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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Tuesday, November 18, 2025…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Los Angeles County’s jail system is in the middle of one of its deadliest years on record. According to the L.A. County Sheriff’s Department, there have been more than three dozen in-custody deaths so far this year, and many have involved overdoses. Now, \u003c/span>\u003ca href=\"https://calmatters.org/justice/2025/11/la-jail-opioid-treatment/\">\u003cspan style=\"font-weight: 400\">new reporting from CalMatters\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> reveals that access to critical opioid addiction treatment has been quietly scaled back. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The Trump administration \u003c/span>\u003ca href=\"https://apnews.com/article/federal-agents-ice-mask-lawsuit-immigration-97bd5027946c677badfc78ba2d85c71a\">\u003cspan style=\"font-weight: 400\">is suing California\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> over a new law that bars local and federal law enforcement from wearing masks while on duty. \u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://laist.com/news/lawsuit-claims-company-behind-eaton-fire-evacuation-warnings-was-negligent\">Another lawsuit has been filed\u003c/a> against Southern California Edison by victims of the Eaton Fire. But this time, the lawsuit also includes Genasys Inc., the company hired by Los Angeles County to provide evacuation warnings.\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"entry-title \">\u003ca href=\"https://calmatters.org/justice/2025/11/la-jail-opioid-treatment/\">\u003cstrong>LA Jails Scale Back Opioid Addiction Treatment As Fatal Overdoses Continue\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Los Angeles County jails pared back access to life-saving \u003ca href=\"https://calmatters.org/explainers/california-opioid-crisis/\" target=\"_blank\" rel=\"noreferrer noopener\">opioid addiction\u003c/a> treatment this fall during one of the system’s deadliest years on record, according to records obtained by CalMatters and interviews with staff.\u003c/p>\n\u003cp>The policy change came one week after Attorney General Rob Bonta \u003ca href=\"https://calmatters.org/justice/2025/09/los-angeles-jail-lawsuit/\" target=\"_blank\" rel=\"noreferrer noopener\">filed a lawsuit against the county\u003c/a> over “inhumane” conditions across its jail system, citing a “shocking rate of deaths,” including overdoses. In interviews with CalMatters, two Correctional Health Services physicians expressed alarm over the reductions, saying that even the slightest delay in treatment is “wildly dangerous” and can lead to more fatal overdoses. “Patients are begging me for help,” said a physician who spoke with CalMatters on the condition of anonymity because of fear of professional retaliation. “I’m on edge, waiting to see if someone is going to die.”\u003c/p>\n\u003cp>The reduction in treatment also comes as the jails hold about 700 more people every day as a result of a tough-on-crime ballot measure voters approved last year. \u003ca href=\"https://calmatters.org/justice/2025/10/proposition-36-treatment-study/\" target=\"_blank\" rel=\"noreferrer noopener\">Proposition 36 increased sentences\u003c/a> for certain drug and theft crimes, leading to a surge in jail populations and straining county resources, according to a Sept. 10 Correctional Health Services memo to the Board of Supervisors.\u003c/p>\n\u003cp>Los Angeles County allocates roughly $25 million annually for the treatment program. County supervisors this year gave the program an additional $8 million from opioid lawsuit settlements. That sum ultimately did not increase funding for treatment because the county shifted an equivalent amount of money to a different need, according to a statement from the Los Angeles County Department of Health Services. “The overall (medication-assisted treatment) program funding remained the same” despite the extra money the department received, the statement reads. In a Sept. 16 memo obtained by CalMatters, Chief Medical Officer Sean Henderson said Correctional Health Services “will be taking a pause on primary care in ordering buprenorphine.” The medication reduces cravings and prevents overdoses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new mandate restricts how quickly and broadly Correctional Health Services physicians can prescribe the medication. Priority will be given to people when they first enter the jail system — the largest in California — which houses roughly 13,000 people across nine main facilities. Everyone else who wants medication will be placed on a waitlist. “It’s misleading because we just put people on this list and then they stay on the list,” said a physician. That means that if someone does not accept treatment upon arrival, they won’t be able to access it during the remainder of their incarceration, even if they change their mind, said both physicians who spoke with CalMatters.\u003c/p>\n\u003ch2 class=\"Page-headline\">\u003ca href=\"https://apnews.com/article/federal-agents-ice-mask-lawsuit-immigration-97bd5027946c677badfc78ba2d85c71a\">\u003cstrong>Trump Administration Sues California Over Law Banning Masked Federal Agents\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>The Trump administration filed a lawsuit Monday over California’s new laws banning federal agents from wearing masks and requiring them to have identification while conducting operations in the state.\u003c/p>\n\u003cp>The federal government has argued the laws threaten the safety of officers who are facing “unprecedented” harassment, doxing, and violence and said it will not comply with them.\u003c/p>\n\u003cp>California became the first state to ban most law enforcement officers, including federal immigration agents, from \u003cspan class=\"LinkEnhancement\">\u003ca class=\"Link AnClick-LinkEnhancement\" href=\"https://apnews.com/article/ice-masks-immigration-enforcement-policing-aacbb45b9eca804c2295f52a33a2a0fd\" data-gtm-enhancement-style=\"LinkEnhancementA\">covering their faces\u003c/a>\u003c/span> while conducting official business under a bill that was \u003cspan class=\"LinkEnhancement\">\u003ca class=\"Link AnClick-LinkEnhancement\" href=\"https://apnews.com/article/california-ice-agents-immigration-raids-masks-ban-97936f70699b75d8b483a850967c2e42\" data-gtm-enhancement-style=\"LinkEnhancementA\">signed in September\u003c/a>\u003c/span> by Gov. Gavin Newsom. The law prohibits neck gaiters, ski masks and other facial coverings for local and federal officers, including immigration enforcement agents, while they conduct official business. It makes exceptions for undercover agents, protective equipment like N95 respirators or tactical gear, and it does not apply to state police.\u003c/p>\n\u003cp>“California’s anti-law enforcement policies discriminate against the federal government and are designed to create risk for our agents. These laws cannot stand,” U.S. Attorney General Pam Bondi said in a press release.\u003c/p>\n\u003ch2 class=\"ArticlePage-headline\">\u003ca href=\"https://laist.com/news/lawsuit-claims-company-behind-eaton-fire-evacuation-warnings-was-negligent\">\u003cstrong>Lawsuit Claims Company Behind Eaton Fire Evacuation Warnings Was Negligent\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Attorneys representing Eaton Fire survivors filed a lawsuit Monday against Southern California Edison and Genasys Inc. over the death of a woman who died in Altadena. The lawsuit accuses the utility of igniting the blaze and Genasys of failing to issue evacuation warnings in her neighborhood.\u003c/p>\n\u003cp>The family of Stacey Darden accuses Genasys, hired by L.A. County to provide evacuation warnings, of being negligent the night of the fire. Lawyers for the family said while the company provided warnings in enough time to the houses on the east of Lake Avenue, they came too late for those on the west. 18 of the 19 deaths in the fire were people who lived west of Lake Avenue in Altadena.\u003c/p>\n\u003cp>On the evening of January 7, and into the early morning hours of January 8, Darden and her sister Gerry consistently monitored the news for the evacuation zones for the Eaton Fire to confirm that Stacey and her home were safe for her to remain in.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Stacey Darden’s last cellphone activity is believed to have been around 3:30 a.m. Jan. 8. Attorneys alleged the one and only communication regarding an evacuation order she received was not until 5:43 a.m. that same day. This is the first lawsuit targeting the alerts system in Altadena.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Tuesday, November 18, 2025…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Los Angeles County’s jail system is in the middle of one of its deadliest years on record. According to the L.A. County Sheriff’s Department, there have been more than three dozen in-custody deaths so far this year, and many have involved overdoses. Now, \u003c/span>\u003ca href=\"https://calmatters.org/justice/2025/11/la-jail-opioid-treatment/\">\u003cspan style=\"font-weight: 400\">new reporting from CalMatters\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> reveals that access to critical opioid addiction treatment has been quietly scaled back. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The Trump administration \u003c/span>\u003ca href=\"https://apnews.com/article/federal-agents-ice-mask-lawsuit-immigration-97bd5027946c677badfc78ba2d85c71a\">\u003cspan style=\"font-weight: 400\">is suing California\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> over a new law that bars local and federal law enforcement from wearing masks while on duty. \u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://laist.com/news/lawsuit-claims-company-behind-eaton-fire-evacuation-warnings-was-negligent\">Another lawsuit has been filed\u003c/a> against Southern California Edison by victims of the Eaton Fire. But this time, the lawsuit also includes Genasys Inc., the company hired by Los Angeles County to provide evacuation warnings.\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"entry-title \">\u003ca href=\"https://calmatters.org/justice/2025/11/la-jail-opioid-treatment/\">\u003cstrong>LA Jails Scale Back Opioid Addiction Treatment As Fatal Overdoses Continue\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Los Angeles County jails pared back access to life-saving \u003ca href=\"https://calmatters.org/explainers/california-opioid-crisis/\" target=\"_blank\" rel=\"noreferrer noopener\">opioid addiction\u003c/a> treatment this fall during one of the system’s deadliest years on record, according to records obtained by CalMatters and interviews with staff.\u003c/p>\n\u003cp>The policy change came one week after Attorney General Rob Bonta \u003ca href=\"https://calmatters.org/justice/2025/09/los-angeles-jail-lawsuit/\" target=\"_blank\" rel=\"noreferrer noopener\">filed a lawsuit against the county\u003c/a> over “inhumane” conditions across its jail system, citing a “shocking rate of deaths,” including overdoses. In interviews with CalMatters, two Correctional Health Services physicians expressed alarm over the reductions, saying that even the slightest delay in treatment is “wildly dangerous” and can lead to more fatal overdoses. “Patients are begging me for help,” said a physician who spoke with CalMatters on the condition of anonymity because of fear of professional retaliation. “I’m on edge, waiting to see if someone is going to die.”\u003c/p>\n\u003cp>The reduction in treatment also comes as the jails hold about 700 more people every day as a result of a tough-on-crime ballot measure voters approved last year. \u003ca href=\"https://calmatters.org/justice/2025/10/proposition-36-treatment-study/\" target=\"_blank\" rel=\"noreferrer noopener\">Proposition 36 increased sentences\u003c/a> for certain drug and theft crimes, leading to a surge in jail populations and straining county resources, according to a Sept. 10 Correctional Health Services memo to the Board of Supervisors.\u003c/p>\n\u003cp>Los Angeles County allocates roughly $25 million annually for the treatment program. County supervisors this year gave the program an additional $8 million from opioid lawsuit settlements. That sum ultimately did not increase funding for treatment because the county shifted an equivalent amount of money to a different need, according to a statement from the Los Angeles County Department of Health Services. “The overall (medication-assisted treatment) program funding remained the same” despite the extra money the department received, the statement reads. In a Sept. 16 memo obtained by CalMatters, Chief Medical Officer Sean Henderson said Correctional Health Services “will be taking a pause on primary care in ordering buprenorphine.” The medication reduces cravings and prevents overdoses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new mandate restricts how quickly and broadly Correctional Health Services physicians can prescribe the medication. Priority will be given to people when they first enter the jail system — the largest in California — which houses roughly 13,000 people across nine main facilities. Everyone else who wants medication will be placed on a waitlist. “It’s misleading because we just put people on this list and then they stay on the list,” said a physician. That means that if someone does not accept treatment upon arrival, they won’t be able to access it during the remainder of their incarceration, even if they change their mind, said both physicians who spoke with CalMatters.\u003c/p>\n\u003ch2 class=\"Page-headline\">\u003ca href=\"https://apnews.com/article/federal-agents-ice-mask-lawsuit-immigration-97bd5027946c677badfc78ba2d85c71a\">\u003cstrong>Trump Administration Sues California Over Law Banning Masked Federal Agents\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>The Trump administration filed a lawsuit Monday over California’s new laws banning federal agents from wearing masks and requiring them to have identification while conducting operations in the state.\u003c/p>\n\u003cp>The federal government has argued the laws threaten the safety of officers who are facing “unprecedented” harassment, doxing, and violence and said it will not comply with them.\u003c/p>\n\u003cp>California became the first state to ban most law enforcement officers, including federal immigration agents, from \u003cspan class=\"LinkEnhancement\">\u003ca class=\"Link AnClick-LinkEnhancement\" href=\"https://apnews.com/article/ice-masks-immigration-enforcement-policing-aacbb45b9eca804c2295f52a33a2a0fd\" data-gtm-enhancement-style=\"LinkEnhancementA\">covering their faces\u003c/a>\u003c/span> while conducting official business under a bill that was \u003cspan class=\"LinkEnhancement\">\u003ca class=\"Link AnClick-LinkEnhancement\" href=\"https://apnews.com/article/california-ice-agents-immigration-raids-masks-ban-97936f70699b75d8b483a850967c2e42\" data-gtm-enhancement-style=\"LinkEnhancementA\">signed in September\u003c/a>\u003c/span> by Gov. Gavin Newsom. The law prohibits neck gaiters, ski masks and other facial coverings for local and federal officers, including immigration enforcement agents, while they conduct official business. It makes exceptions for undercover agents, protective equipment like N95 respirators or tactical gear, and it does not apply to state police.\u003c/p>\n\u003cp>“California’s anti-law enforcement policies discriminate against the federal government and are designed to create risk for our agents. These laws cannot stand,” U.S. Attorney General Pam Bondi said in a press release.\u003c/p>\n\u003ch2 class=\"ArticlePage-headline\">\u003ca href=\"https://laist.com/news/lawsuit-claims-company-behind-eaton-fire-evacuation-warnings-was-negligent\">\u003cstrong>Lawsuit Claims Company Behind Eaton Fire Evacuation Warnings Was Negligent\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Attorneys representing Eaton Fire survivors filed a lawsuit Monday against Southern California Edison and Genasys Inc. over the death of a woman who died in Altadena. The lawsuit accuses the utility of igniting the blaze and Genasys of failing to issue evacuation warnings in her neighborhood.\u003c/p>\n\u003cp>The family of Stacey Darden accuses Genasys, hired by L.A. County to provide evacuation warnings, of being negligent the night of the fire. Lawyers for the family said while the company provided warnings in enough time to the houses on the east of Lake Avenue, they came too late for those on the west. 18 of the 19 deaths in the fire were people who lived west of Lake Avenue in Altadena.\u003c/p>\n\u003cp>On the evening of January 7, and into the early morning hours of January 8, Darden and her sister Gerry consistently monitored the news for the evacuation zones for the Eaton Fire to confirm that Stacey and her home were safe for her to remain in.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Stacey Darden’s last cellphone activity is believed to have been around 3:30 a.m. Jan. 8. Attorneys alleged the one and only communication regarding an evacuation order she received was not until 5:43 a.m. that same day. This is the first lawsuit targeting the alerts system in Altadena.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Accidental overdose deaths in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> have dropped to the lowest number so far this year.\u003c/p>\n\u003cp>According to the Department of Public Health, which puts out \u003ca href=\"https://media.api.sf.gov/documents/2025_10_OCME_Overdose_Report.pdf\">a monthly report\u003c/a> from the Office of the Chief Medical Examiner, 38 people died from accidental drug overdoses in September.\u003c/p>\n\u003cp>That’s 10 fewer deaths than the city recorded in August. It’s also the second-lowest number since the OCME started tracking overdose deaths in 2020.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“That’s still 38 too many people that have died of an overdose of a public health crisis and epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, at a press briefing on Tuesday. “But I want to say I am encouraged, I know we’re making real progress, and I and others here are not yet satisfied about where we are and the work that we continue to have to do.”\u003c/p>\n\u003cp>Tsai, who has been in the role since February, said the city’s newly integrated neighborhood street teams are helping. This initiative, announced by Mayor Daniel Lurie in March, consolidated outreach teams across multiple city departments that were often working toward the same goals, while siloed from each other.\u003c/p>\n\u003cfigure id=\"attachment_11958586\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958586\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg\" alt='A hand with painted finger nails holds a small white object with the words \"NARCAN NASAL SPRAY\" written on it.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The overdose-reversal drug Narcan. \u003ccite>(Matt Rourke/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are seeing a new level of collaboration between departments that’s actually allowing us to help get folks who many departments are engaging with many, many, many times quickly into services, into shelter, into care,” Tsai said.\u003c/p>\n\u003cp>The September numbers bring the total number of accidental overdose deaths in 2025 to 497 people, a slight improvement on 2024. At this time last year, the city had reported 508 overdose deaths.\u003c/p>\n\u003cp>Over 75% of the accidental overdose deaths in 2025 have involved fentanyl.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"San Francisco monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-ofGMP\" src=\"https://datawrapper.dwcdn.net/ofGMP/5/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1106\" height=\"440\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Addressing the city’s fentanyl crisis has been a major priority for Lurie since his term began. The Board of Supervisors passed Lurie’s \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">fentanyl state of emergency ordinance\u003c/a> in January, allowing him to move faster when hiring and contracting services aimed at overdoses and homelessness.\u003c/p>\n\u003cp>The city was able to open a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">drop-in mental health stabilization center\u003c/a> at 822 Geary St. faster than usual because of that ordinance. Up to 16 clients can stay at the center for as many as 23 hours. Tsai cited the stabilization center as a key touchpoint in the effort to lower overdose numbers.\u003c/p>\n\u003cp>“Once we can get somebody plugged into treatment,” he said, “we want to be able to help get them into the next place in their journey.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Accidental overdose deaths in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> have dropped to the lowest number so far this year.\u003c/p>\n\u003cp>According to the Department of Public Health, which puts out \u003ca href=\"https://media.api.sf.gov/documents/2025_10_OCME_Overdose_Report.pdf\">a monthly report\u003c/a> from the Office of the Chief Medical Examiner, 38 people died from accidental drug overdoses in September.\u003c/p>\n\u003cp>That’s 10 fewer deaths than the city recorded in August. It’s also the second-lowest number since the OCME started tracking overdose deaths in 2020.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“That’s still 38 too many people that have died of an overdose of a public health crisis and epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, at a press briefing on Tuesday. “But I want to say I am encouraged, I know we’re making real progress, and I and others here are not yet satisfied about where we are and the work that we continue to have to do.”\u003c/p>\n\u003cp>Tsai, who has been in the role since February, said the city’s newly integrated neighborhood street teams are helping. This initiative, announced by Mayor Daniel Lurie in March, consolidated outreach teams across multiple city departments that were often working toward the same goals, while siloed from each other.\u003c/p>\n\u003cfigure id=\"attachment_11958586\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958586\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg\" alt='A hand with painted finger nails holds a small white object with the words \"NARCAN NASAL SPRAY\" written on it.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The overdose-reversal drug Narcan. \u003ccite>(Matt Rourke/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are seeing a new level of collaboration between departments that’s actually allowing us to help get folks who many departments are engaging with many, many, many times quickly into services, into shelter, into care,” Tsai said.\u003c/p>\n\u003cp>The September numbers bring the total number of accidental overdose deaths in 2025 to 497 people, a slight improvement on 2024. At this time last year, the city had reported 508 overdose deaths.\u003c/p>\n\u003cp>Over 75% of the accidental overdose deaths in 2025 have involved fentanyl.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"San Francisco monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-ofGMP\" src=\"https://datawrapper.dwcdn.net/ofGMP/5/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1106\" height=\"440\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Addressing the city’s fentanyl crisis has been a major priority for Lurie since his term began. The Board of Supervisors passed Lurie’s \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">fentanyl state of emergency ordinance\u003c/a> in January, allowing him to move faster when hiring and contracting services aimed at overdoses and homelessness.\u003c/p>\n\u003cp>The city was able to open a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">drop-in mental health stabilization center\u003c/a> at 822 Geary St. faster than usual because of that ordinance. Up to 16 clients can stay at the center for as many as 23 hours. Tsai cited the stabilization center as a key touchpoint in the effort to lower overdose numbers.\u003c/p>\n\u003cp>“Once we can get somebody plugged into treatment,” he said, “we want to be able to help get them into the next place in their journey.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>For the first time in more than a year, street drug deaths appear to be rising across the U.S. according to \u003ca href=\"https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm\">a new report from the Centers for Disease Control and Prevention\u003c/a>.\u003c/p>\n\u003cp>The latest available data, compiled in January of this year, shows fatal overdoses over the previous 12-month period increased by roughly 1,400 deaths.\u003c/p>\n\u003cp>“This slight increase reflects historic data and suggests that the U.S. saw more overdose deaths in January 2025 than it did in January 2024,” the CDC said in a statement sent to NPR. “We are working on analyses to better understand geographic trends.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The CDC data suggests roughly 82,138 deaths during the 12-month period ending in January 2025. That would be a significant increase from the December 2024 report, but it’s still far below the overdose crisis peak of 114,664 recorded in August 2023.\u003c/p>\n\u003cp>Still, after seventeen months of declines in fatal overdoses that stunned drug policy experts and an \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2025/20250514.htm\">unprecedented 27 percent drop in drug deaths in 2024\u003c/a>, some addiction researchers described this report as troubling.\u003c/p>\n\u003cp>[aside postID=news_12044896 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GETTYIMAGES-564026777-KQED.jpg']\u003c/p>\n\u003cp>Keith Humphreys, a researcher at Stanford University, said the new CDC data could be an early warning that drug death declines brought on by a number of factors, including the end of COVID pandemic disruptions and weaker fentanyl being sold on U.S. streets, could be fading.\u003c/p>\n\u003cp>“If we assume it’s not a blip, this makes it more likely that the sudden drop [in fatal overdoses] was a one-off event rather than a fundamental change in epidemic dynamics,” Humphreys said in an email.\u003c/p>\n\u003cp>Most overdose deaths in the U.S. are caused by fentanyl, but researchers who sample the street drug supply have warned of an increasingly dangerous mix of chemicals being sold by dealers, including cocaine and methamphetamines, as well veterinary tranquilizers such as medetomidine and xylazine.\u003c/p>\n\u003cp>“Overdose trends are not a one-way street, and there will be periodic local increases,” said Nabarun Dasgupta, who studies overdose trends at the University of North Carolina.\u003c/p>\n\u003cp>His analysis of the latest CDC data suggested “most of the country is still trending down in the right direction.”\u003c/p>\n\u003cp>According to Dasgupta, the “increase in predicted national numbers are driven primarily by upticks in Texas, Arizona, California and Washington.”\u003c/p>\n\u003ch2>A ‘blip’ or a troubling new trend?\u003c/h2>\n\u003cp>Drug death data in the U.S. is collected slowly and made public only after significant delays.\u003c/p>\n\u003cp>Experts say reports like this one, incorporating the most recent available preliminary data from January, offer only a crude snapshot of the current street drug situation.[aside postID=news_12033622 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240903-OverdoseResponse-56-BL_qed-1020x680.jpg']CDC officials said “fluctuations” in drug overdose deaths could be caused by a number of factors including changes in the illegal drug supply and shifts in access to treatment.\u003c/p>\n\u003cp>This CDC data is from the period before President Trump took office or any of his policies took effect.\u003c/p>\n\u003cp>But the apparent rise in drug deaths comes as the Trump administration and Republicans in Congress are moving to curtail spending on addiction-related public health and science programs, as well as funding for Medicaid, which currently provides the largest source of insurance coverage for people in the U.S. experiencing addiction.\u003c/p>\n\u003cp>“America is still in the middle of an incredibly deadly addiction and overdose crisis,” Dr. Stephen Taylor, head of the American Society of Addiction Medicine, said in response to the latest CDC data.\u003c/p>\n\u003cp>“Reducing federal support for Medicaid — the largest payer of mental health and substance use disorder treatment — would be a sign of retreat,” Taylor added.\u003c/p>\n\u003cp>Regina LaBelle, former White House acting chief of the Office of National Drug Control Policy under President Joe Biden, who studies addiction policy at Georgetown University, echoed that concern but said she hopes this report amounts to a “blip” in what had been steady improvements in drug death numbers.\u003c/p>\n\u003cp>“I do know that there’s always more we can do in a bipartisan way to curb overdose deaths. Cutting grants to states and laying off thousands of employees isn’t a plan,” she said.\u003c/p>\n\u003cp>Last week, the U.S. Health and Human Services Department sent a statement to NPR saying “reorganization” of federal addiction programs is designed to improve their “efficiency and effectiveness.”\u003c/p>\n\u003cp>“We aim to streamline resources and eliminate redundancies, ensuring that essential mental health and substance use disorder services are delivered more effectively,” the HHS statement said.\u003c/p>\n\u003cp>In a statement to NPR on Tuesday, CDC officials said this latest data highlights the need for continued “public health investments” to research and monitor street drug impacts.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For the first time in more than a year, street drug deaths appear to be rising across the U.S. according to \u003ca href=\"https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm\">a new report from the Centers for Disease Control and Prevention\u003c/a>.\u003c/p>\n\u003cp>The latest available data, compiled in January of this year, shows fatal overdoses over the previous 12-month period increased by roughly 1,400 deaths.\u003c/p>\n\u003cp>“This slight increase reflects historic data and suggests that the U.S. saw more overdose deaths in January 2025 than it did in January 2024,” the CDC said in a statement sent to NPR. “We are working on analyses to better understand geographic trends.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Keith Humphreys, a researcher at Stanford University, said the new CDC data could be an early warning that drug death declines brought on by a number of factors, including the end of COVID pandemic disruptions and weaker fentanyl being sold on U.S. streets, could be fading.\u003c/p>\n\u003cp>“If we assume it’s not a blip, this makes it more likely that the sudden drop [in fatal overdoses] was a one-off event rather than a fundamental change in epidemic dynamics,” Humphreys said in an email.\u003c/p>\n\u003cp>Most overdose deaths in the U.S. are caused by fentanyl, but researchers who sample the street drug supply have warned of an increasingly dangerous mix of chemicals being sold by dealers, including cocaine and methamphetamines, as well veterinary tranquilizers such as medetomidine and xylazine.\u003c/p>\n\u003cp>“Overdose trends are not a one-way street, and there will be periodic local increases,” said Nabarun Dasgupta, who studies overdose trends at the University of North Carolina.\u003c/p>\n\u003cp>His analysis of the latest CDC data suggested “most of the country is still trending down in the right direction.”\u003c/p>\n\u003cp>According to Dasgupta, the “increase in predicted national numbers are driven primarily by upticks in Texas, Arizona, California and Washington.”\u003c/p>\n\u003ch2>A ‘blip’ or a troubling new trend?\u003c/h2>\n\u003cp>Drug death data in the U.S. is collected slowly and made public only after significant delays.\u003c/p>\n\u003cp>Experts say reports like this one, incorporating the most recent available preliminary data from January, offer only a crude snapshot of the current street drug situation.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>CDC officials said “fluctuations” in drug overdose deaths could be caused by a number of factors including changes in the illegal drug supply and shifts in access to treatment.\u003c/p>\n\u003cp>This CDC data is from the period before President Trump took office or any of his policies took effect.\u003c/p>\n\u003cp>But the apparent rise in drug deaths comes as the Trump administration and Republicans in Congress are moving to curtail spending on addiction-related public health and science programs, as well as funding for Medicaid, which currently provides the largest source of insurance coverage for people in the U.S. experiencing addiction.\u003c/p>\n\u003cp>“America is still in the middle of an incredibly deadly addiction and overdose crisis,” Dr. Stephen Taylor, head of the American Society of Addiction Medicine, said in response to the latest CDC data.\u003c/p>\n\u003cp>“Reducing federal support for Medicaid — the largest payer of mental health and substance use disorder treatment — would be a sign of retreat,” Taylor added.\u003c/p>\n\u003cp>Regina LaBelle, former White House acting chief of the Office of National Drug Control Policy under President Joe Biden, who studies addiction policy at Georgetown University, echoed that concern but said she hopes this report amounts to a “blip” in what had been steady improvements in drug death numbers.\u003c/p>\n\u003cp>“I do know that there’s always more we can do in a bipartisan way to curb overdose deaths. Cutting grants to states and laying off thousands of employees isn’t a plan,” she said.\u003c/p>\n\u003cp>Last week, the U.S. Health and Human Services Department sent a statement to NPR saying “reorganization” of federal addiction programs is designed to improve their “efficiency and effectiveness.”\u003c/p>\n\u003cp>“We aim to streamline resources and eliminate redundancies, ensuring that essential mental health and substance use disorder services are delivered more effectively,” the HHS statement said.\u003c/p>\n\u003cp>In a statement to NPR on Tuesday, CDC officials said this latest data highlights the need for continued “public health investments” to research and monitor street drug impacts.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "California to Get $440 Million in Nationwide Opioid Settlement With Purdue Pharma",
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"content": "\u003cp>California will receive up to $440 million to fund addiction treatment and other services under a nationwide settlement agreement announced Monday with \u003ca href=\"https://www.kqed.org/news/12023728/purdue-pharma-to-pay-7-4-billion-over-the-toll-of-oxycontin\">Purdue Pharma\u003c/a>, the company responsible for inventing, manufacturing and marketing the highly addictive opioid OxyContin.\u003c/p>\n\u003cp>Attorneys general representing 49 states, the District of Columbia and U.S. territories agreed to the $7.4 billion settlement. Oklahoma, which reached its own settlement in 2019, is not included.\u003c/p>\n\u003cp>If the agreement is approved in federal bankruptcy court, members of the \u003ca href=\"https://www.kqed.org/arts/13922337/how-one-artist-took-on-the-sacklers-and-shook-their-reputation-in-the-art-world\">Sackler family\u003c/a> who own Purdue Pharma will have to pay up to $6.5 billion, while the company itself is expected to pay up to $900 million. Payouts would occur over the next 15 years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The settlement would also require the Sacklers to give up control of the company. The future of Purdue Pharma would be left up to a board of trustees selected by participating states and others who sued the company.\u003c/p>\n\u003cp>“The opioid epidemic has ravaged communities in California and across the country,” California Attorney General Rob Bonta said in a statement. “By holding Purdue Pharma and the Sackler family accountable for their role in fueling the opioid epidemic, we’re bringing much-needed funds for addiction treatment, prevention, and recovery to those impacted by this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11992370\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11992370\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Purdue Pharma headquarters in Stamford, Connecticut. Purdue Pharma, the maker of OxyContin, and its owners, the Sackler family, are facing hundreds of lawsuits across the country for the company’s alleged role in the opioid epidemic that has killed more than 200,000 Americans over the past 20 years. \u003ccite>(Drew Angerer/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The agreement with Purdue Pharma and the Sackler family represents the nation’s largest settlement relating to the opioid crisis, and the money will be used to fund addiction treatment, recovery and prevention efforts across the country, according to Bonta’s statement.\u003c/p>\n\u003cp>Last year, the U.S. Supreme Court struck down a previous settlement deal involving Purdue Pharma because it protected members of the Sackler family from civil lawsuits over OxyContin even though the family did not file for bankruptcy. The new agreement would only protect the Sacklers from lawsuits brought forward by people who participate in the settlement; others would still be allowed to sue the family.\u003c/p>\n\u003cp>“Creditors can preserve their right to take legal action against the Sacklers if they do not opt in to the Sackler releases contained in the Plan,” Purdue Pharma said in \u003ca href=\"https://www.purduepharma.com/news/2025/03/18/purdue-pharma-l-p-files-new-plan-of-reorganization-providing-for-more-than-7-4-billion-in-creditor-distributions/\">a statement\u003c/a> in March, when the company filed the deal in bankruptcy court.[aside postID=news_12044201 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/VaccinationsStory.jpg']Over the past several years, lawsuits against the company and others accused of facilitating the drug epidemic have been filed by local and state officials, Native American tribal governments and others. Settlements amounting to nearly $50 billion have already been announced.\u003c/p>\n\u003cp>California has already secured nearly $4 billion from companies that state officials say helped fuel the nation’s ongoing opioid crisis.\u003c/p>\n\u003cp>In May 2023, pharmacy giant Walgreens agreed to pay San Francisco nearly \u003ca href=\"https://www.kqed.org/news/11949888/walgreens-pay-san-francisco-230-million-opioid-crisis\">$230 million\u003c/a> after it was accused of issuing thousands of suspect opioid prescriptions.\u003c/p>\n\u003cp>A few months before that, Walmart and CVS Pharmacy offered to pay the county up to \u003ca href=\"https://www.kqed.org/news/11946346/walmart-cvs-set-to-pay-san-francisco-19-million-in-opioid-settlements\">$18.8 million\u003c/a> after San Francisco joined nationwide lawsuits accusing the corporations of negligent prescription practices.\u003c/p>\n\u003cp>A court hearing for the Purdue Pharma settlement is scheduled for Wednesday, according to a statement issued by the company. If the court approves the disclosure statement, the terms of the settlement will be voted on by the company’s creditors.\u003c/p>\n\u003cp>“Today’s announcement of unanimous support among the states and territories is a critical milestone towards confirming a Plan of Reorganization that will provide billions of dollars to compensate victims, abate the opioid crisis, and deliver opioid use disorder and overdose rescue medicines that will save American lives,” the statement reads.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/sjohnson\">\u003cem>Sydney Johnson\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California will receive up to $440 million to fund addiction treatment and other services under a nationwide settlement agreement announced Monday with \u003ca href=\"https://www.kqed.org/news/12023728/purdue-pharma-to-pay-7-4-billion-over-the-toll-of-oxycontin\">Purdue Pharma\u003c/a>, the company responsible for inventing, manufacturing and marketing the highly addictive opioid OxyContin.\u003c/p>\n\u003cp>Attorneys general representing 49 states, the District of Columbia and U.S. territories agreed to the $7.4 billion settlement. Oklahoma, which reached its own settlement in 2019, is not included.\u003c/p>\n\u003cp>If the agreement is approved in federal bankruptcy court, members of the \u003ca href=\"https://www.kqed.org/arts/13922337/how-one-artist-took-on-the-sacklers-and-shook-their-reputation-in-the-art-world\">Sackler family\u003c/a> who own Purdue Pharma will have to pay up to $6.5 billion, while the company itself is expected to pay up to $900 million. Payouts would occur over the next 15 years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The settlement would also require the Sacklers to give up control of the company. The future of Purdue Pharma would be left up to a board of trustees selected by participating states and others who sued the company.\u003c/p>\n\u003cp>“The opioid epidemic has ravaged communities in California and across the country,” California Attorney General Rob Bonta said in a statement. “By holding Purdue Pharma and the Sackler family accountable for their role in fueling the opioid epidemic, we’re bringing much-needed funds for addiction treatment, prevention, and recovery to those impacted by this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11992370\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11992370\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/PurduePharmaHeadquarters01-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Purdue Pharma headquarters in Stamford, Connecticut. Purdue Pharma, the maker of OxyContin, and its owners, the Sackler family, are facing hundreds of lawsuits across the country for the company’s alleged role in the opioid epidemic that has killed more than 200,000 Americans over the past 20 years. \u003ccite>(Drew Angerer/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The agreement with Purdue Pharma and the Sackler family represents the nation’s largest settlement relating to the opioid crisis, and the money will be used to fund addiction treatment, recovery and prevention efforts across the country, according to Bonta’s statement.\u003c/p>\n\u003cp>Last year, the U.S. Supreme Court struck down a previous settlement deal involving Purdue Pharma because it protected members of the Sackler family from civil lawsuits over OxyContin even though the family did not file for bankruptcy. The new agreement would only protect the Sacklers from lawsuits brought forward by people who participate in the settlement; others would still be allowed to sue the family.\u003c/p>\n\u003cp>“Creditors can preserve their right to take legal action against the Sacklers if they do not opt in to the Sackler releases contained in the Plan,” Purdue Pharma said in \u003ca href=\"https://www.purduepharma.com/news/2025/03/18/purdue-pharma-l-p-files-new-plan-of-reorganization-providing-for-more-than-7-4-billion-in-creditor-distributions/\">a statement\u003c/a> in March, when the company filed the deal in bankruptcy court.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Over the past several years, lawsuits against the company and others accused of facilitating the drug epidemic have been filed by local and state officials, Native American tribal governments and others. Settlements amounting to nearly $50 billion have already been announced.\u003c/p>\n\u003cp>California has already secured nearly $4 billion from companies that state officials say helped fuel the nation’s ongoing opioid crisis.\u003c/p>\n\u003cp>In May 2023, pharmacy giant Walgreens agreed to pay San Francisco nearly \u003ca href=\"https://www.kqed.org/news/11949888/walgreens-pay-san-francisco-230-million-opioid-crisis\">$230 million\u003c/a> after it was accused of issuing thousands of suspect opioid prescriptions.\u003c/p>\n\u003cp>A few months before that, Walmart and CVS Pharmacy offered to pay the county up to \u003ca href=\"https://www.kqed.org/news/11946346/walmart-cvs-set-to-pay-san-francisco-19-million-in-opioid-settlements\">$18.8 million\u003c/a> after San Francisco joined nationwide lawsuits accusing the corporations of negligent prescription practices.\u003c/p>\n\u003cp>A court hearing for the Purdue Pharma settlement is scheduled for Wednesday, according to a statement issued by the company. If the court approves the disclosure statement, the terms of the settlement will be voted on by the company’s creditors.\u003c/p>\n\u003cp>“Today’s announcement of unanimous support among the states and territories is a critical milestone towards confirming a Plan of Reorganization that will provide billions of dollars to compensate victims, abate the opioid crisis, and deliver opioid use disorder and overdose rescue medicines that will save American lives,” the statement reads.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/sjohnson\">\u003cem>Sydney Johnson\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "California Pelicans Experience Third Starvation Event In Four Years",
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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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"excerpt": "California’s Pelicans Are Once Again Starving. This Year, It’s the Babies",
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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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"slug": "sf-records-1st-death-involving-animal-sedative-linked-to-overdose-outbreaks-in-east",
"title": "SF Records First Death Involving Animal Sedative Linked to Overdose Outbreaks in East",
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"content": "\u003cp>San Francisco reported its first death this year involving the \u003ca href=\"https://www.kqed.org/news/11987962/animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring\">powerful veterinary sedative\u003c/a> medetomidine, which has been linked to a wave of fatal overdoses on the East Coast.\u003c/p>\n\u003cp>The victim, Jessica Monique Sheridan, 46, died in February, according to the San Francisco Office of the Chief Medical Examiner. The city health department confirmed that Sheridan’s toxicology report showed medetomidine in her system.\u003c/p>\n\u003cp>Other \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-records-first-fatal-overdose-involving-new-drug-20267834.php\">news outlets\u003c/a> reported that Sheridan was found with a mix of drugs in her system, including fentanyl, medetomidine and benzodiazepines, which the Office of the Chief Medical Examiner did not confirm.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Among street drugs, medetomidine is most commonly detected as an adulterant in fentanyl mixtures. The synthetic depressant was first detected in California in 2023 and has been linked to several overdose outbreaks in states such as Pennsylvania and Illinois, according to a Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>When East Coast states began reporting an increased number of overdoses involving medetomidine last year, San Francisco Supervisor Matt Dorsey called on city public health officials to include the drug in the list of substances they test for during overdose and wastewater investigations.\u003c/p>\n\u003cp>The Department of Public Health said in a statement that it is tracking the presence of medetomidine in the city and preparing health and outreach workers to respond accordingly, but that it is not widespread. The overdose crisis is driven largely by fentanyl, which has been found in more than 70% of local overdose victims, the agency said.\u003c/p>\n\u003cp>Medetomidine is not the only novel synthetic drug to find its way to the West Coast. Xylazine, another veterinary sedative known as “tranq,” was involved in 62 overdose deaths in San Francisco last year. Fentanyl accounted for 83 deaths.\u003c/p>\n\u003cp>[aside postID=news_12032239 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240903-OverdoseResponse-42-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>According to a \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11587509/\">study\u003c/a> published in the journal ACS Chemical Neuroscience, medetomidine is over 100 times more potent than xylazine. Improper use of the drug is associated with severe blood pressure instability, including hypotension and central nervous system depression.\u003c/p>\n\u003cp>It’s too soon to say whether medetomidine will supplant other drugs in the illicit market even as its presence increases, said Keith Humphreys, a Stanford University professor and addiction policy researcher.\u003c/p>\n\u003cp>Both medetomidine and xylazine are earmarked for veterinary use and therefore face less rigorous regulation processes than substances made for humans, which could explain why they’re becoming more common in the recreational drug supply, Humphreys said.\u003c/p>\n\u003cp>What’s more important is making sure the public knows what the drug is and what its effects are, he continued.\u003c/p>\n\u003cp>Naloxone cannot be used to treat overdoses involving medetomidine. While there are reversal agents that can be used to reverse the drug’s sedative effects, they are not as common because they’re marketed for animals, Humphreys said.\u003c/p>\n\u003cp>San Francisco recorded \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">118 accidental drug overdose deaths\u003c/a> in the first two months of 2025, according to preliminary data from the Office of the Chief Medical Examiner. The number of fatal overdoses this year — 57 in January and 61 in February — marks a significant uptick after four months of declines, with October seeing a low of 37.\u003c/p>\n\u003cp>Mayor Daniel Lurie and other city officials are pushing for more aggressive responses to the city’s unprecedented drug crisis.\u003c/p>\n\u003cp>Earlier this year, the Board of Supervisors passed Lurie’s ordinance titled \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">“Fentanyl State of Emergency,”\u003c/a> which gives the mayor’s office and other city agencies the authority to pursue city contracts and private donations to combat fentanyl use without supervisors’ approval.\u003c/p>\n\u003cp>Lurie also ordered the Public Health Department last month to scale back harm reduction programs that provide people with safe smoking supplies in public spaces, instructing health officials to move distribution indoors.\u003c/p>\n\u003cp>Humphreys said city officials need to consider more preventive measures when it comes to addressing drug abuse.\u003c/p>\n\u003cp>“If we continue to approach this problem by sort of waiting till people are engaged in really dangerous behavior and then throwing a lot of resources at them, we’ll never come to the end of this,” Humphreys said. “We need to have fewer people entering into that cycle of harm and risk because we can’t really control these markets and make them safe.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco reported its first death this year involving the \u003ca href=\"https://www.kqed.org/news/11987962/animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring\">powerful veterinary sedative\u003c/a> medetomidine, which has been linked to a wave of fatal overdoses on the East Coast.\u003c/p>\n\u003cp>The victim, Jessica Monique Sheridan, 46, died in February, according to the San Francisco Office of the Chief Medical Examiner. The city health department confirmed that Sheridan’s toxicology report showed medetomidine in her system.\u003c/p>\n\u003cp>Other \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-records-first-fatal-overdose-involving-new-drug-20267834.php\">news outlets\u003c/a> reported that Sheridan was found with a mix of drugs in her system, including fentanyl, medetomidine and benzodiazepines, which the Office of the Chief Medical Examiner did not confirm.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Among street drugs, medetomidine is most commonly detected as an adulterant in fentanyl mixtures. The synthetic depressant was first detected in California in 2023 and has been linked to several overdose outbreaks in states such as Pennsylvania and Illinois, according to a Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>When East Coast states began reporting an increased number of overdoses involving medetomidine last year, San Francisco Supervisor Matt Dorsey called on city public health officials to include the drug in the list of substances they test for during overdose and wastewater investigations.\u003c/p>\n\u003cp>The Department of Public Health said in a statement that it is tracking the presence of medetomidine in the city and preparing health and outreach workers to respond accordingly, but that it is not widespread. The overdose crisis is driven largely by fentanyl, which has been found in more than 70% of local overdose victims, the agency said.\u003c/p>\n\u003cp>Medetomidine is not the only novel synthetic drug to find its way to the West Coast. Xylazine, another veterinary sedative known as “tranq,” was involved in 62 overdose deaths in San Francisco last year. Fentanyl accounted for 83 deaths.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to a \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11587509/\">study\u003c/a> published in the journal ACS Chemical Neuroscience, medetomidine is over 100 times more potent than xylazine. Improper use of the drug is associated with severe blood pressure instability, including hypotension and central nervous system depression.\u003c/p>\n\u003cp>It’s too soon to say whether medetomidine will supplant other drugs in the illicit market even as its presence increases, said Keith Humphreys, a Stanford University professor and addiction policy researcher.\u003c/p>\n\u003cp>Both medetomidine and xylazine are earmarked for veterinary use and therefore face less rigorous regulation processes than substances made for humans, which could explain why they’re becoming more common in the recreational drug supply, Humphreys said.\u003c/p>\n\u003cp>What’s more important is making sure the public knows what the drug is and what its effects are, he continued.\u003c/p>\n\u003cp>Naloxone cannot be used to treat overdoses involving medetomidine. While there are reversal agents that can be used to reverse the drug’s sedative effects, they are not as common because they’re marketed for animals, Humphreys said.\u003c/p>\n\u003cp>San Francisco recorded \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">118 accidental drug overdose deaths\u003c/a> in the first two months of 2025, according to preliminary data from the Office of the Chief Medical Examiner. The number of fatal overdoses this year — 57 in January and 61 in February — marks a significant uptick after four months of declines, with October seeing a low of 37.\u003c/p>\n\u003cp>Mayor Daniel Lurie and other city officials are pushing for more aggressive responses to the city’s unprecedented drug crisis.\u003c/p>\n\u003cp>Earlier this year, the Board of Supervisors passed Lurie’s ordinance titled \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">“Fentanyl State of Emergency,”\u003c/a> which gives the mayor’s office and other city agencies the authority to pursue city contracts and private donations to combat fentanyl use without supervisors’ approval.\u003c/p>\n\u003cp>Lurie also ordered the Public Health Department last month to scale back harm reduction programs that provide people with safe smoking supplies in public spaces, instructing health officials to move distribution indoors.\u003c/p>\n\u003cp>Humphreys said city officials need to consider more preventive measures when it comes to addressing drug abuse.\u003c/p>\n\u003cp>“If we continue to approach this problem by sort of waiting till people are engaged in really dangerous behavior and then throwing a lot of resources at them, we’ll never come to the end of this,” Humphreys said. “We need to have fewer people entering into that cycle of harm and risk because we can’t really control these markets and make them safe.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As San Francisco \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scales back some harm reduction programs\u003c/a> amid the city’s crackdown on open-air drug markets, UCSF doctors are raising concerns and emphasizing the integral role that such public health strategies play in keeping drug users safe.\u003c/p>\n\u003cp>Harm reduction, which aims to mitigate the risks of death and long-term damage associated with drug use, has spurred increasingly polarized debate between coalitions that support and oppose the strategy. However, doctors and policy experts say increasing collaboration is the best way to ensure public health for the whole city.\u003c/p>\n\u003cp>“Harm reduction and treatment are like part and parcel of each other,” Dr. Ayesha Appa, an assistant professor of medicine at UCSF, said during a town hall on Thursday hosted by the Treatment on Demand Coalition.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She said that for one of her patients, “having relationships with people who are offering safer-use supplies allowed him to feel valued and then think, ‘I’m worth something. I can do this,’” and get on methadone, a medication used to treat opioid addiction.\u003c/p>\n\u003cp>November’s election results, though, show a city growing more concerned with getting drugs and drug users off the streets and out of public view.\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> campaigned on public safety, saying the city needed to crack down on open-air drug markets. He and other candidates running against incumbent London Breed \u003ca href=\"https://www.kqed.org/news/12008970/its-maddening-addiction-experts-cry-foul-at-mayoral-candidates-push-for-drug-arrests\">criticized\u003c/a> some of her efforts focused on harm reduction, including the shuttered Tenderloin Center, which was the city’s first publicly run overdose prevention site.\u003c/p>\n\u003cp>In Breed’s latter years as mayor, she \u003ca href=\"https://www.kqed.org/news/11996234/sf-mayor-says-very-aggressive-encampment-sweeps-will-start-in-august\">moved away\u003c/a> from a harm-reduction approach to the drug crisis, which progressive politicians had embraced. And in District 5, which includes the Tenderloin, voters \u003ca href=\"https://www.kqed.org/news/12013950/dean-preston-concedes-sf-district-5-race-to-bilal-mahmood-blasts-right-wing-pressure-groups\">ousted their progressive supervisor\u003c/a> in favor of a more moderate leader.\u003c/p>\n\u003cp>“You have a city that moved in a pragmatic direction – a lot of people are clearly unhappy with a number of things in the city, but a big part of what they’re unhappy about is drugs, homelessness, disorder, crime,” said Keith Humphreys, a drug policy expert and professor of psychiatry at Stanford University.\u003c/p>\n\u003cp>Activists and nonprofits who have advocated for harsher crackdowns on public drug use — and criticized the city for making it too “easy” for people to use drugs — \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">joined Lurie\u003c/a> during his first month in office to introduce his “\u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">Fentanyl State of Emergency Ordinance\u003c/a>.”\u003c/p>\n\u003cp>“We’ve seen people suffering in the name of compassion and body autonomy, and it has to end,” said Gina McDonald, the co-founder of Mothers Against Drug Addiction and Deaths, who hosted the rally. “We believe that this fentanyl state of emergency ordinance is a state of emergency. It’s a five-alarm fire that needs to be mitigated.”\u003c/p>\n\u003cp>[aside postID=news_12032239 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240903-OverdoseResponse-42-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>The legislation gained wide approval from the Board of Supervisors, with only a single vote against it.\u003c/p>\n\u003cp>In March, Lurie released more details on how he plans to use his expanded powers under the ordinance, which includes increasing treatment availability, clearing open-air drug markets and “reassess[ing] policies for distribution of fentanyl smoking supplies” — a service \u003ca href=\"https://www.kqed.org/news/11997957/heres-why-some-san-francisco-nonprofits-give-foil-and-pipes-to-drug-users\">provided by some city-funded nonprofits\u003c/a> that had drawn controversy.\u003c/p>\n\u003cp>He’s also worked with law enforcement to set up a mobile police command unit at the 16th Street BART station in the Mission, and \u003ca href=\"https://www.kqed.org/news/12028996/san-francisco-police-arrest-84-people-in-overnight-drug-market-raid-at-city-park\">overnight police raids\u003c/a> at prominent drug markets have increased.\u003c/p>\n\u003cp>Meanwhile, Supervisor Matt Dorsey introduced the “Recovery First Ordinance” at the end of February, which would make entirely stopping illicit drug use and attaining long-term treatment “the primary objective of the city’s drug policy.” In a \u003ca href=\"https://x.com/mattdorsey/status/1905468937963536639\">post on the social media platform X\u003c/a> on Friday criticizing the UCSF doctors, Dorsey wrote that abstinence-only approaches to ending drug use include medication-assisted treatments.\u003c/p>\n\u003cp>The push toward recovery-focused drug policy has been \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">unpopular with harm reduction advocates\u003c/a>, who say reducing efforts to give out safer smoking supplies like foil and pipes is “misguided.”\u003c/p>\n\u003cp>A recent study from independent scientific research organization RTI International found that increased drug seizures by law enforcement also increased opioid overdose mortality. But Humphreys said what it fails to account for is the public health of non-drug users.\u003c/p>\n\u003cfigure id=\"attachment_11998115\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11998115\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric clinical pharmacist with the San Francisco Department of Public Health packs a backpack with harm reduction supplies before making deliveries to SROs and Permanent Supportive Housing in San Francisco on March 23, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The purpose of taking drug dealers off the street is not to change the overdose rate,” he told KQED. “The purpose is to make neighborhoods safe for families and get drug dealers off the streets.”\u003c/p>\n\u003cp>He said an integrated public health approach — which the city \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-drug-dealing-tenderloin-emergency-center-18132343.php\">has been working on for years\u003c/a> but continues to need more of — would combine a nighttime bust by police with onsite harm reduction services, for example.\u003c/p>\n\u003cp>“In Europe, in cities that have closed down open-air things, the police and the public health people work side by side,” he told KQED. “Police will say we’re closing down this open-air drug corner and the dealers are ours and the users are yours.”\u003c/p>\n\u003cp>“They will arrest the people … but then drive the methadone vans saying, ‘Who wants treatment, who needs clean needles right here?’ They use it as an opportunity to engage people into care because your dealer’s gone, but you know you could get to treatment right this second.”\u003c/p>\n\u003cp>[aside postID=news_12033114 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/005_KQED_CarFreeMarketSt_01222020_8366_qed-1020x680.jpg']\u003c/p>\n\u003cp>The four UCSF doctors who spoke about the importance of harm reduction on Thursday stressed the importance of linking harm reduction and treatment services by offering them in the same spaces and making the on-ramp to treatment less intimidating for drug users.\u003c/p>\n\u003cp>They said that reducing the distribution of safer drug supplies and medications that treat opioid addiction will make people less safe.\u003c/p>\n\u003cp>“I live in the city, I have kids … so that allows me to understand people who say, ‘Why the hell are you handing out opioids to people with opioid use disorder …handing out supplies to people that help them use drugs?’” said Dr. Scott Steiger, a professor in the departments of Medicine and Psychiatry and Behavioral Sciences at UCSF. “I could wave a magic wand and stop all of that, but we can’t.\u003c/p>\n\u003cp>“This particular city has done this before and is very good at figuring out ways to be more inclusive, to bring people back into the larger community who are otherwise stigmatized or outsiders.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As San Francisco \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scales back some harm reduction programs\u003c/a> amid the city’s crackdown on open-air drug markets, UCSF doctors are raising concerns and emphasizing the integral role that such public health strategies play in keeping drug users safe.\u003c/p>\n\u003cp>Harm reduction, which aims to mitigate the risks of death and long-term damage associated with drug use, has spurred increasingly polarized debate between coalitions that support and oppose the strategy. However, doctors and policy experts say increasing collaboration is the best way to ensure public health for the whole city.\u003c/p>\n\u003cp>“Harm reduction and treatment are like part and parcel of each other,” Dr. Ayesha Appa, an assistant professor of medicine at UCSF, said during a town hall on Thursday hosted by the Treatment on Demand Coalition.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She said that for one of her patients, “having relationships with people who are offering safer-use supplies allowed him to feel valued and then think, ‘I’m worth something. I can do this,’” and get on methadone, a medication used to treat opioid addiction.\u003c/p>\n\u003cp>November’s election results, though, show a city growing more concerned with getting drugs and drug users off the streets and out of public view.\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> campaigned on public safety, saying the city needed to crack down on open-air drug markets. He and other candidates running against incumbent London Breed \u003ca href=\"https://www.kqed.org/news/12008970/its-maddening-addiction-experts-cry-foul-at-mayoral-candidates-push-for-drug-arrests\">criticized\u003c/a> some of her efforts focused on harm reduction, including the shuttered Tenderloin Center, which was the city’s first publicly run overdose prevention site.\u003c/p>\n\u003cp>In Breed’s latter years as mayor, she \u003ca href=\"https://www.kqed.org/news/11996234/sf-mayor-says-very-aggressive-encampment-sweeps-will-start-in-august\">moved away\u003c/a> from a harm-reduction approach to the drug crisis, which progressive politicians had embraced. And in District 5, which includes the Tenderloin, voters \u003ca href=\"https://www.kqed.org/news/12013950/dean-preston-concedes-sf-district-5-race-to-bilal-mahmood-blasts-right-wing-pressure-groups\">ousted their progressive supervisor\u003c/a> in favor of a more moderate leader.\u003c/p>\n\u003cp>“You have a city that moved in a pragmatic direction – a lot of people are clearly unhappy with a number of things in the city, but a big part of what they’re unhappy about is drugs, homelessness, disorder, crime,” said Keith Humphreys, a drug policy expert and professor of psychiatry at Stanford University.\u003c/p>\n\u003cp>Activists and nonprofits who have advocated for harsher crackdowns on public drug use — and criticized the city for making it too “easy” for people to use drugs — \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">joined Lurie\u003c/a> during his first month in office to introduce his “\u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">Fentanyl State of Emergency Ordinance\u003c/a>.”\u003c/p>\n\u003cp>“We’ve seen people suffering in the name of compassion and body autonomy, and it has to end,” said Gina McDonald, the co-founder of Mothers Against Drug Addiction and Deaths, who hosted the rally. “We believe that this fentanyl state of emergency ordinance is a state of emergency. It’s a five-alarm fire that needs to be mitigated.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The legislation gained wide approval from the Board of Supervisors, with only a single vote against it.\u003c/p>\n\u003cp>In March, Lurie released more details on how he plans to use his expanded powers under the ordinance, which includes increasing treatment availability, clearing open-air drug markets and “reassess[ing] policies for distribution of fentanyl smoking supplies” — a service \u003ca href=\"https://www.kqed.org/news/11997957/heres-why-some-san-francisco-nonprofits-give-foil-and-pipes-to-drug-users\">provided by some city-funded nonprofits\u003c/a> that had drawn controversy.\u003c/p>\n\u003cp>He’s also worked with law enforcement to set up a mobile police command unit at the 16th Street BART station in the Mission, and \u003ca href=\"https://www.kqed.org/news/12028996/san-francisco-police-arrest-84-people-in-overnight-drug-market-raid-at-city-park\">overnight police raids\u003c/a> at prominent drug markets have increased.\u003c/p>\n\u003cp>Meanwhile, Supervisor Matt Dorsey introduced the “Recovery First Ordinance” at the end of February, which would make entirely stopping illicit drug use and attaining long-term treatment “the primary objective of the city’s drug policy.” In a \u003ca href=\"https://x.com/mattdorsey/status/1905468937963536639\">post on the social media platform X\u003c/a> on Friday criticizing the UCSF doctors, Dorsey wrote that abstinence-only approaches to ending drug use include medication-assisted treatments.\u003c/p>\n\u003cp>The push toward recovery-focused drug policy has been \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">unpopular with harm reduction advocates\u003c/a>, who say reducing efforts to give out safer smoking supplies like foil and pipes is “misguided.”\u003c/p>\n\u003cp>A recent study from independent scientific research organization RTI International found that increased drug seizures by law enforcement also increased opioid overdose mortality. But Humphreys said what it fails to account for is the public health of non-drug users.\u003c/p>\n\u003cfigure id=\"attachment_11998115\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11998115\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/001_KQED_SOMABuprenorphineDelivery_03232023_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric clinical pharmacist with the San Francisco Department of Public Health packs a backpack with harm reduction supplies before making deliveries to SROs and Permanent Supportive Housing in San Francisco on March 23, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The purpose of taking drug dealers off the street is not to change the overdose rate,” he told KQED. “The purpose is to make neighborhoods safe for families and get drug dealers off the streets.”\u003c/p>\n\u003cp>He said an integrated public health approach — which the city \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-drug-dealing-tenderloin-emergency-center-18132343.php\">has been working on for years\u003c/a> but continues to need more of — would combine a nighttime bust by police with onsite harm reduction services, for example.\u003c/p>\n\u003cp>“In Europe, in cities that have closed down open-air things, the police and the public health people work side by side,” he told KQED. “Police will say we’re closing down this open-air drug corner and the dealers are ours and the users are yours.”\u003c/p>\n\u003cp>“They will arrest the people … but then drive the methadone vans saying, ‘Who wants treatment, who needs clean needles right here?’ They use it as an opportunity to engage people into care because your dealer’s gone, but you know you could get to treatment right this second.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The four UCSF doctors who spoke about the importance of harm reduction on Thursday stressed the importance of linking harm reduction and treatment services by offering them in the same spaces and making the on-ramp to treatment less intimidating for drug users.\u003c/p>\n\u003cp>They said that reducing the distribution of safer drug supplies and medications that treat opioid addiction will make people less safe.\u003c/p>\n\u003cp>“I live in the city, I have kids … so that allows me to understand people who say, ‘Why the hell are you handing out opioids to people with opioid use disorder …handing out supplies to people that help them use drugs?’” said Dr. Scott Steiger, a professor in the departments of Medicine and Psychiatry and Behavioral Sciences at UCSF. “I could wave a magic wand and stop all of that, but we can’t.\u003c/p>\n\u003cp>“This particular city has done this before and is very good at figuring out ways to be more inclusive, to bring people back into the larger community who are otherwise stigmatized or outsiders.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> planted a flag in the overdose debate by ordering the San Francisco Public Health Department to scale back some harm reduction programs as part of efforts to address the city’s drug crisis.\u003c/p>\n\u003cp>Lurie’s latest move, following the announcement of an upcoming behavioral health facility at 822 Geary for people experiencing a mental health or drug crisis, comes amid nighttime law enforcement raids targeting entrenched drug markets and a \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">steady rise in overdose rates\u003c/a> since October 2024, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The city is specifically planning to cut back on publicly-funded programs that hand out safe smoking supplies, such as pipes, foil and straws, according to Department of Public Health Director Daniel Tsai, who announced the \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">most recent overdose data\u003c/a> at a press conference earlier this week. Clean needle exchanges and Narcan distribution will remain, he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lurie’s directive has sparked controversy among health experts and harm reduction advocates, who say programs that offer supplies for safer smoking are proven to reduce overdoses and infections associated with drug use and can connect users to treatment.\u003c/p>\n\u003cp>“This idea that if you make smoking supplies disappear, people are going to stop using — it’s a smokescreen and really misguided,” said Laura Guzman, executive director of the National Harm Reduction Coalition.\u003c/p>\n\u003cp>San Francisco contracts with the DOPE project, a program of NHRC, to distribute Narcan and other harm reduction supplies across the city.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“These directives, unfortunately, are just responding to political perspectives,” Guzman continued.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times more potent than heroin, is the most common drug currently associated with overdose deaths in the city. The majority of fentanyl users in San Francisco and across California consume fentanyl by smoking, which is far less likely to lead to an overdose than injecting.\u003c/p>\n\u003cp>A recent study found that fentanyl injection users were 40% more likely to experience a non-fatal overdose and 253% more likely to have bacterial or viral infections caused by needle use. While both methods can lead to an accidental overdose, addiction experts say that the shift to smoking fentanyl has likely kept overdose rates from being even higher.\u003c/p>\n\u003cp>Vladimir Andreyev, who used heroin for several years before turning to smoking fentanyl, has lived on San Francisco’s streets for more than a decade. Craving shelter after a rainy weekend, Andreyev recently stopped by a \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">pop-up triage center\u003c/a> on Sixth Street because he heard he might be able to find a shelter bed.[aside postID=news_12026575 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-26-KQED-1020x680.jpg']“The only good thing about fentanyl was it helped me get off needles. The needle… that’s really depressing,” Andreyev, 42, told KQED while waiting for a ride to a shelter that a social worker at the center found for him.\u003c/p>\n\u003cp>Guzman said new fentanyl users tend to smoke.\u003c/p>\n\u003cp>“Smoking supplies, in particular, engage communities that are not already engaged in needle exchange programs,” she said. “So that directive goes contrary to all evidence.”\u003c/p>\n\u003cp>Lurie’s administration is doubling down on law enforcement to disrupt outdoor drug markets.\u003c/p>\n\u003cp>“We are actively dismantling the illegal drug markets as part of our ongoing commitment to public safety. San Franciscans deserve safe and clean streets,” he \u003ca href=\"https://x.com/DanielLurie/status/1902799634722087069\">posted on social media platform X\u003c/a> on Thursday, after police arrested nearly 40 people for being near an outdoor drug market at Market and Van Ness streets.\u003c/p>\n\u003cp>It’s the third overnight raid the city has carried out in recent weeks. Police surveillance has also increased on Sixth Street and near the 16th Street BART station. Some residents and officials have applauded the crackdown for at least temporarily clearing chaotic public areas.\u003c/p>\n\u003cp>“If you drive by there now, things are definitely better,” Supervisor Stephen Sherrill said at a recent press conference, referring to an overnight drug market raid that led to dozens of arrests at Jefferson Square Park. “Residents are rightfully hesitant to declare victory, and I don’t think anybody here is ready to declare victory at all.”\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Police and supervisors have said that the actions have pushed dangerous activity to other areas, and they are developing longer-term deterrence strategies.\u003c/p>\n\u003cp>Andreyev, who sleeps outside near Sixth Street, has noticed the changes.\u003c/p>\n\u003cp>“It’s cleaned up a lot. I’ve had a lot of friends get arrested,” he said. “You just have to be careful and follow the rules [if you] don’t want to end up in jail.”\u003c/p>\n\u003cp>Overdose rates fluctuate, and no specific intervention can be easily attributed to increases or decreases on a month-to-month basis.\u003c/p>\n\u003cp>A spokesperson for the Department of Public Health told KQED that what matters is that overdose deaths “are preventable, and we must have a quick, accessible and effective treatment and sustainable recovery” to drive rates down “and make our communities healthier.”\u003c/p>\n\u003cp>Multiple health experts said they are concerned that winding down some harm reduction programs while increasing enforcement could lead to a sustained increase in overdose rates.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2831697?resultClick=1\">study\u003c/a> released this week by RTI International, a nonpartisan research organization, found that overdose risk was significantly higher in the days shortly after police seized drugs in San Francisco. The study looked at time and location data for both police drug enforcement actions and overdose deaths from January 2020 to September 2023.\u003c/p>\n\u003cp>That increased risk can be due to a variety of factors, including, as the study points out, if a drug user looks for a new supply after a drug bust, they could accidentally consume something more potent than their tolerance is used to.\u003c/p>\n\u003cp>“These findings suggest that the enforcement of drug distribution laws to increase public safety for residents in San Francisco may be having an unintended negative consequence of increasing opioid overdose mortality,” the study concluded.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> planted a flag in the overdose debate by ordering the San Francisco Public Health Department to scale back some harm reduction programs as part of efforts to address the city’s drug crisis.\u003c/p>\n\u003cp>Lurie’s latest move, following the announcement of an upcoming behavioral health facility at 822 Geary for people experiencing a mental health or drug crisis, comes amid nighttime law enforcement raids targeting entrenched drug markets and a \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">steady rise in overdose rates\u003c/a> since October 2024, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The city is specifically planning to cut back on publicly-funded programs that hand out safe smoking supplies, such as pipes, foil and straws, according to Department of Public Health Director Daniel Tsai, who announced the \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">most recent overdose data\u003c/a> at a press conference earlier this week. Clean needle exchanges and Narcan distribution will remain, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lurie’s directive has sparked controversy among health experts and harm reduction advocates, who say programs that offer supplies for safer smoking are proven to reduce overdoses and infections associated with drug use and can connect users to treatment.\u003c/p>\n\u003cp>“This idea that if you make smoking supplies disappear, people are going to stop using — it’s a smokescreen and really misguided,” said Laura Guzman, executive director of the National Harm Reduction Coalition.\u003c/p>\n\u003cp>San Francisco contracts with the DOPE project, a program of NHRC, to distribute Narcan and other harm reduction supplies across the city.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“These directives, unfortunately, are just responding to political perspectives,” Guzman continued.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times more potent than heroin, is the most common drug currently associated with overdose deaths in the city. The majority of fentanyl users in San Francisco and across California consume fentanyl by smoking, which is far less likely to lead to an overdose than injecting.\u003c/p>\n\u003cp>A recent study found that fentanyl injection users were 40% more likely to experience a non-fatal overdose and 253% more likely to have bacterial or viral infections caused by needle use. While both methods can lead to an accidental overdose, addiction experts say that the shift to smoking fentanyl has likely kept overdose rates from being even higher.\u003c/p>\n\u003cp>Vladimir Andreyev, who used heroin for several years before turning to smoking fentanyl, has lived on San Francisco’s streets for more than a decade. Craving shelter after a rainy weekend, Andreyev recently stopped by a \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">pop-up triage center\u003c/a> on Sixth Street because he heard he might be able to find a shelter bed.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The only good thing about fentanyl was it helped me get off needles. The needle… that’s really depressing,” Andreyev, 42, told KQED while waiting for a ride to a shelter that a social worker at the center found for him.\u003c/p>\n\u003cp>Guzman said new fentanyl users tend to smoke.\u003c/p>\n\u003cp>“Smoking supplies, in particular, engage communities that are not already engaged in needle exchange programs,” she said. “So that directive goes contrary to all evidence.”\u003c/p>\n\u003cp>Lurie’s administration is doubling down on law enforcement to disrupt outdoor drug markets.\u003c/p>\n\u003cp>“We are actively dismantling the illegal drug markets as part of our ongoing commitment to public safety. San Franciscans deserve safe and clean streets,” he \u003ca href=\"https://x.com/DanielLurie/status/1902799634722087069\">posted on social media platform X\u003c/a> on Thursday, after police arrested nearly 40 people for being near an outdoor drug market at Market and Van Ness streets.\u003c/p>\n\u003cp>It’s the third overnight raid the city has carried out in recent weeks. Police surveillance has also increased on Sixth Street and near the 16th Street BART station. Some residents and officials have applauded the crackdown for at least temporarily clearing chaotic public areas.\u003c/p>\n\u003cp>“If you drive by there now, things are definitely better,” Supervisor Stephen Sherrill said at a recent press conference, referring to an overnight drug market raid that led to dozens of arrests at Jefferson Square Park. “Residents are rightfully hesitant to declare victory, and I don’t think anybody here is ready to declare victory at all.”\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Police and supervisors have said that the actions have pushed dangerous activity to other areas, and they are developing longer-term deterrence strategies.\u003c/p>\n\u003cp>Andreyev, who sleeps outside near Sixth Street, has noticed the changes.\u003c/p>\n\u003cp>“It’s cleaned up a lot. I’ve had a lot of friends get arrested,” he said. “You just have to be careful and follow the rules [if you] don’t want to end up in jail.”\u003c/p>\n\u003cp>Overdose rates fluctuate, and no specific intervention can be easily attributed to increases or decreases on a month-to-month basis.\u003c/p>\n\u003cp>A spokesperson for the Department of Public Health told KQED that what matters is that overdose deaths “are preventable, and we must have a quick, accessible and effective treatment and sustainable recovery” to drive rates down “and make our communities healthier.”\u003c/p>\n\u003cp>Multiple health experts said they are concerned that winding down some harm reduction programs while increasing enforcement could lead to a sustained increase in overdose rates.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2831697?resultClick=1\">study\u003c/a> released this week by RTI International, a nonpartisan research organization, found that overdose risk was significantly higher in the days shortly after police seized drugs in San Francisco. The study looked at time and location data for both police drug enforcement actions and overdose deaths from January 2020 to September 2023.\u003c/p>\n\u003cp>That increased risk can be due to a variety of factors, including, as the study points out, if a drug user looks for a new supply after a drug bust, they could accidentally consume something more potent than their tolerance is used to.\u003c/p>\n\u003cp>“These findings suggest that the enforcement of drug distribution laws to increase public safety for residents in San Francisco may be having an unintended negative consequence of increasing opioid overdose mortality,” the study concluded.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 1:20 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> recorded 118 accidental drug overdose deaths in the first two months of 2025, a nearly 12% decrease compared to deaths during the same period last year, but a steady increase over recent months, according to preliminary data released by city health officials on Tuesday.\u003c/p>\n\u003cp>The tally — 61 deaths in February and 57 in January — marks a notable uptick over the last four months, after falling to a low of 37 in October. \u003c/p>\n\u003cp>“It’s unacceptable. It’s preventable. And we as a department are going to be doing everything possible to tackle this epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, who \u003ca href=\"https://www.kqed.org/news/12022674/san-francisco-director-of-public-health-dr-grant-colfax-resigns\">replaced Dr. Grant Colfax\u003c/a> just over two weeks ago.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Fatal overdoses in the city \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">reached a record high in 2023\u003c/a>, with 810 deaths reported. Fatalities fell last year to 635, an almost \u003ca href=\"https://media.api.sf.gov/documents/2024_OCME_Overdose_Report.pdf\">22% decrease\u003c/a>.\u003c/p>\n\u003cp>Nearly 75% of the overdose deaths recorded so far this year were fentanyl-related, according to the Office of the Chief Medical Examiner’s \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">latest report\u003c/a>. Three out of every four people who died were identified as male.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-mpdeC\" src=\"https://datawrapper.dwcdn.net/mpdeC/2/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"469\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The latest snapshot was delivered a day after Mayor Daniel Lurie \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">signed an executive order\u003c/a> outlining immediate and long-term plans to address the city’s drug and homelessness response.\u003c/p>\n\u003cp>The executive order builds on \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">a fentanyl ordinance\u003c/a> approved by city supervisors last month, granting the mayor expanded authority to quickly hire homelessness and drug treatment service providers. Lurie’s push sidesteps the board’s oversight of roughly $1 billion in contracts and lease agreements, according to the city’s Budget and Legislative Analyst.\u003c/p>\n\u003cp>The new directive also reassesses the city’s policies on distributing fentanyl smoking supplies — particularly foil, pipes and straws — in public spaces.[aside postID=news_12022674 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1307622423-scaled-e1737076380340.jpg']\u003c/p>\n\u003cp>“We will be working through that policy rapidly, on the ground with our clinical folks, with our providers, with our communities and stakeholders over the next very short period of time,” Tsai said during a press briefing, underscoring the department’s support for sterile syringe access as an effective strategy to reduce disease transmission.\u003c/p>\n\u003cp>On Tuesday, Tsai outlined his department’s multi-pronged approach to addressing the overdose crisis. The plan includes increasing the availability of treatment beds citywide, streamlining the process to quickly connect people to treatment when they’re ready and expanding resources to help them complete treatment. Tsai said the strategy also focuses on moving people off the streets and into supportive housing, where they can continue receiving critical services.\u003c/p>\n\u003cp>“The mayor’s directive to us is to build a more responsive behavioral health treatment system,” Tsai said, noting that it’s critical to identify what is currently working and what’s not. “That can help as many people as possible be off the streets, the conditions in the streets and into effective treatment and sustained recovery.\u003c/p>\n\u003cp>“That’s our true north.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 1:20 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> recorded 118 accidental drug overdose deaths in the first two months of 2025, a nearly 12% decrease compared to deaths during the same period last year, but a steady increase over recent months, according to preliminary data released by city health officials on Tuesday.\u003c/p>\n\u003cp>The tally — 61 deaths in February and 57 in January — marks a notable uptick over the last four months, after falling to a low of 37 in October. \u003c/p>\n\u003cp>“It’s unacceptable. It’s preventable. And we as a department are going to be doing everything possible to tackle this epidemic,” said Daniel Tsai, director of San Francisco’s Department of Public Health, who \u003ca href=\"https://www.kqed.org/news/12022674/san-francisco-director-of-public-health-dr-grant-colfax-resigns\">replaced Dr. Grant Colfax\u003c/a> just over two weeks ago.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Fatal overdoses in the city \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">reached a record high in 2023\u003c/a>, with 810 deaths reported. Fatalities fell last year to 635, an almost \u003ca href=\"https://media.api.sf.gov/documents/2024_OCME_Overdose_Report.pdf\">22% decrease\u003c/a>.\u003c/p>\n\u003cp>Nearly 75% of the overdose deaths recorded so far this year were fentanyl-related, according to the Office of the Chief Medical Examiner’s \u003ca href=\"https://media.api.sf.gov/documents/2025_03_OCME_Overdose_Report.pdf\">latest report\u003c/a>. Three out of every four people who died were identified as male.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF monthly drug overdose deaths in 2024 and 2025\" aria-label=\"Column Chart\" id=\"datawrapper-chart-mpdeC\" src=\"https://datawrapper.dwcdn.net/mpdeC/2/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"469\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The latest snapshot was delivered a day after Mayor Daniel Lurie \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">signed an executive order\u003c/a> outlining immediate and long-term plans to address the city’s drug and homelessness response.\u003c/p>\n\u003cp>The executive order builds on \u003ca href=\"https://www.kqed.org/news/12024579/luries-sf-fentanyl-emergency-ordinance-sails-through-its-first-test\">a fentanyl ordinance\u003c/a> approved by city supervisors last month, granting the mayor expanded authority to quickly hire homelessness and drug treatment service providers. Lurie’s push sidesteps the board’s oversight of roughly $1 billion in contracts and lease agreements, according to the city’s Budget and Legislative Analyst.\u003c/p>\n\u003cp>The new directive also reassesses the city’s policies on distributing fentanyl smoking supplies — particularly foil, pipes and straws — in public spaces.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We will be working through that policy rapidly, on the ground with our clinical folks, with our providers, with our communities and stakeholders over the next very short period of time,” Tsai said during a press briefing, underscoring the department’s support for sterile syringe access as an effective strategy to reduce disease transmission.\u003c/p>\n\u003cp>On Tuesday, Tsai outlined his department’s multi-pronged approach to addressing the overdose crisis. The plan includes increasing the availability of treatment beds citywide, streamlining the process to quickly connect people to treatment when they’re ready and expanding resources to help them complete treatment. Tsai said the strategy also focuses on moving people off the streets and into supportive housing, where they can continue receiving critical services.\u003c/p>\n\u003cp>“The mayor’s directive to us is to build a more responsive behavioral health treatment system,” Tsai said, noting that it’s critical to identify what is currently working and what’s not. “That can help as many people as possible be off the streets, the conditions in the streets and into effective treatment and sustained recovery.\u003c/p>\n\u003cp>“That’s our true north.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>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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"title": "Proposition 36 Will Increase California’s Jail Population and In-Custody Deaths, Advocates Warn",
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"content": "\u003cp>According to Orange County Sheriff Don Barnes, California doesn’t have a crisis in its jails, where record numbers of people have died even as the state’s jail population shrank.\u003c/p>\n\u003cp>“Saying people died in jails is a little bit of a misnomer,” said Barnes, who is also the president of the California State Sheriffs’ Association. “People who are dying in our care, and I can’t say this any other way; they’re not dying because they’re in jail. They are dying from things that are life choices, narcotics issues, poor health, cancer, other things.\u003c/p>\n\u003cp>“It’s not that the numbers are going up because they’re just dying from issues that are related to the jail.”\u003c/p>\n\u003cp>So Barnes said he’s not concerned that \u003ca href=\"https://calmatters.org/justice/2024/11/retail-theft-proposition-36-election/\">Proposition 36\u003c/a>, a newly passed crime measure, is expected to reverse the trend of declining jail populations and put more people in jail, and he does not believe that the increase in headcount will lead to more in-custody deaths.\u003c/p>\n\u003cp>Outside observers, academics and the families of people who died in jail argue the opposite: that California is about to witness a wave of jail deaths even worse than the last four years.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Proposition 36 (Passed)\" aria-label=\"Table\" id=\"datawrapper-chart-GyDVB\" src=\"https://datawrapper.dwcdn.net/GyDVB/5/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"675\" height=\"159\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Proposition 36\" aria-label=\"Map\" id=\"datawrapper-chart-3xOy4\" src=\"https://datawrapper.dwcdn.net/3xOy4/19/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"662\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Proposition 36, passed overwhelmingly by voters in November, will likely \u003ca href=\"https://lao.ca.gov/BallotAnalysis/Proposition?number=36&year=2024\">increase county jail populations\u003c/a> by stiffening penalties for certain crimes and allowing district attorneys to charge some misdemeanors as felonies, according to the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Yusef Miller, who leads a group of families whose relatives died in San Diego jails, said more incarcerated people will put pressure on jail systems that are already ill-equipped to handle more inmates.\u003c/p>\n\u003cp>“We’ve been claiming that Proposition 36 is going to increase the jail population, of course, but they’re increasing it into an already failed and broken system where people’s lives are lost from neglect. If you put more pressure and more activity on this, it’s gonna fail even more,” Miller said.\u003c/p>\n\u003cp>According to \u003ca href=\"https://calmatters.org/justice/2024/03/death-in-california-jails/\">Justice Department statistics\u003c/a>, a surge in overdoses drove the trend of increasing jail deaths. The other leading causes were suicide and the catch-all term “natural causes.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003cp>Jails are responsible for inmates’ health care, but former jail medical staff have complained of overwork and burnout, \u003ca href=\"https://calmatters.org/justice/2024/03/death-in-california-jails/\">especially since the pandemic\u003c/a>. Many jail prisoners require complex care. More than half of them \u003ca href=\"https://www.ppic.org/blog/county-jails-house-fewer-inmates-but-over-half-face-mental-health-issues/\">have mental health needs\u003c/a>, according to a 2023 study by the Public Policy Institute of California.\u003c/p>\n\u003cp>In 2019, when 156 people died in the custody of California jails, \u003ca href=\"https://www.propublica.org/article/we-investigated-the-crisis-in-californias-jails-now-the-governor-calls-for-more-oversight\">Gov. Gavin Newsom\u003c/a> pledged that the state would take a stronger hand to prevent deaths in the 57 jail systems run by California county sheriffs.\u003c/p>\n\u003cp>In each of the following four years, more people died in California jails than when Newsom made that pledge — hitting a high of 215 in 2022. Tulare, San Diego, Kern, Riverside and San Bernardino counties’ jails set records.\u003c/p>\n\u003cp>As of July, 68 people had died in California jails this year, according to the most recent data available from the Justice Department, which declined to provide CalMatters with updated numbers.\u003c/p>\n\u003cp>Californians for Safety and Justice, a nonprofit that seeks to reduce prison and jail spending, estimated that \u003ca href=\"https://safeandjust.org/cost-tool/\">Proposition 36 will add 130,000 more people\u003c/a> to California jails each year, about 100,000 of them held in jail before trial and about 30,000 serving one-year sentences after their convictions.\u003c/p>\n\u003cp>Not all of those people would be held at the same time. In June 2024, the average daily jail population statewide was 56,795 people.\u003c/p>\n\u003cp>Michele Deitch, director of the Prison and Jail Innovation Lab at the University of Texas at Austin, said it’s likely, if not a certainty, that more people will die in jails as jail populations grow. And, she said, there will be cumulative effects on counties as the expenses pile up from additional inmates.\u003c/p>\n\u003cp>“Having more people means a more overcrowded situation, which means that the dynamics inside change,” Deitch said. “It could lead to more deaths. And the counties are going to very quickly realize how expensive it is to keep that number of people in jail. They’re going to have to develop strategies like (pre-trial diversion programs) to keep overcrowding down.”\u003c/p>\n\u003ch2>Why voters backed Proposition 36\u003c/h2>\n\u003cp>Proposition 36 was a rightward swing of the California political pendulum – a decade ago, voters eased criminal penalties for certain crimes under 2014’s Proposition 47, which was pitched as both a cost-saving measure and a more effective way to combat crime by focusing dollars on treatment instead of incarceration.\u003c/p>\n\u003cp>Then, during the pandemic, the rate of shoplifting and commercial burglaries skyrocketed, especially in Los Angeles, Alameda, San Mateo and Sacramento counties. Statewide, reported shoplifting of merchandise worth up to $950 \u003ca href=\"https://www.ppic.org/blog/commercial-burglaries-fell-in-2023-but-shoplifting-continued-to-rise/\">soared 28% over the past five years\u003c/a>, according to the Public Policy Institute of California. That’s the highest observed level since 2000.\u003c/p>\n\u003cfigure id=\"attachment_12018620\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12018620\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">A security guard stands by the front entrance of a luxury retail storefront in downtown San Francisco on April 15, 2024. Retail theft has plagued the area, and numerous storefronts sit vacant. \u003ccite>(Loren Elliott for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Combining shoplifting with commercial burglaries, the institute’s researchers found that total reported thefts were 18% higher than in 2019.\u003c/p>\n\u003cp>Prosecutors, law enforcement and big-box retailers \u003ca href=\"https://www.davisenterprise.com/news/county_government/yolo-officials-report-continued-problems-under-prop-47/article_007fa097-0ef7-5861-98c4-4a2896452052.html\">blamed Proposition 47\u003c/a> and successfully urged the public to vote for Proposition 36.\u003c/p>\n\u003cp>Barnes’ jail system in Orange County had a record 18 people die inside in 2021. In 2023, that number was down to six. This year, so far, eight people have died in Orange County jails.\u003c/p>\n\u003cp>“In Orange County, we have several thousand available (jail) beds,” Barnes said. “Other counties may be impacted because they may not have capacity. They may just have to release people earlier because they don’t have the space for an incoming population to change.\u003c/p>\n\u003cp>“So it’s not as simple as saying that populations go up and, I guess (given) the law of averages, that more people will die. I don’t think that’s true.”\u003c/p>\n\u003ch2>California gradually increases jail oversight\u003c/h2>\n\u003cp>In 2011, California — as it thinned severely overcrowded state prisons by sending tens of thousands of recently convicted offenders to county-run jails — created an oversight board for prisons and jails. This 13-member Board of State and Community Corrections is composed mostly of people with law enforcement and probation experience.\u003c/p>\n\u003cp>CalMatters reported earlier this year that a civilian member of the oversight board felt that their work amounted to \u003ca href=\"https://calmatters.org/justice/2024/03/death-in-california-jails/\">little more than a rubber stamp\u003c/a> sanctioning the actions of sheriffs and their deputies when people died in their custody.\u003c/p>\n\u003cfigure id=\"attachment_12018621\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12018621\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">DeAna Serna displays poster boards of loved ones who died in jail at a listening session hosted by the In-Custody Death Review Division with the Board of State and Community Corrections in Escondido on Dec. 14, 2024. Serna’s sister, Elisa Serna, died in a San Diego jail in 2019. \u003ccite>(Kristian Carreon for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The board has responded to public and legislative pressure by conducting more unannounced jail inspections, a \u003ca href=\"https://www.bscc.ca.gov/wp-content/uploads/inspectionprocess.pdf\">change from past practice\u003c/a> when it would visit jails just once every two years and tell jail authorities in advance when inspectors were coming.\u003c/p>\n\u003cp>A new law that went into effect this year adds a staff position to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB519\">review in-custody deaths\u003c/a>. That staffer is hosting \u003ca href=\"https://calmatters.org/justice/2024/12/california-jail-deaths-listening-sessions/\">listening sessions\u003c/a> with the public in at least two cities.\u003c/p>\n\u003cp>A spokesperson for the oversight board said the board had not talked to local law enforcement about a potential increase in county jail populations as a result of Proposition 36, nor has it done a “formal analysis for impact.” But the board will make in-custody death data statewide available to the public next year, the spokesperson said.\u003c/p>\n\u003cp>Miller, who works with the San Diego families whose relatives died in jails, doubts that the state oversight board or the counties will raise the alarm if people continue to die in jails at the rate they have been since the pandemic.\u003c/p>\n\u003cp>“As it’s rolling out in their big promises that it’s not gonna be as terrible as we know it’s going to be, we still have to hold them accountable and make sure that a microscopic eye is on what they do,” Miller said. “That’s the only hope I see.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>According to Orange County Sheriff Don Barnes, California doesn’t have a crisis in its jails, where record numbers of people have died even as the state’s jail population shrank.\u003c/p>\n\u003cp>“Saying people died in jails is a little bit of a misnomer,” said Barnes, who is also the president of the California State Sheriffs’ Association. “People who are dying in our care, and I can’t say this any other way; they’re not dying because they’re in jail. They are dying from things that are life choices, narcotics issues, poor health, cancer, other things.\u003c/p>\n\u003cp>“It’s not that the numbers are going up because they’re just dying from issues that are related to the jail.”\u003c/p>\n\u003cp>So Barnes said he’s not concerned that \u003ca href=\"https://calmatters.org/justice/2024/11/retail-theft-proposition-36-election/\">Proposition 36\u003c/a>, a newly passed crime measure, is expected to reverse the trend of declining jail populations and put more people in jail, and he does not believe that the increase in headcount will lead to more in-custody deaths.\u003c/p>\n\u003cp>Outside observers, academics and the families of people who died in jail argue the opposite: that California is about to witness a wave of jail deaths even worse than the last four years.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Proposition 36 (Passed)\" aria-label=\"Table\" id=\"datawrapper-chart-GyDVB\" src=\"https://datawrapper.dwcdn.net/GyDVB/5/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"675\" height=\"159\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Proposition 36\" aria-label=\"Map\" id=\"datawrapper-chart-3xOy4\" src=\"https://datawrapper.dwcdn.net/3xOy4/19/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"662\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Proposition 36, passed overwhelmingly by voters in November, will likely \u003ca href=\"https://lao.ca.gov/BallotAnalysis/Proposition?number=36&year=2024\">increase county jail populations\u003c/a> by stiffening penalties for certain crimes and allowing district attorneys to charge some misdemeanors as felonies, according to the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Yusef Miller, who leads a group of families whose relatives died in San Diego jails, said more incarcerated people will put pressure on jail systems that are already ill-equipped to handle more inmates.\u003c/p>\n\u003cp>“We’ve been claiming that Proposition 36 is going to increase the jail population, of course, but they’re increasing it into an already failed and broken system where people’s lives are lost from neglect. If you put more pressure and more activity on this, it’s gonna fail even more,” Miller said.\u003c/p>\n\u003cp>According to \u003ca href=\"https://calmatters.org/justice/2024/03/death-in-california-jails/\">Justice Department statistics\u003c/a>, a surge in overdoses drove the trend of increasing jail deaths. The other leading causes were suicide and the catch-all term “natural causes.”\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>Jails are responsible for inmates’ health care, but former jail medical staff have complained of overwork and burnout, \u003ca href=\"https://calmatters.org/justice/2024/03/death-in-california-jails/\">especially since the pandemic\u003c/a>. Many jail prisoners require complex care. More than half of them \u003ca href=\"https://www.ppic.org/blog/county-jails-house-fewer-inmates-but-over-half-face-mental-health-issues/\">have mental health needs\u003c/a>, according to a 2023 study by the Public Policy Institute of California.\u003c/p>\n\u003cp>In 2019, when 156 people died in the custody of California jails, \u003ca href=\"https://www.propublica.org/article/we-investigated-the-crisis-in-californias-jails-now-the-governor-calls-for-more-oversight\">Gov. Gavin Newsom\u003c/a> pledged that the state would take a stronger hand to prevent deaths in the 57 jail systems run by California county sheriffs.\u003c/p>\n\u003cp>In each of the following four years, more people died in California jails than when Newsom made that pledge — hitting a high of 215 in 2022. Tulare, San Diego, Kern, Riverside and San Bernardino counties’ jails set records.\u003c/p>\n\u003cp>As of July, 68 people had died in California jails this year, according to the most recent data available from the Justice Department, which declined to provide CalMatters with updated numbers.\u003c/p>\n\u003cp>Californians for Safety and Justice, a nonprofit that seeks to reduce prison and jail spending, estimated that \u003ca href=\"https://safeandjust.org/cost-tool/\">Proposition 36 will add 130,000 more people\u003c/a> to California jails each year, about 100,000 of them held in jail before trial and about 30,000 serving one-year sentences after their convictions.\u003c/p>\n\u003cp>Not all of those people would be held at the same time. In June 2024, the average daily jail population statewide was 56,795 people.\u003c/p>\n\u003cp>Michele Deitch, director of the Prison and Jail Innovation Lab at the University of Texas at Austin, said it’s likely, if not a certainty, that more people will die in jails as jail populations grow. And, she said, there will be cumulative effects on counties as the expenses pile up from additional inmates.\u003c/p>\n\u003cp>“Having more people means a more overcrowded situation, which means that the dynamics inside change,” Deitch said. “It could lead to more deaths. And the counties are going to very quickly realize how expensive it is to keep that number of people in jail. They’re going to have to develop strategies like (pre-trial diversion programs) to keep overcrowding down.”\u003c/p>\n\u003ch2>Why voters backed Proposition 36\u003c/h2>\n\u003cp>Proposition 36 was a rightward swing of the California political pendulum – a decade ago, voters eased criminal penalties for certain crimes under 2014’s Proposition 47, which was pitched as both a cost-saving measure and a more effective way to combat crime by focusing dollars on treatment instead of incarceration.\u003c/p>\n\u003cp>Then, during the pandemic, the rate of shoplifting and commercial burglaries skyrocketed, especially in Los Angeles, Alameda, San Mateo and Sacramento counties. Statewide, reported shoplifting of merchandise worth up to $950 \u003ca href=\"https://www.ppic.org/blog/commercial-burglaries-fell-in-2023-but-shoplifting-continued-to-rise/\">soared 28% over the past five years\u003c/a>, according to the Public Policy Institute of California. That’s the highest observed level since 2000.\u003c/p>\n\u003cfigure id=\"attachment_12018620\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12018620\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/041524_SF-Retail-Theft_LE_CM_2-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">A security guard stands by the front entrance of a luxury retail storefront in downtown San Francisco on April 15, 2024. Retail theft has plagued the area, and numerous storefronts sit vacant. \u003ccite>(Loren Elliott for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Combining shoplifting with commercial burglaries, the institute’s researchers found that total reported thefts were 18% higher than in 2019.\u003c/p>\n\u003cp>Prosecutors, law enforcement and big-box retailers \u003ca href=\"https://www.davisenterprise.com/news/county_government/yolo-officials-report-continued-problems-under-prop-47/article_007fa097-0ef7-5861-98c4-4a2896452052.html\">blamed Proposition 47\u003c/a> and successfully urged the public to vote for Proposition 36.\u003c/p>\n\u003cp>Barnes’ jail system in Orange County had a record 18 people die inside in 2021. In 2023, that number was down to six. This year, so far, eight people have died in Orange County jails.\u003c/p>\n\u003cp>“In Orange County, we have several thousand available (jail) beds,” Barnes said. “Other counties may be impacted because they may not have capacity. They may just have to release people earlier because they don’t have the space for an incoming population to change.\u003c/p>\n\u003cp>“So it’s not as simple as saying that populations go up and, I guess (given) the law of averages, that more people will die. I don’t think that’s true.”\u003c/p>\n\u003ch2>California gradually increases jail oversight\u003c/h2>\n\u003cp>In 2011, California — as it thinned severely overcrowded state prisons by sending tens of thousands of recently convicted offenders to county-run jails — created an oversight board for prisons and jails. This 13-member Board of State and Community Corrections is composed mostly of people with law enforcement and probation experience.\u003c/p>\n\u003cp>CalMatters reported earlier this year that a civilian member of the oversight board felt that their work amounted to \u003ca href=\"https://calmatters.org/justice/2024/03/death-in-california-jails/\">little more than a rubber stamp\u003c/a> sanctioning the actions of sheriffs and their deputies when people died in their custody.\u003c/p>\n\u003cfigure id=\"attachment_12018621\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12018621\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/121424_BSCC-Session_KC_CM_3-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">DeAna Serna displays poster boards of loved ones who died in jail at a listening session hosted by the In-Custody Death Review Division with the Board of State and Community Corrections in Escondido on Dec. 14, 2024. Serna’s sister, Elisa Serna, died in a San Diego jail in 2019. \u003ccite>(Kristian Carreon for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The board has responded to public and legislative pressure by conducting more unannounced jail inspections, a \u003ca href=\"https://www.bscc.ca.gov/wp-content/uploads/inspectionprocess.pdf\">change from past practice\u003c/a> when it would visit jails just once every two years and tell jail authorities in advance when inspectors were coming.\u003c/p>\n\u003cp>A new law that went into effect this year adds a staff position to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB519\">review in-custody deaths\u003c/a>. That staffer is hosting \u003ca href=\"https://calmatters.org/justice/2024/12/california-jail-deaths-listening-sessions/\">listening sessions\u003c/a> with the public in at least two cities.\u003c/p>\n\u003cp>A spokesperson for the oversight board said the board had not talked to local law enforcement about a potential increase in county jail populations as a result of Proposition 36, nor has it done a “formal analysis for impact.” But the board will make in-custody death data statewide available to the public next year, the spokesperson said.\u003c/p>\n\u003cp>Miller, who works with the San Diego families whose relatives died in jails, doubts that the state oversight board or the counties will raise the alarm if people continue to die in jails at the rate they have been since the pandemic.\u003c/p>\n\u003cp>“As it’s rolling out in their big promises that it’s not gonna be as terrible as we know it’s going to be, we still have to hold them accountable and make sure that a microscopic eye is on what they do,” Miller said. “That’s the only hope I see.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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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"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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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"perspectives": {
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
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},
"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"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.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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"source": "npr"
},
"link": "/radio/program/reveal",
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"rss": "http://feeds.revealradio.org/revealpodcast"
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
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