"Our neighborhood is also filled with bloody cotton balls and feces-covered wipes that were given out at Outside In," added the letter, which was signed by Tracy Prince, the league's vice chair. "It is humane and necessary to hand out these items, but MCHD should put a plan in place so that these items aren't disposed of in our neighborhoods."In May 2019, a Portland activist Brandon Farley who believes the needle exchange add to a city's addiction and homelessness problems dumped out syringe caps and dirty syringes on the sidewalk in front of the Outside In's needle exchange in what he calls as an "act of civil disobedience".