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"content": "\u003cp>San Francisco Pride 2023 is here. And with Pride comes \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">parties, shows and the chance to meet new people\u003c/a>. But we can’t gloss over the fact that with certain activities sometimes comes risks.\u003c/p>\n\u003cp>What you do this weekend is your business, so we want to make sure that you have the information you need to take care of yourself and those around you. This guide includes when and where everything is happening at this year’s celebration in San Francisco’s Civic Center. But it also includes advice from experts on how to protect yourself from COVID-19 risks, take care of your sexual health and avoid being exposed to fentanyl if you’re planning to use heavier drugs.\u003c/p>\n\u003cp>And one thing to keep in mind: Pride is a time to celebrate the progress and achievements of the LGBTQ+ community, but as many advocates point out, it’s also a time to continue pushing for better protections of queer people across the country. Making sure you and those around you are safe this weekend is part of that work.\u003c/p>\n\u003cp>\u003cb>Jump straight to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#paradeschedule\">Pride 2023 parade schedule, route and map\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#drugs\">What to know about drugs this weekend\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpox\">Mpox (formerly known as monkeypox) and Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#covid\">COVID considerations at Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"paradeschedule\">\u003c/a>Heading to the Pride parade? Know the logistics\u003c/h2>\n\u003cp>Sunday’s Pride parade is not the only way to enjoy Pride, but it definitely is one of the most emblematic Pride celebrations in the country, bringing together hundreds of groups and organizations, along with tens of thousands of people, with hours of music and dancing down Market Street.\u003c/p>\n\u003cp>If you’re not feeling the parade this year, there’s a whole universe of events and parties happening across the Bay Area this weekend: See \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts’ guide to some of the best Pride parties\u003c/a>, and look for other online guides to the myriad cultural and celebratory events going on, like \u003ca href=\"https://48hills.org/2023/06/ultimate-pride-guide-2023-more-more-more/\">48 Hills’ Ultimate Pride Guide 2023\u003c/a>.\u003c/p>\n\u003cp>And if you are planning to head over to the parade, here’s a quick breakdown of what to expect:\u003c/p>\n\u003cp>\u003cb>When is the Pride parade? And what’s the Pride parade route?\u003c/b>\u003c/p>\n\u003cp>The schedule for the Pride parade on Sunday, June 25:\u003c/p>\n\u003cul>\n\u003cli>Starts at 10:30 a.m. at Market and Beale streets (closest BART station: Embarcadero)\u003c/li>\n\u003cli>Ends at Market and 8th streets (closest BART station: Civic Center)\u003c/li>\n\u003c/ul>\n\u003cp>Save this Pride map to your phone’s camera roll, in case you’re in an area with poor or slow cellphone service:\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11953704\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png\" alt='A mag that reads \"San Francisco Pride\" in the top left corner.' width=\"800\" height=\"791\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-1020x1009.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-160x158.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png 1484w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003c/p>\n\u003cp>\u003cb>Check the weather forecast — and stay hydrated\u003c/b>\u003c/p>\n\u003cp>Currently, \u003ca href=\"https://forecast.weather.gov/MapClick.php?CityName=San+Francisco&state=CA&site=MTR&textField1=37.775&textField2=-122.418&e=0\">the National Weather Service forecasts mild temperatures for San Francisco this weekend\u003c/a>, with highs around the low-to-mid-60s. SF’s weather is nothing if not changeable, though, so keep an eye on the forecast, pack your sunscreen (you can get surprisingly sunburned even on a cloudy day) and remember to bring a lot of water. (Although, remember that \u003ca href=\"https://sfpride.org/security/\">the official Pride parade prohibits water bottles, “sealed or not,”\u003c/a> and only allows you to bring empty plastic water bottles inside the parade area.)\u003cbr>\n[ad fullwidth]\u003cbr>\n\u003cb>Check the prohibited items list if you’re planning to attend the Sunday Pride parade\u003c/b>\u003c/p>\n\u003cp>There’s a high chance any bag you bring will be searched at Sunday’s Pride parade upon entry, so pack accordingly. Organizers have a description of \u003ca href=\"https://sfpride.org/security/\">the kinds and sizes of bags allowed at the parade\u003c/a> on the Pride site. Be sure to look over the list of\u003ca href=\"https://sfpride.org/security/\"> items that are prohibited\u003c/a>, which include:\u003c/p>\n\u003cul>\n\u003cli>Weapons, regardless of permit\u003c/li>\n\u003cli>Umbrellas\u003c/li>\n\u003cli>Cans, thermoses and glass bottles\u003c/li>\n\u003cli>Any water bottle, even if sealed (although empty plastic water bottles are allowed)\u003c/li>\n\u003cli>Outside food and beverages, including alcohol\u003c/li>\n\u003cli>Narcotics and marijuana\u003c/li>\n\u003cli>Hard-sided coolers\u003c/li>\n\u003cli>Chairs of any kind\u003c/li>\n\u003cli>Drones\u003c/li>\n\u003cli>Pets (except service animals)\u003c/li>\n\u003cli>Bicycles\u003c/li>\n\u003c/ul>\n\u003cp>Speaking of prohibited items, \u003ca href=\"https://www.sanfranciscopolice.org/stay-safe/safety-tips/pride-safety-tips\">the San Francisco Police Department says there will be “a significant police presence during Pride activities,”\u003c/a> and that “both uniformed and plainclothes officers” will be present. SFPD’s Pride advisory also says that because there is “no organized event taking place Saturday in the Castro District” and no street closures, “laws prohibiting possession of open containers of alcoholic beverages and drinking in public will be strictly enforced.”[aside postID=arts_13930587 hero='https://ww2.kqed.org/app/uploads/sites/2/2023/06/Pink-Block-2022-1020x678.png']\u003c/p>\n\u003cp>\u003cb>Know your public transit options (and how you’ll get home)\u003c/b>\u003c/p>\n\u003cp>Your regular bus or train home may be rerouted or disrupted by Pride, so make a plan for getting around and getting home safely before you head out. (See a \u003ca href=\"https://www.sfmta.com/travel-transit-updates\">list of Muni routes disrupted or closed by Pride setup and celebrations all this week\u003c/a>.)\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/news/articles/2023/news20230609\">BART officials say there will be more service for this year’s Pride Sunday\u003c/a> than for any previous year, opening at 8 a.m. that day and running a five-line service until 9 p.m. “with added special event trains as ridership warrants.” After 9 p.m., that service will be reduced to a three-line service.\u003c/p>\n\u003cp>Expect crowding at BART stations near the parade, as well as in the train carriages (a reason you might consider bringing an N95 mask along). BART recommends using Montgomery Street and Powell Street stations instead of Civic Center or Embarcadero stations, for this reason.\u003c/p>\n\u003ch2>What to know about accessibility at Pride\u003c/h2>\n\u003cp>\u003cb>Accessible viewing areas at Pride\u003c/b>\u003c/p>\n\u003cp>Sunday’s Pride parade has an \u003ca href=\"https://sfpride.org/accessibility/\">accessible parade viewing area\u003c/a>, which organizers say provides “unobstructed parade viewing” for free, for individuals plus one guest. This seated parade viewing area at the parade grandstands also has accessible restroom facilities. You can \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfsSAMJ_jH4mwg3hMMClLSsVuwqPqqTEn4kYIA1RIBA11igEQ/viewform\">request a spot for you and a guest using this Google Form\u003c/a>.\u003c/p>\n\u003cp>Pride organizers say the parade’s main stage also has a seated viewing platform with ASL interpretation, and that wristbands for this area will be available at the Pride information booth on Fulton Street at Larkin Street. \u003ca href=\"https://sfpride.org/accessibility/\">Find more information about accessibility at Pride.\u003c/a>\u003c/p>\n\u003cp>\u003cb>BART and accessibility\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/guide/accessibility/mobility\">All BART stations have accessible elevators\u003c/a>, but being prepared for issues with those elevators is a good idea. You can \u003ca href=\"https://www.bart.gov/news/alerts\">sign up for BART alerts\u003c/a> to be notified if there’s an issue with the elevator at the station you’re planning to use to attend Pride, or check the status of elevator operations at any station by calling (510) 834-LIFT or (888) 2-ELEVAT.\u003c/p>\n\u003cp>If you discover that an elevator is not working at a particular station you’re planning to use, call the BART Transit Information Center to get information about transit alternatives at (510) 465-2278 from 8 a.m. to 6 p.m., Monday to Friday.\u003c/p>\n\u003cp>In a statement about accessibility, Pride organizers say the event has a “zero-tolerance policy for harassment, discrimination, or any form of violence,” and that Pride security personnel, “in collaboration with law enforcement, will be vigilant in enforcing these guidelines and addressing any inappropriate behavior.”\u003c/p>\n\u003cfigure id=\"attachment_11947462\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947462\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A wooden box hanging on a bar wall is open, with medication, cups, instructions inside.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. The boxes include Narcan and instructions on how to administer it, along with fentanyl test strips. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"drugs\">\u003c/a>Always test your drugs\u003c/h2>\n\u003cp>In the past few years, there’s been a spike nationwide of accidental fentanyl overdoses. Many party drugs, including cocaine and molly, are increasingly laced with fentanyl. Just in San Francisco, \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">hundreds of people have already lost their lives this year due to fentanyl overdoses\u003c/a>.\u003c/p>\n\u003cp>Kate Franza, who leads the behavioral health services team at the \u003ca href=\"https://sfcommunityhealth.org/\">San Francisco Community Health Center\u003c/a> in the city’s Tenderloin District, says it is very common nowadays to find other drugs laced with fentanyl and that if someone is going to consume drugs like cocaine or molly, they should very much consider the possibility that there may be fentanyl present.\u003c/p>\n\u003cp>“We don’t want folks to be anxious,” she said, “but we want folks to know that there’s ways that they can prepare themselves and do things to be safe so that they can check if their drugs have fentanyl in them and then make an informed decision.”\u003c/p>\n\u003cp>\u003cstrong>Consider testing ahead of time\u003c/strong>\u003c/p>\n\u003cp>If you know you will be taking drugs this weekend, Franza says one way to reduce the risk of being exposed to fentanyl is bringing your own substances that you have already tested and know are free of fentanyl. That way, you avoid consuming from unknown sources at places, like a crowded party, where it might be harder to test.\u003c/p>\n\u003cp>Testing, Franza says, is critical. “Because if your drugs are cut with fentanyl, you can die. It can trigger an overdose. It can trigger death,” she said. “And if folks feel shame or embarrassment, they can test privately as long as they have the strips.”\u003c/p>\n\u003cul>\n\u003cli>The nonprofit FentCheck provides bars and other community spaces with fentanyl test strips and Narcan. \u003ca href=\"https://fentcheck.org/check-your-drugs-1\">Find locations with free fentanyl strips here\u003c/a>, and review a \u003ca href=\"https://fentcheck.org/check-your-drugs-2\">step-by-step tutorial from FentCheck on how to use test strips here\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Know about Narcan\u003c/strong>\u003c/p>\n\u003cp>Franza also recommends bringing your own water and a Narcan kit. Narcan is the brand name for a naloxone nasal spray that is administered to someone when they are experiencing an opioid overdose (that includes fentanyl).\u003c/p>\n\u003cp>Anyone can buy and apply Narcan. You can buy a Narcan kit at a pharmacy without needing a prescription, and you can also get it free of charge at the San Francisco Department of Public Health’s Community Behavioral Health Services pharmacy at 1380 Howard Street. The pharmacy is open Monday to Friday from 9 a.m. to 6:30 p.m., and on weekdays from 9 a.m. to 4:30 p.m.\u003c/p>\n\u003cul>\n\u003cli>Watch this video training from the National Harm Reduction Coalition: \u003ca href=\"https://www.youtube.com/watch?v=01mIImI85lM\">How to safely administer Narcan to someone experiencing an opioid overdose\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>“Mixing various substances increases the risk of access to fentanyl, but [also] overdose with uppers and downers,” said Franza. “Be mindful of making decisions as best as you can about what drugs you want to do and minimize mixing.”\u003c/p>\n\u003cp>\u003cstrong>Set up a buddy system\u003c/strong>\u003c/p>\n\u003cp>Your friends are key in keeping you safe, especially when you’re taking harder drugs, adds Franza. She recommends setting up a buddy system where each person reminds the other to test whatever you will be taking, drinking enough water and having emergency contacts ready if additional help is needed. Additionally, if you made a plan for the weekend, including specific limits of what you will consume and when, a friend can help you remember this information when you may not be sober.\u003c/p>\n\u003cp>“If you’re planning on going out a lot during Pride, you may want to set some limitations because each time you do it, it’s harder on your body,” Franza said. “Another strategy is buying less. The likelihood of you doing more if you have it on you is higher. So if you buy less, it’s essentially one step further to have to purchase more.”\u003c/p>\n\u003ch2>\u003ca id=\"mpox\">\u003c/a>What to know about Pride and mpox\u003c/h2>\n\u003cp>\u003cb>What is mpox, and why should you be vigilant for it?\u003c/b>\u003c/p>\n\u003cp>In the summer and fall of 2022, \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">an outbreak of the mpox virus\u003c/a> — \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — hit the United States. This virus particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men, in California.\u003c/p>\n\u003cp>After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led both by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California. But in May, with Pride around the corner, \u003ca href=\"https://www.cbsnews.com/news/mpox-resurgence-dozens-new-cases-nationwide-cdc-investigating/\">an outbreak in Chicago that resulted in 13 suspected or confirmed cases\u003c/a> prompted Bay Area health officials to once again urge local communities to be vigilant for the virus ahead of Pride — and to seek out the free mpox vaccine.[aside label='More Guides from KQED' tag='audience-news']\u003c/p>\n\u003cp>Cases of mpox have remained low in the Bay Area since last summer’s outbreak, and health officials in the city aren’t seeing any rise that’s giving them cause for concern, says Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH. But with a huge number of gatherings and celebrations planned — not just over Pride weekend but well into the summer and fall — and also the volume of visitors to the city arriving for these celebrations from other parts of the state and the country, Cohen stresses that she and her colleagues in Bay Area public health will be remaining vigilant and cautious about mpox.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11949273 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small orange discs appear to float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown), cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cb>If I haven’t got an mpox vaccine, is it too late?\u003c/b>\u003c/p>\n\u003cp>It’s definitely not too late, and you should “absolutely” get a free mpox vaccine if you want one, says SFDPH’s Cohen — even if your first dose is coming just days or even hours before Pride.\u003c/p>\n\u003cp>“The body will start producing the antibodies really soon after the vaccine is given,” said Cohen. “And some protection against mpox is definitely better than no protection against mpox.” Cohen also points out that although the vaccine doesn’t offer 100% protection against contracting mpox, “what we’re seeing is that people who got infected with mpox after having been vaccinated … have a much less severe illness.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, infectious disease expert at UCSF, echoes this recommendation to get your mpox vaccine to keep yourself and the community safer — noting that not only does immunity start building quickly, but that the virus also has a longer incubation period than say, COVID.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#covid\">\u003cstrong>Jump to: Reducing the risk of COVID-19 during Pride\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>This means that even if you get your vaccine within just a few days of exposure, “your body starts making immune cells that start to work,” said Chin-Hong — and \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/interim-considerations/overview.html\">the mpox vaccine can also “be used in a post-exposure prophylaxis situation (PEP\u003c/a>), not just for pre-exposure prophylaxis (PREP).” And while your immediate thoughts may be on mpox exposure during Pride weekend, there are multiple Pride events happening all over the Bay Area for many months. “So think of it as an insurance policy beyond Pride in SF,” he advised.\u003c/p>\n\u003cp>\u003cb>Where can I find an mpox vaccine?\u003c/b>\u003c/p>\n\u003cp>There are several places across the Bay Area to find a free mpox vaccine, which comes in two doses one month apart. \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines#mpoxvaccinenearme\">Find an mpox vaccination clinic near you.\u003c/a>\u003c/p>\n\u003cp>There are no longer any limitations on who can get an mpox vaccine: In 2022 public health officials were originally only offering vaccines to people who’d been exposed, or were categorized as higher risk, but all those eligibility criteria are no longer in effect. If you want an mpox vaccine, you can get one — free.\u003c/p>\n\u003cp>[aside postID=\"news_11939819\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1020x680.jpg\"]By getting an mpox vaccine, you’ll be joining many folks locally who have done the same. Cohen says that after SFDPH’s awareness campaign in May, the number of mpox vaccines being given in San Francisco every week has “about doubled.” Although some of these vaccinations are for people getting their second dose, Cohen said that “most of them are actually people getting their first dose.”\u003c/p>\n\u003cp>\u003cb>How does mpox spread?\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health.\u003c/p>\n\u003cp>Mpox is not strictly a sexually transmitted infection. The virus can spread through close, skin-to-skin contact and through \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with mpox\u003c/a>. This includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for mpox to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>\u003cb>What are the symptoms of mpox?\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The incubation period for mpox\u003c/a> — the amount of time between exposure and developing symptoms and becoming contagious — is usually between six and 13 days, according to the Centers for Disease Control and Prevention. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>Mpox symptoms often start as flu-like symptoms, says SFDPH, but the virus also appears as a rash, or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spots often start as “red, flat spots, and then become bumps,” says SFDPH, before the bumps become filled with pus, and turn into scabs when they break. \u003ca href=\"https://sf.gov/information/mpox\">See the full list of mpox symptoms from SFDPH.\u003c/a>\u003c/p>\n\u003cp>[aside postID=\"news_11949180\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\"]“It’s really important that if someone develops a rash that they think might be related to pox, even if it’s subtle, to come in and see their doctor and get checked out and get tested,” urged Cohen. “And that can help us prevent the spread of transmission in the community.” \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003cb>Take care of your personal and sexual health\u003c/b>\u003c/h2>\n\u003cp>It goes without saying that taking care of your individual health and that of your partners involves practicing safer sex, and making sure you bring protection like condoms to Pride.\u003c/p>\n\u003cp>SFDPH’s Dr. Stephanie Cohen says that in addition to having a presence at stages at Friday’s Trans March and Sunday’s Pride parade, the department will also be marching in the parade on Sunday and handing out “harm-reduction supply” (such as condoms).\u003c/p>\n\u003cp>You can also find free HIV and hepatitis C screenings at the following events this weekend:\u003c/p>\n\u003cul>\n\u003cli>\u003cb>Trans March SF, Friday, June\u003c/b> \u003cstrong>23:\u003c/strong> The march will include a resource fair at Dolores Park from 3 p.m. to 6 p.m., which will include free screenings.\u003c/li>\n\u003cli>\u003cb>Trans stage at SF Pride, Saturday, June 24:\u003c/b> Screenings will be offered at the Trans Thrive booth on the corner of Golden Gate Avenue and Polk Street, from 12 p.m. to 6 p.m.\u003c/li>\n\u003cli>\u003cb>A&PI LGBT Community Stage at SF Pride, Sunday, June 25:\u003c/b> Screenings will be offered at the the corner of Golden Gate Avenue and Polk Street from 10 a.m. to 6 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>If you need to get tested after Pride, your county may offer free or low-cost screenings. For example, \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic offers low-cost STI testing\u003c/a>, diagnosis and treatment on a walk-in basis, whether you’re insured or not. They also offer free condoms, and you can get at-home tests delivered via City Clinic in discreet packaging including screening kits for HIV and STIs.\u003c/p>\n\u003cfigure id=\"attachment_11950446\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11950446 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg\" alt=\"A young Asian man with glasses and a moustache and goatee squeezes the sample liquid on a test strip while carrying out a COVID-19 rapid self test at home.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">According to the most recent FDA data, antigen tests are effective in detecting arcturus and other omicron subvariants. \u003ccite>(Tang Ming Tung/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"covid\">\u003c/a>Pride and COVID-19\u003c/h2>\n\u003cp>\u003cb>Consider bringing an N95 mask with you\u003c/b>\u003c/p>\n\u003cp>While \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CiIQACABSABSBjM3NDMwYVoGTiBHZW5leKwBigEGNjdiODZi&selectedChartId=67b86b\">the presence of COVID in San Francisco wastewater\u003c/a> has steadily fallen after a spike in March, a huge amount of folks will be traveling into the city from other parts of the Bay Area, the state, the country and even the world — meaning it’s impossible to know just how many COVID-positive people will be present in the same crowded indoor space as you.\u003c/p>\n\u003cp>Even if you \u003ci>really \u003c/i>don’t want to wear a mask at a party or inside a bar, you might want to slip one on when using a busy bathroom (or “well-worn” Porta Potty), on public transit or in a crowded store on a supply run — and carrying one in your back pocket or purse at least gives you this option. And since Pride is for everyone, if you’re going to a celebration that’s primarily attended by disabled folks or people who are otherwise at a higher risk for severe illness from COVID, you might be outright asked to wear a mask.\u003c/p>\n\u003cp>\u003cb>Stay home if you’re not feeling well (even if it’s not COVID)\u003c/b>\u003c/p>\n\u003cp>If you’re experiencing any of \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html\">the symptoms of COVID\u003c/a> — which, with the arcturus variant, can include pink eye — seek out a test, and stay home if you’re positive. If you’re negative, but still feeling sick, consider staying home regardless. Missing the celebrations will hurt, but you’ll be keeping your community safer — even if it’s not COVID.\u003c/p>\n\u003cp>\u003cb>Feeling sick a couple days after Pride? Seek out a COVID test\u003c/b>\u003c/p>\n\u003cp>Unfortunately, finding a quick, free COVID test — whether an at-home antigen test or a PCR test — has gotten progressively harder at this stage of the pandemic, as more sites and services have been shuttered for good. As of June 1, the federal government has also ended its \u003ca href=\"https://www.covid.gov/tests\"> free at-home COVID-test-ordering service\u003c/a> through USPS. But you still have options: \u003ca href=\"https://www.kqed.org/news/11940562/how-to-find-a-free-covid-test-near-you-in-2023-because-its-getting-harder\">Find a free or low-cost test near you with our guide\u003c/a>, or use \u003ca href=\"https://testinglocator.cdc.gov/Search\">the CDC’s COVID test locator\u003c/a> — and read \u003ca href=\"https://www.kqed.org/news/11950386/at-home-covid-tests-are-still-effective-in-2023-and-you-can-still-get-them-for-free\">our guide to using at-home antigen tests in 2023\u003c/a>.\u003c/p>\n\u003cp>How long should you wait after a potential COVID exposure to take a test? If you’ve heard that incubation times for the virus are getting shorter, you’re not wrong — people really are testing positive for COVID more quickly than they were in 2020, when the average incubation period was five days. That’s because “the incubation period is definitely changing with the variants,” said UCSF’s Chin-Hong, and the period keeps going down somewhat with every new variant.\u003c/p>\n\u003cp>Given this trend, even with a lack of studies on the arcturus variant, it “makes sense that if someone has symptoms as quickly as two days after exposure, they should test rather than waiting the full five days,” advised Chin-Hong. “But if [you test] negative at two to three days, rinse and repeat.” In other words: If you’re feeling sick as soon as two days after a Pride party, don’t assume it’s just a cold or you’re rundown after the celebrations — it could very well be COVID.\u003c/p>\n\u003ch2>\u003cb>Lastly, remember: You don’t have to stick to the main Sunday parade\u003c/b>\u003c/h2>\n\u003cp>The presence of large corporations in the Pride parade can be jarring for some, who may not feel comfortable celebrating in this particular environment.\u003c/p>\n\u003cp>But there’ll be a huge amount of gatherings, celebrations, parties and safe spaces around Pride weekend — truly, something for everyone.\u003c/p>\n\u003cp>\u003ca href=\"https://www.transmarch.org/trans-march-2023/\">The 2023 Trans March\u003c/a> and accompanying events will kick off Pride weekend on Friday, June 23, starting at 11 a.m. with the Señora Felicia Flames Intergenerational Brunch, and the march itself is at 6 p.m. The following day, on Saturday, June 24, \u003ca href=\"https://www.thedykemarch.org/\">the 2023 Dyke March\u003c/a> begins at 5 p.m., starting from Dolores and 18th streets.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts has a guide to several Pride parties taking place over the weekend.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "From the Pride schedule and route map to testing your drugs and finding an mpox vaccine, here's everything you need to know about staying safer at Pride this year.",
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"title": "SF Pride: Safely Celebrate the Vibrant Festivities | KQED",
"description": "Explore SF Pride 2023 with the latest on LGBTQ+ celebrations, community events, and inspiring stories of activism. Stay informed and join the movement.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Pride 2023 is here. And with Pride comes \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">parties, shows and the chance to meet new people\u003c/a>. But we can’t gloss over the fact that with certain activities sometimes comes risks.\u003c/p>\n\u003cp>What you do this weekend is your business, so we want to make sure that you have the information you need to take care of yourself and those around you. This guide includes when and where everything is happening at this year’s celebration in San Francisco’s Civic Center. But it also includes advice from experts on how to protect yourself from COVID-19 risks, take care of your sexual health and avoid being exposed to fentanyl if you’re planning to use heavier drugs.\u003c/p>\n\u003cp>And one thing to keep in mind: Pride is a time to celebrate the progress and achievements of the LGBTQ+ community, but as many advocates point out, it’s also a time to continue pushing for better protections of queer people across the country. Making sure you and those around you are safe this weekend is part of that work.\u003c/p>\n\u003cp>\u003cb>Jump straight to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#paradeschedule\">Pride 2023 parade schedule, route and map\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#drugs\">What to know about drugs this weekend\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpox\">Mpox (formerly known as monkeypox) and Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#covid\">COVID considerations at Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"paradeschedule\">\u003c/a>Heading to the Pride parade? Know the logistics\u003c/h2>\n\u003cp>Sunday’s Pride parade is not the only way to enjoy Pride, but it definitely is one of the most emblematic Pride celebrations in the country, bringing together hundreds of groups and organizations, along with tens of thousands of people, with hours of music and dancing down Market Street.\u003c/p>\n\u003cp>If you’re not feeling the parade this year, there’s a whole universe of events and parties happening across the Bay Area this weekend: See \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts’ guide to some of the best Pride parties\u003c/a>, and look for other online guides to the myriad cultural and celebratory events going on, like \u003ca href=\"https://48hills.org/2023/06/ultimate-pride-guide-2023-more-more-more/\">48 Hills’ Ultimate Pride Guide 2023\u003c/a>.\u003c/p>\n\u003cp>And if you are planning to head over to the parade, here’s a quick breakdown of what to expect:\u003c/p>\n\u003cp>\u003cb>When is the Pride parade? And what’s the Pride parade route?\u003c/b>\u003c/p>\n\u003cp>The schedule for the Pride parade on Sunday, June 25:\u003c/p>\n\u003cul>\n\u003cli>Starts at 10:30 a.m. at Market and Beale streets (closest BART station: Embarcadero)\u003c/li>\n\u003cli>Ends at Market and 8th streets (closest BART station: Civic Center)\u003c/li>\n\u003c/ul>\n\u003cp>Save this Pride map to your phone’s camera roll, in case you’re in an area with poor or slow cellphone service:\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11953704\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png\" alt='A mag that reads \"San Francisco Pride\" in the top left corner.' width=\"800\" height=\"791\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-1020x1009.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-160x158.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png 1484w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003c/p>\n\u003cp>\u003cb>Check the weather forecast — and stay hydrated\u003c/b>\u003c/p>\n\u003cp>Currently, \u003ca href=\"https://forecast.weather.gov/MapClick.php?CityName=San+Francisco&state=CA&site=MTR&textField1=37.775&textField2=-122.418&e=0\">the National Weather Service forecasts mild temperatures for San Francisco this weekend\u003c/a>, with highs around the low-to-mid-60s. SF’s weather is nothing if not changeable, though, so keep an eye on the forecast, pack your sunscreen (you can get surprisingly sunburned even on a cloudy day) and remember to bring a lot of water. (Although, remember that \u003ca href=\"https://sfpride.org/security/\">the official Pride parade prohibits water bottles, “sealed or not,”\u003c/a> and only allows you to bring empty plastic water bottles inside the parade area.)\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\n\u003cb>Check the prohibited items list if you’re planning to attend the Sunday Pride parade\u003c/b>\u003c/p>\n\u003cp>There’s a high chance any bag you bring will be searched at Sunday’s Pride parade upon entry, so pack accordingly. Organizers have a description of \u003ca href=\"https://sfpride.org/security/\">the kinds and sizes of bags allowed at the parade\u003c/a> on the Pride site. Be sure to look over the list of\u003ca href=\"https://sfpride.org/security/\"> items that are prohibited\u003c/a>, which include:\u003c/p>\n\u003cul>\n\u003cli>Weapons, regardless of permit\u003c/li>\n\u003cli>Umbrellas\u003c/li>\n\u003cli>Cans, thermoses and glass bottles\u003c/li>\n\u003cli>Any water bottle, even if sealed (although empty plastic water bottles are allowed)\u003c/li>\n\u003cli>Outside food and beverages, including alcohol\u003c/li>\n\u003cli>Narcotics and marijuana\u003c/li>\n\u003cli>Hard-sided coolers\u003c/li>\n\u003cli>Chairs of any kind\u003c/li>\n\u003cli>Drones\u003c/li>\n\u003cli>Pets (except service animals)\u003c/li>\n\u003cli>Bicycles\u003c/li>\n\u003c/ul>\n\u003cp>Speaking of prohibited items, \u003ca href=\"https://www.sanfranciscopolice.org/stay-safe/safety-tips/pride-safety-tips\">the San Francisco Police Department says there will be “a significant police presence during Pride activities,”\u003c/a> and that “both uniformed and plainclothes officers” will be present. SFPD’s Pride advisory also says that because there is “no organized event taking place Saturday in the Castro District” and no street closures, “laws prohibiting possession of open containers of alcoholic beverages and drinking in public will be strictly enforced.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>Know your public transit options (and how you’ll get home)\u003c/b>\u003c/p>\n\u003cp>Your regular bus or train home may be rerouted or disrupted by Pride, so make a plan for getting around and getting home safely before you head out. (See a \u003ca href=\"https://www.sfmta.com/travel-transit-updates\">list of Muni routes disrupted or closed by Pride setup and celebrations all this week\u003c/a>.)\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/news/articles/2023/news20230609\">BART officials say there will be more service for this year’s Pride Sunday\u003c/a> than for any previous year, opening at 8 a.m. that day and running a five-line service until 9 p.m. “with added special event trains as ridership warrants.” After 9 p.m., that service will be reduced to a three-line service.\u003c/p>\n\u003cp>Expect crowding at BART stations near the parade, as well as in the train carriages (a reason you might consider bringing an N95 mask along). BART recommends using Montgomery Street and Powell Street stations instead of Civic Center or Embarcadero stations, for this reason.\u003c/p>\n\u003ch2>What to know about accessibility at Pride\u003c/h2>\n\u003cp>\u003cb>Accessible viewing areas at Pride\u003c/b>\u003c/p>\n\u003cp>Sunday’s Pride parade has an \u003ca href=\"https://sfpride.org/accessibility/\">accessible parade viewing area\u003c/a>, which organizers say provides “unobstructed parade viewing” for free, for individuals plus one guest. This seated parade viewing area at the parade grandstands also has accessible restroom facilities. You can \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfsSAMJ_jH4mwg3hMMClLSsVuwqPqqTEn4kYIA1RIBA11igEQ/viewform\">request a spot for you and a guest using this Google Form\u003c/a>.\u003c/p>\n\u003cp>Pride organizers say the parade’s main stage also has a seated viewing platform with ASL interpretation, and that wristbands for this area will be available at the Pride information booth on Fulton Street at Larkin Street. \u003ca href=\"https://sfpride.org/accessibility/\">Find more information about accessibility at Pride.\u003c/a>\u003c/p>\n\u003cp>\u003cb>BART and accessibility\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/guide/accessibility/mobility\">All BART stations have accessible elevators\u003c/a>, but being prepared for issues with those elevators is a good idea. You can \u003ca href=\"https://www.bart.gov/news/alerts\">sign up for BART alerts\u003c/a> to be notified if there’s an issue with the elevator at the station you’re planning to use to attend Pride, or check the status of elevator operations at any station by calling (510) 834-LIFT or (888) 2-ELEVAT.\u003c/p>\n\u003cp>If you discover that an elevator is not working at a particular station you’re planning to use, call the BART Transit Information Center to get information about transit alternatives at (510) 465-2278 from 8 a.m. to 6 p.m., Monday to Friday.\u003c/p>\n\u003cp>In a statement about accessibility, Pride organizers say the event has a “zero-tolerance policy for harassment, discrimination, or any form of violence,” and that Pride security personnel, “in collaboration with law enforcement, will be vigilant in enforcing these guidelines and addressing any inappropriate behavior.”\u003c/p>\n\u003cfigure id=\"attachment_11947462\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947462\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A wooden box hanging on a bar wall is open, with medication, cups, instructions inside.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. The boxes include Narcan and instructions on how to administer it, along with fentanyl test strips. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"drugs\">\u003c/a>Always test your drugs\u003c/h2>\n\u003cp>In the past few years, there’s been a spike nationwide of accidental fentanyl overdoses. Many party drugs, including cocaine and molly, are increasingly laced with fentanyl. Just in San Francisco, \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">hundreds of people have already lost their lives this year due to fentanyl overdoses\u003c/a>.\u003c/p>\n\u003cp>Kate Franza, who leads the behavioral health services team at the \u003ca href=\"https://sfcommunityhealth.org/\">San Francisco Community Health Center\u003c/a> in the city’s Tenderloin District, says it is very common nowadays to find other drugs laced with fentanyl and that if someone is going to consume drugs like cocaine or molly, they should very much consider the possibility that there may be fentanyl present.\u003c/p>\n\u003cp>“We don’t want folks to be anxious,” she said, “but we want folks to know that there’s ways that they can prepare themselves and do things to be safe so that they can check if their drugs have fentanyl in them and then make an informed decision.”\u003c/p>\n\u003cp>\u003cstrong>Consider testing ahead of time\u003c/strong>\u003c/p>\n\u003cp>If you know you will be taking drugs this weekend, Franza says one way to reduce the risk of being exposed to fentanyl is bringing your own substances that you have already tested and know are free of fentanyl. That way, you avoid consuming from unknown sources at places, like a crowded party, where it might be harder to test.\u003c/p>\n\u003cp>Testing, Franza says, is critical. “Because if your drugs are cut with fentanyl, you can die. It can trigger an overdose. It can trigger death,” she said. “And if folks feel shame or embarrassment, they can test privately as long as they have the strips.”\u003c/p>\n\u003cul>\n\u003cli>The nonprofit FentCheck provides bars and other community spaces with fentanyl test strips and Narcan. \u003ca href=\"https://fentcheck.org/check-your-drugs-1\">Find locations with free fentanyl strips here\u003c/a>, and review a \u003ca href=\"https://fentcheck.org/check-your-drugs-2\">step-by-step tutorial from FentCheck on how to use test strips here\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Know about Narcan\u003c/strong>\u003c/p>\n\u003cp>Franza also recommends bringing your own water and a Narcan kit. Narcan is the brand name for a naloxone nasal spray that is administered to someone when they are experiencing an opioid overdose (that includes fentanyl).\u003c/p>\n\u003cp>Anyone can buy and apply Narcan. You can buy a Narcan kit at a pharmacy without needing a prescription, and you can also get it free of charge at the San Francisco Department of Public Health’s Community Behavioral Health Services pharmacy at 1380 Howard Street. The pharmacy is open Monday to Friday from 9 a.m. to 6:30 p.m., and on weekdays from 9 a.m. to 4:30 p.m.\u003c/p>\n\u003cul>\n\u003cli>Watch this video training from the National Harm Reduction Coalition: \u003ca href=\"https://www.youtube.com/watch?v=01mIImI85lM\">How to safely administer Narcan to someone experiencing an opioid overdose\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>“Mixing various substances increases the risk of access to fentanyl, but [also] overdose with uppers and downers,” said Franza. “Be mindful of making decisions as best as you can about what drugs you want to do and minimize mixing.”\u003c/p>\n\u003cp>\u003cstrong>Set up a buddy system\u003c/strong>\u003c/p>\n\u003cp>Your friends are key in keeping you safe, especially when you’re taking harder drugs, adds Franza. She recommends setting up a buddy system where each person reminds the other to test whatever you will be taking, drinking enough water and having emergency contacts ready if additional help is needed. Additionally, if you made a plan for the weekend, including specific limits of what you will consume and when, a friend can help you remember this information when you may not be sober.\u003c/p>\n\u003cp>“If you’re planning on going out a lot during Pride, you may want to set some limitations because each time you do it, it’s harder on your body,” Franza said. “Another strategy is buying less. The likelihood of you doing more if you have it on you is higher. So if you buy less, it’s essentially one step further to have to purchase more.”\u003c/p>\n\u003ch2>\u003ca id=\"mpox\">\u003c/a>What to know about Pride and mpox\u003c/h2>\n\u003cp>\u003cb>What is mpox, and why should you be vigilant for it?\u003c/b>\u003c/p>\n\u003cp>In the summer and fall of 2022, \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">an outbreak of the mpox virus\u003c/a> — \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — hit the United States. This virus particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men, in California.\u003c/p>\n\u003cp>After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led both by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California. But in May, with Pride around the corner, \u003ca href=\"https://www.cbsnews.com/news/mpox-resurgence-dozens-new-cases-nationwide-cdc-investigating/\">an outbreak in Chicago that resulted in 13 suspected or confirmed cases\u003c/a> prompted Bay Area health officials to once again urge local communities to be vigilant for the virus ahead of Pride — and to seek out the free mpox vaccine.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cases of mpox have remained low in the Bay Area since last summer’s outbreak, and health officials in the city aren’t seeing any rise that’s giving them cause for concern, says Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH. But with a huge number of gatherings and celebrations planned — not just over Pride weekend but well into the summer and fall — and also the volume of visitors to the city arriving for these celebrations from other parts of the state and the country, Cohen stresses that she and her colleagues in Bay Area public health will be remaining vigilant and cautious about mpox.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11949273 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small orange discs appear to float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown), cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cb>If I haven’t got an mpox vaccine, is it too late?\u003c/b>\u003c/p>\n\u003cp>It’s definitely not too late, and you should “absolutely” get a free mpox vaccine if you want one, says SFDPH’s Cohen — even if your first dose is coming just days or even hours before Pride.\u003c/p>\n\u003cp>“The body will start producing the antibodies really soon after the vaccine is given,” said Cohen. “And some protection against mpox is definitely better than no protection against mpox.” Cohen also points out that although the vaccine doesn’t offer 100% protection against contracting mpox, “what we’re seeing is that people who got infected with mpox after having been vaccinated … have a much less severe illness.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, infectious disease expert at UCSF, echoes this recommendation to get your mpox vaccine to keep yourself and the community safer — noting that not only does immunity start building quickly, but that the virus also has a longer incubation period than say, COVID.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#covid\">\u003cstrong>Jump to: Reducing the risk of COVID-19 during Pride\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>This means that even if you get your vaccine within just a few days of exposure, “your body starts making immune cells that start to work,” said Chin-Hong — and \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/interim-considerations/overview.html\">the mpox vaccine can also “be used in a post-exposure prophylaxis situation (PEP\u003c/a>), not just for pre-exposure prophylaxis (PREP).” And while your immediate thoughts may be on mpox exposure during Pride weekend, there are multiple Pride events happening all over the Bay Area for many months. “So think of it as an insurance policy beyond Pride in SF,” he advised.\u003c/p>\n\u003cp>\u003cb>Where can I find an mpox vaccine?\u003c/b>\u003c/p>\n\u003cp>There are several places across the Bay Area to find a free mpox vaccine, which comes in two doses one month apart. \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines#mpoxvaccinenearme\">Find an mpox vaccination clinic near you.\u003c/a>\u003c/p>\n\u003cp>There are no longer any limitations on who can get an mpox vaccine: In 2022 public health officials were originally only offering vaccines to people who’d been exposed, or were categorized as higher risk, but all those eligibility criteria are no longer in effect. If you want an mpox vaccine, you can get one — free.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>By getting an mpox vaccine, you’ll be joining many folks locally who have done the same. Cohen says that after SFDPH’s awareness campaign in May, the number of mpox vaccines being given in San Francisco every week has “about doubled.” Although some of these vaccinations are for people getting their second dose, Cohen said that “most of them are actually people getting their first dose.”\u003c/p>\n\u003cp>\u003cb>How does mpox spread?\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health.\u003c/p>\n\u003cp>Mpox is not strictly a sexually transmitted infection. The virus can spread through close, skin-to-skin contact and through \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with mpox\u003c/a>. This includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for mpox to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>\u003cb>What are the symptoms of mpox?\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The incubation period for mpox\u003c/a> — the amount of time between exposure and developing symptoms and becoming contagious — is usually between six and 13 days, according to the Centers for Disease Control and Prevention. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>Mpox symptoms often start as flu-like symptoms, says SFDPH, but the virus also appears as a rash, or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spots often start as “red, flat spots, and then become bumps,” says SFDPH, before the bumps become filled with pus, and turn into scabs when they break. \u003ca href=\"https://sf.gov/information/mpox\">See the full list of mpox symptoms from SFDPH.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s really important that if someone develops a rash that they think might be related to pox, even if it’s subtle, to come in and see their doctor and get checked out and get tested,” urged Cohen. “And that can help us prevent the spread of transmission in the community.” \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003cb>Take care of your personal and sexual health\u003c/b>\u003c/h2>\n\u003cp>It goes without saying that taking care of your individual health and that of your partners involves practicing safer sex, and making sure you bring protection like condoms to Pride.\u003c/p>\n\u003cp>SFDPH’s Dr. Stephanie Cohen says that in addition to having a presence at stages at Friday’s Trans March and Sunday’s Pride parade, the department will also be marching in the parade on Sunday and handing out “harm-reduction supply” (such as condoms).\u003c/p>\n\u003cp>You can also find free HIV and hepatitis C screenings at the following events this weekend:\u003c/p>\n\u003cul>\n\u003cli>\u003cb>Trans March SF, Friday, June\u003c/b> \u003cstrong>23:\u003c/strong> The march will include a resource fair at Dolores Park from 3 p.m. to 6 p.m., which will include free screenings.\u003c/li>\n\u003cli>\u003cb>Trans stage at SF Pride, Saturday, June 24:\u003c/b> Screenings will be offered at the Trans Thrive booth on the corner of Golden Gate Avenue and Polk Street, from 12 p.m. to 6 p.m.\u003c/li>\n\u003cli>\u003cb>A&PI LGBT Community Stage at SF Pride, Sunday, June 25:\u003c/b> Screenings will be offered at the the corner of Golden Gate Avenue and Polk Street from 10 a.m. to 6 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>If you need to get tested after Pride, your county may offer free or low-cost screenings. For example, \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic offers low-cost STI testing\u003c/a>, diagnosis and treatment on a walk-in basis, whether you’re insured or not. They also offer free condoms, and you can get at-home tests delivered via City Clinic in discreet packaging including screening kits for HIV and STIs.\u003c/p>\n\u003cfigure id=\"attachment_11950446\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11950446 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg\" alt=\"A young Asian man with glasses and a moustache and goatee squeezes the sample liquid on a test strip while carrying out a COVID-19 rapid self test at home.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">According to the most recent FDA data, antigen tests are effective in detecting arcturus and other omicron subvariants. \u003ccite>(Tang Ming Tung/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"covid\">\u003c/a>Pride and COVID-19\u003c/h2>\n\u003cp>\u003cb>Consider bringing an N95 mask with you\u003c/b>\u003c/p>\n\u003cp>While \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CiIQACABSABSBjM3NDMwYVoGTiBHZW5leKwBigEGNjdiODZi&selectedChartId=67b86b\">the presence of COVID in San Francisco wastewater\u003c/a> has steadily fallen after a spike in March, a huge amount of folks will be traveling into the city from other parts of the Bay Area, the state, the country and even the world — meaning it’s impossible to know just how many COVID-positive people will be present in the same crowded indoor space as you.\u003c/p>\n\u003cp>Even if you \u003ci>really \u003c/i>don’t want to wear a mask at a party or inside a bar, you might want to slip one on when using a busy bathroom (or “well-worn” Porta Potty), on public transit or in a crowded store on a supply run — and carrying one in your back pocket or purse at least gives you this option. And since Pride is for everyone, if you’re going to a celebration that’s primarily attended by disabled folks or people who are otherwise at a higher risk for severe illness from COVID, you might be outright asked to wear a mask.\u003c/p>\n\u003cp>\u003cb>Stay home if you’re not feeling well (even if it’s not COVID)\u003c/b>\u003c/p>\n\u003cp>If you’re experiencing any of \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html\">the symptoms of COVID\u003c/a> — which, with the arcturus variant, can include pink eye — seek out a test, and stay home if you’re positive. If you’re negative, but still feeling sick, consider staying home regardless. Missing the celebrations will hurt, but you’ll be keeping your community safer — even if it’s not COVID.\u003c/p>\n\u003cp>\u003cb>Feeling sick a couple days after Pride? Seek out a COVID test\u003c/b>\u003c/p>\n\u003cp>Unfortunately, finding a quick, free COVID test — whether an at-home antigen test or a PCR test — has gotten progressively harder at this stage of the pandemic, as more sites and services have been shuttered for good. As of June 1, the federal government has also ended its \u003ca href=\"https://www.covid.gov/tests\"> free at-home COVID-test-ordering service\u003c/a> through USPS. But you still have options: \u003ca href=\"https://www.kqed.org/news/11940562/how-to-find-a-free-covid-test-near-you-in-2023-because-its-getting-harder\">Find a free or low-cost test near you with our guide\u003c/a>, or use \u003ca href=\"https://testinglocator.cdc.gov/Search\">the CDC’s COVID test locator\u003c/a> — and read \u003ca href=\"https://www.kqed.org/news/11950386/at-home-covid-tests-are-still-effective-in-2023-and-you-can-still-get-them-for-free\">our guide to using at-home antigen tests in 2023\u003c/a>.\u003c/p>\n\u003cp>How long should you wait after a potential COVID exposure to take a test? If you’ve heard that incubation times for the virus are getting shorter, you’re not wrong — people really are testing positive for COVID more quickly than they were in 2020, when the average incubation period was five days. That’s because “the incubation period is definitely changing with the variants,” said UCSF’s Chin-Hong, and the period keeps going down somewhat with every new variant.\u003c/p>\n\u003cp>Given this trend, even with a lack of studies on the arcturus variant, it “makes sense that if someone has symptoms as quickly as two days after exposure, they should test rather than waiting the full five days,” advised Chin-Hong. “But if [you test] negative at two to three days, rinse and repeat.” In other words: If you’re feeling sick as soon as two days after a Pride party, don’t assume it’s just a cold or you’re rundown after the celebrations — it could very well be COVID.\u003c/p>\n\u003ch2>\u003cb>Lastly, remember: You don’t have to stick to the main Sunday parade\u003c/b>\u003c/h2>\n\u003cp>The presence of large corporations in the Pride parade can be jarring for some, who may not feel comfortable celebrating in this particular environment.\u003c/p>\n\u003cp>But there’ll be a huge amount of gatherings, celebrations, parties and safe spaces around Pride weekend — truly, something for everyone.\u003c/p>\n\u003cp>\u003ca href=\"https://www.transmarch.org/trans-march-2023/\">The 2023 Trans March\u003c/a> and accompanying events will kick off Pride weekend on Friday, June 23, starting at 11 a.m. with the Señora Felicia Flames Intergenerational Brunch, and the march itself is at 6 p.m. The following day, on Saturday, June 24, \u003ca href=\"https://www.thedykemarch.org/\">the 2023 Dyke March\u003c/a> begins at 5 p.m., starting from Dolores and 18th streets.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts has a guide to several Pride parties taking place over the weekend.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The San Francisco Sheriff’s Office is tasking its emergency unit with arresting and compelling treatment for people who use drugs or are intoxicated in public, city leaders announced Thursday.\u003c/p>\n\u003cp>The plan comes shortly after \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">Mayor London Breed last month told the Board of Supervisors that “force” needs to be part of the city’s response to drug use\u003c/a>. The sheriff’s plan includes deploying 130 additional deputies to the Tenderloin and South of Market neighborhoods, two areas where drug use, sales and overdoses are concentrated in the city.\u003c/p>\n\u003cp>The deputies will work overtime for a six-month deployment beginning this month.\u003c/p>\n\u003cp>“In many cases, individuals suffering from drug addiction only seek help when they hit their lowest point, and the sad truth for many is that the low point is incarceration,” Sheriff Paul Miyamoto said at a press conference Thursday morning outside City Hall.\u003c/p>\n\u003cp>The Emergency Services Unit at the sheriff’s office will work with the Mayor’s Office to increase arrests for drug sellers as well as people using drugs outdoors and in public settings, particularly those who are deemed to pose a threat to themselves or others.\u003c/p>\n\u003cfigure id=\"attachment_11952546\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A man in an official uniform with a starred badge pinned to it speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sheriff Paul Miyamoto speaks during a news conference outside City Hall Thursday morning. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement including the San Francisco Police Department, \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">the California Highway Patrol and the National Guard\u003c/a> in recent months have renewed focus on the Tenderloin and SoMa, two areas that have become central to ongoing debates over how to respond to challenges around outdoor drug use and sales, homelessness and substance use disorders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Part of the solution is making sure we have enough law enforcement on the ground in the Tenderloin, South of Market and in the Civic Center area to make sure drug dealers understand that their behavior will not be tolerated any longer in this city and that those who are struggling with addiction get the help they so desperately need,” District Attorney Brooke Jenkins told reporters at Thursday’s press conference.\u003c/p>\n\u003cp>But public health experts have historically decried the notion put forward Thursday that jails can rehabilitate substance use disorders for many. And incarceration can make life much worse for some people seeking employment or housing upon release.\u003c/p>\n\u003cp>Some fear the approach mimics tried-and-failed approaches to cracking down on drugs in the past, which led to outsized incarceration for members of Black and brown communities.\u003c/p>\n\u003cp>“Rounding up individuals for being under the influence is another war-on-drugs tactic that we know from decades of experience and research will not be effective in addressing our city’s public health crisis,” said San Francisco Public Defender Mano Raju in a statement following Thursday’s press conference. “Our jails, which already subject people to frequent lockdowns, little contact with family, and no sunlight, are not well-equipped to treat individuals with substance use disorder.”\u003c/p>\n\u003cfigure id=\"attachment_11952547\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A woman in a purple suit speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco District Attorney Brooke Jenkins speaks during Thursday’s press conference. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Numerous studies show that \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">efforts to criminalize drug use can also lead to increased overdoses\u003c/a> once targeted operations subside, and even immediately after individual arrests themselves.\u003c/p>\n\u003cp>In Indianapolis, \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">researchers found that opioid overdose deaths doubled within a 500-meter radius of each drug arrest\u003c/a>. “Elevated fatal and nonfatal opioid overdoses were sustained over one, two and three weeks,” reads \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">a report published June 7, 2023, in the \u003cem>American Journal of Public Health\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>One reason for the uptick in overdoses, the paper explains, is that disrupting the drug supply can drive drug users to find new suppliers who may have tainted substances, and pushing people to use drugs alone or secretly can lead to more erratic drug use.\u003c/p>\n\u003cp>Earlier this week, Breed applauded arrests made on 25 people for public intoxication with drugs or alcohol in the Tenderloin and SoMa. But, \u003cem>The San Francisco Chronicle \u003c/em>reported, \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-mayor-breed-arrests-drug-dealers-treatment-18135871.php\">none of them accepted drug treatment upon release from jail\u003c/a>.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='overdose,overdoses,fentanyl,fatal-overdoses,fentanyl-overdoses']Law enforcement officials on Thursday expressed awareness that arrests alone won’t fix the problematic drug use or crime trends. They suggested that it was part of a broader effort.\u003c/p>\n\u003cp>“While it’s an unpopular stance to take, arresting and putting people in jail, it can be a critical gateway to help and needs to be a part of the multipronged approach,” Miyamoto said. “We’re not advocating for harsher punishments or increased incarceration for those who are struggling with harmful choices. There needs to be a multipronged approach to these problems, not just a single focus on harm reduction and treating this as a health crisis.”\u003c/p>\n\u003cp>Although the six-month-long deployment will be focused on SoMa and the Tenderloin, the sheriff said it could potentially reach into other neighborhoods. The deputies will patrol in marked vehicles and on foot, Miyamoto said. In a press release, officials said that deputies “undergo extensive, specialized training for handling situations that require intervention for destructive or criminal behavior.”\u003c/p>\n\u003cp>The latest push to criminalize drug use in the Tenderloin and SoMa comes amid a staffing shortage in both SFPD and the Sheriff’s Office. Also on Thursday, city leaders held a hearing on those staffing challenges, for which some have called for additional funding to resolve.\u003c/p>\n\u003cp>“We have to be funded properly. We have to be staffed properly, and we definitely are working toward getting in that direction,” Police Chief Bill Scott said Thursday at the press conference. “But that doesn’t happen without our elected officials supporting us.”\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Francisco Sheriff’s Office is tasking its emergency unit with arresting and compelling treatment for people who use drugs or are intoxicated in public, city leaders announced Thursday.\u003c/p>\n\u003cp>The plan comes shortly after \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">Mayor London Breed last month told the Board of Supervisors that “force” needs to be part of the city’s response to drug use\u003c/a>. The sheriff’s plan includes deploying 130 additional deputies to the Tenderloin and South of Market neighborhoods, two areas where drug use, sales and overdoses are concentrated in the city.\u003c/p>\n\u003cp>The deputies will work overtime for a six-month deployment beginning this month.\u003c/p>\n\u003cp>“In many cases, individuals suffering from drug addiction only seek help when they hit their lowest point, and the sad truth for many is that the low point is incarceration,” Sheriff Paul Miyamoto said at a press conference Thursday morning outside City Hall.\u003c/p>\n\u003cp>The Emergency Services Unit at the sheriff’s office will work with the Mayor’s Office to increase arrests for drug sellers as well as people using drugs outdoors and in public settings, particularly those who are deemed to pose a threat to themselves or others.\u003c/p>\n\u003cfigure id=\"attachment_11952546\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A man in an official uniform with a starred badge pinned to it speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sheriff Paul Miyamoto speaks during a news conference outside City Hall Thursday morning. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement including the San Francisco Police Department, \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">the California Highway Patrol and the National Guard\u003c/a> in recent months have renewed focus on the Tenderloin and SoMa, two areas that have become central to ongoing debates over how to respond to challenges around outdoor drug use and sales, homelessness and substance use disorders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Part of the solution is making sure we have enough law enforcement on the ground in the Tenderloin, South of Market and in the Civic Center area to make sure drug dealers understand that their behavior will not be tolerated any longer in this city and that those who are struggling with addiction get the help they so desperately need,” District Attorney Brooke Jenkins told reporters at Thursday’s press conference.\u003c/p>\n\u003cp>But public health experts have historically decried the notion put forward Thursday that jails can rehabilitate substance use disorders for many. And incarceration can make life much worse for some people seeking employment or housing upon release.\u003c/p>\n\u003cp>Some fear the approach mimics tried-and-failed approaches to cracking down on drugs in the past, which led to outsized incarceration for members of Black and brown communities.\u003c/p>\n\u003cp>“Rounding up individuals for being under the influence is another war-on-drugs tactic that we know from decades of experience and research will not be effective in addressing our city’s public health crisis,” said San Francisco Public Defender Mano Raju in a statement following Thursday’s press conference. “Our jails, which already subject people to frequent lockdowns, little contact with family, and no sunlight, are not well-equipped to treat individuals with substance use disorder.”\u003c/p>\n\u003cfigure id=\"attachment_11952547\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A woman in a purple suit speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco District Attorney Brooke Jenkins speaks during Thursday’s press conference. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Numerous studies show that \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">efforts to criminalize drug use can also lead to increased overdoses\u003c/a> once targeted operations subside, and even immediately after individual arrests themselves.\u003c/p>\n\u003cp>In Indianapolis, \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">researchers found that opioid overdose deaths doubled within a 500-meter radius of each drug arrest\u003c/a>. “Elevated fatal and nonfatal opioid overdoses were sustained over one, two and three weeks,” reads \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">a report published June 7, 2023, in the \u003cem>American Journal of Public Health\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>One reason for the uptick in overdoses, the paper explains, is that disrupting the drug supply can drive drug users to find new suppliers who may have tainted substances, and pushing people to use drugs alone or secretly can lead to more erratic drug use.\u003c/p>\n\u003cp>Earlier this week, Breed applauded arrests made on 25 people for public intoxication with drugs or alcohol in the Tenderloin and SoMa. But, \u003cem>The San Francisco Chronicle \u003c/em>reported, \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-mayor-breed-arrests-drug-dealers-treatment-18135871.php\">none of them accepted drug treatment upon release from jail\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Law enforcement officials on Thursday expressed awareness that arrests alone won’t fix the problematic drug use or crime trends. They suggested that it was part of a broader effort.\u003c/p>\n\u003cp>“While it’s an unpopular stance to take, arresting and putting people in jail, it can be a critical gateway to help and needs to be a part of the multipronged approach,” Miyamoto said. “We’re not advocating for harsher punishments or increased incarceration for those who are struggling with harmful choices. There needs to be a multipronged approach to these problems, not just a single focus on harm reduction and treating this as a health crisis.”\u003c/p>\n\u003cp>Although the six-month-long deployment will be focused on SoMa and the Tenderloin, the sheriff said it could potentially reach into other neighborhoods. The deputies will patrol in marked vehicles and on foot, Miyamoto said. In a press release, officials said that deputies “undergo extensive, specialized training for handling situations that require intervention for destructive or criminal behavior.”\u003c/p>\n\u003cp>The latest push to criminalize drug use in the Tenderloin and SoMa comes amid a staffing shortage in both SFPD and the Sheriff’s Office. Also on Thursday, city leaders held a hearing on those staffing challenges, for which some have called for additional funding to resolve.\u003c/p>\n\u003cp>“We have to be funded properly. We have to be staffed properly, and we definitely are working toward getting in that direction,” Police Chief Bill Scott said Thursday at the press conference. “But that doesn’t happen without our elected officials supporting us.”\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "'Compassion Is Killing People': SF Mayor London Breed Pushes for More Arrests to Tackle City's Drug Crisis",
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"content": "\u003cp>An attempt by San Francisco leaders to hold an outdoor question-and-answer session about the city’s drug crisis was thwarted Tuesday afternoon after protesters at United Nations Plaza shouted over Mayor London Breed and Board of Supervisors President Aaron Peskin.\u003c/p>\n\u003cp>After retreating to City Hall, Breed and Peskin — who had requested the special off-site location for the full Board of Supervisors meeting to put a spotlight on problems in the area — continued to discuss how the city is addressing ongoing problems with open-air drug dealing, drug use and dangerous street conditions, all of which UN Plaza has come to symbolize.\u003c/p>\n\u003cp>Breed touted many of the mental health services and programs the city has under her leadership and praised efforts to prioritize treatment over punitive approaches. But she also said accountability has been lacking, and suggested that the city’s public health-based approaches have reached their limits of efficacy in tackling the current crisis.\u003c/p>\n\u003cp>“Force is going to have to be a part of it, whether people like it or not. We’re going to have to do more,” Breed told the Board of Supervisors inside City Hall, in response to a question from Peskin about whether she intended to clear outdoor drug dealing and potentially reignite emergency orders, such as the one she \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">declared in 2021 for the Tenderloin neighborhood\u003c/a>; for 90 days, the order galvanized multiple city departments to address challenges in the area.\u003c/p>\n\u003cp>“At the end of the day, we can’t just keep throwing up our hands and think all of a sudden what we are doing is working,” she said. “Compassion is killing people. And we have to push forth some tough love to change what’s happening on the streets of San Francisco.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Although Breed did not specifically comment on a potential new emergency order, she highlighted the San Francisco Police Department’s new partnership with the California Highway Patrol and the California Army National Guard, or CalGuard — \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">announced by Gov. Gavin Newsom at the end of April\u003c/a> — targeting drug trafficking and dealing in the city.\u003c/p>\n\u003cp>“We can’t force the state and the feds to come to the table, but finally they are coming to the table in a way that’s not necessarily traditional,” Breed said. “They are invited to work with us even to the point where if they want to oversee the operation … we will follow direction. Whatever it takes. I am willing to humble the city to do whatever is necessary to get to a better place.”\u003c/p>\n\u003cp>Breed also asked the board to pass her upcoming budget without any reductions and to “support the arrests for those who are struggling with addiction, especially when they break the law, to get them into drug treatment court and the support they so desperately need.”\u003c/p>\n\u003cp>Supervisor Dean Preston, whose district includes the Tenderloin, compared the approach to tough-on-crime drug policies known collectively as the war on drugs, which began in the ’70s under President Richard Nixon and was greatly expanded in the ’80s under President Ronald Reagan. Black men in particular were vastly overrepresented in the increased arrests during the crack and heroin epidemics.\u003c/p>\n\u003cp>“What she’s proposing is arresting people for drug use. And that is a key part of the war on drugs, and it does nothing other than get people off the streets temporarily — and then in the end, increased drug use and increased overdoses,” Preston told KQED. “The only thing that this accomplishes is getting people out of sight for a few hours at a very high price to the city.”\u003c/p>\n\u003cp>In a press release, Preston later added: “If the Mayor, Supervisors, and other City leaders care about the Tenderloin, they should make sure the Tenderloin gets the investments the community needs in the budget process, support our $10 million emergency Tenderloin public safety supplemental, deliver the long promised Tenderloin wellness hub without further delay, house people who are unhoused, and make treatment on demand a reality.”\u003c/p>\n\u003cfigure id=\"attachment_11950525\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11950525\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut.jpg\" alt=\"A middle-aged Black man stands behind a camera, in a crowd, shouting.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A protester shouts during an unusual public Q&A session with San Francisco Mayor London Breed and Board of Supervisors President Aaron Peskin. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city is currently developing a pilot program to address when someone on the street is “so far under the influence of drugs that they may pose a danger to themselves or others,” according to a spokesperson for the city’s Department of Emergency Management.\u003c/p>\n\u003cp>The program, which could involve enforcing public intoxication laws, will be included in the mayor’s upcoming budget proposal.\u003c/p>\n\u003cp>“The uncomfortable conversations have to happen. I get that people have an issue that we are getting more aggressive to people with addiction,” Breed told the board. “I’m one of those people. I lost a sister to drug overdose.”\u003c/p>\n\u003cp>But while Breed’s sister struggled to access treatment services years ago, Breed said, many more facilities and beds have become available under her leadership, and the wait time for treatment has since dropped.\u003c/p>\n\u003cp>Public health and addiction advocates, however, stress that there are still not enough resources to meet the need San Francisco is facing due to fentanyl, an opioid 50 times more potent than heroin that has led to a spike in overdose deaths in the city in recent years.\u003c/p>\n\u003cp>And they point to research that has shown that more incarceration could lead to higher overdose rates among offenders shortly after their release.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"fentanyl\"]Located in the heart of San Francisco a short walk from City Hall, the historic UN Plaza is flanked by the Orpheum Theater to the west and Market Street to the south. On Wednesdays, it hosts one of the city’s largest farmers markets. But the plaza has also become ground zero for debates over policing the drug use and sales that frequently occur there.\u003c/p>\n\u003cp>Around 100 people gathered in the plaza Tuesday for the unusual, short-lived Board of Supervisors meeting, which \u003ca href=\"https://sfstandard.com/politics/political-theater-mayor-london-breed-drug-crisis-united-nations-plaza-aaron-peskin/\">cost more than $4,000 to stage, according to The San Francisco Standard\u003c/a>.\u003c/p>\n\u003cp>One protester allegedly threw a brick toward the speaking area after Supervisor Peskin recessed the outdoor hearing and moved it back to City Hall.\u003c/p>\n\u003cp>Other demonstrators held signs and demanded justice for Banko Brown, a 24-year-old Black trans man who was shot and killed by a Walgreens security guard last month. \u003ca href=\"https://www.kqed.org/news/11949558/district-attorney-releases-video-of-banko-brown-shooting-at-walgreens-wont-files-charges-against-security-gaurd\">District Attorney Brooke Jenkins recently declined to prosecute the guard.\u003c/a>\u003c/p>\n\u003cp>“Mayor London Breed needs to step down. She could not handle it,” said Charie Pittman, one of the protesters, who said she works at a shelter in the Bayview. “It is over her head. She has too much piled up on her plate, starting from COVID, chemical warfare, racism and religion.”\u003c/p>\n\u003cp>\u003cem>KQED’s Joe Fitzgerald Rodriguez contributed to this story.\u003c/em>\u003cbr>\n\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>An attempt by San Francisco leaders to hold an outdoor question-and-answer session about the city’s drug crisis was thwarted Tuesday afternoon after protesters at United Nations Plaza shouted over Mayor London Breed and Board of Supervisors President Aaron Peskin.\u003c/p>\n\u003cp>After retreating to City Hall, Breed and Peskin — who had requested the special off-site location for the full Board of Supervisors meeting to put a spotlight on problems in the area — continued to discuss how the city is addressing ongoing problems with open-air drug dealing, drug use and dangerous street conditions, all of which UN Plaza has come to symbolize.\u003c/p>\n\u003cp>Breed touted many of the mental health services and programs the city has under her leadership and praised efforts to prioritize treatment over punitive approaches. But she also said accountability has been lacking, and suggested that the city’s public health-based approaches have reached their limits of efficacy in tackling the current crisis.\u003c/p>\n\u003cp>“Force is going to have to be a part of it, whether people like it or not. We’re going to have to do more,” Breed told the Board of Supervisors inside City Hall, in response to a question from Peskin about whether she intended to clear outdoor drug dealing and potentially reignite emergency orders, such as the one she \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">declared in 2021 for the Tenderloin neighborhood\u003c/a>; for 90 days, the order galvanized multiple city departments to address challenges in the area.\u003c/p>\n\u003cp>“At the end of the day, we can’t just keep throwing up our hands and think all of a sudden what we are doing is working,” she said. “Compassion is killing people. And we have to push forth some tough love to change what’s happening on the streets of San Francisco.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Although Breed did not specifically comment on a potential new emergency order, she highlighted the San Francisco Police Department’s new partnership with the California Highway Patrol and the California Army National Guard, or CalGuard — \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">announced by Gov. Gavin Newsom at the end of April\u003c/a> — targeting drug trafficking and dealing in the city.\u003c/p>\n\u003cp>“We can’t force the state and the feds to come to the table, but finally they are coming to the table in a way that’s not necessarily traditional,” Breed said. “They are invited to work with us even to the point where if they want to oversee the operation … we will follow direction. Whatever it takes. I am willing to humble the city to do whatever is necessary to get to a better place.”\u003c/p>\n\u003cp>Breed also asked the board to pass her upcoming budget without any reductions and to “support the arrests for those who are struggling with addiction, especially when they break the law, to get them into drug treatment court and the support they so desperately need.”\u003c/p>\n\u003cp>Supervisor Dean Preston, whose district includes the Tenderloin, compared the approach to tough-on-crime drug policies known collectively as the war on drugs, which began in the ’70s under President Richard Nixon and was greatly expanded in the ’80s under President Ronald Reagan. Black men in particular were vastly overrepresented in the increased arrests during the crack and heroin epidemics.\u003c/p>\n\u003cp>“What she’s proposing is arresting people for drug use. And that is a key part of the war on drugs, and it does nothing other than get people off the streets temporarily — and then in the end, increased drug use and increased overdoses,” Preston told KQED. “The only thing that this accomplishes is getting people out of sight for a few hours at a very high price to the city.”\u003c/p>\n\u003cp>In a press release, Preston later added: “If the Mayor, Supervisors, and other City leaders care about the Tenderloin, they should make sure the Tenderloin gets the investments the community needs in the budget process, support our $10 million emergency Tenderloin public safety supplemental, deliver the long promised Tenderloin wellness hub without further delay, house people who are unhoused, and make treatment on demand a reality.”\u003c/p>\n\u003cfigure id=\"attachment_11950525\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11950525\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut.jpg\" alt=\"A middle-aged Black man stands behind a camera, in a crowd, shouting.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65801_010_KQED_LondonBreedQA_05232023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A protester shouts during an unusual public Q&A session with San Francisco Mayor London Breed and Board of Supervisors President Aaron Peskin. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city is currently developing a pilot program to address when someone on the street is “so far under the influence of drugs that they may pose a danger to themselves or others,” according to a spokesperson for the city’s Department of Emergency Management.\u003c/p>\n\u003cp>The program, which could involve enforcing public intoxication laws, will be included in the mayor’s upcoming budget proposal.\u003c/p>\n\u003cp>“The uncomfortable conversations have to happen. I get that people have an issue that we are getting more aggressive to people with addiction,” Breed told the board. “I’m one of those people. I lost a sister to drug overdose.”\u003c/p>\n\u003cp>But while Breed’s sister struggled to access treatment services years ago, Breed said, many more facilities and beds have become available under her leadership, and the wait time for treatment has since dropped.\u003c/p>\n\u003cp>Public health and addiction advocates, however, stress that there are still not enough resources to meet the need San Francisco is facing due to fentanyl, an opioid 50 times more potent than heroin that has led to a spike in overdose deaths in the city in recent years.\u003c/p>\n\u003cp>And they point to research that has shown that more incarceration could lead to higher overdose rates among offenders shortly after their release.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Located in the heart of San Francisco a short walk from City Hall, the historic UN Plaza is flanked by the Orpheum Theater to the west and Market Street to the south. On Wednesdays, it hosts one of the city’s largest farmers markets. But the plaza has also become ground zero for debates over policing the drug use and sales that frequently occur there.\u003c/p>\n\u003cp>Around 100 people gathered in the plaza Tuesday for the unusual, short-lived Board of Supervisors meeting, which \u003ca href=\"https://sfstandard.com/politics/political-theater-mayor-london-breed-drug-crisis-united-nations-plaza-aaron-peskin/\">cost more than $4,000 to stage, according to The San Francisco Standard\u003c/a>.\u003c/p>\n\u003cp>One protester allegedly threw a brick toward the speaking area after Supervisor Peskin recessed the outdoor hearing and moved it back to City Hall.\u003c/p>\n\u003cp>Other demonstrators held signs and demanded justice for Banko Brown, a 24-year-old Black trans man who was shot and killed by a Walgreens security guard last month. \u003ca href=\"https://www.kqed.org/news/11949558/district-attorney-releases-video-of-banko-brown-shooting-at-walgreens-wont-files-charges-against-security-gaurd\">District Attorney Brooke Jenkins recently declined to prosecute the guard.\u003c/a>\u003c/p>\n\u003cp>“Mayor London Breed needs to step down. She could not handle it,” said Charie Pittman, one of the protesters, who said she works at a shelter in the Bayview. “It is over her head. She has too much piled up on her plate, starting from COVID, chemical warfare, racism and religion.”\u003c/p>\n\u003cp>\u003cem>KQED’s Joe Fitzgerald Rodriguez contributed to this story.\u003c/em>\u003cbr>\n\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Newsom's Plan to Crack Down on Fentanyl in San Francisco Could Cause More Harm Than Good, Some Addiction Experts Say",
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"content": "\u003cp>Gov. Gavin Newsom and Mayor London Breed are doubling down on law enforcement to get a grip on drug-related challenges in San Francisco’s city core.\u003c/p>\n\u003cp>Addiction experts, however, say that the city and state’s latest effort repeats tough-on-crime tactics and rhetoric that have not succeeded in curbing drug dealing in the long run, and at times have led to spikes in overdose deaths when the intervention ends.\u003c/p>\n\u003cp>“Unfortunately, these crackdowns on the drug supply don’t work as well as we want them to,” said Daniel Ciccarone, professor in addiction medicine at UCSF. “When we say we want to crack down on the supply and get more people into treatment, if you don’t do that carefully, the only thing you do is add to stigma and barriers to treatment. That is what the evidence shows.”\u003c/p>\n\u003cp>Increased police presence could initially deter drug use and dealing. Officials did not state how long the operation would last, however, and that could also lead to other unintended consequences, said Vitka Eisen, CEO of the nonprofit HealthRight 360.\u003c/p>\n\u003cp>“When you increase enforcement on the street and pressure the supply side, what often results is much more chaotic drug use patterns in which people are more desperate to get drugs, prices go up, they use in a less safe way,” Eisen said. “So one of the unintended consequences of increased enforcement is increased overdoses.”[aside postID=news_11948062 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS28905_GettyImages-678967-qut-1020x701.jpg']Starting May 1, Newsom is sending additional California Highway Patrol officers into the Tenderloin and South of Market neighborhoods, where the majority of overdose deaths have occurred in recent years. There are currently 75 CHP officers assigned to the area, and that could go up to 84, according to CHP officials. Fourteen members of the California National Guard will also work to train San Francisco police in identifying and responding to potential trafficking cases.\u003c/p>\n\u003cp>Newsom and Breed stated that their focus in San Francisco is around drug dealers and traffickers, not drug users themselves. But there is often overlap in those populations, according to addiction researchers.\u003c/p>\n\u003cp>“There is a false dichotomy here in terms of people who are drug merchants and people who are using drugs. You know, it can often be the same people. The people who use drugs might actually be selling or trading drugs as well,” said Alex Kral, an epidemiologist at the independent nonprofit research institute RTI International. “If you’re simply doing an intervention to try to remove people who sell drugs, you’re actually also hurting people who use drugs.”\u003c/p>\n\u003cp>Both experts point to how, earlier this year, overdose rates in San Francisco rapidly increased shortly following the closure of the Tenderloin Center, a drop-in social services center and safe consumption site that operated for 11 months. Trained \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">staff at the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>The Tenderloin Center opened in January 2022 as part of a wider intervention for the neighborhood that aimed to curb outdoor drug dealing and use, clean city sidewalks, get more people into drug treatment and reduce overdose deaths. The temporary emergency operation lasted 90 days and the center stayed open for 11 months.\u003c/p>\n\u003cp>“Without a replacement (for the Tenderloin Center), and then to instead focus on policing people, it’s no surprise to me that there are more overdoses this year than last year,” Kral said. “There’s no surprise to me that things will get worse with this approach.”\u003c/p>\n\u003ch2>Residents say help is needed\u003c/h2>\n\u003cp>Newsom’s intervention comes alongside serious concerns about safety in the Tenderloin and in SoMa and complaints about street conditions that some feel are out of control. Residents who spoke to KQED said they are desperate for solutions.\u003c/p>\n\u003cp>Jacob Thornton, 32, lives at Trinity Place in SoMa and said he has been held up at knifepoint twice outside his building. He supports the additional law enforcement resources coming into the neighborhood.[pullquote align=\"right\" size=\"medium\" citation=\"Vitka Eisen, CEO, HealthRight 360\"]‘[O]ne of the unintended consequences of increased enforcement is increased overdoses.’[/pullquote]“The police recommendation to me when I got a knife pulled on me was to not walk outside and not be on the sidewalk. I mean, wow,” said Thornton outside his building on May 1, the day the latest operation was set to begin. “I have not seen any National Guard yet, but I’m very excited for them to come if they are coming, because this block in particular is just absolutely wild and no one seems to do anything about it.”\u003c/p>\n\u003cp>Haley Hampton splits her time between her home in the city of Richmond, where her kids and grandmother live, and a room on Jones Street in the Tenderloin to be closer to her son, who was recently released from prison.\u003c/p>\n\u003cp>She too welcomed the additional attention to the neighborhood, but was skeptical that it would lead to lasting change.\u003c/p>\n\u003cp>“I’m out here every night making sure that no one is in the corner overdosing or drowning from their alcohol,” she said. Sending in CHP “can make a difference only if they include the community that it wants to change. People have their vices, but we don’t give them a chance.”\u003c/p>\n\u003cp>Hampton regularly shows friends and neighbors in the area how to administer Narcan, a naloxone nasal spray that can reverse an opioid overdose, and said that the community has learned to look out for itself.\u003c/p>\n\u003cp>“One needs to take only a 20-minute stroll in the Tenderloin to know there’s something amiss. And I understand the political and administrative and even civic call for law and order,” said Ciccarone. “But the drug supply is unbelievably resilient in America. You try to curtail it like a snake and you cut off its head, but it just grows two heads.”\u003c/p>\n\u003ch2>How other places are responding to fentanyl\u003c/h2>\n\u003cp>Places outside California are now trying strategies to reduce the demand for illicit drugs. Canada, which is also grappling with fentanyl, opened ATM-like machines that can dispense safe amounts of opioids in controlled settings, for example.\u003c/p>\n\u003cp>The machines helped reduce overdose deaths and drug dealing by regulating what is in the supply, and by limiting the demand for users to buy drugs illegally. The Canadian government in 2021 \u003ca href=\"https://www.canada.ca/en/health-canada/news/2021/03/government-of-canada-supports-expansion-of-innovative-safer-supply-project-to-operate-in-four-cities-across-canada.html\">expanded the service program to four cities\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than 200 safe consumption sites also operate globally in more than a dozen countries, including France, Denmark, Canada, Australia, Switzerland and others. The facilities offer a space where people can use drugs and trained staff can reverse an overdose if it occurs, while also connecting people with other health and social services.\u003c/p>\n\u003cp>New York City has found early success with reversing overdoses and reducing public drug use by operating two safe consumption sites at a private nonprofit called OnPoint NYC.\u003c/p>\n\u003cp>In 2020, Rhode Island became the first state to legalize supervised drug consumption services, and now has a state-approved plan to open a site in Providence in early 2024. The state has allocated $2.6 million from opioid settlement funds to pay for the first year of operation.\u003c/p>\n\u003cp>In San Francisco, Breed has said she supports opening safe consumption sites and has support from the Board of Supervisors. But last year, Gov. Gavin Newsom vetoed legislation that would have allowed sites to operate on a pilot basis in San Francisco, Los Angeles and Oakland.\u003c/p>\n\u003cp>San Francisco plans to move forward with opening a safe consumption site nonetheless, using a model borrowed from New York City, where a nonprofit pays for and operates the overdose prevention services.[pullquote align=\"right\" size=\"medium\" citation=\"Alex Kral, epidemiologist, RTI International\"]‘Do you want to spend your money on jails … or do you want to spend your money on these sites that can actually help people?’[/pullquote]But those efforts have hit delays because the nonprofits that want to provide safe consumption say they can’t afford to do so without help from the city. San Francisco has a projected $130 million in funding coming in through settlements with pharmacies, drug manufacturers and distributors for their role in the overdose crisis, and the money is earmarked specifically for overdose prevention, such as purchasing and distributing Narcan.\u003c/p>\n\u003cp>City Attorney David Chiu has not yet agreed to use the funds for supervised consumption sites.\u003c/p>\n\u003cp>“Not only is the U.S. not up to international standards on overdose prevention, but San Francisco and California as a whole are not up to national standards,” Ciccarone said, referring to the steps that some states are taking to address fentanyl overdoses and street-level problems related to drugs.\u003c/p>\n\u003cp>In the meantime, \u003ca href=\"https://www.sfexaminer.com/news/can-a-new-san-francisco-drug-testing-program-help-keep-users-safe/article_f289ddaa-4a53-11ed-a8ae-879e236a7de2.html\">San Francisco has been piloting a drug testing program\u003c/a>, but on a small scale. The idea is to offer people a chance to test what is in their supply and open conversations about safer use and even treatment. The city has also ramped up distribution of Narcan.\u003c/p>\n\u003cp>“What we need here is leadership, not complaining and pointing fingers and draconian responses. We need courage, which combines both the heart-centered approach and bold stances that are not same old, same old,” he said. “That doesn’t work in the fentanyl epidemic.”\u003c/p>\n\u003ch2>A rock and a hard place\u003c/h2>\n\u003cp>The California Legislature is currently debating nearly 30 bills introduced this year that aim to combat the fentanyl crisis as overdose deaths statewide have also ticked up. Some of the bills seek to ramp up prison sentences for fentanyl dealers, while others focus on education and prevention.\u003c/p>\n\u003cp>Supervisor Matt Dorsey, who represents the SoMa neighborhood, has repeatedly called for increased police presence to deter drug use and dealing.[aside label=\"Related Stories\" postID=\"news_11947448,science_1982214,news_11945418\"]“San Francisco is on the precipice of a potentially catastrophic police staffing shortage, and there are too many public safety problems we’ll be helpless to solve if we don’t start solving SFPD’s understaffing crisis first,” Dorsey stated earlier this year when \u003ca href=\"https://sfbos.org/sites/default/files/23.01.23_Dorsey%20pushes%20police%20recruitment%20bonus%20matching%20policy%20to%20avoid%20%E2%80%98catastrophic%E2%80%99%20SFPD%20staffing%20shortage.pdf\">advocating for police recruitment bonuses (PDF)\u003c/a>.\u003c/p>\n\u003cp>San Francisco Public Defender Mano Raju said he fears that would lead to negative outcomes similar to the crack cocaine and heroin epidemics.\u003c/p>\n\u003cp>“We know from 50 years of the war on drugs that the people who are likely to be targeted by any forthcoming operations will be in low-income and Black and Brown communities, including those who have been trafficked or coerced into the drug trade under threat to themselves and their families,” Raju said in a press release after the new plan was announced.\u003c/p>\n\u003cp>Providing housing and places where people can leave the street for safer settings to use drugs can be closer to the win-win politicians are looking for, Kral said.\u003c/p>\n\u003cp>There’s an economic incentive, too, Kral added. His research on local public health and public safety spending estimates that \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">the city could save a minimum of $2.6 million\u003c/a> if it were to offer places where people could use drugs more safely and out of the public.\u003c/p>\n\u003cp>“Do you want to spend your money on jails,” he said, “or do you want to spend your money on these sites that can actually help people?”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom and Mayor London Breed are doubling down on law enforcement to get a grip on drug-related challenges in San Francisco’s city core.\u003c/p>\n\u003cp>Addiction experts, however, say that the city and state’s latest effort repeats tough-on-crime tactics and rhetoric that have not succeeded in curbing drug dealing in the long run, and at times have led to spikes in overdose deaths when the intervention ends.\u003c/p>\n\u003cp>“Unfortunately, these crackdowns on the drug supply don’t work as well as we want them to,” said Daniel Ciccarone, professor in addiction medicine at UCSF. “When we say we want to crack down on the supply and get more people into treatment, if you don’t do that carefully, the only thing you do is add to stigma and barriers to treatment. That is what the evidence shows.”\u003c/p>\n\u003cp>Increased police presence could initially deter drug use and dealing. Officials did not state how long the operation would last, however, and that could also lead to other unintended consequences, said Vitka Eisen, CEO of the nonprofit HealthRight 360.\u003c/p>\n\u003cp>“When you increase enforcement on the street and pressure the supply side, what often results is much more chaotic drug use patterns in which people are more desperate to get drugs, prices go up, they use in a less safe way,” Eisen said. “So one of the unintended consequences of increased enforcement is increased overdoses.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Starting May 1, Newsom is sending additional California Highway Patrol officers into the Tenderloin and South of Market neighborhoods, where the majority of overdose deaths have occurred in recent years. There are currently 75 CHP officers assigned to the area, and that could go up to 84, according to CHP officials. Fourteen members of the California National Guard will also work to train San Francisco police in identifying and responding to potential trafficking cases.\u003c/p>\n\u003cp>Newsom and Breed stated that their focus in San Francisco is around drug dealers and traffickers, not drug users themselves. But there is often overlap in those populations, according to addiction researchers.\u003c/p>\n\u003cp>“There is a false dichotomy here in terms of people who are drug merchants and people who are using drugs. You know, it can often be the same people. The people who use drugs might actually be selling or trading drugs as well,” said Alex Kral, an epidemiologist at the independent nonprofit research institute RTI International. “If you’re simply doing an intervention to try to remove people who sell drugs, you’re actually also hurting people who use drugs.”\u003c/p>\n\u003cp>Both experts point to how, earlier this year, overdose rates in San Francisco rapidly increased shortly following the closure of the Tenderloin Center, a drop-in social services center and safe consumption site that operated for 11 months. Trained \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">staff at the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>The Tenderloin Center opened in January 2022 as part of a wider intervention for the neighborhood that aimed to curb outdoor drug dealing and use, clean city sidewalks, get more people into drug treatment and reduce overdose deaths. The temporary emergency operation lasted 90 days and the center stayed open for 11 months.\u003c/p>\n\u003cp>“Without a replacement (for the Tenderloin Center), and then to instead focus on policing people, it’s no surprise to me that there are more overdoses this year than last year,” Kral said. “There’s no surprise to me that things will get worse with this approach.”\u003c/p>\n\u003ch2>Residents say help is needed\u003c/h2>\n\u003cp>Newsom’s intervention comes alongside serious concerns about safety in the Tenderloin and in SoMa and complaints about street conditions that some feel are out of control. Residents who spoke to KQED said they are desperate for solutions.\u003c/p>\n\u003cp>Jacob Thornton, 32, lives at Trinity Place in SoMa and said he has been held up at knifepoint twice outside his building. He supports the additional law enforcement resources coming into the neighborhood.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The police recommendation to me when I got a knife pulled on me was to not walk outside and not be on the sidewalk. I mean, wow,” said Thornton outside his building on May 1, the day the latest operation was set to begin. “I have not seen any National Guard yet, but I’m very excited for them to come if they are coming, because this block in particular is just absolutely wild and no one seems to do anything about it.”\u003c/p>\n\u003cp>Haley Hampton splits her time between her home in the city of Richmond, where her kids and grandmother live, and a room on Jones Street in the Tenderloin to be closer to her son, who was recently released from prison.\u003c/p>\n\u003cp>She too welcomed the additional attention to the neighborhood, but was skeptical that it would lead to lasting change.\u003c/p>\n\u003cp>“I’m out here every night making sure that no one is in the corner overdosing or drowning from their alcohol,” she said. Sending in CHP “can make a difference only if they include the community that it wants to change. People have their vices, but we don’t give them a chance.”\u003c/p>\n\u003cp>Hampton regularly shows friends and neighbors in the area how to administer Narcan, a naloxone nasal spray that can reverse an opioid overdose, and said that the community has learned to look out for itself.\u003c/p>\n\u003cp>“One needs to take only a 20-minute stroll in the Tenderloin to know there’s something amiss. And I understand the political and administrative and even civic call for law and order,” said Ciccarone. “But the drug supply is unbelievably resilient in America. You try to curtail it like a snake and you cut off its head, but it just grows two heads.”\u003c/p>\n\u003ch2>How other places are responding to fentanyl\u003c/h2>\n\u003cp>Places outside California are now trying strategies to reduce the demand for illicit drugs. Canada, which is also grappling with fentanyl, opened ATM-like machines that can dispense safe amounts of opioids in controlled settings, for example.\u003c/p>\n\u003cp>The machines helped reduce overdose deaths and drug dealing by regulating what is in the supply, and by limiting the demand for users to buy drugs illegally. The Canadian government in 2021 \u003ca href=\"https://www.canada.ca/en/health-canada/news/2021/03/government-of-canada-supports-expansion-of-innovative-safer-supply-project-to-operate-in-four-cities-across-canada.html\">expanded the service program to four cities\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 200 safe consumption sites also operate globally in more than a dozen countries, including France, Denmark, Canada, Australia, Switzerland and others. The facilities offer a space where people can use drugs and trained staff can reverse an overdose if it occurs, while also connecting people with other health and social services.\u003c/p>\n\u003cp>New York City has found early success with reversing overdoses and reducing public drug use by operating two safe consumption sites at a private nonprofit called OnPoint NYC.\u003c/p>\n\u003cp>In 2020, Rhode Island became the first state to legalize supervised drug consumption services, and now has a state-approved plan to open a site in Providence in early 2024. The state has allocated $2.6 million from opioid settlement funds to pay for the first year of operation.\u003c/p>\n\u003cp>In San Francisco, Breed has said she supports opening safe consumption sites and has support from the Board of Supervisors. But last year, Gov. Gavin Newsom vetoed legislation that would have allowed sites to operate on a pilot basis in San Francisco, Los Angeles and Oakland.\u003c/p>\n\u003cp>San Francisco plans to move forward with opening a safe consumption site nonetheless, using a model borrowed from New York City, where a nonprofit pays for and operates the overdose prevention services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But those efforts have hit delays because the nonprofits that want to provide safe consumption say they can’t afford to do so without help from the city. San Francisco has a projected $130 million in funding coming in through settlements with pharmacies, drug manufacturers and distributors for their role in the overdose crisis, and the money is earmarked specifically for overdose prevention, such as purchasing and distributing Narcan.\u003c/p>\n\u003cp>City Attorney David Chiu has not yet agreed to use the funds for supervised consumption sites.\u003c/p>\n\u003cp>“Not only is the U.S. not up to international standards on overdose prevention, but San Francisco and California as a whole are not up to national standards,” Ciccarone said, referring to the steps that some states are taking to address fentanyl overdoses and street-level problems related to drugs.\u003c/p>\n\u003cp>In the meantime, \u003ca href=\"https://www.sfexaminer.com/news/can-a-new-san-francisco-drug-testing-program-help-keep-users-safe/article_f289ddaa-4a53-11ed-a8ae-879e236a7de2.html\">San Francisco has been piloting a drug testing program\u003c/a>, but on a small scale. The idea is to offer people a chance to test what is in their supply and open conversations about safer use and even treatment. The city has also ramped up distribution of Narcan.\u003c/p>\n\u003cp>“What we need here is leadership, not complaining and pointing fingers and draconian responses. We need courage, which combines both the heart-centered approach and bold stances that are not same old, same old,” he said. “That doesn’t work in the fentanyl epidemic.”\u003c/p>\n\u003ch2>A rock and a hard place\u003c/h2>\n\u003cp>The California Legislature is currently debating nearly 30 bills introduced this year that aim to combat the fentanyl crisis as overdose deaths statewide have also ticked up. Some of the bills seek to ramp up prison sentences for fentanyl dealers, while others focus on education and prevention.\u003c/p>\n\u003cp>Supervisor Matt Dorsey, who represents the SoMa neighborhood, has repeatedly called for increased police presence to deter drug use and dealing.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“San Francisco is on the precipice of a potentially catastrophic police staffing shortage, and there are too many public safety problems we’ll be helpless to solve if we don’t start solving SFPD’s understaffing crisis first,” Dorsey stated earlier this year when \u003ca href=\"https://sfbos.org/sites/default/files/23.01.23_Dorsey%20pushes%20police%20recruitment%20bonus%20matching%20policy%20to%20avoid%20%E2%80%98catastrophic%E2%80%99%20SFPD%20staffing%20shortage.pdf\">advocating for police recruitment bonuses (PDF)\u003c/a>.\u003c/p>\n\u003cp>San Francisco Public Defender Mano Raju said he fears that would lead to negative outcomes similar to the crack cocaine and heroin epidemics.\u003c/p>\n\u003cp>“We know from 50 years of the war on drugs that the people who are likely to be targeted by any forthcoming operations will be in low-income and Black and Brown communities, including those who have been trafficked or coerced into the drug trade under threat to themselves and their families,” Raju said in a press release after the new plan was announced.\u003c/p>\n\u003cp>Providing housing and places where people can leave the street for safer settings to use drugs can be closer to the win-win politicians are looking for, Kral said.\u003c/p>\n\u003cp>There’s an economic incentive, too, Kral added. His research on local public health and public safety spending estimates that \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">the city could save a minimum of $2.6 million\u003c/a> if it were to offer places where people could use drugs more safely and out of the public.\u003c/p>\n\u003cp>“Do you want to spend your money on jails,” he said, “or do you want to spend your money on these sites that can actually help people?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Newsom Taps California Highway Patrol, National Guard to Fight San Francisco’s Fentanyl Crisis",
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"content": "\u003cp>A new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco Police in \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">disrupting fentanyl\u003c/a> dealing and trafficking, Gov. Gavin Newsom announced Friday.\u003c/p>\n\u003cp>The mobilization comes as overdose rates in the city have increased 41% across \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">the first three months of this year (PDF)\u003c/a> compared with \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the same time period in 2022 (PDF)\u003c/a>, when the city was operating a supervised consumption site. Trained staff at \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>“Those who traffic drugs, guns, and human beings are not welcome in our communities,” said Newsom in a press release. “That’s why we’re launching this operation. This is not about criminalizing people struggling with substance use — this is about taking down the prominent poison peddlers and their connected crime rings that prey on the most vulnerable, and harm our residents. While it’s true that San Francisco is safer than many cities its size, we cannot let rampant crime continue.”\u003c/p>\n\u003cfigure id=\"attachment_11948099\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948099\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg\" alt=\"A photo of a politician in a navy blue suit with navy and white tie, stands speaking from a podium with the U.S. and California state flags behind him.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom announced on Friday, April 28, 2023, that a new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco police in disrupting fentanyl dealing and trafficking. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Starting May 1, CHP officers will help investigate opioid trafficking cases and train local police in identifying intoxicated drivers, city officials said on Friday. The effort will have a particular focus on the Tenderloin neighborhood, where the majority of overdose deaths have occurred this year.\u003c/p>\n\u003cp>Additional CHP units will also patrol hot spots for drug dealing in the city “as workload allows,” according to the press release about the plan. So far, 75 CHP officers have been stationed in the San Francisco area, CHP Commissioner Sean Duryee told reporters at a press conference on Friday. He said he expects that number to increase to 84 in the coming weeks.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Meanwhile, 14 members of the California National Guard (Cal Guard) will work remotely with SFPD on non-patrol operations such as improving administrative systems and responses to drug-related crime.\u003c/p>\n\u003cp>Since January, San Francisco police have made more than 300 arrests for possession with intent to sell and seized 150% more fentanyl in the first three months of 2023 compared to 2022, according to the mayor’s office. On Tuesday, District Attorney Brooke Jenkins announced multiple charges against a 23-year-old arrested for carrying 11 pounds of fentanyl, an opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Fentanyl has been involved in the vast majority of recent overdose deaths in San Francisco, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Officials on Friday did not state what the long-term plan for the intervention would entail, but seemed aware of how \u003ca href=\"https://sfstandard.com/politics/city-hall/analysis-political-history-haunts-mayor-breed-as-she-attempts-another-tenderloin-cleanup/\">similar crackdown efforts\u003c/a> in the neighborhood in the past and even \u003ca href=\"https://sfstandard.com/criminal-justice/da-jenkins-threatens-drug-dealers-with-more-jail-time-harsher-penalties-as-sf-fentanyl-crackdown-expands/\">more recently\u003c/a> have \u003ca href=\"https://www.sfchronicle.com/sf/article/drug-overdose-deaths-2023-17904060.php#:~:text=Quarterly%20accidental%20overdose%20deaths%20in%20San%20Francisco&text=Deaths%20reached%20a%20peak%20of,in%20Quarter%201%20of%202023.&text=Fentanyl%2Drelated-,The%20numbers%20are%20preliminary%20and%20subject%20to,more%20death%20investigations%20are%20completed.\">not shown success at slowing down sales, public drug use or overdose deaths\u003c/a> in the long run.\u003c/p>\n\u003cp>[aside label='More Stories on Fentanyl' tag='fentanyl']\u003c/p>\n\u003cp>“When we deploy large amounts of officers, the problem tends to go away while we are there,” said San Francisco Police Chief Bill Scott. “The last thing we want to do is clean the streets up for a week, a month, then everyone goes back to what they were doing again.”\u003c/p>\n\u003cp>The California Department of Justice and the San Francisco District Attorney’s Office, both of which have called for tougher enforcement around drug dealing as public scrutiny over the overdose crisis mounts, are also supportive of the plan.\u003c/p>\n\u003cp>“The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction,” San Francisco Mayor London Breed said in a press release.\u003c/p>\n\u003cp>“This will send a strong message to those who are perpetrating these crimes,” she later said at Friday’s press conference.[pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction.’[/pullquote]The proclamation Friday was reminiscent of Breed’s bold claim in 2021 that the city would crack down on the “bulls— that has destroyed our city,” which she said in \u003ca href=\"https://www.cbsnews.com/sanfrancisco/news/mayor-london-breed-declares-state-of-emergency-in-san-franciscos-troubled-tenderloin/\">announcing an emergency plan\u003c/a> to address the drug and overdose crisis in the Tenderloin.\u003c/p>\n\u003cp>That effort brought together multiple city agencies to ramp up enforcement of dealing, clear sidewalks and offer new public health responses to drug use such as opening what became a supervised consumption site called the Tenderloin Center.\u003c/p>\n\u003cp>The facility closed at the end of 2022, a few months after Newsom vetoed legislation that would have allowed San Francisco, Los Angeles and Oakland to pilot safe consumption sites. Breed said the plan was only meant to be temporary and, on Friday, added the center “didn’t quite work out.”\u003c/p>\n\u003cfigure id=\"attachment_11948101\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948101\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt='A blue and yellow sign reads, \"Tenderloin Linkage Center Entrance.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents wait in line to get into the Tenderloin Linkage Center (also known as the Tenderloin Center), a now-defunct safe consumption site in San Francisco, on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After the closing of the Tenderloin Center and the emergency plan’s winding down, overdose rates have again increased in 2023, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Meanwhile, public safety advocates applauded the governor’s decision to increase law enforcement around the issue, at a time when the \u003ca href=\"https://missionlocal.org/2023/03/police-staffing-crisis-san-francisco/\">San Francisco Police Department is struggling\u003c/a> to recruit and retain a full workforce.\u003c/p>\n\u003cp>“Just the mere presence of our officers we believe will help deter and disrupt criminal activity,” Duryee said.\u003c/p>\n\u003cp>Newsom said that his plan “will not seek to criminalize those struggling with substance use and instead focus on disrupting the supply fueling the fentanyl crisis by holding drug suppliers and traffickers accountable,” according to a press release on the plan.\u003c/p>\n\u003cp>But addiction experts and advocates for people who use drugs say the move could nonetheless have unintended consequences, and negatively affect people who struggle with addiction and lack access to housing, health care or other support systems.[pullquote size=\"medium\" align=\"right\" citation=\"Dan Ciccarone, professor, UCSF\"]‘The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds.’[/pullquote]“The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds,” said Dan Ciccarone, professor and expert in addiction at UCSF. “When that happens, people die. People reduce their tolerance during the prohibition and go back to normal use when the supply rebounds and overdose rates shoot up.”\u003c/p>\n\u003cp>Reporters on Friday asked Breed whether she shared concerns from some community members that the federal support and stricter law enforcement approach could replicate some of the devastation of the war on drugs, which \u003ca href=\"https://ldi.upenn.edu/our-work/research-updates/the-war-on-drugs-as-structural-racism/\">fueled overrepresentation\u003c/a> of Black and Latino people imprisoned for drug-related crimes.\u003c/p>\n\u003cp>“I have more concerns about the number of people who are dying of drug overdoses and the families and people struggling in their neighborhoods,” Breed responded. “I want the streets to be safe … and part of that includes all of the great programs we are doing, but there has to be accountability attached to this.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco Police in \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">disrupting fentanyl\u003c/a> dealing and trafficking, Gov. Gavin Newsom announced Friday.\u003c/p>\n\u003cp>The mobilization comes as overdose rates in the city have increased 41% across \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">the first three months of this year (PDF)\u003c/a> compared with \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the same time period in 2022 (PDF)\u003c/a>, when the city was operating a supervised consumption site. Trained staff at \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>“Those who traffic drugs, guns, and human beings are not welcome in our communities,” said Newsom in a press release. “That’s why we’re launching this operation. This is not about criminalizing people struggling with substance use — this is about taking down the prominent poison peddlers and their connected crime rings that prey on the most vulnerable, and harm our residents. While it’s true that San Francisco is safer than many cities its size, we cannot let rampant crime continue.”\u003c/p>\n\u003cfigure id=\"attachment_11948099\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948099\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg\" alt=\"A photo of a politician in a navy blue suit with navy and white tie, stands speaking from a podium with the U.S. and California state flags behind him.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom announced on Friday, April 28, 2023, that a new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco police in disrupting fentanyl dealing and trafficking. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Starting May 1, CHP officers will help investigate opioid trafficking cases and train local police in identifying intoxicated drivers, city officials said on Friday. The effort will have a particular focus on the Tenderloin neighborhood, where the majority of overdose deaths have occurred this year.\u003c/p>\n\u003cp>Additional CHP units will also patrol hot spots for drug dealing in the city “as workload allows,” according to the press release about the plan. So far, 75 CHP officers have been stationed in the San Francisco area, CHP Commissioner Sean Duryee told reporters at a press conference on Friday. He said he expects that number to increase to 84 in the coming weeks.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, 14 members of the California National Guard (Cal Guard) will work remotely with SFPD on non-patrol operations such as improving administrative systems and responses to drug-related crime.\u003c/p>\n\u003cp>Since January, San Francisco police have made more than 300 arrests for possession with intent to sell and seized 150% more fentanyl in the first three months of 2023 compared to 2022, according to the mayor’s office. On Tuesday, District Attorney Brooke Jenkins announced multiple charges against a 23-year-old arrested for carrying 11 pounds of fentanyl, an opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Fentanyl has been involved in the vast majority of recent overdose deaths in San Francisco, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Officials on Friday did not state what the long-term plan for the intervention would entail, but seemed aware of how \u003ca href=\"https://sfstandard.com/politics/city-hall/analysis-political-history-haunts-mayor-breed-as-she-attempts-another-tenderloin-cleanup/\">similar crackdown efforts\u003c/a> in the neighborhood in the past and even \u003ca href=\"https://sfstandard.com/criminal-justice/da-jenkins-threatens-drug-dealers-with-more-jail-time-harsher-penalties-as-sf-fentanyl-crackdown-expands/\">more recently\u003c/a> have \u003ca href=\"https://www.sfchronicle.com/sf/article/drug-overdose-deaths-2023-17904060.php#:~:text=Quarterly%20accidental%20overdose%20deaths%20in%20San%20Francisco&text=Deaths%20reached%20a%20peak%20of,in%20Quarter%201%20of%202023.&text=Fentanyl%2Drelated-,The%20numbers%20are%20preliminary%20and%20subject%20to,more%20death%20investigations%20are%20completed.\">not shown success at slowing down sales, public drug use or overdose deaths\u003c/a> in the long run.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“When we deploy large amounts of officers, the problem tends to go away while we are there,” said San Francisco Police Chief Bill Scott. “The last thing we want to do is clean the streets up for a week, a month, then everyone goes back to what they were doing again.”\u003c/p>\n\u003cp>The California Department of Justice and the San Francisco District Attorney’s Office, both of which have called for tougher enforcement around drug dealing as public scrutiny over the overdose crisis mounts, are also supportive of the plan.\u003c/p>\n\u003cp>“The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction,” San Francisco Mayor London Breed said in a press release.\u003c/p>\n\u003cp>“This will send a strong message to those who are perpetrating these crimes,” she later said at Friday’s press conference.\u003c/p>\u003c/div>",
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"content": "‘The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The proclamation Friday was reminiscent of Breed’s bold claim in 2021 that the city would crack down on the “bulls— that has destroyed our city,” which she said in \u003ca href=\"https://www.cbsnews.com/sanfrancisco/news/mayor-london-breed-declares-state-of-emergency-in-san-franciscos-troubled-tenderloin/\">announcing an emergency plan\u003c/a> to address the drug and overdose crisis in the Tenderloin.\u003c/p>\n\u003cp>That effort brought together multiple city agencies to ramp up enforcement of dealing, clear sidewalks and offer new public health responses to drug use such as opening what became a supervised consumption site called the Tenderloin Center.\u003c/p>\n\u003cp>The facility closed at the end of 2022, a few months after Newsom vetoed legislation that would have allowed San Francisco, Los Angeles and Oakland to pilot safe consumption sites. Breed said the plan was only meant to be temporary and, on Friday, added the center “didn’t quite work out.”\u003c/p>\n\u003cfigure id=\"attachment_11948101\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948101\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt='A blue and yellow sign reads, \"Tenderloin Linkage Center Entrance.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents wait in line to get into the Tenderloin Linkage Center (also known as the Tenderloin Center), a now-defunct safe consumption site in San Francisco, on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After the closing of the Tenderloin Center and the emergency plan’s winding down, overdose rates have again increased in 2023, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Meanwhile, public safety advocates applauded the governor’s decision to increase law enforcement around the issue, at a time when the \u003ca href=\"https://missionlocal.org/2023/03/police-staffing-crisis-san-francisco/\">San Francisco Police Department is struggling\u003c/a> to recruit and retain a full workforce.\u003c/p>\n\u003cp>“Just the mere presence of our officers we believe will help deter and disrupt criminal activity,” Duryee said.\u003c/p>\n\u003cp>Newsom said that his plan “will not seek to criminalize those struggling with substance use and instead focus on disrupting the supply fueling the fentanyl crisis by holding drug suppliers and traffickers accountable,” according to a press release on the plan.\u003c/p>\n\u003cp>But addiction experts and advocates for people who use drugs say the move could nonetheless have unintended consequences, and negatively affect people who struggle with addiction and lack access to housing, health care or other support systems.\u003c/p>\u003c/div>",
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"content": "‘The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds,” said Dan Ciccarone, professor and expert in addiction at UCSF. “When that happens, people die. People reduce their tolerance during the prohibition and go back to normal use when the supply rebounds and overdose rates shoot up.”\u003c/p>\n\u003cp>Reporters on Friday asked Breed whether she shared concerns from some community members that the federal support and stricter law enforcement approach could replicate some of the devastation of the war on drugs, which \u003ca href=\"https://ldi.upenn.edu/our-work/research-updates/the-war-on-drugs-as-structural-racism/\">fueled overrepresentation\u003c/a> of Black and Latino people imprisoned for drug-related crimes.\u003c/p>\n\u003cp>“I have more concerns about the number of people who are dying of drug overdoses and the families and people struggling in their neighborhoods,” Breed responded. “I want the streets to be safe … and part of that includes all of the great programs we are doing, but there has to be accountability attached to this.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'There to Save a Life': San Francisco Bars Fight Fentanyl Overdoses With Narcan",
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"headTitle": "‘There to Save a Life’: San Francisco Bars Fight Fentanyl Overdoses With Narcan | KQED",
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"content": "\u003cp>Tika Hall was at a music show in San Francisco’s Mission District in February when around 10 p.m. someone yelled out, “Does anyone have Narcan?”\u003c/p>\n\u003cp>Hall, who is an artist, a musician and a longtime San Francisco resident, understood this meant someone had overdosed, and that their survival could depend on finding Narcan, a naloxone nasal spray that reverses opioid overdoses.\u003c/p>\n\u003cp>Hall and a friend ran to the nearest bar, one of the few places still open that might carry it.\u003c/p>\n\u003cp>“When I go into crisis mode, I get a lizard brain, and I was like, ‘What we have to do is go get this thing,’” Hall said.\u003c/p>\n\u003cp>When the first bar did not have Narcan, they tried the next one, The Eagle, which did. The bartender gave them the medicine, no questions asked, and the Narcan was used to revive the person who had overdosed.\u003c/p>\n\u003cfigure id=\"attachment_11947461\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A closed white box with a pink asterisk logo hangs on a wall in a dimly lit bar with a bar counter further back and a bartender and two patrons.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If this had happened somewhere there wasn’t a bar that had Narcan nearby, or if this had happened during the day when a bar wasn’t open, I don’t know what would have happened,” Hall said.\u003c/p>\n\u003cp>Now Hall carries Narcan with her everywhere, and the incident underscores the importance of making the antidote available for the public in places like bars. \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">Two hundred people have fatally overdosed in San Francisco in the first three months of this year (PDF)\u003c/a>, and nationwide there has been a steep \u003ca href=\"https://apnews.com/article/health-opioids-synthetic-government-and-politics-8f64b776b82d6e8bc2e324b732e4b6e2\">rise in accidental overdoses\u003c/a>, as other illicit drugs — like cocaine and methamphetamines — have been increasingly \u003ca href=\"https://www.npr.org/2021/07/05/1013203805/party-drugs-are-being-increasingly-laced-with-fentanyl\">laced with fentanyl\u003c/a>.\u003c/p>\n\u003cp>Bay Area bar owners, staff and advocates are taking the initiative to keep patrons and the community safe. The nonprofit \u003ca href=\"https://fentcheck.org/\">FentCheck\u003c/a> brings Narcan and fentanyl test strips to bars and other community spaces, and bars are stocking the life-saving medication, as well as hosting trainings on how to administer it. Those promoting harm reduction in the nightlife community say the effort has also opened up a necessary conversation about the risks and realities of drug use.\u003c/p>\n\u003ch2>Harm-reduction boxes offer ‘a beacon for conversation’\u003c/h2>\n\u003cp>That push to reduce stigma and save lives is why Josh Yule has been building harm-reduction boxes and delivering them to bars since December. The bright, medical-white boxes contain Narcan; a neon pink, three-step guide to administering it; and fentanyl test strips.\u003c/p>\n\u003cp>Yule, a former bartender at The Knockout who still books shows there, makes the boxes at a friend’s woodshop in San Leandro. Nine San Francisco establishments house the boxes so far, including The Knockout, The Phone Booth, The Make Out Room and Mothership.\u003c/p>\n\u003cfigure id=\"attachment_11947458\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947458\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses looks at the camera as he gestures toward three white boxes with asterisk logos on them lined up next to each other in a bar.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows a group of bar employees gathered for a Narcan training session the harm-reduction boxes he hopes to distribute to other Bay Area bars, at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Each box is dedicated to Yule’s mother, Roberta Damron, who fatally overdosed on fentanyl in 2021. He signs the inside doors of the boxes “For Mom.”\u003c/p>\n\u003cp>“It is there to save a life. First and foremost, that’s what it does,” Yule said. “But it’s also there so people can talk to one another. People can feel safe that they know it’s there.”\u003c/p>\n\u003cp>Yule said his mother’s death, at age 66, was a shock. His mother was religious, straightlaced and hilarious.\u003c/p>\n\u003cp>“She was awesome,” Yule said.\u003c/p>\n\u003cp>He remembered how, when he was in middle school, his mom tore down a poster in his room of Sid Vicious, the bassist for The Sex Pistols who died of a drug overdose.\u003c/p>\n\u003cp>“She would be really embarrassed that this is how she passed away. I just know that. And I think about that often,” Yule said. “I never really understood what was going on. Maybe I didn’t really want to understand. I’m still figuring that one out.”\u003c/p>\n\u003cp>Yule had been studying graphic design at California College of the Arts, when he decided to pour his energy into work focused on destigmatizing opioid use disorders.\u003c/p>\n\u003cfigure id=\"attachment_11947463\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947463\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg\" alt=\"Two hands holding a few photos, with a mother and child in the topmost photo.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule looks through the few photos he has of his mother, at his home in San Francisco on April 21, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He designed posters and stickers, but also wanted to create something physical that could become a “beacon for conversation.” The harm-reduction boxes became his thesis project.\u003c/p>\n\u003cp>Before his mother’s death, Yule had also lost two friends to fatal overdoses.\u003c/p>\n\u003cp>“We should be destigmatizing this disorder. It’s the only way to get anywhere. We’re just taking baby steps,” Yule said. “I wish that there was something that beckoned me to talk to my friend, or something I had seen. Maybe he would still be around. Maybe I would have put two and two together about my mom.”\u003c/p>\n\u003ch2>Bar staff train and prepare for emergencies\u003c/h2>\n\u003cp>Then, last winter, bar staff and community members were pushed to action after a string of near fatal overdoses in Mission District bars. Anita Ellis, a bartender at The Phone Booth and Pop’s Bar, organized a training for any interested bartenders in learning about Narcan as well as fentanyl test strips.\u003c/p>\n\u003cfigure id=\"attachment_11947611\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg\" alt=\"A white woman stands behind a dimly lit bar as an older white man with a white beard speaks smilingly to her\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947611\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction box made by Josh Yule and painted by artist Chelsea Wong hangs at the end of the bar at the Phone Booth while Anita Ellis bartends. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At least 50 people showed up at The Knockout for the December training, many more than a similar training Ellis had organized years before.\u003c/p>\n\u003cp>“I felt a lot of community spirit, this feeling of, ‘Let’s take care of one another.’” Ellis said. “The idea of somebody losing their life because they want to do a little blow in the bathroom because it’s their birthday or whatever occasion, or no occasion at all, I find that to be ludicrous. That shouldn’t be happening.”\u003c/p>\n\u003cp>Yule talked about the harm-reduction boxes during the event, and about 20 people signed up for them. He’s still working through that list, and more people have signed up since then. He’s also looking to expand to restaurants, and hopes to gain enough traction that the city or state takes over to continue the effort.\u003c/p>\n\u003cfigure id=\"attachment_11947609\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"People stand and listen at a bar\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947609\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A group of bar employees gathered for a Narcan training session listen to Josh Yule discuss harm reduction boxes he created to help prevent fentanyl overdoses in bars at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joanna Lioce, staff manager at Vesuvio Cafe in North Beach, picked up one of the harm-reduction boxes during that training. Years before, in response to overdoses in the alley outside the bar, Vesuvio staff were trained in administering Narcan. Lioce was able to reverse an overdose in the alleyway with Narcan.\u003c/p>\n\u003cp>“It’s like anything — if you see someone fall in a pool and you can get out and save them, you’re going to do it,” Lioce said.\u003c/p>\n\u003cp>She says Narcan is essential for bars in the age of fentanyl, like carrying a fire extinguisher.\u003c/p>\n\u003cp>Yule’s boxes alert patrons that Narcan is available in emergencies.\u003c/p>\n\u003cp>“We all kind of sound like grandmas now. Like, at least me and my friends are like, ‘Back in my day, you could buy cocaine in the Tenderloin and didn’t even have to worry about it.’ Now it’s like, ‘No, you can’t do anything like that,’” Lioce said.\u003c/p>\n\u003cfigure id=\"attachment_11947459\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947459\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses and a sweater opens a white wooden box with "How to Administer Naloxone" written in red on the inside of the box lid, as two women look on from the man's left.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows local bar employee Joanna Lioce a harm-reduction box he created to help prevent fentanyl overdoses, after a Narcan training session at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But there are still barriers to accessing Narcan for free, and Yule said one of the biggest challenges in completing his project was figuring out where to get Narcan. Now he goes to the city’s Community Behavioral Health Services pharmacy, where the public can get Narcan for free.\u003c/p>\n\u003ch2>A potential policy solution, and barriers in supply\u003c/h2>\n\u003cp>A bill from Assemblymember Matt Haney, \u003ca href=\"https://legiscan.com/CA/text/AB24/2023#:~:text=California%20Assembly%20Bill%2024&text=Bill%20Title%3A%20Emergency%20response%3A%20opioid%20antagonist%20kits.&text=An%20act%20to%20add%20Chapter,Code%2C%20relating%20to%20emergency%20response\">Assembly Bill 24\u003c/a>, could require libraries, gas stations, residential hotels and bars in areas hardest hit by drug overdoses to carry Narcan, or face $100 fines.\u003c/p>\n\u003cp>“There is enough Narcan to put in all of these establishments and also get into the hands of organizations who work directly with people who are using drugs. They really need to be in both places,” Haney said in an interview. “And we have to stop nickel-and-diming this if we are going to save lives.”[aside label=\"Related Stories\" postID=\"news_11944267,science_1982214,news_11945418\"]In a statement, San Francisco Entertainment Commission Senior Analyst Dylan Rice said the commission is identifying policy, supply chain and consumer price considerations that would make it possible to achieve a vision for Narcan to be available behind every bar in San Francisco.\u003c/p>\n\u003cp>Some harm reduction advocates remain worried about resources. Laura Guzman, acting executive director of the National Harm Reduction Coalition, said their organization primarily distributes overdose reversal medication to syringe exchange programs that serve residents most vulnerable to overdoses.\u003c/p>\n\u003cp>“In San Francisco, we are still waiting to see if there will be additional allocation of naloxone that we could be distributing throughout all of the supportive housing, shelters, etcetera,” Guzman said. “There hasn’t been in San Francisco or in the state yet an amplification of naloxone access.”\u003c/p>\n\u003cp>Gov. Gavin Newsom has pledged \u003ca href=\"https://www.kqed.org/news/11944267/newsom-doubles-down-on-naloxone-distribution-in-new-master-plan-to-curb-overdose-deaths\">$79 million to go toward distributing Narcan\u003c/a>.\u003c/p>\n\u003cp>The medication could also become available over the counter later this year, though the manufacturer has said it could cost as much as $50 per kit, \u003ca href=\"https://www.washingtonpost.com/health/2023/04/20/narcan-price-over-the-counter/\">a price tag advocates say puts it out of reach for people who need it most\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation who also sits on the San Francisco Entertainment Commission, said she wants to see a day where all venues have Narcan, but is also concerned about diverting scarce resources. She said the AIDS Foundation uses its own organizational funds to buy Narcan because it does not get enough supplies from the state.\u003c/p>\n\u003cp>“And that is a huge problem because we are distributing Narcan to people who are the most likely to be at the scene of an overdose and the most likely to reverse an overdose,” Thomas said.\u003c/p>\n\u003ch2>The community continues to educate each other\u003c/h2>\n\u003cp>If you’re looking to access Narcan or learn how to use it, you could also try \u003ca href=\"https://www.sfoasis.com/princess\">Princess\u003c/a>, the weekly Saturday night dance party and drag spectacular at Oasis.[pullquote align=\"right\" size=\"medium\" citation=\"Anita Ellis, bartender\"]‘The idea of somebody losing their life because they want to do a little blow in the bathroom … That shouldn’t be happening.’[/pullquote]Virtually every weekend for about 18 months, Cary Escovedo has offered overdose prevention education during the show, usually for about five minutes after intermission. Escovedo, whose drag name is Kochina Rude and who co-hosts the event with Lisa Frankenstein, has partnered with the \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">Drug Overdose Prevention and Education\u003c/a> Project on the effort, and distributes about 24 doses of Narcan per show.\u003c/p>\n\u003cp>She starts off by asking the audience if they know what Narcan is, and then outlines a scenario that could happen in any club where a hypothetical person is found unresponsive.\u003c/p>\n\u003cp>In the scenario, friends call 911, administer Narcan and provide rescue breathing.\u003c/p>\n\u003cp>When the overdose is reversed, the audience cheers. Kochina Rude ends on a high note, focusing on how queer people are in a unique position to take care of each other.\u003c/p>\n\u003cp>“Because historically we have had to do so out of necessity,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11947483\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947483\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg\" alt=\"Two white men with glasses talk over a white box in process of completion in a furniture store with carpentry equipment around them.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule (left) and Jeremiah Nielsen work to make harm-reduction boxes at the Oakland handmade furniture manufacturing shop Jeremiah Collection, on Dec. 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even if some bar owners may want to pretend drug use does not happen, bartenders can still come to Kochina Rude and access Narcan on their own, she said. During the weekly shows, she reminds the audience that they should not be scared to act.\u003c/p>\n\u003cp>“By taking this Narcan today, you now are serving as a community first responder in the event of an overdose, wherever you are,” she tells the audience. “And it can happen anytime and anywhere.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With the fentanyl epidemic showing no signs of abating, bar staff and nonprofits are pushing for Narcan to be widely available in bars as they train and prepare for a spike in fatal opioid overdoses on the San Francisco nightlife scene.",
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"title": "'There to Save a Life': San Francisco Bars Fight Fentanyl Overdoses With Narcan | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tika Hall was at a music show in San Francisco’s Mission District in February when around 10 p.m. someone yelled out, “Does anyone have Narcan?”\u003c/p>\n\u003cp>Hall, who is an artist, a musician and a longtime San Francisco resident, understood this meant someone had overdosed, and that their survival could depend on finding Narcan, a naloxone nasal spray that reverses opioid overdoses.\u003c/p>\n\u003cp>Hall and a friend ran to the nearest bar, one of the few places still open that might carry it.\u003c/p>\n\u003cp>“When I go into crisis mode, I get a lizard brain, and I was like, ‘What we have to do is go get this thing,’” Hall said.\u003c/p>\n\u003cp>When the first bar did not have Narcan, they tried the next one, The Eagle, which did. The bartender gave them the medicine, no questions asked, and the Narcan was used to revive the person who had overdosed.\u003c/p>\n\u003cfigure id=\"attachment_11947461\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A closed white box with a pink asterisk logo hangs on a wall in a dimly lit bar with a bar counter further back and a bartender and two patrons.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If this had happened somewhere there wasn’t a bar that had Narcan nearby, or if this had happened during the day when a bar wasn’t open, I don’t know what would have happened,” Hall said.\u003c/p>\n\u003cp>Now Hall carries Narcan with her everywhere, and the incident underscores the importance of making the antidote available for the public in places like bars. \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">Two hundred people have fatally overdosed in San Francisco in the first three months of this year (PDF)\u003c/a>, and nationwide there has been a steep \u003ca href=\"https://apnews.com/article/health-opioids-synthetic-government-and-politics-8f64b776b82d6e8bc2e324b732e4b6e2\">rise in accidental overdoses\u003c/a>, as other illicit drugs — like cocaine and methamphetamines — have been increasingly \u003ca href=\"https://www.npr.org/2021/07/05/1013203805/party-drugs-are-being-increasingly-laced-with-fentanyl\">laced with fentanyl\u003c/a>.\u003c/p>\n\u003cp>Bay Area bar owners, staff and advocates are taking the initiative to keep patrons and the community safe. The nonprofit \u003ca href=\"https://fentcheck.org/\">FentCheck\u003c/a> brings Narcan and fentanyl test strips to bars and other community spaces, and bars are stocking the life-saving medication, as well as hosting trainings on how to administer it. Those promoting harm reduction in the nightlife community say the effort has also opened up a necessary conversation about the risks and realities of drug use.\u003c/p>\n\u003ch2>Harm-reduction boxes offer ‘a beacon for conversation’\u003c/h2>\n\u003cp>That push to reduce stigma and save lives is why Josh Yule has been building harm-reduction boxes and delivering them to bars since December. The bright, medical-white boxes contain Narcan; a neon pink, three-step guide to administering it; and fentanyl test strips.\u003c/p>\n\u003cp>Yule, a former bartender at The Knockout who still books shows there, makes the boxes at a friend’s woodshop in San Leandro. Nine San Francisco establishments house the boxes so far, including The Knockout, The Phone Booth, The Make Out Room and Mothership.\u003c/p>\n\u003cfigure id=\"attachment_11947458\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947458\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses looks at the camera as he gestures toward three white boxes with asterisk logos on them lined up next to each other in a bar.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows a group of bar employees gathered for a Narcan training session the harm-reduction boxes he hopes to distribute to other Bay Area bars, at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Each box is dedicated to Yule’s mother, Roberta Damron, who fatally overdosed on fentanyl in 2021. He signs the inside doors of the boxes “For Mom.”\u003c/p>\n\u003cp>“It is there to save a life. First and foremost, that’s what it does,” Yule said. “But it’s also there so people can talk to one another. People can feel safe that they know it’s there.”\u003c/p>\n\u003cp>Yule said his mother’s death, at age 66, was a shock. His mother was religious, straightlaced and hilarious.\u003c/p>\n\u003cp>“She was awesome,” Yule said.\u003c/p>\n\u003cp>He remembered how, when he was in middle school, his mom tore down a poster in his room of Sid Vicious, the bassist for The Sex Pistols who died of a drug overdose.\u003c/p>\n\u003cp>“She would be really embarrassed that this is how she passed away. I just know that. And I think about that often,” Yule said. “I never really understood what was going on. Maybe I didn’t really want to understand. I’m still figuring that one out.”\u003c/p>\n\u003cp>Yule had been studying graphic design at California College of the Arts, when he decided to pour his energy into work focused on destigmatizing opioid use disorders.\u003c/p>\n\u003cfigure id=\"attachment_11947463\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947463\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg\" alt=\"Two hands holding a few photos, with a mother and child in the topmost photo.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule looks through the few photos he has of his mother, at his home in San Francisco on April 21, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He designed posters and stickers, but also wanted to create something physical that could become a “beacon for conversation.” The harm-reduction boxes became his thesis project.\u003c/p>\n\u003cp>Before his mother’s death, Yule had also lost two friends to fatal overdoses.\u003c/p>\n\u003cp>“We should be destigmatizing this disorder. It’s the only way to get anywhere. We’re just taking baby steps,” Yule said. “I wish that there was something that beckoned me to talk to my friend, or something I had seen. Maybe he would still be around. Maybe I would have put two and two together about my mom.”\u003c/p>\n\u003ch2>Bar staff train and prepare for emergencies\u003c/h2>\n\u003cp>Then, last winter, bar staff and community members were pushed to action after a string of near fatal overdoses in Mission District bars. Anita Ellis, a bartender at The Phone Booth and Pop’s Bar, organized a training for any interested bartenders in learning about Narcan as well as fentanyl test strips.\u003c/p>\n\u003cfigure id=\"attachment_11947611\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg\" alt=\"A white woman stands behind a dimly lit bar as an older white man with a white beard speaks smilingly to her\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947611\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction box made by Josh Yule and painted by artist Chelsea Wong hangs at the end of the bar at the Phone Booth while Anita Ellis bartends. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At least 50 people showed up at The Knockout for the December training, many more than a similar training Ellis had organized years before.\u003c/p>\n\u003cp>“I felt a lot of community spirit, this feeling of, ‘Let’s take care of one another.’” Ellis said. “The idea of somebody losing their life because they want to do a little blow in the bathroom because it’s their birthday or whatever occasion, or no occasion at all, I find that to be ludicrous. That shouldn’t be happening.”\u003c/p>\n\u003cp>Yule talked about the harm-reduction boxes during the event, and about 20 people signed up for them. He’s still working through that list, and more people have signed up since then. He’s also looking to expand to restaurants, and hopes to gain enough traction that the city or state takes over to continue the effort.\u003c/p>\n\u003cfigure id=\"attachment_11947609\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"People stand and listen at a bar\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947609\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A group of bar employees gathered for a Narcan training session listen to Josh Yule discuss harm reduction boxes he created to help prevent fentanyl overdoses in bars at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joanna Lioce, staff manager at Vesuvio Cafe in North Beach, picked up one of the harm-reduction boxes during that training. Years before, in response to overdoses in the alley outside the bar, Vesuvio staff were trained in administering Narcan. Lioce was able to reverse an overdose in the alleyway with Narcan.\u003c/p>\n\u003cp>“It’s like anything — if you see someone fall in a pool and you can get out and save them, you’re going to do it,” Lioce said.\u003c/p>\n\u003cp>She says Narcan is essential for bars in the age of fentanyl, like carrying a fire extinguisher.\u003c/p>\n\u003cp>Yule’s boxes alert patrons that Narcan is available in emergencies.\u003c/p>\n\u003cp>“We all kind of sound like grandmas now. Like, at least me and my friends are like, ‘Back in my day, you could buy cocaine in the Tenderloin and didn’t even have to worry about it.’ Now it’s like, ‘No, you can’t do anything like that,’” Lioce said.\u003c/p>\n\u003cfigure id=\"attachment_11947459\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947459\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses and a sweater opens a white wooden box with "How to Administer Naloxone" written in red on the inside of the box lid, as two women look on from the man's left.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows local bar employee Joanna Lioce a harm-reduction box he created to help prevent fentanyl overdoses, after a Narcan training session at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But there are still barriers to accessing Narcan for free, and Yule said one of the biggest challenges in completing his project was figuring out where to get Narcan. Now he goes to the city’s Community Behavioral Health Services pharmacy, where the public can get Narcan for free.\u003c/p>\n\u003ch2>A potential policy solution, and barriers in supply\u003c/h2>\n\u003cp>A bill from Assemblymember Matt Haney, \u003ca href=\"https://legiscan.com/CA/text/AB24/2023#:~:text=California%20Assembly%20Bill%2024&text=Bill%20Title%3A%20Emergency%20response%3A%20opioid%20antagonist%20kits.&text=An%20act%20to%20add%20Chapter,Code%2C%20relating%20to%20emergency%20response\">Assembly Bill 24\u003c/a>, could require libraries, gas stations, residential hotels and bars in areas hardest hit by drug overdoses to carry Narcan, or face $100 fines.\u003c/p>\n\u003cp>“There is enough Narcan to put in all of these establishments and also get into the hands of organizations who work directly with people who are using drugs. They really need to be in both places,” Haney said in an interview. “And we have to stop nickel-and-diming this if we are going to save lives.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a statement, San Francisco Entertainment Commission Senior Analyst Dylan Rice said the commission is identifying policy, supply chain and consumer price considerations that would make it possible to achieve a vision for Narcan to be available behind every bar in San Francisco.\u003c/p>\n\u003cp>Some harm reduction advocates remain worried about resources. Laura Guzman, acting executive director of the National Harm Reduction Coalition, said their organization primarily distributes overdose reversal medication to syringe exchange programs that serve residents most vulnerable to overdoses.\u003c/p>\n\u003cp>“In San Francisco, we are still waiting to see if there will be additional allocation of naloxone that we could be distributing throughout all of the supportive housing, shelters, etcetera,” Guzman said. “There hasn’t been in San Francisco or in the state yet an amplification of naloxone access.”\u003c/p>\n\u003cp>Gov. Gavin Newsom has pledged \u003ca href=\"https://www.kqed.org/news/11944267/newsom-doubles-down-on-naloxone-distribution-in-new-master-plan-to-curb-overdose-deaths\">$79 million to go toward distributing Narcan\u003c/a>.\u003c/p>\n\u003cp>The medication could also become available over the counter later this year, though the manufacturer has said it could cost as much as $50 per kit, \u003ca href=\"https://www.washingtonpost.com/health/2023/04/20/narcan-price-over-the-counter/\">a price tag advocates say puts it out of reach for people who need it most\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation who also sits on the San Francisco Entertainment Commission, said she wants to see a day where all venues have Narcan, but is also concerned about diverting scarce resources. She said the AIDS Foundation uses its own organizational funds to buy Narcan because it does not get enough supplies from the state.\u003c/p>\n\u003cp>“And that is a huge problem because we are distributing Narcan to people who are the most likely to be at the scene of an overdose and the most likely to reverse an overdose,” Thomas said.\u003c/p>\n\u003ch2>The community continues to educate each other\u003c/h2>\n\u003cp>If you’re looking to access Narcan or learn how to use it, you could also try \u003ca href=\"https://www.sfoasis.com/princess\">Princess\u003c/a>, the weekly Saturday night dance party and drag spectacular at Oasis.\u003c/p>\u003c/div>",
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"content": "‘The idea of somebody losing their life because they want to do a little blow in the bathroom … That shouldn’t be happening.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Virtually every weekend for about 18 months, Cary Escovedo has offered overdose prevention education during the show, usually for about five minutes after intermission. Escovedo, whose drag name is Kochina Rude and who co-hosts the event with Lisa Frankenstein, has partnered with the \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">Drug Overdose Prevention and Education\u003c/a> Project on the effort, and distributes about 24 doses of Narcan per show.\u003c/p>\n\u003cp>She starts off by asking the audience if they know what Narcan is, and then outlines a scenario that could happen in any club where a hypothetical person is found unresponsive.\u003c/p>\n\u003cp>In the scenario, friends call 911, administer Narcan and provide rescue breathing.\u003c/p>\n\u003cp>When the overdose is reversed, the audience cheers. Kochina Rude ends on a high note, focusing on how queer people are in a unique position to take care of each other.\u003c/p>\n\u003cp>“Because historically we have had to do so out of necessity,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11947483\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947483\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg\" alt=\"Two white men with glasses talk over a white box in process of completion in a furniture store with carpentry equipment around them.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule (left) and Jeremiah Nielsen work to make harm-reduction boxes at the Oakland handmade furniture manufacturing shop Jeremiah Collection, on Dec. 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even if some bar owners may want to pretend drug use does not happen, bartenders can still come to Kochina Rude and access Narcan on their own, she said. During the weekly shows, she reminds the audience that they should not be scared to act.\u003c/p>\n\u003cp>“By taking this Narcan today, you now are serving as a community first responder in the event of an overdose, wherever you are,” she tells the audience. “And it can happen anytime and anywhere.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The office manager for a Bay Area police union allegedly imported illegal synthetic opioids from India and other countries and at least once used her work computer and address and the union’s UPS account to ship the drugs within the country, federal prosecutors said.\u003c/p>\n\u003cp>Joanne Marian Segovia, executive director of the San Jose Police Officers’ Association, was charged with attempting to unlawfully import valeryl fentanyl, a synthetic opioid, federal prosecutors said in a statement Wednesday. If convicted, she faces up to 20 years in prison.\u003c/p>\n\u003cp>Starting in 2015, Segovia had at least 61 drug shipments mailed to her San José home from India, Hong Kong, Hungary and Singapore with manifests that listed their contents as “wedding party favors,” “gift makeup,” “chocolate and sweets” and “food supplement,” according to a federal criminal complaint unsealed Tuesday.\u003c/p>\n\u003cp>It was not immediately known if Segovia, 64, has an attorney who can speak on her behalf.\u003c/p>\n\u003cp>Tom Saggau, a spokesperson for the police union in San José, said Segovia, a civilian, has worked for the union since 2003, planning funerals for officers who die in the line of duty, being the liaison between the department and the officers’ families and organizing office festivities and fundraisers.\u003c/p>\n\u003cp>He said that federal officials informed the union last Friday that Segovia was under investigation and that no one else at the union was involved or knew about Segovia’s alleged acts.\u003c/p>\n\u003cp>The revelation shocked her colleagues, Saggau said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We didn’t have any reason to suspect her,” he said, adding that the union’s board of directors has pledged to fully support the federal investigation.\u003c/p>\n\u003cp>In an interview with San José Spotlight, Saggau clarified that Segovia is not a police officer and that although her title is “executive director,” she is an office manager with no decision-making power over the direction of the union, which, he said, is run by police officers.\u003c/p>\n\u003cp>Federal prosecutors said that in 2019, U.S. Customs and Border Protection officers intercepted a parcel being sent to her home address that contained $5,000 worth of Tramadol, a synthetic opioid, and sent her a letter telling her they were seizing the pills. The next year, the CBP again intercepted a shipment of Tramadol valued at $700 and sent her a seizure letter, court records showed.\u003c/p>\n\u003cp>But federal officials didn’t start investigating Segovia until last year when investigators found her name and home address on the cellphone of a suspected drug dealer who is part of a network that ships controlled substances made in India to the Bay Area, according to the complaint. That drug trafficking network has distributed hundreds of thousands of pills in 48 states, federal prosecutors said.\u003c/p>\n\u003cp>Segovia used the WhatsApp messaging service and her personal and office computers to order thousands of opioid tablets and other pills to her home and agreed to distribute the drugs elsewhere in the United States, prosecutors said.[pullquote align=\"right\" size=\"medium\" citation=\"Tom Saggau, spokesperson, San Jose Police Officers' Association\"]‘We didn’t have any reason to suspect her.’[/pullquote]\u003c/p>\n\u003cp>On at least one occasion in 2021, Segovia shipped the illicit drugs to a North Carolina address by using the police union’s UPS account, prosecutors said. That address is linked to at least five illicit drug seizures, they said.\u003c/p>\n\u003cp>Investigators found hundreds of photographs in a WhatsApp chat on Segovia’s cellphone, including an image of the UPS shipping slip and another one of a computer screen showing a PayPal payment to an Indian name and Segovia’s police union business cards under it.\u003c/p>\n\u003cp>“Based on my training and experience, I know that shippers of controlled substances often send receipts and tracking numbers as proof that they in fact sent a package. I believe that the receipt provided by SEGOVIA was offered by her as proof that she sent a package to the North Carolina addressee,” David Vargas, special agent for Homeland Security Investigations, wrote in the affidavit.\u003c/p>\n\u003cp>According to the complaint, Segovia continued to order controlled substances even after being interviewed by federal investigators in February. On March 13, federal agents seized a parcel in Kentucky, containing valeryl fentanyl, addressed to Segovia. The package allegedly originated from China three days earlier and declared its contents as a “clock,” prosecutors said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Federal prosecutors say they have charged 64-year-old Joanne Marian Segovia, executive director of the San Jose Police Officers' Association, with attempting to unlawfully import valeryl fentanyl, a synthetic opioid. If convicted, she faces up to 20 years in prison.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The office manager for a Bay Area police union allegedly imported illegal synthetic opioids from India and other countries and at least once used her work computer and address and the union’s UPS account to ship the drugs within the country, federal prosecutors said.\u003c/p>\n\u003cp>Joanne Marian Segovia, executive director of the San Jose Police Officers’ Association, was charged with attempting to unlawfully import valeryl fentanyl, a synthetic opioid, federal prosecutors said in a statement Wednesday. If convicted, she faces up to 20 years in prison.\u003c/p>\n\u003cp>Starting in 2015, Segovia had at least 61 drug shipments mailed to her San José home from India, Hong Kong, Hungary and Singapore with manifests that listed their contents as “wedding party favors,” “gift makeup,” “chocolate and sweets” and “food supplement,” according to a federal criminal complaint unsealed Tuesday.\u003c/p>\n\u003cp>It was not immediately known if Segovia, 64, has an attorney who can speak on her behalf.\u003c/p>\n\u003cp>Tom Saggau, a spokesperson for the police union in San José, said Segovia, a civilian, has worked for the union since 2003, planning funerals for officers who die in the line of duty, being the liaison between the department and the officers’ families and organizing office festivities and fundraisers.\u003c/p>\n\u003cp>He said that federal officials informed the union last Friday that Segovia was under investigation and that no one else at the union was involved or knew about Segovia’s alleged acts.\u003c/p>\n\u003cp>The revelation shocked her colleagues, Saggau said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We didn’t have any reason to suspect her,” he said, adding that the union’s board of directors has pledged to fully support the federal investigation.\u003c/p>\n\u003cp>In an interview with San José Spotlight, Saggau clarified that Segovia is not a police officer and that although her title is “executive director,” she is an office manager with no decision-making power over the direction of the union, which, he said, is run by police officers.\u003c/p>\n\u003cp>Federal prosecutors said that in 2019, U.S. Customs and Border Protection officers intercepted a parcel being sent to her home address that contained $5,000 worth of Tramadol, a synthetic opioid, and sent her a letter telling her they were seizing the pills. The next year, the CBP again intercepted a shipment of Tramadol valued at $700 and sent her a seizure letter, court records showed.\u003c/p>\n\u003cp>But federal officials didn’t start investigating Segovia until last year when investigators found her name and home address on the cellphone of a suspected drug dealer who is part of a network that ships controlled substances made in India to the Bay Area, according to the complaint. That drug trafficking network has distributed hundreds of thousands of pills in 48 states, federal prosecutors said.\u003c/p>\n\u003cp>Segovia used the WhatsApp messaging service and her personal and office computers to order thousands of opioid tablets and other pills to her home and agreed to distribute the drugs elsewhere in the United States, prosecutors said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On at least one occasion in 2021, Segovia shipped the illicit drugs to a North Carolina address by using the police union’s UPS account, prosecutors said. That address is linked to at least five illicit drug seizures, they said.\u003c/p>\n\u003cp>Investigators found hundreds of photographs in a WhatsApp chat on Segovia’s cellphone, including an image of the UPS shipping slip and another one of a computer screen showing a PayPal payment to an Indian name and Segovia’s police union business cards under it.\u003c/p>\n\u003cp>“Based on my training and experience, I know that shippers of controlled substances often send receipts and tracking numbers as proof that they in fact sent a package. I believe that the receipt provided by SEGOVIA was offered by her as proof that she sent a package to the North Carolina addressee,” David Vargas, special agent for Homeland Security Investigations, wrote in the affidavit.\u003c/p>\n\u003cp>According to the complaint, Segovia continued to order controlled substances even after being interviewed by federal investigators in February. On March 13, federal agents seized a parcel in Kentucky, containing valeryl fentanyl, addressed to Segovia. The package allegedly originated from China three days earlier and declared its contents as a “clock,” prosecutors said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Newsom Doubles Down on Naloxone Distribution in New 'Master Plan' to Curb Overdose Deaths",
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"content": "\u003cp>On the heels of his statewide tour introducing proposals aimed at tackling California’s homelessness, mental health and substance use disorder crises, Gov. Gavin Newsom on Monday announced a plan to earmark just shy of $100 million in next year’s state budget for overdose prevention services.\u003c/p>\n\u003cp>Under the governor’s \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2023/03/Fentanyl-Opioids-Glossy-Plan_3.20.23.pdf?emrc=86c07e\">“Master Plan for Tackling the Fentanyl and Opioid Crisis” (PDF)\u003c/a>, the brunt of funding — $79 million — would go toward distributing naloxone, a nasal spray or injectable that can reverse opioid overdoses. An additional $3.5 million would be used to distribute the medicine in middle and high schools, where overdoses have increased in recent years.\u003c/p>\n\u003cp>The proposal also includes about $10 million for drug treatment services and $4 million to distribute fentanyl test strips, which allow users to detect the presence of fentanyl in other illicit substances. The synthetic opioid, which is often mixed with other drugs, is up to 50 times stronger than heroin, and accounts for the vast majority of opioid-related overdose deaths.\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/Communications-Toolkits/Fentanyl-Overdose-Prevention.aspx#:~:text=Fentanyl%20is%20a%20synthetic%20opioid,deaths%20were%20related%20to%20fentanyl.\">5,722 of the 6,843 opioid-related overdose deaths in California were linked to fentanyl\u003c/a>, according to preliminary data from the state Department of Public Health.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"fentanyl\"]Newsom’s new funding proposal builds on the nearly $1 billion the state has already allocated since 2018 to address the opioid crisis, some of which has gone toward beefing up efforts to reduce trafficking. In 2022, local and state law enforcement seized 28,765 pounds of fentanyl, a nearly 600% increase over seizures in 2021, according to the governor’s office.\u003c/p>\n\u003cp>“Our comprehensive approach will expand enforcement efforts to crack down on transnational criminal organizations trafficking this poison into our communities — while prioritizing harm-reduction strategies to reduce overdoses and compassionately help those struggling with substance use and addiction,” Newsom said Monday in a press release.\u003c/p>\n\u003cp>The governor also said he wants California to begin manufacturing its own supply of naloxone, which is in increasingly high demand as cities and states across the country grapple with similar upticks in overdose rates. It’s still not clear, though, how the state would produce its own drug, and how it would get around the existing patent on the popular nasal spray form of the medicine.\u003c/p>\n\u003cp>San Francisco public health officials were quick to applaud the governor’s proposal, saying it would “measurably increase” the city’s ability to save lives and “reduce the negative harms associated with opioid and fentanyl use.”\u003c/p>\n\u003cp>In the first two months of 2023, \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2023%2003_OCME%20Overdose%20Report.pdf\">131 people in San Francisco already have died from drug overdoses\u003c/a>, largely driven by fentanyl, according to data from the city’s Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>“The current rate of overdoses is unacceptable,” San Francisco’s Department of Public Health said in a press release Monday, following Newsom’s announcement.\u003c/p>\n\u003cp>The plan, the department said, could be particularly beneficial if it yielded an increased supply of naloxone. In 2022, San Francisco distributed nearly 72,000 naloxone kits through community nonprofits, officials said.\u003c/p>\n\u003cp>But Laura Thomas, director of harm reduction policy for the San Francisco AIDS Foundation, criticized the governor’s new plan as “essentially a glossy repackaging of existing initiatives,” and noted there was no mention of safe-consumption sites.\u003c/p>\n\u003cp>“What Newsom could have done if he really cared about reducing overdoses was sign SB 57 last year,” she said, referring to legislation he vetoed that would have allowed safe-consumption sites in San Francisco, Oakland and Los Angeles. At the time, Newsom argued there wasn’t enough evidence or planning to support launching the controversial sites, where people are able to smoke or inject drugs in a clean, safe environment under medical supervision.\u003c/p>\n\u003cp>Thomas’ nonprofit is among a handful of organizations in San Francisco now exploring ways to privately fund and operate safe-consumption services, which remain illegal at the state and federal levels, but \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">recently were sanctioned by the city\u003c/a>.\u003c/p>\n\u003cp>To that end, Thomas also questioned why the governor’s package did not include any details about continuing to fund harm-reduction centers, like the one her organization operates, that distribute naloxone and offer other treatment services.\u003c/p>\n\u003cp>“What’s not in this, unfortunately, is any plan to extend the \u003ca href=\"https://harmreduction.org/our-work/action/california-harm-reduction-initiative-chri/\">California Harm Reduction Initiative\u003c/a>,” a $15.2 million allocation that has helped pay for staffing and other resources at privately run programs around the state, she said.\u003c/p>\n\u003cp>These are “the people who actually do the work of distributing test strips and naloxone to people who use drugs,” Thomas added. “That funding is now slated to end at the end of this year, and that’s where California must be investing more resources to make sure these scrappy orgs on the ground have the money they need.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On the heels of his statewide tour introducing proposals aimed at tackling California’s homelessness, mental health and substance use disorder crises, Gov. Gavin Newsom on Monday announced a plan to earmark just shy of $100 million in next year’s state budget for overdose prevention services.\u003c/p>\n\u003cp>Under the governor’s \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2023/03/Fentanyl-Opioids-Glossy-Plan_3.20.23.pdf?emrc=86c07e\">“Master Plan for Tackling the Fentanyl and Opioid Crisis” (PDF)\u003c/a>, the brunt of funding — $79 million — would go toward distributing naloxone, a nasal spray or injectable that can reverse opioid overdoses. An additional $3.5 million would be used to distribute the medicine in middle and high schools, where overdoses have increased in recent years.\u003c/p>\n\u003cp>The proposal also includes about $10 million for drug treatment services and $4 million to distribute fentanyl test strips, which allow users to detect the presence of fentanyl in other illicit substances. The synthetic opioid, which is often mixed with other drugs, is up to 50 times stronger than heroin, and accounts for the vast majority of opioid-related overdose deaths.\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/Communications-Toolkits/Fentanyl-Overdose-Prevention.aspx#:~:text=Fentanyl%20is%20a%20synthetic%20opioid,deaths%20were%20related%20to%20fentanyl.\">5,722 of the 6,843 opioid-related overdose deaths in California were linked to fentanyl\u003c/a>, according to preliminary data from the state Department of Public Health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Newsom’s new funding proposal builds on the nearly $1 billion the state has already allocated since 2018 to address the opioid crisis, some of which has gone toward beefing up efforts to reduce trafficking. In 2022, local and state law enforcement seized 28,765 pounds of fentanyl, a nearly 600% increase over seizures in 2021, according to the governor’s office.\u003c/p>\n\u003cp>“Our comprehensive approach will expand enforcement efforts to crack down on transnational criminal organizations trafficking this poison into our communities — while prioritizing harm-reduction strategies to reduce overdoses and compassionately help those struggling with substance use and addiction,” Newsom said Monday in a press release.\u003c/p>\n\u003cp>The governor also said he wants California to begin manufacturing its own supply of naloxone, which is in increasingly high demand as cities and states across the country grapple with similar upticks in overdose rates. It’s still not clear, though, how the state would produce its own drug, and how it would get around the existing patent on the popular nasal spray form of the medicine.\u003c/p>\n\u003cp>San Francisco public health officials were quick to applaud the governor’s proposal, saying it would “measurably increase” the city’s ability to save lives and “reduce the negative harms associated with opioid and fentanyl use.”\u003c/p>\n\u003cp>In the first two months of 2023, \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2023%2003_OCME%20Overdose%20Report.pdf\">131 people in San Francisco already have died from drug overdoses\u003c/a>, largely driven by fentanyl, according to data from the city’s Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>“The current rate of overdoses is unacceptable,” San Francisco’s Department of Public Health said in a press release Monday, following Newsom’s announcement.\u003c/p>\n\u003cp>The plan, the department said, could be particularly beneficial if it yielded an increased supply of naloxone. In 2022, San Francisco distributed nearly 72,000 naloxone kits through community nonprofits, officials said.\u003c/p>\n\u003cp>But Laura Thomas, director of harm reduction policy for the San Francisco AIDS Foundation, criticized the governor’s new plan as “essentially a glossy repackaging of existing initiatives,” and noted there was no mention of safe-consumption sites.\u003c/p>\n\u003cp>“What Newsom could have done if he really cared about reducing overdoses was sign SB 57 last year,” she said, referring to legislation he vetoed that would have allowed safe-consumption sites in San Francisco, Oakland and Los Angeles. At the time, Newsom argued there wasn’t enough evidence or planning to support launching the controversial sites, where people are able to smoke or inject drugs in a clean, safe environment under medical supervision.\u003c/p>\n\u003cp>Thomas’ nonprofit is among a handful of organizations in San Francisco now exploring ways to privately fund and operate safe-consumption services, which remain illegal at the state and federal levels, but \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">recently were sanctioned by the city\u003c/a>.\u003c/p>\n\u003cp>To that end, Thomas also questioned why the governor’s package did not include any details about continuing to fund harm-reduction centers, like the one her organization operates, that distribute naloxone and offer other treatment services.\u003c/p>\n\u003cp>“What’s not in this, unfortunately, is any plan to extend the \u003ca href=\"https://harmreduction.org/our-work/action/california-harm-reduction-initiative-chri/\">California Harm Reduction Initiative\u003c/a>,” a $15.2 million allocation that has helped pay for staffing and other resources at privately run programs around the state, she said.\u003c/p>\n\u003cp>These are “the people who actually do the work of distributing test strips and naloxone to people who use drugs,” Thomas added. “That funding is now slated to end at the end of this year, and that’s where California must be investing more resources to make sure these scrappy orgs on the ground have the money they need.”\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco’s mobile opioid treatment clinics were set up as a way to address overcrowding at San Francisco General Hospital during the beginning of the COVID-19 pandemic. These vans distribute methadone, a medication used to reduce withdrawal symptoms — while offering program patients snacks, water and canisters of naloxone, an overdose-reversal nasal spray.\u003c/p>\n\u003cp>In San Francisco alone, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\" target=\"_blank\" rel=\"noopener noreferrer\">nearly 2,000 people have died of drug overdoses since 2020\u003c/a>. And surprisingly, these temporary mobile clinics are drawing more patients than SF General’s indoor treatment clinics. Now, the people who run it want to find a way to keep them around.\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1xbM4bouUiMJ34cSBPM29g1FzofZ5yCVV/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: \u003ca href=\"https://twitter.com/sydneyfjohnson\" target=\"_blank\" rel=\"noopener noreferrer\">Sydney Johnson,\u003c/a> KQED reporter\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC4114349077&artwork=false&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Links:\u003c/p>\n\u003cul>\n\u003cli class=\"routes-Site-routes-Post-components-Post-components-PostTitle-___PostTitle__title\">\u003ca href=\"https://www.kqed.org/news/11941618/sfs-mobile-clinics-made-opioid-treatment-more-accessible-during-the-pandemic-but-will-they-stay\" target=\"_blank\" rel=\"noopener\">SF’s Mobile Clinics Made Opioid Treatment More Accessible During the Pandemic. But Will They Stay?\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/about/17653/help-make-the-bay-even-better\" target=\"_blank\" rel=\"noopener\">The Bay Survey\u003c/a>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s mobile opioid treatment clinics were set up as a way to address overcrowding at San Francisco General Hospital during the beginning of the COVID-19 pandemic. These vans distribute methadone, a medication used to reduce withdrawal symptoms — while offering program patients snacks, water and canisters of naloxone, an overdose-reversal nasal spray.\u003c/p>\n\u003cp>In San Francisco alone, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\" target=\"_blank\" rel=\"noopener noreferrer\">nearly 2,000 people have died of drug overdoses since 2020\u003c/a>. And surprisingly, these temporary mobile clinics are drawing more patients than SF General’s indoor treatment clinics. Now, the people who run it want to find a way to keep them around.\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1xbM4bouUiMJ34cSBPM29g1FzofZ5yCVV/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: \u003ca href=\"https://twitter.com/sydneyfjohnson\" target=\"_blank\" rel=\"noopener noreferrer\">Sydney Johnson,\u003c/a> KQED reporter\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC4114349077&artwork=false&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Things at the opiate treatment program at San Francisco General Hospital look a good deal different these days from before the pandemic hit.\u003c/p>\n\u003cp>For starters, there’s now an option to pick up methadone from a mobile clinic stationed in the hospital’s shaded parking lot, rather than in the traditional clinic inside Ward 93. More crucially, patients can now get the dosage level they need, when they need it, and are able to take their medications home with them — allowances that were previously restricted.\u003c/p>\n\u003cp>In the spring of 2020, as many medical facilities limited their indoor services, the mobile clinic’s two vans set up shop, enabling patients to continue receiving their addiction-related medications and other treatments without interruption.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Early indicators suggest the changes have helped more patients stick with their substance-use treatments at the hospital’s 50-year-old Opiate Treatment Outpatient Program (OTOP).\u003c/p>\n\u003cp>“More people are coming, and more people are staying” with their treatment plan, said Dr. Lisa Fortuna, chief of psychiatry at SF General.\u003c/p>\n\u003cp>But as local and federal pandemic emergency orders — and many of the programs that came with them — come to an end, the future of the mobile clinic is uncertain.\u003c/p>\n\u003cp>Tamra Lombardo, a former heroin user who has received treatment from OTOP for nearly 10 years, said the outdoor site is more discreet and much easier to access compared to the hospital ward, which she frequented before the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11941679\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11941679 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\" alt=\"A woman with light brown skin and black hair pulled into a bun wearing a face mask fills medication.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Registered nurse Sheena Simon prepares medication inside a mobile methadone clinic operated by SF General’s Opiate Treatment Outpatient Program, on Feb. 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I haven’t missed no days here. It’s more convenient and a lot smoother. It’s way better, I think,” said Lombardo, 52, after picking up the cherry-flavored dose of methadone from one of the clinic’s vans on a recent Friday, with her dog Eddy at her side. Finding a program that works, she added, has allowed her to focus on her work as a caregiver.\u003c/p>\n\u003cp>Lombardo is one of about 600 OTOP patients, roughly 75% of whom now use the program’s mobile clinic, according to Hasija Sisic, a nurse manager. Participation in the program, which dropped considerably during the first year of the pandemic, has since rebounded and even exceeded pre-pandemic levels, according to data provided by the program.\u003c/p>\n\u003cp>That retention is sorely needed as cities throughout the region, and country, continue to grapple with an overdose epidemic driven by potent opioids like fentanyl. In San Francisco alone, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">nearly 2,000 people have died of drug overdoses since 2020\u003c/a>, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>Seven days a week, OTOP nurses work out of the clinic’s large white vans in the hospital parking lot, near Potrero Boulevard. On Monday through Friday, one of the vans also parks in the Bayview neighborhood. [pullquote align=\"right\" size=\"medium\" citation=\"Tamra Lombardo, patient, Opiate Treatment Outpatient Program\"]‘I don’t have to use the junk out there anymore. I’ve lost a lot of people I know to that.’[/pullquote]On a recent Friday afternoon, nurses outside the hospital dispensed methadone and buprenorphine — medications used to reduce withdrawal symptoms — while offering program patients snacks, water and canisters of naloxone, an overdose-reversal nasal spray.\u003c/p>\n\u003cp>After picking up their doses, patients talked with counselors in person or on iPads in heated booths inside the vans. At the start of the pandemic, the program gave out free mobile phones to almost all patients, many of whom lack reliable internet access, so they could be reached for daily check-ins.\u003c/p>\n\u003cp>Sisic said she hopes the mobile sites will continue to operate, even as emergency orders sunset.\u003c/p>\n\u003cp>“We are still talking to the state to at least consider that this might be a good option to keep, because there are a lot of regulations,” she said. “But it’s very needed and we do have the skills.”\u003c/p>\n\u003cp>Opioid withdrawal symptoms can be extremely painful and, in some cases, fatal. So when methadone was approved by the U.S. Food and Drug Administration in 1972, San Francisco became an early adopter in dispensing it. That effort was later incorporated into the city’s strategy to help combat HIV among injection drug users during the start of the AIDS epidemic in the early 1980s.\u003c/p>\n\u003cfigure id=\"attachment_11941681\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11941681 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\" alt=\"A woman with light skin and a purple bandana stands in the doorway of a large white van, with her dog on a leash outside.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Tamra Lombardo, a patient, speaks with a nurse at OTOP’s mobile methadone clinic at San Francisco General Hospital on Feb. 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But many health experts now argue that standard treatment for substance-use disorders has failed to keep pace with the ever-expanding landscape of increasingly potent and dangerous street drugs.\u003c/p>\n\u003cp>Treating the withdrawal symptoms of fentanyl, for example, an opioid that’s 50 times more potent than heroin, requires a higher initial dose of methadone than what’s typically allowed by the Substance Abuse and Mental Health Services Administration, the federal agency that regulates how opioid-treatment drugs are administered.\u003c/p>\n\u003cp>Before the pandemic, federal health authorities strictly regulated many aspects of opiate treatment programs in an effort to stem overdoses of methadone, which is itself an opioid. Rules around treatment dictate everything from dosage levels to when and where patients consume their medications.\u003c/p>\n\u003cp>Some of those rules were temporarily relaxed at the start of the pandemic, as drug treatment centers scrambled to prevent overcrowding and continue programs.[aside label=\"related coverage\" tag=\"opioid-crisis\"]Under the updated COVID-era federal regulations, health care providers can prescribe higher doses of methadone depending on a patient’s needs. Stabilized patients also have more access to take-home medications and can attend counseling by video or phone rather than in person.\u003c/p>\n\u003cp>Before the pandemic, “we couldn’t go up as quickly on dosage to get to the appropriate dosage that stops cravings of opioids,” said Dr. Andrew Tompkins, head of UCSF’s Division of Substance Abuse and Addiction Medicine. “And all counseling had to be face-to-face. We weren’t allowed to use telehealth or telephone.”\u003c/p>\n\u003cp>Now about 82% of patients in the program qualify for at least one take-home dose, up from the roughly 25% who qualified before the pandemic, Tompkins said.\u003c/p>\n\u003cp>And so far, \u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/04/LearningCOVID19PandemicPoliciesMethadoneOpioidTreatment.pdf\">concerns about take-home methadone doses leading to increased overdoses “have not borne out” (PDF)\u003c/a>, according to a recent UCSF report. In observing opiate treatment programs in five different states, the study’s authors found no significant increase in methadone diversion or overdose after take-home regulations were relaxed in 2020, as compared to previous years.\u003c/p>\n\u003cp>The study goes on to suggest that expanding methadone and buprenorphine treatment options can begin to address some of that history of “medical racism and treatment segregation.”\u003c/p>\n\u003cp>A recently proposed federal rule change could make the loosened \u003ca href=\"https://www.hhs.gov/about/news/2022/12/13/samhsa-proposes-update-federal-rules-expand-access-opioid-use-disorder-treatment-help-close-gap-in-care.html\">opiate treatment rules permanent\u003c/a>. Specifically, it would allow providers to continue prescribing take-home doses of methadone and allow treatment programs to be initiated through telehealth consultations.\u003c/p>\n\u003cp>Being able to receive take-home medication has been a welcome change for patients like Debra Allen, a Tenderloin resident, who has attempted opioid treatment for years to combat her cocaine and heroin addiction.\u003c/p>\n\u003cp>The mobile clinic allows her to more easily hop on and off the bus to pick up her medication, and it’s a calmer environment than the buzzing methadone clinic inside the hospital, she said.\u003c/p>\n\u003cfigure id=\"attachment_11941680\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11941680\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\" alt=\"A Black woman drinks out of a disposable cup, as a nurse behind a window watches.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patient Debra Allen takes her methadone dose while speaking with nurse Heather Cruz at OTOP’s mobile methadone clinic at San Francisco General Hospital on Feb. 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“This site is nice. I’ve been here a long time. Other ones are nasty and dirty. Here they keep the bathroom clean,” Allen said.\u003c/p>\n\u003cp>“You can be using so long you get immune and you have to go up [with your dosage],” she said, adding that this treatment approach “makes me not want heroin.”\u003c/p>\n\u003cp>Lombardo, one of the longtime patients, said she’ll keep returning for treatment as long as the vans are around.\u003c/p>\n\u003cp>“I don’t have to use the junk out there anymore. I’ve lost a lot of people I know to that,” she said. To other folks who might be considering treatment, she recommended the mobile clinics: “Take the time to try it. The more you put into it, the more you will get out of it.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Things at the opiate treatment program at San Francisco General Hospital look a good deal different these days from before the pandemic hit.\u003c/p>\n\u003cp>For starters, there’s now an option to pick up methadone from a mobile clinic stationed in the hospital’s shaded parking lot, rather than in the traditional clinic inside Ward 93. More crucially, patients can now get the dosage level they need, when they need it, and are able to take their medications home with them — allowances that were previously restricted.\u003c/p>\n\u003cp>In the spring of 2020, as many medical facilities limited their indoor services, the mobile clinic’s two vans set up shop, enabling patients to continue receiving their addiction-related medications and other treatments without interruption.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Early indicators suggest the changes have helped more patients stick with their substance-use treatments at the hospital’s 50-year-old Opiate Treatment Outpatient Program (OTOP).\u003c/p>\n\u003cp>“More people are coming, and more people are staying” with their treatment plan, said Dr. Lisa Fortuna, chief of psychiatry at SF General.\u003c/p>\n\u003cp>But as local and federal pandemic emergency orders — and many of the programs that came with them — come to an end, the future of the mobile clinic is uncertain.\u003c/p>\n\u003cp>Tamra Lombardo, a former heroin user who has received treatment from OTOP for nearly 10 years, said the outdoor site is more discreet and much easier to access compared to the hospital ward, which she frequented before the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11941679\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11941679 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\" alt=\"A woman with light brown skin and black hair pulled into a bun wearing a face mask fills medication.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62988_002_KQED_SFGeneralMethadoneClinic_02102023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Registered nurse Sheena Simon prepares medication inside a mobile methadone clinic operated by SF General’s Opiate Treatment Outpatient Program, on Feb. 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I haven’t missed no days here. It’s more convenient and a lot smoother. It’s way better, I think,” said Lombardo, 52, after picking up the cherry-flavored dose of methadone from one of the clinic’s vans on a recent Friday, with her dog Eddy at her side. Finding a program that works, she added, has allowed her to focus on her work as a caregiver.\u003c/p>\n\u003cp>Lombardo is one of about 600 OTOP patients, roughly 75% of whom now use the program’s mobile clinic, according to Hasija Sisic, a nurse manager. Participation in the program, which dropped considerably during the first year of the pandemic, has since rebounded and even exceeded pre-pandemic levels, according to data provided by the program.\u003c/p>\n\u003cp>That retention is sorely needed as cities throughout the region, and country, continue to grapple with an overdose epidemic driven by potent opioids like fentanyl. In San Francisco alone, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">nearly 2,000 people have died of drug overdoses since 2020\u003c/a>, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>Seven days a week, OTOP nurses work out of the clinic’s large white vans in the hospital parking lot, near Potrero Boulevard. On Monday through Friday, one of the vans also parks in the Bayview neighborhood. \u003c/p>\u003c/div>",
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"content": "‘I don’t have to use the junk out there anymore. I’ve lost a lot of people I know to that.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>On a recent Friday afternoon, nurses outside the hospital dispensed methadone and buprenorphine — medications used to reduce withdrawal symptoms — while offering program patients snacks, water and canisters of naloxone, an overdose-reversal nasal spray.\u003c/p>\n\u003cp>After picking up their doses, patients talked with counselors in person or on iPads in heated booths inside the vans. At the start of the pandemic, the program gave out free mobile phones to almost all patients, many of whom lack reliable internet access, so they could be reached for daily check-ins.\u003c/p>\n\u003cp>Sisic said she hopes the mobile sites will continue to operate, even as emergency orders sunset.\u003c/p>\n\u003cp>“We are still talking to the state to at least consider that this might be a good option to keep, because there are a lot of regulations,” she said. “But it’s very needed and we do have the skills.”\u003c/p>\n\u003cp>Opioid withdrawal symptoms can be extremely painful and, in some cases, fatal. So when methadone was approved by the U.S. Food and Drug Administration in 1972, San Francisco became an early adopter in dispensing it. That effort was later incorporated into the city’s strategy to help combat HIV among injection drug users during the start of the AIDS epidemic in the early 1980s.\u003c/p>\n\u003cfigure id=\"attachment_11941681\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11941681 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\" alt=\"A woman with light skin and a purple bandana stands in the doorway of a large white van, with her dog on a leash outside.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62998_014_KQED_SFGeneralMethadoneClinic_02102023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Tamra Lombardo, a patient, speaks with a nurse at OTOP’s mobile methadone clinic at San Francisco General Hospital on Feb. 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But many health experts now argue that standard treatment for substance-use disorders has failed to keep pace with the ever-expanding landscape of increasingly potent and dangerous street drugs.\u003c/p>\n\u003cp>Treating the withdrawal symptoms of fentanyl, for example, an opioid that’s 50 times more potent than heroin, requires a higher initial dose of methadone than what’s typically allowed by the Substance Abuse and Mental Health Services Administration, the federal agency that regulates how opioid-treatment drugs are administered.\u003c/p>\n\u003cp>Before the pandemic, federal health authorities strictly regulated many aspects of opiate treatment programs in an effort to stem overdoses of methadone, which is itself an opioid. Rules around treatment dictate everything from dosage levels to when and where patients consume their medications.\u003c/p>\n\u003cp>Some of those rules were temporarily relaxed at the start of the pandemic, as drug treatment centers scrambled to prevent overcrowding and continue programs.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the updated COVID-era federal regulations, health care providers can prescribe higher doses of methadone depending on a patient’s needs. Stabilized patients also have more access to take-home medications and can attend counseling by video or phone rather than in person.\u003c/p>\n\u003cp>Before the pandemic, “we couldn’t go up as quickly on dosage to get to the appropriate dosage that stops cravings of opioids,” said Dr. Andrew Tompkins, head of UCSF’s Division of Substance Abuse and Addiction Medicine. “And all counseling had to be face-to-face. We weren’t allowed to use telehealth or telephone.”\u003c/p>\n\u003cp>Now about 82% of patients in the program qualify for at least one take-home dose, up from the roughly 25% who qualified before the pandemic, Tompkins said.\u003c/p>\n\u003cp>And so far, \u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/04/LearningCOVID19PandemicPoliciesMethadoneOpioidTreatment.pdf\">concerns about take-home methadone doses leading to increased overdoses “have not borne out” (PDF)\u003c/a>, according to a recent UCSF report. In observing opiate treatment programs in five different states, the study’s authors found no significant increase in methadone diversion or overdose after take-home regulations were relaxed in 2020, as compared to previous years.\u003c/p>\n\u003cp>The study goes on to suggest that expanding methadone and buprenorphine treatment options can begin to address some of that history of “medical racism and treatment segregation.”\u003c/p>\n\u003cp>A recently proposed federal rule change could make the loosened \u003ca href=\"https://www.hhs.gov/about/news/2022/12/13/samhsa-proposes-update-federal-rules-expand-access-opioid-use-disorder-treatment-help-close-gap-in-care.html\">opiate treatment rules permanent\u003c/a>. Specifically, it would allow providers to continue prescribing take-home doses of methadone and allow treatment programs to be initiated through telehealth consultations.\u003c/p>\n\u003cp>Being able to receive take-home medication has been a welcome change for patients like Debra Allen, a Tenderloin resident, who has attempted opioid treatment for years to combat her cocaine and heroin addiction.\u003c/p>\n\u003cp>The mobile clinic allows her to more easily hop on and off the bus to pick up her medication, and it’s a calmer environment than the buzzing methadone clinic inside the hospital, she said.\u003c/p>\n\u003cfigure id=\"attachment_11941680\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11941680\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg\" alt=\"A Black woman drinks out of a disposable cup, as a nurse behind a window watches.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62991_009_KQED_SFGeneralMethadoneClinic_02102023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patient Debra Allen takes her methadone dose while speaking with nurse Heather Cruz at OTOP’s mobile methadone clinic at San Francisco General Hospital on Feb. 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“This site is nice. I’ve been here a long time. Other ones are nasty and dirty. Here they keep the bathroom clean,” Allen said.\u003c/p>\n\u003cp>“You can be using so long you get immune and you have to go up [with your dosage],” she said, adding that this treatment approach “makes me not want heroin.”\u003c/p>\n\u003cp>Lombardo, one of the longtime patients, said she’ll keep returning for treatment as long as the vans are around.\u003c/p>\n\u003cp>“I don’t have to use the junk out there anymore. I’ve lost a lot of people I know to that,” she said. To other folks who might be considering treatment, she recommended the mobile clinics: “Take the time to try it. The more you put into it, the more you will get out of it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Low levels of a dangerous animal tranquilizer were found in the bodies of four people in San Francisco who died of drug overdoses in December and January, health officials announced on Thursday.\u003c/p>\n\u003cp>It marks the first time that xylazine, commonly known as “Tranq,” has been detected in San Francisco’s street drug supply, further complicating efforts to tackle the Bay Area’s mounting opioid crisis.\u003c/p>\n\u003cp>“This is a concern because we have seen that xylazine, which has been present in the East Coast drug supply now for several years, can cause significant illness and disability among people who have used the drug repeatedly,” said Dr. Jeffrey Hom, a drug treatment expert at the San Francisco Department of Public Health.\u003c/p>\n\u003cp>Frequent xylazine use can lead to physiologic dependence and withdrawal symptoms, Hom said. Chronic injection of the drug has also been associated with severe, necrotic skin lesions, often requiring advanced wound care and, in extreme cases, amputation.\u003c/p>\n\u003cp>Although not FDA-approved for use in humans, the veterinary sedative is sometimes mixed with fentanyl, heroin and other street opioids to heighten or prolong their effects. It can be smoked, snorted or injected. And unlike with fentanyl, there are no testing strips available for users to identify it.\u003c/p>\n\u003cp>“At this point in time, we don’t believe that it’s widely prevalent. We have not heard the same extent of reports of wounds or xylazine intoxication,” Hom said. “But we are concerned about it and working to increase our surveillance for it.”[aside label=\"related coverage\" tag=\"opioid-crisis\"]San Francisco, however, has only recently started to test for xylazine, and health officials called the recent identification “concerning.”\u003c/p>\n\u003cp>“These facts suggest that the drug may not yet be widespread, but SFDPH and its City and community partners are working to learn more, share information and prepare street response teams to recognize the impacts of xylazine and respond appropriately,” officials said in a press release on Thursday.\u003c/p>\n\u003cp>In each of the four overdose cases in which xylazine was found, fentanyl was also present. Preliminary data from San Francisco’s Office of the Chief Medical Examiner, which tested the four bodies, indicates that fentanyl, the primary driver of the overdose crisis in the city, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">accounted for 72% of all overdose deaths last year\u003c/a>.\u003c/p>\n\u003cp>The tranquilizer has been found for years in other cities hit hard by the opioid crisis, \u003ca href=\"https://www.nytimes.com/2023/01/07/health/fentanyl-xylazine-drug.html\">including Philadelphia\u003c/a>, its “epicenter nationally,” according to Hom, who previously led a substance-use prevention unit in that city’s public health department.\u003c/p>\n\u003cp>Philadelphia health officials first detected xylazine around 2014, following the arrival of fentanyl, Hom said. Fentanyl, by contrast, \u003ca href=\"https://www.kqed.org/news/11766169/san-francisco-fentanyl-deaths-up-almost-150\">began dominating San Francisco’s drug supply\u003c/a> around 2018.\u003c/p>\n\u003cp>“The East Coast saw the arrival of fentanyl a few years before we did here in San Francisco, and they saw xylazine a few years after fentanyl,” Hom said. “Given we are now seeing large amounts of fentanyl in our drug supply, this is about the time that we might see xylazine.”\u003c/p>\n\u003cp>Xylazine intoxication may resemble an opioid overdose, such as slowed breathing and reduced heart rate. But xylazine is not an opioid, so naloxone — the medication used to reverse opioid overdoses — is largely ineffective as an emergency treatment.\u003c/p>\n\u003cp>However, medical experts say naloxone should still be administered during a suspected xylazine overdose because of the high likelihood that fentanyl is also present.\u003c/p>\n\u003cp>“People who are trained in naloxone should be reminded that the goal of an overdose reversal is to restore breathing, not to necessarily restore full consciousness,” health officials said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "This marks the first time that xylazine, also known as 'Tranq,' has been detected in San Francisco's illicit drug supply, further complicating efforts to tackle the Bay Area's mounting opioid crisis.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Low levels of a dangerous animal tranquilizer were found in the bodies of four people in San Francisco who died of drug overdoses in December and January, health officials announced on Thursday.\u003c/p>\n\u003cp>It marks the first time that xylazine, commonly known as “Tranq,” has been detected in San Francisco’s street drug supply, further complicating efforts to tackle the Bay Area’s mounting opioid crisis.\u003c/p>\n\u003cp>“This is a concern because we have seen that xylazine, which has been present in the East Coast drug supply now for several years, can cause significant illness and disability among people who have used the drug repeatedly,” said Dr. Jeffrey Hom, a drug treatment expert at the San Francisco Department of Public Health.\u003c/p>\n\u003cp>Frequent xylazine use can lead to physiologic dependence and withdrawal symptoms, Hom said. Chronic injection of the drug has also been associated with severe, necrotic skin lesions, often requiring advanced wound care and, in extreme cases, amputation.\u003c/p>\n\u003cp>Although not FDA-approved for use in humans, the veterinary sedative is sometimes mixed with fentanyl, heroin and other street opioids to heighten or prolong their effects. It can be smoked, snorted or injected. And unlike with fentanyl, there are no testing strips available for users to identify it.\u003c/p>\n\u003cp>“At this point in time, we don’t believe that it’s widely prevalent. We have not heard the same extent of reports of wounds or xylazine intoxication,” Hom said. “But we are concerned about it and working to increase our surveillance for it.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>San Francisco, however, has only recently started to test for xylazine, and health officials called the recent identification “concerning.”\u003c/p>\n\u003cp>“These facts suggest that the drug may not yet be widespread, but SFDPH and its City and community partners are working to learn more, share information and prepare street response teams to recognize the impacts of xylazine and respond appropriately,” officials said in a press release on Thursday.\u003c/p>\n\u003cp>In each of the four overdose cases in which xylazine was found, fentanyl was also present. Preliminary data from San Francisco’s Office of the Chief Medical Examiner, which tested the four bodies, indicates that fentanyl, the primary driver of the overdose crisis in the city, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">accounted for 72% of all overdose deaths last year\u003c/a>.\u003c/p>\n\u003cp>The tranquilizer has been found for years in other cities hit hard by the opioid crisis, \u003ca href=\"https://www.nytimes.com/2023/01/07/health/fentanyl-xylazine-drug.html\">including Philadelphia\u003c/a>, its “epicenter nationally,” according to Hom, who previously led a substance-use prevention unit in that city’s public health department.\u003c/p>\n\u003cp>Philadelphia health officials first detected xylazine around 2014, following the arrival of fentanyl, Hom said. Fentanyl, by contrast, \u003ca href=\"https://www.kqed.org/news/11766169/san-francisco-fentanyl-deaths-up-almost-150\">began dominating San Francisco’s drug supply\u003c/a> around 2018.\u003c/p>\n\u003cp>“The East Coast saw the arrival of fentanyl a few years before we did here in San Francisco, and they saw xylazine a few years after fentanyl,” Hom said. “Given we are now seeing large amounts of fentanyl in our drug supply, this is about the time that we might see xylazine.”\u003c/p>\n\u003cp>Xylazine intoxication may resemble an opioid overdose, such as slowed breathing and reduced heart rate. But xylazine is not an opioid, so naloxone — the medication used to reverse opioid overdoses — is largely ineffective as an emergency treatment.\u003c/p>\n\u003cp>However, medical experts say naloxone should still be administered during a suspected xylazine overdose because of the high likelihood that fentanyl is also present.\u003c/p>\n\u003cp>“People who are trained in naloxone should be reminded that the goal of an overdose reversal is to restore breathing, not to necessarily restore full consciousness,” health officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>With a Sig Sauer .45 semiautomatic handgun holstered at his hip, and a San Francisco Police Department star chained around his neck, Carl Tennenbaum rolled through the streets of the Tenderloin undercover, day-in, day-out, for three years. It was the 1980s, when San Francisco still had a concrete slab of a freeway blocking the view of the Ferry Building from Market Street, and underneath its shadow the crack-cocaine epidemic gripped the city by the Bay as tightly as it did any American metropolis.\u003c/p>\n\u003cp>Tennenbaum, born and raised in San Francisco and a graduate of Lincoln High School, was a professional narc, a foot soldier in the nation’s war on drugs, and the Tenderloin was his theater. He bought cocaine from dealers on the corner of Eddy and Taylor streets, only to shove them against a wall as soon as the cash hit their hands. Sitting in the shade of the Henry Hotel, which even then was dilapidated, he found people shaking with tremors, hunched over crack pipes, and cuffed them.\u003c/p>\n\u003cp>Forty years ago, Tennenbaum arrested hundreds of people, far more than he can recall. Flash forward to 2022, and city leaders want the same from officers now.\u003c/p>\n\u003cp>In modern-day San Francisco, a growing swell of voices are supporting District Attorney Brooke Jenkins as she calls on San Francisco to bring what they call law and order to the Tenderloin. The scourge today is fentanyl, which has killed more San Franciscans than COVID, by a long shot.[pullquote size=\"medium\" align=\"right\" citation=\"Mano Raju, San Francisco public defender\"]‘DA Jenkins recently announced policies (that) are just more of the same regressive approaches … To be clear, as the war on drugs has clearly demonstrated, criminalizing the supply (does) nothing to reduce the demand.’[/pullquote]Fans of Jenkins’ recent policy changes — from homicide charges for drug dealers to steeper sentences against drug users — would probably praise Tennenbaum for his similar efforts against cocaine dealers and users.\u003c/p>\n\u003cp>Tennenbaum, however, regrets every second.\u003c/p>\n\u003cp>He’s far from alone. Some sectors of the city are now pushing back against renewed support for the war on drugs, which they see as a failed policy.\u003c/p>\n\u003cp>Now 65, the retired sergeant believes that by jailing drug users and dealers, he broke up families, prevented people from kicking their addictions, and ultimately did not rid the streets of San Francisco of drugs. Perhaps even worse, today he sees the city lurching back toward the unsuccessful policies of the past.\u003c/p>\n\u003cp>“I saw directly the impact I was having on families and on the community and society. And everything that I was doing was way worse than whatever the impact of the use of drugs was,” he told KQED.\u003c/p>\n\u003cp>Today, Tennenbaum said, “it’s more of the same.”\u003c/p>\n\u003cp>San Francisco Public Defender Mano Raju echoed those thoughts in a press conference this week.\u003c/p>\n\u003cp>“DA Jenkins recently announced policies (that) are just more of the same regressive approaches,” he said. “To be clear, as the war on drugs has clearly demonstrated, criminalizing the supply (does) nothing to reduce the demand.”\u003c/p>\n\u003cp>A bevy of experts including drug policy professionals, health care professionals, Tenderloin nonprofit leaders and a medical professor joined Raju to offer alternatives to incarceration to curb open drug use.\u003c/p>\n\u003cp>Known and proven methods of reducing harm need to be funded, they said, from behavioral health programs in San Francisco jails to more housing to help those dealing with substance use disorder have a secure place in which to combat their addictions. Safe injection sites are also needed, they said, so that trained professionals can keep drug users alive long enough for them to find a path to sobriety. Mayor London Breed has tried to get state support to open such a site, but Gov. Gavin Newsom recently vetoed a bill that would have done so.\u003c/p>\n\u003cp>Kara Simon Casey, from the nonprofit health care group Code Tenderloin, asserted that her organization offers case management for drug users, job placement and a safe place to recover. But they need more funding to step up what they do.\u003c/p>\n\u003cp>“That’s where the funding needs to go, from what I can see in the city, because I work daily with the population that are experiencing these traumas,” Simon Casey said, adding that the war on drugs just puts people in prisons, where they continue their drug use.\u003c/p>\n\u003cp>When DA Jenkins argues for a return to harsher penalties, she claims that a leftward swing by former District Attorney Chesa Boudin to move drug dealers and offenders to diversion programs has worsened drug dealing in the city.\u003c/p>\n\u003cp>But Leo Beletsky, associate professor at UC San Diego’s School of Medicine, said it is inaccurate to say San Francisco ever took its foot off the gas on enforcing anti-drug laws, especially in the Tenderloin.\u003c/p>\n\u003cp>“The federal initiative for the Tenderloin, which involves 15 local and federal and state law enforcement agencies, has been in place since 2019,” he said. “This is a very intensive drug-law-enforcement initiative in the Tenderloin and surrounding community and surrounding areas in San Francisco. And so the idea that somehow the former DA’s policies caused a complete stop to drug-law enforcement in San Francisco is just not true.”\u003c/p>\n\u003cp>Some at the press conference openly critiqued Jenkins’ recently announced effort to charge drug dealers with homicides in the case of drug overdoses. Norma Palacios, policy coordinator with the Drug Policy Alliance, said her organization issued a report in 2018 that looked at that particular charging policy, and found it lacking.\u003c/p>\n\u003cfigure id=\"attachment_11929112\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11929112\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/CarlT1.jpeg\" alt=\"An SFPD police officer in full uniform looks at the camera.\" width=\"1024\" height=\"768\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1.jpeg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1-800x600.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1-1020x765.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1-160x120.jpeg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Retired police Sgt. Carl Tennenbaum told KQED, ‘I saw directly the impact I was having on families and on the community and society. And everything that I was doing was way worse than whatever the impact of the use of drugs was.’ \u003ccite>(Aryk Copley/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“What the findings demonstrate is that these laws are counterproductive to reducing drug use and drug availability,” she said, adding that it even does harm because “it minimizes the chance that a person would call 911 in case someone is experiencing overdose.”\u003c/p>\n\u003cp>Tennenbaum, the retired SFPD sergeant, was not part of Raju’s press conference, but he’s now a speaker with the Law Enforcement Action Partnership, which advocates for the decriminalization of drug use.\u003c/p>\n\u003cp>The organization has no stake in or claim on any district attorney candidate, but Tennenbaum was clear that Jenkins’ recent law-and-order effort has its origins in another political era.\u003c/p>\n\u003cp>On June 17, 1971, then-President Richard Nixon made a speech from the White House that would begin a decades-long criminalization of impoverished communities of color, an effort known colloquially as “the war on drugs.”\u003c/p>\n\u003cp>“America’s public enemy No. 1 in the United States is drug abuse. In order to fight and defeat this enemy, it is necessary to wage a new all-out offensive,” Nixon told the nation, in a now-infamous address.\u003c/p>\n\u003cp>Following the passage of stiffer penalties for crack cocaine, the incarceration rate of Black people in America exploded from about 600 per 100,000 people in 1970, to 1,808 per 100,000 in 2000, according to an Associated Press review of federal and state incarceration data.\u003c/p>\n\u003cp>In the same time span, the rate for the Latino population grew from 208 per 100,000 people to 615 per 100,000, while the white incarceration rate grew from 103 per 100,000 people to 242 per 100,000.\u003c/p>\n\u003cp>Tennenbaum heard those same policies echoed at an early October press conference held by Mayor London Breed, San Francisco Police Chief Bill Scott, District Attorney Brooke Jenkins and Supervisor Matt Dorsey.\u003c/p>\n\u003cp>Standing at a lectern earlier this month, Jenkins gave voice to the need for treatment for drug users. But her method for compelling them into such treatment involves steeper consequences for refusing it, a method her critics say won’t work.\u003c/p>\n\u003cp>Jenkins rebuked those critics outright. But while she said her tough-on-crime policies aren’t linked to Nixon’s drug war, in the next breath she seemed to embrace the idea.\u003c/p>\n\u003cp>“People want to talk about, well, ‘The war on drugs this, the war on drugs that,’” Jenkins said. But, “It is a war on fentanyl. It is.”\u003c/p>\n\u003cp>She added, “When I’m having to give a lesson to my 6-year-old about not eating something that looks like candy because it can kill her, this is absolutely a war, on the most lethal drug our street has ever seen.”\u003c/p>\n\u003cp>That particular candy issue aside — \u003ca href=\"https://www.pbs.org/newshour/health/why-this-expert-says-rainbow-fentanyl-is-no-real-threat-to-your-halloween-this-year\">it’s a Fox News talking point that has been critiqued as overblown\u003c/a> — Tennenbaum sees the return to war-on-drug policies as potentially deadly. He’s seen it himself.\u003c/p>\n\u003cp>When he was a narcotics cop, he once arrested a young Black woman who was selling drugs on 16th and Capp streets in the Mission. Whether it was because they were both from the city — she attended Mission High School and grew up in the Valencia Gardens housing project — or simply because she was kind, they hit it off. She became a confidential informant for Tennenbaum, a useful ally in the war on drugs.\u003c/p>\n\u003cp>“She would give me little bits of information, nothing that led to anything big. And we just were back and forth. And I really have to be honest, I really, just really liked her. She was a very nice person,” he said.\u003c/p>\n\u003cp>But after a month or so, he didn’t hear from her. It was then that one of Tennenbaum’s superiors told him she was shot and killed. Her body was recovered by Candlestick Park, the now-bygone baseball stadium.\u003c/p>\n\u003cp>He felt responsible, that she died because of his willingness to partake in a drug war — one he said may cause more death, and lead to more drug use, should city leaders continue it.\u003c/p>\n\u003cp>“And yeah,” he said, “it stuck with me.”\u003c/p>\n\u003cp>\u003ci>The Associated Press contributed to this report.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With a Sig Sauer .45 semiautomatic handgun holstered at his hip, and a San Francisco Police Department star chained around his neck, Carl Tennenbaum rolled through the streets of the Tenderloin undercover, day-in, day-out, for three years. It was the 1980s, when San Francisco still had a concrete slab of a freeway blocking the view of the Ferry Building from Market Street, and underneath its shadow the crack-cocaine epidemic gripped the city by the Bay as tightly as it did any American metropolis.\u003c/p>\n\u003cp>Tennenbaum, born and raised in San Francisco and a graduate of Lincoln High School, was a professional narc, a foot soldier in the nation’s war on drugs, and the Tenderloin was his theater. He bought cocaine from dealers on the corner of Eddy and Taylor streets, only to shove them against a wall as soon as the cash hit their hands. Sitting in the shade of the Henry Hotel, which even then was dilapidated, he found people shaking with tremors, hunched over crack pipes, and cuffed them.\u003c/p>\n\u003cp>Forty years ago, Tennenbaum arrested hundreds of people, far more than he can recall. Flash forward to 2022, and city leaders want the same from officers now.\u003c/p>\n\u003cp>In modern-day San Francisco, a growing swell of voices are supporting District Attorney Brooke Jenkins as she calls on San Francisco to bring what they call law and order to the Tenderloin. The scourge today is fentanyl, which has killed more San Franciscans than COVID, by a long shot.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Fans of Jenkins’ recent policy changes — from homicide charges for drug dealers to steeper sentences against drug users — would probably praise Tennenbaum for his similar efforts against cocaine dealers and users.\u003c/p>\n\u003cp>Tennenbaum, however, regrets every second.\u003c/p>\n\u003cp>He’s far from alone. Some sectors of the city are now pushing back against renewed support for the war on drugs, which they see as a failed policy.\u003c/p>\n\u003cp>Now 65, the retired sergeant believes that by jailing drug users and dealers, he broke up families, prevented people from kicking their addictions, and ultimately did not rid the streets of San Francisco of drugs. Perhaps even worse, today he sees the city lurching back toward the unsuccessful policies of the past.\u003c/p>\n\u003cp>“I saw directly the impact I was having on families and on the community and society. And everything that I was doing was way worse than whatever the impact of the use of drugs was,” he told KQED.\u003c/p>\n\u003cp>Today, Tennenbaum said, “it’s more of the same.”\u003c/p>\n\u003cp>San Francisco Public Defender Mano Raju echoed those thoughts in a press conference this week.\u003c/p>\n\u003cp>“DA Jenkins recently announced policies (that) are just more of the same regressive approaches,” he said. “To be clear, as the war on drugs has clearly demonstrated, criminalizing the supply (does) nothing to reduce the demand.”\u003c/p>\n\u003cp>A bevy of experts including drug policy professionals, health care professionals, Tenderloin nonprofit leaders and a medical professor joined Raju to offer alternatives to incarceration to curb open drug use.\u003c/p>\n\u003cp>Known and proven methods of reducing harm need to be funded, they said, from behavioral health programs in San Francisco jails to more housing to help those dealing with substance use disorder have a secure place in which to combat their addictions. Safe injection sites are also needed, they said, so that trained professionals can keep drug users alive long enough for them to find a path to sobriety. Mayor London Breed has tried to get state support to open such a site, but Gov. Gavin Newsom recently vetoed a bill that would have done so.\u003c/p>\n\u003cp>Kara Simon Casey, from the nonprofit health care group Code Tenderloin, asserted that her organization offers case management for drug users, job placement and a safe place to recover. But they need more funding to step up what they do.\u003c/p>\n\u003cp>“That’s where the funding needs to go, from what I can see in the city, because I work daily with the population that are experiencing these traumas,” Simon Casey said, adding that the war on drugs just puts people in prisons, where they continue their drug use.\u003c/p>\n\u003cp>When DA Jenkins argues for a return to harsher penalties, she claims that a leftward swing by former District Attorney Chesa Boudin to move drug dealers and offenders to diversion programs has worsened drug dealing in the city.\u003c/p>\n\u003cp>But Leo Beletsky, associate professor at UC San Diego’s School of Medicine, said it is inaccurate to say San Francisco ever took its foot off the gas on enforcing anti-drug laws, especially in the Tenderloin.\u003c/p>\n\u003cp>“The federal initiative for the Tenderloin, which involves 15 local and federal and state law enforcement agencies, has been in place since 2019,” he said. “This is a very intensive drug-law-enforcement initiative in the Tenderloin and surrounding community and surrounding areas in San Francisco. And so the idea that somehow the former DA’s policies caused a complete stop to drug-law enforcement in San Francisco is just not true.”\u003c/p>\n\u003cp>Some at the press conference openly critiqued Jenkins’ recently announced effort to charge drug dealers with homicides in the case of drug overdoses. Norma Palacios, policy coordinator with the Drug Policy Alliance, said her organization issued a report in 2018 that looked at that particular charging policy, and found it lacking.\u003c/p>\n\u003cfigure id=\"attachment_11929112\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11929112\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/CarlT1.jpeg\" alt=\"An SFPD police officer in full uniform looks at the camera.\" width=\"1024\" height=\"768\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1.jpeg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1-800x600.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1-1020x765.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/CarlT1-160x120.jpeg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Retired police Sgt. Carl Tennenbaum told KQED, ‘I saw directly the impact I was having on families and on the community and society. And everything that I was doing was way worse than whatever the impact of the use of drugs was.’ \u003ccite>(Aryk Copley/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“What the findings demonstrate is that these laws are counterproductive to reducing drug use and drug availability,” she said, adding that it even does harm because “it minimizes the chance that a person would call 911 in case someone is experiencing overdose.”\u003c/p>\n\u003cp>Tennenbaum, the retired SFPD sergeant, was not part of Raju’s press conference, but he’s now a speaker with the Law Enforcement Action Partnership, which advocates for the decriminalization of drug use.\u003c/p>\n\u003cp>The organization has no stake in or claim on any district attorney candidate, but Tennenbaum was clear that Jenkins’ recent law-and-order effort has its origins in another political era.\u003c/p>\n\u003cp>On June 17, 1971, then-President Richard Nixon made a speech from the White House that would begin a decades-long criminalization of impoverished communities of color, an effort known colloquially as “the war on drugs.”\u003c/p>\n\u003cp>“America’s public enemy No. 1 in the United States is drug abuse. In order to fight and defeat this enemy, it is necessary to wage a new all-out offensive,” Nixon told the nation, in a now-infamous address.\u003c/p>\n\u003cp>Following the passage of stiffer penalties for crack cocaine, the incarceration rate of Black people in America exploded from about 600 per 100,000 people in 1970, to 1,808 per 100,000 in 2000, according to an Associated Press review of federal and state incarceration data.\u003c/p>\n\u003cp>In the same time span, the rate for the Latino population grew from 208 per 100,000 people to 615 per 100,000, while the white incarceration rate grew from 103 per 100,000 people to 242 per 100,000.\u003c/p>\n\u003cp>Tennenbaum heard those same policies echoed at an early October press conference held by Mayor London Breed, San Francisco Police Chief Bill Scott, District Attorney Brooke Jenkins and Supervisor Matt Dorsey.\u003c/p>\n\u003cp>Standing at a lectern earlier this month, Jenkins gave voice to the need for treatment for drug users. But her method for compelling them into such treatment involves steeper consequences for refusing it, a method her critics say won’t work.\u003c/p>\n\u003cp>Jenkins rebuked those critics outright. But while she said her tough-on-crime policies aren’t linked to Nixon’s drug war, in the next breath she seemed to embrace the idea.\u003c/p>\n\u003cp>“People want to talk about, well, ‘The war on drugs this, the war on drugs that,’” Jenkins said. But, “It is a war on fentanyl. It is.”\u003c/p>\n\u003cp>She added, “When I’m having to give a lesson to my 6-year-old about not eating something that looks like candy because it can kill her, this is absolutely a war, on the most lethal drug our street has ever seen.”\u003c/p>\n\u003cp>That particular candy issue aside — \u003ca href=\"https://www.pbs.org/newshour/health/why-this-expert-says-rainbow-fentanyl-is-no-real-threat-to-your-halloween-this-year\">it’s a Fox News talking point that has been critiqued as overblown\u003c/a> — Tennenbaum sees the return to war-on-drug policies as potentially deadly. He’s seen it himself.\u003c/p>\n\u003cp>When he was a narcotics cop, he once arrested a young Black woman who was selling drugs on 16th and Capp streets in the Mission. Whether it was because they were both from the city — she attended Mission High School and grew up in the Valencia Gardens housing project — or simply because she was kind, they hit it off. She became a confidential informant for Tennenbaum, a useful ally in the war on drugs.\u003c/p>\n\u003cp>“She would give me little bits of information, nothing that led to anything big. And we just were back and forth. And I really have to be honest, I really, just really liked her. She was a very nice person,” he said.\u003c/p>\n\u003cp>But after a month or so, he didn’t hear from her. It was then that one of Tennenbaum’s superiors told him she was shot and killed. Her body was recovered by Candlestick Park, the now-bygone baseball stadium.\u003c/p>\n\u003cp>He felt responsible, that she died because of his willingness to partake in a drug war — one he said may cause more death, and lead to more drug use, should city leaders continue it.\u003c/p>\n\u003cp>“And yeah,” he said, “it stuck with me.”\u003c/p>\n\u003cp>\u003ci>The Associated Press contributed to this report.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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