Estimated Population Served: 7,000 Summary of findings (December 30, 2025 – March 17, 2026): Cocaine (parent) / Benzoylecgonine (metabolite): Average parent concentrations fluctuated above and below the national and regional averages, with the latest concentration trending downward. Average metabolite concentrations have remained above national and regional averages. Benzoylecgonine had overall higher concentrations compared to cocaine. Fentanyl (parent) / Norfentanyl (metabolite): Parent and metabolite concentrations have fluctuated but remain below regional and national averages, with the latest concentrations trending downwards. Methamphetamine (parent) / Amphetamine (metabolite): Parent and metabolite concentrations remained steady with concentrations below regional and national averages. Xylazine (parent) / 4-Hydroxyxylazine (metabolite): Neither xylazine nor 4-hydroxyxylazine were detected. Trans-3’-Hydroxycotinine (metabolite of nicotine): Average concentrations of Trans-3’-Hydroxycotinine remained relatively stable, comparable to national average and greater than the regional average.