The following have been changes in 2022:

• National, state, and local election results from November 2022 could mean change in many areas. Jackson County has 4/5 new County Commissioners and a new Sheriff. 
• The opioid epidemic and overdose deaths have increased significantly since the pandemic. 
• County's in North Carolina began receiving their funding from the Opioid Settlement and will be working towards how to best spend those dollars over the next 18 years
• In December 2022, Jackson County received Prevent Overdose Deaths funding through 2024. This is a new initiative that seeks to focus on harm reduction and decreases in death
• For the first time, Environmental Health and Child Care Health Consultants partnered together to host the Early Care and Education Summit for all child care providers and workers in Haywood, Jackson, Swain, Macon, Clay, Cherokee, and Graham counties. It was a very successful event.
• Sylva Police now has a social work intern who follows up on mental health matters with clients