California State Fair To Allow Sale And Consumption Of Cannabis For First Time
San Francisco Attributes Lower Drug Deaths to 'Microdosing' Addiction Medication
Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis?
Animal Sedative Linked to US Overdoses Spurs Call for More SF Drug Monitoring
San Francisco Reports Decline in Drug Overdose Deaths So Far This Year
San Francisco Gets New Glimpse Into Illicit Drug Use With Wastewater Testing
San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic
More California Colleges Provide Narcan Amid Ongoing Opioid Crisis
Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond
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style=\"font-weight: 400\"> in Sacramento, and it’ll have all those traditional state fair attractions like carnival rides and games, exhibits of farm animals and agricultural products, and lots of food options. The more deep fried, the better. But this year’s State Fair will also have something new that no state fair in the U.S. has ever had – the legal sale and consumption of cannabis. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead – and lightning strikes possible in the Sierra Nevada this weekend, emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">\u003cspan style=\"font-weight: 400\">bracing for more wildfires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and asking Californians to do the same. \u003c/span>\u003c/li>\n\u003cli>A \u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">new law\u003c/a> will mandate California high schools teach students about the dangers of fentanyl. Governor Newsom \u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">signed\u003c/a> the law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cb>Cannabis A New Feature At California State Fair\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">A first for the California State Fair, which starts Friday in Sacramento. The two week event at Cal Expo will have many traditional summer fair activities. But fairgoers will also be able to \u003ca href=\"https://www.sacbee.com/news/local/article289375004.html\">legally purchase and consume cannabis\u003c/a> on the fair’s grounds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">James Leitz, Executive Producer of the Cannabis Competition and Exhibit at the State Fair, said it’s a logical move. “It’s really important because cannabis is agriculture and California has a huge agricultural history and cannabis is part of that,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">Speaking to CapRadio\u003c/a>, \u003c/span>\u003cspan style=\"font-weight: 400\">California State Fair Media Manager Darla Givens runs down how things will operate. “Cannabis cannot be consumed all around the fairgrounds. There is one designated spot [for consumption] where it’s going to be closely guarded and you have to be 21 years of age,” she said. “There’s an area where you can purchase [cannabis]. It’s at the Expo building where the cannabis exhibit is going to be located. So you purchase it there and then a security guard will walk you to the consumption area — and the consumption area has been put on by [cannabis company] Embarc, and they have done this type of exhibit across other festivals.”\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">Newsom Warns Californians To Prepare For Busy Fire Season And Heat Waves\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead, Governor Gavin Newsom and emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">\u003cspan style=\"font-weight: 400\">bracing for the possibility of bad fires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and asking that Californians do the same.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“This is my plea to you, please create a wildfire action plan that addresses escape routes, meeting points, animal arrangements, and a communications plan with your family,” Cal Fire Director Joe Tyler said Wednesday in an update on the state’s emergency plans. “Listen to the guidance of law enforcement and our firefighters for evacuation warnings and orders. Prepare your home to defend from an advancing wildfire, and prepare your home by home hardening and utilizing defensible space.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Forecasts show the possibility of lightning strikes in the Sierra Nevada this weekend, which could ignite fires in dry fuel.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">California’s Office of Emergency Services, meanwhile, has activated its \u003c/span>\u003ca href=\"https://news.caloes.ca.gov/california-prepares-for-dangerous-heatwave-ahead-of-fourth-of-july/\">\u003cspan style=\"font-weight: 400\">emergency response plan\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> for heat, opening cooling centers and enforcing safety protections for outdoor workers.\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">New California Law Will Mandate High Schools To Teach Students About The Dangers Of Fentanyl\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Governor Gavin Newsom \u003c/span>\u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">\u003cspan style=\"font-weight: 400\">signed\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> a new law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">San Diego Assemblymember David Alvarez authored the legislation. He said the goal is to dispel misinformation and encourage informed decision-making among students.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We certainly don’t want social media or other places of misinformation to become the center of information for young people,” Alvarez said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1720739726,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":684},"headData":{"title":"California State Fair To Allow Sale And Consumption Of Cannabis For First Time | KQED","description":"Here are the morning's top stories on Thursday, July 11, 2024… The California State Fair kicks off Friday in Sacramento, and it'll have all those traditional state fair attractions like carnival rides and games, exhibits of farm animals and agricultural products, and lots of food options. The more deep fried, the better. But this year's State Fair will also have something new that no state fair in the U.S. has ever had – the legal sale and consumption of cannabis. With more hot, dry, windy conditions ahead – and lightning strikes possible in the Sierra Nevada this weekend, emergency officials","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California State Fair To Allow Sale And Consumption Of Cannabis For First Time","datePublished":"2024-07-11T11:30:43-07:00","dateModified":"2024-07-11T16:15:26-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"The California Report","sourceUrl":"https://www.kqed.org/news/tag/tcrarchive/","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC1085569514.mp3?updated=1720706338","sticky":false,"nprStoryId":"kqed-11993601","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11993601/california-state-fair-to-allow-sale-and-consumption-of-cannabis-for-first-time","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Thursday, July 11, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The California State Fair \u003c/span>\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">\u003cspan style=\"font-weight: 400\">kicks off Friday\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in Sacramento, and it’ll have all those traditional state fair attractions like carnival rides and games, exhibits of farm animals and agricultural products, and lots of food options. The more deep fried, the better. But this year’s State Fair will also have something new that no state fair in the U.S. has ever had – the legal sale and consumption of cannabis. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead – and lightning strikes possible in the Sierra Nevada this weekend, emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">\u003cspan style=\"font-weight: 400\">bracing for more wildfires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and asking Californians to do the same. \u003c/span>\u003c/li>\n\u003cli>A \u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">new law\u003c/a> will mandate California high schools teach students about the dangers of fentanyl. Governor Newsom \u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">signed\u003c/a> the law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cb>Cannabis A New Feature At California State Fair\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">A first for the California State Fair, which starts Friday in Sacramento. The two week event at Cal Expo will have many traditional summer fair activities. But fairgoers will also be able to \u003ca href=\"https://www.sacbee.com/news/local/article289375004.html\">legally purchase and consume cannabis\u003c/a> on the fair’s grounds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">James Leitz, Executive Producer of the Cannabis Competition and Exhibit at the State Fair, said it’s a logical move. “It’s really important because cannabis is agriculture and California has a huge agricultural history and cannabis is part of that,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.capradio.org/articles/2024/07/10/concerts-cookoffs-and-cannabis-california-state-fair-returns-to-cal-expo-starting-friday/\">Speaking to CapRadio\u003c/a>, \u003c/span>\u003cspan style=\"font-weight: 400\">California State Fair Media Manager Darla Givens runs down how things will operate. “Cannabis cannot be consumed all around the fairgrounds. There is one designated spot [for consumption] where it’s going to be closely guarded and you have to be 21 years of age,” she said. “There’s an area where you can purchase [cannabis]. It’s at the Expo building where the cannabis exhibit is going to be located. So you purchase it there and then a security guard will walk you to the consumption area — and the consumption area has been put on by [cannabis company] Embarc, and they have done this type of exhibit across other festivals.”\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kqed.org/science/1993578/california-needs-to-prepare-for-busy-fire-season-and-heat-waves-heres-how\">Newsom Warns Californians To Prepare For Busy Fire Season And Heat Waves\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With more hot, dry, windy conditions ahead, Governor Gavin Newsom and emergency officials are \u003c/span>\u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">\u003cspan style=\"font-weight: 400\">bracing for the possibility of bad fires\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and asking that Californians do the same.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“This is my plea to you, please create a wildfire action plan that addresses escape routes, meeting points, animal arrangements, and a communications plan with your family,” Cal Fire Director Joe Tyler said Wednesday in an update on the state’s emergency plans. “Listen to the guidance of law enforcement and our firefighters for evacuation warnings and orders. Prepare your home to defend from an advancing wildfire, and prepare your home by home hardening and utilizing defensible space.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Forecasts show the possibility of lightning strikes in the Sierra Nevada this weekend, which could ignite fires in dry fuel.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">California’s Office of Emergency Services, meanwhile, has activated its \u003c/span>\u003ca href=\"https://news.caloes.ca.gov/california-prepares-for-dangerous-heatwave-ahead-of-fourth-of-july/\">\u003cspan style=\"font-weight: 400\">emergency response plan\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> for heat, opening cooling centers and enforcing safety protections for outdoor workers.\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kpbs.org/news/health/2024/07/09/new-california-law-will-mandate-high-schools-to-teach-students-about-the-dangers-of-fentanyl\">New California Law Will Mandate High Schools To Teach Students About The Dangers Of Fentanyl\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Governor Gavin Newsom \u003c/span>\u003ca href=\"https://www.gov.ca.gov/2024/07/02/governor-newsom-signs-legislation-7-2-24/\">\u003cspan style=\"font-weight: 400\">signed\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> a new law this month mandating California school districts, charter, and private schools with existing health classes to teach high school students about the risks associated with fentanyl. The courses will be introduced in 2026 and will be mandatory for graduation.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">San Diego Assemblymember David Alvarez authored the legislation. He said the goal is to dispel misinformation and encourage informed decision-making among students.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We certainly don’t want social media or other places of misinformation to become the center of information for young people,” Alvarez said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11993601/california-state-fair-to-allow-sale-and-consumption-of-cannabis-for-first-time","authors":["11739"],"programs":["news_72"],"categories":["news_34018"],"tags":["news_19963","news_23051","news_4462","news_18578","news_34269","news_21998","news_21268"],"featImg":"news_11679254","label":"source_news_11993601"},"news_11991538":{"type":"posts","id":"news_11991538","meta":{"index":"posts_1716263798","site":"news","id":"11991538","score":null,"sort":[1719015300000]},"guestAuthors":[],"slug":"san-francisco-attributes-lower-drug-deaths-to-microdosing-addiction-medication","title":"San Francisco Attributes Lower Drug Deaths to 'Microdosing' Addiction Medication","publishDate":1719015300,"format":"standard","headTitle":"San Francisco Attributes Lower Drug Deaths to ‘Microdosing’ Addiction Medication | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Last month, 66 people died from an accidental drug overdose in San Francisco, and city health officials say that the majority of those deaths are from the potent opioid painkiller fentanyl.\u003c/p>\n\u003cp>The San Francisco Department of Public Health said 73 people died of an accidental overdose last May, so there’s about a 10% decrease in deaths. Drug overdoses in the city peaked in January at 71, followed by 63 in February, 68 in March and 56 in April.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.sf.gov/sites/default/files/2024-06/2024%2006_OCME%20Overdose%20Report.pdf\">latest numbers (PDF)\u003c/a> follow an overall trend in the city being able to help prevent unnecessary drug-related deaths.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We want to be sure that the public knows that highly effective and lifesaving medications are available in San Francisco to treat people with addiction to fentanyl and other opioids,” said Dr. Hillary Kunins, director of behavioral health services and Mental Health SF. “At DPH, our priority is to increase the accessibility of substance use treatment services so that more people can enter treatment and regain their lives.”\u003c/p>\n\u003cp>Health officials attribute part of their lifesaving measures to a novel approach they’ve pioneered: microdosing buprenorphine, a medication proven to help people quit opioid painkillers, out of community hospitals.\u003c/p>\n\u003cp>Chief Medical Officer Dr. Joanna Eveland said patients addicted to opioids can begin microdosing buprenorphine with as little as one milligram a day to help them overcome the intense cravings and painful withdrawal symptoms that occur when somebody physically dependent on opioids stops using them suddenly.\u003c/p>\n\u003cp>“The challenge with buprenorphine is first getting started on the medication. If you start too early, while you still have another strong opioid in your system, like fentanyl, you can actually experience withdrawal symptoms,” Eveland said. “My patients who are taking buprenorphine report that they feel normal and stable. They can go back to work. They can take care of their families.”\u003c/p>\n\u003cp>San Francisco Department of Public Health researchers published their findings on custom-tailored microdosing buprenorphine treatments — which they call the “Howard Street Method” — last year in the \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37579105/\">journal of the American Society of Addiction Medicine\u003c/a>.\u003c/p>\n\u003cp>Their research found that 27 people were treated with the Howard Street Method, all but one picked up their prescription for buprenorphine and 14 completed the program. Eighty percent of the people completing the program reported no symptoms of withdrawal and only three reported mild symptoms. A third ceased all opioid use.\u003c/p>\n\u003cp>Overall, researchers concluded the microdosing Howard Street Method was a “viable intervention for starting buprenorphine treatment and a promising alternative method for buprenorphine initiation in an under-resourced, safety-net population of people using fentanyl.”\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11987358,news_11986128,news_11989112\"]Along with the Howard Street Method, the city has instituted several programs to help get drug users the help they need where they are. This includes the Night Navigation Team, which operates from 8 p.m. to midnight to help set up telehealth consultations with on-call doctors who can write prescriptions for drugs that can help reduce withdrawal symptoms that can be picked up at a 24-hour pharmacy.\u003c/p>\n\u003cp>“When they find somebody who’s ready and motivated to start treatment, start medication linked to other services, they’re able to get them on the phone with the doctor right in that moment, who does a visit with the person by phone again, can send a prescription that very night, if that’s what the person wants or talk about the plan for starting methadone the next day,” Eveland said.\u003c/p>\n\u003cp>Kunins said from March through May, city staff conducted approximately 440 in the field, nighttime telehealth visits for people who use fentanyl and other opioids.\u003c/p>\n\u003cp>The city also has programs to help the unhoused find hotel rooms or other safe places to stay so they can begin their treatment. City officials say 78% of those who are offered medication via telehealth meetings and given a place to stay end up filling their prescriptions.\u003c/p>\n\u003cp>Anyone in need of mental health or substance use services is encouraged to call San Francisco’s Behavior Health line at 888-246-3333.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"City health officials say that custom-tailored microdosing of the medication buprenorphine in community hospitals has proven to help people quit opioid painkillers, including fentanyl.","status":"publish","parent":0,"modified":1719083291,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":697},"headData":{"title":"San Francisco Attributes Lower Drug Deaths to 'Microdosing' Addiction Medication | KQED","description":"City health officials say that custom-tailored microdosing of the medication buprenorphine in community hospitals has proven to help people quit opioid painkillers, including fentanyl.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Attributes Lower Drug Deaths to 'Microdosing' Addiction Medication","datePublished":"2024-06-21T17:15:00-07:00","dateModified":"2024-06-22T12:08:11-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Brian Krans","nprStoryId":"kqed-11991538","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11991538/san-francisco-attributes-lower-drug-deaths-to-microdosing-addiction-medication","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last month, 66 people died from an accidental drug overdose in San Francisco, and city health officials say that the majority of those deaths are from the potent opioid painkiller fentanyl.\u003c/p>\n\u003cp>The San Francisco Department of Public Health said 73 people died of an accidental overdose last May, so there’s about a 10% decrease in deaths. Drug overdoses in the city peaked in January at 71, followed by 63 in February, 68 in March and 56 in April.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.sf.gov/sites/default/files/2024-06/2024%2006_OCME%20Overdose%20Report.pdf\">latest numbers (PDF)\u003c/a> follow an overall trend in the city being able to help prevent unnecessary drug-related deaths.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We want to be sure that the public knows that highly effective and lifesaving medications are available in San Francisco to treat people with addiction to fentanyl and other opioids,” said Dr. Hillary Kunins, director of behavioral health services and Mental Health SF. “At DPH, our priority is to increase the accessibility of substance use treatment services so that more people can enter treatment and regain their lives.”\u003c/p>\n\u003cp>Health officials attribute part of their lifesaving measures to a novel approach they’ve pioneered: microdosing buprenorphine, a medication proven to help people quit opioid painkillers, out of community hospitals.\u003c/p>\n\u003cp>Chief Medical Officer Dr. Joanna Eveland said patients addicted to opioids can begin microdosing buprenorphine with as little as one milligram a day to help them overcome the intense cravings and painful withdrawal symptoms that occur when somebody physically dependent on opioids stops using them suddenly.\u003c/p>\n\u003cp>“The challenge with buprenorphine is first getting started on the medication. If you start too early, while you still have another strong opioid in your system, like fentanyl, you can actually experience withdrawal symptoms,” Eveland said. “My patients who are taking buprenorphine report that they feel normal and stable. They can go back to work. They can take care of their families.”\u003c/p>\n\u003cp>San Francisco Department of Public Health researchers published their findings on custom-tailored microdosing buprenorphine treatments — which they call the “Howard Street Method” — last year in the \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37579105/\">journal of the American Society of Addiction Medicine\u003c/a>.\u003c/p>\n\u003cp>Their research found that 27 people were treated with the Howard Street Method, all but one picked up their prescription for buprenorphine and 14 completed the program. Eighty percent of the people completing the program reported no symptoms of withdrawal and only three reported mild symptoms. A third ceased all opioid use.\u003c/p>\n\u003cp>Overall, researchers concluded the microdosing Howard Street Method was a “viable intervention for starting buprenorphine treatment and a promising alternative method for buprenorphine initiation in an under-resourced, safety-net population of people using fentanyl.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11987358,news_11986128,news_11989112"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Along with the Howard Street Method, the city has instituted several programs to help get drug users the help they need where they are. This includes the Night Navigation Team, which operates from 8 p.m. to midnight to help set up telehealth consultations with on-call doctors who can write prescriptions for drugs that can help reduce withdrawal symptoms that can be picked up at a 24-hour pharmacy.\u003c/p>\n\u003cp>“When they find somebody who’s ready and motivated to start treatment, start medication linked to other services, they’re able to get them on the phone with the doctor right in that moment, who does a visit with the person by phone again, can send a prescription that very night, if that’s what the person wants or talk about the plan for starting methadone the next day,” Eveland said.\u003c/p>\n\u003cp>Kunins said from March through May, city staff conducted approximately 440 in the field, nighttime telehealth visits for people who use fentanyl and other opioids.\u003c/p>\n\u003cp>The city also has programs to help the unhoused find hotel rooms or other safe places to stay so they can begin their treatment. City officials say 78% of those who are offered medication via telehealth meetings and given a place to stay end up filling their prescriptions.\u003c/p>\n\u003cp>Anyone in need of mental health or substance use services is encouraged to call San Francisco’s Behavior Health line at 888-246-3333.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11991538/san-francisco-attributes-lower-drug-deaths-to-microdosing-addiction-medication","authors":["byline_news_11991538"],"categories":["news_457","news_8"],"tags":["news_23292","news_25968","news_23051","news_31709","news_29747","news_38"],"featImg":"news_11991565","label":"news"},"news_11989112":{"type":"posts","id":"news_11989112","meta":{"index":"posts_1716263798","site":"news","id":"11989112","score":null,"sort":[1717611726000]},"guestAuthors":[],"slug":"can-san-francisco-arrest-its-way-out-of-tenderloins-drug-crisis","title":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis?","publishDate":1717611726,"format":"standard","headTitle":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis? | KQED","labelTerm":{"site":"news"},"content":"\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>[aside postID=science_1993048,news_11987962,news_11982329,news_11972898 label='related coverage']Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n","blocks":[],"excerpt":"Authorities are touting over 3,000 arrests in the first year of a law enforcement campaign against open-air drug markets, but some policy experts have questioned whether that’s the right approach.","status":"publish","parent":0,"modified":1719343659,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":909},"headData":{"title":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis? | KQED","description":"Authorities are touting over 3,000 arrests in the first year of a law enforcement campaign against open-air drug markets, but some policy experts have questioned whether that’s the right approach.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis?","datePublished":"2024-06-05T11:22:06-07:00","dateModified":"2024-06-25T12:27:39-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprStoryId":"kqed-11989112","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11989112/can-san-francisco-arrest-its-way-out-of-tenderloins-drug-crisis","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"science_1993048,news_11987962,news_11982329,news_11972898","label":"related coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11989112/can-san-francisco-arrest-its-way-out-of-tenderloins-drug-crisis","authors":["11913"],"categories":["news_6188","news_8"],"tags":["news_30249","news_2587","news_27626","news_23051","news_33045","news_18543","news_6931","news_24982","news_33046","news_29747","news_38","news_6544","news_3181"],"featImg":"news_11952545","label":"news"},"news_11987962":{"type":"posts","id":"news_11987962","meta":{"index":"posts_1716263798","site":"news","id":"11987962","score":null,"sort":[1716935428000]},"guestAuthors":[],"slug":"animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring","title":"Animal Sedative Linked to US Overdoses Spurs Call for More SF Drug Monitoring","publishDate":1716935428,"format":"standard","headTitle":"Animal Sedative Linked to US Overdoses Spurs Call for More SF Drug Monitoring | KQED","labelTerm":{"site":"news"},"content":"\u003cp>As reports of overdoses involving a sedative often used by veterinarians \u003ca href=\"https://www.npr.org/2024/05/24/nx-s1-4974959/a-new-wave-of-overdoses-is-triggered-by-a-tranquilizer-used-on-animals\">rise on the East Coast\u003c/a>, one San Francisco leader is urging the city to more closely monitor the local drug supply for its presence.\u003c/p>\n\u003cp>Medetomidine, a synthetic depressant, is showing up more often in recreational drug markets around the U.S., according to an \u003ca href=\"https://www.cfsre.org/images/content/reports/public_alerts/Public_Alert_Medetomidine_052024.pdf\">advisory\u003c/a> this month from the Center for Forensic Science Research & Education and its early warning program, NPS Discovery. Among street drugs, it is most commonly detected as an adulterant in fentanyl.\u003c/p>\n\u003cp>San Francisco Supervisor Matt Dorsey said the city should include medetomidine alongside the list of substances that it already tests for when investigating overdose deaths or in the wastewater supply.\u003c/p>\n\u003cp>“Is San Francisco’s illicit drug supply being monitored for medetomidine currently, whether in street-level drug seizures, decedent toxicology panels, or elsewhere?” Dorsey wrote in a letter of inquiry to the Board of Supervisors clerk on Tuesday.\u003c/p>\n\u003cp>In California, medetomidine remains at relatively low levels in illicit drug supplies, where it was first detected in 2023, according to the Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But past increases in synthetic drugs — including fentanyl and xylazine, another veterinary sedative commonly known as “tranq” — hit East Coast cities harder before moving west. Recently, emergency medicine doctors in Philadelphia noted an uptick in overdoses involving medetomidine, including 160 hospitalizations over four days, according to NPS Discovery data.[aside postID=\"news_11969903,news_11972898,news_11941201,news_11975973\" label=\"Related Stories\"]\u003c/p>\n\u003cp>“SFDPH is aware that novel synthetic drugs, including medetomidine, have been identified in drug markets in North America,” a spokesperson for the city’s Department of Public Health said in an email. “We will continue to collaborate with city departments and our nonprofit partners in monitoring for novel synthetic drugs so we may prepare supportive care options, including treatment, and quickly respond in the event they become prevalent.”\u003c/p>\n\u003cp>About a year ago, Dorsey submitted a similar letter asking about the city’s practices for monitoring xylazine and other adulterants found mixed with opioids that were showing up more frequently in the drug supply elsewhere around the country.\u003c/p>\n\u003cp>“As with my prior inquiry, my purpose is to ascertain how I may knowledgeably champion work I consider essential to protect the life and health of San Franciscans struggling with addiction,” Dorsey wrote in the inquiry letter, “and to sustain the indications of progress we’re beginning to see in the deadly drug overdose crisis facing San Francisco.”\u003c/p>\n\u003cp>Each month, San Francisco’s Office of the Chief Medical Examiner reports the presence of a variety of substances, including fentanyl, heroin, methamphetamine, cocaine, xylazine, bromazolam, and fluoro fentanyl in recent overdoses. In November 2023, local health officials also started \u003ca href=\"https://www.kqed.org/news/11980119/san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing\">testing wastewater\u003c/a> for fentanyl, cocaine and methamphetamine, as well as all three substances in their metabolized form, to measure drug use and supply trends in the city.\u003c/p>\n\u003cp>The concern over medetomidine comes as U.S. \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2024/20240515.htm\">overdose deaths dipped 3%\u003c/a> in 2023 compared to 2022 — the first nationwide decline since 2018, according to data released this month from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>But in San Francisco, the highest year for overdose deaths on record came in 2023, according to city data, and 258 people have died of overdose in the city this year alone.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times stronger than heroin, was involved in the majority of those overdose deaths. Only 12 of this year’s overdose deaths in San Francisco involved xylazine, according to the chief medical examiner.\u003c/p>\n\u003cp>“We know the majority of overdose deaths are related to fentanyl, and when we get obsessed with every new scary drug politicians point out, we are missing the point,” said Laura Guzman, executive director of the National Harm Reduction Coalition. “We need to dedicate resources where there is the most need.”\u003c/p>\n\u003cp>As synthetic drugs have become more common around the U.S., research suggests efforts to suppress plant-based drugs like heroin and cocaine can lead to the development of cheaper and more potent drugs, which people may seek out on their own or could get cut into the supply chain.\u003c/p>\n\u003cp>“Without serious, sustained efforts to address the direct and root causes of non-medical opioid use, intensive supply suppression efforts that brought us fentanyl will continue to push the market towards deadlier alternatives,” reads \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0955395917301548?via%3Dihub\">a 2017 report\u003c/a> in the International Journal of Drug Policy.\u003c/p>\n\u003cp>A common concern with sedatives like xylazine and medetomidine is that they do not respond to medications like Narcan that can reverse the effects of an opioid overdose. However, because the sedatives are often used in combination with other drugs like fentanyl, many health experts advise to still use Narcan when an opioid may be present during an overdose.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The drug supply continues to be very unsettling and scary because we keep criminalizing new synthetics that will keep appearing, and we don’t have a safe supply,” Guzman said. “The drug supply is so tainted and reinforces itself with new synthetics, and that’s why drug checking is critical.”\u003c/p>\n\n","blocks":[],"excerpt":"Recent reports found that medetomidine, a synthetic sedative often used by veterinarians, is “rapidly proliferating” in drug markets around the U.S. ","status":"publish","parent":0,"modified":1716940771,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":870},"headData":{"title":"Animal Sedative Linked to US Overdoses Spurs Call for More SF Drug Monitoring | KQED","description":"Recent reports found that medetomidine, a synthetic sedative often used by veterinarians, is “rapidly proliferating” in drug markets around the U.S. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Animal Sedative Linked to US Overdoses Spurs Call for More SF Drug Monitoring","datePublished":"2024-05-28T15:30:28-07:00","dateModified":"2024-05-28T16:59:31-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprStoryId":"kqed-11987962","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11987962/animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As reports of overdoses involving a sedative often used by veterinarians \u003ca href=\"https://www.npr.org/2024/05/24/nx-s1-4974959/a-new-wave-of-overdoses-is-triggered-by-a-tranquilizer-used-on-animals\">rise on the East Coast\u003c/a>, one San Francisco leader is urging the city to more closely monitor the local drug supply for its presence.\u003c/p>\n\u003cp>Medetomidine, a synthetic depressant, is showing up more often in recreational drug markets around the U.S., according to an \u003ca href=\"https://www.cfsre.org/images/content/reports/public_alerts/Public_Alert_Medetomidine_052024.pdf\">advisory\u003c/a> this month from the Center for Forensic Science Research & Education and its early warning program, NPS Discovery. Among street drugs, it is most commonly detected as an adulterant in fentanyl.\u003c/p>\n\u003cp>San Francisco Supervisor Matt Dorsey said the city should include medetomidine alongside the list of substances that it already tests for when investigating overdose deaths or in the wastewater supply.\u003c/p>\n\u003cp>“Is San Francisco’s illicit drug supply being monitored for medetomidine currently, whether in street-level drug seizures, decedent toxicology panels, or elsewhere?” Dorsey wrote in a letter of inquiry to the Board of Supervisors clerk on Tuesday.\u003c/p>\n\u003cp>In California, medetomidine remains at relatively low levels in illicit drug supplies, where it was first detected in 2023, according to the Center for Forensic Science Research & Education advisory.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But past increases in synthetic drugs — including fentanyl and xylazine, another veterinary sedative commonly known as “tranq” — hit East Coast cities harder before moving west. Recently, emergency medicine doctors in Philadelphia noted an uptick in overdoses involving medetomidine, including 160 hospitalizations over four days, according to NPS Discovery data.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11969903,news_11972898,news_11941201,news_11975973","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“SFDPH is aware that novel synthetic drugs, including medetomidine, have been identified in drug markets in North America,” a spokesperson for the city’s Department of Public Health said in an email. “We will continue to collaborate with city departments and our nonprofit partners in monitoring for novel synthetic drugs so we may prepare supportive care options, including treatment, and quickly respond in the event they become prevalent.”\u003c/p>\n\u003cp>About a year ago, Dorsey submitted a similar letter asking about the city’s practices for monitoring xylazine and other adulterants found mixed with opioids that were showing up more frequently in the drug supply elsewhere around the country.\u003c/p>\n\u003cp>“As with my prior inquiry, my purpose is to ascertain how I may knowledgeably champion work I consider essential to protect the life and health of San Franciscans struggling with addiction,” Dorsey wrote in the inquiry letter, “and to sustain the indications of progress we’re beginning to see in the deadly drug overdose crisis facing San Francisco.”\u003c/p>\n\u003cp>Each month, San Francisco’s Office of the Chief Medical Examiner reports the presence of a variety of substances, including fentanyl, heroin, methamphetamine, cocaine, xylazine, bromazolam, and fluoro fentanyl in recent overdoses. In November 2023, local health officials also started \u003ca href=\"https://www.kqed.org/news/11980119/san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing\">testing wastewater\u003c/a> for fentanyl, cocaine and methamphetamine, as well as all three substances in their metabolized form, to measure drug use and supply trends in the city.\u003c/p>\n\u003cp>The concern over medetomidine comes as U.S. \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2024/20240515.htm\">overdose deaths dipped 3%\u003c/a> in 2023 compared to 2022 — the first nationwide decline since 2018, according to data released this month from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>But in San Francisco, the highest year for overdose deaths on record came in 2023, according to city data, and 258 people have died of overdose in the city this year alone.\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times stronger than heroin, was involved in the majority of those overdose deaths. Only 12 of this year’s overdose deaths in San Francisco involved xylazine, according to the chief medical examiner.\u003c/p>\n\u003cp>“We know the majority of overdose deaths are related to fentanyl, and when we get obsessed with every new scary drug politicians point out, we are missing the point,” said Laura Guzman, executive director of the National Harm Reduction Coalition. “We need to dedicate resources where there is the most need.”\u003c/p>\n\u003cp>As synthetic drugs have become more common around the U.S., research suggests efforts to suppress plant-based drugs like heroin and cocaine can lead to the development of cheaper and more potent drugs, which people may seek out on their own or could get cut into the supply chain.\u003c/p>\n\u003cp>“Without serious, sustained efforts to address the direct and root causes of non-medical opioid use, intensive supply suppression efforts that brought us fentanyl will continue to push the market towards deadlier alternatives,” reads \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0955395917301548?via%3Dihub\">a 2017 report\u003c/a> in the International Journal of Drug Policy.\u003c/p>\n\u003cp>A common concern with sedatives like xylazine and medetomidine is that they do not respond to medications like Narcan that can reverse the effects of an opioid overdose. However, because the sedatives are often used in combination with other drugs like fentanyl, many health experts advise to still use Narcan when an opioid may be present during an overdose.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The drug supply continues to be very unsettling and scary because we keep criminalizing new synthetics that will keep appearing, and we don’t have a safe supply,” Guzman said. “The drug supply is so tainted and reinforces itself with new synthetics, and that’s why drug checking is critical.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11987962/animal-sedative-linked-to-us-overdoses-spurs-call-for-more-sf-drug-monitoring","authors":["11840"],"categories":["news_8"],"tags":["news_25968","news_30249","news_27626","news_23051","news_31709"],"featImg":"news_11987969","label":"news"},"news_11987358":{"type":"posts","id":"news_11987358","meta":{"index":"posts_1716263798","site":"news","id":"11987358","score":null,"sort":[1716412869000]},"guestAuthors":[],"slug":"san-francisco-reports-decline-in-drug-overdose-deaths-so-far-this-year","title":"San Francisco Reports Decline in Drug Overdose Deaths So Far This Year","publishDate":1716412869,"format":"standard","headTitle":"San Francisco Reports Decline in Drug Overdose Deaths So Far This Year | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Over the month of April, 56 people died of accidental overdose in San Francisco, according to the city’s Department of Public Health.\u003c/p>\n\u003cp>The figure marks a decline of 21% when compared to April of last year when 71 people died. This April also saw the fewest deaths in a single month since December.\u003c/p>\n\u003cp>“For some comparisons, in the first four months of last year, we had 275 accidental overdoses,” San Francisco’s Director of Health, Dr. Grant Colfax, said at a briefing to announce the latest figures. “And this year, we’ve had 258. As has been the trend since the city started tracking these data in 2020, more than 70% of overdose deaths in April were caused by fentanyl.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Colfax and other public health officials also shared updates on a new pilot program meant to improve medication access for unhoused people seeking addiction treatment overnight.\u003c/p>\n\u003cp>As part of the new program, members of the Night Navigation Team make contact with unhoused people between 8 p.m. and midnight and set up telehealth consultations with on-call doctors.\u003c/p>\n\u003cp>Those doctors can then write prescriptions for things like buprenorphine — a pain medication that helps reduce withdrawal symptoms — to be picked up at a 24-hour pharmacy or the next day.\u003c/p>\n\u003cp>“Since 2020, DPH has been rapidly expanding our system to make drug treatment more accessible than ever and to serve more people in those treatment programs,” Colfax said. “We know from our outreach program that there is a demand for medications to treat fentanyl addiction at night.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF overdose deaths in first 4 months of 2023/2024\" aria-label=\"Grouped Bars\" id=\"datawrapper-chart-4K3uO\" src=\"https://datawrapper.dwcdn.net/4K3uO/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"700\" height=\"410\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>If rooms are available, residents who accept treatment are also provided with a place to stay while they start their recovery.\u003c/p>\n\u003cp>“Under this pilot, many of the individuals who have committed to starting medication for their fentanyl-use disorder have been sheltered at either the Adante Hotel or another available site in the community to start their medicine,” Chief Medical Officer Dr. Joanna Eveland said. “We have been using rooms that were previously reserved for quarantine emergencies but not currently needed for those, thankfully.”\u003c/p>\n\u003cp>Once placed in a room, Eveland said residents are connected with a case manager to begin planning for their exit after a week. Those residents also have access to various services, including transportation to pick up prescriptions and help to enroll in treatment programs or public insurance.\u003c/p>\n\u003cp>The pilot program began in March and recorded 173 telehealth consultations in that time, according to Eveland. Of those, 134 were prescribed buprenorphine and 33% of people picked up those medications.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11986128,news_11986508,news_11987183\"]“This is actually a high rate of people accepting the medication,” when compared to general prescription fill rates, Colfax said. “Remember, these are people on the street in the middle of the night.”\u003c/p>\n\u003cp>Eveland added that when unhoused residents were provided rooms to stay in, the prescription fill rate jumped to 78%.\u003c/p>\n\u003cp>“We have found that when we have combined the evening telehealth with safe and stable shelter where people can start their medication and receive support, they are three times more likely to enter recovery,” Eveland said.\u003c/p>\n\u003cp>Health officials did not share specifics regarding plans for the pilot program but emphasized they see potential in its continuation.\u003c/p>\n\u003cp>“Our hope is, as we go into analyzing the data further, that we’ll be able to expand the hours of the program so that we continue to focus on the populations most at risk,” Colfax said.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The drop in deaths comes as the city moves forward with a pilot outreach program intended to expand medication access for unhoused people seeking addiction treatment at night.","status":"publish","parent":0,"modified":1716430990,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://datawrapper.dwcdn.net/4K3uO/1/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":600},"headData":{"title":"San Francisco Reports Decline in Drug Overdose Deaths So Far This Year | KQED","description":"The drop in deaths comes as the city moves forward with a pilot outreach program intended to expand medication access for unhoused people seeking addiction treatment at night.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Reports Decline in Drug Overdose Deaths So Far This Year","datePublished":"2024-05-22T14:21:09-07:00","dateModified":"2024-05-22T19:23:10-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprStoryId":"kqed-11987358","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11987358/san-francisco-reports-decline-in-drug-overdose-deaths-so-far-this-year","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Over the month of April, 56 people died of accidental overdose in San Francisco, according to the city’s Department of Public Health.\u003c/p>\n\u003cp>The figure marks a decline of 21% when compared to April of last year when 71 people died. This April also saw the fewest deaths in a single month since December.\u003c/p>\n\u003cp>“For some comparisons, in the first four months of last year, we had 275 accidental overdoses,” San Francisco’s Director of Health, Dr. Grant Colfax, said at a briefing to announce the latest figures. “And this year, we’ve had 258. As has been the trend since the city started tracking these data in 2020, more than 70% of overdose deaths in April were caused by fentanyl.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Colfax and other public health officials also shared updates on a new pilot program meant to improve medication access for unhoused people seeking addiction treatment overnight.\u003c/p>\n\u003cp>As part of the new program, members of the Night Navigation Team make contact with unhoused people between 8 p.m. and midnight and set up telehealth consultations with on-call doctors.\u003c/p>\n\u003cp>Those doctors can then write prescriptions for things like buprenorphine — a pain medication that helps reduce withdrawal symptoms — to be picked up at a 24-hour pharmacy or the next day.\u003c/p>\n\u003cp>“Since 2020, DPH has been rapidly expanding our system to make drug treatment more accessible than ever and to serve more people in those treatment programs,” Colfax said. “We know from our outreach program that there is a demand for medications to treat fentanyl addiction at night.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF overdose deaths in first 4 months of 2023/2024\" aria-label=\"Grouped Bars\" id=\"datawrapper-chart-4K3uO\" src=\"https://datawrapper.dwcdn.net/4K3uO/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"700\" height=\"410\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>If rooms are available, residents who accept treatment are also provided with a place to stay while they start their recovery.\u003c/p>\n\u003cp>“Under this pilot, many of the individuals who have committed to starting medication for their fentanyl-use disorder have been sheltered at either the Adante Hotel or another available site in the community to start their medicine,” Chief Medical Officer Dr. Joanna Eveland said. “We have been using rooms that were previously reserved for quarantine emergencies but not currently needed for those, thankfully.”\u003c/p>\n\u003cp>Once placed in a room, Eveland said residents are connected with a case manager to begin planning for their exit after a week. Those residents also have access to various services, including transportation to pick up prescriptions and help to enroll in treatment programs or public insurance.\u003c/p>\n\u003cp>The pilot program began in March and recorded 173 telehealth consultations in that time, according to Eveland. Of those, 134 were prescribed buprenorphine and 33% of people picked up those medications.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11986128,news_11986508,news_11987183"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“This is actually a high rate of people accepting the medication,” when compared to general prescription fill rates, Colfax said. “Remember, these are people on the street in the middle of the night.”\u003c/p>\n\u003cp>Eveland added that when unhoused residents were provided rooms to stay in, the prescription fill rate jumped to 78%.\u003c/p>\n\u003cp>“We have found that when we have combined the evening telehealth with safe and stable shelter where people can start their medication and receive support, they are three times more likely to enter recovery,” Eveland said.\u003c/p>\n\u003cp>Health officials did not share specifics regarding plans for the pilot program but emphasized they see potential in its continuation.\u003c/p>\n\u003cp>“Our hope is, as we go into analyzing the data further, that we’ll be able to expand the hours of the program so that we continue to focus on the populations most at risk,” Colfax said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11987358/san-francisco-reports-decline-in-drug-overdose-deaths-so-far-this-year","authors":["11761"],"categories":["news_457","news_6266","news_8"],"tags":["news_30249","news_23051","news_22492","news_26203"],"featImg":"news_11987372","label":"news"},"news_11980119":{"type":"posts","id":"news_11980119","meta":{"index":"posts_1716263798","site":"news","id":"11980119","score":null,"sort":[1710970567000]},"guestAuthors":[],"slug":"san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing","title":"San Francisco Gets New Glimpse Into Illicit Drug Use With Wastewater Testing","publishDate":1710970567,"format":"standard","headTitle":"San Francisco Gets New Glimpse Into Illicit Drug Use With Wastewater Testing | KQED","labelTerm":{"site":"news"},"content":"\u003cp>A new program to test wastewater for substances like fentanyl, methamphetamine and cocaine is giving San Francisco’s health officials a new window into the city’s pressing overdose crisis.\u003c/p>\n\u003cp>The effort comes as San Francisco recently experienced the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">worst year for overdose deaths\u003c/a> on record in 2023, when 806 people died of accidental overdose.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jeffrey Hom, director of population behavioral health, San Francisco Department of Public Health\"]‘For the first time, we have data that can shed light on the amounts of drugs that are being used in the city here. This is something that we haven’t had before.’[/pullquote]“For the first time, we have data that can shed light on the amounts of drugs that are being used in the city here,” said Jeffrey Hom, director of population behavioral health for the San Francisco Department of Public Health. “This is something that we haven’t had before. So much of the data that we look at within the health department is based on individuals who are receiving a certain service or who have experienced a certain outcome, like a nonfatal overdose.”\u003c/p>\n\u003cp>San Francisco health officials started tracking drug use and supply trends in November 2023 to monitor the presence of different drugs and to also check for changes in the illicit drug supply.\u003c/p>\n\u003cp>Wastewater samples are collected every two weeks from two different locations, one on the city’s west side and another on the east side. Currently, the city is checking for fentanyl, cocaine and methamphetamine, as well as all three substances in their metabolized form. The samples are then sent to a lab where they are analyzed, and the results are shared back with the city.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Early results from the first four months of testing show there were often higher concentrations of drugs, including fentanyl, cocaine and methamphetamine on the east side of the city compared with the west. That largely tracks with geographic data from the Office of the Chief Medical Examiner, which releases monthly reports on overdoses in the city.\u003c/p>\n\u003cp>Fentanyl, a potent opioid about 50 times stronger than heroin, has contributed to the majority of recent overdose deaths in San Francisco.\u003c/p>\n\u003cp>However, the wastewater data showed much higher concentrations of stimulants across the city. For example, there were 1552 milligrams of methamphetamine per 1000 people per day found in samples collected on the east side of the city on March 7, 2024, compared to 34 milligrams of fentanyl.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11969903,news_11975973,news_11979144\"]That doesn’t necessarily mean there are more people using stimulants, however. The body metabolizes each substance differently, making it hard to compare the prevalence of individual substances. Instead, Hom said, the city is using the findings to monitor changes in the drug supply and use trends over time.\u003c/p>\n\u003cp>“We’re not able to directly compare those and make an assumption that many more people or that much more stimulants are being used because of the way these drugs are metabolized in the body. So trying to make the comparison between drugs is difficult,” Hom said.\u003c/p>\n\u003cp>Public health officials say they hope to use the data to advise the public on overdose risk and drug supply trends.\u003c/p>\n\u003cp>The effort is part of a study funded by the National Institute on Drug Abuse, which ends in August, that San Francisco and other local municipalities are participating in. But the city’s health officials say they hope to expand and continue the program after the study wraps up.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jeffrey Hom, director of population behavioral health, San Francisco Department of Public Health\"]‘Much of the potential for this kind of surveillance revolves around the opportunity to identify new drugs or something that’s just starting to make its way into the drug supply here.’[/pullquote]San Francisco previously used wastewater testing during the COVID-19 pandemic to track the rise and fall of the virus on a population level. However, the city is not alone in its endeavor to use the technology for the overdose crisis as well. \u003ca href=\"https://www.kqed.org/science/1982720/marin-health-officials-track-illicit-drug-use-by-testing-wastewater\">Marin County\u003c/a> started using the approach in July 2023. Public health officials there issued a health advisory about an increase in fentanyl overdoses that aligned with the wastewater testing, which showed higher rates and amounts of fentanyl in the same period.\u003c/p>\n\u003cp>“Much of the potential for this kind of surveillance revolves around the opportunity to identify new drugs or something that’s just starting to make its way into the drug supply here,” Hom said. “I am hopeful as we look to the next iteration of this that we not only increase the frequency of testing, but increase the number of drugs and especially novel drugs so our response can be timely and focused.”\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The city joins Marin County in testing for fentanyl, methamphetamine and cocaine in wastewater to understand drug supply better and use trends.","status":"publish","parent":0,"modified":1721130850,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":822},"headData":{"title":"San Francisco Gets New Glimpse Into Illicit Drug Use With Wastewater Testing | KQED","description":"The city joins Marin County in testing for fentanyl, methamphetamine and cocaine in wastewater to understand drug supply better and use trends.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Gets New Glimpse Into Illicit Drug Use With Wastewater Testing","datePublished":"2024-03-20T14:36:07-07:00","dateModified":"2024-07-16T04:54:10-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11980119/san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new program to test wastewater for substances like fentanyl, methamphetamine and cocaine is giving San Francisco’s health officials a new window into the city’s pressing overdose crisis.\u003c/p>\n\u003cp>The effort comes as San Francisco recently experienced the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">worst year for overdose deaths\u003c/a> on record in 2023, when 806 people died of accidental overdose.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘For the first time, we have data that can shed light on the amounts of drugs that are being used in the city here. This is something that we haven’t had before.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jeffrey Hom, director of population behavioral health, San Francisco Department of Public Health","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“For the first time, we have data that can shed light on the amounts of drugs that are being used in the city here,” said Jeffrey Hom, director of population behavioral health for the San Francisco Department of Public Health. “This is something that we haven’t had before. So much of the data that we look at within the health department is based on individuals who are receiving a certain service or who have experienced a certain outcome, like a nonfatal overdose.”\u003c/p>\n\u003cp>San Francisco health officials started tracking drug use and supply trends in November 2023 to monitor the presence of different drugs and to also check for changes in the illicit drug supply.\u003c/p>\n\u003cp>Wastewater samples are collected every two weeks from two different locations, one on the city’s west side and another on the east side. Currently, the city is checking for fentanyl, cocaine and methamphetamine, as well as all three substances in their metabolized form. The samples are then sent to a lab where they are analyzed, and the results are shared back with the city.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Early results from the first four months of testing show there were often higher concentrations of drugs, including fentanyl, cocaine and methamphetamine on the east side of the city compared with the west. That largely tracks with geographic data from the Office of the Chief Medical Examiner, which releases monthly reports on overdoses in the city.\u003c/p>\n\u003cp>Fentanyl, a potent opioid about 50 times stronger than heroin, has contributed to the majority of recent overdose deaths in San Francisco.\u003c/p>\n\u003cp>However, the wastewater data showed much higher concentrations of stimulants across the city. For example, there were 1552 milligrams of methamphetamine per 1000 people per day found in samples collected on the east side of the city on March 7, 2024, compared to 34 milligrams of fentanyl.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11969903,news_11975973,news_11979144"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>That doesn’t necessarily mean there are more people using stimulants, however. The body metabolizes each substance differently, making it hard to compare the prevalence of individual substances. Instead, Hom said, the city is using the findings to monitor changes in the drug supply and use trends over time.\u003c/p>\n\u003cp>“We’re not able to directly compare those and make an assumption that many more people or that much more stimulants are being used because of the way these drugs are metabolized in the body. So trying to make the comparison between drugs is difficult,” Hom said.\u003c/p>\n\u003cp>Public health officials say they hope to use the data to advise the public on overdose risk and drug supply trends.\u003c/p>\n\u003cp>The effort is part of a study funded by the National Institute on Drug Abuse, which ends in August, that San Francisco and other local municipalities are participating in. But the city’s health officials say they hope to expand and continue the program after the study wraps up.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Much of the potential for this kind of surveillance revolves around the opportunity to identify new drugs or something that’s just starting to make its way into the drug supply here.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jeffrey Hom, director of population behavioral health, San Francisco Department of Public Health","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>San Francisco previously used wastewater testing during the COVID-19 pandemic to track the rise and fall of the virus on a population level. However, the city is not alone in its endeavor to use the technology for the overdose crisis as well. \u003ca href=\"https://www.kqed.org/science/1982720/marin-health-officials-track-illicit-drug-use-by-testing-wastewater\">Marin County\u003c/a> started using the approach in July 2023. Public health officials there issued a health advisory about an increase in fentanyl overdoses that aligned with the wastewater testing, which showed higher rates and amounts of fentanyl in the same period.\u003c/p>\n\u003cp>“Much of the potential for this kind of surveillance revolves around the opportunity to identify new drugs or something that’s just starting to make its way into the drug supply here,” Hom said. “I am hopeful as we look to the next iteration of this that we not only increase the frequency of testing, but increase the number of drugs and especially novel drugs so our response can be timely and focused.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11980119/san-francisco-gets-new-glimpse-into-illicit-drug-use-with-wastewater-testing","authors":["11840"],"categories":["news_457","news_8","news_356"],"tags":["news_31834","news_2587","news_27626","news_23051","news_18543","news_24982","news_22661","news_38","news_3187","news_20287"],"featImg":"news_11980150","label":"news"},"news_11979144":{"type":"posts","id":"news_11979144","meta":{"index":"posts_1716263798","site":"news","id":"11979144","score":null,"sort":[1710288284000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1710288284,"format":"standard","title":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic","headTitle":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic | KQED","content":"\u003cp>The rate of overdose deaths in San Francisco remained steady in the first two months of 2024, according to data released Monday from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The new data shows there were 131 overdose deaths in San Francisco between January and February of this year. That’s compared to 136 overdose deaths over the same period a year ago. There were 811 overdose deaths in San Francisco in all of 2023.\u003c/p>\n\u003cp>Most of these overdoses involved fentanyl, an opioid about 50 times stronger than heroin. But many people who die from an overdose in the city are combining substances with fentanyl, like methamphetamine or cocaine.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Hillary Kunins, director, Behavioral Health and Mental Health SF\"]‘We want everyone to know, even though addiction is a chronic illness, recovery is possible.’[/pullquote]In response, city health officials say they are expanding opportunities for contingency management, a positive-reinforcement-based model that’s primarily used for adjusting methamphetamine and cocaine use.\u003c/p>\n\u003cp>“Recovering from stimulants improves an individual’s health and reduces their overall risk of overdose,” Christy Soran, deputy medical director of substance use services for the Department of Public Health, told reporters on Tuesday.\u003c/p>\n\u003cp>Unlike opioid addiction or alcoholism, there are no government-approved medications for stimulant-use disorder. Contingency management offers another option. People participating typically attend weekly or regular meetings with a group and counselor, and they take a drug test for the substance they are targeting. If the test is negative, a small stipend, such as a gift card, is offered.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Percent of overdoses in Jan. – Feb. 2024 involving at least this drug\n\" aria-label=\"Bar Chart\" id=\"datawrapper-chart-df81A\" src=\"https://datawrapper.dwcdn.net/df81A/3/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"321\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768930/\">Veterans Affairs\u003c/a> has used contingency management for decades. A \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0376871618300784\">2018 study\u003c/a> found that, on average, VA patients attended more than half of their counseling sessions, and 91% of participants tested negative for the targeted substance.\u003c/p>\n\u003cp>[aside postID=\"news_11965813,news_11972898,news_11967618\" label=\"Related Stories\"]San Francisco’s embrace of contingency management is not new. But its expansion comes alongside statewide efforts to grow access to the model.\u003c/p>\n\u003cp>In 2021, California became the first state to cover contingency management through Medi-Cal.\u003c/p>\n\u003cp>The state has also allocated $58.5 million to pilot contingency management programs in \u003ca href=\"https://www.dhcs.ca.gov/Pages/DMC-ODS-Contingency-Management.aspx\">nearly two dozen other California counties\u003c/a>. In those programs, each patient receives a maximum of $599 over six months, after which they are referred for follow-up recovery programs and services.\u003c/p>\n\u003cp>Locally, the San Francisco Department of Public Health provides contingency management at the \u003ca href=\"https://citywide.ucsf.edu/stimulant-treatment-outpatient-program-stop\">Citywide Clinic’s Stimulant Treatment Outpatient Program\u003c/a>, the \u003ca href=\"https://psych.ucsf.edu/news/office-based-buprenorphine-induction-clinics-work-highlighted-national-magazine\">Office-Based Buprenorphine Induction Clinic\u003c/a> and \u003ca href=\"https://sf.gov/reports/october-2022/overdose-prevention-plan-2022\">Project HOUDINI LINK\u003c/a>. The San Francisco AIDS Foundation and others also provide similar programs.\u003c/p>\n\u003cp>Meanwhile, San Francisco has been working to increase opioid addiction treatments like buprenorphine or methadone medications as overdose deaths have remained at epidemic levels.\u003c/p>\n\u003cp>“These medications, specifically buprenorphine and methadone, each reduce a person’s risk of dying by approximately 50%,” Hillary Kunins, director of Behavioral Health and Mental Health SF for the San Francisco Department of Public Health, said on Tuesday to reporters. “I really cannot understate the effectiveness of these medications. They save lives, and they are within every person’s reach.”\u003c/p>\n\u003cp>Buprenorphine is available across the San Francisco Health Network, including in primary care and hospital settings.\u003c/p>\n\u003cp>“We want everyone to know, even though addiction is a chronic illness, recovery is possible,” Kunins said. “There is a way out of addiction and into a healthier life.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":true,"hasAudio":false,"hasPolis":false,"wordCount":579,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":["https://datawrapper.dwcdn.net/df81A/3/"],"paragraphCount":17},"modified":1710351865,"excerpt":"The new data shows there were 131 overdose deaths in San Francisco so far in 2024. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"The new data shows there were 131 overdose deaths in San Francisco so far in 2024. ","title":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic","datePublished":"2024-03-12T17:04:44-07:00","dateModified":"2024-03-13T10:44:25-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"guestAuthors":[],"slug":"san-francisco-promotes-treatment-for-stimulant-use-disorder-amid-overdose-epidemic","status":"publish","excludeFromSiteSearch":"Include","sticky":false,"articleAge":"0","path":"/news/11979144/san-francisco-promotes-treatment-for-stimulant-use-disorder-amid-overdose-epidemic","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The rate of overdose deaths in San Francisco remained steady in the first two months of 2024, according to data released Monday from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The new data shows there were 131 overdose deaths in San Francisco between January and February of this year. That’s compared to 136 overdose deaths over the same period a year ago. There were 811 overdose deaths in San Francisco in all of 2023.\u003c/p>\n\u003cp>Most of these overdoses involved fentanyl, an opioid about 50 times stronger than heroin. But many people who die from an overdose in the city are combining substances with fentanyl, like methamphetamine or cocaine.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We want everyone to know, even though addiction is a chronic illness, recovery is possible.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Hillary Kunins, director, Behavioral Health and Mental Health SF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In response, city health officials say they are expanding opportunities for contingency management, a positive-reinforcement-based model that’s primarily used for adjusting methamphetamine and cocaine use.\u003c/p>\n\u003cp>“Recovering from stimulants improves an individual’s health and reduces their overall risk of overdose,” Christy Soran, deputy medical director of substance use services for the Department of Public Health, told reporters on Tuesday.\u003c/p>\n\u003cp>Unlike opioid addiction or alcoholism, there are no government-approved medications for stimulant-use disorder. Contingency management offers another option. People participating typically attend weekly or regular meetings with a group and counselor, and they take a drug test for the substance they are targeting. If the test is negative, a small stipend, such as a gift card, is offered.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Percent of overdoses in Jan. – Feb. 2024 involving at least this drug\n\" aria-label=\"Bar Chart\" id=\"datawrapper-chart-df81A\" src=\"https://datawrapper.dwcdn.net/df81A/3/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"321\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768930/\">Veterans Affairs\u003c/a> has used contingency management for decades. A \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0376871618300784\">2018 study\u003c/a> found that, on average, VA patients attended more than half of their counseling sessions, and 91% of participants tested negative for the targeted substance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11965813,news_11972898,news_11967618","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>San Francisco’s embrace of contingency management is not new. But its expansion comes alongside statewide efforts to grow access to the model.\u003c/p>\n\u003cp>In 2021, California became the first state to cover contingency management through Medi-Cal.\u003c/p>\n\u003cp>The state has also allocated $58.5 million to pilot contingency management programs in \u003ca href=\"https://www.dhcs.ca.gov/Pages/DMC-ODS-Contingency-Management.aspx\">nearly two dozen other California counties\u003c/a>. In those programs, each patient receives a maximum of $599 over six months, after which they are referred for follow-up recovery programs and services.\u003c/p>\n\u003cp>Locally, the San Francisco Department of Public Health provides contingency management at the \u003ca href=\"https://citywide.ucsf.edu/stimulant-treatment-outpatient-program-stop\">Citywide Clinic’s Stimulant Treatment Outpatient Program\u003c/a>, the \u003ca href=\"https://psych.ucsf.edu/news/office-based-buprenorphine-induction-clinics-work-highlighted-national-magazine\">Office-Based Buprenorphine Induction Clinic\u003c/a> and \u003ca href=\"https://sf.gov/reports/october-2022/overdose-prevention-plan-2022\">Project HOUDINI LINK\u003c/a>. The San Francisco AIDS Foundation and others also provide similar programs.\u003c/p>\n\u003cp>Meanwhile, San Francisco has been working to increase opioid addiction treatments like buprenorphine or methadone medications as overdose deaths have remained at epidemic levels.\u003c/p>\n\u003cp>“These medications, specifically buprenorphine and methadone, each reduce a person’s risk of dying by approximately 50%,” Hillary Kunins, director of Behavioral Health and Mental Health SF for the San Francisco Department of Public Health, said on Tuesday to reporters. “I really cannot understate the effectiveness of these medications. They save lives, and they are within every person’s reach.”\u003c/p>\n\u003cp>Buprenorphine is available across the San Francisco Health Network, including in primary care and hospital settings.\u003c/p>\n\u003cp>“We want everyone to know, even though addiction is a chronic illness, recovery is possible,” Kunins said. “There is a way out of addiction and into a healthier life.”\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11979144/san-francisco-promotes-treatment-for-stimulant-use-disorder-amid-overdose-epidemic","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_25959","news_23051","news_18543","news_31709","news_22661","news_38"],"featImg":"news_11969941","label":"news"},"news_11976740":{"type":"posts","id":"news_11976740","meta":{"index":"posts_1716263798","site":"news","id":"11976740","score":null,"sort":[1708689630000]},"parent":0,"labelTerm":{"site":"news","term":18481},"blocks":[],"publishDate":1708689630,"format":"standard","title":"More California Colleges Provide Narcan Amid Ongoing Opioid Crisis","headTitle":"More California Colleges Provide Narcan Amid Ongoing Opioid Crisis | KQED","content":"\u003cp>When Mel McKernan moved in with her new roommate, Braedon Ellis, they bonded quickly. Every night, she would stay up until 1 a.m. just waiting for Ellis to get back from her job so they could watch TV together. McKernan, 19, was a second-year student at Seattle University. Ellis was 20 and working as a Domino’s delivery driver.\u003c/p>\n\u003cp>“She genuinely was the light of my life,” recalled McKernan, who has since transferred to UC Berkeley. “She had this beautiful purple hair. I felt like that was just an aura that she carried around with her.”\u003c/p>\n\u003cp>McKernan thought she had made a friend for life. The two young women lived with two other roommates in a beautiful waterfront house in Kenmore, Washington. But behind the walls, a darkness lurked. Their other roommates were addicted to fentanyl, an extremely potent synthetic opioid.\u003c/p>\n\u003cp>McKernan had braced herself for the possibility of losing a roommate. But she never expected it to be Ellis. Their magnetic connection severed when Ellis overdosed from a combination of drugs that included fentanyl.\u003c/p>\n\u003cp>“It completely changed my view on opioids,” McKernan said. “Because I was like, this could hit anyone. It can hit literally anyone.”\u003c/p>\n\u003cfigure id=\"attachment_11976746\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976746\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy.jpg\" alt=\"A young person with a red shirt eye makeup, shoulder-length hair and necklaces and a nose piercing, smiles at the camera.\" width=\"1568\" height=\"1174\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-1536x1150.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Braedon Ellis. \u003ccite>(Courtesy of Dionne Waltz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fentanyl is now the leading cause of drug-related deaths nationwide. After a new wave of deadly overdoses among Californians 15 to 24 started to rise in 2019, lawmakers turned to California’s public colleges and universities to offer life-saving resources to its students.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Campus-Opioid-Safety-Act.aspx\">The Campus Opioid Safety Act\u003c/a>, which took effect Jan. 1, 2023, required campus health centers at most public colleges and universities to offer students free Narcan, a nasal spray that can reverse an opioid overdose. Some colleges and universities have since armed students with Narcan, but not all have followed suit.\u003c/p>\n\u003ch2>The rise of fentanyl deaths\u003c/h2>\n\u003cp>Today, when someone in the United States dies of a drug-related overdose, it’s \u003ca href=\"https://nida.nih.gov/publications/drugfacts/fentanyl#:~:text=Synthetic%20opioids%2C%20including%20fentanyl%2C%20are%20now%20the%20most%20common%20drugs%20involved%20in%C2%A0drug%20overdose%20deaths%C2%A0in%20the%20United%20States.\">usually linked to fentanyl\u003c/a>. That’s a change from \u003ca href=\"https://www.fda.gov/media/126835/download#page=2\">20 years ago\u003c/a>, when prescription opioids like OxyContin were the leading killer, according to Theo Krzywicki, founder and CEO of End Overdose, a national nonprofit based in Los Angeles aimed at eliminating drug-related overdose deaths, especially among teens and young adults.\u003c/p>\n\u003cp>“Fentanyl is a very different drug than OxyContin,” Krzywicki said. “The way people use it has changed.” Because fentanyl delivers a stronger and shorter-lived high than other opioids, people often use more of it, he said, and build up a tolerance to it quickly.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For years, the opioid epidemic hit middle-aged Californians harder, but the new wave brought on a rise in death rates for teens and young adults. By 2021, teens 15 to 19 were five times as likely to die from an opioid overdose compared to 2019. For 20- to 24-year-olds, they were over three times as likely. Meanwhile, rates for adults between 25 and 75 years old roughly doubled in the same time frame.\u003c/p>\n\u003cp>Recently, opioid-related fatalities among the state’s young people have started to reverse. While death rates for adults 25 and over continue to rise, rates have declined for people under 25. Since 2021, per-capita rates for opioid-related overdose deaths dropped by over a third for Californians 15 to 19 and 20 to 24.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://datawrapper.dwcdn.net/lF7mD/12/\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Rising awareness could be what’s driving the recent decline, according to a statement from the Los Angeles County Department of Public Health. College-aged students increasingly use social media to spread information about the risks of fentanyl and where to find life-saving resources such as Narcan. Young people also tend to have stronger support systems and are less likely to use drugs alone, according to the statement.\u003c/p>\n\u003ch2>Lawmakers require colleges to combat the crisis\u003c/h2>\n\u003cp>Melissa Hurtado, a Democratic Central Valley state senator, introduced the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB367#:~:text=67384.%C2%A0(a,terms%20and%20conditions.\">Campus Opioid Safety Act\u003c/a>, or SB 367, in February 2021. She said she chose to target college campuses after hearing story after story of young people overdosing in her district.\u003c/p>\n\u003cp>“It was just such a serious threat,” Hurtado said. “And it still is.”\u003c/p>\n\u003cfigure id=\"attachment_11976753\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976753\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy.jpg\" alt=\"A Latina woman under a tent speaking.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Melissa Hurtado speaks at a press conference on Oct. 14, 2022. \u003ccite>(Larry Valenzuela/CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This January, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB461\">another law\u003c/a>, AB 461, went into effect that added fentanyl test strips to the requirements. Drug users can use the small paper strips to check if their supply contains fentanyl. Counterfeit prescription pills, made to look like OxyContin or Adderall, \u003ca href=\"https://www.dea.gov/alert/sharp-increase-fake-prescription-pills-containing-fentanyl-and-meth#:~:text=Some%20of%20the%20most%20common%20counterfeit%20pills%20are%20made%20to%20look%20like%20prescription%20opioids%20such%20as%20oxycodone%20(Oxycontin%C2%AE%2C%20Percocet%C2%AE)%2C%20hydrocodone%20(Vicodin%C2%AE)%2C%20and%20alprazolam%20(Xanax%C2%AE)%3B%20or%20stimulants%20like%20amphetamines%20(Adderall%C2%AE).\">often contain fentanyl\u003c/a>, according to the U.S. Drug Enforcement Administration.\u003c/p>\n\u003cp>The act requires campus health centers at California State University campuses and community colleges to order free Narcan through a state program called the \u003ca href=\"https://www.dhcs.ca.gov/individuals/Pages/Naloxone_Distribution_Project.aspx\">Naloxone Distribution Project\u003c/a>. Schools also must educate their students about preventing overdoses and let them know where they can find opioid overdose reversal medication. The law “requests” the University of California system to do the same, stopping short of a requirement because of the system’s \u003ca href=\"https://policy.ucop.edu/delegations-of-authority/california-constitution-article-9-education.html#:~:text=The%20university%20shall%20be%20entirely,%2C%20ethnic%20heritage%2C%20or%20sex.\">constitutional autonomy\u003c/a>.\u003c/p>\n\u003cp>At least 100 public colleges in California have Narcan somewhere on campus, according to data from the state distribution project that included a list of all applications from colleges and universities. Although not required by law, some private universities like Stanford also offer Narcan to students.\u003c/p>\n\u003cp>Every UC and Cal State has ordered Narcan from the state distribution project in the last two years, with the exception of CSU Maritime Academy. However, CSU Maritime said in an email statement that Narcan is available through their student health center.\u003c/p>\n\u003cp>Fourteen of California’s 72 physical community college districts were not represented in the data, but Narcan could still be on those campuses. Victor Valley College in San Bernardino County ordered Narcan through its police department, so the request was categorized as law enforcement. DeAnza College in Santa Clara County received its supply of Narcan from the county health department, according to college spokesperson Marisa Spatafore.\u003c/p>\n\u003ch2>Cal State Bakersfield gets the word out\u003c/h2>\n\u003cp>Hurtado represents much of Kern County, one of the deadliest counties for opioid-related overdoses among young people. In 2022, 15- to 19-year-olds in Kern County fatally overdosed on opioids at a rate three times higher than the statewide rate for the same age group, according to the California Department of Public Health. For 20- to 24-year-olds, the rate was twice as high.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://datawrapper.dwcdn.net/avb2V/7/\" width=\"800\" height=\"450\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>The county is home to Cal State Bakersfield, whose health education department has given its students about 60 boxes of Narcan since January 2023. After completing a short online training, students can drop by the campus health clinic to pick up the opioid reversal drug.\u003c/p>\n\u003cp>Lauren Hedlund, a health educator at Cal State Bakersfield, said her team gets the word out to students through tabling, activities, and flyers. They also bring Narcan directly to classrooms if an instructor requests it. The instructor showed the training video beforehand, and the health education team then visited the class to answer questions and hand out Narcan.\u003c/p>\n\u003cp>“It’s just making sure that I can reach as many students as possible so that they’re aware,” Hedlund said. She added that even if a student never needs the resources, they could know someone who does.\u003c/p>\n\u003ch2 id=\"h-some-colleges-lag-behind\" class=\"wp-block-heading\">Some colleges lag behind\u003c/h2>\n\u003cp>More than a year after the law went into effect, some colleges have yet to put Narcan in the hands of students. Elsewhere in Kern County, community colleges in Taft, Ridgecrest, and Bakersfield do not have a program for distributing Narcan to students. Bakersfield College is currently working on setting up a vending machine that would stock Narcan, menstrual products, and other health items, according to Marissa Perez, a medical assistant at the college.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"mindshift_62742,news_11975973,mindshift_62310,news_11969903\"]In the East Bay Area, Peralta Community College District received Narcan from the state early last year, but until recently, no efforts were made to make it available through the student health center. The district initially distributed Narcan to its security staff. No Narcan trainings have been held for students, although the safety department \u003ca href=\"https://peralta-edu.zoom.us/rec/play/pRx2NQk9vgqrJniy2Gu6qChwfHr9yyYN4FlNKHMq6D3CoXJobYui2rf8uJjOFrftvUL_OnbiXq4rqtD1.pwr82YrScr4Tq3dh?canPlayFromShare=true&from=share_recording_detail&startTime=1705616150000&componentName=rec-play&originRequestUrl=https%3A%2F%2Fperalta-edu.zoom.us%2Frec%2Fshare%2FopA52LARpVZiiOOvTconQzxZogVH5aFfHRUu17oxAAFUAZF87XhWEHLihfoKA4M6.NHj_aQT-bkukD_Ll%3FstartTime%3D1705616150000\">held a training this year\u003c/a> at an event for college employees.\u003c/p>\n\u003cp>Students can request a single packaged dose of Narcan through the district’s public safety office, according to a Feb. 14 announcement sent by Amy Marshall, the associate director of public safety. The email was sent to employees but not to students. Marshall informed CalMatters via email that the health center received Narcan on Feb. 20. However, the district’s associate vice chancellor of educational services, Tina Vasconcellos, clarified in an email to CalMatters that the Narcan would be for health center staff to use within the clinic and that they would not distribute Narcan to students.\u003c/p>\n\u003cp>A spokesperson from Hurtado’s office confirmed that even if a college has Narcan somewhere on campus, the school needs to offer it to students to comply with the law.\u003c/p>\n\u003ch2 id=\"h-uc-berkeley-students-steer-efforts\" class=\"wp-block-heading\">UC Berkeley students steer efforts\u003c/h2>\n\u003cp>Crushed after losing her close friend, McKernan dropped out of Seattle University and took a year off college to stay home in Sacramento. Now 21, she’s finding her footing as a transfer student at UC Berkeley, majoring in social welfare. She’s fervent about spreading harm reduction resources like Narcan, destigmatizing addiction, and addressing the deeper systemic issues that lead to addiction.\u003c/p>\n\u003cfigure id=\"attachment_11976749\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976749\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy.jpg\" alt='Students in a plaza with a tent and a banner outside that reads \"End Overdose.\"' width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">UC Berkeley End Overdose Co-Presidents Shannon McCabe (left) and Tyler Mahomes (right) pass out free fentanyl test strips at Sproul Plaza on campus in Berkeley on Jan. 23, 2024. \u003ccite>(Juliana Yamada for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At her former university, McKernan had tried to organize her fellow students around overdose prevention but struggled to find enough volunteers. So when she saw students from End Overdose’s UC Berkeley chapter handing out fentanyl test strips in Sproul Plaza on a recent afternoon, she asked immediately if she could join, offering to share infographics she’d made for social media.\u003c/p>\n\u003cp>Before her roommate’s death, she knew her household would benefit from Narcan, but she didn’t find out where to access it in time. “A lot of people, including myself, just learn about it too late,” McKernan said.\u003c/p>\n\u003cp>Tyler Mahomes, a legal studies major at UC Berkeley, founded the chapter of End Overdose last year. It’s one of the organization’s many college chapters across the United States, where students spread overdose prevention awareness and resources to fellow students. Mahomes’ team brings Narcan directly to fraternities and other student groups and works with his university to patch holes in their harm reduction efforts. For example, he notified the university when his dorm hadn’t been restocked with overdose safety kits containing Narcan.\u003c/p>\n\u003cfigure id=\"attachment_11976751\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976751\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy.jpg\" alt='A box of medicine and a pamphlet next to it that reads \"Free Fentanyl Testing Strips.\"' width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">A box of Narcan nasal spray at UC Berkeley student organization End Overdose’s table at Sproul Plaza on Jan. 23, 2024. The organization passes out free fentanyl test strips to students and gives other organizations training on Narcan usage. \u003ccite>(Juliana Yamada for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The students can even go where the university cannot. Last fall, the chapter volunteered at the Portola Music Festival in San Francisco to hand out Narcan to festivalgoers.\u003c/p>\n\u003cp>Students are receptive to End Overdose’s peer-to-peer, non-judgmental approach. “They don’t see us as this administrative force,” Mahomes said. “We’re students like them […] so they feel very comfortable.”\u003c/p>\n\u003cp>The approach has already seen some results. According to Mahomes, one student at a frat party recovered from an overdose after someone used Narcan provided by End Overdose.\u003c/p>\n\u003ch2 id=\"h-the-spark-that-went-out\" class=\"wp-block-heading\">The spark that went out\u003c/h2>\n\u003cp>Ellis, the purple-haired light of McKernan’s life, left behind her mother and an 8-year-old brother when fentanyl took her life. Her mother, Dionne Waltz, would find out two days later while driving to pick her son up from school.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Mel McKernan\"]‘[I]f you’re educated and you’re prepared, it’s so much less likely that you’re going to lose a life to overdose.’[/pullquote]Ellis was a “fireball,” Waltz recalled. She still misses her daughter’s kind and generous spirit. When they went out for coffee, Ellis would insist on covering the tab, even paying for the car behind them. Even though she didn’t make a lot of money, she’d always save up to buy her little brother something nice for Christmas.\u003c/p>\n\u003cp>Two years later, the initial shock has faded. Waltz still grieves her only daughter. But she sees flickers of her spark everywhere: in the sunsets, in the birds, and in anything bright pink, one of Ellis’ favorite colors.\u003c/p>\n\u003cp>“On the inside, there’s that hollow echo all the time,” Waltz said. “I think about her every single day.”\u003c/p>\n\u003cfigure id=\"attachment_11976756\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976756\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy.jpg\" alt=\"A mother and an 8-year-old daughter.\" width=\"1568\" height=\"1119\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-800x571.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-1020x728.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-160x114.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-1536x1096.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Dionne Waltz and Braedon Ellis. \u003ccite>(Courtesy of Dionne Waltz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When Ellis’ spark went out, another was lit. McKernan vowed not to lose another friend to an overdose. She believes that just starting a conversation about Narcan could save others.\u003c/p>\n\u003cp>“Because if you’re educated and you’re prepared, it’s so much less likely that you’re going to lose a life to overdose,” McKernan said.\u003c/p>\n\u003cp>\u003cem>Khan is a fellow with the \u003c/em>\u003ca href=\"http://www.calmatters.org/projects/college-journalism-network\">\u003cem>CalMatters College Journalism Network\u003c/em>\u003c/a>\u003cem>, a collaboration between CalMatters and student journalists from across California. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":true,"hasAudio":false,"hasPolis":false,"wordCount":2280,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":["https://datawrapper.dwcdn.net/lF7mD/12/","https://datawrapper.dwcdn.net/avb2V/7/"],"paragraphCount":45},"modified":1708648283,"excerpt":"The Campus Opioid Safety Act required colleges and universities to put the power of reversing fentanyl overdoses directly into the hands of students. Some campuses give out the life-saving nasal spray Narcan, while others do not.","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"The Campus Opioid Safety Act required colleges and universities to put the power of reversing fentanyl overdoses directly into the hands of students. Some campuses give out the life-saving nasal spray Narcan, while others do not.","title":"More California Colleges Provide Narcan Amid Ongoing Opioid Crisis | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"More California Colleges Provide Narcan Amid Ongoing Opioid Crisis","datePublished":"2024-02-23T04:00:30-08:00","dateModified":"2024-02-22T16:31:23-08:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"guestAuthors":[],"slug":"narcan-at-california-colleges-are-students-getting-overdose-medication","status":"publish","nprByline":"\u003ca href=\"https://calmatters.org/author/li-khan/\">Li Khan\u003c/a>","excludeFromSiteSearch":"Include","sticky":false,"showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11976740/narcan-at-california-colleges-are-students-getting-overdose-medication","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Mel McKernan moved in with her new roommate, Braedon Ellis, they bonded quickly. Every night, she would stay up until 1 a.m. just waiting for Ellis to get back from her job so they could watch TV together. McKernan, 19, was a second-year student at Seattle University. Ellis was 20 and working as a Domino’s delivery driver.\u003c/p>\n\u003cp>“She genuinely was the light of my life,” recalled McKernan, who has since transferred to UC Berkeley. “She had this beautiful purple hair. I felt like that was just an aura that she carried around with her.”\u003c/p>\n\u003cp>McKernan thought she had made a friend for life. The two young women lived with two other roommates in a beautiful waterfront house in Kenmore, Washington. But behind the walls, a darkness lurked. Their other roommates were addicted to fentanyl, an extremely potent synthetic opioid.\u003c/p>\n\u003cp>McKernan had braced herself for the possibility of losing a roommate. But she never expected it to be Ellis. Their magnetic connection severed when Ellis overdosed from a combination of drugs that included fentanyl.\u003c/p>\n\u003cp>“It completely changed my view on opioids,” McKernan said. “Because I was like, this could hit anyone. It can hit literally anyone.”\u003c/p>\n\u003cfigure id=\"attachment_11976746\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976746\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy.jpg\" alt=\"A young person with a red shirt eye makeup, shoulder-length hair and necklaces and a nose piercing, smiles at the camera.\" width=\"1568\" height=\"1174\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-copy-1536x1150.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Braedon Ellis. \u003ccite>(Courtesy of Dionne Waltz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fentanyl is now the leading cause of drug-related deaths nationwide. After a new wave of deadly overdoses among Californians 15 to 24 started to rise in 2019, lawmakers turned to California’s public colleges and universities to offer life-saving resources to its students.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Campus-Opioid-Safety-Act.aspx\">The Campus Opioid Safety Act\u003c/a>, which took effect Jan. 1, 2023, required campus health centers at most public colleges and universities to offer students free Narcan, a nasal spray that can reverse an opioid overdose. Some colleges and universities have since armed students with Narcan, but not all have followed suit.\u003c/p>\n\u003ch2>The rise of fentanyl deaths\u003c/h2>\n\u003cp>Today, when someone in the United States dies of a drug-related overdose, it’s \u003ca href=\"https://nida.nih.gov/publications/drugfacts/fentanyl#:~:text=Synthetic%20opioids%2C%20including%20fentanyl%2C%20are%20now%20the%20most%20common%20drugs%20involved%20in%C2%A0drug%20overdose%20deaths%C2%A0in%20the%20United%20States.\">usually linked to fentanyl\u003c/a>. That’s a change from \u003ca href=\"https://www.fda.gov/media/126835/download#page=2\">20 years ago\u003c/a>, when prescription opioids like OxyContin were the leading killer, according to Theo Krzywicki, founder and CEO of End Overdose, a national nonprofit based in Los Angeles aimed at eliminating drug-related overdose deaths, especially among teens and young adults.\u003c/p>\n\u003cp>“Fentanyl is a very different drug than OxyContin,” Krzywicki said. “The way people use it has changed.” Because fentanyl delivers a stronger and shorter-lived high than other opioids, people often use more of it, he said, and build up a tolerance to it quickly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For years, the opioid epidemic hit middle-aged Californians harder, but the new wave brought on a rise in death rates for teens and young adults. By 2021, teens 15 to 19 were five times as likely to die from an opioid overdose compared to 2019. For 20- to 24-year-olds, they were over three times as likely. Meanwhile, rates for adults between 25 and 75 years old roughly doubled in the same time frame.\u003c/p>\n\u003cp>Recently, opioid-related fatalities among the state’s young people have started to reverse. While death rates for adults 25 and over continue to rise, rates have declined for people under 25. Since 2021, per-capita rates for opioid-related overdose deaths dropped by over a third for Californians 15 to 19 and 20 to 24.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://datawrapper.dwcdn.net/lF7mD/12/\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Rising awareness could be what’s driving the recent decline, according to a statement from the Los Angeles County Department of Public Health. College-aged students increasingly use social media to spread information about the risks of fentanyl and where to find life-saving resources such as Narcan. Young people also tend to have stronger support systems and are less likely to use drugs alone, according to the statement.\u003c/p>\n\u003ch2>Lawmakers require colleges to combat the crisis\u003c/h2>\n\u003cp>Melissa Hurtado, a Democratic Central Valley state senator, introduced the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB367#:~:text=67384.%C2%A0(a,terms%20and%20conditions.\">Campus Opioid Safety Act\u003c/a>, or SB 367, in February 2021. She said she chose to target college campuses after hearing story after story of young people overdosing in her district.\u003c/p>\n\u003cp>“It was just such a serious threat,” Hurtado said. “And it still is.”\u003c/p>\n\u003cfigure id=\"attachment_11976753\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976753\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy.jpg\" alt=\"A Latina woman under a tent speaking.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/101922_Bakersfield_Election_LV_CM_03-CM-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Melissa Hurtado speaks at a press conference on Oct. 14, 2022. \u003ccite>(Larry Valenzuela/CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This January, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB461\">another law\u003c/a>, AB 461, went into effect that added fentanyl test strips to the requirements. Drug users can use the small paper strips to check if their supply contains fentanyl. Counterfeit prescription pills, made to look like OxyContin or Adderall, \u003ca href=\"https://www.dea.gov/alert/sharp-increase-fake-prescription-pills-containing-fentanyl-and-meth#:~:text=Some%20of%20the%20most%20common%20counterfeit%20pills%20are%20made%20to%20look%20like%20prescription%20opioids%20such%20as%20oxycodone%20(Oxycontin%C2%AE%2C%20Percocet%C2%AE)%2C%20hydrocodone%20(Vicodin%C2%AE)%2C%20and%20alprazolam%20(Xanax%C2%AE)%3B%20or%20stimulants%20like%20amphetamines%20(Adderall%C2%AE).\">often contain fentanyl\u003c/a>, according to the U.S. Drug Enforcement Administration.\u003c/p>\n\u003cp>The act requires campus health centers at California State University campuses and community colleges to order free Narcan through a state program called the \u003ca href=\"https://www.dhcs.ca.gov/individuals/Pages/Naloxone_Distribution_Project.aspx\">Naloxone Distribution Project\u003c/a>. Schools also must educate their students about preventing overdoses and let them know where they can find opioid overdose reversal medication. The law “requests” the University of California system to do the same, stopping short of a requirement because of the system’s \u003ca href=\"https://policy.ucop.edu/delegations-of-authority/california-constitution-article-9-education.html#:~:text=The%20university%20shall%20be%20entirely,%2C%20ethnic%20heritage%2C%20or%20sex.\">constitutional autonomy\u003c/a>.\u003c/p>\n\u003cp>At least 100 public colleges in California have Narcan somewhere on campus, according to data from the state distribution project that included a list of all applications from colleges and universities. Although not required by law, some private universities like Stanford also offer Narcan to students.\u003c/p>\n\u003cp>Every UC and Cal State has ordered Narcan from the state distribution project in the last two years, with the exception of CSU Maritime Academy. However, CSU Maritime said in an email statement that Narcan is available through their student health center.\u003c/p>\n\u003cp>Fourteen of California’s 72 physical community college districts were not represented in the data, but Narcan could still be on those campuses. Victor Valley College in San Bernardino County ordered Narcan through its police department, so the request was categorized as law enforcement. DeAnza College in Santa Clara County received its supply of Narcan from the county health department, according to college spokesperson Marisa Spatafore.\u003c/p>\n\u003ch2>Cal State Bakersfield gets the word out\u003c/h2>\n\u003cp>Hurtado represents much of Kern County, one of the deadliest counties for opioid-related overdoses among young people. In 2022, 15- to 19-year-olds in Kern County fatally overdosed on opioids at a rate three times higher than the statewide rate for the same age group, according to the California Department of Public Health. For 20- to 24-year-olds, the rate was twice as high.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://datawrapper.dwcdn.net/avb2V/7/\" width=\"800\" height=\"450\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>The county is home to Cal State Bakersfield, whose health education department has given its students about 60 boxes of Narcan since January 2023. After completing a short online training, students can drop by the campus health clinic to pick up the opioid reversal drug.\u003c/p>\n\u003cp>Lauren Hedlund, a health educator at Cal State Bakersfield, said her team gets the word out to students through tabling, activities, and flyers. They also bring Narcan directly to classrooms if an instructor requests it. The instructor showed the training video beforehand, and the health education team then visited the class to answer questions and hand out Narcan.\u003c/p>\n\u003cp>“It’s just making sure that I can reach as many students as possible so that they’re aware,” Hedlund said. She added that even if a student never needs the resources, they could know someone who does.\u003c/p>\n\u003ch2 id=\"h-some-colleges-lag-behind\" class=\"wp-block-heading\">Some colleges lag behind\u003c/h2>\n\u003cp>More than a year after the law went into effect, some colleges have yet to put Narcan in the hands of students. Elsewhere in Kern County, community colleges in Taft, Ridgecrest, and Bakersfield do not have a program for distributing Narcan to students. Bakersfield College is currently working on setting up a vending machine that would stock Narcan, menstrual products, and other health items, according to Marissa Perez, a medical assistant at the college.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"mindshift_62742,news_11975973,mindshift_62310,news_11969903"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In the East Bay Area, Peralta Community College District received Narcan from the state early last year, but until recently, no efforts were made to make it available through the student health center. The district initially distributed Narcan to its security staff. No Narcan trainings have been held for students, although the safety department \u003ca href=\"https://peralta-edu.zoom.us/rec/play/pRx2NQk9vgqrJniy2Gu6qChwfHr9yyYN4FlNKHMq6D3CoXJobYui2rf8uJjOFrftvUL_OnbiXq4rqtD1.pwr82YrScr4Tq3dh?canPlayFromShare=true&from=share_recording_detail&startTime=1705616150000&componentName=rec-play&originRequestUrl=https%3A%2F%2Fperalta-edu.zoom.us%2Frec%2Fshare%2FopA52LARpVZiiOOvTconQzxZogVH5aFfHRUu17oxAAFUAZF87XhWEHLihfoKA4M6.NHj_aQT-bkukD_Ll%3FstartTime%3D1705616150000\">held a training this year\u003c/a> at an event for college employees.\u003c/p>\n\u003cp>Students can request a single packaged dose of Narcan through the district’s public safety office, according to a Feb. 14 announcement sent by Amy Marshall, the associate director of public safety. The email was sent to employees but not to students. Marshall informed CalMatters via email that the health center received Narcan on Feb. 20. However, the district’s associate vice chancellor of educational services, Tina Vasconcellos, clarified in an email to CalMatters that the Narcan would be for health center staff to use within the clinic and that they would not distribute Narcan to students.\u003c/p>\n\u003cp>A spokesperson from Hurtado’s office confirmed that even if a college has Narcan somewhere on campus, the school needs to offer it to students to comply with the law.\u003c/p>\n\u003ch2 id=\"h-uc-berkeley-students-steer-efforts\" class=\"wp-block-heading\">UC Berkeley students steer efforts\u003c/h2>\n\u003cp>Crushed after losing her close friend, McKernan dropped out of Seattle University and took a year off college to stay home in Sacramento. Now 21, she’s finding her footing as a transfer student at UC Berkeley, majoring in social welfare. She’s fervent about spreading harm reduction resources like Narcan, destigmatizing addiction, and addressing the deeper systemic issues that lead to addiction.\u003c/p>\n\u003cfigure id=\"attachment_11976749\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976749\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy.jpg\" alt='Students in a plaza with a tent and a banner outside that reads \"End Overdose.\"' width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_15-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">UC Berkeley End Overdose Co-Presidents Shannon McCabe (left) and Tyler Mahomes (right) pass out free fentanyl test strips at Sproul Plaza on campus in Berkeley on Jan. 23, 2024. \u003ccite>(Juliana Yamada for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At her former university, McKernan had tried to organize her fellow students around overdose prevention but struggled to find enough volunteers. So when she saw students from End Overdose’s UC Berkeley chapter handing out fentanyl test strips in Sproul Plaza on a recent afternoon, she asked immediately if she could join, offering to share infographics she’d made for social media.\u003c/p>\n\u003cp>Before her roommate’s death, she knew her household would benefit from Narcan, but she didn’t find out where to access it in time. “A lot of people, including myself, just learn about it too late,” McKernan said.\u003c/p>\n\u003cp>Tyler Mahomes, a legal studies major at UC Berkeley, founded the chapter of End Overdose last year. It’s one of the organization’s many college chapters across the United States, where students spread overdose prevention awareness and resources to fellow students. Mahomes’ team brings Narcan directly to fraternities and other student groups and works with his university to patch holes in their harm reduction efforts. For example, he notified the university when his dorm hadn’t been restocked with overdose safety kits containing Narcan.\u003c/p>\n\u003cfigure id=\"attachment_11976751\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976751\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy.jpg\" alt='A box of medicine and a pamphlet next to it that reads \"Free Fentanyl Testing Strips.\"' width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/012324_Opioid-Safety_JY_CM_08-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">A box of Narcan nasal spray at UC Berkeley student organization End Overdose’s table at Sproul Plaza on Jan. 23, 2024. The organization passes out free fentanyl test strips to students and gives other organizations training on Narcan usage. \u003ccite>(Juliana Yamada for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The students can even go where the university cannot. Last fall, the chapter volunteered at the Portola Music Festival in San Francisco to hand out Narcan to festivalgoers.\u003c/p>\n\u003cp>Students are receptive to End Overdose’s peer-to-peer, non-judgmental approach. “They don’t see us as this administrative force,” Mahomes said. “We’re students like them […] so they feel very comfortable.”\u003c/p>\n\u003cp>The approach has already seen some results. According to Mahomes, one student at a frat party recovered from an overdose after someone used Narcan provided by End Overdose.\u003c/p>\n\u003ch2 id=\"h-the-spark-that-went-out\" class=\"wp-block-heading\">The spark that went out\u003c/h2>\n\u003cp>Ellis, the purple-haired light of McKernan’s life, left behind her mother and an 8-year-old brother when fentanyl took her life. Her mother, Dionne Waltz, would find out two days later while driving to pick her son up from school.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘[I]f you’re educated and you’re prepared, it’s so much less likely that you’re going to lose a life to overdose.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Mel McKernan","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Ellis was a “fireball,” Waltz recalled. She still misses her daughter’s kind and generous spirit. When they went out for coffee, Ellis would insist on covering the tab, even paying for the car behind them. Even though she didn’t make a lot of money, she’d always save up to buy her little brother something nice for Christmas.\u003c/p>\n\u003cp>Two years later, the initial shock has faded. Waltz still grieves her only daughter. But she sees flickers of her spark everywhere: in the sunsets, in the birds, and in anything bright pink, one of Ellis’ favorite colors.\u003c/p>\n\u003cp>“On the inside, there’s that hollow echo all the time,” Waltz said. “I think about her every single day.”\u003c/p>\n\u003cfigure id=\"attachment_11976756\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976756\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy.jpg\" alt=\"A mother and an 8-year-old daughter.\" width=\"1568\" height=\"1119\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-800x571.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-1020x728.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-160x114.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/021624-Braedon-Ellis-CM-03-scaled-copy-1536x1096.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Dionne Waltz and Braedon Ellis. \u003ccite>(Courtesy of Dionne Waltz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When Ellis’ spark went out, another was lit. McKernan vowed not to lose another friend to an overdose. She believes that just starting a conversation about Narcan could save others.\u003c/p>\n\u003cp>“Because if you’re educated and you’re prepared, it’s so much less likely that you’re going to lose a life to overdose,” McKernan said.\u003c/p>\n\u003cp>\u003cem>Khan is a fellow with the \u003c/em>\u003ca href=\"http://www.calmatters.org/projects/college-journalism-network\">\u003cem>CalMatters College Journalism Network\u003c/em>\u003c/a>\u003cem>, a collaboration between CalMatters and student journalists from across California. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976740/narcan-at-california-colleges-are-students-getting-overdose-medication","authors":["byline_news_11976740"],"categories":["news_8"],"tags":["news_26003","news_20013","news_27626","news_23051","news_30252","news_30965","news_22774","news_33765"],"affiliates":["news_18481"],"featImg":"news_11976745","label":"news_18481"},"news_11975973":{"type":"posts","id":"news_11975973","meta":{"index":"posts_1716263798","site":"news","id":"11975973","score":null,"sort":[1708034400000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1708034400,"format":"standard","title":"Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond","headTitle":"Biden’s Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond | KQED","content":"\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>[aside label=\"more on the overdose crisis\" tag=\"fentanyl\"]Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1111,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":27},"modified":1708043602,"excerpt":"Dr. Rahul Gupta spoke to KQED about a recent rule change making it easier to access opioid-addiction treatments and what the administration is doing to help reduce overdose deaths in San Francisco and other areas gripped by the crisis. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Dr. Rahul Gupta spoke to KQED about a recent rule change making it easier to access opioid-addiction treatments and what the administration is doing to help reduce overdose deaths in San Francisco and other areas gripped by the crisis. ","title":"Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond","datePublished":"2024-02-15T14:00:00-08:00","dateModified":"2024-02-15T16:33:22-08:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"guestAuthors":[],"slug":"bidens-drug-czar-shares-vision-for-tackling-the-opioid-overdose-crisis-in-san-francisco-and-beyond","status":"publish","excludeFromSiteSearch":"Include","sticky":false,"articleAge":"0","path":"/news/11975973/bidens-drug-czar-shares-vision-for-tackling-the-opioid-overdose-crisis-in-san-francisco-and-beyond","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more on the overdose crisis ","tag":"fentanyl"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11975973/bidens-drug-czar-shares-vision-for-tackling-the-opioid-overdose-crisis-in-san-francisco-and-beyond","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_25968","news_25959","news_27626","news_23051","news_18543","news_31709","news_33046"],"featImg":"news_11975995","label":"news"}},"programsReducer":{"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. 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You ask the questions. You decide what Bay Curious investigates. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. 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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>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","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.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","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. 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