Richland County Health Department recognizes the impact that addictive substances have on the health of our community. We are committed to reduce substance abuse and create awareness in our county. We provide many services including health education to individuals and groups, assistance with alcohol and tobacco free policies, prescription drug take back events, tobacco cessation services, and implementing evidence based prevention strategies.

Substance Abuse Prevention Community Grant (SAPC)

  • Preventing underage drinking
  • Reduce adult binge drinking
  • Addressing prescription drug and opioid abuse

State Opioid Response Opioid Grant (SOR)

  • Become a Naloxone-Ready community by increasing access to Naloxone throughout Richland County
  • Reduce access to prescription opioids

Drug Free Communities Grant (DFC)

  • Addressing underage alcohol, tobacco, and marijuana use for the Wahpeton community

The Tobacco Prevention Program offers comprehensive tobacco prevention and control measures in Richland County with an emphasis on

  • Protecting residents from second-hand smoke
  • Preventing youth tobacco use
  • Helping tobacco users quit

E-Cigarette Advisory Update 09.2019

Electronic nicotine delivery systems (ENDS) or electronic cigarettes are devices that produce an aerosol by heating a liquid which usually contains nicotine, flavorings, and other additives. They come in a variety of shapes and sizes but most have a battery, a heating element and a place to hold the liquid. ENDS are fairly new and the long-term health effects are unknown. What is known, is the significance of tobacco use on health, the intensity of nicotine addiction, and the historical behavior of the tobacco industry
which prompts a cautious approach to these products. Awareness and usage of ENDS has exponentially increased during the last few years, especially among young people. The rapid acceptance of ENDS may be attributed in part to the perception created by marketing and the popular press that they are safer than combustible cigarettes.The North Dakota Department of Health, Tobacco Prevention and Control Program, has the following position on ENDS:
• The health risks of ENDS have not been adequately studied.
• Nicotine from ENDS is highly variable and unregulated.
• In addition to nicotine, most ENDS products contain and emit potentially toxic substances.
• Intentional or accidental exposure to e-liquids (from drinking, eye contact, or dermal contact) can result in adverse health effects including, but not limited to, seizures, anoxic brain injury, vomiting, and lactic acidosis. Intentionally or unintentionally drinking or injecting e-liquids can be fatal.
• ENDS use increases airborne particulate matter and nicotine in indoor
environments. This secondhand smoke/vapor contains harmful chemicals which places non-users at risk for adverse health effects.
• ENDS can explode, causing burns and projectile injuries.
• Safety and health claims regarding ENDS should be subject to evidentiary review.
• ENDS are not currently approved by the FDA as a quit smoking aid.

ND Vaping Related Injuries/ Reporting System

Help Quitting

Richland County Health Department now offers an in person counseling and Nicotine Replacement Therapy to individuals wanting help quitting tobacco use.  Call 701-642-7735 today to inquire more information and set up an appointment. 

We also utilize NDQuits, a free telephone and online services, effectively helps North Dakotans quit using tobacco.  The best way to quit tobacco is to use social support and proper medication.  On average 35% of NDQuits members are tobacco free after one year compared to 5% of people who are able to quit on their own.  Call NDQuits at 1-800-784-8669 or log on to


ND Breathe ND- Tobacco Prevention

ND Substance Abuse Prevention (Alcohol, Tobacco and Other Drugs)

CADCA- Community Anti-Drug Coalitions of America

NIDA- National Institute On Drug Abuse- Teens

Parents Lead- Building Healthy Youth

Centers for Disease Control and Prevention


For more information on our Substance Abuse Prevention Programs please use our Contact us form.

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