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6.1.D. - Page 14 Equipping Officers with intranasal naloxone is inexpensive. The Los Angeles Police Department's (LAPD's) naloxone program provides a cost example for a complete and self- contained Narcan field kit. The LAPD determined that each Narcan field kit costs $137.95 and should contain: Figure 4. Narcan Field Kit and Costs • Narcan atomizer unit (two doses) ($75.00) • Bag/pouch ($4.95) • Expiration Pull Tight Security Seal ($17.99) • Gloves ($6.00) • A Safety Shield Face Mask ($35.00)52 Based on the LAPD numbers, the cost of initially equipping a police department with 50 units of Narcan field kits would be approximately $6,900. Costs of supplying a unit with Narcan can be reduced to $75 where only the atomizer unit is purchased (and carried in existing first aid bags), rather than a full field kit. Narcan atomizer units do expire and must be replaced every eighteen to twenty-four months. But the ongoing cost should not be prohibitive. Some County law enforcement agencies stated that the estimated cost of equipping officers with Narcan could be absorbed within existing department budgets.53 Partnerships with public and private entities can further reduce these costs. For instance, the LAPD received a donation of 6,000 Narcan doses from Adapta Pharmaceuticals, Los Angeles Sheriff's Department received 5,000 Narcan doses from the California Department of Public Health, and San Francisco received a donation of 3,600 doses of Narcan from the Drug Overdose Prevention and Education Project.54 The Santa Cruz Police Department financed the purchase of Narcan for their initial implementation with funds from Janus, a local nonprofit organization, through a Substance Abuse Block Grant.55 52 Kevin Bayona, "Factsheet: NARCAN Program" Los Angeles Police Department Evaluation and Administration Unit, January 2017. Last modified March 1, 2017. <httn://www.landnolicecom.lacitv.or2/031417BPC 17- 0077.pdf>. 53 Grand Jury Interviews with law enforcement leadership. 54 "California Comprehensive Overdose Treatment Protection Signed by Governor" Harm Reduction Coalition Accessed on February 26, 2018 <httn://harmreduction.or-a/overdose-nrevention/caoverdoseDrev/>. 55 Ryan Masters, "Santa Cruz police issue overdose antidote in nasal spray form to officers" Santa Cruz Sentinel, December 5, 2016. <httn://www.santacruzsentinel.com/article/NE/20161205/NEWS/161209867>. 2017-2018 San Mateo County Civil Grand Jury