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"content": "\u003cp>San Francisco’s number of fatal \u003ca href=\"https://www.kqed.org/news/tag/drug-overdoses\">drug overdoses\u003c/a> in March continued a trend of year-over-year declines, public health officials said Friday, even as recent federal data shows the city’s death rate leads most U.S. metropolitan areas.\u003c/p>\n\u003cp>Last month, 49 people died of accidental drug overdoses in San Francisco, according to the latest figures, bringing the total in the first three months of the year to 148.\u003c/p>\n\u003cp>A majority of those who died in March were 55 or older, and about half of the deaths occurred in the ZIP codes covering the Mission District and the Tenderloin/Civic Center area.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The figures represent declines compared to the last few years, both for the month of March and for the year-to-date total, according to Department of Public Health data.\u003c/p>\n\u003cp>“As I always say, I’m certainly pleased that the trajectory on the numbers are moving in the right direction, but every single one of those 49 overdose deaths is unacceptable, it’s preventable,” Public Health Director Daniel Tsai said Friday. “And whilst we have made progress, these numbers are still far too high, and we have much more to do together.”\u003c/p>\n\u003cp>Tsai also disclosed Friday that one person suffered a fatal overdose this month involving a new synthetic opioid called cychlorphine that city officials have, to his knowledge, never encountered before.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Public health officials said the drug started emerging mostly in Europe two years ago and appeared in Canada last year.\u003c/p>\n\u003cp>“It’s more potent than fentanyl. And importantly, it’s not detected on the available fentanyl test strips that are out there, so it is very important to really try to avoid counterfeit pills altogether,” addiction medicine specialist Dr. Phillip Coffin said.\u003c/p>\n\u003cp>Coffin added that naloxone, also known under the brand name Narcan, is still effective in reversing overdose from this new synthetic opioid, just as it is with fentanyl.\u003c/p>\n\u003cp>While the city’s overdose deaths are on the decline after a spike in 2023, when nearly 100 of every 100,000 residents died of an overdose, San Francisco still holds one of the highest death rates of any metropolis in the country, according to federal data.[aside postID=news_12033622 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240903-OverdoseResponse-56-BL_qed-1020x680.jpg']“We had probably the worst drug problem almost any city had seen in 2023,” Stanford psychiatry professor and drug policy expert Keith Humphreys said. “Since that time, we’re down about a third, which was certainly excellent, but a third from such a high amount is still horrifying.”\u003c/p>\n\u003cp>Humphreys attributed part of the decline to a “disruption in the federal supply throughout North America, beginning in the middle of 2023, probably due to interdiction in China.”\u003c/p>\n\u003cp>And while numbers dropped significantly in 2024 following that disruption, the decline in 2025 was much smaller. The city continued making progress, but that progress appeared to slow.\u003c/p>\n\u003cp>Humphreys said the persistent drug use in San Francisco points to entrenched drug markets that, although disrupted, could reorganize and bounce back.\u003c/p>\n\u003cp>“If that happens, that’s going to be very hard, not just for San Francisco, but for the entire country,” Humphreys said.\u003c/p>\n\u003cp>The Stanford professor also argued that Mayor Daniel Lurie’s shift toward emphasizing recovery and somewhat leaning away from harm reduction has been a factor in recent progress.\u003c/p>\n\u003cp>“As important as overdose prevention is, we should aspire to more than keeping people alive for the next 24 hours,” Humphreys said. “Trying to get new treatment beds online, trying new service models \u003ca href=\"https://www.kqed.org/news/12073638/san-francisco-moves-ahead-with-sobering-center-despite-legal-risk-memo\">like the Reset Center\u003c/a>. That has been good.”\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While San Francisco works to continue bringing down overdose death rates, the mayor’s office is also moving to cut spending within the Department of Public Health by $40 million over the next two years, partially in response to declines in funding from the Trump administration.\u003c/p>\n\u003cp>According to a memo filed with the city’s Health Commission, the department intends to reach that goal by eliminating over 120 full-time positions and cutting contracts with service providers, including peer counseling and harm reduction services.\u003c/p>\n\u003cp>In the same memo, Public Health Department officials note that Lurie’s office “also asked that harm reduction services that have negative collateral impacts on our communities be reevaluated.”\u003c/p>\n\u003cp>Records show the majority of people working in positions slated for elimination are being redeployed elsewhere in the department, with less than 10 staff members being laid off. Roughly 60% of eliminated positions are currently vacant.\u003c/p>\n\u003cp>“Those are very, very difficult discussions and they’re not things that I otherwise would have wanted to do at all, but for the enormity of the budget challenge and the hole that the Trump Medicaid cuts and some of the state Medicaid cuts have really put the city in,” Tsai said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "San Francisco recorded 49 deaths by accidental drug overdose last month, bringing the year’s total so far to 148. Both figures represent declines compared to recent years.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s number of fatal \u003ca href=\"https://www.kqed.org/news/tag/drug-overdoses\">drug overdoses\u003c/a> in March continued a trend of year-over-year declines, public health officials said Friday, even as recent federal data shows the city’s death rate leads most U.S. metropolitan areas.\u003c/p>\n\u003cp>Last month, 49 people died of accidental drug overdoses in San Francisco, according to the latest figures, bringing the total in the first three months of the year to 148.\u003c/p>\n\u003cp>A majority of those who died in March were 55 or older, and about half of the deaths occurred in the ZIP codes covering the Mission District and the Tenderloin/Civic Center area.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The figures represent declines compared to the last few years, both for the month of March and for the year-to-date total, according to Department of Public Health data.\u003c/p>\n\u003cp>“As I always say, I’m certainly pleased that the trajectory on the numbers are moving in the right direction, but every single one of those 49 overdose deaths is unacceptable, it’s preventable,” Public Health Director Daniel Tsai said Friday. “And whilst we have made progress, these numbers are still far too high, and we have much more to do together.”\u003c/p>\n\u003cp>Tsai also disclosed Friday that one person suffered a fatal overdose this month involving a new synthetic opioid called cychlorphine that city officials have, to his knowledge, never encountered before.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Public health officials said the drug started emerging mostly in Europe two years ago and appeared in Canada last year.\u003c/p>\n\u003cp>“It’s more potent than fentanyl. And importantly, it’s not detected on the available fentanyl test strips that are out there, so it is very important to really try to avoid counterfeit pills altogether,” addiction medicine specialist Dr. Phillip Coffin said.\u003c/p>\n\u003cp>Coffin added that naloxone, also known under the brand name Narcan, is still effective in reversing overdose from this new synthetic opioid, just as it is with fentanyl.\u003c/p>\n\u003cp>While the city’s overdose deaths are on the decline after a spike in 2023, when nearly 100 of every 100,000 residents died of an overdose, San Francisco still holds one of the highest death rates of any metropolis in the country, according to federal data.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We had probably the worst drug problem almost any city had seen in 2023,” Stanford psychiatry professor and drug policy expert Keith Humphreys said. “Since that time, we’re down about a third, which was certainly excellent, but a third from such a high amount is still horrifying.”\u003c/p>\n\u003cp>Humphreys attributed part of the decline to a “disruption in the federal supply throughout North America, beginning in the middle of 2023, probably due to interdiction in China.”\u003c/p>\n\u003cp>And while numbers dropped significantly in 2024 following that disruption, the decline in 2025 was much smaller. The city continued making progress, but that progress appeared to slow.\u003c/p>\n\u003cp>Humphreys said the persistent drug use in San Francisco points to entrenched drug markets that, although disrupted, could reorganize and bounce back.\u003c/p>\n\u003cp>“If that happens, that’s going to be very hard, not just for San Francisco, but for the entire country,” Humphreys said.\u003c/p>\n\u003cp>The Stanford professor also argued that Mayor Daniel Lurie’s shift toward emphasizing recovery and somewhat leaning away from harm reduction has been a factor in recent progress.\u003c/p>\n\u003cp>“As important as overdose prevention is, we should aspire to more than keeping people alive for the next 24 hours,” Humphreys said. “Trying to get new treatment beds online, trying new service models \u003ca href=\"https://www.kqed.org/news/12073638/san-francisco-moves-ahead-with-sobering-center-despite-legal-risk-memo\">like the Reset Center\u003c/a>. That has been good.”\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While San Francisco works to continue bringing down overdose death rates, the mayor’s office is also moving to cut spending within the Department of Public Health by $40 million over the next two years, partially in response to declines in funding from the Trump administration.\u003c/p>\n\u003cp>According to a memo filed with the city’s Health Commission, the department intends to reach that goal by eliminating over 120 full-time positions and cutting contracts with service providers, including peer counseling and harm reduction services.\u003c/p>\n\u003cp>In the same memo, Public Health Department officials note that Lurie’s office “also asked that harm reduction services that have negative collateral impacts on our communities be reevaluated.”\u003c/p>\n\u003cp>Records show the majority of people working in positions slated for elimination are being redeployed elsewhere in the department, with less than 10 staff members being laid off. Roughly 60% of eliminated positions are currently vacant.\u003c/p>\n\u003cp>“Those are very, very difficult discussions and they’re not things that I otherwise would have wanted to do at all, but for the enormity of the budget challenge and the hole that the Trump Medicaid cuts and some of the state Medicaid cuts have really put the city in,” Tsai said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Accidental overdose deaths in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> have dropped to the lowest number so far this year.\u003c/p>\n\u003cp>According to the Department of Public Health, which puts out \u003ca href=\"https://media.api.sf.gov/documents/2025_10_OCME_Overdose_Report.pdf\">a monthly report\u003c/a> from the Office of the Chief Medical Examiner, 38 people died from accidental drug overdoses in September.\u003c/p>\n\u003cp>That’s 10 fewer deaths than the city recorded in August. It’s also the second-lowest number since the OCME started tracking overdose deaths in 2020.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“That’s still 38 too many people that have died of an overdose of a public health crisis and epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, at a press briefing on Tuesday. “But I want to say I am encouraged, I know we’re making real progress, and I and others here are not yet satisfied about where we are and the work that we continue to have to do.”\u003c/p>\n\u003cp>Tsai, who has been in the role since February, said the city’s newly integrated neighborhood street teams are helping. This initiative, announced by Mayor Daniel Lurie in March, consolidated outreach teams across multiple city departments that were often working toward the same goals, while siloed from each other.\u003c/p>\n\u003cfigure id=\"attachment_11958586\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958586\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg\" alt='A hand with painted finger nails holds a small white object with the words \"NARCAN NASAL SPRAY\" written on it.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The overdose-reversal drug Narcan. \u003ccite>(Matt Rourke/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are seeing a new level of collaboration between departments that’s actually allowing us to help get folks who many departments are engaging with many, many, many times quickly into services, into shelter, into care,” Tsai said.\u003c/p>\n\u003cp>The September numbers bring the total number of accidental overdose deaths in 2025 to 497 people, a slight improvement on 2024. At this time last year, the city had reported 508 overdose deaths.\u003c/p>\n\u003cp>Over 75% of the accidental overdose deaths in 2025 have involved fentanyl.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"San Francisco monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-ofGMP\" src=\"https://datawrapper.dwcdn.net/ofGMP/5/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1106\" height=\"440\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Addressing the city’s fentanyl crisis has been a major priority for Lurie since his term began. The Board of Supervisors passed Lurie’s \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">fentanyl state of emergency ordinance\u003c/a> in January, allowing him to move faster when hiring and contracting services aimed at overdoses and homelessness.\u003c/p>\n\u003cp>The city was able to open a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">drop-in mental health stabilization center\u003c/a> at 822 Geary St. faster than usual because of that ordinance. Up to 16 clients can stay at the center for as many as 23 hours. Tsai cited the stabilization center as a key touchpoint in the effort to lower overdose numbers.\u003c/p>\n\u003cp>“Once we can get somebody plugged into treatment,” he said, “we want to be able to help get them into the next place in their journey.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Accidental overdose deaths in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> have dropped to the lowest number so far this year.\u003c/p>\n\u003cp>According to the Department of Public Health, which puts out \u003ca href=\"https://media.api.sf.gov/documents/2025_10_OCME_Overdose_Report.pdf\">a monthly report\u003c/a> from the Office of the Chief Medical Examiner, 38 people died from accidental drug overdoses in September.\u003c/p>\n\u003cp>That’s 10 fewer deaths than the city recorded in August. It’s also the second-lowest number since the OCME started tracking overdose deaths in 2020.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“That’s still 38 too many people that have died of an overdose of a public health crisis and epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, at a press briefing on Tuesday. “But I want to say I am encouraged, I know we’re making real progress, and I and others here are not yet satisfied about where we are and the work that we continue to have to do.”\u003c/p>\n\u003cp>Tsai, who has been in the role since February, said the city’s newly integrated neighborhood street teams are helping. This initiative, announced by Mayor Daniel Lurie in March, consolidated outreach teams across multiple city departments that were often working toward the same goals, while siloed from each other.\u003c/p>\n\u003cfigure id=\"attachment_11958586\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958586\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg\" alt='A hand with painted finger nails holds a small white object with the words \"NARCAN NASAL SPRAY\" written on it.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The overdose-reversal drug Narcan. \u003ccite>(Matt Rourke/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are seeing a new level of collaboration between departments that’s actually allowing us to help get folks who many departments are engaging with many, many, many times quickly into services, into shelter, into care,” Tsai said.\u003c/p>\n\u003cp>The September numbers bring the total number of accidental overdose deaths in 2025 to 497 people, a slight improvement on 2024. At this time last year, the city had reported 508 overdose deaths.\u003c/p>\n\u003cp>Over 75% of the accidental overdose deaths in 2025 have involved fentanyl.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"San Francisco monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-ofGMP\" src=\"https://datawrapper.dwcdn.net/ofGMP/5/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1106\" height=\"440\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Addressing the city’s fentanyl crisis has been a major priority for Lurie since his term began. The Board of Supervisors passed Lurie’s \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">fentanyl state of emergency ordinance\u003c/a> in January, allowing him to move faster when hiring and contracting services aimed at overdoses and homelessness.\u003c/p>\n\u003cp>The city was able to open a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">drop-in mental health stabilization center\u003c/a> at 822 Geary St. faster than usual because of that ordinance. Up to 16 clients can stay at the center for as many as 23 hours. Tsai cited the stabilization center as a key touchpoint in the effort to lower overdose numbers.\u003c/p>\n\u003cp>“Once we can get somebody plugged into treatment,” he said, “we want to be able to help get them into the next place in their journey.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Health Officials Urge Caution as Sonoma County Sees Surge in Suspected Overdose Deaths",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/sonoma-county\">Sonoma County\u003c/a> health officials are concerned that drug-related fatalities may be on the rise after a dozen people died of suspected overdoses this month.\u003c/p>\n\u003cp>Service providers in the county who offer drug addiction treatment are being urged to spread the word and warn clients of possible dangers in the local drug supply, according to an email sent to organizations by the Department of Health Services.\u003c/p>\n\u003cp>“We’re getting overdose deaths that we’d typically see in a month in two weeks,” said Will Gayowski, a section manager for Sonoma County’s substance use and community recovery division. “If we’re doing outreach and there’s something potentially dangerous out in the community, we need to get the word out and have our providers be aware.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The 12 overdose victims were men ranging in age from 19 to 59 years old, the county announced. No other information has been released to the public, and there is not enough data to determine whether the uptick in deaths is temporary or the start of a trend, according to Gayowski.\u003c/p>\n\u003cp>It’s possible that the numbers will go down to normal levels in the near future, he said.\u003c/p>\n\u003cp>After fatal overdoses spiked during the COVID-19 pandemic, Sonoma County began experiencing a gradual decline, Gayowski said. In 2020 and 2021, the county recorded overdose deaths in the low 140s and 160s. In 2022 and 2023, those numbers dropped to 123 and 135, though they still exceed pre-pandemic levels.\u003c/p>\n\u003cp>Jenny Mercado, an epidemiologist with the county’s Department of Health Services, said the number of overdose deaths this year has been about average. While no one can say for certain whether that will be the case over the next few months, there’s no reason to think otherwise, she said.[aside postID=news_12033622 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240903-OverdoseResponse-56-BL_qed-1020x680.jpg']“Just be aware of what you are doing,” Mercado said. “The numbers suggest that drugs right now are really lethal. Make sure you know what you’re getting into.”\u003c/p>\n\u003cp>Epidemiologists are still trying to determine what caused the recent spike. Some experts speculate it could be a result of multiple factors, including increased drug potency and fentanyl contamination.\u003c/p>\n\u003cp>Keanan Joyner, an assistant professor of psychology at UC Berkeley, said a large number of overdoses are also caused by mixing opioids with alcohol and other drugs. He urged public health officials to think about preventative measures, including more support systems for people who do consume substances.\u003c/p>\n\u003cp>“It’s not necessarily supporting drug use. It is not saying that it’s a good thing to do, but it is saying we don’t want people to overdose,” Joyner said. “We need more robust testing of drug supplies and a lot more funding dedicated towards supporting health and safety.”\u003c/p>\n\u003cp>According to Gayowski, there are several things that people can do to stay safe. For those who are struggling with addiction, following harm reduction strategies such as using test strips or having a sober buddy can be instrumental for staying safe, he added.\u003c/p>\n\u003cp>In Sonoma County, residents have access to free \u003ca href=\"https://sonomacounty.ca.gov/new-health-to-go-public-health-vending-machines-provide-free-essential-resources-when-theyre-needed#:~:text=Sonoma%20County%20residents%20can%20now,Go%20public%20health%20vending%20machines.\">vending machines\u003c/a> stocked with critical health supplies such as Narcan and fentanyl test strips. They are located at the Russian River Health and Wellness Center, Santa Rosa Junior College and Sonoma County Public Health Offices.\u003c/p>\n\u003cp>Timing is also everything, Gayowski said.\u003c/p>\n\u003cp>“If there’s an event where someone did overdose … call emergency responders right away,” he said. “Get someone out there. It’s precious seconds.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/sonoma-county\">Sonoma County\u003c/a> health officials are concerned that drug-related fatalities may be on the rise after a dozen people died of suspected overdoses this month.\u003c/p>\n\u003cp>Service providers in the county who offer drug addiction treatment are being urged to spread the word and warn clients of possible dangers in the local drug supply, according to an email sent to organizations by the Department of Health Services.\u003c/p>\n\u003cp>“We’re getting overdose deaths that we’d typically see in a month in two weeks,” said Will Gayowski, a section manager for Sonoma County’s substance use and community recovery division. “If we’re doing outreach and there’s something potentially dangerous out in the community, we need to get the word out and have our providers be aware.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The 12 overdose victims were men ranging in age from 19 to 59 years old, the county announced. No other information has been released to the public, and there is not enough data to determine whether the uptick in deaths is temporary or the start of a trend, according to Gayowski.\u003c/p>\n\u003cp>It’s possible that the numbers will go down to normal levels in the near future, he said.\u003c/p>\n\u003cp>After fatal overdoses spiked during the COVID-19 pandemic, Sonoma County began experiencing a gradual decline, Gayowski said. In 2020 and 2021, the county recorded overdose deaths in the low 140s and 160s. In 2022 and 2023, those numbers dropped to 123 and 135, though they still exceed pre-pandemic levels.\u003c/p>\n\u003cp>Jenny Mercado, an epidemiologist with the county’s Department of Health Services, said the number of overdose deaths this year has been about average. While no one can say for certain whether that will be the case over the next few months, there’s no reason to think otherwise, she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Just be aware of what you are doing,” Mercado said. “The numbers suggest that drugs right now are really lethal. Make sure you know what you’re getting into.”\u003c/p>\n\u003cp>Epidemiologists are still trying to determine what caused the recent spike. Some experts speculate it could be a result of multiple factors, including increased drug potency and fentanyl contamination.\u003c/p>\n\u003cp>Keanan Joyner, an assistant professor of psychology at UC Berkeley, said a large number of overdoses are also caused by mixing opioids with alcohol and other drugs. He urged public health officials to think about preventative measures, including more support systems for people who do consume substances.\u003c/p>\n\u003cp>“It’s not necessarily supporting drug use. It is not saying that it’s a good thing to do, but it is saying we don’t want people to overdose,” Joyner said. “We need more robust testing of drug supplies and a lot more funding dedicated towards supporting health and safety.”\u003c/p>\n\u003cp>According to Gayowski, there are several things that people can do to stay safe. For those who are struggling with addiction, following harm reduction strategies such as using test strips or having a sober buddy can be instrumental for staying safe, he added.\u003c/p>\n\u003cp>In Sonoma County, residents have access to free \u003ca href=\"https://sonomacounty.ca.gov/new-health-to-go-public-health-vending-machines-provide-free-essential-resources-when-theyre-needed#:~:text=Sonoma%20County%20residents%20can%20now,Go%20public%20health%20vending%20machines.\">vending machines\u003c/a> stocked with critical health supplies such as Narcan and fentanyl test strips. They are located at the Russian River Health and Wellness Center, Santa Rosa Junior College and Sonoma County Public Health Offices.\u003c/p>\n\u003cp>Timing is also everything, Gayowski said.\u003c/p>\n\u003cp>“If there’s an event where someone did overdose … call emergency responders right away,” he said. “Get someone out there. It’s precious seconds.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "sf-records-1st-death-involving-animal-sedative-linked-to-overdose-outbreaks-in-east",
"title": "SF Records First Death Involving Animal Sedative Linked to Overdose Outbreaks in East",
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"content": "\u003cp>San Francisco reported its first death this year involving the \u003ca href=\"https://www.kqed.org/news/11987962/animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring\">powerful veterinary sedative\u003c/a> medetomidine, which has been linked to a wave of fatal overdoses on the East Coast.\u003c/p>\n\u003cp>The victim, Jessica Monique Sheridan, 46, died in February, according to the San Francisco Office of the Chief Medical Examiner. The city health department confirmed that Sheridan’s toxicology report showed medetomidine in her system.\u003c/p>\n\u003cp>Other \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-records-first-fatal-overdose-involving-new-drug-20267834.php\">news outlets\u003c/a> reported that Sheridan was found with a mix of drugs in her system, including fentanyl, medetomidine and benzodiazepines, which the Office of the Chief Medical Examiner did not confirm.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Among street drugs, medetomidine is most commonly detected as an adulterant in fentanyl mixtures. The synthetic depressant was first detected in California in 2023 and has been linked to several overdose outbreaks in states such as Pennsylvania and Illinois, according to a Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>When East Coast states began reporting an increased number of overdoses involving medetomidine last year, San Francisco Supervisor Matt Dorsey called on city public health officials to include the drug in the list of substances they test for during overdose and wastewater investigations.\u003c/p>\n\u003cp>The Department of Public Health said in a statement that it is tracking the presence of medetomidine in the city and preparing health and outreach workers to respond accordingly, but that it is not widespread. The overdose crisis is driven largely by fentanyl, which has been found in more than 70% of local overdose victims, the agency said.\u003c/p>\n\u003cp>Medetomidine is not the only novel synthetic drug to find its way to the West Coast. Xylazine, another veterinary sedative known as “tranq,” was involved in 62 overdose deaths in San Francisco last year. Fentanyl accounted for 83 deaths.\u003c/p>\n\u003cp>[aside postID=news_12032239 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240903-OverdoseResponse-42-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>According to a \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11587509/\">study\u003c/a> published in the journal ACS Chemical Neuroscience, medetomidine is over 100 times more potent than xylazine. Improper use of the drug is associated with severe blood pressure instability, including hypotension and central nervous system depression.\u003c/p>\n\u003cp>It’s too soon to say whether medetomidine will supplant other drugs in the illicit market even as its presence increases, said Keith Humphreys, a Stanford University professor and addiction policy researcher.\u003c/p>\n\u003cp>Both medetomidine and xylazine are earmarked for veterinary use and therefore face less rigorous regulation processes than substances made for humans, which could explain why they’re becoming more common in the recreational drug supply, Humphreys said.\u003c/p>\n\u003cp>What’s more important is making sure the public knows what the drug is and what its effects are, he continued.\u003c/p>\n\u003cp>Naloxone cannot be used to treat overdoses involving medetomidine. While there are reversal agents that can be used to reverse the drug’s sedative effects, they are not as common because they’re marketed for animals, Humphreys said.\u003c/p>\n\u003cp>San Francisco recorded \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">118 accidental drug overdose deaths\u003c/a> in the first two months of 2025, according to preliminary data from the Office of the Chief Medical Examiner. The number of fatal overdoses this year — 57 in January and 61 in February — marks a significant uptick after four months of declines, with October seeing a low of 37.\u003c/p>\n\u003cp>Mayor Daniel Lurie and other city officials are pushing for more aggressive responses to the city’s unprecedented drug crisis.\u003c/p>\n\u003cp>Earlier this year, the Board of Supervisors passed Lurie’s ordinance titled \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">“Fentanyl State of Emergency,”\u003c/a> which gives the mayor’s office and other city agencies the authority to pursue city contracts and private donations to combat fentanyl use without supervisors’ approval.\u003c/p>\n\u003cp>Lurie also ordered the Public Health Department last month to scale back harm reduction programs that provide people with safe smoking supplies in public spaces, instructing health officials to move distribution indoors.\u003c/p>\n\u003cp>Humphreys said city officials need to consider more preventive measures when it comes to addressing drug abuse.\u003c/p>\n\u003cp>“If we continue to approach this problem by sort of waiting till people are engaged in really dangerous behavior and then throwing a lot of resources at them, we’ll never come to the end of this,” Humphreys said. “We need to have fewer people entering into that cycle of harm and risk because we can’t really control these markets and make them safe.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco reported its first death this year involving the \u003ca href=\"https://www.kqed.org/news/11987962/animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring\">powerful veterinary sedative\u003c/a> medetomidine, which has been linked to a wave of fatal overdoses on the East Coast.\u003c/p>\n\u003cp>The victim, Jessica Monique Sheridan, 46, died in February, according to the San Francisco Office of the Chief Medical Examiner. The city health department confirmed that Sheridan’s toxicology report showed medetomidine in her system.\u003c/p>\n\u003cp>Other \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-records-first-fatal-overdose-involving-new-drug-20267834.php\">news outlets\u003c/a> reported that Sheridan was found with a mix of drugs in her system, including fentanyl, medetomidine and benzodiazepines, which the Office of the Chief Medical Examiner did not confirm.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Among street drugs, medetomidine is most commonly detected as an adulterant in fentanyl mixtures. The synthetic depressant was first detected in California in 2023 and has been linked to several overdose outbreaks in states such as Pennsylvania and Illinois, according to a Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>When East Coast states began reporting an increased number of overdoses involving medetomidine last year, San Francisco Supervisor Matt Dorsey called on city public health officials to include the drug in the list of substances they test for during overdose and wastewater investigations.\u003c/p>\n\u003cp>The Department of Public Health said in a statement that it is tracking the presence of medetomidine in the city and preparing health and outreach workers to respond accordingly, but that it is not widespread. The overdose crisis is driven largely by fentanyl, which has been found in more than 70% of local overdose victims, the agency said.\u003c/p>\n\u003cp>Medetomidine is not the only novel synthetic drug to find its way to the West Coast. Xylazine, another veterinary sedative known as “tranq,” was involved in 62 overdose deaths in San Francisco last year. Fentanyl accounted for 83 deaths.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to a \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11587509/\">study\u003c/a> published in the journal ACS Chemical Neuroscience, medetomidine is over 100 times more potent than xylazine. Improper use of the drug is associated with severe blood pressure instability, including hypotension and central nervous system depression.\u003c/p>\n\u003cp>It’s too soon to say whether medetomidine will supplant other drugs in the illicit market even as its presence increases, said Keith Humphreys, a Stanford University professor and addiction policy researcher.\u003c/p>\n\u003cp>Both medetomidine and xylazine are earmarked for veterinary use and therefore face less rigorous regulation processes than substances made for humans, which could explain why they’re becoming more common in the recreational drug supply, Humphreys said.\u003c/p>\n\u003cp>What’s more important is making sure the public knows what the drug is and what its effects are, he continued.\u003c/p>\n\u003cp>Naloxone cannot be used to treat overdoses involving medetomidine. While there are reversal agents that can be used to reverse the drug’s sedative effects, they are not as common because they’re marketed for animals, Humphreys said.\u003c/p>\n\u003cp>San Francisco recorded \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">118 accidental drug overdose deaths\u003c/a> in the first two months of 2025, according to preliminary data from the Office of the Chief Medical Examiner. The number of fatal overdoses this year — 57 in January and 61 in February — marks a significant uptick after four months of declines, with October seeing a low of 37.\u003c/p>\n\u003cp>Mayor Daniel Lurie and other city officials are pushing for more aggressive responses to the city’s unprecedented drug crisis.\u003c/p>\n\u003cp>Earlier this year, the Board of Supervisors passed Lurie’s ordinance titled \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">“Fentanyl State of Emergency,”\u003c/a> which gives the mayor’s office and other city agencies the authority to pursue city contracts and private donations to combat fentanyl use without supervisors’ approval.\u003c/p>\n\u003cp>Lurie also ordered the Public Health Department last month to scale back harm reduction programs that provide people with safe smoking supplies in public spaces, instructing health officials to move distribution indoors.\u003c/p>\n\u003cp>Humphreys said city officials need to consider more preventive measures when it comes to addressing drug abuse.\u003c/p>\n\u003cp>“If we continue to approach this problem by sort of waiting till people are engaged in really dangerous behavior and then throwing a lot of resources at them, we’ll never come to the end of this,” Humphreys said. “We need to have fewer people entering into that cycle of harm and risk because we can’t really control these markets and make them safe.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As San Francisco \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scales back some harm reduction programs\u003c/a> amid the city’s crackdown on open-air drug markets, UCSF doctors are raising concerns and emphasizing the integral role that such public health strategies play in keeping drug users safe.\u003c/p>\n\u003cp>Harm reduction, which aims to mitigate the risks of death and long-term damage associated with drug use, has spurred increasingly polarized debate between coalitions that support and oppose the strategy. However, doctors and policy experts say increasing collaboration is the best way to ensure public health for the whole city.\u003c/p>\n\u003cp>“Harm reduction and treatment are like part and parcel of each other,” Dr. Ayesha Appa, an assistant professor of medicine at UCSF, said during a town hall on Thursday hosted by the Treatment on Demand Coalition.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She said that for one of her patients, “having relationships with people who are offering safer-use supplies allowed him to feel valued and then think, ‘I’m worth something. I can do this,’” and get on methadone, a medication used to treat opioid addiction.\u003c/p>\n\u003cp>November’s election results, though, show a city growing more concerned with getting drugs and drug users off the streets and out of public view.\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> campaigned on public safety, saying the city needed to crack down on open-air drug markets. He and other candidates running against incumbent London Breed \u003ca href=\"https://www.kqed.org/news/12008970/its-maddening-addiction-experts-cry-foul-at-mayoral-candidates-push-for-drug-arrests\">criticized\u003c/a> some of her efforts focused on harm reduction, including the shuttered Tenderloin Center, which was the city’s first publicly run overdose prevention site.\u003c/p>\n\u003cp>In Breed’s latter years as mayor, she \u003ca href=\"https://www.kqed.org/news/11996234/sf-mayor-says-very-aggressive-encampment-sweeps-will-start-in-august\">moved away\u003c/a> from a harm-reduction approach to the drug crisis, which progressive politicians had embraced. And in District 5, which includes the Tenderloin, voters \u003ca href=\"https://www.kqed.org/news/12013950/dean-preston-concedes-sf-district-5-race-to-bilal-mahmood-blasts-right-wing-pressure-groups\">ousted their progressive supervisor\u003c/a> in favor of a more moderate leader.\u003c/p>\n\u003cp>“You have a city that moved in a pragmatic direction – a lot of people are clearly unhappy with a number of things in the city, but a big part of what they’re unhappy about is drugs, homelessness, disorder, crime,” said Keith Humphreys, a drug policy expert and professor of psychiatry at Stanford University.\u003c/p>\n\u003cp>Activists and nonprofits who have advocated for harsher crackdowns on public drug use — and criticized the city for making it too “easy” for people to use drugs — \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">joined Lurie\u003c/a> during his first month in office to introduce his “\u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">Fentanyl State of Emergency Ordinance\u003c/a>.”\u003c/p>\n\u003cp>“We’ve seen people suffering in the name of compassion and body autonomy, and it has to end,” said Gina McDonald, the co-founder of Mothers Against Drug Addiction and Deaths, who hosted the rally. “We believe that this fentanyl state of emergency ordinance is a state of emergency. It’s a five-alarm fire that needs to be mitigated.”\u003c/p>\n\u003cp>[aside postID=news_12032239 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240903-OverdoseResponse-42-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>The legislation gained wide approval from the Board of Supervisors, with only a single vote against it.\u003c/p>\n\u003cp>In March, Lurie released more details on how he plans to use his expanded powers under the ordinance, which includes increasing treatment availability, clearing open-air drug markets and “reassess[ing] policies for distribution of fentanyl smoking supplies” — a service \u003ca href=\"https://www.kqed.org/news/11997957/heres-why-some-san-francisco-nonprofits-give-foil-and-pipes-to-drug-users\">provided by some city-funded nonprofits\u003c/a> that had drawn controversy.\u003c/p>\n\u003cp>He’s also worked with law enforcement to set up a mobile police command unit at the 16th Street BART station in the Mission, and \u003ca href=\"https://www.kqed.org/news/12028996/san-francisco-police-arrest-84-people-in-overnight-drug-market-raid-at-city-park\">overnight police raids\u003c/a> at prominent drug markets have increased.\u003c/p>\n\u003cp>Meanwhile, Supervisor Matt Dorsey introduced the “Recovery First Ordinance” at the end of February, which would make entirely stopping illicit drug use and attaining long-term treatment “the primary objective of the city’s drug policy.” In a \u003ca href=\"https://x.com/mattdorsey/status/1905468937963536639\">post on the social media platform X\u003c/a> on Friday criticizing the UCSF doctors, Dorsey wrote that abstinence-only approaches to ending drug use include medication-assisted treatments.\u003c/p>\n\u003cp>The push toward recovery-focused drug policy has been \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">unpopular with harm reduction advocates\u003c/a>, who say reducing efforts to give out safer smoking supplies like foil and pipes is “misguided.”\u003c/p>\n\u003cp>A recent study from independent scientific research organization RTI International found that increased drug seizures by law enforcement also increased opioid overdose mortality. But Humphreys said what it fails to account for is the public health of non-drug users.\u003c/p>\n\u003cfigure id=\"attachment_11998115\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11998115\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric clinical pharmacist with the San Francisco Department of Public Health packs a backpack with harm reduction supplies before making deliveries to SROs and Permanent Supportive Housing in San Francisco on March 23, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The purpose of taking drug dealers off the street is not to change the overdose rate,” he told KQED. “The purpose is to make neighborhoods safe for families and get drug dealers off the streets.”\u003c/p>\n\u003cp>He said an integrated public health approach — which the city \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-drug-dealing-tenderloin-emergency-center-18132343.php\">has been working on for years\u003c/a> but continues to need more of — would combine a nighttime bust by police with onsite harm reduction services, for example.\u003c/p>\n\u003cp>“In Europe, in cities that have closed down open-air things, the police and the public health people work side by side,” he told KQED. “Police will say we’re closing down this open-air drug corner and the dealers are ours and the users are yours.”\u003c/p>\n\u003cp>“They will arrest the people … but then drive the methadone vans saying, ‘Who wants treatment, who needs clean needles right here?’ They use it as an opportunity to engage people into care because your dealer’s gone, but you know you could get to treatment right this second.”\u003c/p>\n\u003cp>[aside postID=news_12033114 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/005_KQED_CarFreeMarketSt_01222020_8366_qed-1020x680.jpg']\u003c/p>\n\u003cp>The four UCSF doctors who spoke about the importance of harm reduction on Thursday stressed the importance of linking harm reduction and treatment services by offering them in the same spaces and making the on-ramp to treatment less intimidating for drug users.\u003c/p>\n\u003cp>They said that reducing the distribution of safer drug supplies and medications that treat opioid addiction will make people less safe.\u003c/p>\n\u003cp>“I live in the city, I have kids … so that allows me to understand people who say, ‘Why the hell are you handing out opioids to people with opioid use disorder …handing out supplies to people that help them use drugs?’” said Dr. Scott Steiger, a professor in the departments of Medicine and Psychiatry and Behavioral Sciences at UCSF. “I could wave a magic wand and stop all of that, but we can’t.\u003c/p>\n\u003cp>“This particular city has done this before and is very good at figuring out ways to be more inclusive, to bring people back into the larger community who are otherwise stigmatized or outsiders.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As San Francisco \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scales back some harm reduction programs\u003c/a> amid the city’s crackdown on open-air drug markets, UCSF doctors are raising concerns and emphasizing the integral role that such public health strategies play in keeping drug users safe.\u003c/p>\n\u003cp>Harm reduction, which aims to mitigate the risks of death and long-term damage associated with drug use, has spurred increasingly polarized debate between coalitions that support and oppose the strategy. However, doctors and policy experts say increasing collaboration is the best way to ensure public health for the whole city.\u003c/p>\n\u003cp>“Harm reduction and treatment are like part and parcel of each other,” Dr. Ayesha Appa, an assistant professor of medicine at UCSF, said during a town hall on Thursday hosted by the Treatment on Demand Coalition.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She said that for one of her patients, “having relationships with people who are offering safer-use supplies allowed him to feel valued and then think, ‘I’m worth something. I can do this,’” and get on methadone, a medication used to treat opioid addiction.\u003c/p>\n\u003cp>November’s election results, though, show a city growing more concerned with getting drugs and drug users off the streets and out of public view.\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> campaigned on public safety, saying the city needed to crack down on open-air drug markets. He and other candidates running against incumbent London Breed \u003ca href=\"https://www.kqed.org/news/12008970/its-maddening-addiction-experts-cry-foul-at-mayoral-candidates-push-for-drug-arrests\">criticized\u003c/a> some of her efforts focused on harm reduction, including the shuttered Tenderloin Center, which was the city’s first publicly run overdose prevention site.\u003c/p>\n\u003cp>In Breed’s latter years as mayor, she \u003ca href=\"https://www.kqed.org/news/11996234/sf-mayor-says-very-aggressive-encampment-sweeps-will-start-in-august\">moved away\u003c/a> from a harm-reduction approach to the drug crisis, which progressive politicians had embraced. And in District 5, which includes the Tenderloin, voters \u003ca href=\"https://www.kqed.org/news/12013950/dean-preston-concedes-sf-district-5-race-to-bilal-mahmood-blasts-right-wing-pressure-groups\">ousted their progressive supervisor\u003c/a> in favor of a more moderate leader.\u003c/p>\n\u003cp>“You have a city that moved in a pragmatic direction – a lot of people are clearly unhappy with a number of things in the city, but a big part of what they’re unhappy about is drugs, homelessness, disorder, crime,” said Keith Humphreys, a drug policy expert and professor of psychiatry at Stanford University.\u003c/p>\n\u003cp>Activists and nonprofits who have advocated for harsher crackdowns on public drug use — and criticized the city for making it too “easy” for people to use drugs — \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">joined Lurie\u003c/a> during his first month in office to introduce his “\u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">Fentanyl State of Emergency Ordinance\u003c/a>.”\u003c/p>\n\u003cp>“We’ve seen people suffering in the name of compassion and body autonomy, and it has to end,” said Gina McDonald, the co-founder of Mothers Against Drug Addiction and Deaths, who hosted the rally. “We believe that this fentanyl state of emergency ordinance is a state of emergency. It’s a five-alarm fire that needs to be mitigated.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The legislation gained wide approval from the Board of Supervisors, with only a single vote against it.\u003c/p>\n\u003cp>In March, Lurie released more details on how he plans to use his expanded powers under the ordinance, which includes increasing treatment availability, clearing open-air drug markets and “reassess[ing] policies for distribution of fentanyl smoking supplies” — a service \u003ca href=\"https://www.kqed.org/news/11997957/heres-why-some-san-francisco-nonprofits-give-foil-and-pipes-to-drug-users\">provided by some city-funded nonprofits\u003c/a> that had drawn controversy.\u003c/p>\n\u003cp>He’s also worked with law enforcement to set up a mobile police command unit at the 16th Street BART station in the Mission, and \u003ca href=\"https://www.kqed.org/news/12028996/san-francisco-police-arrest-84-people-in-overnight-drug-market-raid-at-city-park\">overnight police raids\u003c/a> at prominent drug markets have increased.\u003c/p>\n\u003cp>Meanwhile, Supervisor Matt Dorsey introduced the “Recovery First Ordinance” at the end of February, which would make entirely stopping illicit drug use and attaining long-term treatment “the primary objective of the city’s drug policy.” In a \u003ca href=\"https://x.com/mattdorsey/status/1905468937963536639\">post on the social media platform X\u003c/a> on Friday criticizing the UCSF doctors, Dorsey wrote that abstinence-only approaches to ending drug use include medication-assisted treatments.\u003c/p>\n\u003cp>The push toward recovery-focused drug policy has been \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">unpopular with harm reduction advocates\u003c/a>, who say reducing efforts to give out safer smoking supplies like foil and pipes is “misguided.”\u003c/p>\n\u003cp>A recent study from independent scientific research organization RTI International found that increased drug seizures by law enforcement also increased opioid overdose mortality. But Humphreys said what it fails to account for is the public health of non-drug users.\u003c/p>\n\u003cfigure id=\"attachment_11998115\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11998115\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric clinical pharmacist with the San Francisco Department of Public Health packs a backpack with harm reduction supplies before making deliveries to SROs and Permanent Supportive Housing in San Francisco on March 23, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The purpose of taking drug dealers off the street is not to change the overdose rate,” he told KQED. “The purpose is to make neighborhoods safe for families and get drug dealers off the streets.”\u003c/p>\n\u003cp>He said an integrated public health approach — which the city \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-drug-dealing-tenderloin-emergency-center-18132343.php\">has been working on for years\u003c/a> but continues to need more of — would combine a nighttime bust by police with onsite harm reduction services, for example.\u003c/p>\n\u003cp>“In Europe, in cities that have closed down open-air things, the police and the public health people work side by side,” he told KQED. “Police will say we’re closing down this open-air drug corner and the dealers are ours and the users are yours.”\u003c/p>\n\u003cp>“They will arrest the people … but then drive the methadone vans saying, ‘Who wants treatment, who needs clean needles right here?’ They use it as an opportunity to engage people into care because your dealer’s gone, but you know you could get to treatment right this second.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The four UCSF doctors who spoke about the importance of harm reduction on Thursday stressed the importance of linking harm reduction and treatment services by offering them in the same spaces and making the on-ramp to treatment less intimidating for drug users.\u003c/p>\n\u003cp>They said that reducing the distribution of safer drug supplies and medications that treat opioid addiction will make people less safe.\u003c/p>\n\u003cp>“I live in the city, I have kids … so that allows me to understand people who say, ‘Why the hell are you handing out opioids to people with opioid use disorder …handing out supplies to people that help them use drugs?’” said Dr. Scott Steiger, a professor in the departments of Medicine and Psychiatry and Behavioral Sciences at UCSF. “I could wave a magic wand and stop all of that, but we can’t.\u003c/p>\n\u003cp>“This particular city has done this before and is very good at figuring out ways to be more inclusive, to bring people back into the larger community who are otherwise stigmatized or outsiders.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> planted a flag in the overdose debate by ordering the San Francisco Public Health Department to scale back some harm reduction programs as part of efforts to address the city’s drug crisis.\u003c/p>\n\u003cp>Lurie’s latest move, following the announcement of an upcoming behavioral health facility at 822 Geary for people experiencing a mental health or drug crisis, comes amid nighttime law enforcement raids targeting entrenched drug markets and a \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">steady rise in overdose rates\u003c/a> since October 2024, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The city is specifically planning to cut back on publicly-funded programs that hand out safe smoking supplies, such as pipes, foil and straws, according to Department of Public Health Director Daniel Tsai, who announced the \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">most recent overdose data\u003c/a> at a press conference earlier this week. Clean needle exchanges and Narcan distribution will remain, he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lurie’s directive has sparked controversy among health experts and harm reduction advocates, who say programs that offer supplies for safer smoking are proven to reduce overdoses and infections associated with drug use and can connect users to treatment.\u003c/p>\n\u003cp>“This idea that if you make smoking supplies disappear, people are going to stop using — it’s a smokescreen and really misguided,” said Laura Guzman, executive director of the National Harm Reduction Coalition.\u003c/p>\n\u003cp>San Francisco contracts with the DOPE project, a program of NHRC, to distribute Narcan and other harm reduction supplies across the city.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“These directives, unfortunately, are just responding to political perspectives,” Guzman continued.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times more potent than heroin, is the most common drug currently associated with overdose deaths in the city. The majority of fentanyl users in San Francisco and across California consume fentanyl by smoking, which is far less likely to lead to an overdose than injecting.\u003c/p>\n\u003cp>A recent study found that fentanyl injection users were 40% more likely to experience a non-fatal overdose and 253% more likely to have bacterial or viral infections caused by needle use. While both methods can lead to an accidental overdose, addiction experts say that the shift to smoking fentanyl has likely kept overdose rates from being even higher.\u003c/p>\n\u003cp>Vladimir Andreyev, who used heroin for several years before turning to smoking fentanyl, has lived on San Francisco’s streets for more than a decade. Craving shelter after a rainy weekend, Andreyev recently stopped by a \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">pop-up triage center\u003c/a> on Sixth Street because he heard he might be able to find a shelter bed.[aside postID=news_12026575 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-26-KQED-1020x680.jpg']“The only good thing about fentanyl was it helped me get off needles. The needle… that’s really depressing,” Andreyev, 42, told KQED while waiting for a ride to a shelter that a social worker at the center found for him.\u003c/p>\n\u003cp>Guzman said new fentanyl users tend to smoke.\u003c/p>\n\u003cp>“Smoking supplies, in particular, engage communities that are not already engaged in needle exchange programs,” she said. “So that directive goes contrary to all evidence.”\u003c/p>\n\u003cp>Lurie’s administration is doubling down on law enforcement to disrupt outdoor drug markets.\u003c/p>\n\u003cp>“We are actively dismantling the illegal drug markets as part of our ongoing commitment to public safety. San Franciscans deserve safe and clean streets,” he \u003ca href=\"https://x.com/DanielLurie/status/1902799634722087069\">posted on social media platform X\u003c/a> on Thursday, after police arrested nearly 40 people for being near an outdoor drug market at Market and Van Ness streets.\u003c/p>\n\u003cp>It’s the third overnight raid the city has carried out in recent weeks. Police surveillance has also increased on Sixth Street and near the 16th Street BART station. Some residents and officials have applauded the crackdown for at least temporarily clearing chaotic public areas.\u003c/p>\n\u003cp>“If you drive by there now, things are definitely better,” Supervisor Stephen Sherrill said at a recent press conference, referring to an overnight drug market raid that led to dozens of arrests at Jefferson Square Park. “Residents are rightfully hesitant to declare victory, and I don’t think anybody here is ready to declare victory at all.”\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Police and supervisors have said that the actions have pushed dangerous activity to other areas, and they are developing longer-term deterrence strategies.\u003c/p>\n\u003cp>Andreyev, who sleeps outside near Sixth Street, has noticed the changes.\u003c/p>\n\u003cp>“It’s cleaned up a lot. I’ve had a lot of friends get arrested,” he said. “You just have to be careful and follow the rules [if you] don’t want to end up in jail.”\u003c/p>\n\u003cp>Overdose rates fluctuate, and no specific intervention can be easily attributed to increases or decreases on a month-to-month basis.\u003c/p>\n\u003cp>A spokesperson for the Department of Public Health told KQED that what matters is that overdose deaths “are preventable, and we must have a quick, accessible and effective treatment and sustainable recovery” to drive rates down “and make our communities healthier.”\u003c/p>\n\u003cp>Multiple health experts said they are concerned that winding down some harm reduction programs while increasing enforcement could lead to a sustained increase in overdose rates.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2831697?resultClick=1\">study\u003c/a> released this week by RTI International, a nonpartisan research organization, found that overdose risk was significantly higher in the days shortly after police seized drugs in San Francisco. The study looked at time and location data for both police drug enforcement actions and overdose deaths from January 2020 to September 2023.\u003c/p>\n\u003cp>That increased risk can be due to a variety of factors, including, as the study points out, if a drug user looks for a new supply after a drug bust, they could accidentally consume something more potent than their tolerance is used to.\u003c/p>\n\u003cp>“These findings suggest that the enforcement of drug distribution laws to increase public safety for residents in San Francisco may be having an unintended negative consequence of increasing opioid overdose mortality,” the study concluded.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> planted a flag in the overdose debate by ordering the San Francisco Public Health Department to scale back some harm reduction programs as part of efforts to address the city’s drug crisis.\u003c/p>\n\u003cp>Lurie’s latest move, following the announcement of an upcoming behavioral health facility at 822 Geary for people experiencing a mental health or drug crisis, comes amid nighttime law enforcement raids targeting entrenched drug markets and a \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">steady rise in overdose rates\u003c/a> since October 2024, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The city is specifically planning to cut back on publicly-funded programs that hand out safe smoking supplies, such as pipes, foil and straws, according to Department of Public Health Director Daniel Tsai, who announced the \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">most recent overdose data\u003c/a> at a press conference earlier this week. Clean needle exchanges and Narcan distribution will remain, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lurie’s directive has sparked controversy among health experts and harm reduction advocates, who say programs that offer supplies for safer smoking are proven to reduce overdoses and infections associated with drug use and can connect users to treatment.\u003c/p>\n\u003cp>“This idea that if you make smoking supplies disappear, people are going to stop using — it’s a smokescreen and really misguided,” said Laura Guzman, executive director of the National Harm Reduction Coalition.\u003c/p>\n\u003cp>San Francisco contracts with the DOPE project, a program of NHRC, to distribute Narcan and other harm reduction supplies across the city.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“These directives, unfortunately, are just responding to political perspectives,” Guzman continued.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times more potent than heroin, is the most common drug currently associated with overdose deaths in the city. The majority of fentanyl users in San Francisco and across California consume fentanyl by smoking, which is far less likely to lead to an overdose than injecting.\u003c/p>\n\u003cp>A recent study found that fentanyl injection users were 40% more likely to experience a non-fatal overdose and 253% more likely to have bacterial or viral infections caused by needle use. While both methods can lead to an accidental overdose, addiction experts say that the shift to smoking fentanyl has likely kept overdose rates from being even higher.\u003c/p>\n\u003cp>Vladimir Andreyev, who used heroin for several years before turning to smoking fentanyl, has lived on San Francisco’s streets for more than a decade. Craving shelter after a rainy weekend, Andreyev recently stopped by a \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">pop-up triage center\u003c/a> on Sixth Street because he heard he might be able to find a shelter bed.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The only good thing about fentanyl was it helped me get off needles. The needle… that’s really depressing,” Andreyev, 42, told KQED while waiting for a ride to a shelter that a social worker at the center found for him.\u003c/p>\n\u003cp>Guzman said new fentanyl users tend to smoke.\u003c/p>\n\u003cp>“Smoking supplies, in particular, engage communities that are not already engaged in needle exchange programs,” she said. “So that directive goes contrary to all evidence.”\u003c/p>\n\u003cp>Lurie’s administration is doubling down on law enforcement to disrupt outdoor drug markets.\u003c/p>\n\u003cp>“We are actively dismantling the illegal drug markets as part of our ongoing commitment to public safety. San Franciscans deserve safe and clean streets,” he \u003ca href=\"https://x.com/DanielLurie/status/1902799634722087069\">posted on social media platform X\u003c/a> on Thursday, after police arrested nearly 40 people for being near an outdoor drug market at Market and Van Ness streets.\u003c/p>\n\u003cp>It’s the third overnight raid the city has carried out in recent weeks. Police surveillance has also increased on Sixth Street and near the 16th Street BART station. Some residents and officials have applauded the crackdown for at least temporarily clearing chaotic public areas.\u003c/p>\n\u003cp>“If you drive by there now, things are definitely better,” Supervisor Stephen Sherrill said at a recent press conference, referring to an overnight drug market raid that led to dozens of arrests at Jefferson Square Park. “Residents are rightfully hesitant to declare victory, and I don’t think anybody here is ready to declare victory at all.”\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Police and supervisors have said that the actions have pushed dangerous activity to other areas, and they are developing longer-term deterrence strategies.\u003c/p>\n\u003cp>Andreyev, who sleeps outside near Sixth Street, has noticed the changes.\u003c/p>\n\u003cp>“It’s cleaned up a lot. I’ve had a lot of friends get arrested,” he said. “You just have to be careful and follow the rules [if you] don’t want to end up in jail.”\u003c/p>\n\u003cp>Overdose rates fluctuate, and no specific intervention can be easily attributed to increases or decreases on a month-to-month basis.\u003c/p>\n\u003cp>A spokesperson for the Department of Public Health told KQED that what matters is that overdose deaths “are preventable, and we must have a quick, accessible and effective treatment and sustainable recovery” to drive rates down “and make our communities healthier.”\u003c/p>\n\u003cp>Multiple health experts said they are concerned that winding down some harm reduction programs while increasing enforcement could lead to a sustained increase in overdose rates.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2831697?resultClick=1\">study\u003c/a> released this week by RTI International, a nonpartisan research organization, found that overdose risk was significantly higher in the days shortly after police seized drugs in San Francisco. The study looked at time and location data for both police drug enforcement actions and overdose deaths from January 2020 to September 2023.\u003c/p>\n\u003cp>That increased risk can be due to a variety of factors, including, as the study points out, if a drug user looks for a new supply after a drug bust, they could accidentally consume something more potent than their tolerance is used to.\u003c/p>\n\u003cp>“These findings suggest that the enforcement of drug distribution laws to increase public safety for residents in San Francisco may be having an unintended negative consequence of increasing opioid overdose mortality,” the study concluded.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 1:20 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> recorded 118 accidental drug overdose deaths in the first two months of 2025, a nearly 12% decrease compared to deaths during the same period last year, but a steady increase over recent months, according to preliminary data released by city health officials on Tuesday.\u003c/p>\n\u003cp>The tally — 61 deaths in February and 57 in January — marks a notable uptick over the last four months, after falling to a low of 37 in October. \u003c/p>\n\u003cp>“It’s unacceptable. It’s preventable. And we as a department are going to be doing everything possible to tackle this epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, who \u003ca href=\"https://www.kqed.org/news/12022674/san-francisco-director-of-public-health-dr-grant-colfax-resigns\">replaced Dr. Grant Colfax\u003c/a> just over two weeks ago.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Fatal overdoses in the city \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">reached a record high in 2023\u003c/a>, with 810 deaths reported. Fatalities fell last year to 635, an almost \u003ca href=\"https://media.api.sf.gov/documents/2024_OCME_Overdose_Report.pdf\">22% decrease\u003c/a>.\u003c/p>\n\u003cp>Nearly 75% of the overdose deaths recorded so far this year were fentanyl-related, according to the Office of the Chief Medical Examiner’s \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">latest report\u003c/a>. Three out of every four people who died were identified as male.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-mpdeC\" src=\"https://datawrapper.dwcdn.net/mpdeC/2/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"469\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The latest snapshot was delivered a day after Mayor Daniel Lurie \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">signed an executive order\u003c/a> outlining immediate and long-term plans to address the city’s drug and homelessness response.\u003c/p>\n\u003cp>The executive order builds on \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">a fentanyl ordinance\u003c/a> approved by city supervisors last month, granting the mayor expanded authority to quickly hire homelessness and drug treatment service providers. Lurie’s push sidesteps the board’s oversight of roughly $1 billion in contracts and lease agreements, according to the city’s Budget and Legislative Analyst.\u003c/p>\n\u003cp>The new directive also reassesses the city’s policies on distributing fentanyl smoking supplies — particularly foil, pipes and straws — in public spaces.[aside postID=news_12022674 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1307622423-scaled-e1737076380340.jpg']\u003c/p>\n\u003cp>“We will be working through that policy rapidly, on the ground with our clinical folks, with our providers, with our communities and stakeholders over the next very short period of time,” Tsai said during a press briefing, underscoring the department’s support for sterile syringe access as an effective strategy to reduce disease transmission.\u003c/p>\n\u003cp>On Tuesday, Tsai outlined his department’s multi-pronged approach to addressing the overdose crisis. The plan includes increasing the availability of treatment beds citywide, streamlining the process to quickly connect people to treatment when they’re ready and expanding resources to help them complete treatment. Tsai said the strategy also focuses on moving people off the streets and into supportive housing, where they can continue receiving critical services.\u003c/p>\n\u003cp>“The mayor’s directive to us is to build a more responsive behavioral health treatment system,” Tsai said, noting that it’s critical to identify what is currently working and what’s not. “That can help as many people as possible be off the streets, the conditions in the streets and into effective treatment and sustained recovery.\u003c/p>\n\u003cp>“That’s our true north.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 1:20 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> recorded 118 accidental drug overdose deaths in the first two months of 2025, a nearly 12% decrease compared to deaths during the same period last year, but a steady increase over recent months, according to preliminary data released by city health officials on Tuesday.\u003c/p>\n\u003cp>The tally — 61 deaths in February and 57 in January — marks a notable uptick over the last four months, after falling to a low of 37 in October. \u003c/p>\n\u003cp>“It’s unacceptable. It’s preventable. And we as a department are going to be doing everything possible to tackle this epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, who \u003ca href=\"https://www.kqed.org/news/12022674/san-francisco-director-of-public-health-dr-grant-colfax-resigns\">replaced Dr. Grant Colfax\u003c/a> just over two weeks ago.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Fatal overdoses in the city \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">reached a record high in 2023\u003c/a>, with 810 deaths reported. Fatalities fell last year to 635, an almost \u003ca href=\"https://media.api.sf.gov/documents/2024_OCME_Overdose_Report.pdf\">22% decrease\u003c/a>.\u003c/p>\n\u003cp>Nearly 75% of the overdose deaths recorded so far this year were fentanyl-related, according to the Office of the Chief Medical Examiner’s \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">latest report\u003c/a>. Three out of every four people who died were identified as male.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-mpdeC\" src=\"https://datawrapper.dwcdn.net/mpdeC/2/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"469\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The latest snapshot was delivered a day after Mayor Daniel Lurie \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">signed an executive order\u003c/a> outlining immediate and long-term plans to address the city’s drug and homelessness response.\u003c/p>\n\u003cp>The executive order builds on \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">a fentanyl ordinance\u003c/a> approved by city supervisors last month, granting the mayor expanded authority to quickly hire homelessness and drug treatment service providers. Lurie’s push sidesteps the board’s oversight of roughly $1 billion in contracts and lease agreements, according to the city’s Budget and Legislative Analyst.\u003c/p>\n\u003cp>The new directive also reassesses the city’s policies on distributing fentanyl smoking supplies — particularly foil, pipes and straws — in public spaces.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We will be working through that policy rapidly, on the ground with our clinical folks, with our providers, with our communities and stakeholders over the next very short period of time,” Tsai said during a press briefing, underscoring the department’s support for sterile syringe access as an effective strategy to reduce disease transmission.\u003c/p>\n\u003cp>On Tuesday, Tsai outlined his department’s multi-pronged approach to addressing the overdose crisis. The plan includes increasing the availability of treatment beds citywide, streamlining the process to quickly connect people to treatment when they’re ready and expanding resources to help them complete treatment. Tsai said the strategy also focuses on moving people off the streets and into supportive housing, where they can continue receiving critical services.\u003c/p>\n\u003cp>“The mayor’s directive to us is to build a more responsive behavioral health treatment system,” Tsai said, noting that it’s critical to identify what is currently working and what’s not. “That can help as many people as possible be off the streets, the conditions in the streets and into effective treatment and sustained recovery.\u003c/p>\n\u003cp>“That’s our true north.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco health officials on Tuesday launched a new media campaign to promote its ongoing drug treatment and recovery services as part of a larger effort to reduce overdose deaths and substance-use disorders.\u003c/p>\n\u003cp>The initiative, dubbed Living Proof, features videos and ads highlighting the stories of San Franciscans who have been in recovery for years after long struggles with substance abuse.\u003c/p>\n\u003cp>They serve as “living proof” that treatment can work, SF Department of Public Health Director Dr. Grant Colfax said at a press conference on Tuesday.\u003c/p>\n\u003cp>Campaign media will be displayed on billboards, Muni buses and social media platforms, as well as in Lyft rideshare vehicles. A heavy concentration of ads will be placed in the Tenderloin and South of Market neighborhoods, which have some of the city’s highest overdose rates, officials said.\u003c/p>\n\u003cp>Dominique McDowell is among the residents featured in the new campaign. Born and raised in the Bayview District, he began using crack cocaine at the age of 15. After eventually seeking addiction treatment, it took him about 14 years to get sober, he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Since I’ve been in recovery, I could write a novel about the good things that happened to me,” said McDowell, who enrolled in City College of San Francisco and became the \u003ca href=\"https://www.linkedin.com/in/dominique-mcdowell-cas1-rlps-316b8641/\">director of addiction and recovery services\u003c/a> at Marin City Health and Wellness Center. “I finished college. I’ve held great jobs. It’s never too late to recover from addiction.”\u003c/p>\n\u003cp>The city \u003ca href=\"https://www.sf.gov/sites/default/files/2024-10/2024%2010_OCME%20Overdose%20Report.pdf\">reported 504 overdose deaths between January through September of this year\u003c/a>, 70% of them from fentanyl, a synthetic opioid that’s about 50 times stronger than heroin.\u003c/p>\n\u003cp>[aside label=\"more on the overdose crisis\" tag=\"overdose-crisis\"]“The purpose of this campaign is to educate people that treatment and support services are possible in San Francisco to help people with fentanyl addiction and other substance-use disorders,” Colfax said.\u003c/p>\n\u003cp>He noted that overdose deaths in San Francisco have been slowly declining – down by about 20% this year to date – as the city has expanded access to treatment programs.\u003c/p>\n\u003cp>The announcement follows the department’s recent efforts to promote life-saving opioid drug-treatment medications, such as \u003ca href=\"https://www.kqed.org/news/12000161/san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic\">buprenorphine and methadone\u003c/a>.\u003c/p>\n\u003cp>Health officials on Tuesday also announced the launch of a separate initiative: a new, on-demand treatment program, open daily, aimed at connecting people suffering from substance-use disorders with medical professionals who can immediately prescribe buprenorphine.\u003c/p>\n\u003cp>Treatment options will be accessible in hospitals and 14 primary care clinics throughout the city, along with in permanent supportive housing programs, shelters and in jails.\u003c/p>\n\u003cp>The Living Proof ads will also highlight SFDPH’s Behavioral Health Access Line, a 24/7 call center to access the city’s substance use and mental health services.\u003c/p>\n\u003cp>“There are people in our community who don’t know where to go for help,” said Dr. Hillary Kunins, the department’s director of Behavioral Health Services. “So our goal with the Living Proof campaign is to give people the information, the hope and the direction.”\u003c/p>\n\u003cp>Supervisor Matt Dorsey on Tuesday described his own journey to sobriety after prolonged struggles with addiction. He said the campaign’s focus on real San Francisco residents in long-term recovery is paramount.\u003c/p>\n\u003cp>“It is something that I carry with me,” he said, noting the importance of “giving the recovery community a seat at the table.”\u003c/p>\n\u003cp>Juliana Gurrola Nuño and her partner Michael Alvarez, also featured in the media campaign, both struggled for years with serious opioid addictions and now help guide others to recovery.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Four years ago, we would have never imagined having a beautiful daughter or a nice home to live in,” said Alvarez, who is now a community health worker. “We want people who are using fentanyl or any other substance to know that there are a lot of opportunities to recover from drug addiction.”\u003c/p>\n\n",
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"excerpt": "The new 'Living Proof' campaign features nine San Franciscans who are in recovery after participating in the city's drug treatment programs — part of the public health department's larger effort to reduce the number of fentanyl overdose deaths and further support recovery efforts.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco health officials on Tuesday launched a new media campaign to promote its ongoing drug treatment and recovery services as part of a larger effort to reduce overdose deaths and substance-use disorders.\u003c/p>\n\u003cp>The initiative, dubbed Living Proof, features videos and ads highlighting the stories of San Franciscans who have been in recovery for years after long struggles with substance abuse.\u003c/p>\n\u003cp>They serve as “living proof” that treatment can work, SF Department of Public Health Director Dr. Grant Colfax said at a press conference on Tuesday.\u003c/p>\n\u003cp>Campaign media will be displayed on billboards, Muni buses and social media platforms, as well as in Lyft rideshare vehicles. A heavy concentration of ads will be placed in the Tenderloin and South of Market neighborhoods, which have some of the city’s highest overdose rates, officials said.\u003c/p>\n\u003cp>Dominique McDowell is among the residents featured in the new campaign. Born and raised in the Bayview District, he began using crack cocaine at the age of 15. After eventually seeking addiction treatment, it took him about 14 years to get sober, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Since I’ve been in recovery, I could write a novel about the good things that happened to me,” said McDowell, who enrolled in City College of San Francisco and became the \u003ca href=\"https://www.linkedin.com/in/dominique-mcdowell-cas1-rlps-316b8641/\">director of addiction and recovery services\u003c/a> at Marin City Health and Wellness Center. “I finished college. I’ve held great jobs. It’s never too late to recover from addiction.”\u003c/p>\n\u003cp>The city \u003ca href=\"https://www.sf.gov/sites/default/files/2024-10/2024%2010_OCME%20Overdose%20Report.pdf\">reported 504 overdose deaths between January through September of this year\u003c/a>, 70% of them from fentanyl, a synthetic opioid that’s about 50 times stronger than heroin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The purpose of this campaign is to educate people that treatment and support services are possible in San Francisco to help people with fentanyl addiction and other substance-use disorders,” Colfax said.\u003c/p>\n\u003cp>He noted that overdose deaths in San Francisco have been slowly declining – down by about 20% this year to date – as the city has expanded access to treatment programs.\u003c/p>\n\u003cp>The announcement follows the department’s recent efforts to promote life-saving opioid drug-treatment medications, such as \u003ca href=\"https://www.kqed.org/news/12000161/san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic\">buprenorphine and methadone\u003c/a>.\u003c/p>\n\u003cp>Health officials on Tuesday also announced the launch of a separate initiative: a new, on-demand treatment program, open daily, aimed at connecting people suffering from substance-use disorders with medical professionals who can immediately prescribe buprenorphine.\u003c/p>\n\u003cp>Treatment options will be accessible in hospitals and 14 primary care clinics throughout the city, along with in permanent supportive housing programs, shelters and in jails.\u003c/p>\n\u003cp>The Living Proof ads will also highlight SFDPH’s Behavioral Health Access Line, a 24/7 call center to access the city’s substance use and mental health services.\u003c/p>\n\u003cp>“There are people in our community who don’t know where to go for help,” said Dr. Hillary Kunins, the department’s director of Behavioral Health Services. “So our goal with the Living Proof campaign is to give people the information, the hope and the direction.”\u003c/p>\n\u003cp>Supervisor Matt Dorsey on Tuesday described his own journey to sobriety after prolonged struggles with addiction. He said the campaign’s focus on real San Francisco residents in long-term recovery is paramount.\u003c/p>\n\u003cp>“It is something that I carry with me,” he said, noting the importance of “giving the recovery community a seat at the table.”\u003c/p>\n\u003cp>Juliana Gurrola Nuño and her partner Michael Alvarez, also featured in the media campaign, both struggled for years with serious opioid addictions and now help guide others to recovery.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Four years ago, we would have never imagined having a beautiful daughter or a nice home to live in,” said Alvarez, who is now a community health worker. “We want people who are using fentanyl or any other substance to know that there are a lot of opportunities to recover from drug addiction.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/overdose-deaths\">overdose deaths\u003c/a> last month reached a four-year low, falling to a level not seen since before the COVID-19 pandemic, according to preliminary data released Wednesday by the medical examiner’s office.\u003c/p>\n\u003cp>The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020. That represents a 50% year-over-year reduction from last July, when 79 overdoses were reported.\u003c/p>\n\u003cp>The decline continues a trend seen in the first half of the year, offering some hope after 2023 marked the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year on record for overdoses in San Francisco\u003c/a>, with 810. Through June, the city was still on track to get close to last year’s total, but after July, the annual figure is on pace to be 706 — lower than in 2023 and 2020, the year with the second-highest total.\u003c/p>\n\u003cp>July was the fourth consecutive month with a year-over-year decline in overdose deaths after June’s total marked the lowest monthly figure since 2022.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This year to date, overdose deaths are 15% lower than they were during the same period last year.\u003c/p>\n\u003cp>Policy expert Keith Humphreys told KQED last month that the trend was\u003ca href=\"https://www.kqed.org/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline\"> likely due to factors reflected in the national decline\u003c/a> of overdose deaths — like fading heroin use and the waning COVID-19 pandemic, which he said likely accelerated some overdose deaths that otherwise could have occurred years later.\u003c/p>\n\u003cp>While health officials called the drop in deaths a “hopeful sign,” they said wider access to overdose-preventing medications is still needed.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“California needs to make more regulatory changes around methadone access in order to make a greater impact locally,” Dr. Grant Colfax, the director of the San Francisco Department of Public Health, said during a press conference on Wednesday. “We must continue to break down the outdated and cumbersome and, frankly, sometimes ridiculous bureaucratic barriers that make treatment hard to access and to maintain.”\u003c/p>\n\u003cp>He said that methadone and buprenorphine, synthetic opioids used to treat opioid use disorder, reduce the risk of death by up to 50% in some cases and reduce cravings and withdrawal symptoms. Currently, more than 2,500 people are in methadone treatment through the Department of Public Health.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_11997957 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230831-SAFE-USE-POP-UP-MD-04-KQED-1020x680.jpg']\u003c/span>\u003c/p>\n\u003cp>Dr. Hillary Kunins, the city’s director of behavioral health, said that methadone is the most regulated medication in the country.\u003c/p>\n\u003cp>“The stigma and barriers caused by this overregulation prevent people from entering and staying in treatment,” she said. “Can you imagine requiring a person who has heart disease to be physically present at a special cardiac clinic every day to take their medication? That’s what new methadone patients need to do to get their daily medication.”\u003c/p>\n\u003cp>In California, methadone can only be dispensed from a licensed opioid treatment program or methadone clinic.\u003c/p>\n\u003cp>New federal policy changes make the treatments more accessible. Patients can initiate methadone treatment via telehealth and receive up to three days’ worth of methadone from a hospital at a time. They can also be prescribed methadone by a nurse practitioner or physician’s assistant and get the treatments from a hospital or other health clinic.\u003c/p>\n\u003cp>Assembly Bill 2115, written by Assemblymember Matt Haney (D-San Francisco), would align California with the federal regulations.\u003c/p>\n\u003cp>“The state must adopt the federal rules before people wanting to start methadone treatment can benefit,” Kunins said. “We implore our California state legislators to pass AB 2115. Making methadone more accessible in California will save lives.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/overdose-deaths\">overdose deaths\u003c/a> last month reached a four-year low, falling to a level not seen since before the COVID-19 pandemic, according to preliminary data released Wednesday by the medical examiner’s office.\u003c/p>\n\u003cp>The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020. That represents a 50% year-over-year reduction from last July, when 79 overdoses were reported.\u003c/p>\n\u003cp>The decline continues a trend seen in the first half of the year, offering some hope after 2023 marked the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year on record for overdoses in San Francisco\u003c/a>, with 810. Through June, the city was still on track to get close to last year’s total, but after July, the annual figure is on pace to be 706 — lower than in 2023 and 2020, the year with the second-highest total.\u003c/p>\n\u003cp>July was the fourth consecutive month with a year-over-year decline in overdose deaths after June’s total marked the lowest monthly figure since 2022.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This year to date, overdose deaths are 15% lower than they were during the same period last year.\u003c/p>\n\u003cp>Policy expert Keith Humphreys told KQED last month that the trend was\u003ca href=\"https://www.kqed.org/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline\"> likely due to factors reflected in the national decline\u003c/a> of overdose deaths — like fading heroin use and the waning COVID-19 pandemic, which he said likely accelerated some overdose deaths that otherwise could have occurred years later.\u003c/p>\n\u003cp>While health officials called the drop in deaths a “hopeful sign,” they said wider access to overdose-preventing medications is still needed.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“California needs to make more regulatory changes around methadone access in order to make a greater impact locally,” Dr. Grant Colfax, the director of the San Francisco Department of Public Health, said during a press conference on Wednesday. “We must continue to break down the outdated and cumbersome and, frankly, sometimes ridiculous bureaucratic barriers that make treatment hard to access and to maintain.”\u003c/p>\n\u003cp>He said that methadone and buprenorphine, synthetic opioids used to treat opioid use disorder, reduce the risk of death by up to 50% in some cases and reduce cravings and withdrawal symptoms. Currently, more than 2,500 people are in methadone treatment through the Department of Public Health.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Dr. Hillary Kunins, the city’s director of behavioral health, said that methadone is the most regulated medication in the country.\u003c/p>\n\u003cp>“The stigma and barriers caused by this overregulation prevent people from entering and staying in treatment,” she said. “Can you imagine requiring a person who has heart disease to be physically present at a special cardiac clinic every day to take their medication? That’s what new methadone patients need to do to get their daily medication.”\u003c/p>\n\u003cp>In California, methadone can only be dispensed from a licensed opioid treatment program or methadone clinic.\u003c/p>\n\u003cp>New federal policy changes make the treatments more accessible. Patients can initiate methadone treatment via telehealth and receive up to three days’ worth of methadone from a hospital at a time. They can also be prescribed methadone by a nurse practitioner or physician’s assistant and get the treatments from a hospital or other health clinic.\u003c/p>\n\u003cp>Assembly Bill 2115, written by Assemblymember Matt Haney (D-San Francisco), would align California with the federal regulations.\u003c/p>\n\u003cp>“The state must adopt the federal rules before people wanting to start methadone treatment can benefit,” Kunins said. “We implore our California state legislators to pass AB 2115. Making methadone more accessible in California will save lives.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"tagline": "Art is where you find it",
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"soldout": {
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"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
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"tagline": "Local news to keep you rooted",
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