Estimated Population Served: 7,000 Summary of findings (November 25, 2025 – January 20, 2026): Cocaine (parent) / Benzoylecgonine (metabolite): Parent and metabolite concentrations fluctuated with an uptick detected in December, and they both generally remained above national and regional averages. Benzoylecgonine had overall higher concentrations compared to cocaine. Fentanyl (parent) / Norfentanyl (metabolite): Concentrations of fentanyl and norfentanyl remained relatively steady with detections trending slightly up starting in December, but both remained below regional and national averages. Methamphetamine (parent) / Amphetamine (metabolite): Parent and metabolite concentrations remained relatively 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 fluctuated but remained roughly the same as regional and national averages.