EATON COUNTY BOARD OF COMMISSIONERS PUBLIC SAFETY COMMITTEE MINUTES OF AUGUST 2, 2018

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EATON COUNTY BOARD OF COMMISSIONERS PUBLIC SAFETY COMMITTEE MINUTES OF AUGUST 2, 2018 Present: Chairman Commissioner Kent Austin, Vice Chairman Commissioner Wayne Ridge, Commissioner Jeanne Pearl- Wright, Commissioner Brian Droscha, Commissioner Heather Wood, Commissioner Jane Whitacre, and Commissioner Howard Spence Also Present: Controller John Fuentes, Commissioner Blake Mulder, Commissioner Christine Barnes, Dispatch Director Michael Armitage, Assistant Dispatch Director Lara O' Brien, Community Corrections Director Kathy Brooks, Felony Drug Court Case Manager Christy Gleason, Juvenile Division Director Amanda Pollard, Chief Medical Examiner Investigator Luke Vogelsberg, Madelyne Lawry, Sheriff Tom Reich, Undersheriff Jeff Cook, Chief Deputy Adam Morris, Lt. Scott Brooks, and Jerri Nesbitt The meeting was called to order at 4: 00 p. m. Pledge of Allegiance was given by all. Agenda additions/ changes Vice Chairman Commissioner Ridge made a motion to accept the Agenda as presented. Commissioner Pearl-Wright seconded the motion. Motion carried. Approval of Minutes Commissioner Wood made a motion to approve the minutes of the June 7, 2018 meeting, as presented. Commissioner Pearl-Wright seconded the motion. Motion carried. LIMITED PUBLIC COMMENT None. MEDICAL EXAMINER ANNUAL REPORT Chief Medical Examiner Investigator Luke Vogelsberg presented and reviewed the Medical Examiner's Office 2017 Annual Report and answered questions. There was discussion regarding the number and cause of drug- related deaths in the County and the differences caused in the reporting of deaths by location rather than County of residence. SHERIFF' S OFFICE UPDATE Sheriff Reich reported June and July highlights. He also reported the success of this year's fugitive warrant sweeps conducted in June. A total of 61 individuals were arrested on outstanding warrants. Page 1 of 3

The Western Region Alternative to Prison (WRAP) program contract with the Michigan Department of Corrections has been renewed through October 2019. Chief Deputy Morris reported that two Road Patrol Deputies are in the Field Training Officer program and will be assuming their duties shortly. There are currently two vacancies in Corrections and applicants are being screened. MONTHLY REPORTS Jail Census and Reimbursement Report- Controller Fuentes reported that the number of MDOC and WRAP inmates averaged 58 and 35 for the month of July, respectively. Amounts billed and revenues received are occurring in a timely manner. Overtime Report Controller Fuentes reported that through July 31st overall for general fund total is currently a favorable variance. There is also a favorable variance in the total salary line- item budgets for the fiscal year. Court Security Report There were no unusual occurrences. RESOLUTION TO AUTHORIZE APPLICATION FOR BYRNE RESIDENTIAL SUBSTANCE ABUSE TREATMENT ( RSAT) GRANT This grant is a $ 126, 500 renewal with slight increase. Discussion held. Commissioner Droscha made a motion to recommend approval of the resolution to authorize submission of the grant application to the Board of Commissioners. Vice Chairman Commissioner Ridge seconded the motion. Motion carried. RESOLUTION TO APPROVE APPLICATION FOR THE OFFICE OF HIGHWAY SAFETY PLANNING STRATEGIC TRAFFIC ENFORCEMENT PROGRAM This application is for $25, 000 in overtime expense for strategies to reduce fatal accidents, seatbelt enforcement and OWI enforcement events. Commissioner Spence made a motion to recommend approval of the application to the Board of Commissioners for approval. Commissioner Droscha seconded the motion. Motion carried. RESOLUTION TO APPROVE APPLICATION FOR THE OFFICE OF HIGHWAY SAFETY PLANNING UNDERAGE DRINKING ENFORCEMENT PROGRAM This application is for a $ 7, 500 grant for targeted overtime expenses. Vice Chairman Commissioner Ridge made a motion to recommend approval of the application to the Board of Commissioners. Commissioner Droscha seconded the motion. Motion carried. Page 2 of 3

CENTRAL DISPATCH UPDATE Director Armitage reported that activity remained steady. The phone system upgrades are ongoing and will lead to NEXGEN 9-1- 1 becoming operational in October. The Rave alert system in Grand Ledge is being activated. Recruitment is ongoing to fill two dispatcher positions and one employee is in training. Director Armitage has been attending municipal and township meetings to present the 2017 Eaton County Central Dispatch Annual Report and provide information regarding the upcoming 9-1- 1 Millage renewal. The radio system construction project is progressing on schedule. Tower site leases have been secured. A ground breaking ceremony was recently held at the location of the new tower. It was determined that the tower on the County complex will need to be re- constructed as part of the project. This will use budgeted remediation and contingency funds and not increase the total project cost. MISCELLANEOUS Controller Fuentes reported that a second round of interviews for the Emergency Management Coordinator position has been conducted. A conditional offer of employment has been made with an anticipated start date of August 20th, subject to a satisfactory background investigation. Sheriff Reich announced the annual National Night Out event is scheduled for August 7th at 6:00 p. m. at Sharp Park in Delta Township. Chairman Commissioner Austin announced he is organizing a flag football game fundraiser for the family of Corrections Lieutenant Larry Treadwell who recently passed away for the end of September. Teams would be police and military personnel against civilians. LIMITED PUBLIC COMMENT None. Commissioner Austin adjourned the meeting at 5: 10 p. m. Chairman Commissioner Kent Austin Chairperson Public Safety Committee Eaton County Board of Commissioners Page 3 of 3

Office of the Medical Examiner 2017 Annual Report

Executive Summary Eaton County Ingham County Ionia County Isabella County Shiawassee County We are pleased to present our 2017 Annual Report. This report reflects the work of the Office of the Medical Examiner during the 2017 calendar year. Only those deaths that fall within the geographical jurisdiction of the Medical Examiner, which is based on the county in which death was pronounced, are included. We pride ourselves on providing outstanding service to the communities we serve. Our commitment to excellence was recognized in 2009, when our office was granted full accreditation by the National Association of Medical Examiners (NAME), and that full accreditation status was renewed by NAME in 2014. We have developed a regional system that delivers consistency and standardization. Thanks to leadership provided by Sparrow Forensic Pathology, there is an expected process which ensures quality, compassionate care when people need it most. It would not be possible for the Office of the Medical Examiner to operate efficiently without our dedicated staff. Additionally, our investigators are essential to our success and we are grateful for their service. The investigators are listed by county in the text of this report. 2

Sparrow Forensic Pathology Office of the Medical Examiner 2017 Staff Michael A. Markey, M.D. Medical Director John A. Bechinski, D.O. Patrick A. Hansma, D.O. Daniel L. Schultz, M.D. Luke R. Vogelsberg, D-ABMDI - Chief Investigator Holly Marsh - Administrative Assistant Debra Parsons - Team Advisor & Autopsy Assistant Brittany Buchholz Autopsy Assistant & In-House Investigations Samantha Schaeffer - Autopsy Assistant Krystin Smith - Autopsy Assistant Sarah Tresedder Autopsy Assistant 3

Medical Examiner Services Investigation of Deaths As the Office of the Medical Examiner for five counties in Michigan, we perform autopsies and other postmortem examinations as an important part of the death investigation process. Each county in Michigan has a licensed Physician, appointed by the County Commissioners, who is responsible for investigating deaths as defined by the Michigan Compiled Laws. In general, the deaths investigated by our office include those that are thought to result from injury or poisoning (such as homicide, suicide, and accidental deaths), and those deaths that are sudden, unexpected, and not readily explainable at the time of death. Because deaths occur around the clock, the Office of the Medical Examiner is staffed 24 hours a day, 365 days a year. The typical sequence of events that occurs following a death is: A death is reported to the on-call Medical Examiner Investigator (MEI). The MEI assesses whether we have legal authority and duty to investigate the death. The death scene is visited and investigated, if indicated. Investigative information is obtained about the decedent's medical and social history, as well as other information surrounding the events that were associated with the death. If an examination is indicated, the body is transported to the Forensic Pathology Laboratory at Sparrow Hospital in Lansing, MI. 4

If the investigator believes the death does not require a postmortem examination, the on-call Medical Examiner or Chief Investigator may be contacted to discuss the case before the body is released to the funeral home. An investigative report is written by the MEI. When applicable, the decedent s primary care physician is contacted and notified of the death, and medical history is confirmed. A death certificate is generated by either the decedent's personal physician, the attending physician in the medical facility, or the assigned Medical Examiner or Deputy Medical Examiner. If a postmortem examination is performed, following receipt and review of all appropriate test results and records, a postmortem examination report is written. Permanent records are maintained for future use, as needed, and distributed to those who have requested a copy of the report and are authorized to receive the report. Occasionally, some deaths require follow-up investigations, which are conducted by our In-House Investigators based at Sparrow Hospital. For 2017, this function was performed by Brittany Buchholz. Death Certification The main focus of our investigation is to determine the cause and manner of death, and to clarify circumstances surrounding the death. The cause of death is related to the underlying disease or injury that resulted in the individual's death. The manner of death, in the state of Michigan, is limited to these five options: natural, accident, suicide, homicide, or indeterminate. In addition, information gathered 5

during the investigation of event(s) before death and/or evidence collected may be critical for future legal proceedings. Case Management Approach A board-certified Forensic Pathologist is assigned to each death and determines the level of medical investigation required. Cases are handled by one of the following approaches: Direct Release - The body is released directly from the scene to the funeral director. The MEI is at the scene and views the body. Based upon scene and medical history information provided by the MEI to the on-call Medical Examiner or Chief Investigator, a decision may be made to release a body directly to the funeral home chosen by the family, without further examination. External Examination An external examination includes a detailed record of external observations of the body, and possible laboratory/toxicology testing. A report of external exam and laboratory findings is written by the responsible pathologist. Autopsy An autopsy includes an external examination as described above, as well as an internal examination. This internal examination may be a limited or partial autopsy, or a full or complete autopsy. A limited autopsy is an internal examination within a specific anatomic boundary (e.g. brain-only examination). Most often, limited autopsies are performed to recover a foreign body, surgical hardware, or answer specific questions. A full autopsy includes internal examination of all organs and body cavities. An autopsy usually includes laboratory/toxicology testing, and may include histologic examination and additional examination by a subspecialty consultant (e.g. cardiac or neuropathologist). A report of examination and laboratory findings is written by the responsible pathologist. 6

Decision to Autopsy The Medical Examiners and Deputy Medical Examiners use standards established by the National Association of Medical Examiners (NAME) to determine whether an autopsy is indicated. The standards, most recently revised in September 2016, state: The Forensic Pathologist shall perform a forensic autopsy when: The death is known or suspected to have been caused by apparent criminal violence. The death is unexpected and unexplained in an infant or child. The death is associated with police action. The death is apparently non-natural and in custody of a local, state, or federal institution. The death is due to acute workplace injury.* The death is caused by apparent electrocution.* The death is by apparent intoxication by alcohol, drugs, or poison, unless a significant interval has passed, and the medical findings and absence of trauma are well documented. The death is caused by unwitnessed or suspected drowning.* The body is unidentified and the autopsy may aid in identification. The body is skeletonized. The body is charred. The forensic pathologist deems a forensic autopsy is necessary to determine cause or manner of death, or document injuries/disease, or collect evidence. The deceased is involved in a motor vehicle incident and an autopsy is necessary to document injuries and/or determine the cause of death. * unless sufficient antemortem medical evaluation has adequately documented findings and issues of concern that would otherwise have required autopsy performance 7

Accreditation All of the Medical Examiners offices that contract for services with Sparrow Forensic Pathology are accredited by the National Association of Medical Examiners (NAME). Manner of Death Guidelines for classifying the manner of death include: Natural deaths are due solely or nearly totally to disease and/or the aging process. Accident applies when an injury or poisoning (including drug overdoses) causes death and there is little or no evidence that the injury or poisoning occurred with intent to harm or cause death. In essence, the fatal outcome was unintentional. Suicide results from an injury or poisoning as a result of an intentional selfinflicted act committed to do self-harm or cause the death of one's self. Homicide occurs when the death results from a volitional act committed by another person to cause fear, harm, or death. Intent to cause death is a common element but is not required for classification as a homicide. It has to be emphasized that the classification of homicide for the purpose of death certification is a "neutral" term and neither indicates nor implies criminal intent, which remains a determination within the province of legal processes. Indeterminate is a classification used when the information pointing to one manner of death is no more compelling than one or more other competing manners of death, in thorough consideration of all available information. 8

In general, when death involves a combination of natural processes and external factors, such as injury or poisoning, preference is given to the non-natural manner of death. Cremation Permit Authorizations Michigan law requires funeral directors to obtain a signed cremation permit from the Medical Examiner. Our office reviews thousands of cremation permit requests each year. We review the death certificates to ensure that deaths that should have been reported to our office were in fact reported. Deaths that were not properly reported are investigated before cremation is authorized. Testimony at Trials The Medical Examiner and Deputy Medical Examiners are often called upon to provide testimony in criminal and civil matters. They meet regularly with members of law enforcement, prosecutors, defense attorneys and civil litigators. Public Health and Safety Issues Although the major purpose of the Medical Examiner s Office is to conduct death investigations, the information obtained from individual death investigations may also be studied collectively to gather information that may be used to address public health and safety issues. Our office participates with the Michigan Child Death Review process in all counties, providing significant information regarding how children died, with the goal of preventing future deaths. Education We have a strong affiliation with Michigan State University. Our staff teaches pathology and provides regular lectures to forensic science students. We routinely 9

have medical students who rotate through our office to gain experience and exposure to forensic pathology. Additionally, we participate in many programs designed to teach youth about careers in forensic pathology. Comment on Methods and Terms This annual report reflects the activities of our medical examiner offices during a given calendar year. With rare exception (e.g., deaths reported to the wrong medical examiner office), the data include only those cases over which the county s medical examiner can exercise jurisdiction. Jurisdiction is determined by where the individual was pronounced dead rather than the county of residence or the county in which the incident leading to death might have occurred. Furthermore, the data reflect the calendar year in which the deaths were reported to the respective medical examiner offices, regardless of the year in which the death actually occurred. The category Total Deaths in the County is based upon numbers provided by that County Clerk s Office. Occasionally, these numbers may change after the time of publication of this report. The category Referrals to Gift of Life does not include in-hospital deaths reported to the medical examiner, which are referred to Gift of Life by hospital staff rather than the medical examiner office. For Accidental Deaths, the subcategory Vehicle consists of deaths that were classified as transportation-related fatalities, and include all forms of transport; drivers/operators, passengers, and pedestrians; this category does not include types of death that might otherwise fall into a different subclassification, such as vehicle fires and traumatic asphyxia. 10

Eaton County Medical Examiner Michael A. Markey, M.D. Deputy Medical Examiners John A. Bechinski, D.O. Patrick A. Hansma, D.O. Chief Investigator Luke R. Vogelsberg, D-ABMDI Medical Examiner Investigators Ruth Grant, D-ABMDI Jessica Nicholson Daniel Sowles, D-ABMDI Jane Wankmiller, Ph.D, D-ABMDI Mary Stevens David Lowndes Kevin Hearld 11

Eaton County Summary of Cases 2012 2013 2014 2015 2016 2017 TOTAL DEATHS IN THE COUNTY 723 833 838 903 817 783 DEATHS REPORTED TO THE ME 171 162 167 183 170 191 CASES ACCEPTED FOR INVESTIGATION 1 170 161 159 176 154 176 MEI SCENE INVESTIGATIONS 155 157 154 172 158 187 DEATH CERTIFICATES SIGNED BY ME 77 88 84 88 84 91 BODIES TRANSPORTED TO SPARROW 58 81 66 2 69 78 85 COMPLETE AUTOPSY 43 53 47 55 64 56 LIMITED AUTOPSY 2 1 2 3 2 4 EXTERNAL EXAMINATION 8 16 9 9 7 13 STORAGE ONLY 5 11 6 2 5 12 UNCLAIMED BODIES 1 0 1 1 2 4 REFERRALS TO GIFT OF LIFE 17 43 49 68 61 53 TISSUE/CORNEA DONORS 4 4 7 19 16 11 CREMATION PERMITS REVIEWED 304 450 407 482 452 450 1 Not every case that is reported to the Medical Examiner s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner s authority (MCL 52.202). We declined jurisdiction in 15 cases that were reported to us in 2017. 2 Includes one non-human tissue case 12

Eaton County Manner of Death The data on the following pages refers to those deaths that were reported to the Medical Examiner s Office. Manner of Death 2012 2013 2014 2015 2016 2017 NATURAL 126 115 119 119 116 128 ACCIDENT 33 35 29 43 36 38 SUICIDE 8 9 15 18 11 20 HOMICIDE 0 0 1 2 2 3 INDETERMINATE 3 3 2 1 4 3 2 4 TOTAL 170 162 166 5 183 170 6 191 140 120 100 80 60 40 20 0 Manner of Death 2012 2013 2014 2015 2016 2017 Natural Accident Suicide Homicide Indeterminate 3 (2) multiple drug intoxication, (1) multiple injuries pedestrian struck by motor vehicle, (1) undetermined cause; severely decomposed body 4 (1) multiple drug intoxication, (1) sudden unexplained infant death 5 Cases with no manner of death: (1) non-human tissue 6 Cases with no manner of death: (1) non-human bones 13

Eaton County Accidental Deaths 2012 2013 2014 2015 2016 2017 VEHICLE 7 9 6 9 6 11 DRUG-RELATED 13 14 12 19 19 13 DROWNING 0 1 0 0 0 1 FALL 12 8 8 11 7 11 FIRE 0 1 1 2 0 0 ASPHYXIA 0 2 2 0 0 0 HYPOTHERMIA 1 0 0 1 2 0 OTHER 0 0 0 1 7 2 8 2 9 TOTAL 33 35 29 43 36 38 20 Accidental Deaths 15 10 5 Vehicle Drug Related Fall All other 0 2012 2013 2014 2015 2016 2017 7 (1) farm machinery accident 8 (1) rib fractures due to injury from back brace, (1) ruptured quadriceps tendon following syncopal episode 9 (1) natural disease complicated by environmental exposure, (1) delayed complications of anaphylaxis 14

Eaton County Drug-Related Deaths For purposes of this report, drug-related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures. Manner of Death 2012 2013 2014 2015 2016 2017 ACCIDENT 13 14 12 19 19 13 SUICIDE 2 1 2 3 1 1 INDETERMINATE 1 0 0 0 2 1 TOTAL 16 15 14 22 22 15 Drug-Related Deaths 20 18 16 14 12 10 8 6 4 2 0 2012 2013 2014 2015 2016 2017 Accident Suicide Indeterminate 15

2017 Drug-Related Deaths TOTAL 15 cases SEX 3 female, 12 male RACE 15 white AGE RANGE 15-73 years AVERAGE AGE 34.9 years MEDIAN AGE 31 years OPIOID-RELATED 12 cases involved an opiate or opioid (80%) MANNER OF DEATH 13 Accidents, 1 Suicide, 1 Indeterminate 20 18 16 14 12 10 8 6 4 2 Accidental Drug-Related Deaths 0 2012 2013 2014 2015 2016 2017 16

Eaton County Suicides Suicide Totals by Year 2012 2013 2014 2015 2016 2017 8 9 15 18 11 20 Suicide Methods 2012 2013 2014 2015 2016 2017 FIREARM 4 6 7 7 9 12 HANGING 1 1 5 4 1 7 DRUG INTOXICATION 2 1 2 3 1 1 SHARP FORCE INJURY 0 1 0 1 0 0 SUFFOCATION 0 0 1 2 0 0 OTHER 1 10 0 0 1 11 0 0 Suicides by Age 2012 2013 2014 2015 2016 2017 0 17 1 0 1 2 2 1 18 25 0 2 2 1 0 4 26 44 2 1 6 8 1 6 45 64 3 4 5 4 6 7 65 + 2 2 1 3 2 2 10 Electrocution 11 Drove in front of train 17

Eaton County Reported Deaths of Children Reported Deaths of Children by Age 2012 2013 2014 2015 2016 2017 Stillborn 1 0 0 0 0 0 <1 year 1 1 1 0 0 1 1-5 0 0 1 0 0 0 6-10 0 0 0 0 0 0 11-17 1 1 2 5 2 2 TOTAL 3 2 4 5 2 3 Reported Deaths of Children by Manner of Death Manner of Death 2012 2013 2014 2015 2016 2017 NATURAL 0 0 1 0 0 0 ACCIDENT 0 1 2 2 0 1 SUICIDE 1 0 1 2 2 1 HOMICIDE 0 0 0 1 0 0 INDETERMINATE 1 1 0 0 0 1 AGE SEX CAUSE OF DEATH MANNER 2017 6 months M Undetermined Indeterminate 15 years M Acute heroin toxicity Accident 17 years M Shotgun wound of head Suicide 18

Comparisons Across Counties Eaton Ingham Ionia Isabella Shiawassee POPULATION 43 107,759 280,895 63,905 70,311 70,648 TOTAL DEATHS 783 2,872 348 528 618 DEATHS REPORTED TO THE ME (% OF TOTAL DEATHS) CASES ACCEPTED FOR INVESTIGATION MEI SCENE INVESTIGATION DEATH CERTIFICATES SIGNED BY ME TOTAL EXAMS (% OF CASES ACCEPTED) 191 (24.4%) 916 (31.9%) 113 (32.5%) 118 (22.3%) 168 (27.2%) 176 677 110 110 151 187 752 109 105 151 91 422 59 56 66 73 (41.5%) 286 (42.2%) 51 (46.4%) 45 (40.9%) 51 (33.8%) NATURAL DEATHS (% OF DEATHS REPORTED) 128 (67.0%) 605 (66.0%) 71 (62.8%) 75 (63.6%) 125 (74.4%) ACCIDENTAL DEATHS (% OF DEATHS REPORTED) 38 (19.9%) 231 (25.2%) 24 (21.2%) 29 (24.6%) 26 (15.5%) 43 Population statistics provided by suburbanstats.org 54

Eaton Ingham Ionia Isabella Shiawassee SUICIDES (% OF DEATHS REPORTED) 20 (10.5%) 44 (4.8%) 14 (12.4%) 10 (8.5%) 11 (6.5%) HOMICIDES (% OF DEATHS REPORTED) INDETERMINATE (% OF DEATHS REPORTED) DRUG-RELATED DEATHS (% OF DEATHS REPORTED) REFERRALS TO GIFT OF LIFE TISSUE/CORNEA DONORS 3 (1.6%) 2 (1.1%) 15 (7.9%) 19 (2.1%) 16 (1.7%) 101 (11.0%) 1 (0.9%) 3 (2.7%) 10 (8.8%) 0 (0%) 3 (2.5%) 9 (7.6%) 3 (1.8%) 1 (0.6%) 11 (6.6%) 51 326 49 51 44 11 92 9 10 8 UNCLAIMED BODIES 4 34 1 1 0 55

Additional Information In the five counties for which Sparrow Forensic Pathology served as the Office of the Medical Examiner in 2017: Zero bodies were exhumed for examination Zero bodies remained unidentified at the time a final disposition for the remains was determined Toxicology testing was performed in 495 of the 512 examinations performed 44 44 Toxicology testing is performed in nearly all cases in which an examination is performed. Exceptions to this may include (but are not limited to): cases sent in for identification purposes only, apparent natural deaths sent in for external examination to rule out trauma, and cases for which adequate toxicology specimens cannot be obtained (due to prolonged stay in hospital following initial event, or decomposition). 56

Department of Forensic Pathology Office of the Medical Examiner 2017 Drug Report

Introduction Drug-Related Deaths - Defined We define drug deaths as those which are caused or contributed to by the physiologic effects of acute intoxication. Included here too 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 intoxication. 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 identified as present played a causal role in the death. In short, this means that in a given case, the substances listed as having caused death are not necessarily all-inclusive of the total substances identified as present in the body at the time of death or incident. Occasionally, 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 obtained at admission to the hospital for the overdose incident, so that the toxicology results reflect what was in the body at the time the overdose occurred. 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 www.axisfortox.com or email luke.vogelsberg@sparrow.org 2017 Office of the Medical Examiner Drug Report Page 1 of 26

Highlights Unless otherwise noted, all comparisons here are made to the data from 2016. Though this is the first report of its kind issued by our office, the data from previous years is available for comparison. 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 decreased by 4.4% (7 fewer) Opioid-related deaths decreased by 3.8% (5 fewer) Heroin-related 2 deaths decreased by 28.6% (14 fewer) Fentanyl-related deaths increased by 53.8% (21 more) Methadone-related deaths decreased by 42.1% (8 fewer) Cocaine-related deaths decreased by 11.1% (4 fewer) Amphetamine/Methamphetamine-related 3 deaths increased by 30.0% (3 more) Fentanyl analogue-related deaths decreased by 61.1% (11 fewer) Benzodiazepine-related deaths decreased by 4.8% (3 fewer) Fentanyl analogues identified as having caused or contributed to death in 2017 included: U47700, acetylfentanyl, acrylfentanyl, carfentanil, cyclopropylfentanyl 80.9% of all drug-related deaths were due to two or more substances 43.2% of all opioid-related deaths also involved at least one benzodiazepine 17.6% of all opioid-related deaths also involved ethanol (alcohol) 2 Heroin is rapidly metabolized to morphine. As such, this may result in some under-reporting of heroin, and over-reporting of morphine 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) 2017 Office of the Medical Examiner Drug Report Page 2 of 26

Eaton County Drug-Related Deaths 2017 Eaton County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Male 15 heroin Accident Female 23 heroin, fentanyl, clonazepam Accident Female 26 alprazolam, loperamide, tramadol Undetermined Female 28 chlorpheniramine, dextromethorphan, diphenhydramine, naproxen Accident Male 30 amphetamine, clonazepam, ethanol, fentanyl, heroin Accident Male 30 fentanyl, morphine (likely from heroin), clonazepam, diphenhydramine, ethanol Accident Male 31 fentanyl, cocaine, ethanol Accident Male 31 alprazolam, fentanyl Accident Male 33 alprazolam, fentanyl, heroin Accident Male 36 fentanyl Accident Male 36 methamphetamine Accident Male 37 amphetamine, fentanyl Accident Male 41 fentanyl, methamphetamine Accident Male 54 fentanyl, methamphetamine Accident Male 73 citalopram, diphenhydramine, metoprolol, zolpidem Suicide 2017 Office of the Medical Examiner Drug Report Page 3 of 26

Eaton County Drug-Related Deaths 2017 Eaton County Drug-Related Deaths - Opioid vs. Non-opioid 2017 Eaton County Drug-Related Deaths - Manner of Death 3 1 1 12 13 Opioid Non-opioid Accident Suicide Indeterminate 2017 Office of the Medical Examiner Drug Report Page 4 of 26

Eaton County Drug-Related Deaths 2017 Eaton County Drug Class Occurrences in Drug-Related Deaths 14 12 10 8 6 4 2 0 Opioids Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other 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 and 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 fentanyl 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. 2017 Office of the Medical Examiner Drug Report Page 5 of 26

Eaton County Drug-Related Deaths 12 2017 Eaton County Specific Drug Occurrences in Opioid-Related Deaths 10 8 6 4 2 0 Heroin Fentanyl Morphine Hydrocodone Oxycodone Fentanyl Analogue Methadone Others This chart describes occurrences in one death of a specific opioid 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 heroin intoxication falls into both the fentanyl and heroin categories). The other category is for occurrences of other less-frequently observed opioids, including (but not limited to) tramadol, hydromorphone, buprenorphine, etc. 2017 Office of the Medical Examiner Drug Report Page 6 of 26

Ingham County Drug-Related Deaths 2017 Ingham County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Male 19 probable heroin, cocaine, alprazolam Accident Male 20 alprazolam, clonazepam, fentanyl Accident Male 22 alprazolam, cyclopropylfentanyl, U47700 Accident Female 23 heroin, cocaine Accident Female 24 diphenhydramine Suicide Male 25 difluoroethane Accident Male 25 heroin, alprazolam, ethanol Accident Male 26 alprazolam, fentanyl Accident Male 26 cocaine, diazepam, heroin, 3,4-methylenedioxymethamphetamine Accident Male 26 fentanyl, heroin Accident Male 27 heroin, fentanyl, cocaine, diazepam Accident Male 28 cocaine, heroin Accident Male 28 fentanyl, heroin Accident Male 28 fentanyl, heroin, dextromethorphan Accident Female 29 fentanyl Accident Male 29 fentanyl, cocaine, ethanol, tramadol, sertraline, diphenhydramine Accident Female 29 cocaine Accident Female 29 fentanyl, clonazepam Accident Male 29 clonazepam, methadone Accident Male 31 acrylfentanyl, sertraline Accident Male 31 unknown Accident Female 31 cocaine, diphenhydramine, olanzapine, trazodone Suicide Male 31 morphine, hydromorphone, lorazepam, pregabalin Indeterminate 2017 Office of the Medical Examiner Drug Report Page 7 of 26

Ingham County Drug-Related Deaths Male 31 U47700, cyclopropylfentanyl, alprazolam, cocaine Accident Male 32 fentanyl Accident Female 32 fentanyl, morphine, hydrocodone, cocaine, ethanol Accident Male 32 ethanol, heroin Accident Female 33 cocaine, heroin Accident Male 33 fentanyl Accident Male 33 ethanol Accident Female 33 cocaine, heroin, methamphetamine Indeterminate Male 34 alprazolam, fentanyl, heroin Accident Male 35 heroin, ethanol Accident Male 35 fentanyl Accident Male 37 heroin, cocaine, hydrocodone, clonazepam Accident Male 37 heroin Accident Female 37 cocaine, fentanyl, methadone Accident Female 38 loperamide Accident Male 38 cocaine, fentanyl, alprazolam Accident Male 39 methadone, cocaine, bupropion, gabapentin, olanzapine Accident Male 40 carfentanil, ethanol Accident Male 40 heroin, fentanyl, cocaine, clonazepam, diazepam Accident Male 41 morphine, hydromorphone Accident Male 42 fentanyl Accident Male 42 heroin Accident Female 44 alprazolam, cocaine Accident 2017 Office of the Medical Examiner Drug Report Page 8 of 26

Ingham County Drug-Related Deaths Male 44 fentanyl, diazepam, chlordiazepoxide, lorazepam Accident Female 45 morphine, alprazolam, gabapentin, citalopram, diphenhydramine, methylphenidate Accident Male 45 hydrocodone, cyclobenzaprine Accident Male 46 ehanol, diazepam, nordiazepam, demoxepam Accident Female 46 amitriptyline, butalbital, acetaminophen Suicide Female 47 fentanyl, probable heroin, ethanol Accident Female 47 methamphetamine Accident Male 47 fentanyl Accident Female 48 diphenhydramine Accident Female 48 baclofen Suicide Female 48 tramadol, alprazolam Suicide Female 49 fentanyl, methamphetamine/amphetamine, pseudoephedrine Accident Female 49 cyclobenzaprine, lorazepam, morphine, sertraline Accident Male 49 ethanol, fentanyl, cocaine Accident Male 50 ethanol Accident Male 50 methamphetamine, fentanyl Accident Male 51 cocaine Accident Female 51 diphenhydramine Accident Female 51 fentanyl, ethanol Accident Female 51 diphenhydraminne, oxycodone Accident Male 52 hydrocodone, cyclobenzaprine, dextromethorphan, doxylamine Accident Female 52 Fentanyl Accident Male 52 hydrocodone, lorazepam Suicide 2017 Office of the Medical Examiner Drug Report Page 9 of 26

Ingham County Drug-Related Deaths Female 53 ethanol, alprazolam Accident Male 53 cocaine, buprenorphine, clonazepam, diazepam, tramadol, cyclobenzaprine, gabapentin, quetiapine, methylphenidate Accident Female 53 heroin, fentanyl Accident Male 54 ethanol, hydrocodone, diphenhydramine Accident Female 54 salicylate Accident Male 54 cocaine Accident Female 55 ethanol, hydrocodone, clonazepam Indeterminate Female 56 cocaine, morphine, venlafaxine Accident Female 57 methadone, gabapentin, pregabalin, O-desmethylvenlafaxine Accident Male 58 heroin, methadone Accident Male 58 ethanol, chlordiazepoxide Accident Female 59 fentanyl, clonazepam Accident Male 60 ethanol, methadone, gabapentin Accident Male 60 hydrocdone, tramadol, gabapentin Accident Female 61 dextromethorphan, lorazepam, oxycodone, promethazine, trazodone Accident Male 61 amitriptyline, cyclobenzaprine, cocaine, heroin Accident Male 61 fentanyl, lorazepam, ethanol Accident Female 61 eszopiclone, gabapentin, clonazepam, tramadol, lamotrigine, ethanol Suicide Male 61 ethanol, fentanyl, methadone, morphine Accident Female 61 morphine, lorazepam Suicide Male 62 fentanyl, gabapentin, trazodone, citalopram Accident Female 62 fentanyl Accident Female 62 methadone, clonazepam, cyclobenzaprine, gabapentin, duloxetine, mirtazapine Accident 2017 Office of the Medical Examiner Drug Report Page 10 of 26

Ingham County Drug-Related Deaths Female 63 alprazolam, fentanyl Accident Female 64 cocaine Accident Male 64 dihydrocodeine, fluoxetine, hydrocodone, methadone, pregabalin Accident Female 64 codeine, hydrocodone, carisoprodol, trazodone, pregabalin Accident Male 64 cocaine Accident Female 65 morphine, clonazepam Indeterminate Male 65 fentanyl, heroin Accident Male 65 heroin, gabapentin Accident Female 74 baclofen Accident 2017 Office of the Medical Examiner Drug Report Page 11 of 26

Ingham County Drug-Related Deaths 2017 Ingham County Drug-Related Deaths - Opioid vs. Non-opioid 2017 Ingham County Drug-Related Deaths - Manner of Death 22 8 4 79 89 Opioid Non-opioid Accident Suicide Indeterminate 2017 Office of the Medical Examiner Drug Report Page 12 of 26

Ingham County Drug-Related Deaths 2017 Ingham County Drug Class Occurrences in Drug-Related Deaths 90 80 70 60 50 40 30 20 10 0 Opioids Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other 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 and 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 fentanyl 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. 2017 Office of the Medical Examiner Drug Report Page 13 of 26

Ingham County Drug-Related Deaths 40 2017 Ingham County Specific Drug Occurrences in Opioid-Related Deaths 35 30 25 20 15 10 5 0 Heroin Fentanyl Morphine Hydrocodone Oxycodone Fentanyl Analogue Methadone Others This chart describes occurrences in one death of a specific opioid 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 heroin intoxication falls into both the fentanyl and heroin categories). The other category is for occurrences of other less-frequently observed opioids, including (but not limited to) tramadol, hydromorphone, buprenorphine, etc. 2017 Office of the Medical Examiner Drug Report Page 14 of 26

Ionia County Drug-Related Deaths 2017 Ionia County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Female 26 citalopram, gabapentin, heroin, venlafaxine Accident Male 26 heroin, fentanyl, diphenhydramine, hydroxyzine Accident Male 28 fentanyl Accident Female 31 citalopram, cyclobenzaprine, diphenhydramine Indeterminate Male 33 diazepam, fentanyl, morphine, oxycodone Accident Male 37 fentanyl, acetylfentanyl, alprazolam Accident Male 37 fentanyl Accident Female 41 codeine, morphine, hydrocodone, dihydrocodeine, alprazolam, diazepam, cyclobenzaprine Accident Female 62 diazepam, fentanyl, hydrocodone, oxycodone Suicide Female 68 ethanol, oxycodone, orphenadrine, gabapentin, sertraline Suicide 2017 Office of the Medical Examiner Drug Report Page 15 of 26

Ionia County Drug-Related Deaths 2017 Ionia County Drug-Related Deaths - Opioid vs. Non-opioid 2017 Ionia County Drug-Related Deaths - Manner of Death 1 1 2 7 9 Opioid Non-opioid Accident Suicide Indeterminate 2017 Office of the Medical Examiner Drug Report Page 16 of 26

Ionia County Drug-Related Deaths 2017 Ionia County Drug Class Occurrences in Drug-Related Deaths 10 9 8 7 6 5 4 3 2 1 0 Opioids Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other 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 and 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 fentanyl 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. 2017 Office of the Medical Examiner Drug Report Page 17 of 26

Ionia County Drug-Related Deaths 7 2017 Ionia County Specific Drug Occurrences in Opioid-Related Deaths 6 5 4 3 2 1 0 Heroin Fentanyl Morphine Hydrocodone Oxycodone Fentanyl Analogue Methadone Others This chart describes occurrences in one death of a specific opioid 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 heroin intoxication falls into both the fentanyl and heroin categories). The other category is for occurrences of other less-frequently observed opioids, including (but not limited to) tramadol, hydromorphone, buprenorphine, etc. 2017 Office of the Medical Examiner Drug Report Page 18 of 26

Isabella County Drug-Related Deaths 2017 Isabella County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Male 23 methadone Accident Male 27 alprazolam, carfentanil, hydrocodone Accident Male 35 ethanol, fentanyl Accident Female 36 dicyclomine, gabapentin Suicide Female 39 diphenhydramine, fentanyl, hydrocodone, venlafaxine Accident Male 40 fentanyl, methamphetamine, alprazolam, diazepam, clonazepam Accident Male 43 cocaine, ethanol, fentanyl Accident Female 48 alprazolam, gabapentin, hydrocodone, trazodone, quetiapine Accident Female 54 tramadol, dextromethorphan, cyclobenzaprine, duloxetine, olanzapine Accident 2017 Office of the Medical Examiner Drug Report Page 19 of 26

Isabella County Drug-Related Deaths 2017 Isabella County Drug-Related Deaths - Opioid vs. Non-opioid 2017 Isabella County Drug-Related Deaths - Manner of Death 0 1 1 8 8 Opioid Non-opioid Accident Suicide Indeterminate 2017 Office of the Medical Examiner Drug Report Page 20 of 26

Isabella County Drug-Related Deaths 9 2017 Isabella County Drug Class Occurrences in Drug-Related Deaths 8 7 6 5 4 3 2 1 0 Opioids Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other 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 and 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 fentanyl 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. 2017 Office of the Medical Examiner Drug Report Page 21 of 26

Isabella County Drug-Related Deaths 5 2017 Isabella County Specific Drug Occurrences in Opioid-Related Deaths 4 3 2 1 0 Heroin Fentanyl Morphine Hydrocodone Oxycodone Fentanyl Analogue Methadone Others This chart describes occurrences in one death of a specific opioid 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 heroin intoxication falls into both the fentanyl and heroin categories). The other category is for occurrences of other less-frequently observed opioids, including (but not limited to) tramadol, hydromorphone, buprenorphine, etc. 2017 Office of the Medical Examiner Drug Report Page 22 of 26

Shiawassee County Drug-Related Deaths 2017 Shiawassee County Drug-Related Deaths Sex Age Substance(s) Causing Death Manner of death Male 21 fentanyl, methamphetamine Accident Male 28 fentanyl, cocaine, alprazolam, clonazepam Accident Male 31 carfentanil, alprazolam Accident Female 32 alprazolam, methadone Accident Male 33 alprazolam, cocaine, clonazepam, diazepam, fentanyl, heroin, hydrocodone Accident Male 33 cyclobenzaprine, tramadol Suicide Male 37 alprazolam, diazepam, heroin Accident Female 46 hydrocodone, diphenhydramine, lorazepam Accident Female 47 citalopram, cyclobenzaprine, doxylamine, fentanyl, morphine, oxycodone Accident Male 50 cocaine, morphine, temazepam, alprazolam, gabapentin Accident Female 50 hydrocodone, tramadol, gabapentin, duloxetine, trazodone, ethanol Accident Male 51 alprazolam, diphenhydramine, duloxetine, heroin and hydrocodone Accident Female 57 benzodiazepine, hydrocodone, orphenadrine Accident Male 57 clonazepam, fentanyl, tramadol Accident Male 57 heroin, methamphetamine, pseudoephedrine Accident Male 68 fentanyl, cocaine, doxylamine, dextromethorphan Accident Male 72 alprazolam, oxycodone, duloxetine, diphenhydramine, gabapentin Suicide 2017 Office of the Medical Examiner Drug Report Page 23 of 26

Shiawassee County Drug-Related Deaths 2017 Shiawassee County Drug-Related Deaths - Opioid vs. Non-opioid 0 2017 Shiawassee County Drug-Related Deaths - Manner of Death 0 2 17 15 Opioid Non-opioid Accident Suicide Indeterminate 2017 Office of the Medical Examiner Drug Report Page 24 of 26

Shiawassee County Drug-Related Deaths 18 2017 Shiawassee County Drug Class Occurrences in Drug-Related Deaths 16 14 12 10 8 6 4 2 0 Opioids Benzodiazepines Cocaine Amphetamines Opioids with Benzodiazepines Other 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 and 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 fentanyl 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. 2017 Office of the Medical Examiner Drug Report Page 25 of 26

Shiawassee County Drug-Related Deaths 7 2017 Shiawassee County Specific Drug Occurrences in Opioid-Related Deaths 6 5 4 3 2 1 0 Heroin Fentanyl Morphine Hydrocodone Oxycodone Fentanyl Analogue Methadone Others This chart describes occurrences in one death of a specific opioid 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 heroin intoxication falls into both the fentanyl and heroin categories). The other category is for occurrences of other less-frequently observed opioids, including (but not limited to) tramadol, hydromorphone, buprenorphine, etc. 2017 Office of the Medical Examiner Drug Report Page 26 of 26

JAIL BOARDING Fiscal Year 2017-2018 JULY 2018 PAYEE REVENUE ANNUAL MONTHLY YTD YTD ACCOUNT BUDGET BILLED BILLED COLLECTED PAROLE VIOLATORS MDOC HOUSING $380,000.00 $50,575.00 $431,165.00 $385,082.85 DIVERTED FELONS MDOC HOUSING $145,000.00 $23,835.00 $193,655.00 $134,397.50 WRAP PROGAM MDOC HOUSING $0.00 $50,085.00 $248,025.00 $199,037.12 TOTAL BOARDING $525,000.00 $124,495.00 $872,845.00 $718,517.47 GENERAL FUND SENTENCED CURRENT MONTHLY YTD YTD INMATES BUDGET BILLED BILLED COLLECTED INDIVIDUALS HOUSING $105,000.00 $138,521.01 $248,474.22 $28,358.17 OUIL IMPAIRED $14,000.00 $0.00 $0.00 $45,323.98 FALSE ALARMS $4,000.00 $0.00 $0.00 $4,870.00 ABAN. VEHICLES $5,500.00 $0.00 $0.00 $23,039.00 INMATE MEDICAL $3,000.00 $0.00 $0.00 $11,710.77 TOTALS $131,500.00 $138,521.01 $248,474.22 $113,301.92 8/2/2018 Prepared by Tammie Brand, Corrections Accounting

Building Total Eaton County Pop. JAIL COUNT SUMMARY Jul-18 Female Inmates MDOC WRAP % of Capacity % of Eaton County Pop Day 1 329 253 62 42 33 88% 68% 2 318 242 55 42 33 85% 65% 3 303 224 58 36 42 81% 60% 4 306 226 57 39 40 82% 60% 5 307 227 53 39 40 82% 61% 6 301 221 55 40 39 80% 59% 7 303 224 58 43 35 81% 60% 8 310 231 56 43 35 83% 62% 9 304 225 51 43 35 81% 60% 10 297 215 50 45 36 79% 58% 11 307 217 51 55 34 82% 58% 12 299 207 49 57 34 80% 55% 13 303 209 49 58 35 81% 56% 14 304 212 54 57 34 81% 57% 15 316 224 54 57 34 84% 60% 16 312 220 51 57 34 83% 59% 17 292 200 51 57 34 78% 54% 18 295 207 52 53 34 79% 55% 19 286 204 50 47 34 76% 55% 20 289 203 49 50 35 77% 54% 21 305 224 48 44 36 82% 60% 22 305 224 48 44 36 82% 60% 23 297 216 45 44 36 79% 58% 24 287 207 49 44 35 77% 55% 25 288 208 48 45 34 77% 56% 26 288 207 48 47 33 77% 55% 27 292 208 50 50 33 78% 56% 28 297 217 53 46 33 79% 58% 29 295 215 52 46 33 79% 58% 30 288 209 51 46 32 77% 56% 31 281 201 50 47 32 75% 54% TOTAL 1607 1463 1083 80% 56% Bldg Total 9304 Avg/Day 300 Eaton Cty. Total 6532 Avg/Day 211 Housing Total 1463 Avg/Day 47 Female Total 1607 Avg/Day 52

Court Security Screening Monthly Report 2018 People Scanned Guns Confiscated / Returned Knives Confiscated / Returned Chemical Agents Other January 11799 0 79 20 59 February 10524 0 57 17 53 March 12094 0 88 20 73 April 11203 0 92 13 72 May 12041 0 68 8 77 June 11426 0 55 15 44 July 11568 0 83 11 57 August September October November December Totals 80655 0 522 104 435

Juvenile Court Security Screening Monthly Report 2018 People Scanned Guns Confiscated / Returned Knives Confiscated / Returned Chemical Agents Other January 4575 0 1 0 0 February 4330 0 2 0 0 March 5782 0 88 20 73 April 4940 0 3 0 4 May 6235 0 10 2 6 June 4645 0 1 0 0 July 4852 0 5 1 2 August September October November December Totals 35359 0 110 23 85

2017-2018 Analysis of Sheriff Department Overtime by Division Through month end date 7/31/2018 21 Year-to-Date Estimated Total Department Overtime Payrolls Per Payroll Payrolls Projected Budget Variance County 301 104,680.73 21.00 5,222.89 26.00 135,795.19 180,000.00 $ 44,204.81 301 -Detective 15,999.53 21.00 857.12 26.00 22,285.13 45,000.00 22,714.87 120,680.26 6,080.01 158,080.32 225,000.00 66,919.68 Delta 303 101,670.40 21.00 4,960.50 26.00 128,972.88 125,000.00 $ (3,972.88) 303 -Detective 20,393.36 21.00 971.11 26.00 25,248.92 30,000.00 4,751.08 122,063.76 5,931.61 154,221.80 155,000.00 778.20 Jail 351 122,133.69 21.00 5,815.89 26.00 151,213.14 145,000.00 $ (6,213.14) General Fund 364,877.71 17,827.51 463,515.26 525,000.00 $ 61,484.74 Jail Millage 281.301.351 39,717.20 21.00 1,891.30 26.00 49,173.68 73,000.00 $ 23,826.32

2017-2018 Analysis of Sheriff Department Overtime by Division Through month end date 7/31/2018 21 Department Amended Budget Y-T-D % of Budget % of Payroll Charged Projected to End of Year Final Total Variance County 301.702 Regular 1,844,678.00 1,435,379.54 77.81% 80.77% 354,137.99 1,789,517.53 55,160.47 301.704 Overtime 180,000.00 104,680.73 58.16% 135,795.19 44,204.81 301.704.002 Detective OT 45,000.00 15,999.53 35.55% 22,285.13 22,714.87 2,069,678.00 1,556,059.80 1,947,597.85 122,080.15 Delta 303.702 Regular 1,819,160.00 1,381,363.82 75.93% 80.77% 359,848.53 1,741,212.35 77,947.65 303.704 Overtime 125,000.00 101,670.40 81.34% 128,972.88 (3,972.88) 303.704.002 Detective OT 30,000.00 20,393.36 67.98% 25,248.92 4,751.08 1,974,160.00 1,503,427.58 1,895,434.15 78,725.85 Jail 351.702 Regular 1,650,500.00 1,288,224.21 78.05% 80.77% 321,577.19 1,609,801.40 40,698.60 351.704 Overtime 145,000.00 122,133.69 84.23% 151,213.14 (6,213.14) 1,795,500.00 1,410,357.90 1,761,014.54 34,485.46 General Fund Total 5,839,338.00 4,469,845.28 5,604,046.54 235,291.46 Jail Millage Fund 281.301.351.702.000 Regular 681,375.00 536,300.22 78.71% 80.77% 127,690.53 663,990.75 17,384.25 281.301.351.704 Overtime 73,000.00 39,717.20 54.41% 80.77% 49,173.68 23,826.32 754,375.00 576,017.42 713,164.42 41,210.58

EATON COUNTY BOARD OF COMMISSIONERS AUGUST 15, 2018 RESOLUTION TO AUTHORIZE APPLICATION FOR BYRNE RESIDENTIAL SUBSTANCE ABUSE TREATMENT (RSAT) GRANT Introduced by the Public Safety Committee WHEREAS, the Office of Drug Control Policy has Byrne Memorial Grant funds available; and WHEREAS, the Sheriff s Office is desirous of submitting a grant application; and WHEREAS, the grant will provide funding for jail-based residential substance abuse treatment program; and WHEREAS, the grant application will seek up to $126,500, and requires a 25% match for this purpose; and NOW, THEREFORE BE IT RESOLVED, that the Board of Commissioners authorize the Sheriff s Office to submit a grant application in an amount not to exceed $126,500 for the period of October 1, 2018 to September 30, 2019; and BE IT FURTHER RESOLVED, acceptance of the grant, if approved will be contingent upon the identification and appropriation of the required matching funds; and BE IT FURTHER RESOLVED, that if the County s participation in the grant is discontinued or requires a County General Fund contribution, the continuation of the grant funded positions will be reviewed by the appropriate committees to determine the necessity of General Fund commitment; and BE IT FURTHER RESOLVED, that the Controller be authorized to approve any necessary budget amendments to increase expenditures and increase grant revenue if the grant is approved; and BE IT FURTHER RESOLVED, that the Chairperson of the Board of Commissioners be authorized to sign any necessary documents.

EATON COUNTY BOARD OF COMMISSIONERS AUGUST 15, 2018 RESOLUTION TO APPROVE APPLICATION FOR THE OFFICE OF HIGHWAY SAFETY PLANNING STRATEGIC TRAFFIC ENFORCEMENT PROGRAM Introduced by the Public Safety Committee WHEREAS, the Michigan State Police, Office of Highway Safety Planning has grant funds available for the Strategic Traffic Enforcement Program for the period October 1, 2018 through September 30, 2019; and WHEREAS, the Sheriff is willing to apply for the grant and coordinate the program, which will provide $25,000 of overtime for purposes of developing more comprehensive strategies to reduce fatal crashes and increase seat belt use; and WHEREAS, there are no required matching funds. NOW, THEREFORE, BE IT RESOLVED, that the Eaton County Sheriff Department be authorized to apply for the Strategic Traffic Enforcement Program through the Office of Highway Safety Planning; and BE IT FURTHER RESOLVED, that the Controller be authorized to approve any necessary budget amendments to increase expenditures and increase grant revenue if the grant is approved by the Office of Highway Safety Planning; and BE IT FURTHER RESOLVED, that the Chairperson of the Board of Commissioners or his designee is authorized to sign the necessary documents.

EATON COUNTY BOARD OF COMMISSIONERS AUGUST 15, 2018 RESOLUTION TO APPROVE APPLICATION FOR THE OFFICE OF HIGHWAY SAFETY PLANNING UNDERAGE DRINKING ENFORCEMENT PROGRAM Introduced by the Public Safety Committee WHEREAS, the Michigan State Police, Office of Highway Safety Planning has grant funds available for the Strategic Traffic Enforcement Program for the period October 1, 2018 through September 30, 2019; and WHEREAS, the Sheriff is requesting to apply for the grant and coordinate the program, which will provide $7,500 of overtime for purposes of enforcing underage drinking laws; and WHEREAS, there are no required matching funds. NOW, THEREFORE, BE IT RESOLVED, that the Eaton County Sheriff Department be authorized to apply for the Underage Drinking Enforcement Grant through the Office of Highway Safety Planning; and BE IT FURTHER RESOLVED, that the Controller be authorized to approve any necessary budget amendments to increase expenditures and increase grant revenue if the grant is approved by the Office of Highway Safety Planning; and BE IT FURTHER RESOLVED, that the Chairperson of the Board of Commissioners or his designee is authorized to sign the necessary documents.

Monthly Report July 2018 12,143 Total telephone calls o 4,313 on emergency lines o 7,830 on non-emergency lines N/A Texts-to-911 8,289 Incidents o 6,397 Law Enforcement o 1,301EMS o 591 Fire 17 New addresses issued Training: Telecommunicator Carranco attended EMD training in Valparaiso IN. Telecommunicator Howland attended EMD recertification in Howell. Telecommunicator Mason attended the national homeland security conference in New York. Technology and Radios: MOA signed between the County and Delta Township for an integration of ImageTrend and the Computer Aided Dispatch (CAD) system. Lease agreement signed with Delta Township for the tower site on Canal. Ford Sync was on site to test their technology. VESTA phone software upgraded in preparation of the NG911 upgrade scheduled for October. Dispatch cell phones upgraded to FirstNet. We are working with the City of Grand Ledge as they activate their city Rave Alert account that we will also be able to send messages through. Significant work has been done to prepare for the physical construction of the radio project. Operations: Additional staff were brought in to work the Delta Fireworks. Testing and interviews were conducted for two telecommunicator vacancies. Developed an updated wrecker list with the assistance of IT staff and the ECSO. Outreach: Millage renewal information was mailed to voters and distributed in newspapers. Facebook Live event was held to discuss the millage renewal. Staff has attended local municipal and civic meetings to discuss the annual report and millage renewal.

Rave Report: Yours Truly, Michael Armitage Director