Clean Needles, Oklahoma

Sources

Every number on the site comes from one of the sources below. Each chart footer links here, and each source lists the charts that use it and where it falls short.

Viral Hepatitis Surveillance Report (2021 and 2023 editions)

U.S. Centers for Disease Control and Prevention, National Notifiable Diseases Surveillance System and National Vital Statistics System

Measures
Hepatitis C deaths by state 2017-2023 (Table 3.7), newly reported chronic hepatitis C by state (Table 3.5), acute hepatitis C by state (Table 3.1), risk exposures among acute cases (Table 3.3)
Caveat
Death rates are age-adjusted and count deaths with hepatitis C listed anywhere on the death certificate. Newly reported chronic cases depend on how much testing a state does, so a rise can mean more people were found, not more people infected. Acute cases are heavily under-reported and not comparable across states; we do not compare states on them. Texas does not report chronic hepatitis C.
License
Public domain (U.S. government work)
Retrieved
2026-10-26 · access: xlsx
Link
https://www.cdc.gov/hepatitis-surveillance-2023/
Used in
Oklahoma has the highest hepatitis C death rate in the country
First in the nation every year since at least 2017
Oklahoma now reports more new chronic hepatitis C cases per person than any other reporting state
Since July 1, Oklahoma has joined the states with no legal syringe access

Provisional drug overdose death counts (VSRR)

CDC National Center for Health Statistics

Measures
12-month-ending counts of drug overdose deaths by state of residence, monthly, 2015 to 2026
Caveat
Provisional and revised monthly; the latest months are flagged as underreported. We use CDC's predicted counts, which adjust for reporting delays (reported counts would exaggerate the recent decline), and compute rates with Census estimates.
License
Public domain (U.S. government work)
Retrieved
2026-10-26 · access: api
Link
https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
Used in
Overdose deaths are falling everywhere, including here

Syringe Services Programs: Summary of State Laws (June 2026)

Legislative Analysis and Public Policy Association, funded by the Office of National Drug Control Policy

Measures
Whether each state authorizes syringe services programs, the statutes, effective dates and pending bills
Caveat
Research current as of May 2026, so it still lists Oklahoma as authorized; the July 1, 2026 sunset comes from the statute text it quotes and from news reporting.
License
Copyright LAPPA; cited, statute citations quoted, PDF not redistributed
Retrieved
2026-10-26 · access: pdf
Link
https://legislativeanalysis.org/wp-content/uploads/2026/06/Syringe-Services-Programs-Summary-of-State-Laws.pdf
Used in
Since July 1, Oklahoma has joined the states with no legal syringe access

Oklahoma Watch: harm reduction law expires (June 30, 2026)

Oklahoma Watch (Maya Henry); republished by Tulsa Flyer, July 4, 2026

Measures
OSDH estimate of syringes and people reached, HB 2012's path, the penalties after July 1, what programs plan next
Caveat
Figures attributed to organizations (overdoses prevented) are self-reported.
License
News article; quoted and linked
Retrieved
2026-10-26 · access: cite-only
Link
https://oklahomawatch.org/2026/06/30/more-people-sick-or-dying-after-five-years-of-sterile-syringe-distributions-harm-reduction-law-set-to-expire/
Used in
Not used in a chart yet

Oklahoma House interim study on harm reduction (October 2024)

Oklahoma House of Representatives, Public Health Committee

Measures
Clients, syringes, naloxone kits, referrals and reported reversals from Oklahoma's four registered programs, 2022-2024
Caveat
Self-reported by the programs to the Healthy Minds Policy Initiative; not independently audited.
License
Public government press release; quoted and linked
Retrieved
2026-10-26 · access: cite-only
Link
https://www.okhouse.gov/posts/news-20241011_2
Used in
Not used in a chart yet

Peer-reviewed studies (PubMed records)

National Library of Medicine; individual journals

Measures
Effect estimates for HIV and hepatitis C, drug treatment entry, crime, and the Scott County, Indiana and Kanawha County, West Virginia outbreaks
Caveat
Almost all of this evidence is observational. Each claim on the site states the study design and confidence interval, and the hepatitis C evidence for syringe programs alone is rated weak by Cochrane.
License
Abstracts quoted for citation; full texts belong to their publishers
Retrieved
2026-10-26 · access: api
Link
https://pubmed.ncbi.nlm.nih.gov/
Used in
What the research finds, with its uncertainty shown

MMWR: HIV outbreak among people who inject drugs, Kanawha County, WV, 2019-2021

CDC, Morbidity and Mortality Weekly Report 71(2), January 14, 2022

Measures
Outbreak case count, SSP suspension dates, reported syringe sharing after closures
Caveat
A field report, not a causal study; CDC describes the closures as context, alongside the COVID-19 pandemic.
License
Public domain (U.S. government work)
Retrieved
2026-10-26 · access: cite-only
Link
https://www.cdc.gov/mmwr/volumes/71/wr/mm7102a4.htm
Used in
Not used in a chart yet