For Service November 2018 Agency Month To Date Year To Date Calls %/Total Calls %/Total Benton Twp. EMS % % Delta Twp. EMS % 5, % Eaton Area EMS % 5, % Grand Ledge EMS % 1, % Vermontville EMS 6 0.5% % Windsor Twp. EMS % % Outside Agencies* % % LIFE, LTEM, NEMS Total EMS Calls 1, % 13, % * Agencies Outside Eaton County 911ADMIN\REPORTS\PFE PFE-2018 NovEMS 12/1/2018

16 Eaton County Central Dispatch Fire Calls For Service November 2018 Agency Month To Date Year To Date Calls %/Total Calls %/Total Bellevue Fire % % Benton Twp. Fire % % Charlotte Fire % % Delta Fire % 2, % Eaton Rapids City % % Eaton Rapids Twp % % Grand Ledge Fire % % Hamlin Twp Fire % % Olivet Fire % % Potterville City Fire 7 1.2% % Roxand Twp. Fire % % Sunfield Fire % % Vermontville Fire 5 0.9% % Windsor Fire % % Outside Agencies* % % LTFD Total Fire Calls % 6, % * Agencies Outside Eaton County 911ADMIN\REPORTS\PFE PFE-2018 NovFD 12/1/2018

17 Eaton County Central Dispatch Police Calls For Service November 2018 Agency Month To Date Year To Date Calls %/Total Calls %/Total Bellevue Police % % Charlotte Police % 8, % Eaton County Sheriff 3, % 37, % Delta 1, % 19, % Out County 1, % 16, % Animal Control % 1, % Eaton Rapids Police % 4, % Grand Ledge Police % 6, % Michigan State Police % 5, % Olivet Police % % Potterville Police % 3, % Outside Agencies* % % DNR, ME Total Police Calls 5, % 67, % * Agencies Outside Eaton County 911ADMIN\REPORTS\PFE PFE-2018 NovPD 12/1/2018

18 Eaton County 911 Phone Calls Received in 2018 Month 911 Non-emergency Total Calls January 3,696 7,696 11,392 February 3,628 7,065 10,693 March 3,719 7,274 10,993 April 3,567 6,913 10,480 May 4,056 8,097 12,153 June 4,002 7,708 11,710 July 4,313 7,830 12,143 August 4,068 8,923 12,991 September 3,988 8,677 12,665 October 3,996 7,786 11,782 November 3,971 6,925 10,896 December - TOTAL 43,004 84, ,898

19 Eaton County New Builds New Addresses Date Issued Certificate # New Address City Zip Code Permit Type November 5, 2018 November 16, 2018 November 23, WILLOW HWY GRAND LEDGE OLD RIVER TRL LANSING SUNFISH LN WOODLAND CANOE LAUNCH CANOE LAUNCH NEW BUILD 1

20 911 Courthouse Drive, Charlotte, MI Phone (517) Fax (517) November 2018 Activity Report Anhydrous Ammonia Incident Just after 8:00 pm on Sunday, November 11, 2018, Eaton County Central Dispatch received an emergency call about a strong odor near Houston Rd. in Hamlin Township. First responders arrived on scene and were able to locate the source of the odor to a 12,000-gallon anhydrous ammonia tank used for farming that was found in a wooded area. The tank had reportedly lost 7,000 gallons of anhydrous ammonia. The leak was quickly stopped with the assistance of the property owner. Due to temperatures below freezing and very little wind the ammonia was able to settle into low lying areas. Mutual aid was requested assist with going door-to-door in the affected areas to check on residents. Around 10 people evacuated while the rest of the people living nearby chose to stay indoors. Eaton County Emergency Management was notified and kept up-to-date with information from incident command throughout the incident. Eaton County Emergency Management provided this information to the MSP Emergency Management and Homeland Security Division (MSP EMHSD) District One Coordinator. The Michigan Department of Environmental Quality (MDEQ) was also notified. Eaton County Central Dispatch sent out a RAVE Alert message that reached 58 people total to advise them of the situation. A RAVE Alert message was also sent out indicating road closures in the area. The all clear by authorities was given around 12:15 a.m. Monday, November 12. An after action report and improvement plan has been created based off of feedback from the various agencies involved. Winter Weather Advisory A Winter Weather Advisory was in effect from 11:00 pm November 25 1:00 pm November 26. NWS webinar held on November 25 indicated nothing out of the ordinary in terms of total snow accumulations and wind gusts. The primary issue was the timing of the storm and travel. Lots of social media outreach by Eaton County Emergency Management, Eaton County 911, and other local, regional, and state partners. Emergency Operations Center (EOC) Staff Meeting Emergency Management held an EOC staff meeting on Wednesday, November 28. The meeting consisted of a review of current capabilities, planned capabilities for the future, training and exercise discussion, and the meeting schedule for next year. Local/Regional Training and Exercise Participation Attended MGT 403: Access and Functional Needs Preparedness Planning for Rural Communities in Kalamazoo, Michigan Finalizing Eaton County training and exercise plan for Training will include courses on the Incident Command System (ICS), Michigan Critical Incident Management System (MI CIMS), Unmanned Aircraft Systems, Damage Assessment, EOC planning, and more! Sincerely, Ryan Wilkinson Eaton County Emergency Services Coordinator

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22 Department of Forensic Pathology Office of the Medical Examiner 2018 Q3 (July 1-September 30) Drug Report Published November 6, 2018

23 Introduction Drug-Related Deaths - Defined We define drug deaths as those which result entirely or partially from the physiologic effects of acute toxicity. Therefore, included here are deaths which resulted from a combination of natural disease and acute intoxication (e.g. lung disease complicated by opioid intoxication). Our definition does not include deaths by violence, in which the violent behavior may have been caused or contributed to by intoxication (e.g. death due to injury from motor vehicle crash in which the at-fault driver was intoxicated). We also do not include deaths related to the effects of chronic substance use (e.g. deaths due to alcoholic liver disease or heart disease which may have been contributed to by chronic cocaine use) if not combined with acute toxicity. Methods The majority of the drug deaths reported are due to more than one substance, as you will see in the detailed tables that follow. Often, decedents have even more substances present in their body at the time of death or overdose incident than just the substances listed as having caused or contributed to death. After autopsy and review of records, including toxicology report, the medical examiner assigned to the case determines which of the substances present played a causal role in the death. Thus, there may be substances present in a given case which are not included in the cause of death statement. Occasionally, intoxicated decedents survive in the hospital for a time prior to death, following acute drug intoxication. In these cases, all efforts are made to obtain and test the earliest blood and urine available from their time in the hospital for the overdose incident, so that the toxicology results reflect what was in the body at the time the overdose occurred. New information occasionally becomes available after a final cause and manner of death was determined, which sometimes, albeit rarely, results in a change to the final cause or manner of death. As such, the statistics contained herein may be subject to change at any time. The extent of toxicology testing is determined by the medical examiner assigned to the case, based upon the circumstances of death. During the period reported, our office used Axis Forensic Toxicology for toxicology testing. 1 1 If you have questions about what drugs we are currently capable of detecting, please visit or luke.vogelsberg@sparrow.org 2018 Q3 Office of the Medical Examiner Drug Report Page 1 of 19

24 Highlights 2 Unless otherwise indicated, all comparisons on the Highlights page are made to the data from the previous quarter (Q2 2018). As stated above, most drug-related deaths are due to a combination of more than one substance. As such, numerous deaths fall into multiple of the below statistical categories (i.e. all heroin, fentanyl, methadone, and fentanyl analogue-related deaths are included in the opioid-related deaths category, and many deaths involved both heroin and fentanyl, and are included in both specific categories). Total drug-related deaths increased by 4 (deaths) Opioid-related deaths increased by 4 (deaths) Fentanyl and/or fentanyl analogue-related deaths decreased by 1 (death) Fentanyl and/or fentanyl analogue(s) were identified as substances causing death in 58% of all drug-related deaths in Q Q marked the first time we have seen the fentanyl analogue valerylfentanyl in any of our counties (two occurrences) Fentanyl analogues identified as having caused or contributed to death in Q included: acetylfentanyl and valerylfentanyl Benzodiazepine deaths increased by 1 (death) Cocaine-related deaths remained constant at 11 (deaths) Amphetamine/Methamphetamine-related 3 deaths increased by 1 (death) 83.7% of all drug-related deaths in Q were due to two or more substances Fentanyl was present and contributed to death in 8 of the 11 (72.7%) cocaine-related deaths in Q At date of this report, there is one case with pending cause and/or manner of death (Ingham County) from Q The completion of this death investigation is unlikely to affect the data in this report. 3 Methamphetamine is metabolized to amphetamine in the body, thus, it is not always clear what the presence of amphetamine indicates (illicit methamphetamine use vs. prescription amphetamine use) Q3 Office of the Medical Examiner Drug Report Page 2 of 19

25 All-County Drug Class Occurrences in Drug-Related Deaths Q compared with Q1 & Q2 2018, and Q Total Drug Deaths Opioids Fentanyl and/or analogues Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other Q Q Q Q This chart describes occurrences in one death of a given class of drug. As most drug-related deaths are due to two or more substances, the same death may fall into multiple categories (e.g. death due to fentanyl and alprazolam intoxication falls into the opioids, benzodiazepines, fentanyl and/or analogues, and opioids with benzodiazepines categories). Multiple of the same class of drug in the same death counts as only one occurrence of that class of drugs (e.g. death due to heroin and hydrocodone intoxication both of these are opioids so this death falls only in the opioids category, as one occurrence). The other category is for occurrences of drug-related deaths due solely to drugs which do not fall into the other listed categories Q3 Office of the Medical Examiner Drug Report Page 3 of 19

26 Eaton County Drug-Related Deaths 2018 Q3 Eaton County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Female 23 fentanyl, flurazepam, hydroxyzine Accident Male 27 clonazepam, ethanol, fentanyl, fluoxetine Accident Female 36 methadone, alprazolam, cocaine Accident Male 44 alprazolam, ethanol Accident Male 50 ethanol Accident Female 53 oxycodone Suicide Male 62 amitriptyline, oxycodone Accident Male 63 acetylfentanyl, ethanol, fentanyl, methamphetamine Accident Female 70 cyclobenzaprine, hydrocodone, tramadol, trazodone, venlafaxine Suicide 2018 Q3 Office of the Medical Examiner Drug Report Page 4 of 19

27 Eaton County Drug-Related Deaths Eaton County Drug Class Occurrences in Drug-Related Deaths Q compared with Q1 & Q2 2018, and Q Total Drug Deaths Opioids Fentanyl and/or analogues Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other Q Q Q Q This chart describes occurrences in one death of a given class of drug. As most drug-related deaths are due to two or more substances, the same death may fall into multiple categories (e.g. death due to fentanyl and alprazolam intoxication falls into the opioids, benzodiazepines, fentanyl and/or analogues, and opioids with benzodiazepines categories). Multiple of the same class of drug in the same death counts as only one occurrence of that class of drugs (e.g. death due to heroin and hydrocodone intoxication both of these are opioids so this death falls only in the opioids category, as one occurrence). The other category is for occurrences of drug-related deaths due solely to drugs which do not fall into the other listed categories Q3 Office of the Medical Examiner Drug Report Page 5 of 19

28 Eaton County Mapped Locations of Drug-Related Deaths within Eaton County, Q If more than one death occurred at the same location (e.g. a hospital), you will not see more than one distinct marker at that location Q3 Office of the Medical Examiner Drug Report Page 6 of 19

29 Ingham County Drug-Related Deaths Q3 Ingham County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Male 21 opioids (fentanyl), benzodiazepines Accident Male 27 alprazolam, fentanyl, morphine (probable heroin) Accident Female 28 fentanyl, heroin, acetylfentanyl, valerylfentanyl, cocaine, alprazolam, diphenhydramine Accident Male 28 fentanyl, morphine, hydrocodone, cocaine Accident Male 29 heroin, butane Accident Male 31 fentanyl, cocaine, ethanol Accident Male 34 fentanyl, cocaine Accident Male 35 diphenhydramine, fentanyl Accident Male 36 diazepam, ethanol, oxycodone Accident Male 38 acetylfentanyl, fentanyl Accident Male 41 heroin, ethanol Accident Female 41 fentanyl Accident Male 42 fentanyl, methamphetamine Accident Female 44 fentanyl, heroin, oxycodone Accident Male 44 fentanyl, methamphetamine Accident Male 44 fentanyl, methadone, cocaine Accident Female 45 methamphetamine Accident Male 46 cocaine Accident Male 48 alprazolam, cyclobenzaprine, diphenhydramine, fentanyl, pregabalin Accident Male 56 fentanyl, heroin, cocaine Accident Female 57 heroin, clonazepam, cyclobenzaprine, gabapentin. ethanol Accident 5 At date of this report, there is one case in Ingham County with pending cause and/or manner of death from Q3 of The completion of this death investigation is unlikely to affect the data in this report Q3 Office of the Medical Examiner Drug Report Page 7 of 19

30 Male 65 cocaine, fentanyl Accident Female 65 acetaminophen, codeine, ethanol, hydrocodone Indeterminate Male 71 cocaine Accident Male 72 heroin, fentanyl, cocaine, ethanol Accident 2018 Q3 Office of the Medical Examiner Drug Report Page 8 of 19

31 Ingham County Drug-Related Deaths Ingham County Drug Class Occurrences in Drug-Related Deaths Q compared with Q1 & Q2 2018, and Q Total Drug Deaths Opioids Fentanyl and/or analogues Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other Q Q Q Q This chart describes occurrences in one death of a given class of drug. As most drug-related deaths are due to two or more substances, the same death may fall into multiple categories (e.g. death due to fentanyl and alprazolam intoxication falls into the opioids, benzodiazepines, fentanyl and/or analogues, and opioids with benzodiazepines categories). Multiple of the same class of drug in the same death counts as only one occurrence of that class of drugs (e.g. death due to heroin and hydrocodone intoxication both of these are opioids so this death falls only in the opioids category, as one occurrence). The other category is for occurrences of drug-related deaths due solely to drugs which do not fall into the other listed categories Q3 Office of the Medical Examiner Drug Report Page 9 of 19

32 Ingham County Mapped Locations of Drug-Related Deaths within Ingham County, Q If more than one death occurred at the same location (e.g. a hospital), you will not see more than one distinct marker at that location Q3 Office of the Medical Examiner Drug Report Page 10 of 19

33 Ionia County Drug-Related Deaths 2018 Q3 Ionia County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Female 25 fentanyl, valerylfentanyl Accident Female 58 alprazolam, amitriptyline, diazepam, methadone Accident 2018 Q3 Office of the Medical Examiner Drug Report Page 11 of 19

34 Ionia County Drug-Related Deaths Ionia County Drug Class Occurrences in Drug-Related Deaths Q compared with Q1 & Q2 2018, and Q Total Drug Deaths Opioids Fentanyl and/or analogues Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other Q Q Q Q This chart describes occurrences in one death of a given class of drug. As most drug-related deaths are due to two or more substances, the same death may fall into multiple categories (e.g. death due to fentanyl and alprazolam intoxication falls into the opioids, benzodiazepines, fentanyl and/or analogues, and opioids with benzodiazepines categories). Multiple of the same class of drug in the same death counts as only one occurrence of that class of drugs (e.g. death due to heroin and hydrocodone intoxication both of these are opioids so this death falls only in the opioids category, as one occurrence). The other category is for occurrences of drug-related deaths due solely to drugs which do not fall into the other listed categories Q3 Office of the Medical Examiner Drug Report Page 12 of 19

35 Ionia County Mapped Locations of Drug-Related Deaths within Ionia County, Q If more than one death occurred at the same location (e.g. a hospital), you will not see more than one distinct marker at that location Q3 Office of the Medical Examiner Drug Report Page 13 of 19

36 Isabella County Drug-Related Deaths 2018 Q3 Isabella County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Female 27 fentanyl, methamphetamine Accident Male 21 clonazepam, cyclobenzaprine, gabapentin Accident Male 38 amitriptyline, diphenhydramine, fentanyl Accident Male 53 fentanyl, acetylfentanyl Accident 2018 Q3 Office of the Medical Examiner Drug Report Page 14 of 19

37 Isabella County Drug-Related Deaths Isabella County Drug Class Occurrences in Drug-Related Deaths Q compared with Q1 & Q2 2018, and Q Total Drug Deaths Opioids Fentanyl and/or analogues Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other Q Q Q Q This chart describes occurrences in one death of a given class of drug. As most drug-related deaths are due to two or more substances, the same death may fall into multiple categories (e.g. death due to fentanyl and alprazolam intoxication falls into the opioids, benzodiazepines, fentanyl and/or analogues, and opioids with benzodiazepines categories). Multiple of the same class of drug in the same death counts as only one occurrence of that class of drugs (e.g. death due to heroin and hydrocodone intoxication both of these are opioids so this death falls only in the opioids category, as one occurrence). The other category is for occurrences of drug-related deaths due solely to drugs which do not fall into the other listed categories Q3 Office of the Medical Examiner Drug Report Page 15 of 19

38 Isabella County Mapped Locations of Drug-Related Deaths within Isabella County, Q If more than one death occurred at the same location (e.g. a hospital), you will not see more than one distinct marker at that location Q3 Office of the Medical Examiner Drug Report Page 16 of 19

39 Shiawassee County Drug-Related Deaths 2018 Q3 Shiawassee County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Male 37 amitriptyline, dihydrocodeine, ethanol, fentanyl, hydrocodone, pregabalin Accident Male 50 ethanol, methamphetamine Accident Female 62 gabapentin Suicide 2018 Q3 Office of the Medical Examiner Drug Report Page 17 of 19

40 Shiawassee County Drug-Related Deaths Shiawassee County Drug Class Occurrences in Drug-Related Deaths Q compared with Q1 & Q2 2018, and Q Total Drug Deaths Opioids Fentanyl and/or analogues Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other Q Q Q Q This chart describes occurrences in one death of a given class of drug. As most drug-related deaths are due to two or more substances, the same death may fall into multiple categories (e.g. death due to fentanyl and alprazolam intoxication falls into the opioids, benzodiazepines, fentanyl and/or analogues, and opioids with benzodiazepines categories). Multiple of the same class of drug in the same death counts as only one occurrence of that class of drugs (e.g. death due to heroin and hydrocodone intoxication both of these are opioids so this death falls only in the opioids category, as one occurrence). The other category is for occurrences of drug-related deaths due solely to drugs which do not fall into the other listed categories Q3 Office of the Medical Examiner Drug Report Page 18 of 19

41 Shiawassee County Mapped Locations of Drug-Related Deaths within Shiawassee County, Q If more than one death occurred at the same location (e.g. a hospital), you will not see more than one distinct marker at that location Q3 Office of the Medical Examiner Drug Report Page 19 of 19

42 An Overview of Michigan s Recreational Marihuana Law On November 6, 2018, Michigan voters legalized recreational marijuana. When Will Take It Effect: The Michigan Department of State will certify the vote count, which usually takes 30 days. Ten days after certification it becomes law, which will be in mid-december Article 2, Section 9 on the Michigan Constitution (Any law submitted to the people by either initiative or referendum petition and approved by a majority of the votes cast thereon at any election shall take effect 10 days after the date of the official declaration of the vote). The Law Allows the Following: 1. Allows a person, 21 years of age or older to possess, use or consume, internally possess, purchase, transport, or process 2.5 ounces or less of marihuana, except that not more than 15 grams of marihuana may be in the form of marihuana concentrate. Section 5.1(a). 2. Allows a person 21 and older to possess, store, and process not more than 10 ounces of marihuana produced by marihuana plants cultivated on the premises and cultivate not more than 12 marihuana plants for personal use, provided that no more than 12 marihuana plants are possessed, cultivated, or processed on the premises at once. Section 5.1(b). 3. Allows a person to assist another person who is 21 years of age or older. Section 5.1(c). 4. Allows a person to give away or otherwise transfer without remuneration up to 2.5 ounces of marihuana, except that not more than 15 grams of marihuana may be in the form of marihuana concentrate, to a person 21 years of age or older, as long as the transfer is not advertised or promoted to the public. Section 5.1(d). What is Prohibited: 1. Operate, navigate, or being in physical control of any motor vehicle, aircraft, snowmobile, off-road vehicle, or motorboat while under the influence of marihuana; 2. Transfer of marihuana or marihuana accessories to a person under the age of 21; 3. Any person under the age of 21 to possess, consume, purchase or otherwise obtain, cultivate, process, transport, or sell marihuana; 4. Separation of plant resin by butane extraction or another method that utilizes a substance with a flashpoint below 100 degrees Fahrenheit in any public place, motor vehicle, or within the curtilage of any residential structure; 5. Consuming marihuana in a public place or smoking marihuana where prohibited by the person who owns, occupies, or manages the property, except for purposes of this subdivision a public place does not include an area designated for consumption within a municipality that has authorized consumption in designated areas that are not accessible to persons under 21 years of age;

43 6. Cultivating marihuana plants if the plants are visible from a public place without the use of binoculars, aircraft, or other optical aids or outside of an enclosed area equipped with locks or other functioning security devices that restrict access to the area; 7. Consuming marihuana while operating, navigating, or being in physical control of any motor vehicle, aircraft, snowmobile, off-road recreational vehicle, or motorboat, or smoking marihuana within the passenger area of a vehicle upon a public way; 8. Possessing marihuana accessories or possessing or consuming marihuana on the grounds of a public or private school where children attend classes in preschool programs, kindergarten programs, or grades 1 through 12, in a school bus, or on the grounds of any correctional facility; or 9. Possessing more than 2.5 ounces of marihuana within a person's place of residence unless the excess marihuana is stored in a container or area equipped with locks or other functioning security devices that restrict access to the contents of the container or area. Sections 4.1(a) 4.1(i). Municipality s Role: 1. Allows municipalities to limit the number of marihuana establishments within their boundaries or prohibit them altogether. Municipalities may also adopt other ordinances regulating marihuana establishments within their boundaries. Section Allows individuals to petition to initiate an ordinance to provide for the number of marihuana establishments allowed within a municipality or to completely prohibit marihuana establishments within a municipality. Section 6.1. Michigan Department of Licensing and Regulatory Affairs Role: 1. Implements the act, including developing a process for state licensure and writing rules for administering the act for the following licenses: a. Marihuana retailer; b. Marihuana safety compliance facility; c. Marihuana secure transporter; d. Marihuana processor; e. Marijuana microbusiness; f. Class A marihuana grower authorizing cultivation of not more than 100 marihuana plants; g. Class B marihuana grower authorizing cultivation of not more than 500 plants; h. Class C grower authorizing cultivation of not more than 2,000 plants. Section 9.1. Landlord/Employer Rights: 1. Allows landlords to prohibit a tenant from lawfully possessing and consuming marihuana by means other than smoking. Section

44 2. Allows an employer to permit or accommodate conduct otherwise allowed by this act in any workplace or on the employer's property. The act does not prohibit an employer from disciplining an employee for violation of a workplace drug policy or for working while under the influence of marihuana. The act does not prevent an employer from refusing to hire, discharging, disciplining, or otherwise taking an adverse employment action against a person with respect to hire, tenure, terms, conditions, or privileges of employment because of that person's violation of a workplace drug policy or because that person was working while under the influence of marihuana. Section Civil/Criminal Penalties: Section 15 of the act provides as follows: A person who commits any of the following acts, and is not otherwise authorized by this act to conduct such activities, may be punished only as provided in this section and is not subject to any other form of punishment or disqualification, unless the person consents to another disposition authorized by law: 1. Except for a person who engaged in conduct described in sections 4(1)(a), 4(1)(b), 4(1)(c), 4(1)(d), 4(1)(g), or 4(1)(h), a person who possesses not more than the amount of marihuana allowed by section 5, cultivates not more than the amount of marihuana allowed by section 5, delivers without receiving any remuneration to a person who is at least 21 years of age not more than the amount of marihuana allowed by section 5, or possesses with intent to deliver not more than the amount of marihuana allowed by section 5, is responsible for a civil infraction and may be punished by a fine of not more than $100 and forfeiture of the marihuana. 2. Except for a person who is engaged in conduct described in section 4, a person who possesses not more than twice the amount of marihuana allowed by section 5, cultivates not more than twice the amount of marihuana allowed by section 5, delivers without receiving any remuneration to a person who is at least 21 years of age not more than twice the amount of marihuana allowed by section 5, or possesses with intent to deliver not more than twice the amount of marihuana allowed by section 5: (a) for a first violation, is responsible for a civil infraction and may be punished by a fine of not more than $500 and forfeiture of the marihuana; (b) for a second violation, is responsible for a civil infraction and may be punished by a fine of not more than $1,000 and forfeiture of the marihuana; (c) for a third or subsequent violation, is guilty of a misdemeanor and may be punished by a fine of not more than $2,000 and forfeiture of the marihuana.

45 3. Except for a person who engaged in conduct described by section 4(1)(a), 4(1)(d), or 4(1)(g), a person under 21 years of age who possesses not more than 2.5 ounces of marihuana or who cultivates not more than 12 marihuana plants: (a) for a first violation, is responsible for a civil infraction and may be punished as follows: (1) if the person is less than 18 years of age, by a fine of not more than $100 or community service, forfeiture of the marihuana, and completion of 4 hours of drug education or counseling; or (2) if the person is at least 18 years of age, by a fine of not more than $100 and forfeiture of the marihuana. (b) for a second violation, is responsible for a civil infraction and may be punished as follows: (1) if the person is less than 18 years of age, by a fine of not more than $500 or community service, forfeiture of the marihuana, and completion of 8 hours of drug education or counseling; or (2) if the person is at least 18 years of age, by a fine of not more than $500 and forfeiture of the marihuana. 4. Except for a person who engaged in conduct described in section 4, a person who possesses more than twice the amount of marihuana allowed by section 5, cultivates more than twice the amount of marihuana allowed by section 5, or delivers without receiving any remuneration to a person who is at least 21 years of age more than twice the amount of marihuana allowed by section 5, shall be responsible for a misdemeanor, but shall not be subject to imprisonment unless the violation was habitual, willful, and for a commercial purpose or the violation involved violence. All Other Laws: All other laws inconsistent with this act do not apply to conduct that is permitted by this act. Section

46 Proposal 1 Michigan Regulation and Taxation of Marihuana Act (MRTMA) The passing of Proposal 1 means the following acts by persons 21 years of age or older will no longer be unlawful in Michigan: Possessing, transporting, and consuming 2.5 ounces or less of marijuana (not more than 15 grams of which can be in the form of a marihuana concentrate); Possessing or storing not more than 10 ounces of marihuana within the person s residence; Cultivating up to 12 marihuana plants for personal use; Any marihuana produced by these 12 plans are not subject to the 10 ounce restriction. Giving away or transferring (without compensation or advertising) up to 2.5 ounces or less of marihuana Things to Note: The definition of a municipality is: a city, village or township. The MRTMA creates a separate regulatory structure that has parallels to the MMFLA but with enough differences that legal questions, litigation, and uncertainty will most likely exist. Six new types of marijuana businesses are referred to collectively as Marihuana Establishments. Five of these new businesses mirror their medical marihuana equivalents, with slight differences. The sixth new Marihuana Establishment is a Marihuana Microbusiness. This license would allow small scale operators to grow, process, package and sell marihuana all under one license. The new structure is an automatic opt in for communities unless they take action to opt out. If they opt in they have to allow all six types of facilities, but can limit the total number of them. However, individuals within a municipality may initiate a local ballot either to allow or prohibit Marihuana Establishments via a petition. If enough signatures are gathered a proposed ordinance will be submitted to the municipality s electors at their next regular election. Per Sec. 601 of the MMFLA, the MMFLA s excise tax is no longer collected 90 days after the effective date of a law authorizing the recreational or nonmedical use of marijuana. This means in order for municipalities to continue receiving economic incentives they will need to allow Marihuana Establishments. Specifically, they will need to allow for Marihuana Retailers and Microbusinesses as they are the only two Establishments charging the 10% tax on the sale of marihuana sold. Funds collected by the State will be used first to cover their cost, second until 2022 or for at least two years, 20 million annually will go to research in treating medical conditions and suicide prevention of Veterans. Any unexpended balances after will be allocated as follows: 15% to municipalities with marihuana retail stores or microbusinesses, 15% to counties in which marihuana retail stores or microbusinesses are located, 35% to the school aid fund for K 12 education, and 35% to the Michigan transportation fund to be used for the repair and maintenance or road and bridges.

47 A municipality may adopt other ordinances that are not unreasonably impracticable and do not conflict with this act or with any rule promulgated pursuant to this act and that: o (a) establish reasonable restrictions on public signs related to marihuana establishments; o (b) regulate the time, place, and manner of operation of marihuana establishments and of the production, manufacture, sale, or display of marihuana accessories; o (c) authorize the sale of marihuana for consumption in designated areas that are not accessible to persons under 21 years of age, or at special events in limited areas and for a limited time; and o (d) designate a violation of the ordinance and provide for a penalty for that violation by a marihuana establishment, provided that such violation is a civil infraction and such penalty is a civil fine of not more than $500. A municipality may adopt an ordinance requiring a marihuana establishment with a physical location within the municipality to obtain a municipal license, but may not impose qualifications for licensure that conflict with this act or rules promulgated by the department. A municipality may charge an annual fee of not more than $5,000 to defray application, administrative, and enforcement costs associated with the operation of the marihuana establishment in the municipality. A municipality may not adopt an ordinance that restricts the transportation of marihuana through the municipality or prohibits a marihuana grower, a marihuana processor, and a marihuana retailer from operating within a single facility or from operating at a location shared with a marihuana facility operating pursuant to the medical marihuana facilities licensing act, 2016 PA 281, MCL to The only place zoning is mentioned is Sec 9, 3, (c) which states: the property where the proposed marihuana establishment is to be located is not within an area zoned exclusively for residential use and is not within 1,000 feet of a pre existing public or private school providing education in kindergarten or any of grades 1 through 12, unless a municipality adopts an ordinance that reduces this distance requirement. LARA will begin taking applications 12 months after the effective date of the act. The Legislature could amend the proposal with a ¾ vote. Some changes that could be considered: Lessen the number of plants a person can grow (currently 12), change so communities would automatically be considered to have opted out unless they vote to opt in, increase the tax to more than the current 10%.

48 RICK SNYDER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING SHELLY EDGERTON DIRECTOR November 16, 2018 Dear Counties: The Legal Division of the Bureau of Medical Marihuana Regulation has been assigned to administer the Medical Marihuana Operation and Oversight Grants to Michigan counties. Public Act 207 of 2018 section 901 requires the Department of Licensing and Regulatory Affairs to expend funds appropriated by the legislature for medical marihuana operation and oversight grants to counties for education and outreach programs relating to the Michigan medical marihuana program pursuant to section 6(l) of the Michigan medical marihuana act, 2008 IL 1, MCL Grants provided under this section must not be used for law enforcement purposes. The grant money is distributed proportionately based on the number of registry identification cards issued to or renewed for the residents of each county that applied for a grant. Attached to this letter, please find the application and the list of funds available for each county in the State of Michigan. If your county is interested in participating for FY 2019, please submit the documents to the address listed below and listed on the attached application by January 1, 2019 which is the deadline established in 2018 PA 207. The grant application for the Medical Marihuana Operation and Oversight Grants must be submitted electronically no later than January 1, 2019 by sending an to the department using the following address: LampkinsS@michigan.gov. Applications received after January 1, 2019 may not be accepted. If you have any questions regarding the grant, please do not hesitate to contact Shaun Lampkins at (517) , LampkinsS@michigan.gov within the Legal Division for assistance. Sincerely, Colleen Curtis, Manager Legal Division Bureau of Medical Marihuana Regulation Michigan Department of Licensing and Regulatory Affairs CurtisC8@michigan.gov BUREAU OF PROFESSIONAL LICENSING 611 W. OTTAWA P.O. BOX LANSING, MICHIGAN