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Most documents available on Monroe County Government's web site are in PDF format. Latest Adobe Acrobat Reader can be downloaded free here.

NOTE:  Mozilla Firefox is experiencing problems when downloading fillable PDF forms.  They are currently working on this issue.  If you use Firefox as your browser, you will be prompted to open with a different viewer as these type of PDF forms do not display correctly.  Fillable forms will display properly using Internet Explorer.

Syringe Exchange Program Minimize

The Monroe County Health Officer sent a declaration of a local public health emergency to the Commissioners as part of the required process to request a Syringe Access Program (SAP).  View that declaration here

Syringe exchange presentation given during September 4 Commissioner meeting

View the Monroe County Health Department's statement on Syringe Access Programs here.

For research and information from the IU Center for Health Policy regarding injection use and the risk it poses for HIV transmission, click here




The Indiana Recovery Alliance (IRA) was created to provide harm reduction resources to Indiana residents in accordance with Senate Bill 461.  The IRA's goal is to provide services to participants who self-identify as intravenous drug users in Monroe County, Indiana and to promote and facilitate harm reduction via any positive change as a person defines it for themselves.  For more information, visit their website at

The Monroe County Health Department received approval to continue the Syringe Exchange Program (SEP) during 2017. View last year's annual report here.


Wondering what syringe exchanges or syringe services are? This video from LA gives some insight from law enforcement and program view. This is an example of one program following best practices.



Through this website you are able to link to other websites which are not under the control of the Monroe County Health Department. We have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them, they are for informational purposes only.