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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Friday, May 30, 2025…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">California’s brown pelicans are in trouble again — and this time it involves infant birds. \u003c/span>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.kqed.org/science/1996948/californias-pelicans-are-once-again-starving-this-year-its-the-babies\">This spring marks the third starvation event in four years\u003c/a> for the iconic seabirds. And scientists are still looking for answers. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Overdose deaths are falling nationwide—but in California, they continue to rise.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://calmatters.org/education/higher-education/2025/05/community-colleges-california/\">People applying to California’s community colleges will soon be required to verify their identities\u003c/a> when they submit their applications. \u003c/span>\u003cspan style=\"font-weight: 400\">The board that governs community colleges made the decision after multiple reports of scammers applying \u003c/span>\u003cspan style=\"font-weight: 400\">and getting into\u003c/span>\u003cspan style=\"font-weight: 400\"> schools.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kqed.org/science/1996948/californias-pelicans-are-once-again-starving-this-year-its-the-babies\">Brown Pelicans Struggle With Illness And Starvation As Experts Search For Solutions\u003c/a>\u003c/h2>\n\u003cp>It’s the third \u003ca href=\"https://www.kqed.org/science/1992933/california-has-a-theory-on-why-brown-pelicans-are-starving-and-dying\">starvation event\u003c/a> in four years for the iconic California seabirds. Experts can’t fully explain why, though they said climate change is at play.\u003c/p>\n\u003cp>“Everything’s getting weirder,” said Corinne Gibble, a marine bird specialist for the California Department of Fish and Wildlife. “We’re having \u003ca href=\"https://www.kqed.org/science/1993633/algal-blooms-love-heat-waves-when-is-bay-area-swimming-dangerous-for-humans-and-pets\">harmful algal blooms\u003c/a> and more unexpected weather events. What we can do is get more birds into rehab and better the science around helping them.”\u003c/p>\n\u003cp>To explain last year’s \u003ca href=\"https://www.kqed.org/science/1992933/california-has-a-theory-on-why-brown-pelicans-are-starving-and-dying\">starving pelicans\u003c/a>, scientists hypothesized that the birds could not see their prey in choppy, murky water after late-season storms. Another possibility is that anchovies and other fish swam farther below the warm sea surface, too deep for the pelicans to reach. During last year’s event, the state recorded roughly 1,000 pelicans captured for rehabilitation — and in 2022, for similar reasons, 800.\u003c/p>\n\u003cp>This year, there are only 250 ailing pelicans tallied so far, but there are new challenges. The seabirds arrived in two waves, sick and then starving.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Rebecca Duerr, who directs veterinary science at International Bird Rescue, said this spring, a toxic algal bloom first poisoned some adult birds. The blooms, predicted to become \u003ca href=\"https://www.epa.gov/habs/climate-change-and-freshwater-harmful-algal-blooms#:~:text=Scientists%20continue%20to%20document%20many,more%20often%20in%20more%20waterbodies.\">more severe with climate change\u003c/a>, have lasted \u003ca href=\"https://insideclimatenews.org/news/02052025/california-toxic-algae-marine-life-poisoning/#:~:text=This%20is%20the%20fourth%20year,for%20longer%2C%E2%80%9D%20Lefebvre%20said.\">longer\u003c/a> this year.\u003c/span>\u003c/p>\n\u003cp>And then came the starving babies. The majority of the roughly 250 pelicans International Bird Rescue received since March were less than 6 months old. The center gets about two-thirds of the birds statewide and considers 90 birds a month highly unusual.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This second wave of almost 200 rescued starving babies is still a mystery. Maybe the algal blooms also affected them. Maybe their successful breeding season just meant higher numbers didn’t learn to forage. \u003c/span>Another theory about these starving young, \u003cspan style=\"font-weight: 400\">Duerr \u003c/span>said, is that their parents, sickened by the harmful algal blooms, might have abandoned them before they were ready to forage alone.\u003c/p>\n\u003cp>“These young birds didn’t know how to eat yet,” Duerr said. “It’s circumstantial evidence, but it looked like, you know, if mom doesn’t come back, they have to leave the nest or they’ll die.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So far, there are less starving pelicans than last year. And, luckily, the numbers show the starvation event slowing down. \u003c/span>\u003c/p>\n\u003ch2>While Overdose Deaths Drop Nationwide, California’s Numbers Climb\u003c/h2>\n\u003cp>More than 11,000 people died of a drug overdose in California in 2023, which is about 400 more people than the prior year.\u003c/p>\n\u003cp>\u003ca href=\"https://www.tfah.org/people/j-nadine-gracia-md-msce/\">Dr. J. Nadine Gracia\u003c/a> leads \u003ca href=\"https://www.tfah.org/\">Trust for America’s Health\u003c/a>, a nonpartisan group that tracks overdose and suicide trends. She said the western part of the U.S. is seeing some of the sharpest increases — and California’s crisis is being fueled by fentanyl and rising use of stimulants like meth.\u003c/p>\n\u003cp>“What we need to do is bolster our programs that support addressing adverse childhood experiences and trauma,” Gracia said. “And really invest in resilience, mental health, and substance use.”\u003c/p>\n\u003cp>Deaths from alcohol and suicide are falling in California. But Gracia warned that progress is fragile — especially as overdoses continue to rise.\u003c/p>\n\u003ch2>\u003ca href=\"https://calmatters.org/education/higher-education/2025/05/community-colleges-california/\">To Mitigate Financial Aid Fraud, All Prospective Community College Students Will Soon Need To Provide Proof of Identity To Apply\u003c/a>\u003c/h2>\n\u003cp>Under scrutiny from state and federal lawmakers, California’s community colleges are trying to crack down on financial aid fraud. Scammers have increasingly infiltrated the state’s 116 community colleges, posing as students in an effort to steal financial aid from the state and federal government.\u003c/p>\n\u003cp>At a meeting recently, the board that oversees California’s community colleges voted to require all students to verify their identity, which is currently optional for most applicants. The board also considered asking the Legislature for approval to charge students a \u003ca href=\"https://go.boarddocs.com/ca/cccchan/Board.nsf/goto?open&id=DGHPTY663CB2\" target=\"_blank\" rel=\"noreferrer noopener\">nominal application fee\u003c/a> — which many said should be no more than $10. But after more than two hours of debate, the board rejected that proposal and instead asked staff to “explore” a fee policy.\u003c/p>\n\u003cp>Students from across the state told board members that they were against imposing a fee, sharing stories of times when they were so poor that they didn’t have a bank account or $10 to buy lunch. Many had personal experiences with fake students.\u003c/p>\n\u003cp>Flo Cudal, a student at Santiago Canyon College in Orange County, testified about her own experience with scammers.\u003c/p>\n\u003cp>“A bot once took my seat in a class I needed to graduate and transfer,” Cudal said. “That fraud almost cost me my future. I understand the need for strong protections, but they must not come at the expense of excluding a real student.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Even though students have to sign an affidavit swearing that their personal information is valid when they apply, only a few schools require applicants to upload an ID to prove their identity. The board vote means prospective students would be required to submit IDs with their applications.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Friday, May 30, 2025…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">California’s brown pelicans are in trouble again — and this time it involves infant birds. \u003c/span>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.kqed.org/science/1996948/californias-pelicans-are-once-again-starving-this-year-its-the-babies\">This spring marks the third starvation event in four years\u003c/a> for the iconic seabirds. And scientists are still looking for answers. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Overdose deaths are falling nationwide—but in California, they continue to rise.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://calmatters.org/education/higher-education/2025/05/community-colleges-california/\">People applying to California’s community colleges will soon be required to verify their identities\u003c/a> when they submit their applications. \u003c/span>\u003cspan style=\"font-weight: 400\">The board that governs community colleges made the decision after multiple reports of scammers applying \u003c/span>\u003cspan style=\"font-weight: 400\">and getting into\u003c/span>\u003cspan style=\"font-weight: 400\"> schools.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kqed.org/science/1996948/californias-pelicans-are-once-again-starving-this-year-its-the-babies\">Brown Pelicans Struggle With Illness And Starvation As Experts Search For Solutions\u003c/a>\u003c/h2>\n\u003cp>It’s the third \u003ca href=\"https://www.kqed.org/science/1992933/california-has-a-theory-on-why-brown-pelicans-are-starving-and-dying\">starvation event\u003c/a> in four years for the iconic California seabirds. Experts can’t fully explain why, though they said climate change is at play.\u003c/p>\n\u003cp>“Everything’s getting weirder,” said Corinne Gibble, a marine bird specialist for the California Department of Fish and Wildlife. “We’re having \u003ca href=\"https://www.kqed.org/science/1993633/algal-blooms-love-heat-waves-when-is-bay-area-swimming-dangerous-for-humans-and-pets\">harmful algal blooms\u003c/a> and more unexpected weather events. What we can do is get more birds into rehab and better the science around helping them.”\u003c/p>\n\u003cp>To explain last year’s \u003ca href=\"https://www.kqed.org/science/1992933/california-has-a-theory-on-why-brown-pelicans-are-starving-and-dying\">starving pelicans\u003c/a>, scientists hypothesized that the birds could not see their prey in choppy, murky water after late-season storms. Another possibility is that anchovies and other fish swam farther below the warm sea surface, too deep for the pelicans to reach. During last year’s event, the state recorded roughly 1,000 pelicans captured for rehabilitation — and in 2022, for similar reasons, 800.\u003c/p>\n\u003cp>This year, there are only 250 ailing pelicans tallied so far, but there are new challenges. The seabirds arrived in two waves, sick and then starving.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Rebecca Duerr, who directs veterinary science at International Bird Rescue, said this spring, a toxic algal bloom first poisoned some adult birds. The blooms, predicted to become \u003ca href=\"https://www.epa.gov/habs/climate-change-and-freshwater-harmful-algal-blooms#:~:text=Scientists%20continue%20to%20document%20many,more%20often%20in%20more%20waterbodies.\">more severe with climate change\u003c/a>, have lasted \u003ca href=\"https://insideclimatenews.org/news/02052025/california-toxic-algae-marine-life-poisoning/#:~:text=This%20is%20the%20fourth%20year,for%20longer%2C%E2%80%9D%20Lefebvre%20said.\">longer\u003c/a> this year.\u003c/span>\u003c/p>\n\u003cp>And then came the starving babies. The majority of the roughly 250 pelicans International Bird Rescue received since March were less than 6 months old. The center gets about two-thirds of the birds statewide and considers 90 birds a month highly unusual.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This second wave of almost 200 rescued starving babies is still a mystery. Maybe the algal blooms also affected them. Maybe their successful breeding season just meant higher numbers didn’t learn to forage. \u003c/span>Another theory about these starving young, \u003cspan style=\"font-weight: 400\">Duerr \u003c/span>said, is that their parents, sickened by the harmful algal blooms, might have abandoned them before they were ready to forage alone.\u003c/p>\n\u003cp>“These young birds didn’t know how to eat yet,” Duerr said. “It’s circumstantial evidence, but it looked like, you know, if mom doesn’t come back, they have to leave the nest or they’ll die.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So far, there are less starving pelicans than last year. And, luckily, the numbers show the starvation event slowing down. \u003c/span>\u003c/p>\n\u003ch2>While Overdose Deaths Drop Nationwide, California’s Numbers Climb\u003c/h2>\n\u003cp>More than 11,000 people died of a drug overdose in California in 2023, which is about 400 more people than the prior year.\u003c/p>\n\u003cp>\u003ca href=\"https://www.tfah.org/people/j-nadine-gracia-md-msce/\">Dr. J. Nadine Gracia\u003c/a> leads \u003ca href=\"https://www.tfah.org/\">Trust for America’s Health\u003c/a>, a nonpartisan group that tracks overdose and suicide trends. She said the western part of the U.S. is seeing some of the sharpest increases — and California’s crisis is being fueled by fentanyl and rising use of stimulants like meth.\u003c/p>\n\u003cp>“What we need to do is bolster our programs that support addressing adverse childhood experiences and trauma,” Gracia said. “And really invest in resilience, mental health, and substance use.”\u003c/p>\n\u003cp>Deaths from alcohol and suicide are falling in California. But Gracia warned that progress is fragile — especially as overdoses continue to rise.\u003c/p>\n\u003ch2>\u003ca href=\"https://calmatters.org/education/higher-education/2025/05/community-colleges-california/\">To Mitigate Financial Aid Fraud, All Prospective Community College Students Will Soon Need To Provide Proof of Identity To Apply\u003c/a>\u003c/h2>\n\u003cp>Under scrutiny from state and federal lawmakers, California’s community colleges are trying to crack down on financial aid fraud. Scammers have increasingly infiltrated the state’s 116 community colleges, posing as students in an effort to steal financial aid from the state and federal government.\u003c/p>\n\u003cp>At a meeting recently, the board that oversees California’s community colleges voted to require all students to verify their identity, which is currently optional for most applicants. The board also considered asking the Legislature for approval to charge students a \u003ca href=\"https://go.boarddocs.com/ca/cccchan/Board.nsf/goto?open&id=DGHPTY663CB2\" target=\"_blank\" rel=\"noreferrer noopener\">nominal application fee\u003c/a> — which many said should be no more than $10. But after more than two hours of debate, the board rejected that proposal and instead asked staff to “explore” a fee policy.\u003c/p>\n\u003cp>Students from across the state told board members that they were against imposing a fee, sharing stories of times when they were so poor that they didn’t have a bank account or $10 to buy lunch. Many had personal experiences with fake students.\u003c/p>\n\u003cp>Flo Cudal, a student at Santiago Canyon College in Orange County, testified about her own experience with scammers.\u003c/p>\n\u003cp>“A bot once took my seat in a class I needed to graduate and transfer,” Cudal said. “That fraud almost cost me my future. I understand the need for strong protections, but they must not come at the expense of excluding a real student.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Even though students have to sign an affidavit swearing that their personal information is valid when they apply, only a few schools require applicants to upload an ID to prove their identity. The board vote means prospective students would be required to submit IDs with their applications.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "San Francisco Overdose Deaths up in November, But Still Less Than Last Year’s Toll",
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"content": "\u003cp>Forty six people died by overdose in San Francisco last month, slightly more than the previous month but still fewer than the same time last year.\u003c/p>\n\u003cp>Overall, San Francisco has experienced about 20% fewer overdose deaths to date this year than in the same period of 2023. Over the course of 2024, the number of monthly deaths has largely ticked down from a high of 71 in January. October saw the lowest number of overdose deaths: 35.\u003c/p>\n\u003cp>San Francisco Department of Public Health Director Dr. Grant Colfax credited the declines, in part, to increased treatment options in San Francisco, in particular, an increase in injectable treatments that only need to be administered once a month.\u003c/p>\n\u003cp>“We believe this decrease can be partly attributed to the gains we have seen in new clients starting medications for opioid use disorder and in our other treatment programs,” he said. “These are life-saving medications that reduce the risk of death from overdose by as much as 50%. That is why, in this era of fentanyl, we have been focused on getting more people into drug treatment and on the road to recovery. This means getting people off the streets and into treatment.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF monthly drug overdose deaths in 2023 and 2024 \" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-dNArr\" src=\"https://datawrapper.dwcdn.net/dNArr/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"485\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Colfax said San Francisco has significantly increased prescriptions over the past two years for medications used to treat opioid disorder, including buprenorphine and methadone. And, he said, the city has seen a sharp reduction — 50% — in how long it takes to get people into residential substance abuse treatment programs, resulting in a 35% increase in participation in those programs.\u003c/p>\n\u003cp>“We know that everyone’s path to recovery is unique and that different treatments work for different individuals,” Colfax said, noting that both buprenorphine and methadone reduce opioid cravings.\u003c/p>\n\u003cp>“But many of these medications typically require patients to take multiple doses a day or, in the case of methadone, make daily visits to a clinic for supervised administration,” he said. “That is why injectable buprenorphine can be a game-changer for some people.”\u003cbr>\nSan Francisco hit a high of 810 overdose deaths in 2023.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003cp>While there are many contributing factors to the decline since then — including the drug supply and potency — Dr. Hillary Kunins, SFDPH’s director of behavioral health, agreed that the once-monthly injectable medications are making a difference by providing flexibility and reducing other barriers to treatment.\u003cbr>\n“Unfortunately, there remains significant stigma associated with receiving treatment for a substance use disorder,” she said. “And we know that some of our patients declined to enter or stay in treatment for fear of the prejudice that could come with getting into and staying in treatment.”\u003c/p>\n\u003cp>[aside tag='san-francisco' label='More San Francisco News']\u003c/p>\n\u003cp>Kunins said over the 1,700 patients who have received buprenorphine treatment this year, about 13% have opted for the injectable treatment.\u003c/p>\n\u003cp>Kunis said that heading into the new year, the health officials will continue to increase treatment options for people with substance use disorders, like injectable and oral buprenorphine, methadone, and other medication treatment, as well as contingency management — behavioral therapy that rewards good behavior — or residential treatment.\u003c/p>\n\u003cp>“We want to increase availability and accessibility and embrace new, innovative and medically effective treatments as they become available,” she said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Forty six people died by overdose in San Francisco last month, slightly more than the previous month but still fewer than the same time last year.\u003c/p>\n\u003cp>Overall, San Francisco has experienced about 20% fewer overdose deaths to date this year than in the same period of 2023. Over the course of 2024, the number of monthly deaths has largely ticked down from a high of 71 in January. October saw the lowest number of overdose deaths: 35.\u003c/p>\n\u003cp>San Francisco Department of Public Health Director Dr. Grant Colfax credited the declines, in part, to increased treatment options in San Francisco, in particular, an increase in injectable treatments that only need to be administered once a month.\u003c/p>\n\u003cp>“We believe this decrease can be partly attributed to the gains we have seen in new clients starting medications for opioid use disorder and in our other treatment programs,” he said. “These are life-saving medications that reduce the risk of death from overdose by as much as 50%. That is why, in this era of fentanyl, we have been focused on getting more people into drug treatment and on the road to recovery. This means getting people off the streets and into treatment.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF monthly drug overdose deaths in 2023 and 2024 \" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-dNArr\" src=\"https://datawrapper.dwcdn.net/dNArr/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"485\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Colfax said San Francisco has significantly increased prescriptions over the past two years for medications used to treat opioid disorder, including buprenorphine and methadone. And, he said, the city has seen a sharp reduction — 50% — in how long it takes to get people into residential substance abuse treatment programs, resulting in a 35% increase in participation in those programs.\u003c/p>\n\u003cp>“We know that everyone’s path to recovery is unique and that different treatments work for different individuals,” Colfax said, noting that both buprenorphine and methadone reduce opioid cravings.\u003c/p>\n\u003cp>“But many of these medications typically require patients to take multiple doses a day or, in the case of methadone, make daily visits to a clinic for supervised administration,” he said. “That is why injectable buprenorphine can be a game-changer for some people.”\u003cbr>\nSan Francisco hit a high of 810 overdose deaths in 2023.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>While there are many contributing factors to the decline since then — including the drug supply and potency — Dr. Hillary Kunins, SFDPH’s director of behavioral health, agreed that the once-monthly injectable medications are making a difference by providing flexibility and reducing other barriers to treatment.\u003cbr>\n“Unfortunately, there remains significant stigma associated with receiving treatment for a substance use disorder,” she said. “And we know that some of our patients declined to enter or stay in treatment for fear of the prejudice that could come with getting into and staying in treatment.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kunins said over the 1,700 patients who have received buprenorphine treatment this year, about 13% have opted for the injectable treatment.\u003c/p>\n\u003cp>Kunis said that heading into the new year, the health officials will continue to increase treatment options for people with substance use disorders, like injectable and oral buprenorphine, methadone, and other medication treatment, as well as contingency management — behavioral therapy that rewards good behavior — or residential treatment.\u003c/p>\n\u003cp>“We want to increase availability and accessibility and embrace new, innovative and medically effective treatments as they become available,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "sf-report-offers-zurich-style-overdose-prevention-plan",
"title": "‘A Culture Shift Needs to Happen’: SF Report Offers Zurich-Style Approach to Drug Crisis",
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"content": "\u003cp>One outgoing supervisor is calling on the city to harmonize public health and law enforcement’s approach to the \u003ca href=\"https://www.kqed.org/news/tag/overdose-crisis\">overdose crisis\u003c/a>.\u003c/p>\n\u003cp>Although overdose deaths have dipped 20% to date this year compared to 2023, San Francisco continues to face an epidemic-level drug overdose crisis. Supervisor Dean Preston, who lost his reelection bid earlier this month, released a report on Tuesday that offers a blueprint for how San Francisco can emulate an approach used in Zurich, Switzerland – one of San Francisco’s sister cities that similarly struggled with an opioid crisis in the 1990s, but has since become an international model for overdose prevention and reducing drug-related crimes.\u003c/p>\n\u003cp>“This is making sure the Department of Public Health, the Police Department, homeless services and others at the table are actually pursuing a unified approach, and we do not have anything like that in San Francisco right now,” Preston told KQED. “My hope is that this is a top priority for not only the new mayor but for incoming supervisors also.”\u003c/p>\n\u003cp>After implementing a “Four Pillars Strategy” that unites prevention, treatment, harm reduction and law enforcement, overdose deaths in Zurich decreased by 50% from 1991 to 2010, according to Stanford Social Innovation Review, along with a 65% decrease in HIV infections, and 80% decrease in new heroin users.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCSF addiction expert Daniel Ciccarone has studied safe consumption sites in Zurich and around the globe. He said the report offers a “rational, clear-minded policy analysis that the city needs for this crisis.”\u003c/p>\n\u003cp>“The beauty of this report is it gives us an opportunity to look at evidence-based approaches and move the city forward,” he said. “There is no good ‘Plan B.’ Relying on police interventions is not sustainable, and bribing or threatening people into treatment does not work.”\u003c/p>\n\u003cp>Several differences could make implementation look different between San Francisco and Zurich, including that the Swiss city is about half the size of San Francisco, has a smaller homeless population, and has more medication-assisted treatment options legally available.\u003c/p>\n\u003cp>Inspired by the success in Zurich, Preston requested that the city’s Budget and Legislative Analyst office produce the report on how San Francisco might replicate that success.\u003c/p>\n\u003cfigure id=\"attachment_11997838\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11997838\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Supervisor Dean Preston speaks to a local resident at a bus stop at McAllister and Divisadero in San Francisco on June 13, 2024, while campaigning for reelection to the Board of Supervisors District 5. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Do we need to do exactly everything that Zurich has done? No. But the defining feature of their Four Pillars approach is that all of these relevant departments are working on each pillar,” he said. “They don’t just work to put Band-Aids on a situation or reactive crisis response. They actually have both a short and long-term plan for success, and that’s what this city has really been lacking.”\u003c/p>\n\u003cp>At the top of the report’s recommendations is a call for all departments working on overdose issues to coordinate – a seemingly simple task but one that the city has struggled to achieve throughout the current overdose crisis. For example, when the city opened up a temporary overdose prevention center in 2022, police fined some drug users for carrying publicly-funded harm reduction supplies that were provided at the site.\u003c/p>\n\u003cp>Mayor-elect Daniel Lurie plans to initiate a state of emergency for the fentanyl crisis when he takes office in January, which Preston said could be an opportunity to implement the report’s recommendations.\u003c/p>\n\u003cp>However, it’s unclear exactly what the incoming mayor will do with the emergency powers. Lurie ran on a platform of increasing drug treatment availability, improving behavioral health interventions and creating more supportive housing, as well as using ankle monitors on first-time drug dealers.\u003c/p>\n\u003cp>“I am in the process of setting up a meeting with Mayor-elect Lurie to go over this,” Preston said. “A culture shift needs to happen, but it’s all doable. And one of the problems right now is we just are not pursuing a unified approach to solve this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11909488\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909488\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie wouldn’t be the first to declare a state of emergency, which allows the city to bypass certain bureaucratic steps to release and direct urgently needed resources. In December 2021, Mayor London Breed declared an emergency in the Tenderloin, a neighborhood with the highest rate of overdose deaths in the city. It allowed Breed to call in federal law enforcement agencies to help slow the flow of fentanyl into the city and arrest drug dealers.\u003c/p>\n\u003cp>During her emergency order, the city temporarily opened up a safe consumption site in 2022, called the Tenderloin Center, a medically supervised space where drug users could get off the street and get free meals, showers and other basic necessities. More than 300 people visited the center daily, and health professionals reversed 100% of overdoses that occurred on-site.\u003c/p>\n\u003cp>The safe consumption site was intended to be temporary, and the city closed it after about 10 months following public criticism and scrutiny from local businesses who complained about long lines outside extending into United Nations Plaza.\u003c/p>\n\u003cp>That same year, San Francisco released an Overdose Prevention Plan that called for opening up replacement centers in more dispersed wellness hubs around the city. However, today, efforts to open such centers remain at a standstill and political willpower to make them happen has waned in anticipation of President Donald Trump’s second term.\u003c/p>\n\u003cp>[aside postID=news_12000161 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/021_SanFrancisco_StFrancisER_08262021_qed-1020x680.jpg']\u003c/p>\n\u003cp>The Budget and Legislative Analyst’s report also recommends that the city open up safe consumption sites and coordinate with law enforcement to help people move safely indoors and reduce drug use in public spaces.\u003c/p>\n\u003cp>Meanwhile, the report also calls for expanding medication-assisted treatment, like buprenorphine, which helps curb cravings and withdrawal symptoms for people struggling with opioid addiction. The city has increased access to this type of therapy by reducing barriers, such as providing medication treatment on demand to residents in permanent supportive housing and expanding the city’s behavioral health pharmacy hours.\u003c/p>\n\u003cp>“We’re starting to see more people accept treatment, whether it’s abstinence-based, buprenorphine or methadone,” Mayor London Breed told reporters at a Monday press conference about the city’s overdose response. “The people are out there doing the work and making sure that folks know it’s not a one-size-fits-all.”\u003c/p>\n\u003cp>According to the report, about 75% of Zurich residents with opioid addiction take medication for opioid use disorder. But in San Francisco, only about 25% of people struggling with opioid use disorder are connected to medication-assisted treatments, according to the BLA report.\u003c/p>\n\u003cp>That’s partly because many people struggling with opioid addiction may not know that the treatment options exist, said San Francisco resident Juliana Gurrola Nuño, who is now part of the city’s public health campaign \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" data-sk=\"tooltip_parent\">promoting available drug treatment and stories of San Franciscans\u003c/a> who benefitted from recovery services.\u003c/p>\n\u003cp>“There are services available to help you start your recovery journey, even if it’s just taking the first small step. But not every person struggling with addiction knows about these resources,” she told reporters at the news conference. “I know that when I was in my addiction, I had no idea of any of these services. I want to change that.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "To reduce overdose deaths, a report released Tuesday calls for stronger coordination among San Francisco’s law enforcement, public health and other agencies tackling the crisis.",
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"title": "‘A Culture Shift Needs to Happen’: SF Report Offers Zurich-Style Approach to Drug Crisis | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One outgoing supervisor is calling on the city to harmonize public health and law enforcement’s approach to the \u003ca href=\"https://www.kqed.org/news/tag/overdose-crisis\">overdose crisis\u003c/a>.\u003c/p>\n\u003cp>Although overdose deaths have dipped 20% to date this year compared to 2023, San Francisco continues to face an epidemic-level drug overdose crisis. Supervisor Dean Preston, who lost his reelection bid earlier this month, released a report on Tuesday that offers a blueprint for how San Francisco can emulate an approach used in Zurich, Switzerland – one of San Francisco’s sister cities that similarly struggled with an opioid crisis in the 1990s, but has since become an international model for overdose prevention and reducing drug-related crimes.\u003c/p>\n\u003cp>“This is making sure the Department of Public Health, the Police Department, homeless services and others at the table are actually pursuing a unified approach, and we do not have anything like that in San Francisco right now,” Preston told KQED. “My hope is that this is a top priority for not only the new mayor but for incoming supervisors also.”\u003c/p>\n\u003cp>After implementing a “Four Pillars Strategy” that unites prevention, treatment, harm reduction and law enforcement, overdose deaths in Zurich decreased by 50% from 1991 to 2010, according to Stanford Social Innovation Review, along with a 65% decrease in HIV infections, and 80% decrease in new heroin users.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCSF addiction expert Daniel Ciccarone has studied safe consumption sites in Zurich and around the globe. He said the report offers a “rational, clear-minded policy analysis that the city needs for this crisis.”\u003c/p>\n\u003cp>“The beauty of this report is it gives us an opportunity to look at evidence-based approaches and move the city forward,” he said. “There is no good ‘Plan B.’ Relying on police interventions is not sustainable, and bribing or threatening people into treatment does not work.”\u003c/p>\n\u003cp>Several differences could make implementation look different between San Francisco and Zurich, including that the Swiss city is about half the size of San Francisco, has a smaller homeless population, and has more medication-assisted treatment options legally available.\u003c/p>\n\u003cp>Inspired by the success in Zurich, Preston requested that the city’s Budget and Legislative Analyst office produce the report on how San Francisco might replicate that success.\u003c/p>\n\u003cfigure id=\"attachment_11997838\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11997838\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Supervisor Dean Preston speaks to a local resident at a bus stop at McAllister and Divisadero in San Francisco on June 13, 2024, while campaigning for reelection to the Board of Supervisors District 5. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Do we need to do exactly everything that Zurich has done? No. But the defining feature of their Four Pillars approach is that all of these relevant departments are working on each pillar,” he said. “They don’t just work to put Band-Aids on a situation or reactive crisis response. They actually have both a short and long-term plan for success, and that’s what this city has really been lacking.”\u003c/p>\n\u003cp>At the top of the report’s recommendations is a call for all departments working on overdose issues to coordinate – a seemingly simple task but one that the city has struggled to achieve throughout the current overdose crisis. For example, when the city opened up a temporary overdose prevention center in 2022, police fined some drug users for carrying publicly-funded harm reduction supplies that were provided at the site.\u003c/p>\n\u003cp>Mayor-elect Daniel Lurie plans to initiate a state of emergency for the fentanyl crisis when he takes office in January, which Preston said could be an opportunity to implement the report’s recommendations.\u003c/p>\n\u003cp>However, it’s unclear exactly what the incoming mayor will do with the emergency powers. Lurie ran on a platform of increasing drug treatment availability, improving behavioral health interventions and creating more supportive housing, as well as using ankle monitors on first-time drug dealers.\u003c/p>\n\u003cp>“I am in the process of setting up a meeting with Mayor-elect Lurie to go over this,” Preston said. “A culture shift needs to happen, but it’s all doable. And one of the problems right now is we just are not pursuing a unified approach to solve this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11909488\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909488\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie wouldn’t be the first to declare a state of emergency, which allows the city to bypass certain bureaucratic steps to release and direct urgently needed resources. In December 2021, Mayor London Breed declared an emergency in the Tenderloin, a neighborhood with the highest rate of overdose deaths in the city. It allowed Breed to call in federal law enforcement agencies to help slow the flow of fentanyl into the city and arrest drug dealers.\u003c/p>\n\u003cp>During her emergency order, the city temporarily opened up a safe consumption site in 2022, called the Tenderloin Center, a medically supervised space where drug users could get off the street and get free meals, showers and other basic necessities. More than 300 people visited the center daily, and health professionals reversed 100% of overdoses that occurred on-site.\u003c/p>\n\u003cp>The safe consumption site was intended to be temporary, and the city closed it after about 10 months following public criticism and scrutiny from local businesses who complained about long lines outside extending into United Nations Plaza.\u003c/p>\n\u003cp>That same year, San Francisco released an Overdose Prevention Plan that called for opening up replacement centers in more dispersed wellness hubs around the city. However, today, efforts to open such centers remain at a standstill and political willpower to make them happen has waned in anticipation of President Donald Trump’s second term.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Budget and Legislative Analyst’s report also recommends that the city open up safe consumption sites and coordinate with law enforcement to help people move safely indoors and reduce drug use in public spaces.\u003c/p>\n\u003cp>Meanwhile, the report also calls for expanding medication-assisted treatment, like buprenorphine, which helps curb cravings and withdrawal symptoms for people struggling with opioid addiction. The city has increased access to this type of therapy by reducing barriers, such as providing medication treatment on demand to residents in permanent supportive housing and expanding the city’s behavioral health pharmacy hours.\u003c/p>\n\u003cp>“We’re starting to see more people accept treatment, whether it’s abstinence-based, buprenorphine or methadone,” Mayor London Breed told reporters at a Monday press conference about the city’s overdose response. “The people are out there doing the work and making sure that folks know it’s not a one-size-fits-all.”\u003c/p>\n\u003cp>According to the report, about 75% of Zurich residents with opioid addiction take medication for opioid use disorder. But in San Francisco, only about 25% of people struggling with opioid use disorder are connected to medication-assisted treatments, according to the BLA report.\u003c/p>\n\u003cp>That’s partly because many people struggling with opioid addiction may not know that the treatment options exist, said San Francisco resident Juliana Gurrola Nuño, who is now part of the city’s public health campaign \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" data-sk=\"tooltip_parent\">promoting available drug treatment and stories of San Franciscans\u003c/a> who benefitted from recovery services.\u003c/p>\n\u003cp>“There are services available to help you start your recovery journey, even if it’s just taking the first small step. But not every person struggling with addiction knows about these resources,” she told reporters at the news conference. “I know that when I was in my addiction, I had no idea of any of these services. I want to change that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco health officials on Tuesday launched a new media campaign to promote its ongoing drug treatment and recovery services as part of a larger effort to reduce overdose deaths and substance-use disorders.\u003c/p>\n\u003cp>The initiative, dubbed Living Proof, features videos and ads highlighting the stories of San Franciscans who have been in recovery for years after long struggles with substance abuse.\u003c/p>\n\u003cp>They serve as “living proof” that treatment can work, SF Department of Public Health Director Dr. Grant Colfax said at a press conference on Tuesday.\u003c/p>\n\u003cp>Campaign media will be displayed on billboards, Muni buses and social media platforms, as well as in Lyft rideshare vehicles. A heavy concentration of ads will be placed in the Tenderloin and South of Market neighborhoods, which have some of the city’s highest overdose rates, officials said.\u003c/p>\n\u003cp>Dominique McDowell is among the residents featured in the new campaign. Born and raised in the Bayview District, he began using crack cocaine at the age of 15. After eventually seeking addiction treatment, it took him about 14 years to get sober, he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Since I’ve been in recovery, I could write a novel about the good things that happened to me,” said McDowell, who enrolled in City College of San Francisco and became the \u003ca href=\"https://www.linkedin.com/in/dominique-mcdowell-cas1-rlps-316b8641/\">director of addiction and recovery services\u003c/a> at Marin City Health and Wellness Center. “I finished college. I’ve held great jobs. It’s never too late to recover from addiction.”\u003c/p>\n\u003cp>The city \u003ca href=\"https://www.sf.gov/sites/default/files/2024-10/2024%2010_OCME%20Overdose%20Report.pdf\">reported 504 overdose deaths between January through September of this year\u003c/a>, 70% of them from fentanyl, a synthetic opioid that’s about 50 times stronger than heroin.\u003c/p>\n\u003cp>[aside label=\"more on the overdose crisis\" tag=\"overdose-crisis\"]“The purpose of this campaign is to educate people that treatment and support services are possible in San Francisco to help people with fentanyl addiction and other substance-use disorders,” Colfax said.\u003c/p>\n\u003cp>He noted that overdose deaths in San Francisco have been slowly declining – down by about 20% this year to date – as the city has expanded access to treatment programs.\u003c/p>\n\u003cp>The announcement follows the department’s recent efforts to promote life-saving opioid drug-treatment medications, such as \u003ca href=\"https://www.kqed.org/news/12000161/san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic\">buprenorphine and methadone\u003c/a>.\u003c/p>\n\u003cp>Health officials on Tuesday also announced the launch of a separate initiative: a new, on-demand treatment program, open daily, aimed at connecting people suffering from substance-use disorders with medical professionals who can immediately prescribe buprenorphine.\u003c/p>\n\u003cp>Treatment options will be accessible in hospitals and 14 primary care clinics throughout the city, along with in permanent supportive housing programs, shelters and in jails.\u003c/p>\n\u003cp>The Living Proof ads will also highlight SFDPH’s Behavioral Health Access Line, a 24/7 call center to access the city’s substance use and mental health services.\u003c/p>\n\u003cp>“There are people in our community who don’t know where to go for help,” said Dr. Hillary Kunins, the department’s director of Behavioral Health Services. “So our goal with the Living Proof campaign is to give people the information, the hope and the direction.”\u003c/p>\n\u003cp>Supervisor Matt Dorsey on Tuesday described his own journey to sobriety after prolonged struggles with addiction. He said the campaign’s focus on real San Francisco residents in long-term recovery is paramount.\u003c/p>\n\u003cp>“It is something that I carry with me,” he said, noting the importance of “giving the recovery community a seat at the table.”\u003c/p>\n\u003cp>Juliana Gurrola Nuño and her partner Michael Alvarez, also featured in the media campaign, both struggled for years with serious opioid addictions and now help guide others to recovery.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Four years ago, we would have never imagined having a beautiful daughter or a nice home to live in,” said Alvarez, who is now a community health worker. “We want people who are using fentanyl or any other substance to know that there are a lot of opportunities to recover from drug addiction.”\u003c/p>\n\n",
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"excerpt": "The new 'Living Proof' campaign features nine San Franciscans who are in recovery after participating in the city's drug treatment programs — part of the public health department's larger effort to reduce the number of fentanyl overdose deaths and further support recovery efforts.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Since I’ve been in recovery, I could write a novel about the good things that happened to me,” said McDowell, who enrolled in City College of San Francisco and became the \u003ca href=\"https://www.linkedin.com/in/dominique-mcdowell-cas1-rlps-316b8641/\">director of addiction and recovery services\u003c/a> at Marin City Health and Wellness Center. “I finished college. I’ve held great jobs. It’s never too late to recover from addiction.”\u003c/p>\n\u003cp>The city \u003ca href=\"https://www.sf.gov/sites/default/files/2024-10/2024%2010_OCME%20Overdose%20Report.pdf\">reported 504 overdose deaths between January through September of this year\u003c/a>, 70% of them from fentanyl, a synthetic opioid that’s about 50 times stronger than heroin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The purpose of this campaign is to educate people that treatment and support services are possible in San Francisco to help people with fentanyl addiction and other substance-use disorders,” Colfax said.\u003c/p>\n\u003cp>He noted that overdose deaths in San Francisco have been slowly declining – down by about 20% this year to date – as the city has expanded access to treatment programs.\u003c/p>\n\u003cp>The announcement follows the department’s recent efforts to promote life-saving opioid drug-treatment medications, such as \u003ca href=\"https://www.kqed.org/news/12000161/san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic\">buprenorphine and methadone\u003c/a>.\u003c/p>\n\u003cp>Health officials on Tuesday also announced the launch of a separate initiative: a new, on-demand treatment program, open daily, aimed at connecting people suffering from substance-use disorders with medical professionals who can immediately prescribe buprenorphine.\u003c/p>\n\u003cp>Treatment options will be accessible in hospitals and 14 primary care clinics throughout the city, along with in permanent supportive housing programs, shelters and in jails.\u003c/p>\n\u003cp>The Living Proof ads will also highlight SFDPH’s Behavioral Health Access Line, a 24/7 call center to access the city’s substance use and mental health services.\u003c/p>\n\u003cp>“There are people in our community who don’t know where to go for help,” said Dr. Hillary Kunins, the department’s director of Behavioral Health Services. “So our goal with the Living Proof campaign is to give people the information, the hope and the direction.”\u003c/p>\n\u003cp>Supervisor Matt Dorsey on Tuesday described his own journey to sobriety after prolonged struggles with addiction. He said the campaign’s focus on real San Francisco residents in long-term recovery is paramount.\u003c/p>\n\u003cp>“It is something that I carry with me,” he said, noting the importance of “giving the recovery community a seat at the table.”\u003c/p>\n\u003cp>Juliana Gurrola Nuño and her partner Michael Alvarez, also featured in the media campaign, both struggled for years with serious opioid addictions and now help guide others to recovery.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Four years ago, we would have never imagined having a beautiful daughter or a nice home to live in,” said Alvarez, who is now a community health worker. “We want people who are using fentanyl or any other substance to know that there are a lot of opportunities to recover from drug addiction.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco voters will choose their next mayor this November, and \u003ca href=\"https://www.kqed.org/news/12007833/london-breed-makes-her-case-for-re-election\">KQED’s Political Breakdown\u003c/a> is bringing you interviews with all the top candidates.\u003c/p>\n\u003cp>Mayor London Breed, a San Francisco native who steered the city during the COVID-19 pandemic, is promising voters she’ll see through the work she started in a second term.\u003c/p>\n\u003cp>Here are five key takeaways from our interview.\u003c/p>\n\u003cp>\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=KQINC1471812915\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2>Personal ties to the overdose crisis motivate her public service\u003c/h2>\n\u003cp>Growing up in the city’s public housing, Breed said she learned to “balance pride with the real problems” she witnessed, such as violence and drug addiction.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“My sister suffered from addiction. She lost her battle with drugs and lost her life,” Breed told KQED. “When I think about why I’m in public service in the first place, it’s because I’m trying to make sure this city makes the right kinds of investments to stop that kind of thing from happening again.”\u003c/p>\n\u003cp>That’s partly why she appointed Matt Dorsey, who is in recovery and drug addiction, to the Board of Supervisors. Together, the two have pushed for tougher consequences for drug dealers and users, including passing Proposition F in March, a controversial measure that requires drug screening and treatment for welfare recipients in order to receive cash assistance.\u003c/p>\n\u003cfigure id=\"attachment_12008310\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12008310\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed.jpg\" alt=\"A hand holds a nasal spray and medication.\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-1920x1280.jpg 1920w\" sizes=\"(max-width: 1999px) 100vw, 1999px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A person displays the contents of their harm reduction kit on June 17, 2024. The kit includes new syringes, fentanyl test strips, and Narcan. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When I’ve made hard decisions that I know people have criticized, including the arrest of people suffering from addiction to get them into treatment, or Prop F… that’s coming from people in recovery,” Breed said.\u003c/p>\n\u003ch2>She wants the mayor to have more power\u003c/h2>\n\u003cp>While her opponents for mayor have made promises to ax department heads such as the Chief of Police or the Director of Public Health, Breed said that firing department heads is “easier said than done.”\u003c/p>\n\u003cp>The incumbent has sparred with the police commission, which provides citizen oversight for the police department and would make recommendations for a new chief.\u003c/p>\n\u003cp>“I’m not interested in any names they would send me,” Breed said. “This has been a rogue commission. I don’t have the support I need to do anything right now.”\u003c/p>\n\u003cp>She accused her opponent, Board of Supervisors President Aaron Peskin, of pushing legislation over the years that has increased checks and balances between the mayor and the Board of Supervisors.\u003c/p>\n\u003cp>“Willie Brown could appoint any police commissioner or MTA commissioner without going through the Board of Supervisors,” Breed said.\u003c/p>\n\u003cp>“I’m not suggesting that the mayor doesn’t have a lot of authority. I am saying there are things the public would expect the mayor can do but we need to make changes so the mayor can do it.”\u003c/p>\n\u003ch2>She says she’s rooting out corruption that predated her time in City Hall\u003c/h2>\n\u003cp>Throughout Breed’s first term, multiple city officials and department heads were convicted for corruption and are now serving time in prison, including Mohammed Nuru, former head of the Director of Public Works, and former Public Utilities Commission General Manager Harlan Kelly, who was appointed by her predecessor, Mayor Ed Lee.\u003c/p>\n\u003cp>“Back when I first became mayor, it was very devastating. I was just coming in as mayor, and I had to make some really hard decisions, and I did that,” Breed said.\u003c/p>\n\u003cp>However, new corruption allegations have continued to follow Breed’s tenure, like the recent scandal at the Dreamkeeper Initiative, Breed’s hallmark program for the Black community, which is facing allegations of misspending and other ethics violations.\u003c/p>\n\u003cp>“We took the action to freeze funding, to do investigations, and ask for her resignation,” Breed said, referring to Sheryl Davis, who led the city’s Human Rights Commission until resigning in September.\u003c/p>\n\u003cp>“I am extremely hurt and disappointed by what has transpired. As a leader of the city, when you hire people, you put a lot of trust in them,” Breed said. “Even though I didn’t hire any of them, they still worked under my administration and I have to take responsibility.”\u003c/p>\n\u003ch2>She vows to get more aggressive in clearing homeless encampments\u003c/h2>\n\u003cfigure id=\"attachment_12008309\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12008309\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed.jpg\" alt=\"Tents with various items on a sidewalk next to a large vehicle.\" width=\"2000\" height=\"1125\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-1920x1080.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A homeless encampment on Division Street in San Francisco in 2016. \u003ccite>(Amy Mostafa/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Breed received accolades for her handling of the COVID-19 pandemic. At the same time, the city faced increased criticism for an increase in overall homelessness, even as the number of sidewalk encampments has decreased. Breed touted her administration’s expansion of shelter capacity by 60% while also adding more units to the city’s permanent supportive housing stock.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='san-francisco-mayor-election']\u003c/p>\n\u003cp>After a Supreme Court ruling in June that allowed cities to enforce anti-camping laws even if there was no available shelter, Breed directed city crews to become more aggressive with issuing citations and removing encampments.\u003c/p>\n\u003cp>“We aren’t saying this is an option. We are saying this is the option,” Breed said. “It’s not to imply that it’s gone away, but we have better tools to combat it. And we are trying to reconnect people with the places that they came from.”\u003c/p>\n\u003cp>However, the majority of people (69%) who are homeless in San Francisco were living in the city at the time that they lost their housing, according to \u003ca href=\"https://hsh.sfgov.org/about/research-and-reports/pit/#PIT-Count-Dashboard\">2024 federal data\u003c/a>.\u003c/p>\n\u003ch2>She says challenges like homelessness are not ‘what defines us as a city’\u003c/h2>\n\u003cp>Breed was raised by her grandmother in San Francisco’s Western Addition neighborhood before moving to attend the University of California, Davis.\u003c/p>\n\u003cp>There, she said, she experienced real “culture shock.”\u003c/p>\n\u003cp>“I didn’t know much about college until 10th grade. I didn’t understand what a higher education option looked like. It was about graduating from high school. That’s what my grandma pushed,” Breed said. “Then a recruiter came to my class, and I thought, ‘This is my way out of poverty.’ So from that point forward, I really worked hard and went above and beyond and tried to improve my grades.”\u003c/p>\n\u003cp>That experience showed her that while San Francisco struggles with unaffordability, homelessness, and overdoses, these problems “shouldn’t be completely what defines us as a city,” Breed said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“What place would someone grow up in the most challenging of circumstances and grow up to be mayor? San Francisco is where, and I take a lot of pride in that.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco voters will choose their next mayor this November, and \u003ca href=\"https://www.kqed.org/news/12007833/london-breed-makes-her-case-for-re-election\">KQED’s Political Breakdown\u003c/a> is bringing you interviews with all the top candidates.\u003c/p>\n\u003cp>Mayor London Breed, a San Francisco native who steered the city during the COVID-19 pandemic, is promising voters she’ll see through the work she started in a second term.\u003c/p>\n\u003cp>Here are five key takeaways from our interview.\u003c/p>\n\u003cp>\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=KQINC1471812915\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2>Personal ties to the overdose crisis motivate her public service\u003c/h2>\n\u003cp>Growing up in the city’s public housing, Breed said she learned to “balance pride with the real problems” she witnessed, such as violence and drug addiction.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“My sister suffered from addiction. She lost her battle with drugs and lost her life,” Breed told KQED. “When I think about why I’m in public service in the first place, it’s because I’m trying to make sure this city makes the right kinds of investments to stop that kind of thing from happening again.”\u003c/p>\n\u003cp>That’s partly why she appointed Matt Dorsey, who is in recovery and drug addiction, to the Board of Supervisors. Together, the two have pushed for tougher consequences for drug dealers and users, including passing Proposition F in March, a controversial measure that requires drug screening and treatment for welfare recipients in order to receive cash assistance.\u003c/p>\n\u003cfigure id=\"attachment_12008310\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12008310\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed.jpg\" alt=\"A hand holds a nasal spray and medication.\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/240617-SyringeExchange-43-BL_qed-1920x1280.jpg 1920w\" sizes=\"(max-width: 1999px) 100vw, 1999px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A person displays the contents of their harm reduction kit on June 17, 2024. The kit includes new syringes, fentanyl test strips, and Narcan. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When I’ve made hard decisions that I know people have criticized, including the arrest of people suffering from addiction to get them into treatment, or Prop F… that’s coming from people in recovery,” Breed said.\u003c/p>\n\u003ch2>She wants the mayor to have more power\u003c/h2>\n\u003cp>While her opponents for mayor have made promises to ax department heads such as the Chief of Police or the Director of Public Health, Breed said that firing department heads is “easier said than done.”\u003c/p>\n\u003cp>The incumbent has sparred with the police commission, which provides citizen oversight for the police department and would make recommendations for a new chief.\u003c/p>\n\u003cp>“I’m not interested in any names they would send me,” Breed said. “This has been a rogue commission. I don’t have the support I need to do anything right now.”\u003c/p>\n\u003cp>She accused her opponent, Board of Supervisors President Aaron Peskin, of pushing legislation over the years that has increased checks and balances between the mayor and the Board of Supervisors.\u003c/p>\n\u003cp>“Willie Brown could appoint any police commissioner or MTA commissioner without going through the Board of Supervisors,” Breed said.\u003c/p>\n\u003cp>“I’m not suggesting that the mayor doesn’t have a lot of authority. I am saying there are things the public would expect the mayor can do but we need to make changes so the mayor can do it.”\u003c/p>\n\u003ch2>She says she’s rooting out corruption that predated her time in City Hall\u003c/h2>\n\u003cp>Throughout Breed’s first term, multiple city officials and department heads were convicted for corruption and are now serving time in prison, including Mohammed Nuru, former head of the Director of Public Works, and former Public Utilities Commission General Manager Harlan Kelly, who was appointed by her predecessor, Mayor Ed Lee.\u003c/p>\n\u003cp>“Back when I first became mayor, it was very devastating. I was just coming in as mayor, and I had to make some really hard decisions, and I did that,” Breed said.\u003c/p>\n\u003cp>However, new corruption allegations have continued to follow Breed’s tenure, like the recent scandal at the Dreamkeeper Initiative, Breed’s hallmark program for the Black community, which is facing allegations of misspending and other ethics violations.\u003c/p>\n\u003cp>“We took the action to freeze funding, to do investigations, and ask for her resignation,” Breed said, referring to Sheryl Davis, who led the city’s Human Rights Commission until resigning in September.\u003c/p>\n\u003cp>“I am extremely hurt and disappointed by what has transpired. As a leader of the city, when you hire people, you put a lot of trust in them,” Breed said. “Even though I didn’t hire any of them, they still worked under my administration and I have to take responsibility.”\u003c/p>\n\u003ch2>She vows to get more aggressive in clearing homeless encampments\u003c/h2>\n\u003cfigure id=\"attachment_12008309\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12008309\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed.jpg\" alt=\"Tents with various items on a sidewalk next to a large vehicle.\" width=\"2000\" height=\"1125\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/IMAG2736_qed-1920x1080.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A homeless encampment on Division Street in San Francisco in 2016. \u003ccite>(Amy Mostafa/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Breed received accolades for her handling of the COVID-19 pandemic. At the same time, the city faced increased criticism for an increase in overall homelessness, even as the number of sidewalk encampments has decreased. Breed touted her administration’s expansion of shelter capacity by 60% while also adding more units to the city’s permanent supportive housing stock.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After a Supreme Court ruling in June that allowed cities to enforce anti-camping laws even if there was no available shelter, Breed directed city crews to become more aggressive with issuing citations and removing encampments.\u003c/p>\n\u003cp>“We aren’t saying this is an option. We are saying this is the option,” Breed said. “It’s not to imply that it’s gone away, but we have better tools to combat it. And we are trying to reconnect people with the places that they came from.”\u003c/p>\n\u003cp>However, the majority of people (69%) who are homeless in San Francisco were living in the city at the time that they lost their housing, according to \u003ca href=\"https://hsh.sfgov.org/about/research-and-reports/pit/#PIT-Count-Dashboard\">2024 federal data\u003c/a>.\u003c/p>\n\u003ch2>She says challenges like homelessness are not ‘what defines us as a city’\u003c/h2>\n\u003cp>Breed was raised by her grandmother in San Francisco’s Western Addition neighborhood before moving to attend the University of California, Davis.\u003c/p>\n\u003cp>There, she said, she experienced real “culture shock.”\u003c/p>\n\u003cp>“I didn’t know much about college until 10th grade. I didn’t understand what a higher education option looked like. It was about graduating from high school. That’s what my grandma pushed,” Breed said. “Then a recruiter came to my class, and I thought, ‘This is my way out of poverty.’ So from that point forward, I really worked hard and went above and beyond and tried to improve my grades.”\u003c/p>\n\u003cp>That experience showed her that while San Francisco struggles with unaffordability, homelessness, and overdoses, these problems “shouldn’t be completely what defines us as a city,” Breed said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“What place would someone grow up in the most challenging of circumstances and grow up to be mayor? San Francisco is where, and I take a lot of pride in that.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis?",
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"content": "\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>[aside postID=science_1993048,news_11987962,news_11982329,news_11972898 label='related coverage']Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond",
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"content": "\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>[aside label=\"more on the overdose crisis\" tag=\"fentanyl\"]Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Looks to Work Alongside Native American Communities on Fentanyl Crisis",
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"content": "\u003cp>As the overdose epidemic roils across California, Native American community leaders are calling on state agencies to do more to slow the effects of the devastating crisis.\u003c/p>\n\u003cp>“This effort seems to be grassroots for us, so to see representatives here, it means we are all trying to work together to come to some sort of solution for this problem,” John Christman, Chairman of the Viejas Band of Kumeyaay Indians, told members of the California State Assembly Select Committee on Fentanyl, Opioid Addiction and Overdose Prevention, at a hearing on Friday.\u003c/p>\n\u003cp>Christman shared how fentanyl-related deaths have devastated communities like his, which has 400 members and is located near the California-Mexico border.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Native American and Alaska Native residents in California had the highest rate of opioid-overdose death compared to any other racial group from 2017 to 2022, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Data.aspx\">data available from the California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Community members and health leaders have tried a multitude of strategies, from opening up a vending machine where locals can pick up the opioid overdose-reversal medicine Narcan, to increasing talking circles and new wellness clinics. But it hasn’t been enough for many resource-strapped families navigating the crisis at home.\u003c/p>\n\u003cp>One particular challenge that Christman and others have encountered is stigma around seeking and accepting treatment. How to reduce those barriers so people can enter and have success in treatment is a critical question as the Viejas community looks to open up a new state-of-the-art health and addiction treatment facility called \u003ca href=\"https://rp.health/\">Revive Pathway\u003c/a>.\u003c/p>\n\u003cp>“When you go to the wellness center, everyone knows what you’re doing there. Some of these things are embarrassing. And inpatient treatment does not always work,” Christman told the legislative committee.[pullquote align=\"right\" size=\"medium\" citation=\"Asm. Jim Patterson (R-Fresno)\"]‘We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about.’[/pullquote]Lawmakers from across the state who had come to hear their testimonies echoed the tribal leaders’ concerns and shared many of their frustrations with the status quo.\u003c/p>\n\u003cp>“We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about,” said Assemblymember Jim Patterson (R-Fresno). “This is an area that is dear to me because Fresno, California, by its centralized location and being triangulated by the most traveled interstate freeways in California, is a place for fentanyl distribution.”\u003c/p>\n\u003cp>San Diego County Sheriff Kelly Martinez spoke about efforts by law enforcement to respond to overdose deaths in the same way that they would approach homicides. For example, she said, by seizing the cell phone of someone who died and looking for who their dealer was.\u003c/p>\n\u003cp>Many speakers underscored that getting buy-in and cooperation from law enforcement around effective solutions would be critical to making progress on slowing overdose deaths and drug dealing.\u003c/p>\n\u003cp>Christman, however, said that’s been a challenge for his community working with law enforcement agencies in the past.\u003c/p>\n\u003cp>“We have been in discussions at length since I got back into office in 2019 with the sheriff’s department. That open dialogue didn’t exist in the beginning of my council tenure. And it has not [borne] any fruit yet, I have to be honest about that,” the chairman said. “But I’m hoping we can have this dialogue. I don’t know that we can eradicate this, but we need some sort of solution to make these numbers go down.”\u003c/p>\n\u003cp>Chair of the committee Assemblymember Matt Haney (D-San Francisco) brought up expanding access to medication-assisted treatment, and other health or housing services to help stabilize individuals struggling with addiction.\u003c/p>\n\u003cp>“We are forging a path together towards healing and recovery,” said Haney. “This is affecting every corner of our state.”\u003c/p>\n\u003cp>Some speakers at the hearing questioned the effectiveness of supply-side interventions and asked tribal council leaders for ways that communities could reduce demand.\u003c/p>\n\u003cp>Christman shared that deep-seeded traumas from violence against his community remain and often fuel the disparate impact that Native American communities face when it comes to the current overdose epidemic.[aside label=\"Related Stories\" postID=\"news_11950467,news_11954871,news_11944267\"]He recalled painful memories of watching and protesting \u003ca href=\"https://voiceofsandiego.org/2020/08/17/border-report-kumeyaay-band-sues-to-stop-border-wall-construction/\">threats to the tribe’s historic burial grounds\u003c/a>. “What would that do to you? What would that do to anyone? It’s a vicious cycle. Poverty is part of that, and we lived it,” Christman said. “We were able to find a way to provide more for our people, but those scars from trauma still exist in our community.”\u003c/p>\n\u003cp>Greg Greenberg, chief medical officer at \u003ca href=\"https://www.ots.health/\">OneTogether Solutions\u003c/a>, which provides overdose prevention and addiction treatment for rural tribal communities, said that the biggest issue he encounters among patients is a lack of available treatment and prevention services that people can easily access.\u003c/p>\n\u003cp>“The biggest issue I see is barriers to treatment,” Greenberg said. “Our current paradigm, we have people with substance abuse making their own appointments, and it’s hard to make and keep an appointment when you have a fentanyl or methamphetamine addiction. And it’s hard to engage in treatment when you have untreated psychiatric services as well.”\u003c/p>\n\u003cp>Geography and proximity to fully staffed and resourced health clinics is a major challenge for members of the Tule River Tribe, according to Shine Nieto, vice chairman. The community is based about 16 miles away from the nearest hospital. And while Tule River has its own wellness center with counselors and psychologists, the need is greater than what the clinic currently has resources for.\u003c/p>\n\u003cp>In the meantime, he and others have started up small groups and talking circles to try to bring healing around addiction, its causes, and the impacts that overdoses leave behind.\u003c/p>\n\u003cp>The talking circles are an important part of shifting narratives and understandings about each other and addiction. But tragedy still followed. Four of the group’s nearly 40 members died of opioid-related overdoses, Nieto said.\u003c/p>\n\u003cp>“I don’t like politics, but when it comes to this we are all in the same boat,” said Nieto. “This drug is killing people and destroying our state. We’re all in this state together. If this wipes out any town, it will just keep moving and moving. This is why I’m here, I want to help fight this and slow it down.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the overdose epidemic roils across California, Native American community leaders are calling on state agencies to do more to slow the effects of the devastating crisis.\u003c/p>\n\u003cp>“This effort seems to be grassroots for us, so to see representatives here, it means we are all trying to work together to come to some sort of solution for this problem,” John Christman, Chairman of the Viejas Band of Kumeyaay Indians, told members of the California State Assembly Select Committee on Fentanyl, Opioid Addiction and Overdose Prevention, at a hearing on Friday.\u003c/p>\n\u003cp>Christman shared how fentanyl-related deaths have devastated communities like his, which has 400 members and is located near the California-Mexico border.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Native American and Alaska Native residents in California had the highest rate of opioid-overdose death compared to any other racial group from 2017 to 2022, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Data.aspx\">data available from the California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Community members and health leaders have tried a multitude of strategies, from opening up a vending machine where locals can pick up the opioid overdose-reversal medicine Narcan, to increasing talking circles and new wellness clinics. But it hasn’t been enough for many resource-strapped families navigating the crisis at home.\u003c/p>\n\u003cp>One particular challenge that Christman and others have encountered is stigma around seeking and accepting treatment. How to reduce those barriers so people can enter and have success in treatment is a critical question as the Viejas community looks to open up a new state-of-the-art health and addiction treatment facility called \u003ca href=\"https://rp.health/\">Revive Pathway\u003c/a>.\u003c/p>\n\u003cp>“When you go to the wellness center, everyone knows what you’re doing there. Some of these things are embarrassing. And inpatient treatment does not always work,” Christman told the legislative committee.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Lawmakers from across the state who had come to hear their testimonies echoed the tribal leaders’ concerns and shared many of their frustrations with the status quo.\u003c/p>\n\u003cp>“We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about,” said Assemblymember Jim Patterson (R-Fresno). “This is an area that is dear to me because Fresno, California, by its centralized location and being triangulated by the most traveled interstate freeways in California, is a place for fentanyl distribution.”\u003c/p>\n\u003cp>San Diego County Sheriff Kelly Martinez spoke about efforts by law enforcement to respond to overdose deaths in the same way that they would approach homicides. For example, she said, by seizing the cell phone of someone who died and looking for who their dealer was.\u003c/p>\n\u003cp>Many speakers underscored that getting buy-in and cooperation from law enforcement around effective solutions would be critical to making progress on slowing overdose deaths and drug dealing.\u003c/p>\n\u003cp>Christman, however, said that’s been a challenge for his community working with law enforcement agencies in the past.\u003c/p>\n\u003cp>“We have been in discussions at length since I got back into office in 2019 with the sheriff’s department. That open dialogue didn’t exist in the beginning of my council tenure. And it has not [borne] any fruit yet, I have to be honest about that,” the chairman said. “But I’m hoping we can have this dialogue. I don’t know that we can eradicate this, but we need some sort of solution to make these numbers go down.”\u003c/p>\n\u003cp>Chair of the committee Assemblymember Matt Haney (D-San Francisco) brought up expanding access to medication-assisted treatment, and other health or housing services to help stabilize individuals struggling with addiction.\u003c/p>\n\u003cp>“We are forging a path together towards healing and recovery,” said Haney. “This is affecting every corner of our state.”\u003c/p>\n\u003cp>Some speakers at the hearing questioned the effectiveness of supply-side interventions and asked tribal council leaders for ways that communities could reduce demand.\u003c/p>\n\u003cp>Christman shared that deep-seeded traumas from violence against his community remain and often fuel the disparate impact that Native American communities face when it comes to the current overdose epidemic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He recalled painful memories of watching and protesting \u003ca href=\"https://voiceofsandiego.org/2020/08/17/border-report-kumeyaay-band-sues-to-stop-border-wall-construction/\">threats to the tribe’s historic burial grounds\u003c/a>. “What would that do to you? What would that do to anyone? It’s a vicious cycle. Poverty is part of that, and we lived it,” Christman said. “We were able to find a way to provide more for our people, but those scars from trauma still exist in our community.”\u003c/p>\n\u003cp>Greg Greenberg, chief medical officer at \u003ca href=\"https://www.ots.health/\">OneTogether Solutions\u003c/a>, which provides overdose prevention and addiction treatment for rural tribal communities, said that the biggest issue he encounters among patients is a lack of available treatment and prevention services that people can easily access.\u003c/p>\n\u003cp>“The biggest issue I see is barriers to treatment,” Greenberg said. “Our current paradigm, we have people with substance abuse making their own appointments, and it’s hard to make and keep an appointment when you have a fentanyl or methamphetamine addiction. And it’s hard to engage in treatment when you have untreated psychiatric services as well.”\u003c/p>\n\u003cp>Geography and proximity to fully staffed and resourced health clinics is a major challenge for members of the Tule River Tribe, according to Shine Nieto, vice chairman. The community is based about 16 miles away from the nearest hospital. And while Tule River has its own wellness center with counselors and psychologists, the need is greater than what the clinic currently has resources for.\u003c/p>\n\u003cp>In the meantime, he and others have started up small groups and talking circles to try to bring healing around addiction, its causes, and the impacts that overdoses leave behind.\u003c/p>\n\u003cp>The talking circles are an important part of shifting narratives and understandings about each other and addiction. But tragedy still followed. Four of the group’s nearly 40 members died of opioid-related overdoses, Nieto said.\u003c/p>\n\u003cp>“I don’t like politics, but when it comes to this we are all in the same boat,” said Nieto. “This drug is killing people and destroying our state. We’re all in this state together. If this wipes out any town, it will just keep moving and moving. This is why I’m here, I want to help fight this and slow it down.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"radiolab": {
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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