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"content": "\u003cp>As the nation continues to struggle with an opioid crisis now supercharged by fentanyl, overdoses have become one of the leading causes of workplace deaths.\u003c/p>\n\u003cp>California is no different: Workplace overdose deaths have risen so dramatically that in 2021 and 2022, they caused more fatalities than falls at construction sites or being hit by machinery, and in 2022, were second only to car crashes and other transportation incidents.\u003c/p>\n\u003cp>That year, the toll surpassed 110 workers, accounting for 18% of the state’s workplace deaths, compared to 11% nationwide.\u003c/p>\n\u003cp>Federal and state government experts have \u003ca href=\"https://www.bls.gov/opub/ted/2024/unintentional-overdoses-rose-for-the-tenth-straight-year-in-2022.htm\">raised the alarm\u003c/a> over this trend, which has puzzled some policymakers because drug use is not a hazard created directly by the job. After all, those who die of an overdose at work represent a small share of thousands of Californians who overdose each year.\u003c/p>\n\u003cp>Still, business owners and union officials alike are increasingly having to grapple with one of the nation’s most prominent public health challenges.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“When fentanyl came around, we started having a huge uptick in overdoses and deaths — even suicides,” said Paul Moreno, president of Ironworkers Local 433 in Southern California.\u003c/p>\n\u003cp>In 2022, his local began holding recovery meetings for members that now draw as many as a dozen attendees a month. Moreno, who said he’s been sober 19 years, visits worksites and the union hall, passing around the 988 \u003ca href=\"https://calmatters.org/health/2021/09/988-911-funding-crisis-hotline-suicide-california/\">mental health crisis hotline number\u003c/a>, giving out his own personal phone number and distributing doses of the overdose reversal drug naloxone (commonly sold as Narcan).\u003c/p>\n\u003cp>“I took Narcan classes. I passed out Narcan on the job sites. I never thought I’d be doing that,” he said. “The phone calls from the members, sometimes I don’t know what to say besides listen. We still need more training.”\u003c/p>\n\u003cp>A new California law directs the state’s workplace safety agencies to require worksites to stock Narcan in their first aid kits, but the regulations haven’t been issued yet. A spokesperson said Cal/OSHA is “in the early stages of rulemaking,” a process that \u003ca href=\"https://calmatters.org/politics/capitol/2024/02/workplace-safety-california-indoor-heat/\">could take years\u003c/a>.\u003c/p>\n\u003cp>Not much is publicly known about overdose deaths at California worksites. A small office in Cal/OSHA that compiles workplace fatality data has, for at least the past two years, noted the rise in overdoses in its \u003ca href=\"https://www.dir.ca.gov/dosh/CFOI/California-Occupational-Fatalities.pdf\">annual reports\u003c/a>. However, the office said it cannot release details due to privacy restrictions.\u003c/p>\n\u003cp>The agency has not responded to a public records request CalMatters filed in September for all overdose incidents, fatal or nonfatal, that have been reported at worksites.\u003c/p>\n\u003ch2>State won’t release details on deaths\u003c/h2>\n\u003cp>County coroners’ offices, which investigate some deaths, vary widely in whether they can identify incidents based on whether a person died at their job. Death records from the past three years obtained from Alameda, San Bernardino and Riverside counties provide glimpses into the grim trend.\u003c/p>\n\u003cp>In 2021, a flooring installer stepped out for a smoke break at a construction site in Temecula and was found by coworkers on the side of the house, dead from a fentanyl overdose. A packing plant worker in Corona went to the bathroom and did not return; coworkers found him bent over with a straw, lighter and piece of foil nearby, having overdosed on methamphetamine, fentanyl and heroin. In Fremont, a manager found a night-shift janitor in the bathroom with a white powdery substance, overdosed on fentanyl. In Livermore this year, a driver was found in his parked semi-truck as he waited to make a scheduled delivery, also dead from fentanyl.\u003c/p>\n\u003cfigure id=\"attachment_12017660\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017660\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Narcan nasal spray containers available at a rally at the First Street U.S. Courthouse in Los Angeles on April 22, 2024. \u003ccite>(Ted Soqui for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California officials have little to say about the rising death toll. Cal/OSHA refused to make an official available for an interview and would not explain why overdoses account for a much higher share of the state’s workplace deaths compared to the rest of the nation.\u003c/p>\n\u003cp>Instead, the agency cited the \u003ca href=\"https://calmatters.org/explainers/california-opioid-crisis/\">broader national opioid crisis\u003c/a>. “California had more than 7,000 people die from opioid-related overdose deaths in 2022,” spokesperson Erika Monterroza wrote in an email. “Unfortunately, these deaths happen all over our state, including in our workplaces.”\u003c/p>\n\u003cp>The state Department of Public Health said it is considering conducting a study. That agency’s occupational health branch is “aware of this issue and is considering a project to examine all opioid overdoses by industry and occupation,” a spokesperson said. In October, the department said staff are in the “initial stages of preparing for an analysis” but did not provide a completion date.\u003c/p>\n\u003cp>Studies in other states indicate the problem is worse in certain industries. In Massachusetts, where overdoses are the top cause of workplace deaths, researchers with the state public health agency examined all overdose deaths — whether at work or not — and found deaths occurred disproportionately among those working in manual-labor, high-injury industries.\u003c/p>\n\u003cp>Those jobs, said Emily Sparer-Fine, director of the Massachusetts public health agency’s \u003ca href=\"https://www.mass.gov/orgs/occupational-health-surveillance-program\">Occupational Health Surveillance Program\u003c/a>, are often seasonal or unstable, and workers may be financially strained and pressured to work through pain.\u003c/p>\n\u003cp>“Certain industries and occupations, (such as) construction, fishing had a much higher rate of overdose,” Sparer-Fine said in an interview. “But it was also jobs that had lower access to paid sick leave, higher rates of job insecurity, higher rates of overall workplace injury.”\u003c/p>\n\u003cp>In a new study this year, Sparer-Fine’s team also dug into \u003ca href=\"https://www.mass.gov/doc/opioid-related-overdose-deaths-among-injured-workers-in-massachusetts-findings-from-the-public-health-data-warehouse/download\">workers’ compensation data\u003c/a> and found that working-age Massachusetts residents were 35% more likely to have died of an overdose if they were previously injured on the job.\u003c/p>\n\u003cp>Workers in similar industries are overrepresented in the California workplace overdose deaths, including in trucking and warehousing, according to federal data.\u003c/p>\n\u003cp>So are workers in construction, where unions and employers are confronting a mental health and addiction crisis. Nationwide, construction workers are \u003ca href=\"https://www.cdc.gov/nchs/data/nvsr/nvsr72/nvsr72-07.pdf\">more likely than workers in any other profession\u003c/a> to overdose and also have one of the \u003ca href=\"https://www.cdc.gov/mmwr/volumes/72/wr/mm7250a2.htm?s_cid=mm7250a2_w\">highest rates of suicide\u003c/a>.\u003c/p>\n\u003cp>Chris Trahan Cain, executive director of the National Center for Construction Research and Training, has since 2018 led the response to the industry’s opioid crisis. She has focused on a longtime reliance on painkillers to deal with injuries involving the muscles and bones, which \u003ca href=\"https://www.cpwr.com/wp-content/uploads/KF2020-MSDs-Opioids-US-workers.pdf\">nearly a third of construction workers\u003c/a> report experiencing. Studies like the ones in Massachusetts were among the first to reveal the toll.\u003c/p>\n\u003cp>The center, formed by the nation’s construction unions, has recommended stocking naloxone in union halls, requiring apprentices be taught about opioid abuse and ensuring members have coverage of drug treatment programs. They’re also providing tips on talking to doctors about how to treat injuries without long-term opioids prescriptions. The goal, Cain said, is to avoid blaming individual workers.\u003c/p>\n\u003cp>“When this information first came to light, what I heard was, ‘Oh, it’s just the macho culture, it’s the type of people who go into construction,’” she said. “We can’t tell you how many of these deaths are because somebody started on a prescription, but we know that some of them are. We know a lot of these deaths are also from illicit drug use that have nothing to do with workplaces, but where we can (make) changes as an industry to impact these numbers is what we’re trying to do.”\u003c/p>\n\u003ch2>Businesses respond to crisis\u003c/h2>\n\u003cp>Employers, too, are trying to break the stigma of seeking help. Since 2021, the Associated General Contractors of California has provided materials to hold jobsite meetings about mental health.\u003c/p>\n\u003cp>Not all employers know how to raise the issue and some fear reprisal for appearing to pry into employees’ personal lives, said Frank Nunes, CEO of the Wall and Ceiling Alliance, a Pleasanton-based specialty contractors’ group. Some, Nunes said, are advised by attorneys to avoid talking about it.\u003c/p>\n\u003cp>“It’s still very sensitive,” he said. “You’ve got to be very careful how you ask somebody how (they’re) doing and not offend them.”\u003c/p>\n\u003cp>Still, Nunes joined officials of District Council 16 of the International Union of Painters and Allied Trades at a recovery event in San Leandro in October, promoting treatment programs covered by their contracts and encouraging workers to use them.\u003c/p>\n\u003cp>“We have to address these things in the field,” he told about 100 union members. “There’s a cultural change we all need to work on.”\u003c/p>\n\u003cp>In a cavernous training hall where apprentices learn how to install drywall, union members told their peers how they had recovered from addiction. The union invited former Raiders tight end Darren Waller to talk about his own experiences with addiction and depression.\u003c/p>\n\u003cp>Reflecting on union officials’ numbers on construction worker deaths by overdose or suicide, Waller told the crowd: “Those are lives that still deserve to be among us.”\u003c/p>\n\u003cp>Robert Williams, the local’s business manager and secretary-treasurer, described what he called a familiar scenario: A worker experiences a job site injury or persistent soreness, feels pressure to work through it, then escalates from an over-the-counter pill to a prescription painkiller to an illicit opioid addiction.\u003c/p>\n\u003cp>“We’re only with our families a small portion of the day,” he said. “The people we work with, we’re with 80% of the time. We’ve got to be open on those job sites.”\u003c/p>\n\u003cfigure id=\"attachment_12017662\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017662\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Robert Williams, left, business manager and secretary-treasurer, and James Boster, right, director of mental health and addiction, with District Council 16 of the International Union of Painters and Allied Trades, at their union office in Livermore on Nov. 6, 2024. \u003ccite>(Laure Andrillon for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The union and local employers realized they had a problem on their hands last summer. After sifting through their health plan records, they found 91 members had died of overdose or suicide (not necessarily at work) in 18 months.\u003c/p>\n\u003cp>The revelation forced union officials to rethink their roles in workers’ lives, Williams said in an interview.\u003c/p>\n\u003cp>“We look out for safety on the jobs, so if there’s a death on a job site because of a safety hazard, it’s front-page news,” he said. “But if there’s death by an overdose or death by suicide of a construction worker when they go home, nobody talks about that. So instead of thinking about just the safety side, it’s that holistic side of, how do we make somebody better for themselves and their families?”\u003c/p>\n\u003cp>Williams quickly appointed a director of addiction and mental health. James Boster, himself in recovery from a painkiller addiction he said he developed after a non-work injury, speaks at apprenticeship programs and worksites, helps workers get into recovery programs and acts as a crisis counselor.\u003c/p>\n\u003cp>In the past year, Boster said he’s helped place 51 union members into residential or outpatient treatment programs. During a recent interview at the union’s headquarters in Livermore, he said he was anxious: He had secured a “scholarship” for one member who hadn’t logged enough hours in recent months to have full health coverage, but the worker had chosen to postpone treatment.\u003c/p>\n\u003cp>“I can never walk away from a member, and something happens, and not hold that personally,” Boster said.\u003c/p>\n\u003cp>Boster and Williams are eager to expand their program. Ideas include installing someone with Boster’s role across the district’s 20 local unions and establishing a fund to help members who haven’t worked enough hours to afford treatment.\u003c/p>\n\u003cp>Other advocates, meanwhile, have pushed the state to require naloxone at worksites as part of an overall strategy to reduce overdoses.\u003c/p>\n\u003cp>Earlier this year, the National Safety Council, an advocacy group, petitioned California labor agencies to do just that. Proponents said the medication, which can temporarily reverse an overdose by blocking the brain’s opioid receptors, is easy to administer and not harmful.\u003c/p>\n\u003cp>[aside tag='fentanyl' label='More on Fentanyl']\u003c/p>\n\u003cp>Citing its workplace death data, Cal/OSHA supported the proposal before the independent Occupational Safety & Health Standards Board, which decides whether to approve such regulations.\u003c/p>\n\u003cp>“It’s in the top two or three killers of workers now, and just a few years ago, it was a very small number,” Eric Berg, Cal/OSHA deputy chief of health and research and standards, said at a June 20 board meeting. “So it’s just become a really serious problem for workers, and it’s killing workers. I think we have an obligation to act.”\u003c/p>\n\u003cp>But board members hesitated. Chairperson David Alioto called the proposal an “odd request.” While addiction is a legitimate public health concern, it’s not a workplace hazard like wildfire smoke for employees who must work outside, he said.\u003c/p>\n\u003cp>“I have not seen a regulation where an employer is providing a remedy for a risk that the employer did not create,” Alioto said.\u003c/p>\n\u003cp>Board members also said they worried about whether all businesses would be able to store the medication at the right temperature and whether employers would bear liability over the medication’s use.\u003c/p>\n\u003cp>The standards board ultimately voted for the agency to discuss the matter before an advisory committee. In September, Gov. Gavin Newsom signed a law directing Cal/OSHA to draft a workplace naloxone rule by December 2027 and giving the board until December 2028 to consider it.\u003c/p>\n\u003cp>So far, no advisory committee has met.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Share your story\u003c/strong>: We want to hear from workers, family members and employers. If you have experience with addiction, mental health or overdose on a job site, and you’re willing to share your story with a CalMatters reporter, please reach out to jeanne@calmatters.org.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Employers and unions are grappling with the opioid crisis, while the state inches toward requiring Narcan in workplaces.",
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"title": "Fentanyl Overdoses Are Causing a Surge in Workplace Deaths in California | KQED",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/jeanne-kuang/\">Jeanne Kuang\u003c/a> and \u003ca href=\"https://calmatters.org/author/jeremia-kimelman/\">Jeremia Kimelman\u003c/a>, CalMatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the nation continues to struggle with an opioid crisis now supercharged by fentanyl, overdoses have become one of the leading causes of workplace deaths.\u003c/p>\n\u003cp>California is no different: Workplace overdose deaths have risen so dramatically that in 2021 and 2022, they caused more fatalities than falls at construction sites or being hit by machinery, and in 2022, were second only to car crashes and other transportation incidents.\u003c/p>\n\u003cp>That year, the toll surpassed 110 workers, accounting for 18% of the state’s workplace deaths, compared to 11% nationwide.\u003c/p>\n\u003cp>Federal and state government experts have \u003ca href=\"https://www.bls.gov/opub/ted/2024/unintentional-overdoses-rose-for-the-tenth-straight-year-in-2022.htm\">raised the alarm\u003c/a> over this trend, which has puzzled some policymakers because drug use is not a hazard created directly by the job. After all, those who die of an overdose at work represent a small share of thousands of Californians who overdose each year.\u003c/p>\n\u003cp>Still, business owners and union officials alike are increasingly having to grapple with one of the nation’s most prominent public health challenges.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“When fentanyl came around, we started having a huge uptick in overdoses and deaths — even suicides,” said Paul Moreno, president of Ironworkers Local 433 in Southern California.\u003c/p>\n\u003cp>In 2022, his local began holding recovery meetings for members that now draw as many as a dozen attendees a month. Moreno, who said he’s been sober 19 years, visits worksites and the union hall, passing around the 988 \u003ca href=\"https://calmatters.org/health/2021/09/988-911-funding-crisis-hotline-suicide-california/\">mental health crisis hotline number\u003c/a>, giving out his own personal phone number and distributing doses of the overdose reversal drug naloxone (commonly sold as Narcan).\u003c/p>\n\u003cp>“I took Narcan classes. I passed out Narcan on the job sites. I never thought I’d be doing that,” he said. “The phone calls from the members, sometimes I don’t know what to say besides listen. We still need more training.”\u003c/p>\n\u003cp>A new California law directs the state’s workplace safety agencies to require worksites to stock Narcan in their first aid kits, but the regulations haven’t been issued yet. A spokesperson said Cal/OSHA is “in the early stages of rulemaking,” a process that \u003ca href=\"https://calmatters.org/politics/capitol/2024/02/workplace-safety-california-indoor-heat/\">could take years\u003c/a>.\u003c/p>\n\u003cp>Not much is publicly known about overdose deaths at California worksites. A small office in Cal/OSHA that compiles workplace fatality data has, for at least the past two years, noted the rise in overdoses in its \u003ca href=\"https://www.dir.ca.gov/dosh/CFOI/California-Occupational-Fatalities.pdf\">annual reports\u003c/a>. However, the office said it cannot release details due to privacy restrictions.\u003c/p>\n\u003cp>The agency has not responded to a public records request CalMatters filed in September for all overdose incidents, fatal or nonfatal, that have been reported at worksites.\u003c/p>\n\u003ch2>State won’t release details on deaths\u003c/h2>\n\u003cp>County coroners’ offices, which investigate some deaths, vary widely in whether they can identify incidents based on whether a person died at their job. Death records from the past three years obtained from Alameda, San Bernardino and Riverside counties provide glimpses into the grim trend.\u003c/p>\n\u003cp>In 2021, a flooring installer stepped out for a smoke break at a construction site in Temecula and was found by coworkers on the side of the house, dead from a fentanyl overdose. A packing plant worker in Corona went to the bathroom and did not return; coworkers found him bent over with a straw, lighter and piece of foil nearby, having overdosed on methamphetamine, fentanyl and heroin. In Fremont, a manager found a night-shift janitor in the bathroom with a white powdery substance, overdosed on fentanyl. In Livermore this year, a driver was found in his parked semi-truck as he waited to make a scheduled delivery, also dead from fentanyl.\u003c/p>\n\u003cfigure id=\"attachment_12017660\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017660\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/04222LA-Homeless-Court_TS_CM_27-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Narcan nasal spray containers available at a rally at the First Street U.S. Courthouse in Los Angeles on April 22, 2024. \u003ccite>(Ted Soqui for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California officials have little to say about the rising death toll. Cal/OSHA refused to make an official available for an interview and would not explain why overdoses account for a much higher share of the state’s workplace deaths compared to the rest of the nation.\u003c/p>\n\u003cp>Instead, the agency cited the \u003ca href=\"https://calmatters.org/explainers/california-opioid-crisis/\">broader national opioid crisis\u003c/a>. “California had more than 7,000 people die from opioid-related overdose deaths in 2022,” spokesperson Erika Monterroza wrote in an email. “Unfortunately, these deaths happen all over our state, including in our workplaces.”\u003c/p>\n\u003cp>The state Department of Public Health said it is considering conducting a study. That agency’s occupational health branch is “aware of this issue and is considering a project to examine all opioid overdoses by industry and occupation,” a spokesperson said. In October, the department said staff are in the “initial stages of preparing for an analysis” but did not provide a completion date.\u003c/p>\n\u003cp>Studies in other states indicate the problem is worse in certain industries. In Massachusetts, where overdoses are the top cause of workplace deaths, researchers with the state public health agency examined all overdose deaths — whether at work or not — and found deaths occurred disproportionately among those working in manual-labor, high-injury industries.\u003c/p>\n\u003cp>Those jobs, said Emily Sparer-Fine, director of the Massachusetts public health agency’s \u003ca href=\"https://www.mass.gov/orgs/occupational-health-surveillance-program\">Occupational Health Surveillance Program\u003c/a>, are often seasonal or unstable, and workers may be financially strained and pressured to work through pain.\u003c/p>\n\u003cp>“Certain industries and occupations, (such as) construction, fishing had a much higher rate of overdose,” Sparer-Fine said in an interview. “But it was also jobs that had lower access to paid sick leave, higher rates of job insecurity, higher rates of overall workplace injury.”\u003c/p>\n\u003cp>In a new study this year, Sparer-Fine’s team also dug into \u003ca href=\"https://www.mass.gov/doc/opioid-related-overdose-deaths-among-injured-workers-in-massachusetts-findings-from-the-public-health-data-warehouse/download\">workers’ compensation data\u003c/a> and found that working-age Massachusetts residents were 35% more likely to have died of an overdose if they were previously injured on the job.\u003c/p>\n\u003cp>Workers in similar industries are overrepresented in the California workplace overdose deaths, including in trucking and warehousing, according to federal data.\u003c/p>\n\u003cp>So are workers in construction, where unions and employers are confronting a mental health and addiction crisis. Nationwide, construction workers are \u003ca href=\"https://www.cdc.gov/nchs/data/nvsr/nvsr72/nvsr72-07.pdf\">more likely than workers in any other profession\u003c/a> to overdose and also have one of the \u003ca href=\"https://www.cdc.gov/mmwr/volumes/72/wr/mm7250a2.htm?s_cid=mm7250a2_w\">highest rates of suicide\u003c/a>.\u003c/p>\n\u003cp>Chris Trahan Cain, executive director of the National Center for Construction Research and Training, has since 2018 led the response to the industry’s opioid crisis. She has focused on a longtime reliance on painkillers to deal with injuries involving the muscles and bones, which \u003ca href=\"https://www.cpwr.com/wp-content/uploads/KF2020-MSDs-Opioids-US-workers.pdf\">nearly a third of construction workers\u003c/a> report experiencing. Studies like the ones in Massachusetts were among the first to reveal the toll.\u003c/p>\n\u003cp>The center, formed by the nation’s construction unions, has recommended stocking naloxone in union halls, requiring apprentices be taught about opioid abuse and ensuring members have coverage of drug treatment programs. They’re also providing tips on talking to doctors about how to treat injuries without long-term opioids prescriptions. The goal, Cain said, is to avoid blaming individual workers.\u003c/p>\n\u003cp>“When this information first came to light, what I heard was, ‘Oh, it’s just the macho culture, it’s the type of people who go into construction,’” she said. “We can’t tell you how many of these deaths are because somebody started on a prescription, but we know that some of them are. We know a lot of these deaths are also from illicit drug use that have nothing to do with workplaces, but where we can (make) changes as an industry to impact these numbers is what we’re trying to do.”\u003c/p>\n\u003ch2>Businesses respond to crisis\u003c/h2>\n\u003cp>Employers, too, are trying to break the stigma of seeking help. Since 2021, the Associated General Contractors of California has provided materials to hold jobsite meetings about mental health.\u003c/p>\n\u003cp>Not all employers know how to raise the issue and some fear reprisal for appearing to pry into employees’ personal lives, said Frank Nunes, CEO of the Wall and Ceiling Alliance, a Pleasanton-based specialty contractors’ group. Some, Nunes said, are advised by attorneys to avoid talking about it.\u003c/p>\n\u003cp>“It’s still very sensitive,” he said. “You’ve got to be very careful how you ask somebody how (they’re) doing and not offend them.”\u003c/p>\n\u003cp>Still, Nunes joined officials of District Council 16 of the International Union of Painters and Allied Trades at a recovery event in San Leandro in October, promoting treatment programs covered by their contracts and encouraging workers to use them.\u003c/p>\n\u003cp>“We have to address these things in the field,” he told about 100 union members. “There’s a cultural change we all need to work on.”\u003c/p>\n\u003cp>In a cavernous training hall where apprentices learn how to install drywall, union members told their peers how they had recovered from addiction. The union invited former Raiders tight end Darren Waller to talk about his own experiences with addiction and depression.\u003c/p>\n\u003cp>Reflecting on union officials’ numbers on construction worker deaths by overdose or suicide, Waller told the crowd: “Those are lives that still deserve to be among us.”\u003c/p>\n\u003cp>Robert Williams, the local’s business manager and secretary-treasurer, described what he called a familiar scenario: A worker experiences a job site injury or persistent soreness, feels pressure to work through it, then escalates from an over-the-counter pill to a prescription painkiller to an illicit opioid addiction.\u003c/p>\n\u003cp>“We’re only with our families a small portion of the day,” he said. “The people we work with, we’re with 80% of the time. We’ve got to be open on those job sites.”\u003c/p>\n\u003cfigure id=\"attachment_12017662\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017662\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/110624_Construction-Unions_LA_CM_06-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Robert Williams, left, business manager and secretary-treasurer, and James Boster, right, director of mental health and addiction, with District Council 16 of the International Union of Painters and Allied Trades, at their union office in Livermore on Nov. 6, 2024. \u003ccite>(Laure Andrillon for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The union and local employers realized they had a problem on their hands last summer. After sifting through their health plan records, they found 91 members had died of overdose or suicide (not necessarily at work) in 18 months.\u003c/p>\n\u003cp>The revelation forced union officials to rethink their roles in workers’ lives, Williams said in an interview.\u003c/p>\n\u003cp>“We look out for safety on the jobs, so if there’s a death on a job site because of a safety hazard, it’s front-page news,” he said. “But if there’s death by an overdose or death by suicide of a construction worker when they go home, nobody talks about that. So instead of thinking about just the safety side, it’s that holistic side of, how do we make somebody better for themselves and their families?”\u003c/p>\n\u003cp>Williams quickly appointed a director of addiction and mental health. James Boster, himself in recovery from a painkiller addiction he said he developed after a non-work injury, speaks at apprenticeship programs and worksites, helps workers get into recovery programs and acts as a crisis counselor.\u003c/p>\n\u003cp>In the past year, Boster said he’s helped place 51 union members into residential or outpatient treatment programs. During a recent interview at the union’s headquarters in Livermore, he said he was anxious: He had secured a “scholarship” for one member who hadn’t logged enough hours in recent months to have full health coverage, but the worker had chosen to postpone treatment.\u003c/p>\n\u003cp>“I can never walk away from a member, and something happens, and not hold that personally,” Boster said.\u003c/p>\n\u003cp>Boster and Williams are eager to expand their program. Ideas include installing someone with Boster’s role across the district’s 20 local unions and establishing a fund to help members who haven’t worked enough hours to afford treatment.\u003c/p>\n\u003cp>Other advocates, meanwhile, have pushed the state to require naloxone at worksites as part of an overall strategy to reduce overdoses.\u003c/p>\n\u003cp>Earlier this year, the National Safety Council, an advocacy group, petitioned California labor agencies to do just that. Proponents said the medication, which can temporarily reverse an overdose by blocking the brain’s opioid receptors, is easy to administer and not harmful.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Citing its workplace death data, Cal/OSHA supported the proposal before the independent Occupational Safety & Health Standards Board, which decides whether to approve such regulations.\u003c/p>\n\u003cp>“It’s in the top two or three killers of workers now, and just a few years ago, it was a very small number,” Eric Berg, Cal/OSHA deputy chief of health and research and standards, said at a June 20 board meeting. “So it’s just become a really serious problem for workers, and it’s killing workers. I think we have an obligation to act.”\u003c/p>\n\u003cp>But board members hesitated. Chairperson David Alioto called the proposal an “odd request.” While addiction is a legitimate public health concern, it’s not a workplace hazard like wildfire smoke for employees who must work outside, he said.\u003c/p>\n\u003cp>“I have not seen a regulation where an employer is providing a remedy for a risk that the employer did not create,” Alioto said.\u003c/p>\n\u003cp>Board members also said they worried about whether all businesses would be able to store the medication at the right temperature and whether employers would bear liability over the medication’s use.\u003c/p>\n\u003cp>The standards board ultimately voted for the agency to discuss the matter before an advisory committee. In September, Gov. Gavin Newsom signed a law directing Cal/OSHA to draft a workplace naloxone rule by December 2027 and giving the board until December 2028 to consider it.\u003c/p>\n\u003cp>So far, no advisory committee has met.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Share your story\u003c/strong>: We want to hear from workers, family members and employers. If you have experience with addiction, mental health or overdose on a job site, and you’re willing to share your story with a CalMatters reporter, please reach out to jeanne@calmatters.org.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Social media provocateur Ricci Wynne gained his following by sharing stark — \u003ca href=\"https://www.kqed.org/news/11910500/advocacy-or-exploitation-the-ethical-concerns-around-posting-images-of-poverty-and-addiction-in-the-tenderloin\">some would say exploitative\u003c/a> — views of a San Francisco in decline, seeing himself as a watchdog for crime. Now, he is charged with committing a serious one of his own.\u003c/p>\n\u003cp>Wynne, 39, pleaded not guilty to felony pimping charges Wednesday afternoon, two days after his arrest at San Francisco International Airport garnered national media attention. He was found in possession of phones with evidence of sex advertisements for a woman, communications saying the woman was available for sex in exchange for money, and messages collecting money, according to the district attorney’s office.\u003c/p>\n\u003cp>The case has brought renewed scrutiny to a notorious network of so-called truth tellers on X who post videos of people using drugs and struggling on the streets.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>After serving a two-year prison sentence for drug and weapons charges that began in 2019, Wynne rose to internet micro-celebrity by posting a video parodying Mr. Rogers on X in 2022. In it, he \u003ca href=\"https://x.com/RawRicci415/status/1607859438001717248?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1607859438001717248%7Ctwgr%5E3106d2d842eb07d6964e932e3670ca0f50e9bc83%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Fsfstandard.com%2F2022%2F12%2F29%2Fanti-drug-activist-skips-through-tenderloin-homeless-encampment-trolling-sf-in-mr-rogers-parody%2F\">skips through a homeless encampment\u003c/a> in the Tenderloin, smiling and panning the camera to tents and tarp structures scattered on the sidewalks.\u003c/p>\n\u003cp>Since then, he has become known for his videos of people passed out on the streets, in the depths of mental health episodes, or selling drugs. He has also appeared on Fox News multiple times to trash San Francisco.\u003c/p>\n\u003cp>He and others say they share their content in the name of exposing the issues the city faces and putting pressure on elected officials to do better.\u003c/p>\n\u003cp>“It’s a way to get the information out, to make sure the public is aware this is what’s happening,” said Erica Sandberg, a consumer finance reporter who shares similar content \u003ca href=\"https://x.com/EricaJSandberg\">with her 20,000 followers\u003c/a> on the social media platform. “This is what we see. This is what people are experiencing.”\u003c/p>\n\u003cp>But advocates who work in the Tenderloin aren’t sure the videos do much but hurt the people in them.\u003c/p>\n\u003cp>Mike Discepola, the director of health services at social service nonprofit GLIDE, said that even if some of these social media users have good intentions, their content can have negative effects.\u003c/p>\n\u003cp>“It’s unkind to violate people’s privacy and show them in conditions that may not be at their best, where they may be struggling, and obviously, it has impact on people’s ability to feel good about themselves,” he told KQED.\u003c/p>\n\u003cp>People living on the streets often feel vilified or judged, which only causes them to turn away from services or support, Discepola said, adding that this kind of content can perpetuate that cycle.[aside postID=news_11910500 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54979_010_KQED_TraceyHeltonMitchell_04052022-qut.jpg']\u003c/p>\n\u003cp>Sandberg, who also appeared on Fox earlier this year, said she doesn’t like accounts that have a “salacious” slant. When the content is aimed at getting attention from elected officials and holding their feet to the fire, though? “Brilliant,” she said.\u003c/p>\n\u003cp>“What started me many years ago on this path was that I wasn’t seeing in the media the truth,” she said. “It was always, ‘We’re doing better,’ and nothing was making sense. Two plus two was not equaling four. So it was really important to me to get that information out in a way that I found to be accurate and respectful.”\u003c/p>\n\u003cp>She’s praised Wynne and other accounts like “bettersoma” and “jj smith” for their posts, which display similarly controversial content. Adam Mesnick, who owns Deli Board and runs @bettersoma, declined to be interviewed by KQED, saying the backlash he receives for his content is too impactful.\u003c/p>\n\u003cp>Both Mesnick and the man known as “jj smith” share photos of people using drugs, passed out on city streets, receiving overdose-reversing care, and even deceased. Mesnick also checks to see if people who look unconscious are breathing and has called 911 to get them help, he told \u003ca href=\"https://www.sfchronicle.com/food/restaurants/article/deli-board-better-soma-twitter-18166543.php\">the \u003cem>San Francisco Chronicle\u003c/em>\u003c/a> in 2023. When he’s out photographing, he carries Narcan, he said.\u003c/p>\n\u003cp>Discepola agrees that there can be value in showing the conditions of the streets — but a better way to do it might be to humanize those being photographed.\u003c/p>\n\u003cp>\u003ca href=\"https://www.instagram.com/hwilliamsjrphoto/\">Harry Williams\u003c/a>, a photographer who started a project photographing the corner of Ellis and Jones streets in the Tenderloin, has done that.\u003c/p>\n\u003cp>“I photograph the people that I meet, the random people that kind of come through there, but also just like the day-to-day kind of things that happen,” he said. “There are people who are homeless, and there are people using drugs, and sometimes that’s going on when I’m there and I’m capturing it.”\u003c/p>\n\u003cp>But his images also capture more human elements of people who live in the Tenderloin. One shows four people sitting around — in wheelchairs and on overturned five-gallon buckets — deep in conversation and laughing. Another shows a woman gazing down at an older man lying next to a shopping cart stuffed with his clothes and personal belongings. Littered needles and tinfoil are in the background of many of the images.\u003c/p>\n\u003cp>“I wanted to show like, ‘This is a reality that a family who lives there might be walking by every day,’ but not in their face,” Williams told KQED.\u003c/p>\n\u003cp>He believes the biggest difference between his work and the man-on-the-street style videos that go viral on social media is the relationship he’s formed with the people he photographs.\u003c/p>\n\u003cp>Almost daily, people living in nearby single-room occupancy housing or who are unhoused in the Tenderloin will gather on Ellis and Jones. Williams, who plasters his portraits onto a rotating collage on the corner building there, often joins.\u003c/p>\n\u003cp>When he photographs someone, he’ll bring them a copy of the image. He’s gained the trust of people who at first refused to be photographed or yelled at him to leave.\u003c/p>\n\u003cp>“A lot of the people have said to me once I put their images on the wall … ‘Now when people come through here and try to snap pictures of us, they see beautiful pictures of us on the wall and we’re larger than life,’” Williams said. “‘They’re looking up at us now and not looking down at us.’”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Social media provocateur Ricci Wynne gained his following by sharing stark — \u003ca href=\"https://www.kqed.org/news/11910500/advocacy-or-exploitation-the-ethical-concerns-around-posting-images-of-poverty-and-addiction-in-the-tenderloin\">some would say exploitative\u003c/a> — views of a San Francisco in decline, seeing himself as a watchdog for crime. Now, he is charged with committing a serious one of his own.\u003c/p>\n\u003cp>Wynne, 39, pleaded not guilty to felony pimping charges Wednesday afternoon, two days after his arrest at San Francisco International Airport garnered national media attention. He was found in possession of phones with evidence of sex advertisements for a woman, communications saying the woman was available for sex in exchange for money, and messages collecting money, according to the district attorney’s office.\u003c/p>\n\u003cp>The case has brought renewed scrutiny to a notorious network of so-called truth tellers on X who post videos of people using drugs and struggling on the streets.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After serving a two-year prison sentence for drug and weapons charges that began in 2019, Wynne rose to internet micro-celebrity by posting a video parodying Mr. Rogers on X in 2022. In it, he \u003ca href=\"https://x.com/RawRicci415/status/1607859438001717248?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1607859438001717248%7Ctwgr%5E3106d2d842eb07d6964e932e3670ca0f50e9bc83%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Fsfstandard.com%2F2022%2F12%2F29%2Fanti-drug-activist-skips-through-tenderloin-homeless-encampment-trolling-sf-in-mr-rogers-parody%2F\">skips through a homeless encampment\u003c/a> in the Tenderloin, smiling and panning the camera to tents and tarp structures scattered on the sidewalks.\u003c/p>\n\u003cp>Since then, he has become known for his videos of people passed out on the streets, in the depths of mental health episodes, or selling drugs. He has also appeared on Fox News multiple times to trash San Francisco.\u003c/p>\n\u003cp>He and others say they share their content in the name of exposing the issues the city faces and putting pressure on elected officials to do better.\u003c/p>\n\u003cp>“It’s a way to get the information out, to make sure the public is aware this is what’s happening,” said Erica Sandberg, a consumer finance reporter who shares similar content \u003ca href=\"https://x.com/EricaJSandberg\">with her 20,000 followers\u003c/a> on the social media platform. “This is what we see. This is what people are experiencing.”\u003c/p>\n\u003cp>But advocates who work in the Tenderloin aren’t sure the videos do much but hurt the people in them.\u003c/p>\n\u003cp>Mike Discepola, the director of health services at social service nonprofit GLIDE, said that even if some of these social media users have good intentions, their content can have negative effects.\u003c/p>\n\u003cp>“It’s unkind to violate people’s privacy and show them in conditions that may not be at their best, where they may be struggling, and obviously, it has impact on people’s ability to feel good about themselves,” he told KQED.\u003c/p>\n\u003cp>People living on the streets often feel vilified or judged, which only causes them to turn away from services or support, Discepola said, adding that this kind of content can perpetuate that cycle.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sandberg, who also appeared on Fox earlier this year, said she doesn’t like accounts that have a “salacious” slant. When the content is aimed at getting attention from elected officials and holding their feet to the fire, though? “Brilliant,” she said.\u003c/p>\n\u003cp>“What started me many years ago on this path was that I wasn’t seeing in the media the truth,” she said. “It was always, ‘We’re doing better,’ and nothing was making sense. Two plus two was not equaling four. So it was really important to me to get that information out in a way that I found to be accurate and respectful.”\u003c/p>\n\u003cp>She’s praised Wynne and other accounts like “bettersoma” and “jj smith” for their posts, which display similarly controversial content. Adam Mesnick, who owns Deli Board and runs @bettersoma, declined to be interviewed by KQED, saying the backlash he receives for his content is too impactful.\u003c/p>\n\u003cp>Both Mesnick and the man known as “jj smith” share photos of people using drugs, passed out on city streets, receiving overdose-reversing care, and even deceased. Mesnick also checks to see if people who look unconscious are breathing and has called 911 to get them help, he told \u003ca href=\"https://www.sfchronicle.com/food/restaurants/article/deli-board-better-soma-twitter-18166543.php\">the \u003cem>San Francisco Chronicle\u003c/em>\u003c/a> in 2023. When he’s out photographing, he carries Narcan, he said.\u003c/p>\n\u003cp>Discepola agrees that there can be value in showing the conditions of the streets — but a better way to do it might be to humanize those being photographed.\u003c/p>\n\u003cp>\u003ca href=\"https://www.instagram.com/hwilliamsjrphoto/\">Harry Williams\u003c/a>, a photographer who started a project photographing the corner of Ellis and Jones streets in the Tenderloin, has done that.\u003c/p>\n\u003cp>“I photograph the people that I meet, the random people that kind of come through there, but also just like the day-to-day kind of things that happen,” he said. “There are people who are homeless, and there are people using drugs, and sometimes that’s going on when I’m there and I’m capturing it.”\u003c/p>\n\u003cp>But his images also capture more human elements of people who live in the Tenderloin. One shows four people sitting around — in wheelchairs and on overturned five-gallon buckets — deep in conversation and laughing. Another shows a woman gazing down at an older man lying next to a shopping cart stuffed with his clothes and personal belongings. Littered needles and tinfoil are in the background of many of the images.\u003c/p>\n\u003cp>“I wanted to show like, ‘This is a reality that a family who lives there might be walking by every day,’ but not in their face,” Williams told KQED.\u003c/p>\n\u003cp>He believes the biggest difference between his work and the man-on-the-street style videos that go viral on social media is the relationship he’s formed with the people he photographs.\u003c/p>\n\u003cp>Almost daily, people living in nearby single-room occupancy housing or who are unhoused in the Tenderloin will gather on Ellis and Jones. Williams, who plasters his portraits onto a rotating collage on the corner building there, often joins.\u003c/p>\n\u003cp>When he photographs someone, he’ll bring them a copy of the image. He’s gained the trust of people who at first refused to be photographed or yelled at him to leave.\u003c/p>\n\u003cp>“A lot of the people have said to me once I put their images on the wall … ‘Now when people come through here and try to snap pictures of us, they see beautiful pictures of us on the wall and we’re larger than life,’” Williams said. “‘They’re looking up at us now and not looking down at us.’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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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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"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>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> is forging ahead with a series of new laws aimed at reducing overdose deaths, even as opioid overdose rates have started to decline slightly. The new measures signed by Gov. \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gavin Newsom\u003c/a> this week include expanded access to addiction treatment, life-saving overdose reversal medications, and more.\u003c/p>\n\u003cp>“California legislators have shown a serious commitment to addressing the fentanyl crisis,” said Dr. Keith Humphreys, a professor of psychiatry and behavioral sciences at Stanford University. While deaths remain higher than pre-pandemic levels, \u003ca href=\"https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm\">the Centers for Disease Control and Prevention\u003c/a> reports that fatal overdoses across the country have dropped to their lowest numbers in three years. California is just beginning to see a \u003ca href=\"https://skylab.cdph.ca.gov/ODdash/?tab=CA\">downward trend\u003c/a>.\u003c/p>\n\u003cp>The reasons for this shift remain unclear. “Why? The best answer is, ‘We don’t know,'” said Dr. Dan Ciccarone, a professor of addiction medicine at UCSF. “People will point to different interventions, whether it’s restoring public order, increasing access to naloxone, or expanding treatment options, but none of these happened swiftly or broadly enough to fully explain the drop.”\u003c/p>\n\u003cp>Fentanyl, the inexpensive opioid that’s 20–40 times stronger than heroin, has \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">flooded the drug market in San Francisco\u003c/a> and other cities in recent years, leading to record deaths.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s not just about one law — it’s a coordinated suite of policies focused on prevention, treatment, and harm reduction. As both an addiction researcher and a resident, I feel California is moving in the right direction,” Humphreys said.\u003c/p>\n\u003cp>Among the newly signed bills is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1842\">AB 1842\u003c/a>, which eliminates the need for insurers to require prior authorization before treating patients with opioid use disorder. Ciccarone called it a critical move, describing prior authorization as “a clinical barrier that frustrates both doctors and patients and ultimately stifles care.”\u003c/p>\n\u003cfigure id=\"attachment_11998108\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11998108\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Contents of a harm reduction kit on June 17, 2024. The kit includes new syringes, fentanyl test strips and Narcan. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another key piece of legislation, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1976\">AB 1976\u003c/a>, will require businesses to stock naloxone, a medication that can instantly reverse opioid overdoses, in their first-aid kits by 2027. Meanwhile, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1841\">AB 1841\u003c/a> will provide two doses of naloxone to resident advisors at public colleges in California.\u003c/p>\n\u003cp>Access to methadone, a medication used to treat opioid addiction, will also be broadened under \u003ca href=\"https://www.kqed.org/science/1992298/a-bay-area-lawmaker-pushes-to-expand-access-to-methadone\">AB 2115\u003c/a>, which allows patients to take home more doses and increases the number of practitioners permitted to prescribe it. Current regulations require most patients to visit clinics daily to receive a single dose.\u003c/p>\n\u003cp>“I support most of these bills and believe each will contribute in small but meaningful ways,” Ciccarone said. He singled out the elimination of prior authorization requirements as particularly impactful and praised the expansion of naloxone access into schools and workplaces as “a great package of ideas.”\u003c/p>\n\u003cp>Yet, Ciccarone noted the absence of a more controversial measure: supervised drug consumption sites, where individuals can use illicit drugs under the supervision of trained staff. \u003ca href=\"https://www.kqed.org/science/1979220/debate-heats-up-over-effort-to-pilot-safe-injection-sites-in-california\">Research\u003c/a> shows that such sites reduce hospitalizations, lower public costs, and save lives. Gov. Newsom vetoed a bill in 2022 that would have allowed a limited number of California cities to pilot these facilities.\u003c/p>\n\u003cp>[aside postID=news_12006134 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS57150_037_KQED_DABrookeJenkins_07072022-qut-1020x680.jpg']\u003c/p>\n\u003cp>“The most effective solutions are often the ones people fear the most,” Ciccarone said. “What we need now is the courage and political will to take bolder steps.”\u003c/p>\n\u003cp>Another critical policy gap, according to Humphreys, is the failure to pass a \u003ca href=\"https://legiscan.com/CA/text/AB3073/id/2966699\">bill\u003c/a> that would have mandated wastewater testing for illicit drugs. This measure died in committee earlier this year.\u003c/p>\n\u003cp>“Wastewater testing reveals where drugs are being used and what’s circulating in the community,” Humphreys said. “It’s an early warning system for dangerous substances, and it also shows whether investments in treatment, prevention, and law enforcement are actually making a difference.”\u003c/p>\n\u003cp>Last year, 7,748 Californians died from fentanyl overdoses, more than double the number just five years ago, according to the CDC. While the new laws represent significant progress, addiction experts caution that the road to reversing the opioid crisis remains long.\u003c/p>\n\u003cp>Several additional bills signed by Newsom are aimed at curbing fentanyl use and saving lives:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>AB 2429\u003c/strong>: Expands high school health education to include lessons on the dangers of fentanyl use.\u003c/li>\n\u003cli>\u003cstrong>AB 2136\u003c/strong>: Prevents law enforcement from arresting individuals who allow harm reduction service providers to test their drugs.\u003c/li>\n\u003cli>\u003cstrong>SB 997\u003c/strong>: Authorizes middle and high school students to carry naloxone and requires schools to stock and distribute fentanyl test strips.\u003c/li>\n\u003cli>\u003cstrong>SB 908\u003c/strong>: Directs the state’s health department to investigate fentanyl-related deaths among children ages 0 to 5.\u003c/li>\n\u003cli>\u003cstrong>SB 1468\u003c/strong>: Encourages providers to prescribe a three-day supply of narcotic medication to begin detoxification or maintenance treatment for people using opioids.\u003c/li>\n\u003cli>\u003cstrong>SB 910\u003c/strong>: Enhances programming, drug testing, and medication-assisted treatment for individuals in the criminal justice system.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> is forging ahead with a series of new laws aimed at reducing overdose deaths, even as opioid overdose rates have started to decline slightly. The new measures signed by Gov. \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gavin Newsom\u003c/a> this week include expanded access to addiction treatment, life-saving overdose reversal medications, and more.\u003c/p>\n\u003cp>“California legislators have shown a serious commitment to addressing the fentanyl crisis,” said Dr. Keith Humphreys, a professor of psychiatry and behavioral sciences at Stanford University. While deaths remain higher than pre-pandemic levels, \u003ca href=\"https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm\">the Centers for Disease Control and Prevention\u003c/a> reports that fatal overdoses across the country have dropped to their lowest numbers in three years. California is just beginning to see a \u003ca href=\"https://skylab.cdph.ca.gov/ODdash/?tab=CA\">downward trend\u003c/a>.\u003c/p>\n\u003cp>The reasons for this shift remain unclear. “Why? The best answer is, ‘We don’t know,'” said Dr. Dan Ciccarone, a professor of addiction medicine at UCSF. “People will point to different interventions, whether it’s restoring public order, increasing access to naloxone, or expanding treatment options, but none of these happened swiftly or broadly enough to fully explain the drop.”\u003c/p>\n\u003cp>Fentanyl, the inexpensive opioid that’s 20–40 times stronger than heroin, has \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">flooded the drug market in San Francisco\u003c/a> and other cities in recent years, leading to record deaths.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s not just about one law — it’s a coordinated suite of policies focused on prevention, treatment, and harm reduction. As both an addiction researcher and a resident, I feel California is moving in the right direction,” Humphreys said.\u003c/p>\n\u003cp>Among the newly signed bills is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1842\">AB 1842\u003c/a>, which eliminates the need for insurers to require prior authorization before treating patients with opioid use disorder. Ciccarone called it a critical move, describing prior authorization as “a clinical barrier that frustrates both doctors and patients and ultimately stifles care.”\u003c/p>\n\u003cfigure id=\"attachment_11998108\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11998108\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240617-SyringeExchange-35-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Contents of a harm reduction kit on June 17, 2024. The kit includes new syringes, fentanyl test strips and Narcan. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another key piece of legislation, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1976\">AB 1976\u003c/a>, will require businesses to stock naloxone, a medication that can instantly reverse opioid overdoses, in their first-aid kits by 2027. Meanwhile, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1841\">AB 1841\u003c/a> will provide two doses of naloxone to resident advisors at public colleges in California.\u003c/p>\n\u003cp>Access to methadone, a medication used to treat opioid addiction, will also be broadened under \u003ca href=\"https://www.kqed.org/science/1992298/a-bay-area-lawmaker-pushes-to-expand-access-to-methadone\">AB 2115\u003c/a>, which allows patients to take home more doses and increases the number of practitioners permitted to prescribe it. Current regulations require most patients to visit clinics daily to receive a single dose.\u003c/p>\n\u003cp>“I support most of these bills and believe each will contribute in small but meaningful ways,” Ciccarone said. He singled out the elimination of prior authorization requirements as particularly impactful and praised the expansion of naloxone access into schools and workplaces as “a great package of ideas.”\u003c/p>\n\u003cp>Yet, Ciccarone noted the absence of a more controversial measure: supervised drug consumption sites, where individuals can use illicit drugs under the supervision of trained staff. \u003ca href=\"https://www.kqed.org/science/1979220/debate-heats-up-over-effort-to-pilot-safe-injection-sites-in-california\">Research\u003c/a> shows that such sites reduce hospitalizations, lower public costs, and save lives. Gov. Newsom vetoed a bill in 2022 that would have allowed a limited number of California cities to pilot these facilities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The most effective solutions are often the ones people fear the most,” Ciccarone said. “What we need now is the courage and political will to take bolder steps.”\u003c/p>\n\u003cp>Another critical policy gap, according to Humphreys, is the failure to pass a \u003ca href=\"https://legiscan.com/CA/text/AB3073/id/2966699\">bill\u003c/a> that would have mandated wastewater testing for illicit drugs. This measure died in committee earlier this year.\u003c/p>\n\u003cp>“Wastewater testing reveals where drugs are being used and what’s circulating in the community,” Humphreys said. “It’s an early warning system for dangerous substances, and it also shows whether investments in treatment, prevention, and law enforcement are actually making a difference.”\u003c/p>\n\u003cp>Last year, 7,748 Californians died from fentanyl overdoses, more than double the number just five years ago, according to the CDC. While the new laws represent significant progress, addiction experts caution that the road to reversing the opioid crisis remains long.\u003c/p>\n\u003cp>Several additional bills signed by Newsom are aimed at curbing fentanyl use and saving lives:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>AB 2429\u003c/strong>: Expands high school health education to include lessons on the dangers of fentanyl use.\u003c/li>\n\u003cli>\u003cstrong>AB 2136\u003c/strong>: Prevents law enforcement from arresting individuals who allow harm reduction service providers to test their drugs.\u003c/li>\n\u003cli>\u003cstrong>SB 997\u003c/strong>: Authorizes middle and high school students to carry naloxone and requires schools to stock and distribute fentanyl test strips.\u003c/li>\n\u003cli>\u003cstrong>SB 908\u003c/strong>: Directs the state’s health department to investigate fentanyl-related deaths among children ages 0 to 5.\u003c/li>\n\u003cli>\u003cstrong>SB 1468\u003c/strong>: Encourages providers to prescribe a three-day supply of narcotic medication to begin detoxification or maintenance treatment for people using opioids.\u003c/li>\n\u003cli>\u003cstrong>SB 910\u003c/strong>: Enhances programming, drug testing, and medication-assisted treatment for individuals in the criminal justice system.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003ch2>Here are the morning’s top stories on Wednesday, September 25, 2024…\u003c/h2>\n\u003cul>\n\u003cli>Mexican drug cartels are recruiting \u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\">San Diegans\u003c/a> to smuggle fentanyl into the United States. Prosecutors are worried about teenagers getting caught up in the cross-border drug trade.\u003c/li>\n\u003cli>Gavin Newsom \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB1061\">signed a bill\u003c/a> that will remove debt owed to a medical office or hospital from Californian’s credit reports.\u003c/li>\n\u003cli>Invitation Homes, a massive corporate landlord, has agreed to pay $48 million to settle a \u003ca href=\"https://www.ftc.gov/system/files/ftc_gov/pdf/InvitationHomes-Complaint-signed-final.pdf\">lawsuit \u003c/a>with the Federal Trades Commission. The FTC alleges Invitation Homes charged tenants junk fees, and withheld security deposits.\u003c/li>\n\u003cli>Hotel workers in Hawaii’s largest resort are joining thousands of others striking hotels in California.\u003c/li>\n\u003c/ul>\n\u003ch2>Prosecutors Say American Citizens Smuggle More Fentanyl Across Border Than Migrants\u003c/h2>\n\u003cp>The idea that more border walls and tougher enforcement on illegal immigration will stop illegal drugs from getting into the United States has become a common political talking point, especially in an election-year. But cartels rarely use migrants crossing illegally to smuggle fentanyl. Instead, they use people who cross the border through official ports of entry without raising suspicion. \u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\"> KPBS reporter Gustavo Solis found\u003c/a> that cartels are often times recruiting young, low-income people, in need of cash. Often times, that’s high school or college student. And then sometimes, people are unknowingly bringing drugs like Fentanyl across the border. According to data from The Centers for Disease Control and Prevention, \u003ca href=\"https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm\">over ten thousand Californians are dying\u003c/a> from drug overdoses every year.\u003c/p>\n\u003ch2>\u003ca href=\"https://calmatters.org/health/2024/08/medical-debt-credit-score/\">\u003cb>Medical Debt Will Soon Be Scrubbed From CA Credit Reports.\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>Starting January 1st 2025, debt owed to a medical office or hospital will no longer appear on Californian’s credit reports. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB1061\">The bill\u003c/a>, authored by Senators Monique Limón and Josh Becker, was signed into law on Tuesday by governor Gavin Newsom. Medical debt can lower credit scores, making it more difficult to negotiate a loan or mortgage. The legislation was backed by Attorney General Rob Bonta, as well as consumer advocacy groups. Under the This law will not cover, or scrub, debt from medical credit cards. The federal government has also announced plans to create legislation to remove medical debt from credit reports, but there timing is uncertain.\u003c/p>\n\u003ch2>Corporate Landlord to Pay FTC $48 Million to Settle Lawsuit\u003c/h2>\n\u003cp>One of the biggest corporate landlords in the country \u003ca href=\"https://www.ftc.gov/system/files/ftc_gov/pdf/InvitationHomes-StipulatedOrder-fully-executed-final_0.pdf\">has agreed\u003c/a> to pay $48 million to settle a lawsuit filed by the Federal Trade Commission. The lawsuit alleged Invitation Homes charged tenants junk fees, withheld security deposits, and failed to inspect homes before tenants moved in. Invitation Homes is the country’s largest landlord for single family homes, with nearly 12,000 SRO’s in California alone. As part of the settlement, the company has agreed to change it’s security deposit practices and advertise accurate rental prices.\u003c/p>\n\u003ch2>Hotel Workers in Hawaii Join Strike\u003c/h2>\n\u003cp>Two thousand unionized Hotel workers walked off the job yesterday at Hawaii’s largest resort, Hilton Hawaiian Village Waikiki Beach Resort. They are joining thousands of others that are currently striking at hotels here in California. The workers are calling for higher wages, more manageable workloads and a reversal of cuts implemented during the COVID-19 pandemic, such as limited daily room cleaning. UNITE HERE, the labor union representing these hotel workers, say they will strike until they get new contracts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"title": "Data Shows American Citizens Smuggle More Fentanyl Into US Than Migrants | KQED",
"description": "Here are the morning’s top stories on Wednesday, September 25, 2024… Mexican drug cartels are recruiting San Diegans to smuggle fentanyl into the United States. Prosecutors are worried about teenagers getting caught up in the cross-border drug trade. Gavin Newsom signed a bill that will remove debt owed to a medical office or hospital from Californian’s credit reports. Invitation Homes, a massive corporate landlord, has agreed to pay $48 million to settle a lawsuit with the Federal Trades Commission. The FTC alleges Invitation Homes charged tenants junk fees, and withheld security deposits. Hotel workers in Hawaii’s largest resort are joining",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ch2>Here are the morning’s top stories on Wednesday, September 25, 2024…\u003c/h2>\n\u003cul>\n\u003cli>Mexican drug cartels are recruiting \u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\">San Diegans\u003c/a> to smuggle fentanyl into the United States. Prosecutors are worried about teenagers getting caught up in the cross-border drug trade.\u003c/li>\n\u003cli>Gavin Newsom \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB1061\">signed a bill\u003c/a> that will remove debt owed to a medical office or hospital from Californian’s credit reports.\u003c/li>\n\u003cli>Invitation Homes, a massive corporate landlord, has agreed to pay $48 million to settle a \u003ca href=\"https://www.ftc.gov/system/files/ftc_gov/pdf/InvitationHomes-Complaint-signed-final.pdf\">lawsuit \u003c/a>with the Federal Trades Commission. The FTC alleges Invitation Homes charged tenants junk fees, and withheld security deposits.\u003c/li>\n\u003cli>Hotel workers in Hawaii’s largest resort are joining thousands of others striking hotels in California.\u003c/li>\n\u003c/ul>\n\u003ch2>Prosecutors Say American Citizens Smuggle More Fentanyl Across Border Than Migrants\u003c/h2>\n\u003cp>The idea that more border walls and tougher enforcement on illegal immigration will stop illegal drugs from getting into the United States has become a common political talking point, especially in an election-year. But cartels rarely use migrants crossing illegally to smuggle fentanyl. Instead, they use people who cross the border through official ports of entry without raising suspicion. \u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\"> KPBS reporter Gustavo Solis found\u003c/a> that cartels are often times recruiting young, low-income people, in need of cash. Often times, that’s high school or college student. And then sometimes, people are unknowingly bringing drugs like Fentanyl across the border. According to data from The Centers for Disease Control and Prevention, \u003ca href=\"https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm\">over ten thousand Californians are dying\u003c/a> from drug overdoses every year.\u003c/p>\n\u003ch2>\u003ca href=\"https://calmatters.org/health/2024/08/medical-debt-credit-score/\">\u003cb>Medical Debt Will Soon Be Scrubbed From CA Credit Reports.\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>Starting January 1st 2025, debt owed to a medical office or hospital will no longer appear on Californian’s credit reports. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB1061\">The bill\u003c/a>, authored by Senators Monique Limón and Josh Becker, was signed into law on Tuesday by governor Gavin Newsom. Medical debt can lower credit scores, making it more difficult to negotiate a loan or mortgage. The legislation was backed by Attorney General Rob Bonta, as well as consumer advocacy groups. Under the This law will not cover, or scrub, debt from medical credit cards. The federal government has also announced plans to create legislation to remove medical debt from credit reports, but there timing is uncertain.\u003c/p>\n\u003ch2>Corporate Landlord to Pay FTC $48 Million to Settle Lawsuit\u003c/h2>\n\u003cp>One of the biggest corporate landlords in the country \u003ca href=\"https://www.ftc.gov/system/files/ftc_gov/pdf/InvitationHomes-StipulatedOrder-fully-executed-final_0.pdf\">has agreed\u003c/a> to pay $48 million to settle a lawsuit filed by the Federal Trade Commission. The lawsuit alleged Invitation Homes charged tenants junk fees, withheld security deposits, and failed to inspect homes before tenants moved in. Invitation Homes is the country’s largest landlord for single family homes, with nearly 12,000 SRO’s in California alone. As part of the settlement, the company has agreed to change it’s security deposit practices and advertise accurate rental prices.\u003c/p>\n\u003ch2>Hotel Workers in Hawaii Join Strike\u003c/h2>\n\u003cp>Two thousand unionized Hotel workers walked off the job yesterday at Hawaii’s largest resort, Hilton Hawaiian Village Waikiki Beach Resort. They are joining thousands of others that are currently striking at hotels here in California. The workers are calling for higher wages, more manageable workloads and a reversal of cuts implemented during the COVID-19 pandemic, such as limited daily room cleaning. UNITE HERE, the labor union representing these hotel workers, say they will strike until they get new contracts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Man Accused of Selling Drugs in SF Was Coerced Into It, Jury Finds in Unprecedented Verdict",
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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> jury acquitted a man of felony drug charges last month after he was found to have been coerced into selling drugs in the Tenderloin, marking a first for the Bay Area, Public Defender Mano Raju announced Tuesday.\u003c/p>\n\u003cp>The verdict comes as Raju’s office is calling on District Attorney Brooke Jenkins, who faces a tight reelection bid this fall, to reconsider her office’s approach to drug dealing that the public defender says is being orchestrated by human traffickers. Local and federal law enforcement agencies have ramped up efforts to disrupt the sale of fentanyl through increased arrests, citations and deportations.\u003c/p>\n\u003cp>“There are a great number of cases being charged by the prosecution against our clients for very low-level drug dealing. Oftentimes, our clients are victims of human trafficking or labor trafficking,” Raju said at a rally outside the Hall of Justice. “And oftentimes they are selling drugs to avoid further violence being done to them.”\u003c/p>\n\u003cp>The defendant who was acquitted last month is a 27-year-old Honduran man whose name was not provided by attorneys. Raju said the district attorney’s office should treat such labor trafficking cases as it does sex trafficking cases and sign a certification stating that the acquitted defendant was a victim of a crime, which would qualify them for what’s known as a T-visa or U-visa.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The district attorney’s office, meanwhile, has filed more criminal charges against alleged drug dealers and users since Jenkins was elected in 2022, totaling nearly 1800, and her office reports that it has secured 314 felony narcotics convictions during that time. Attorneys with the public defender’s office said their caseloads have ballooned in recent years as prosecutors’ filings ticked up.\u003c/p>\n\u003cp>“My office has been filing pre-trial detention motions in the most egregious narcotics dealing cases and those involving repeat offenders because of the extreme public safety risk posed by these drug dealers,” Jenkins said in a previous statement to KQED. “We are making slow progress and need to continue our efforts to see more improvement.”\u003c/p>\n\u003cp>Last year, federal law enforcement agencies also stepped up drug-related arrests and deportation.\u003c/p>\n\u003cp>Although San Francisco’s sanctuary city policy bars most cooperation between local law enforcement and immigration agents, federal authorities, since last fall, have started prosecuting more drug dealing cases. Immigrants charged with federal crimes for low-level drug dealing have been offered plea deals that often end with credit for time served plus a one-day sentence — and because federal prosecutors are not barred from working directly with Immigration and Customs Enforcement, those plea deals can be a fast track to deportation.\u003c/p>\n\u003cp>[aside postID=news_12005687 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240830-SFSideshowLegislation-28-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>Ismail Ramsey, the U.S. attorney for the Northern District of California, did not respond to requests for comment for this story. However, Ramsey told KQED in July that the approach has been used for more than 100 Tenderloin cases so far.\u003c/p>\n\u003cp>Cases that are “whisked away” to federal court stop the public defender’s office from being involved, Raju said, noting that of seven trials in which his office argued a human trafficking defense in the last two years, two ended in guilty verdicts, four ended in hung juries, and the most recent led to an acquittal.\u003c/p>\n\u003cp>Jenkins’ sole opponent in November’s election, Ryan Khojasteh, supports having federal authorities assist in arresting drug dealers but said the agencies should be more focused on high-level dealers and cartels.\u003c/p>\n\u003cp>“When it comes to really competently and holistically addressing the drug trade in our city, we have to go after those at the top to make a meaningful difference,” he said. “You can put away one low-level drug dealer and three are in their place tomorrow.”\u003c/p>\n\u003cp>One of the ways to do that, Khojasteh proposed, is by getting defendants to share confidential information in exchange for a favorable plea deal, which could include protected status to stay in the country.\u003c/p>\n\u003cp>“We should be finding out who is the one coercing these people,” he said.\u003c/p>\n\u003cp>Meanwhile, candidates vying for mayor have largely shown support for federal prosecutors’ and law enforcement agencies’ crackdown on the city’s drug markets.\u003c/p>\n\u003cp>Former supervisor and interim mayor Mark Farrell has called for a fentanyl state of emergency to leverage more resources and bring the National Guard to areas like the Tenderloin to further these efforts.\u003c/p>\n\u003cp>“Our sanctuary city policy was never meant to harbor criminals or those peddling death on our streets. Mayor Breed has had six years to do everything in her power to make a meaningful difference on our streets, and her latest efforts are too little too late for San Francisco,” Farrell said.\u003c/p>\n\u003cp>Supervisor Ahsha Safai, who immigrated to the U.S. from Iran as a child, is a strong supporter of the sanctuary city policy but said drug dealers should be held accountable as overdose rates continue at epidemic levels and neighborhoods struggle with the effects of street-level drug dealing.\u003c/p>\n\u003cp>“I’m sure there are a handful of cases of someone being legitimately trafficked. But ultimately, people are selling an extremely lethal weapon, this drug, on our streets,” he said. “And the feds are deciding to step in and resolve something that the local government and the mayor had let grow out of control, quite frankly.”\u003c/p>\n\u003cp>For her part, Mayor London Breed has touted the work the federal government has done with her administration so far.\u003c/p>\n\u003cp>Jeff Cretan, a spokesperson for the mayor’s office, said that the city “needed support for prosecuting these crimes” and that Breed believes the federal government can be effective in doing so. “The devastation that fentanyl is having in our city and across this country is powerful,” Cretan said. “While we aren’t changing our [sanctuary city] laws here locally, there is a need for more enforcement to stop the flow of this drug.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The district attorney’s office, meanwhile, has filed more criminal charges against alleged drug dealers and users since Jenkins was elected in 2022, totaling nearly 1800, and her office reports that it has secured 314 felony narcotics convictions during that time. Attorneys with the public defender’s office said their caseloads have ballooned in recent years as prosecutors’ filings ticked up.\u003c/p>\n\u003cp>“My office has been filing pre-trial detention motions in the most egregious narcotics dealing cases and those involving repeat offenders because of the extreme public safety risk posed by these drug dealers,” Jenkins said in a previous statement to KQED. “We are making slow progress and need to continue our efforts to see more improvement.”\u003c/p>\n\u003cp>Last year, federal law enforcement agencies also stepped up drug-related arrests and deportation.\u003c/p>\n\u003cp>Although San Francisco’s sanctuary city policy bars most cooperation between local law enforcement and immigration agents, federal authorities, since last fall, have started prosecuting more drug dealing cases. Immigrants charged with federal crimes for low-level drug dealing have been offered plea deals that often end with credit for time served plus a one-day sentence — and because federal prosecutors are not barred from working directly with Immigration and Customs Enforcement, those plea deals can be a fast track to deportation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ismail Ramsey, the U.S. attorney for the Northern District of California, did not respond to requests for comment for this story. However, Ramsey told KQED in July that the approach has been used for more than 100 Tenderloin cases so far.\u003c/p>\n\u003cp>Cases that are “whisked away” to federal court stop the public defender’s office from being involved, Raju said, noting that of seven trials in which his office argued a human trafficking defense in the last two years, two ended in guilty verdicts, four ended in hung juries, and the most recent led to an acquittal.\u003c/p>\n\u003cp>Jenkins’ sole opponent in November’s election, Ryan Khojasteh, supports having federal authorities assist in arresting drug dealers but said the agencies should be more focused on high-level dealers and cartels.\u003c/p>\n\u003cp>“When it comes to really competently and holistically addressing the drug trade in our city, we have to go after those at the top to make a meaningful difference,” he said. “You can put away one low-level drug dealer and three are in their place tomorrow.”\u003c/p>\n\u003cp>One of the ways to do that, Khojasteh proposed, is by getting defendants to share confidential information in exchange for a favorable plea deal, which could include protected status to stay in the country.\u003c/p>\n\u003cp>“We should be finding out who is the one coercing these people,” he said.\u003c/p>\n\u003cp>Meanwhile, candidates vying for mayor have largely shown support for federal prosecutors’ and law enforcement agencies’ crackdown on the city’s drug markets.\u003c/p>\n\u003cp>Former supervisor and interim mayor Mark Farrell has called for a fentanyl state of emergency to leverage more resources and bring the National Guard to areas like the Tenderloin to further these efforts.\u003c/p>\n\u003cp>“Our sanctuary city policy was never meant to harbor criminals or those peddling death on our streets. Mayor Breed has had six years to do everything in her power to make a meaningful difference on our streets, and her latest efforts are too little too late for San Francisco,” Farrell said.\u003c/p>\n\u003cp>Supervisor Ahsha Safai, who immigrated to the U.S. from Iran as a child, is a strong supporter of the sanctuary city policy but said drug dealers should be held accountable as overdose rates continue at epidemic levels and neighborhoods struggle with the effects of street-level drug dealing.\u003c/p>\n\u003cp>“I’m sure there are a handful of cases of someone being legitimately trafficked. But ultimately, people are selling an extremely lethal weapon, this drug, on our streets,” he said. “And the feds are deciding to step in and resolve something that the local government and the mayor had let grow out of control, quite frankly.”\u003c/p>\n\u003cp>For her part, Mayor London Breed has touted the work the federal government has done with her administration so far.\u003c/p>\n\u003cp>Jeff Cretan, a spokesperson for the mayor’s office, said that the city “needed support for prosecuting these crimes” and that Breed believes the federal government can be effective in doing so. “The devastation that fentanyl is having in our city and across this country is powerful,” Cretan said. “While we aren’t changing our [sanctuary city] laws here locally, there is a need for more enforcement to stop the flow of this drug.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Wednesday, September 4, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Fentanyl is a dangerous narcotic that kills more than 100,000 Americans each year. Donald Trump and many other politicians say this deadly drug is regularly smuggled into the U.S. by undocumented immigrants. But \u003c/span>\u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\">\u003cspan style=\"font-weight: 400\">experts tell KPBS\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, those claims are largely false. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Two major California health plans have been hit with \u003c/span>\u003ca href=\"https://calmatters.org/health/2024/08/gender-affirming-care-denials/\">\u003cspan style=\"font-weight: 400\">a combined $850,000 in fines \u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">for illegally denying coverage for gender-affirming care.\u003c/span>\u003c/li>\n\u003cli>With just two months until the presidential election, Californians will be voting on a slew of statewide ballot measures. That includes \u003ca href=\"https://calmatters.org/california-voter-guide-2024/propositions/prop-6-involuntary-servitude/\">Proposition 6\u003c/a>, which would change the language in the state constitution which currently bans involuntary servitude except as a punishment for crime.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\">\u003cb>American Citizens Smuggle More Fentanyl Into US Than Migrants, Data Shows\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s been a running theme among many politicians, mainly Republicans, including former President Donald Trump. That the deadly drug fentanyl is regularly smuggled into the U.S. by undocumented immigrants.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The idea that more border walls and tougher enforcement on immigration will stop illegal drugs from flowing into the United States is not just a national talking point. In February, Republican San Diego County Supervisor Jim Desmond posted a video on social media saying that one of the things that concerns him about, “how people are just able to walk across the border and get here,” is fentanyl. The implication is that migrants crossing in remote parts of the border are bringing drugs with them.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But \u003c/span>\u003ca href=\"https://www.cbp.gov/newsroom/stats/drug-seizure-statistics\">\u003cspan style=\"font-weight: 400\">data from U.S. Customs and Border Protection (CBP) and other federal agencies\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> show the vast majority of fentanyl comes through legal ports of entry. And the people bringing it into the country are native born Americans.\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ussc.gov/research/quick-facts/drug-trafficking\">\u003cspan style=\"font-weight: 400\">Approximately 80% of people\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> prosecuted and convicted of federal drug trafficking offenses were U.S. citizens, according to Tera McGrath, U.S. Attorney for the Southern District of California. “They are people who have the ability to cross but also are going to be able to slip under the radar,” McGrath said. McGrath dismissed the idea that migrants and asylum seekers fleeing violence are the ones primarily bringing fentanyl into the country. “That narrative is a dangerous misconception because that is not who we are seeing,” she said.\u003c/span>\u003c/p>\n\u003ch2>\u003ca href=\"https://calmatters.org/health/2024/08/gender-affirming-care-denials/\">\u003cb>Health Insurer Hit With California’s Largest-Ever Penalty Over Gender-Affirming Care Denials\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">A major California health insurer was hit with the state’s largest-ever fines for illegally denying coverage for gender-affirming care in a case that will compel them to revise how they treat patients diagnosed with gender dysphoria. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The $850,000 combined penalties against \u003c/span>\u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/4492/1723732238309.pdf\">\u003cspan style=\"font-weight: 400\">Anthem Blue Cross\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> also require the insurer to hire a dedicated case manager for people with gender dysphoria. Over 150 individuals who were denied coverage for such procedures will see their cases reviewed, and most have already seen reversals, according to the decision.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The insurer is complying with the decision from the Department of Managed Health Care, a state office that regulates its industry. \u003c/span>\u003cspan style=\"font-weight: 400\">“We take these matters seriously and have worked directly with the Department of Managed Health Care to identify and implement specific corrective actions to address and resolve the identified matters,” wrote Mike Bowman, a spokesperson for the insurance providers, in a statement to CalMatters.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">From 2017 to 2020, \u003c/span>\u003ca href=\"https://providers.anthem.com/california-provider/our-network/plan-information\">\u003cspan style=\"font-weight: 400\">Anthem Blue Cross \u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">categorized over 20 surgeries such as facial implants, hair removal, voice therapy and breast augmentation as “not medically necessary.” But the procedures were covered if they corrected “abnormal” body structures to create a “normal appearance” for “the target gender.”\u003c/span>\u003c/p>\n\u003ch2>\u003cb>Proposition 6 Campaign Launches In Sacramento\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With just two months until Californians are asked to vote on a slew of ballot measures, proponents of \u003c/span>\u003ca href=\"https://calmatters.org/california-voter-guide-2024/propositions/prop-6-involuntary-servitude/\">\u003cspan style=\"font-weight: 400\">Proposition 6\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> took their message to the state capitol Tuesday. They’re calling on voters to support the legislation.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The ballot measure would amend the California Constitution to prohibit the state from punishing inmates with involuntary work assignments and from disciplining those who refuse to work. Instead, state prisons could set up a volunteer work assignment program to take time off sentences in the form of credits. It would also let county or city ordinances set up a pay scale for inmates in local jails.\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Wednesday, September 4, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Fentanyl is a dangerous narcotic that kills more than 100,000 Americans each year. Donald Trump and many other politicians say this deadly drug is regularly smuggled into the U.S. by undocumented immigrants. But \u003c/span>\u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\">\u003cspan style=\"font-weight: 400\">experts tell KPBS\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, those claims are largely false. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Two major California health plans have been hit with \u003c/span>\u003ca href=\"https://calmatters.org/health/2024/08/gender-affirming-care-denials/\">\u003cspan style=\"font-weight: 400\">a combined $850,000 in fines \u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">for illegally denying coverage for gender-affirming care.\u003c/span>\u003c/li>\n\u003cli>With just two months until the presidential election, Californians will be voting on a slew of statewide ballot measures. That includes \u003ca href=\"https://calmatters.org/california-voter-guide-2024/propositions/prop-6-involuntary-servitude/\">Proposition 6\u003c/a>, which would change the language in the state constitution which currently bans involuntary servitude except as a punishment for crime.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/08/29/american-citizens-smuggle-more-fentanyl-into-the-u-s-than-migrants-data-show\">\u003cb>American Citizens Smuggle More Fentanyl Into US Than Migrants, Data Shows\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s been a running theme among many politicians, mainly Republicans, including former President Donald Trump. That the deadly drug fentanyl is regularly smuggled into the U.S. by undocumented immigrants.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The idea that more border walls and tougher enforcement on immigration will stop illegal drugs from flowing into the United States is not just a national talking point. In February, Republican San Diego County Supervisor Jim Desmond posted a video on social media saying that one of the things that concerns him about, “how people are just able to walk across the border and get here,” is fentanyl. The implication is that migrants crossing in remote parts of the border are bringing drugs with them.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But \u003c/span>\u003ca href=\"https://www.cbp.gov/newsroom/stats/drug-seizure-statistics\">\u003cspan style=\"font-weight: 400\">data from U.S. Customs and Border Protection (CBP) and other federal agencies\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> show the vast majority of fentanyl comes through legal ports of entry. And the people bringing it into the country are native born Americans.\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ussc.gov/research/quick-facts/drug-trafficking\">\u003cspan style=\"font-weight: 400\">Approximately 80% of people\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> prosecuted and convicted of federal drug trafficking offenses were U.S. citizens, according to Tera McGrath, U.S. Attorney for the Southern District of California. “They are people who have the ability to cross but also are going to be able to slip under the radar,” McGrath said. McGrath dismissed the idea that migrants and asylum seekers fleeing violence are the ones primarily bringing fentanyl into the country. “That narrative is a dangerous misconception because that is not who we are seeing,” she said.\u003c/span>\u003c/p>\n\u003ch2>\u003ca href=\"https://calmatters.org/health/2024/08/gender-affirming-care-denials/\">\u003cb>Health Insurer Hit With California’s Largest-Ever Penalty Over Gender-Affirming Care Denials\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">A major California health insurer was hit with the state’s largest-ever fines for illegally denying coverage for gender-affirming care in a case that will compel them to revise how they treat patients diagnosed with gender dysphoria. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The $850,000 combined penalties against \u003c/span>\u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/4492/1723732238309.pdf\">\u003cspan style=\"font-weight: 400\">Anthem Blue Cross\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> also require the insurer to hire a dedicated case manager for people with gender dysphoria. Over 150 individuals who were denied coverage for such procedures will see their cases reviewed, and most have already seen reversals, according to the decision.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The insurer is complying with the decision from the Department of Managed Health Care, a state office that regulates its industry. \u003c/span>\u003cspan style=\"font-weight: 400\">“We take these matters seriously and have worked directly with the Department of Managed Health Care to identify and implement specific corrective actions to address and resolve the identified matters,” wrote Mike Bowman, a spokesperson for the insurance providers, in a statement to CalMatters.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">From 2017 to 2020, \u003c/span>\u003ca href=\"https://providers.anthem.com/california-provider/our-network/plan-information\">\u003cspan style=\"font-weight: 400\">Anthem Blue Cross \u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">categorized over 20 surgeries such as facial implants, hair removal, voice therapy and breast augmentation as “not medically necessary.” But the procedures were covered if they corrected “abnormal” body structures to create a “normal appearance” for “the target gender.”\u003c/span>\u003c/p>\n\u003ch2>\u003cb>Proposition 6 Campaign Launches In Sacramento\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With just two months until Californians are asked to vote on a slew of ballot measures, proponents of \u003c/span>\u003ca href=\"https://calmatters.org/california-voter-guide-2024/propositions/prop-6-involuntary-servitude/\">\u003cspan style=\"font-weight: 400\">Proposition 6\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> took their message to the state capitol Tuesday. They’re calling on voters to support the legislation.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The ballot measure would amend the California Constitution to prohibit the state from punishing inmates with involuntary work assignments and from disciplining those who refuse to work. Instead, state prisons could set up a volunteer work assignment program to take time off sentences in the form of credits. It would also let county or city ordinances set up a pay scale for inmates in local jails.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Thursday, July 11, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The California State Fair \u003c/span>\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">\u003cspan style=\"font-weight: 400\">kicks off Friday\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in Sacramento, and it’ll have all those traditional state fair attractions like carnival rides and games, exhibits of farm animals and agricultural products, and lots of food options. The more deep fried, the better. But this year’s State Fair will also have something new that no state fair in the U.S. has ever had – the legal sale and consumption of cannabis. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead – and lightning strikes possible in the Sierra Nevada this weekend, emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">\u003cspan style=\"font-weight: 400\">bracing for more wildfires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and asking Californians to do the same. \u003c/span>\u003c/li>\n\u003cli>A \u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">new law\u003c/a> will mandate California high schools teach students about the dangers of fentanyl. Governor Newsom \u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">signed\u003c/a> the law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cb>Cannabis A New Feature At California State Fair\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">A first for the California State Fair, which starts Friday in Sacramento. The two week event at Cal Expo will have many traditional summer fair activities. But fairgoers will also be able to \u003ca href=\"https://www.sacbee.com/news/local/article289375004.html\">legally purchase and consume cannabis\u003c/a> on the fair’s grounds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">James Leitz, Executive Producer of the Cannabis Competition and Exhibit at the State Fair, said it’s a logical move. “It’s really important because cannabis is agriculture and California has a huge agricultural history and cannabis is part of that,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">Speaking to CapRadio\u003c/a>, \u003c/span>\u003cspan style=\"font-weight: 400\">California State Fair Media Manager Darla Givens runs down how things will operate. “Cannabis cannot be consumed all around the fairgrounds. There is one designated spot [for consumption] where it’s going to be closely guarded and you have to be 21 years of age,” she said. “There’s an area where you can purchase [cannabis]. It’s at the Expo building where the cannabis exhibit is going to be located. So you purchase it there and then a security guard will walk you to the consumption area — and the consumption area has been put on by [cannabis company] Embarc, and they have done this type of exhibit across other festivals.”\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">Newsom Warns Californians To Prepare For Busy Fire Season And Heat Waves\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead, Governor Gavin Newsom and emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">\u003cspan style=\"font-weight: 400\">bracing for the possibility of bad fires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and asking that Californians do the same.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“This is my plea to you, please create a wildfire action plan that addresses escape routes, meeting points, animal arrangements, and a communications plan with your family,” Cal Fire Director Joe Tyler said Wednesday in an update on the state’s emergency plans. “Listen to the guidance of law enforcement and our firefighters for evacuation warnings and orders. Prepare your home to defend from an advancing wildfire, and prepare your home by home hardening and utilizing defensible space.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Forecasts show the possibility of lightning strikes in the Sierra Nevada this weekend, which could ignite fires in dry fuel.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">California’s Office of Emergency Services, meanwhile, has activated its \u003c/span>\u003ca href=\"https://news.caloes.ca.gov/california-prepares-for-dangerous-heatwave-ahead-of-fourth-of-july/\">\u003cspan style=\"font-weight: 400\">emergency response plan\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> for heat, opening cooling centers and enforcing safety protections for outdoor workers.\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">New California Law Will Mandate High Schools To Teach Students About The Dangers Of Fentanyl\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Governor Gavin Newsom \u003c/span>\u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">\u003cspan style=\"font-weight: 400\">signed\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> a new law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">San Diego Assemblymember David Alvarez authored the legislation. He said the goal is to dispel misinformation and encourage informed decision-making among students.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We certainly don’t want social media or other places of misinformation to become the center of information for young people,” Alvarez said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"description": "Here are the morning's top stories on Thursday, July 11, 2024… The California State Fair kicks off Friday in Sacramento, and it'll have all those traditional state fair attractions like carnival rides and games, exhibits of farm animals and agricultural products, and lots of food options. The more deep fried, the better. But this year's State Fair will also have something new that no state fair in the U.S. has ever had – the legal sale and consumption of cannabis. With more hot, dry, windy conditions ahead – and lightning strikes possible in the Sierra Nevada this weekend, emergency officials",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Thursday, July 11, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The California State Fair \u003c/span>\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">\u003cspan style=\"font-weight: 400\">kicks off Friday\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in Sacramento, and it’ll have all those traditional state fair attractions like carnival rides and games, exhibits of farm animals and agricultural products, and lots of food options. The more deep fried, the better. But this year’s State Fair will also have something new that no state fair in the U.S. has ever had – the legal sale and consumption of cannabis. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead – and lightning strikes possible in the Sierra Nevada this weekend, emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">\u003cspan style=\"font-weight: 400\">bracing for more wildfires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and asking Californians to do the same. \u003c/span>\u003c/li>\n\u003cli>A \u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">new law\u003c/a> will mandate California high schools teach students about the dangers of fentanyl. Governor Newsom \u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">signed\u003c/a> the law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cb>Cannabis A New Feature At California State Fair\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">A first for the California State Fair, which starts Friday in Sacramento. The two week event at Cal Expo will have many traditional summer fair activities. But fairgoers will also be able to \u003ca href=\"https://www.sacbee.com/news/local/article289375004.html\">legally purchase and consume cannabis\u003c/a> on the fair’s grounds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">James Leitz, Executive Producer of the Cannabis Competition and Exhibit at the State Fair, said it’s a logical move. “It’s really important because cannabis is agriculture and California has a huge agricultural history and cannabis is part of that,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">Speaking to CapRadio\u003c/a>, \u003c/span>\u003cspan style=\"font-weight: 400\">California State Fair Media Manager Darla Givens runs down how things will operate. “Cannabis cannot be consumed all around the fairgrounds. There is one designated spot [for consumption] where it’s going to be closely guarded and you have to be 21 years of age,” she said. “There’s an area where you can purchase [cannabis]. It’s at the Expo building where the cannabis exhibit is going to be located. So you purchase it there and then a security guard will walk you to the consumption area — and the consumption area has been put on by [cannabis company] Embarc, and they have done this type of exhibit across other festivals.”\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">Newsom Warns Californians To Prepare For Busy Fire Season And Heat Waves\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead, Governor Gavin Newsom and emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">\u003cspan style=\"font-weight: 400\">bracing for the possibility of bad fires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and asking that Californians do the same.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“This is my plea to you, please create a wildfire action plan that addresses escape routes, meeting points, animal arrangements, and a communications plan with your family,” Cal Fire Director Joe Tyler said Wednesday in an update on the state’s emergency plans. “Listen to the guidance of law enforcement and our firefighters for evacuation warnings and orders. Prepare your home to defend from an advancing wildfire, and prepare your home by home hardening and utilizing defensible space.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Forecasts show the possibility of lightning strikes in the Sierra Nevada this weekend, which could ignite fires in dry fuel.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">California’s Office of Emergency Services, meanwhile, has activated its \u003c/span>\u003ca href=\"https://news.caloes.ca.gov/california-prepares-for-dangerous-heatwave-ahead-of-fourth-of-july/\">\u003cspan style=\"font-weight: 400\">emergency response plan\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> for heat, opening cooling centers and enforcing safety protections for outdoor workers.\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">New California Law Will Mandate High Schools To Teach Students About The Dangers Of Fentanyl\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Governor Gavin Newsom \u003c/span>\u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">\u003cspan style=\"font-weight: 400\">signed\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> a new law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">San Diego Assemblymember David Alvarez authored the legislation. He said the goal is to dispel misinformation and encourage informed decision-making among students.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We certainly don’t want social media or other places of misinformation to become the center of information for young people,” Alvarez said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "San Francisco Attributes Lower Drug Deaths to 'Microdosing' Addiction Medication",
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"content": "\u003cp>Last month, 66 people died from an accidental drug overdose in San Francisco, and city health officials say that the majority of those deaths are from the potent opioid painkiller fentanyl.\u003c/p>\n\u003cp>The San Francisco Department of Public Health said 73 people died of an accidental overdose last May, so there’s about a 10% decrease in deaths. Drug overdoses in the city peaked in January at 71, followed by 63 in February, 68 in March and 56 in April.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.sf.gov/sites/default/files/2024-06/2024%2006_OCME%20Overdose%20Report.pdf\">latest numbers (PDF)\u003c/a> follow an overall trend in the city being able to help prevent unnecessary drug-related deaths.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We want to be sure that the public knows that highly effective and lifesaving medications are available in San Francisco to treat people with addiction to fentanyl and other opioids,” said Dr. Hillary Kunins, director of behavioral health services and Mental Health SF. “At DPH, our priority is to increase the accessibility of substance use treatment services so that more people can enter treatment and regain their lives.”\u003c/p>\n\u003cp>Health officials attribute part of their lifesaving measures to a novel approach they’ve pioneered: microdosing buprenorphine, a medication proven to help people quit opioid painkillers, out of community hospitals.\u003c/p>\n\u003cp>Chief Medical Officer Dr. Joanna Eveland said patients addicted to opioids can begin microdosing buprenorphine with as little as one milligram a day to help them overcome the intense cravings and painful withdrawal symptoms that occur when somebody physically dependent on opioids stops using them suddenly.\u003c/p>\n\u003cp>“The challenge with buprenorphine is first getting started on the medication. If you start too early, while you still have another strong opioid in your system, like fentanyl, you can actually experience withdrawal symptoms,” Eveland said. “My patients who are taking buprenorphine report that they feel normal and stable. They can go back to work. They can take care of their families.”\u003c/p>\n\u003cp>San Francisco Department of Public Health researchers published their findings on custom-tailored microdosing buprenorphine treatments — which they call the “Howard Street Method” — last year in the \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37579105/\">journal of the American Society of Addiction Medicine\u003c/a>.\u003c/p>\n\u003cp>Their research found that 27 people were treated with the Howard Street Method, all but one picked up their prescription for buprenorphine and 14 completed the program. Eighty percent of the people completing the program reported no symptoms of withdrawal and only three reported mild symptoms. A third ceased all opioid use.\u003c/p>\n\u003cp>Overall, researchers concluded the microdosing Howard Street Method was a “viable intervention for starting buprenorphine treatment and a promising alternative method for buprenorphine initiation in an under-resourced, safety-net population of people using fentanyl.”\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11987358,news_11986128,news_11989112\"]Along with the Howard Street Method, the city has instituted several programs to help get drug users the help they need where they are. This includes the Night Navigation Team, which operates from 8 p.m. to midnight to help set up telehealth consultations with on-call doctors who can write prescriptions for drugs that can help reduce withdrawal symptoms that can be picked up at a 24-hour pharmacy.\u003c/p>\n\u003cp>“When they find somebody who’s ready and motivated to start treatment, start medication linked to other services, they’re able to get them on the phone with the doctor right in that moment, who does a visit with the person by phone again, can send a prescription that very night, if that’s what the person wants or talk about the plan for starting methadone the next day,” Eveland said.\u003c/p>\n\u003cp>Kunins said from March through May, city staff conducted approximately 440 in the field, nighttime telehealth visits for people who use fentanyl and other opioids.\u003c/p>\n\u003cp>The city also has programs to help the unhoused find hotel rooms or other safe places to stay so they can begin their treatment. City officials say 78% of those who are offered medication via telehealth meetings and given a place to stay end up filling their prescriptions.\u003c/p>\n\u003cp>Anyone in need of mental health or substance use services is encouraged to call San Francisco’s Behavior Health line at 888-246-3333.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "City health officials say that custom-tailored microdosing of the medication buprenorphine in community hospitals has proven to help people quit opioid painkillers, including fentanyl.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last month, 66 people died from an accidental drug overdose in San Francisco, and city health officials say that the majority of those deaths are from the potent opioid painkiller fentanyl.\u003c/p>\n\u003cp>The San Francisco Department of Public Health said 73 people died of an accidental overdose last May, so there’s about a 10% decrease in deaths. Drug overdoses in the city peaked in January at 71, followed by 63 in February, 68 in March and 56 in April.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.sf.gov/sites/default/files/2024-06/2024%2006_OCME%20Overdose%20Report.pdf\">latest numbers (PDF)\u003c/a> follow an overall trend in the city being able to help prevent unnecessary drug-related deaths.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We want to be sure that the public knows that highly effective and lifesaving medications are available in San Francisco to treat people with addiction to fentanyl and other opioids,” said Dr. Hillary Kunins, director of behavioral health services and Mental Health SF. “At DPH, our priority is to increase the accessibility of substance use treatment services so that more people can enter treatment and regain their lives.”\u003c/p>\n\u003cp>Health officials attribute part of their lifesaving measures to a novel approach they’ve pioneered: microdosing buprenorphine, a medication proven to help people quit opioid painkillers, out of community hospitals.\u003c/p>\n\u003cp>Chief Medical Officer Dr. Joanna Eveland said patients addicted to opioids can begin microdosing buprenorphine with as little as one milligram a day to help them overcome the intense cravings and painful withdrawal symptoms that occur when somebody physically dependent on opioids stops using them suddenly.\u003c/p>\n\u003cp>“The challenge with buprenorphine is first getting started on the medication. If you start too early, while you still have another strong opioid in your system, like fentanyl, you can actually experience withdrawal symptoms,” Eveland said. “My patients who are taking buprenorphine report that they feel normal and stable. They can go back to work. They can take care of their families.”\u003c/p>\n\u003cp>San Francisco Department of Public Health researchers published their findings on custom-tailored microdosing buprenorphine treatments — which they call the “Howard Street Method” — last year in the \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37579105/\">journal of the American Society of Addiction Medicine\u003c/a>.\u003c/p>\n\u003cp>Their research found that 27 people were treated with the Howard Street Method, all but one picked up their prescription for buprenorphine and 14 completed the program. Eighty percent of the people completing the program reported no symptoms of withdrawal and only three reported mild symptoms. A third ceased all opioid use.\u003c/p>\n\u003cp>Overall, researchers concluded the microdosing Howard Street Method was a “viable intervention for starting buprenorphine treatment and a promising alternative method for buprenorphine initiation in an under-resourced, safety-net population of people using fentanyl.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Along with the Howard Street Method, the city has instituted several programs to help get drug users the help they need where they are. This includes the Night Navigation Team, which operates from 8 p.m. to midnight to help set up telehealth consultations with on-call doctors who can write prescriptions for drugs that can help reduce withdrawal symptoms that can be picked up at a 24-hour pharmacy.\u003c/p>\n\u003cp>“When they find somebody who’s ready and motivated to start treatment, start medication linked to other services, they’re able to get them on the phone with the doctor right in that moment, who does a visit with the person by phone again, can send a prescription that very night, if that’s what the person wants or talk about the plan for starting methadone the next day,” Eveland said.\u003c/p>\n\u003cp>Kunins said from March through May, city staff conducted approximately 440 in the field, nighttime telehealth visits for people who use fentanyl and other opioids.\u003c/p>\n\u003cp>The city also has programs to help the unhoused find hotel rooms or other safe places to stay so they can begin their treatment. City officials say 78% of those who are offered medication via telehealth meetings and given a place to stay end up filling their prescriptions.\u003c/p>\n\u003cp>Anyone in need of mental health or substance use services is encouraged to call San Francisco’s Behavior Health line at 888-246-3333.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>[aside postID=science_1993048,news_11987962,news_11982329,news_11972898 label='related coverage']Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As reports of overdoses involving a sedative often used by veterinarians \u003ca href=\"https://www.npr.org/2024/05/24/nx-s1-4974959/a-new-wave-of-overdoses-is-triggered-by-a-tranquilizer-used-on-animals\">rise on the East Coast\u003c/a>, one San Francisco leader is urging the city to more closely monitor the local drug supply for its presence.\u003c/p>\n\u003cp>Medetomidine, a synthetic depressant, is showing up more often in recreational drug markets around the U.S., according to an \u003ca href=\"https://www.cfsre.org/images/content/reports/public_alerts/Public_Alert_Medetomidine_052024.pdf\">advisory\u003c/a> this month from the Center for Forensic Science Research & Education and its early warning program, NPS Discovery. Among street drugs, it is most commonly detected as an adulterant in fentanyl.\u003c/p>\n\u003cp>San Francisco Supervisor Matt Dorsey said the city should include medetomidine alongside the list of substances that it already tests for when investigating overdose deaths or in the wastewater supply.\u003c/p>\n\u003cp>“Is San Francisco’s illicit drug supply being monitored for medetomidine currently, whether in street-level drug seizures, decedent toxicology panels, or elsewhere?” Dorsey wrote in a letter of inquiry to the Board of Supervisors clerk on Tuesday.\u003c/p>\n\u003cp>In California, medetomidine remains at relatively low levels in illicit drug supplies, where it was first detected in 2023, according to the Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But past increases in synthetic drugs — including fentanyl and xylazine, another veterinary sedative commonly known as “tranq” — hit East Coast cities harder before moving west. Recently, emergency medicine doctors in Philadelphia noted an uptick in overdoses involving medetomidine, including 160 hospitalizations over four days, according to NPS Discovery data.[aside postID=\"news_11969903,news_11972898,news_11941201,news_11975973\" label=\"Related Stories\"]\u003c/p>\n\u003cp>“SFDPH is aware that novel synthetic drugs, including medetomidine, have been identified in drug markets in North America,” a spokesperson for the city’s Department of Public Health said in an email. “We will continue to collaborate with city departments and our nonprofit partners in monitoring for novel synthetic drugs so we may prepare supportive care options, including treatment, and quickly respond in the event they become prevalent.”\u003c/p>\n\u003cp>About a year ago, Dorsey submitted a similar letter asking about the city’s practices for monitoring xylazine and other adulterants found mixed with opioids that were showing up more frequently in the drug supply elsewhere around the country.\u003c/p>\n\u003cp>“As with my prior inquiry, my purpose is to ascertain how I may knowledgeably champion work I consider essential to protect the life and health of San Franciscans struggling with addiction,” Dorsey wrote in the inquiry letter, “and to sustain the indications of progress we’re beginning to see in the deadly drug overdose crisis facing San Francisco.”\u003c/p>\n\u003cp>Each month, San Francisco’s Office of the Chief Medical Examiner reports the presence of a variety of substances, including fentanyl, heroin, methamphetamine, cocaine, xylazine, bromazolam, and fluoro fentanyl in recent overdoses. In November 2023, local health officials also started \u003ca href=\"https://www.kqed.org/news/11980119/san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing\">testing wastewater\u003c/a> for fentanyl, cocaine and methamphetamine, as well as all three substances in their metabolized form, to measure drug use and supply trends in the city.\u003c/p>\n\u003cp>The concern over medetomidine comes as U.S. \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2024/20240515.htm\">overdose deaths dipped 3%\u003c/a> in 2023 compared to 2022 — the first nationwide decline since 2018, according to data released this month from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>But in San Francisco, the highest year for overdose deaths on record came in 2023, according to city data, and 258 people have died of overdose in the city this year alone.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times stronger than heroin, was involved in the majority of those overdose deaths. Only 12 of this year’s overdose deaths in San Francisco involved xylazine, according to the chief medical examiner.\u003c/p>\n\u003cp>“We know the majority of overdose deaths are related to fentanyl, and when we get obsessed with every new scary drug politicians point out, we are missing the point,” said Laura Guzman, executive director of the National Harm Reduction Coalition. “We need to dedicate resources where there is the most need.”\u003c/p>\n\u003cp>As synthetic drugs have become more common around the U.S., research suggests efforts to suppress plant-based drugs like heroin and cocaine can lead to the development of cheaper and more potent drugs, which people may seek out on their own or could get cut into the supply chain.\u003c/p>\n\u003cp>“Without serious, sustained efforts to address the direct and root causes of non-medical opioid use, intensive supply suppression efforts that brought us fentanyl will continue to push the market towards deadlier alternatives,” reads \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0955395917301548?via%3Dihub\">a 2017 report\u003c/a> in the International Journal of Drug Policy.\u003c/p>\n\u003cp>A common concern with sedatives like xylazine and medetomidine is that they do not respond to medications like Narcan that can reverse the effects of an opioid overdose. However, because the sedatives are often used in combination with other drugs like fentanyl, many health experts advise to still use Narcan when an opioid may be present during an overdose.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The drug supply continues to be very unsettling and scary because we keep criminalizing new synthetics that will keep appearing, and we don’t have a safe supply,” Guzman said. “The drug supply is so tainted and reinforces itself with new synthetics, and that’s why drug checking is critical.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As reports of overdoses involving a sedative often used by veterinarians \u003ca href=\"https://www.npr.org/2024/05/24/nx-s1-4974959/a-new-wave-of-overdoses-is-triggered-by-a-tranquilizer-used-on-animals\">rise on the East Coast\u003c/a>, one San Francisco leader is urging the city to more closely monitor the local drug supply for its presence.\u003c/p>\n\u003cp>Medetomidine, a synthetic depressant, is showing up more often in recreational drug markets around the U.S., according to an \u003ca href=\"https://www.cfsre.org/images/content/reports/public_alerts/Public_Alert_Medetomidine_052024.pdf\">advisory\u003c/a> this month from the Center for Forensic Science Research & Education and its early warning program, NPS Discovery. Among street drugs, it is most commonly detected as an adulterant in fentanyl.\u003c/p>\n\u003cp>San Francisco Supervisor Matt Dorsey said the city should include medetomidine alongside the list of substances that it already tests for when investigating overdose deaths or in the wastewater supply.\u003c/p>\n\u003cp>“Is San Francisco’s illicit drug supply being monitored for medetomidine currently, whether in street-level drug seizures, decedent toxicology panels, or elsewhere?” Dorsey wrote in a letter of inquiry to the Board of Supervisors clerk on Tuesday.\u003c/p>\n\u003cp>In California, medetomidine remains at relatively low levels in illicit drug supplies, where it was first detected in 2023, according to the Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But past increases in synthetic drugs — including fentanyl and xylazine, another veterinary sedative commonly known as “tranq” — hit East Coast cities harder before moving west. Recently, emergency medicine doctors in Philadelphia noted an uptick in overdoses involving medetomidine, including 160 hospitalizations over four days, according to NPS Discovery data.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“SFDPH is aware that novel synthetic drugs, including medetomidine, have been identified in drug markets in North America,” a spokesperson for the city’s Department of Public Health said in an email. “We will continue to collaborate with city departments and our nonprofit partners in monitoring for novel synthetic drugs so we may prepare supportive care options, including treatment, and quickly respond in the event they become prevalent.”\u003c/p>\n\u003cp>About a year ago, Dorsey submitted a similar letter asking about the city’s practices for monitoring xylazine and other adulterants found mixed with opioids that were showing up more frequently in the drug supply elsewhere around the country.\u003c/p>\n\u003cp>“As with my prior inquiry, my purpose is to ascertain how I may knowledgeably champion work I consider essential to protect the life and health of San Franciscans struggling with addiction,” Dorsey wrote in the inquiry letter, “and to sustain the indications of progress we’re beginning to see in the deadly drug overdose crisis facing San Francisco.”\u003c/p>\n\u003cp>Each month, San Francisco’s Office of the Chief Medical Examiner reports the presence of a variety of substances, including fentanyl, heroin, methamphetamine, cocaine, xylazine, bromazolam, and fluoro fentanyl in recent overdoses. In November 2023, local health officials also started \u003ca href=\"https://www.kqed.org/news/11980119/san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing\">testing wastewater\u003c/a> for fentanyl, cocaine and methamphetamine, as well as all three substances in their metabolized form, to measure drug use and supply trends in the city.\u003c/p>\n\u003cp>The concern over medetomidine comes as U.S. \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2024/20240515.htm\">overdose deaths dipped 3%\u003c/a> in 2023 compared to 2022 — the first nationwide decline since 2018, according to data released this month from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>But in San Francisco, the highest year for overdose deaths on record came in 2023, according to city data, and 258 people have died of overdose in the city this year alone.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times stronger than heroin, was involved in the majority of those overdose deaths. Only 12 of this year’s overdose deaths in San Francisco involved xylazine, according to the chief medical examiner.\u003c/p>\n\u003cp>“We know the majority of overdose deaths are related to fentanyl, and when we get obsessed with every new scary drug politicians point out, we are missing the point,” said Laura Guzman, executive director of the National Harm Reduction Coalition. “We need to dedicate resources where there is the most need.”\u003c/p>\n\u003cp>As synthetic drugs have become more common around the U.S., research suggests efforts to suppress plant-based drugs like heroin and cocaine can lead to the development of cheaper and more potent drugs, which people may seek out on their own or could get cut into the supply chain.\u003c/p>\n\u003cp>“Without serious, sustained efforts to address the direct and root causes of non-medical opioid use, intensive supply suppression efforts that brought us fentanyl will continue to push the market towards deadlier alternatives,” reads \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0955395917301548?via%3Dihub\">a 2017 report\u003c/a> in the International Journal of Drug Policy.\u003c/p>\n\u003cp>A common concern with sedatives like xylazine and medetomidine is that they do not respond to medications like Narcan that can reverse the effects of an opioid overdose. However, because the sedatives are often used in combination with other drugs like fentanyl, many health experts advise to still use Narcan when an opioid may be present during an overdose.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The drug supply continues to be very unsettling and scary because we keep criminalizing new synthetics that will keep appearing, and we don’t have a safe supply,” Guzman said. “The drug supply is so tainted and reinforces itself with new synthetics, and that’s why drug checking is critical.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Over the month of April, 56 people died of accidental overdose in San Francisco, according to the city’s Department of Public Health.\u003c/p>\n\u003cp>The figure marks a decline of 21% when compared to April of last year when 71 people died. This April also saw the fewest deaths in a single month since December.\u003c/p>\n\u003cp>“For some comparisons, in the first four months of last year, we had 275 accidental overdoses,” San Francisco’s Director of Health, Dr. Grant Colfax, said at a briefing to announce the latest figures. “And this year, we’ve had 258. As has been the trend since the city started tracking these data in 2020, more than 70% of overdose deaths in April were caused by fentanyl.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Colfax and other public health officials also shared updates on a new pilot program meant to improve medication access for unhoused people seeking addiction treatment overnight.\u003c/p>\n\u003cp>As part of the new program, members of the Night Navigation Team make contact with unhoused people between 8 p.m. and midnight and set up telehealth consultations with on-call doctors.\u003c/p>\n\u003cp>Those doctors can then write prescriptions for things like buprenorphine — a pain medication that helps reduce withdrawal symptoms — to be picked up at a 24-hour pharmacy or the next day.\u003c/p>\n\u003cp>“Since 2020, DPH has been rapidly expanding our system to make drug treatment more accessible than ever and to serve more people in those treatment programs,” Colfax said. “We know from our outreach program that there is a demand for medications to treat fentanyl addiction at night.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF overdose deaths in first 4 months of 2023/2024\" aria-label=\"Grouped Bars\" id=\"datawrapper-chart-4K3uO\" src=\"https://datawrapper.dwcdn.net/4K3uO/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"700\" height=\"410\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>If rooms are available, residents who accept treatment are also provided with a place to stay while they start their recovery.\u003c/p>\n\u003cp>“Under this pilot, many of the individuals who have committed to starting medication for their fentanyl-use disorder have been sheltered at either the Adante Hotel or another available site in the community to start their medicine,” Chief Medical Officer Dr. Joanna Eveland said. “We have been using rooms that were previously reserved for quarantine emergencies but not currently needed for those, thankfully.”\u003c/p>\n\u003cp>Once placed in a room, Eveland said residents are connected with a case manager to begin planning for their exit after a week. Those residents also have access to various services, including transportation to pick up prescriptions and help to enroll in treatment programs or public insurance.\u003c/p>\n\u003cp>The pilot program began in March and recorded 173 telehealth consultations in that time, according to Eveland. Of those, 134 were prescribed buprenorphine and 33% of people picked up those medications.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11986128,news_11986508,news_11987183\"]“This is actually a high rate of people accepting the medication,” when compared to general prescription fill rates, Colfax said. “Remember, these are people on the street in the middle of the night.”\u003c/p>\n\u003cp>Eveland added that when unhoused residents were provided rooms to stay in, the prescription fill rate jumped to 78%.\u003c/p>\n\u003cp>“We have found that when we have combined the evening telehealth with safe and stable shelter where people can start their medication and receive support, they are three times more likely to enter recovery,” Eveland said.\u003c/p>\n\u003cp>Health officials did not share specifics regarding plans for the pilot program but emphasized they see potential in its continuation.\u003c/p>\n\u003cp>“Our hope is, as we go into analyzing the data further, that we’ll be able to expand the hours of the program so that we continue to focus on the populations most at risk,” Colfax said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Over the month of April, 56 people died of accidental overdose in San Francisco, according to the city’s Department of Public Health.\u003c/p>\n\u003cp>The figure marks a decline of 21% when compared to April of last year when 71 people died. This April also saw the fewest deaths in a single month since December.\u003c/p>\n\u003cp>“For some comparisons, in the first four months of last year, we had 275 accidental overdoses,” San Francisco’s Director of Health, Dr. Grant Colfax, said at a briefing to announce the latest figures. “And this year, we’ve had 258. As has been the trend since the city started tracking these data in 2020, more than 70% of overdose deaths in April were caused by fentanyl.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Colfax and other public health officials also shared updates on a new pilot program meant to improve medication access for unhoused people seeking addiction treatment overnight.\u003c/p>\n\u003cp>As part of the new program, members of the Night Navigation Team make contact with unhoused people between 8 p.m. and midnight and set up telehealth consultations with on-call doctors.\u003c/p>\n\u003cp>Those doctors can then write prescriptions for things like buprenorphine — a pain medication that helps reduce withdrawal symptoms — to be picked up at a 24-hour pharmacy or the next day.\u003c/p>\n\u003cp>“Since 2020, DPH has been rapidly expanding our system to make drug treatment more accessible than ever and to serve more people in those treatment programs,” Colfax said. “We know from our outreach program that there is a demand for medications to treat fentanyl addiction at night.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF overdose deaths in first 4 months of 2023/2024\" aria-label=\"Grouped Bars\" id=\"datawrapper-chart-4K3uO\" src=\"https://datawrapper.dwcdn.net/4K3uO/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"700\" height=\"410\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>If rooms are available, residents who accept treatment are also provided with a place to stay while they start their recovery.\u003c/p>\n\u003cp>“Under this pilot, many of the individuals who have committed to starting medication for their fentanyl-use disorder have been sheltered at either the Adante Hotel or another available site in the community to start their medicine,” Chief Medical Officer Dr. Joanna Eveland said. “We have been using rooms that were previously reserved for quarantine emergencies but not currently needed for those, thankfully.”\u003c/p>\n\u003cp>Once placed in a room, Eveland said residents are connected with a case manager to begin planning for their exit after a week. Those residents also have access to various services, including transportation to pick up prescriptions and help to enroll in treatment programs or public insurance.\u003c/p>\n\u003cp>The pilot program began in March and recorded 173 telehealth consultations in that time, according to Eveland. Of those, 134 were prescribed buprenorphine and 33% of people picked up those medications.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is actually a high rate of people accepting the medication,” when compared to general prescription fill rates, Colfax said. “Remember, these are people on the street in the middle of the night.”\u003c/p>\n\u003cp>Eveland added that when unhoused residents were provided rooms to stay in, the prescription fill rate jumped to 78%.\u003c/p>\n\u003cp>“We have found that when we have combined the evening telehealth with safe and stable shelter where people can start their medication and receive support, they are three times more likely to enter recovery,” Eveland said.\u003c/p>\n\u003cp>Health officials did not share specifics regarding plans for the pilot program but emphasized they see potential in its continuation.\u003c/p>\n\u003cp>“Our hope is, as we go into analyzing the data further, that we’ll be able to expand the hours of the program so that we continue to focus on the populations most at risk,” Colfax said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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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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