In 2022, HCHD began working to increase the number of used syringes it collects from its SSP participants; therefore, a large number of used syringes were collected that year, as participants had a large quantity of syringes in their possessions at that time. There was another big push to collect used syringes towards the end of 2023, into the start of 2024, after which point collections leveled out through 2025.

• Peer Distributors
• Community Partner/Referral Agencies (e.g. Hyde County Department of Social Services, Hyde County Sheriff's Department, etc.)

According to the Community Opioid Resources Engine for North Carolina (CORE-NC), "Syringe services programs (SSPs) are an evidence-based strategy to reduce overdose deaths, reduce transmission of bloodborne pathogens including HIV and hepatitis C (HCV), and connect participants to treatment and care. SSPs provide a variety of social and health services for people who use drugs, often serving as the primary avenue to meet their health needs. They offer sterile syringes and disposal services to remove biohazards from the community, reduce sharing and reuse of syringes, provide wound care, distribute naloxone, and offer many other wraparound services." For more information, https://ncopioidsettlement.org/resources/syringe-services-programs/.

The HCHD aims to collect at least 3,000 used syringes through its SSP in 2024.