Oneida County is located in the Central New York Region. Its geographical region places it between all of the major illicit drug distribution hubs within New York State. Oneida County is one of the top ten counties in New York State, outside of New York City, with the highest number of fentanyl-related deaths in 2017. In 2016, the rate of overdose deaths in Oneida County was 28.6 per 100,000 population, placing it in the highest/worst quartile for all 62 New York State counties. From January 2019 through August 2019, ODMAP captured 265 suspected overdoses and 25 fatalities. The Oneida County Health Department (OCHD), in partnership with the Oneida County Overdose Response Team (a subgroup of the Oneida County Executive’s Opioid Task Force), is seeking to create a comprehensive and integrated system to catalog data sources, identify other sources of data, and compile them into meaningful real-time information to monitor the pulse of overdoses and drug trends occurring in the community and to share the data with stakeholders to drive change. Potential data sources include, but are not limited to, overdose data from hospitalizations and emergency department visits, ODMAP, data from the Drug User Health Hub and Syringe Exchange Programs and other Naloxone administration programs, the NYSDOH Electronic Syndromic Surveillance System, and medical examiner toxicology reports and drug-related death data.