The county's program provides clean syringes in exchange for used ones to reduce needle-sharing that can lead to the spread of disease.

The county's needle exchange aims to prevent the spread of diseases such as hepatitis C and HIV through the sharing of infected needles.

Needle exchange programs involve locations where people who inject drugs can receive clean, sterile syringes and other supplies necessary to safely inject and properly dispose of used syringes.

The Madison County commissioners voted unanimously Tuesday to approve a contract with Aspire Indiana to manage the program for two years.

The Wayne County commissioners voted unanimously Wednesday to continue the program.

Clark County's needle exchange had been open each Thursday, for six hours, since it began operations in Jeffersonville in January 2017.

A nonprofit group is negotiating to take over the Madison County program, which was stopped last summer.

The Clark County Health Department is waiting on final numbers but said tests so far show 60 drug-related deaths in 2017. That compares to 90 in 2016.

The county plans to also operate a mobile exchange on weekends in addition to the stationary location, as a means of reaching a still-rising number of patients.

Scott County opened the state's first syringe exchange program in 2015 after then-Governor Mike Pence declared a public health emergency.