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He is also a founding member of the Vallejo Sun.","avatar":"https://secure.gravatar.com/avatar/d1014d604089314a94807d2c4f2d3e06?s=600&d=blank&r=g","twitter":"citizenkrans","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["author"]}],"headData":{"title":"Brian Krans | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/d1014d604089314a94807d2c4f2d3e06?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/d1014d604089314a94807d2c4f2d3e06?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/bkrans"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_12000161":{"type":"posts","id":"news_12000161","meta":{"index":"posts_1716263798","site":"news","id":"12000161","score":null,"sort":[1723663212000]},"guestAuthors":[],"slug":"san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic","title":"San Francisco Overdose Deaths Fall to Lowest Level Since Pre-Pandemic","publishDate":1723663212,"format":"standard","headTitle":"San Francisco Overdose Deaths Fall to Lowest Level Since Pre-Pandemic | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/overdose-deaths\">overdose deaths\u003c/a> last month reached a four-year low, falling to a level not seen since before the COVID-19 pandemic, according to preliminary data released Wednesday by the medical examiner’s office.\u003c/p>\n\u003cp>The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020. That represents a 50% year-over-year reduction from last July, when 79 overdoses were reported.\u003c/p>\n\u003cp>The decline continues a trend seen in the first half of the year, offering some hope after 2023 marked the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year on record for overdoses in San Francisco\u003c/a>, with 810. Through June, the city was still on track to get close to last year’s total, but after July, the annual figure is on pace to be 706 — lower than in 2023 and 2020, the year with the second-highest total.\u003c/p>\n\u003cp>July was the fourth consecutive month with a year-over-year decline in overdose deaths after June’s total marked the lowest monthly figure since 2022.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This year to date, overdose deaths are 15% lower than they were during the same period last year.\u003c/p>\n\u003cp>Policy expert Keith Humphreys told KQED last month that the trend was\u003ca href=\"https://www.kqed.org/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline\"> likely due to factors reflected in the national decline\u003c/a> of overdose deaths — like fading heroin use and the waning COVID-19 pandemic, which he said likely accelerated some overdose deaths that otherwise could have occurred years later.\u003c/p>\n\u003cp>While health officials called the drop in deaths a “hopeful sign,” they said wider access to overdose-preventing medications is still needed.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“California needs to make more regulatory changes around methadone access in order to make a greater impact locally,” Dr. Grant Colfax, the director of the San Francisco Department of Public Health, said during a press conference on Wednesday. “We must continue to break down the outdated and cumbersome and, frankly, sometimes ridiculous bureaucratic barriers that make treatment hard to access and to maintain.”\u003c/p>\n\u003cp>He said that methadone and buprenorphine, synthetic opioids used to treat opioid use disorder, reduce the risk of death by up to 50% in some cases and reduce cravings and withdrawal symptoms. Currently, more than 2,500 people are in methadone treatment through the Department of Public Health.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_11997957 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230831-SAFE-USE-POP-UP-MD-04-KQED-1020x680.jpg']\u003c/span>\u003c/p>\n\u003cp>Dr. Hillary Kunins, the city’s director of behavioral health, said that methadone is the most regulated medication in the country.\u003c/p>\n\u003cp>“The stigma and barriers caused by this overregulation prevent people from entering and staying in treatment,” she said. “Can you imagine requiring a person who has heart disease to be physically present at a special cardiac clinic every day to take their medication? That’s what new methadone patients need to do to get their daily medication.”\u003c/p>\n\u003cp>In California, methadone can only be dispensed from a licensed opioid treatment program or methadone clinic.\u003c/p>\n\u003cp>New federal policy changes make the treatments more accessible. Patients can initiate methadone treatment via telehealth and receive up to three days’ worth of methadone from a hospital at a time. They can also be prescribed methadone by a nurse practitioner or physician’s assistant and get the treatments from a hospital or other health clinic.\u003c/p>\n\u003cp>Assembly Bill 2115, written by Assemblymember Matt Haney (D-San Francisco), would align California with the federal regulations.\u003c/p>\n\u003cp>“The state must adopt the federal rules before people wanting to start methadone treatment can benefit,” Kunins said. “We implore our California state legislators to pass AB 2115. Making methadone more accessible in California will save lives.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020, offering some hope amid the opioid crisis.","status":"publish","parent":0,"modified":1723665681,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":669},"headData":{"title":"San Francisco Overdose Deaths Fall to Lowest Level Since Pre-Pandemic | KQED","description":"The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020, offering some hope amid the opioid crisis.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Overdose Deaths Fall to Lowest Level Since Pre-Pandemic","datePublished":"2024-08-14T12:20:12-07:00","dateModified":"2024-08-14T13:01:21-07:00","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-12000161","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/12000161/san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/overdose-deaths\">overdose deaths\u003c/a> last month reached a four-year low, falling to a level not seen since before the COVID-19 pandemic, according to preliminary data released Wednesday by the medical examiner’s office.\u003c/p>\n\u003cp>The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020. That represents a 50% year-over-year reduction from last July, when 79 overdoses were reported.\u003c/p>\n\u003cp>The decline continues a trend seen in the first half of the year, offering some hope after 2023 marked the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year on record for overdoses in San Francisco\u003c/a>, with 810. Through June, the city was still on track to get close to last year’s total, but after July, the annual figure is on pace to be 706 — lower than in 2023 and 2020, the year with the second-highest total.\u003c/p>\n\u003cp>July was the fourth consecutive month with a year-over-year decline in overdose deaths after June’s total marked the lowest monthly figure since 2022.\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>This year to date, overdose deaths are 15% lower than they were during the same period last year.\u003c/p>\n\u003cp>Policy expert Keith Humphreys told KQED last month that the trend was\u003ca href=\"https://www.kqed.org/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline\"> likely due to factors reflected in the national decline\u003c/a> of overdose deaths — like fading heroin use and the waning COVID-19 pandemic, which he said likely accelerated some overdose deaths that otherwise could have occurred years later.\u003c/p>\n\u003cp>While health officials called the drop in deaths a “hopeful sign,” they said wider access to overdose-preventing medications is still needed.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“California needs to make more regulatory changes around methadone access in order to make a greater impact locally,” Dr. Grant Colfax, the director of the San Francisco Department of Public Health, said during a press conference on Wednesday. “We must continue to break down the outdated and cumbersome and, frankly, sometimes ridiculous bureaucratic barriers that make treatment hard to access and to maintain.”\u003c/p>\n\u003cp>He said that methadone and buprenorphine, synthetic opioids used to treat opioid use disorder, reduce the risk of death by up to 50% in some cases and reduce cravings and withdrawal symptoms. Currently, more than 2,500 people are in methadone treatment through the Department of Public Health.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11997957","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/08/230831-SAFE-USE-POP-UP-MD-04-KQED-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Dr. Hillary Kunins, the city’s director of behavioral health, said that methadone is the most regulated medication in the country.\u003c/p>\n\u003cp>“The stigma and barriers caused by this overregulation prevent people from entering and staying in treatment,” she said. “Can you imagine requiring a person who has heart disease to be physically present at a special cardiac clinic every day to take their medication? That’s what new methadone patients need to do to get their daily medication.”\u003c/p>\n\u003cp>In California, methadone can only be dispensed from a licensed opioid treatment program or methadone clinic.\u003c/p>\n\u003cp>New federal policy changes make the treatments more accessible. Patients can initiate methadone treatment via telehealth and receive up to three days’ worth of methadone from a hospital at a time. They can also be prescribed methadone by a nurse practitioner or physician’s assistant and get the treatments from a hospital or other health clinic.\u003c/p>\n\u003cp>Assembly Bill 2115, written by Assemblymember Matt Haney (D-San Francisco), would align California with the federal regulations.\u003c/p>\n\u003cp>“The state must adopt the federal rules before people wanting to start methadone treatment can benefit,” Kunins said. “We implore our California state legislators to pass AB 2115. Making methadone more accessible in California will save lives.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/12000161/san-francisco-overdose-deaths-fall-to-lowest-level-since-pre-pandemic","authors":["11913"],"categories":["news_457","news_8"],"tags":["news_25968","news_30249","news_27626","news_18543","news_25617","news_31709","news_29747","news_19960","news_38"],"featImg":"news_12000164","label":"news"},"news_11995842":{"type":"posts","id":"news_11995842","meta":{"index":"posts_1716263798","site":"news","id":"11995842","score":null,"sort":[1721214045000]},"guestAuthors":[],"slug":"san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline","title":"San Francisco Overdose Deaths Are At Nearly 2-Year Low. What’s Behind the Decline?","publishDate":1721214045,"format":"standard","headTitle":"San Francisco Overdose Deaths Are At Nearly 2-Year Low. What’s Behind the Decline? | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco saw its lowest monthly number of fatal overdoses in nearly two years in June, officials announced Monday, offering slight good news as the city \u003ca href=\"https://www.kqed.org/news/11991538/san-francisco-attributes-lower-drug-deaths-to-microdosing-addiction-medication\">battles a severe overdose crisis\u003c/a>.\u003c/p>\n\u003cp>According to preliminary data \u003ca href=\"https://www.sf.gov/sites/default/files/2024-07/2024%2007_OCME%20Overdose%20Report.pdf\">from the medical examiner’s office\u003c/a>, 48 people died of accidental overdoses last month. That’s down more than 15% from 57 deaths in June of last year, and it represents the lowest monthly total since July 2022, when the city reported 43 overdose deaths.\u003c/p>\n\u003cp>The data also show a decrease in overdose deaths in the first half of the year compared to 2023. While public health officials say the “heartening” numbers could result from citywide programs, a policy expert said wider drug use trends are likely making the difference.\u003c/p>\n\u003cp>Dr. Hillary Kunins, the director of behavioral health at the San Francisco Department of Public Health, spoke about the city’s increased access in recent months to the overdose-reversing medicine Narcan, as well as more street care teams and both telehealth and in-person treatment while announcing the June overdose data on Monday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>However, Keith Humphreys, a drug policy expert and professor at Stanford University, believes that the downward trend likely has little to do with citywide policies.\u003c/p>\n\u003cp>“There’s certainly some sensible things going on — the biggest one: making anti-overdose medication widely available to as many people as possible,” he told KQED. “We’ve been doing that for years at a pretty high level — the good that did was baked in already, so I don’t think that would explain a change like this.”\u003c/p>\n\u003cp>Instead, Humphreys said, the trajectory mirrors \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2024/20240515.htm#:~:text=Provisional%20data%20from%20CDC's%20National,111%2C029%20deaths%20estimated%20in%202022.\">national data\u003c/a> and likely suggests that more people who are using fentanyl are doing so knowingly rather than suffering “surprise overdoses” when they thought they were using another drug.\u003c/p>\n\u003cp>He pointed to a spike in overdose deaths that began around the time of the COVID-19 pandemic. In 2020, the city saw a then-record 726 deaths, according to data from the office of the medical examiner. That number dipped a bit in 2021 and 2022, though overdoses remained above pre-pandemic levels, and last year surpassed 2020 as the city’s \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year\u003c/a> on record with 810 deaths.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF drug overdose deaths, Jan.-June 2023/2024 \" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-tGJps\" src=\"https://datawrapper.dwcdn.net/tGJps/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"547\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>So far, there have been 374 overdose-related deaths in 2024. The figure is slightly lower than the number of deaths recorded during the same period in 2023, but it is still on track to come close to the year’s staggering total.\u003c/p>\n\u003cp>Humphreys said that the small reduction was not surprising, given that pandemic restrictions — \u003ca href=\"https://www.kqed.org/news/11973108/how-long-to-isolate-with-covid-in-2024-california-now-says-that-depends-on-symptoms\">though not COVID-19 infections\u003c/a> — have all but completely wound down. Nationwide, annual overdose deaths decreased last year for the first time since 2018.\u003c/p>\n\u003cp>“During the pandemic, we had increases [in overdoses] beyond anything we’ve had in the history of our country,” he said. “Which I think said a lot about the impact of isolation, stress, the destruction of social opportunities, the loss of jobs, all those kinds of things. Now, we’re getting the other side of it … the restoration of all those things is going to be good for human health,” including drug use and overdose.\u003c/p>\n\u003cp>Kunins agreed that the pandemic led to a spike in overdose deaths and “worsened health outcomes.”\u003c/p>\n\u003cp>The hopeful trajectory is also likely a reflection of heroin’s diminished presence in the illicit drug market, according to Humphreys. High numbers of heroin users suffered accidental fentanyl overdoses in recent years, according to Humphreys.\u003c/p>\n\u003cp>“When heroin is completely gone, people will know that what is being bought and sold is fentanyl,” he told KQED, noting that San Francisco is not at that point yet.\u003c/p>\n\u003cp>“We had a lot of surprise overdoses three years ago in San Francisco, a lot of people who didn’t think they were going to be exposed but were. Now we’re getting to a point where almost no one is surprised, and that should reduce overdoses.”[aside postID=news_11991538 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-955608454-1020x680.jpg']Fentanyl entered the drug market on the West Coast just before the pandemic, Kunins said. In the following years, heroin has made up a shrinking portion of overall overdose deaths. In 2020, 93 of the overdoses reported by the city involved heroin, nearly 12%. So far, in 2024, 20 overdoses included opioids, making up only about 5% of the total.\u003c/p>\n\u003cp>Despite the slight downturn in overall deaths, Kunins said overdose “is very much a crisis in our city and our country.”\u003c/p>\n\u003cp>How officials want to handle the crisis is expected to play a large role in city elections this fall. Three leading mayoral candidates — Mayor London Breed, former Mayor Mark Farrell and Levi Strauss heir Daniel Lurie — have all supported tougher policies surrounding drug use.\u003c/p>\n\u003cp>Farrell previously called for California National Guard members to be deployed in highly trafficked areas, like the Tenderloin and SoMa neighborhoods, and Lurie has expressed support for compelling drug users to enter treatment. In March, Breed placed two measures on citywide ballots expanding police powers and increasing screening and treatment requirements for drug users receiving welfare and touted increased drug-related arrests in May.\u003c/p>\n\u003cp>Both Humphreys and Kunins cautioned against implementing harsher policies. Humphreys said bringing in outside law enforcement likely wouldn’t be effective, while Kunins said that DPH’s priority is expanding treatment, not limiting it.\u003c/p>\n\u003cp>“Many of the regulations and structures surrounding access to medications for addiction treatment that are at the federal and state level really serve to limit access to treatments,” Kunins said. “Our goal is to decrease barriers into care, make it easier and more appealing for people to get into treatment, and to reach our overall goal of saving lives and supporting people to get into recovery.”\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"San Francisco reported 48 accidental overdose deaths in June. Though public health officials cited citywide programs, an expert says wider drug use trends are likely at play.","status":"publish","parent":0,"modified":1721175304,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://datawrapper.dwcdn.net/tGJps/1/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1007},"headData":{"title":"San Francisco Overdose Deaths Are At Nearly 2-Year Low. What’s Behind the Decline? | KQED","description":"San Francisco reported 48 accidental overdose deaths in June. Though public health officials cited citywide programs, an expert says wider drug use trends are likely at play.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Overdose Deaths Are At Nearly 2-Year Low. What’s Behind the Decline?","datePublished":"2024-07-17T04:00:45-07:00","dateModified":"2024-07-16T17:15:04-07:00","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/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco saw its lowest monthly number of fatal overdoses in nearly two years in June, officials announced Monday, offering slight good news as the city \u003ca href=\"https://www.kqed.org/news/11991538/san-francisco-attributes-lower-drug-deaths-to-microdosing-addiction-medication\">battles a severe overdose crisis\u003c/a>.\u003c/p>\n\u003cp>According to preliminary data \u003ca href=\"https://www.sf.gov/sites/default/files/2024-07/2024%2007_OCME%20Overdose%20Report.pdf\">from the medical examiner’s office\u003c/a>, 48 people died of accidental overdoses last month. That’s down more than 15% from 57 deaths in June of last year, and it represents the lowest monthly total since July 2022, when the city reported 43 overdose deaths.\u003c/p>\n\u003cp>The data also show a decrease in overdose deaths in the first half of the year compared to 2023. While public health officials say the “heartening” numbers could result from citywide programs, a policy expert said wider drug use trends are likely making the difference.\u003c/p>\n\u003cp>Dr. Hillary Kunins, the director of behavioral health at the San Francisco Department of Public Health, spoke about the city’s increased access in recent months to the overdose-reversing medicine Narcan, as well as more street care teams and both telehealth and in-person treatment while announcing the June overdose data on Monday.\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>However, Keith Humphreys, a drug policy expert and professor at Stanford University, believes that the downward trend likely has little to do with citywide policies.\u003c/p>\n\u003cp>“There’s certainly some sensible things going on — the biggest one: making anti-overdose medication widely available to as many people as possible,” he told KQED. “We’ve been doing that for years at a pretty high level — the good that did was baked in already, so I don’t think that would explain a change like this.”\u003c/p>\n\u003cp>Instead, Humphreys said, the trajectory mirrors \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2024/20240515.htm#:~:text=Provisional%20data%20from%20CDC's%20National,111%2C029%20deaths%20estimated%20in%202022.\">national data\u003c/a> and likely suggests that more people who are using fentanyl are doing so knowingly rather than suffering “surprise overdoses” when they thought they were using another drug.\u003c/p>\n\u003cp>He pointed to a spike in overdose deaths that began around the time of the COVID-19 pandemic. In 2020, the city saw a then-record 726 deaths, according to data from the office of the medical examiner. That number dipped a bit in 2021 and 2022, though overdoses remained above pre-pandemic levels, and last year surpassed 2020 as the city’s \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year\u003c/a> on record with 810 deaths.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"SF drug overdose deaths, Jan.-June 2023/2024 \" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-tGJps\" src=\"https://datawrapper.dwcdn.net/tGJps/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"800\" height=\"547\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>So far, there have been 374 overdose-related deaths in 2024. The figure is slightly lower than the number of deaths recorded during the same period in 2023, but it is still on track to come close to the year’s staggering total.\u003c/p>\n\u003cp>Humphreys said that the small reduction was not surprising, given that pandemic restrictions — \u003ca href=\"https://www.kqed.org/news/11973108/how-long-to-isolate-with-covid-in-2024-california-now-says-that-depends-on-symptoms\">though not COVID-19 infections\u003c/a> — have all but completely wound down. Nationwide, annual overdose deaths decreased last year for the first time since 2018.\u003c/p>\n\u003cp>“During the pandemic, we had increases [in overdoses] beyond anything we’ve had in the history of our country,” he said. “Which I think said a lot about the impact of isolation, stress, the destruction of social opportunities, the loss of jobs, all those kinds of things. Now, we’re getting the other side of it … the restoration of all those things is going to be good for human health,” including drug use and overdose.\u003c/p>\n\u003cp>Kunins agreed that the pandemic led to a spike in overdose deaths and “worsened health outcomes.”\u003c/p>\n\u003cp>The hopeful trajectory is also likely a reflection of heroin’s diminished presence in the illicit drug market, according to Humphreys. High numbers of heroin users suffered accidental fentanyl overdoses in recent years, according to Humphreys.\u003c/p>\n\u003cp>“When heroin is completely gone, people will know that what is being bought and sold is fentanyl,” he told KQED, noting that San Francisco is not at that point yet.\u003c/p>\n\u003cp>“We had a lot of surprise overdoses three years ago in San Francisco, a lot of people who didn’t think they were going to be exposed but were. Now we’re getting to a point where almost no one is surprised, and that should reduce overdoses.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11991538","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-955608454-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Fentanyl entered the drug market on the West Coast just before the pandemic, Kunins said. In the following years, heroin has made up a shrinking portion of overall overdose deaths. In 2020, 93 of the overdoses reported by the city involved heroin, nearly 12%. So far, in 2024, 20 overdoses included opioids, making up only about 5% of the total.\u003c/p>\n\u003cp>Despite the slight downturn in overall deaths, Kunins said overdose “is very much a crisis in our city and our country.”\u003c/p>\n\u003cp>How officials want to handle the crisis is expected to play a large role in city elections this fall. Three leading mayoral candidates — Mayor London Breed, former Mayor Mark Farrell and Levi Strauss heir Daniel Lurie — have all supported tougher policies surrounding drug use.\u003c/p>\n\u003cp>Farrell previously called for California National Guard members to be deployed in highly trafficked areas, like the Tenderloin and SoMa neighborhoods, and Lurie has expressed support for compelling drug users to enter treatment. In March, Breed placed two measures on citywide ballots expanding police powers and increasing screening and treatment requirements for drug users receiving welfare and touted increased drug-related arrests in May.\u003c/p>\n\u003cp>Both Humphreys and Kunins cautioned against implementing harsher policies. Humphreys said bringing in outside law enforcement likely wouldn’t be effective, while Kunins said that DPH’s priority is expanding treatment, not limiting it.\u003c/p>\n\u003cp>“Many of the regulations and structures surrounding access to medications for addiction treatment that are at the federal and state level really serve to limit access to treatments,” Kunins said. “Our goal is to decrease barriers into care, make it easier and more appealing for people to get into treatment, and to reach our overall goal of saving lives and supporting people to get into recovery.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline","authors":["11913"],"categories":["news_8"],"tags":["news_28991","news_18543","news_31709","news_29747","news_19960","news_38"],"featImg":"news_11995962","label":"news"},"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":1724432086,"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":"2024-08-23T09:54:46-07:00","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-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":["11923"],"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_11986128":{"type":"posts","id":"news_11986128","meta":{"index":"posts_1716263798","site":"news","id":"11986128","score":null,"sort":[1715722286000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1715722286,"format":"standard","title":"San Francisco Doctors Call for Urgent Public Health Response to Overdose Epidemic","headTitle":"San Francisco Doctors Call for Urgent Public Health Response to Overdose Epidemic | KQED","content":"\u003cp>About a dozen physicians and overdose prevention advocates rallied on the steps of San Francisco’s Chief Medical Examiner’s office on Tuesday, demanding that the government do more to address the city’s overdose epidemic.\u003c/p>\n\u003cp>Tuesday’s action comes as San Francisco continues to face a surge in overdose deaths, largely driven by fentanyl, an opioid about 50 times stronger than heroin. More than \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">3,000 people have died from accidental drug overdose\u003c/a> in San Francisco since January 2020, including more than 200 in 2024 alone, according to data from the \u003ca href=\"https://www.sf.gov/resource/2020/ocme-accidental-overdose-reports?_gl=1*63hju*_ga*MTk2Mzg5NzE0NS4xNzE0Njc0NTIx*_ga_BT9NDE0NFC*MTcxNTcwNTY1MS40LjAuMTcxNTcwNTY1MS4wLjAuMA..*_ga_63SCS846YP*MTcxNTcwNTY1MS40LjAuMTcxNTcwNTY1MS4wLjAuMA..\">Office of the Chief Medical Examiner\u003c/a>.\u003c/p>\n\u003cp>“Three thousand deaths is an inconvenient truth. This highlights 3,000 failures and highlights how we are not listening to policy experts and doctors,” said Dr. Dan Ciccarone, who specializes in addiction medicine at the University of California, San Francisco, outside the medical examiner’s office near the Hunters Point neighborhood.\u003c/p>\n\u003cp>City leaders have rolled out several different interventions targeting the crisis in recent years. Efforts included \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">a short-lived safe consumption site\u003c/a> in 2022, along with increased distribution of drug test strips and \u003ca href=\"https://www.kqed.org/news/11944267/newsom-doubles-down-on-naloxone-distribution-in-new-master-plan-to-curb-overdose-deaths\">opioid overdose reversal medicine called Narcan\u003c/a>. The city has also \u003ca href=\"https://www.kqed.org/news/11976655/sf-close-to-goal-of-400-new-residential-treatment-beds-but-obstacles-to-care-remain\">opened additional behavioral health beds\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11970663/san-franciscos-hope-for-expanding-supportive-housing-treasure-island\">supportive step-down housing\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Experts on Tuesday pointed to how overdose rates in San Francisco rapidly increased shortly following the closure of the Tenderloin Center, the drop-in social services center and safe consumption site that operated in Civic Center for nearly 10 months. There, more than 300 overdoses were reversed, and no deaths occurred.\u003c/p>\n\u003cp>“The fact that the Tenderloin Center closed after nine months is a crying shame,” Ciccarone said.\u003c/p>\n\u003cp>He added that a similar site in Melbourne, Australia, faced similar pushback from conservatives and business leaders. However, it became an accepted and embraced approach after five years of working with the community, police and other stakeholders.\u003c/p>\n\u003cp>Parallel to those public health interventions have been efforts to ramp up policing and other punitive approaches to the illicit drug economy. In 2023, San Francisco Police arrested more than 900 people for drug dealing in the Tenderloin and South of Market neighborhoods — double the year prior — according to \u003ca href=\"https://www.sf.gov/news/san-francisco-issues-six-month-update-operation-dismantle-open-air-drug-markets#:~:text=In%202023%20overall%2C%20SFPD%20officers,year%20to%20date%20since%202018.\">city data\u003c/a>. SFPD also made nearly 800 arrests for public intoxication and drug use in 2023.\u003c/p>\n\u003cfigure id=\"attachment_11986151\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11986151\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Ako Jacintho, director of addiction medicine at HealthRight360, speaks at an overdose prevention rally in front of the Office of the Chief Medical Examiner on May 14, 2024. \u003ccite>(Sydney Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In addition, Mayor London Breed and Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">sent the National Guard to assist local police\u003c/a> and the District Attorney in \u003ca href=\"https://www.kqed.org/news/11965813/sf-wants-to-charge-drug-dealers-with-homicide-but-could-it-lead-to-more-overdose-deaths\">investigating opioid-related deaths as homicide\u003c/a> cases last year.\u003c/p>\n\u003cp>“We are bringing together local, state and federal law enforcement to coordinate and hold those breaking the law in our city accountable,” Breed said in a press statement about the 2023 blitz. “We want people who need support to get help, and we will continue to offer people second chances, but San Francisco can’t be a place where anything goes and allow harmful behaviors to become the norm.”\u003c/p>\n\u003cp>But advocates say what’s needed are more public health-based strategies, like low-barrier treatment, affordable and supportive housing, and \u003ca href=\"https://www.kqed.org/news/11959803/in-act-of-civil-disobedience-activists-set-up-safe-drug-consumption-site-in-san-francisco\">safe consumption services\u003c/a>, rather than police crackdowns. On Tuesday, several said that the city’s law enforcement push has had \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">unintended consequences that can exacerbate overdose deaths\u003c/a>.\u003c/p>\n\u003cp>“We are putting people at risk, and this is a policy decision,” said Fabian Fernandez, a medical student at UCSF, at Tuesday’s rally.\u003c/p>\n\u003cfigure id=\"attachment_11986152\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11986152\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Doctors, attorneys and community advocates rally outside the Office of the Chief Medical Examiner, calling for more public health approaches to rising overdose rates on May 14, 2024. \u003ccite>(Sydney Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2955973/\">Studies\u003c/a> have shown that a person’s chances of overdose can \u003ca href=\"https://stacks.cdc.gov/view/cdc/145946/cdc_145946_DS1.pdf\">significantly increase\u003c/a> following an arrest and release from jail. Other critics of the city’s more aggressive law enforcement approaches say it can disrupt markets and cause some users to seek drugs elsewhere, \u003ca href=\"https://www.npr.org/2023/07/05/1183172045/fentanyl-drug-busts-overdose-police-dealers-trafficking-indianapolis\">creating opportunities for riskier use\u003c/a>.\u003c/p>\n\u003cp>Speakers on Tuesday said increasing supportive housing, treatment and services like safe consumption sites have cost-savings potential, too.\u003c/p>\n\u003cp>One study estimates \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">that San Francisco could save a minimum of $2.6 million\u003c/a> if it were to offer places where people could use drugs more safely and out of the public, as opposed to downstream interventions like jail and emergency services. A 2023 study looking at the wider community impacts of a safe consumption site in New York City also found that\u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811766\"> the facility did \u003cem>not \u003c/em>contribute\u003c/a> to increased drug use or crime in the surrounding area. Instead, it offered a place for people to use drugs out of the public way more safely. [aside postID=news_11972898 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-06-qut-1020x680.jpg']Organizations calling for more public health responses at the demonstration included the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/vJomCo2OEkuvQVVXI1Iulr?domain=youngwomenfree.org\">Young Women’s Freedom Center\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/SI2yCpYzGliA700zsDx1YR?domain=drugpolicy.org\">Drug Policy Alliance\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/ZEFZCqx2JmsXVyyOfQhNrY?domain=sfpublicdefender.org\">SF Public Defender’s Office\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/4p29CrkYKnf2WRRACyI8TN?domain=harmreductiontherapy.org\">The Harm Reduction Therapy Center\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/2sV5Cv2jOruARnnWsot4PT?domain=healthright360.org\">HealthRIGHT 360\u003c/a> and the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/TlpFCwpkPvsy2EELu8aQ0V?domain=donoharmcoalition.org\">Do No Harm Coalition\u003c/a>.\u003c/p>\n\u003cp>However, politics has thwarted efforts to open a safe consumption site and other approaches that public health experts call for.\u003c/p>\n\u003cp>In 2022, Newsom vetoed a bill that would have allowed San Francisco and two other major California cities to pilot such a facility. The initiative was part of the overdose response strategy in more than 200 places around the globe, including France, Denmark, Canada, Australia, Switzerland and others. In these facilities, people can use drugs and trained staff can reverse an overdose if it occurs while also connecting people with other health and social services.\u003c/p>\n\u003cp>Government and community leaders have tried to prop up a safe consumption site using private funding as well as funds from the city’s multimillion-dollar legal victory against opioid manufacturers, which states like Rhode Island have done. But those efforts have largely stalled in San Francisco, even as overdose rates have continued at epidemic levels.\u003c/p>\n\u003cp>“In San Francisco, we make it extremely difficult for people who are struggling with substance use disorder to find their way out and find their paths to recovery,” said Laura Thomas, senior director of HIV and Harm Reduction at the San Francisco Aids Foundation, during the rally. “We put so many barriers in people’s way, from needing to have an ID to needing to show up at a certain time of day, waitlists and restrictions … We can do better.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1099,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":21},"modified":1715726992,"excerpt":"More than 3,000 people have died of a drug overdose in San Francisco since January 2020.","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"More than 3,000 people have died of a drug overdose in San Francisco since January 2020.","title":"San Francisco Doctors Call for Urgent Public Health Response to Overdose Epidemic | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Doctors Call for Urgent Public Health Response to Overdose Epidemic","datePublished":"2024-05-14T14:31:26-07:00","dateModified":"2024-05-14T15:49:52-07:00","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-doctors-call-for-urgent-public-health-response-to-overdose-epidemic","status":"publish","excludeFromSiteSearch":"Include","sticky":false,"articleAge":"0","nprStoryId":"kqed-11986128","path":"/news/11986128/san-francisco-doctors-call-for-urgent-public-health-response-to-overdose-epidemic","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>About a dozen physicians and overdose prevention advocates rallied on the steps of San Francisco’s Chief Medical Examiner’s office on Tuesday, demanding that the government do more to address the city’s overdose epidemic.\u003c/p>\n\u003cp>Tuesday’s action comes as San Francisco continues to face a surge in overdose deaths, largely driven by fentanyl, an opioid about 50 times stronger than heroin. More than \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">3,000 people have died from accidental drug overdose\u003c/a> in San Francisco since January 2020, including more than 200 in 2024 alone, according to data from the \u003ca href=\"https://www.sf.gov/resource/2020/ocme-accidental-overdose-reports?_gl=1*63hju*_ga*MTk2Mzg5NzE0NS4xNzE0Njc0NTIx*_ga_BT9NDE0NFC*MTcxNTcwNTY1MS40LjAuMTcxNTcwNTY1MS4wLjAuMA..*_ga_63SCS846YP*MTcxNTcwNTY1MS40LjAuMTcxNTcwNTY1MS4wLjAuMA..\">Office of the Chief Medical Examiner\u003c/a>.\u003c/p>\n\u003cp>“Three thousand deaths is an inconvenient truth. This highlights 3,000 failures and highlights how we are not listening to policy experts and doctors,” said Dr. Dan Ciccarone, who specializes in addiction medicine at the University of California, San Francisco, outside the medical examiner’s office near the Hunters Point neighborhood.\u003c/p>\n\u003cp>City leaders have rolled out several different interventions targeting the crisis in recent years. Efforts included \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">a short-lived safe consumption site\u003c/a> in 2022, along with increased distribution of drug test strips and \u003ca href=\"https://www.kqed.org/news/11944267/newsom-doubles-down-on-naloxone-distribution-in-new-master-plan-to-curb-overdose-deaths\">opioid overdose reversal medicine called Narcan\u003c/a>. The city has also \u003ca href=\"https://www.kqed.org/news/11976655/sf-close-to-goal-of-400-new-residential-treatment-beds-but-obstacles-to-care-remain\">opened additional behavioral health beds\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11970663/san-franciscos-hope-for-expanding-supportive-housing-treasure-island\">supportive step-down housing\u003c/a>.\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>Experts on Tuesday pointed to how overdose rates in San Francisco rapidly increased shortly following the closure of the Tenderloin Center, the drop-in social services center and safe consumption site that operated in Civic Center for nearly 10 months. There, more than 300 overdoses were reversed, and no deaths occurred.\u003c/p>\n\u003cp>“The fact that the Tenderloin Center closed after nine months is a crying shame,” Ciccarone said.\u003c/p>\n\u003cp>He added that a similar site in Melbourne, Australia, faced similar pushback from conservatives and business leaders. However, it became an accepted and embraced approach after five years of working with the community, police and other stakeholders.\u003c/p>\n\u003cp>Parallel to those public health interventions have been efforts to ramp up policing and other punitive approaches to the illicit drug economy. In 2023, San Francisco Police arrested more than 900 people for drug dealing in the Tenderloin and South of Market neighborhoods — double the year prior — according to \u003ca href=\"https://www.sf.gov/news/san-francisco-issues-six-month-update-operation-dismantle-open-air-drug-markets#:~:text=In%202023%20overall%2C%20SFPD%20officers,year%20to%20date%20since%202018.\">city data\u003c/a>. SFPD also made nearly 800 arrests for public intoxication and drug use in 2023.\u003c/p>\n\u003cfigure id=\"attachment_11986151\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11986151\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Ako Jacintho, director of addiction medicine at HealthRight360, speaks at an overdose prevention rally in front of the Office of the Chief Medical Examiner on May 14, 2024. \u003ccite>(Sydney Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In addition, Mayor London Breed and Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">sent the National Guard to assist local police\u003c/a> and the District Attorney in \u003ca href=\"https://www.kqed.org/news/11965813/sf-wants-to-charge-drug-dealers-with-homicide-but-could-it-lead-to-more-overdose-deaths\">investigating opioid-related deaths as homicide\u003c/a> cases last year.\u003c/p>\n\u003cp>“We are bringing together local, state and federal law enforcement to coordinate and hold those breaking the law in our city accountable,” Breed said in a press statement about the 2023 blitz. “We want people who need support to get help, and we will continue to offer people second chances, but San Francisco can’t be a place where anything goes and allow harmful behaviors to become the norm.”\u003c/p>\n\u003cp>But advocates say what’s needed are more public health-based strategies, like low-barrier treatment, affordable and supportive housing, and \u003ca href=\"https://www.kqed.org/news/11959803/in-act-of-civil-disobedience-activists-set-up-safe-drug-consumption-site-in-san-francisco\">safe consumption services\u003c/a>, rather than police crackdowns. On Tuesday, several said that the city’s law enforcement push has had \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">unintended consequences that can exacerbate overdose deaths\u003c/a>.\u003c/p>\n\u003cp>“We are putting people at risk, and this is a policy decision,” said Fabian Fernandez, a medical student at UCSF, at Tuesday’s rally.\u003c/p>\n\u003cfigure id=\"attachment_11986152\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11986152\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240514-OVERDOSE-DEATH-RALLY-SJ-03-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Doctors, attorneys and community advocates rally outside the Office of the Chief Medical Examiner, calling for more public health approaches to rising overdose rates on May 14, 2024. \u003ccite>(Sydney Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2955973/\">Studies\u003c/a> have shown that a person’s chances of overdose can \u003ca href=\"https://stacks.cdc.gov/view/cdc/145946/cdc_145946_DS1.pdf\">significantly increase\u003c/a> following an arrest and release from jail. Other critics of the city’s more aggressive law enforcement approaches say it can disrupt markets and cause some users to seek drugs elsewhere, \u003ca href=\"https://www.npr.org/2023/07/05/1183172045/fentanyl-drug-busts-overdose-police-dealers-trafficking-indianapolis\">creating opportunities for riskier use\u003c/a>.\u003c/p>\n\u003cp>Speakers on Tuesday said increasing supportive housing, treatment and services like safe consumption sites have cost-savings potential, too.\u003c/p>\n\u003cp>One study estimates \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">that San Francisco could save a minimum of $2.6 million\u003c/a> if it were to offer places where people could use drugs more safely and out of the public, as opposed to downstream interventions like jail and emergency services. A 2023 study looking at the wider community impacts of a safe consumption site in New York City also found that\u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811766\"> the facility did \u003cem>not \u003c/em>contribute\u003c/a> to increased drug use or crime in the surrounding area. Instead, it offered a place for people to use drugs out of the public way more safely. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11972898","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-06-qut-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Organizations calling for more public health responses at the demonstration included the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/vJomCo2OEkuvQVVXI1Iulr?domain=youngwomenfree.org\">Young Women’s Freedom Center\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/SI2yCpYzGliA700zsDx1YR?domain=drugpolicy.org\">Drug Policy Alliance\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/ZEFZCqx2JmsXVyyOfQhNrY?domain=sfpublicdefender.org\">SF Public Defender’s Office\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/4p29CrkYKnf2WRRACyI8TN?domain=harmreductiontherapy.org\">The Harm Reduction Therapy Center\u003c/a>, \u003ca href=\"https://url.us.m.mimecastprotect.com/s/2sV5Cv2jOruARnnWsot4PT?domain=healthright360.org\">HealthRIGHT 360\u003c/a> and the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/TlpFCwpkPvsy2EELu8aQ0V?domain=donoharmcoalition.org\">Do No Harm Coalition\u003c/a>.\u003c/p>\n\u003cp>However, politics has thwarted efforts to open a safe consumption site and other approaches that public health experts call for.\u003c/p>\n\u003cp>In 2022, Newsom vetoed a bill that would have allowed San Francisco and two other major California cities to pilot such a facility. The initiative was part of the overdose response strategy in more than 200 places around the globe, including France, Denmark, Canada, Australia, Switzerland and others. In these facilities, people can use drugs and trained staff can reverse an overdose if it occurs while also connecting people with other health and social services.\u003c/p>\n\u003cp>Government and community leaders have tried to prop up a safe consumption site using private funding as well as funds from the city’s multimillion-dollar legal victory against opioid manufacturers, which states like Rhode Island have done. But those efforts have largely stalled in San Francisco, even as overdose rates have continued at epidemic levels.\u003c/p>\n\u003cp>“In San Francisco, we make it extremely difficult for people who are struggling with substance use disorder to find their way out and find their paths to recovery,” said Laura Thomas, senior director of HIV and Harm Reduction at the San Francisco Aids Foundation, during the rally. “We put so many barriers in people’s way, from needing to have an ID to needing to show up at a certain time of day, waitlists and restrictions … We can do better.”\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/11986128/san-francisco-doctors-call-for-urgent-public-health-response-to-overdose-epidemic","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_27626","news_18543","news_31709","news_29747","news_19960","news_38"],"featImg":"news_11986150","label":"news"},"news_11972898":{"type":"posts","id":"news_11972898","meta":{"index":"posts_1716263798","site":"news","id":"11972898","score":null,"sort":[1705538953000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1705538953,"format":"gallery","title":"2023 Was San Francisco's Deadliest Year for Drug Overdoses, New Data Confirms","headTitle":"2023 Was San Francisco’s Deadliest Year for Drug Overdoses, New Data Confirms | KQED","content":"\u003cp>San Francisco recorded 806\u003ca href=\"https://www.sf.gov/sites/default/files/2024-01/2024%2001_OCME%20Overdose%20Report.pdf\"> drug overdose deaths\u003c/a> in 2023, more than in any other year on record, a tragic milestone that experts have predicted for months.\u003c/p>\n\u003cp>“Every 4 1/2 minutes, someone dies of overdose,” said Dr. Grant Colfax, director of the San Francisco Department of Public Health, at a press conference on Wednesday, detailing new preliminary data from the city’s medical examiner’s office.\u003c/p>\n\u003cp>“This local and national crisis is driven by multiple factors,” he added, pointing to a combination of pharmaceutical marketing, poverty, limited drug-treatment options and “decades of under-investment in behavioral health care.”\u003c/p>\n\u003cp>Nearly 80% of all overdose deaths in the city last year involved fentanyl, a synthetic opioid about 50 times stronger than heroin, the new data shows. Commonly used in medical settings to treat pain, fentanyl first appeared in the illicit drug supply on the East Coast around 2013 and began wreaking havoc in San Francisco and other West Coast cities about five years later.\u003c/p>\n\u003cp>The data also shows a slight uptick in the presence of xylazine, also known as tranq, in overdose deaths.\u003c/p>\n\u003cp>\u003ciframe id=\"datawrapper-chart-3jNer\" style=\"width: 0; min-width: 100% !important; border: none;\" title=\"San Francisco total overdose deaths in 2023\" src=\"https://datawrapper.dwcdn.net/3jNer/8/\" height=\"396\" frameborder=\"0\" scrolling=\"no\" aria-label=\"Stacked Bars\" data-external=\"1\">\u003c/iframe>\u003cscript type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r\u003ce.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n\u003c/script>\u003c/p>\n\u003cp>Previously, San Francisco’s worst overdose year on record had been in 2020 — with 726 recorded deaths — as overdoses spiked after the city went under a strict COVID-19 shelter-in-place order, severely limiting many medical services and prevention options.\u003c/p>\n\u003cp>The following two years saw a slight drop in overdose deaths, a change that medical experts say is hard to attribute to any single factor.\u003c/p>\n\u003cp>However, one tool that San Francisco employed in 2022 — a supervised consumption site — was found to have prevented more than 300 overdose deaths, according to city data and independent research. People struggling with addiction could come \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">to the facility near Civic Center\u003c/a> to use illicit drugs in a sterile environment, with medically-trained staff on-site to reverse overdoses and, ideally, connect participants to other crucial resources, like housing, drug treatment and basic health services.\u003c/p>\n\u003cp>\u003ciframe title=\"San Francisco overdose deaths by month in 2023\" aria-label=\"Column Chart\" id=\"datawrapper-chart-z4FUt\" src=\"https://datawrapper.dwcdn.net/z4FUt/12/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"500\" data-external=\"1\">\u003c/iframe>\u003cscript type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r\u003ce.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n\u003c/script>\u003cbr>\n\u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">The city ran a single supervised consumption site, called the Tenderloin Center\u003c/a>, for 11 months in 2022 and reported no overdose deaths at the facility during that time.\u003c/p>\n\u003cp>But the site’s high-visibility location in United Nations Plaza drew sharp criticism, particularly from local business owners, and it was shuttered by the end of that year.[aside label=\"related coverage\" tag=\"overdose-deaths\"]Dr. Colfax on Wednesday said supervised consumption sites could be an important tool to help the city get a grasp on its compounding overdose crisis. But the city has so far refrained from relaunching that model, largely due to Gov. Gavin Newsom’s veto of a \u003ca href=\"https://www.kqed.org/science/1980034/california-allows-supervised-illicit-drug-use-to-prevent-overdoses\">2022 bill\u003c/a> that would have allowed San Francisco, Oakland and Los Angeles to legally operate such sites.\u003c/p>\n\u003cp>“We call on our legislators to make greater investments in behavioral health care, both mental health and substance-use treatment,” Colfax said. “We call on them to eliminate barriers to safe consumption sites, \u003ca href=\"https://www.kqed.org/news/11941618/sfs-mobile-clinics-made-opioid-treatment-more-accessible-during-the-pandemic-but-will-they-stay\">to access methadone\u003c/a> and make all treatment more accessible.”\u003c/p>\n\u003cp>He also implored lawmakers to better support the country’s behavioral health workforce.\u003c/p>\n\u003cp>“We can’t deliver services needed if we can’t hire and train a workforce,” Colfax said, noting that over 25,000 people are currently receiving care for behavioral health disorders in the city’s overwhelmed public health network.\u003c/p>\n\u003cp>Meanwhile, San Francisco is working to \u003ca href=\"https://www.kqed.org/news/11945418/san-francisco-has-doubled-participants-of-this-opioid-treatment-heres-why\">increase access to treatment facilities and medications like buprenorphine\u003c/a> that help reduce opioid cravings, he said. And just last year, it distributed more than 125,000 kits of naloxone, the fast-acting medication that can reverse opioid overdoses, directly to health workers and people who use drugs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Saving a life is the first priority, then we can connect you to treatment,” Colfax said.\u003c/p>\n\u003cp>Meanwhile, the city’s street response crews that directly respond to reported overdoses increased by nearly a third last year, according to Hillary Kunins, the city’s director of behavioral health and the head of the Mental Health SF program.\u003c/p>\n\u003cp>The city’s street teams, she said Wednesday, “have expanded to include a multidisciplinary approach with team members out and about in the highest-need areas, and we are following people over time with consistency and persistence.”\u003c/p>\n\u003cp>Mayor London Breed \u003ca href=\"https://www.sfchronicle.com/sf/article/breed-police-2024-election-18428814.php\">has also called on law enforcement to crack down harder\u003c/a> on public drug use and dealing and pushed for more arrests of both users and dealers.\u003c/p>\n\u003cp>Despite those efforts, overdose deaths have continued to climb as highly potent synthetic substances like fentanyl continue to flood the illicit drug market, and federal funding for behavioral health care support dwindles.\u003c/p>\n\u003cp>Health workers on the ground, like Britt Rubin, a substance-use counselor on the city’s street response team, said a key part of her work is keeping up with the ever-changing drug landscape and understanding what people need to know to stay safe.\u003c/p>\n\u003cp>“I just have real talk with people in the substance-using community about what’s going on. Have the drugs changed? Is this what you expected and what you were seeking?” Rubin said at Wednesday’s press conference.\u003c/p>\n\u003cp>The latest overdose report shows that men accounted for the vast majority of San Francisco's overdose deaths last year (nearly 83%). It also finds that the city's Black residents were disproportionately impacted.\u003c/p>\n\u003cp>\u003ciframe id=\"datawrapper-chart-EJD6r\" style=\"width: 0; min-width: 100% !important; border: none;\" title=\"San Francisco overdose deaths by race in 2023\" src=\"https://datawrapper.dwcdn.net/EJD6r/5/\" height=\"548\" frameborder=\"0\" scrolling=\"no\" aria-label=\"Donut Chart\" data-external=\"1\">\u003c/iframe>\u003cscript type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r\u003ce.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\u003c/script>\u003c/p>\n\u003cp>Black people in San Francisco accounted for roughly 31% of all overdose deaths in 2023 — second only to white people — despite making up less than 5% of the city’s total population, the data shows.\u003c/p>\n\u003cp>Tyrone Martin, a peer supervisor with the public health department, who helps people in the Tenderloin struggling with substance use, said his journey from addiction to recovery was supported by family and outreach teams similar to the one he works with now.\u003c/p>\n\u003cp>“I experienced compassion, and I want to give that back,” Martin said. “It’s not linear what we do … but one thing I will say is that when there is genuine authentic outreach going on in the TL [Tenderloin], there is success.”\u003c/p>\n\u003cp>\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":true,"hasAudio":false,"hasPolis":false,"wordCount":222,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":["https://datawrapper.dwcdn.net/3jNer/8/","https://datawrapper.dwcdn.net/z4FUt/12/","https://datawrapper.dwcdn.net/EJD6r/5/"],"paragraphCount":6},"modified":1705697627,"excerpt":"The city recorded 806 accidental drug overdose deaths last year — more than 80% of them involved fentanyl. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"The city recorded 806 accidental drug overdose deaths last year — more than 80% of them involved fentanyl. ","title":"2023 Was San Francisco's Deadliest Year for Drug Overdoses, New Data Confirms | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"2023 Was San Francisco's Deadliest Year for Drug Overdoses, New Data Confirms","datePublished":"2024-01-17T16:49:13-08:00","dateModified":"2024-01-19T12:53:47-08:00","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":"2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms","status":"publish","excludeFromSiteSearch":"Include","sticky":false,"articleAge":"0","path":"/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco recorded 806\u003ca href=\"https://www.sf.gov/sites/default/files/2024-01/2024%2001_OCME%20Overdose%20Report.pdf\"> drug overdose deaths\u003c/a> in 2023, more than in any other year on record, a tragic milestone that experts have predicted for months.\u003c/p>\n\u003cp>“Every 4 1/2 minutes, someone dies of overdose,” said Dr. Grant Colfax, director of the San Francisco Department of Public Health, at a press conference on Wednesday, detailing new preliminary data from the city’s medical examiner’s office.\u003c/p>\n\u003cp>“This local and national crisis is driven by multiple factors,” he added, pointing to a combination of pharmaceutical marketing, poverty, limited drug-treatment options and “decades of under-investment in behavioral health care.”\u003c/p>\n\u003cp>Nearly 80% of all overdose deaths in the city last year involved fentanyl, a synthetic opioid about 50 times stronger than heroin, the new data shows. Commonly used in medical settings to treat pain, fentanyl first appeared in the illicit drug supply on the East Coast around 2013 and began wreaking havoc in San Francisco and other West Coast cities about five years later.\u003c/p>\n\u003cp>The data also shows a slight uptick in the presence of xylazine, also known as tranq, in overdose deaths.\u003c/p>\n\u003cp>\u003ciframe id=\"datawrapper-chart-3jNer\" style=\"width: 0; min-width: 100% !important; border: none;\" title=\"San Francisco total overdose deaths in 2023\" src=\"https://datawrapper.dwcdn.net/3jNer/8/\" height=\"396\" frameborder=\"0\" scrolling=\"no\" aria-label=\"Stacked Bars\" data-external=\"1\">\u003c/iframe>\u003cscript type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r\u003ce.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n\u003c/script>\u003c/p>\n\u003cp>Previously, San Francisco’s worst overdose year on record had been in 2020 — with 726 recorded deaths — as overdoses spiked after the city went under a strict COVID-19 shelter-in-place order, severely limiting many medical services and prevention options.\u003c/p>\n\u003cp>The following two years saw a slight drop in overdose deaths, a change that medical experts say is hard to attribute to any single factor.\u003c/p>\n\u003cp>However, one tool that San Francisco employed in 2022 — a supervised consumption site — was found to have prevented more than 300 overdose deaths, according to city data and independent research. People struggling with addiction could come \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">to the facility near Civic Center\u003c/a> to use illicit drugs in a sterile environment, with medically-trained staff on-site to reverse overdoses and, ideally, connect participants to other crucial resources, like housing, drug treatment and basic health services.\u003c/p>\n\u003cp>\u003ciframe title=\"San Francisco overdose deaths by month in 2023\" aria-label=\"Column Chart\" id=\"datawrapper-chart-z4FUt\" src=\"https://datawrapper.dwcdn.net/z4FUt/12/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"500\" data-external=\"1\">\u003c/iframe>\u003cscript type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r\u003ce.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n\u003c/script>\u003cbr>\n\u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">The city ran a single supervised consumption site, called the Tenderloin Center\u003c/a>, for 11 months in 2022 and reported no overdose deaths at the facility during that time.\u003c/p>\n\u003cp>But the site’s high-visibility location in United Nations Plaza drew sharp criticism, particularly from local business owners, and it was shuttered by the end of that year.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"overdose-deaths"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Dr. Colfax on Wednesday said supervised consumption sites could be an important tool to help the city get a grasp on its compounding overdose crisis. But the city has so far refrained from relaunching that model, largely due to Gov. Gavin Newsom’s veto of a \u003ca href=\"https://www.kqed.org/science/1980034/california-allows-supervised-illicit-drug-use-to-prevent-overdoses\">2022 bill\u003c/a> that would have allowed San Francisco, Oakland and Los Angeles to legally operate such sites.\u003c/p>\n\u003cp>“We call on our legislators to make greater investments in behavioral health care, both mental health and substance-use treatment,” Colfax said. “We call on them to eliminate barriers to safe consumption sites, \u003ca href=\"https://www.kqed.org/news/11941618/sfs-mobile-clinics-made-opioid-treatment-more-accessible-during-the-pandemic-but-will-they-stay\">to access methadone\u003c/a> and make all treatment more accessible.”\u003c/p>\n\u003cp>He also implored lawmakers to better support the country’s behavioral health workforce.\u003c/p>\n\u003cp>“We can’t deliver services needed if we can’t hire and train a workforce,” Colfax said, noting that over 25,000 people are currently receiving care for behavioral health disorders in the city’s overwhelmed public health network.\u003c/p>\n\u003cp>Meanwhile, San Francisco is working to \u003ca href=\"https://www.kqed.org/news/11945418/san-francisco-has-doubled-participants-of-this-opioid-treatment-heres-why\">increase access to treatment facilities and medications like buprenorphine\u003c/a> that help reduce opioid cravings, he said. And just last year, it distributed more than 125,000 kits of naloxone, the fast-acting medication that can reverse opioid overdoses, directly to health workers and people who use drugs.\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>“Saving a life is the first priority, then we can connect you to treatment,” Colfax said.\u003c/p>\n\u003cp>Meanwhile, the city’s street response crews that directly respond to reported overdoses increased by nearly a third last year, according to Hillary Kunins, the city’s director of behavioral health and the head of the Mental Health SF program.\u003c/p>\n\u003cp>The city’s street teams, she said Wednesday, “have expanded to include a multidisciplinary approach with team members out and about in the highest-need areas, and we are following people over time with consistency and persistence.”\u003c/p>\n\u003cp>Mayor London Breed \u003ca href=\"https://www.sfchronicle.com/sf/article/breed-police-2024-election-18428814.php\">has also called on law enforcement to crack down harder\u003c/a> on public drug use and dealing and pushed for more arrests of both users and dealers.\u003c/p>\n\u003cp>Despite those efforts, overdose deaths have continued to climb as highly potent synthetic substances like fentanyl continue to flood the illicit drug market, and federal funding for behavioral health care support dwindles.\u003c/p>\n\u003cp>Health workers on the ground, like Britt Rubin, a substance-use counselor on the city’s street response team, said a key part of her work is keeping up with the ever-changing drug landscape and understanding what people need to know to stay safe.\u003c/p>\n\u003cp>“I just have real talk with people in the substance-using community about what’s going on. Have the drugs changed? Is this what you expected and what you were seeking?” Rubin said at Wednesday’s press conference.\u003c/p>\n\u003cp>The latest overdose report shows that men accounted for the vast majority of San Francisco's overdose deaths last year (nearly 83%). It also finds that the city's Black residents were disproportionately impacted.\u003c/p>\n\u003cp>\u003ciframe id=\"datawrapper-chart-EJD6r\" style=\"width: 0; min-width: 100% !important; border: none;\" title=\"San Francisco overdose deaths by race in 2023\" src=\"https://datawrapper.dwcdn.net/EJD6r/5/\" height=\"548\" frameborder=\"0\" scrolling=\"no\" aria-label=\"Donut Chart\" data-external=\"1\">\u003c/iframe>\u003cscript type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r\u003ce.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\u003c/script>\u003c/p>\n\u003cp>Black people in San Francisco accounted for roughly 31% of all overdose deaths in 2023 — second only to white people — despite making up less than 5% of the city’s total population, the data shows.\u003c/p>\n\u003cp>Tyrone Martin, a peer supervisor with the public health department, who helps people in the Tenderloin struggling with substance use, said his journey from addiction to recovery was supported by family and outreach teams similar to the one he works with now.\u003c/p>\n\u003cp>“I experienced compassion, and I want to give that back,” Martin said. “It’s not linear what we do … but one thing I will say is that when there is genuine authentic outreach going on in the TL [Tenderloin], there is success.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms","authors":["11840"],"categories":["news_8"],"tags":["news_30249","news_27626","news_23051","news_29524","news_2388","news_29747","news_26203","news_33251"],"featImg":"news_11967664","label":"news"},"news_11969903":{"type":"posts","id":"news_11969903","meta":{"index":"posts_1716263798","site":"news","id":"11969903","score":null,"sort":[1702648816000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1702648816,"format":"standard","title":"Overdose Deaths in San Francisco Eclipse Grim Pandemic Milestone","headTitle":"Overdose Deaths in San Francisco Eclipse Grim Pandemic Milestone | KQED","content":"\u003cp>As the number of overdose deaths in San Francisco \u003ca href=\"https://www.kqed.org/news/11967618/san-francisco-projected-to-reach-highest-overdose-death-toll-in-2023\">surpasses previous years\u003c/a>, city officials are expanding wastewater testing for fentanyl and other substances to better inform public health responses.\u003c/p>\n\u003cp>The Department of Public Health on Thursday announced its wastewater analysis plan, the same day that the Office of the Medical Examiner released its latest dataset showing that there have been more overdose deaths in San Francisco this year than in previous years. [pullquote size=\"medium\" align=\"right\" citation=\"Dr. Hillary Kunins, director of behavioral health services, San Francisco Department of Public Health\"]‘Data from wastewater testing will help provide information about the presence of risky substances in San Francisco and prompt more strategic interventions aimed at saving lives.’[/pullquote]There were 752 overdose deaths in San Francisco from January to November 2023, preliminary data from the medical examiner shows. In 2020, the worst year on record previously, there were 726 overdose deaths.\u003c/p>\n\u003cp>“We need all the tools available to identify the presence of substances that may be used to halt and reverse this deadly epidemic,” said Dr. Hillary Kunins, director of behavioral health services at SFDPH. “Data from wastewater testing will help provide information about the presence of risky substances in San Francisco and prompt more strategic interventions aimed at saving lives.”\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times stronger than heroin, is the most common substance associated with the recent spike in overdose deaths in San Francisco and across other major West Coast cities. It is commonly used in surgical settings under medical supervision.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city will also be monitoring wastewater for levels of methamphetamine, amphetamine, cocaine and xylazine, which have been used in combination with fentanyl in some overdoses and also naloxone, a fast-acting opioid overdose reversal medicine.\u003c/p>\n\u003cp>San Francisco is among 70 different U.S. regions working with the National Institute on Drug Abuse to measure the presence of the substances through wastewater testing. [pullquote size=\"medium\" align=\"right\" citation=\"Jeffrey Hom, director of population behavioral health, San Francisco\"]‘Elevated levels of drugs and drug metabolites could be used to predict higher risk periods of overdose and could prompt interventions by the city.’[/pullquote]The idea is to have better foresight into what substances are present in the illicit drug supply and to direct public health resources in response.\u003c/p>\n\u003cp>“There is no other way for us to understand, at a population level, what all the different drugs being consumed are,” said Jeffrey Hom, director of population behavioral health for San Francisco, at a press conference on Thursday. “Elevated levels of drugs and drug metabolites could be used to predict higher risk periods of overdose and could prompt interventions by the city.”\u003c/p>\n\u003cp>Research from other jurisdictions already monitoring wastewater for opioids and other substances has shown some correlation between rising levels of risky substances and increased overdose deaths as well as calls to 911 for overdose response. [aside postID=news_11965813 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/10/GettyImages-53134889-1020x680.jpg']“This can help us explain other trends we are seeing and that can help guide our response,” Hom said.\u003c/p>\n\u003cp>Today’s grim milestone was projected months ago by experts tracking the evolution of the opioid crisis across the country. Before fentanyl arrived in California’s illicit drug supply, roughly around 2019, several East Coast cities saw overdoses skyrocket just a few years earlier, also largely due to fentanyl.\u003c/p>\n\u003cp>In San Francisco, overdose deaths are concentrated in the Tenderloin and South of Market neighborhoods, medical examiner data shows. The majority of overdose deaths in 2023 were among white San Franciscans. However, rates among Black and Latinx residents are increasing much faster than for white residents.\u003c/p>\n\u003cp>At Thursday’s press conference, health officials called on the federal government to fund more public health responses to the crisis.\u003c/p>\n\u003cp>“The fentanyl crisis is a national one, and it’s affecting cities like San Francisco,” Kunins said. “We need the support and resources of the federal government, and this program is an example.”\u003c/p>\n\u003cp>\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":689,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":14},"modified":1702617646,"excerpt":"San Francisco will expand wastewater testing for substances, including fentanyl, xylazine, methamphetamine and cocaine.","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"San Francisco will expand wastewater testing for substances, including fentanyl, xylazine, methamphetamine and cocaine.","title":"Overdose Deaths in San Francisco Eclipse Grim Pandemic Milestone | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Overdose Deaths in San Francisco Eclipse Grim Pandemic Milestone","datePublished":"2023-12-15T06:00:16-08:00","dateModified":"2023-12-14T21:20:46-08:00","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":"overdose-deaths-in-san-francisco-eclipse-grim-pandemic-milestone","status":"publish","excludeFromSiteSearch":"Include","sticky":false,"articleAge":"0","path":"/news/11969903/overdose-deaths-in-san-francisco-eclipse-grim-pandemic-milestone","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the number of overdose deaths in San Francisco \u003ca href=\"https://www.kqed.org/news/11967618/san-francisco-projected-to-reach-highest-overdose-death-toll-in-2023\">surpasses previous years\u003c/a>, city officials are expanding wastewater testing for fentanyl and other substances to better inform public health responses.\u003c/p>\n\u003cp>The Department of Public Health on Thursday announced its wastewater analysis plan, the same day that the Office of the Medical Examiner released its latest dataset showing that there have been more overdose deaths in San Francisco this year than in previous years. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Data from wastewater testing will help provide information about the presence of risky substances in San Francisco and prompt more strategic interventions aimed at saving lives.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Hillary Kunins, director of behavioral health services, San Francisco Department of Public Health","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>There were 752 overdose deaths in San Francisco from January to November 2023, preliminary data from the medical examiner shows. In 2020, the worst year on record previously, there were 726 overdose deaths.\u003c/p>\n\u003cp>“We need all the tools available to identify the presence of substances that may be used to halt and reverse this deadly epidemic,” said Dr. Hillary Kunins, director of behavioral health services at SFDPH. “Data from wastewater testing will help provide information about the presence of risky substances in San Francisco and prompt more strategic interventions aimed at saving lives.”\u003c/p>\n\u003cp>Fentanyl, an opioid about 50 times stronger than heroin, is the most common substance associated with the recent spike in overdose deaths in San Francisco and across other major West Coast cities. It is commonly used in surgical settings under medical supervision.\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>The city will also be monitoring wastewater for levels of methamphetamine, amphetamine, cocaine and xylazine, which have been used in combination with fentanyl in some overdoses and also naloxone, a fast-acting opioid overdose reversal medicine.\u003c/p>\n\u003cp>San Francisco is among 70 different U.S. regions working with the National Institute on Drug Abuse to measure the presence of the substances through wastewater testing. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Elevated levels of drugs and drug metabolites could be used to predict higher risk periods of overdose and could prompt interventions by the city.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Jeffrey Hom, director of population behavioral health, San Francisco","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The idea is to have better foresight into what substances are present in the illicit drug supply and to direct public health resources in response.\u003c/p>\n\u003cp>“There is no other way for us to understand, at a population level, what all the different drugs being consumed are,” said Jeffrey Hom, director of population behavioral health for San Francisco, at a press conference on Thursday. “Elevated levels of drugs and drug metabolites could be used to predict higher risk periods of overdose and could prompt interventions by the city.”\u003c/p>\n\u003cp>Research from other jurisdictions already monitoring wastewater for opioids and other substances has shown some correlation between rising levels of risky substances and increased overdose deaths as well as calls to 911 for overdose response. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11965813","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/10/GettyImages-53134889-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“This can help us explain other trends we are seeing and that can help guide our response,” Hom said.\u003c/p>\n\u003cp>Today’s grim milestone was projected months ago by experts tracking the evolution of the opioid crisis across the country. Before fentanyl arrived in California’s illicit drug supply, roughly around 2019, several East Coast cities saw overdoses skyrocket just a few years earlier, also largely due to fentanyl.\u003c/p>\n\u003cp>In San Francisco, overdose deaths are concentrated in the Tenderloin and South of Market neighborhoods, medical examiner data shows. The majority of overdose deaths in 2023 were among white San Franciscans. However, rates among Black and Latinx residents are increasing much faster than for white residents.\u003c/p>\n\u003cp>At Thursday’s press conference, health officials called on the federal government to fund more public health responses to the crisis.\u003c/p>\n\u003cp>“The fentanyl crisis is a national one, and it’s affecting cities like San Francisco,” Kunins said. “We need the support and resources of the federal government, and this program is an example.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11969903/overdose-deaths-in-san-francisco-eclipse-grim-pandemic-milestone","authors":["11840"],"categories":["news_8"],"tags":["news_31834","news_25968","news_30249","news_27626","news_23051","news_18543","news_23278","news_24982","news_25617","news_22774","news_29747","news_38"],"featImg":"news_11969941","label":"news"},"news_11967618":{"type":"posts","id":"news_11967618","meta":{"index":"posts_1716263798","site":"news","id":"11967618","score":null,"sort":[1700222414000]},"guestAuthors":[],"slug":"san-francisco-projected-to-reach-highest-overdose-death-toll-in-2023","title":"San Francisco Projected to Reach Highest Overdose Death Toll in 2023","publishDate":1700222414,"format":"standard","headTitle":"San Francisco Projected to Reach Highest Overdose Death Toll in 2023 | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco is on track to hit a tragic milestone by the end of the year — with more fatal overdoses projected in 2023 than any on record.\u003c/p>\n\u003cp>“It is absolutely bleak, but it is not unexpected,” said Alex Kral, an epidemiologist at the independent nonprofit research institute RTI International. “Absent any new huge impactful interventions, I would continue to expect us to get worse for a couple of years until it would stabilize. But stabilized still means bad.” [pullquote size=\"medium\" align=\"right\" citation=\"Alex Kral, epidemiologist, RTI International\"]‘It is absolutely bleak, but it is not unexpected.’[/pullquote]There were 692 accidental overdose deaths from January to October of this year, with 65 occurring in October, according to the latest \u003ca href=\"https://sf.gov/sites/default/files/2023-11/2023%2011_OCME%20Overdose%20Report.pdf\">medical examiner data\u003c/a> released Wednesday.\u003c/p>\n\u003cp>The new data supports projections made months ago that the city could eclipse its tragic milestone from 2020, when a total of 726 overdose deaths occurred.\u003c/p>\n\u003cp>Kral has studied drug use and overdoses in San Francisco for nearly 30 years. His estimation that overdose deaths may continue to rise is based on patterns in the East Coast, where fentanyl became more common in the illicit drug supply about 10 years ago, before hitting the West Coast.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On top of a deadlier drug supply, Kral says widening economic inequality, coupled with the region’s severe lack of affordable housing and out-of-reach treatment options, have fueled overdose deaths.\u003c/p>\n\u003cp>“We have seen on the East Coast that it really took about five years or so for things to continue to skyrocket before leveling off,” Kral said. “In San Francisco, fentanyl didn’t really show up in a large way until 2019, so we are still in year three or four of that huge increase.”\u003c/p>\n\u003cp>The majority of overdose deaths occurring in San Francisco — and elsewhere across the West Coast — involve fentanyl, an opioid about 50 times stronger than heroin. Many overdose deaths in the report involved combinations of substances with fentanyl, including methamphetamine and cocaine.\u003c/p>\n\u003cp>In response to rising overdoses, local public health officials have dramatically expanded the availability of \u003ca href=\"https://www.kqed.org/news/11945418/san-francisco-has-doubled-participants-of-this-opioid-treatment-heres-why\">buprenorphine\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11941618/sfs-mobile-clinics-made-opioid-treatment-more-accessible-during-the-pandemic-but-will-they-stay\">methadone\u003c/a>, medications that can curb opioid cravings and withdrawal and \u003ca href=\"https://www.kqed.org/news/11959733/san-franciscans-want-you-to-know-recovery-is-possible\">help with recovery\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11967667\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11967667 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut.jpg\" alt=\"Boxes of Narcan are on a table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In addition, the \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">widespread distribution of Narcan\u003c/a>, a fast-acting medicine that can reverse an opioid overdose, has saved countless lives. The city also plans to add new residential treatment beds in 2024 to its current total of 2,550.\u003c/p>\n\u003cp>“We must remain nimble in our overdose prevention efforts, including getting more people who use drugs into treatment with medications for opioid use disorder in outpatient and residential treatment settings,” reads a press statement from the Department of Public Health, released after the data was published. [pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘Fentanyl is devastating communities in cities all across our country like no other drug we’ve ever experienced before and this crisis demands additional urgent intervention efforts.’[/pullquote]While these public health resources have been growing, Mayor London Breed has also charged local and \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">state law enforcement\u003c/a> to crack down harder on drug trafficking as well as increase \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">arrests for public drug use and dealing\u003c/a>.\u003c/p>\n\u003cp>That included bringing in the CalGuard and California Highway Patrol to work with San Francisco police, and this week, she joined 36 other U.S. mayors in asking President Joe Biden for additional support to tackle the drug supply.\u003c/p>\n\u003cp>“Fentanyl is devastating communities in cities all across our country like no other drug we’ve ever experienced before and this crisis demands additional urgent intervention efforts,” said Mayor Breed in a press statement announcing the federal funding request. “President Biden’s funding request gets at the heart of what we need — more funding for treatment to help those struggling with addiction and to prevent overdoses, and support for public safety and enforcement efforts to hold those accountable who are profiting off this deadly drug.”\u003c/p>\n\u003cp>Meanwhile, public health advocates have been pushing the city for years to open a supervised consumption site where people can use drugs in a medically supervised setting, and doctors can be available to reverse overdoses and connect users to other social or health services.\u003c/p>\n\u003cp>More than 200 such facilities operate globally, including in New York City. Rhode Island also plans to open up an overdose prevention center with funding it won from lawsuits against opioid manufacturers.\u003c/p>\n\u003cfigure id=\"attachment_11967676\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11967676 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg\" alt=\"A sign that reads the Gubbio Project in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign for the Gubbio Project, a nonprofit offering services for unhoused people, hangs on the front gate in San Francisco on March 9, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco ran a safe consumption site in 2022, a year when overdose deaths dipped. There were 333 overdoses reversed at the facility, and no deaths took place. The site drew in hundreds of people a day for meals, showers and overdose prevention help but closed down after 11 months of operation. The city has not reopened a similar site since. [pullquote size=\"medium\" align=\"right\" citation=\"Lydia Bransten, executive director, Gubbio Project\"]‘There are a lot of words to run [supervised consumption sites], but nothing to say we will be there for you if something happens legally. That has really put people in a position where they don’t feel safe to be able to do it.’[/pullquote]Supervised consumption sites are one aspect of local drug response, along with residential treatment, medication-assisted treatment, abstinence, law enforcement coordination and better access to housing and health care. But they have been hard to open in San Francisco since \u003ca href=\"https://www.kqed.org/news/11923303/sf-health-groups-determined-to-forge-ahead-with-safe-consumption-site-despite-newsoms-veto\">Gov. Gavin Newsom vetoed a bill\u003c/a> allowing the city to pilot them.\u003c/p>\n\u003cp>Supporters like Lydia Bransten, executive director of the Gubbio Project, said supervised consumption sites could make a significant difference in simply saving lives and slowing the uptick in overdose deaths.\u003c/p>\n\u003cp>She was one of about a dozen volunteers who ran a \u003ca href=\"https://www.kqed.org/news/11959803/in-act-of-civil-disobedience-activists-set-up-safe-drug-consumption-site-in-san-francisco\">pop-up overdose prevention center\u003c/a> in August, where two lives were saved from overdoses during the civil disobedience act.\u003c/p>\n\u003cp>Gubbio Project was also one nonprofit that the city had pegged to privately run safe consumption services last year when the city announced a plan to open so-called “wellness hubs” with various overdose prevention services.\u003c/p>\n\u003cp>But after months of dragging the idea along with no progress, Bransten said the plan is at a “dead end.” [aside label='More Stories on Health' tag='health']“There are a lot of words to run [supervised consumption sites], but nothing to say we will be there for you if something happens legally. That has really put people in a position where they don’t feel safe to be able to do it,” Bransten said.\u003c/p>\n\u003cp>Her organization offers a space to sleep and gives away hygiene kits to people experiencing homelessness. It also provides wellness services like massages and interfaith chaplains for people who come through its doors in the Mission neighborhood.\u003c/p>\n\u003cp>Many people who rely on Gubbio’s basic needs services also use drugs, Bransten said. The rising overdose toll has hit the community hard.\u003c/p>\n\u003cp>“We lost two people in our direct community last month, both of whom had been using drugs for decades and have been in and out of treatment multiple times,” Bransten told KQED. “This is a tragedy that is hitting not only San Francisco but cities around the country, and it will take a federal response to be able to take down some of the barriers to help us be able to curb these overdose deaths.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"New data shows there were 692 accidental overdose deaths in San Francisco from January to October of this year, surpassing the city’s prior records.","status":"publish","parent":0,"modified":1721134313,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1307},"headData":{"title":"San Francisco Projected to Reach Highest Overdose Death Toll in 2023 | KQED","description":"New data shows there were 692 accidental overdose deaths in San Francisco from January to October of this year, surpassing the city’s prior records.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Projected to Reach Highest Overdose Death Toll in 2023","datePublished":"2023-11-17T04:00:14-08:00","dateModified":"2024-07-16T05:51:53-07:00","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/11967618/san-francisco-projected-to-reach-highest-overdose-death-toll-in-2023","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is on track to hit a tragic milestone by the end of the year — with more fatal overdoses projected in 2023 than any on record.\u003c/p>\n\u003cp>“It is absolutely bleak, but it is not unexpected,” said Alex Kral, an epidemiologist at the independent nonprofit research institute RTI International. “Absent any new huge impactful interventions, I would continue to expect us to get worse for a couple of years until it would stabilize. But stabilized still means bad.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It is absolutely bleak, but it is not unexpected.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Alex Kral, epidemiologist, RTI International","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>There were 692 accidental overdose deaths from January to October of this year, with 65 occurring in October, according to the latest \u003ca href=\"https://sf.gov/sites/default/files/2023-11/2023%2011_OCME%20Overdose%20Report.pdf\">medical examiner data\u003c/a> released Wednesday.\u003c/p>\n\u003cp>The new data supports projections made months ago that the city could eclipse its tragic milestone from 2020, when a total of 726 overdose deaths occurred.\u003c/p>\n\u003cp>Kral has studied drug use and overdoses in San Francisco for nearly 30 years. His estimation that overdose deaths may continue to rise is based on patterns in the East Coast, where fentanyl became more common in the illicit drug supply about 10 years ago, before hitting the West Coast.\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>On top of a deadlier drug supply, Kral says widening economic inequality, coupled with the region’s severe lack of affordable housing and out-of-reach treatment options, have fueled overdose deaths.\u003c/p>\n\u003cp>“We have seen on the East Coast that it really took about five years or so for things to continue to skyrocket before leveling off,” Kral said. “In San Francisco, fentanyl didn’t really show up in a large way until 2019, so we are still in year three or four of that huge increase.”\u003c/p>\n\u003cp>The majority of overdose deaths occurring in San Francisco — and elsewhere across the West Coast — involve fentanyl, an opioid about 50 times stronger than heroin. Many overdose deaths in the report involved combinations of substances with fentanyl, including methamphetamine and cocaine.\u003c/p>\n\u003cp>In response to rising overdoses, local public health officials have dramatically expanded the availability of \u003ca href=\"https://www.kqed.org/news/11945418/san-francisco-has-doubled-participants-of-this-opioid-treatment-heres-why\">buprenorphine\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11941618/sfs-mobile-clinics-made-opioid-treatment-more-accessible-during-the-pandemic-but-will-they-stay\">methadone\u003c/a>, medications that can curb opioid cravings and withdrawal and \u003ca href=\"https://www.kqed.org/news/11959733/san-franciscans-want-you-to-know-recovery-is-possible\">help with recovery\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11967667\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11967667 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut.jpg\" alt=\"Boxes of Narcan are on a table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/230831-SAFE-USE-POP-UP-MD-05-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In addition, the \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">widespread distribution of Narcan\u003c/a>, a fast-acting medicine that can reverse an opioid overdose, has saved countless lives. The city also plans to add new residential treatment beds in 2024 to its current total of 2,550.\u003c/p>\n\u003cp>“We must remain nimble in our overdose prevention efforts, including getting more people who use drugs into treatment with medications for opioid use disorder in outpatient and residential treatment settings,” reads a press statement from the Department of Public Health, released after the data was published. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Fentanyl is devastating communities in cities all across our country like no other drug we’ve ever experienced before and this crisis demands additional urgent intervention efforts.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"San Francisco Mayor London Breed","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>While these public health resources have been growing, Mayor London Breed has also charged local and \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">state law enforcement\u003c/a> to crack down harder on drug trafficking as well as increase \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">arrests for public drug use and dealing\u003c/a>.\u003c/p>\n\u003cp>That included bringing in the CalGuard and California Highway Patrol to work with San Francisco police, and this week, she joined 36 other U.S. mayors in asking President Joe Biden for additional support to tackle the drug supply.\u003c/p>\n\u003cp>“Fentanyl is devastating communities in cities all across our country like no other drug we’ve ever experienced before and this crisis demands additional urgent intervention efforts,” said Mayor Breed in a press statement announcing the federal funding request. “President Biden’s funding request gets at the heart of what we need — more funding for treatment to help those struggling with addiction and to prevent overdoses, and support for public safety and enforcement efforts to hold those accountable who are profiting off this deadly drug.”\u003c/p>\n\u003cp>Meanwhile, public health advocates have been pushing the city for years to open a supervised consumption site where people can use drugs in a medically supervised setting, and doctors can be available to reverse overdoses and connect users to other social or health services.\u003c/p>\n\u003cp>More than 200 such facilities operate globally, including in New York City. Rhode Island also plans to open up an overdose prevention center with funding it won from lawsuits against opioid manufacturers.\u003c/p>\n\u003cfigure id=\"attachment_11967676\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11967676 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg\" alt=\"A sign that reads the Gubbio Project in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/015_KQED_GubbioProjectLydiaBransten_03092023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign for the Gubbio Project, a nonprofit offering services for unhoused people, hangs on the front gate in San Francisco on March 9, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco ran a safe consumption site in 2022, a year when overdose deaths dipped. There were 333 overdoses reversed at the facility, and no deaths took place. The site drew in hundreds of people a day for meals, showers and overdose prevention help but closed down after 11 months of operation. The city has not reopened a similar site since. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘There are a lot of words to run [supervised consumption sites], but nothing to say we will be there for you if something happens legally. That has really put people in a position where they don’t feel safe to be able to do it.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Lydia Bransten, executive director, Gubbio Project","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Supervised consumption sites are one aspect of local drug response, along with residential treatment, medication-assisted treatment, abstinence, law enforcement coordination and better access to housing and health care. But they have been hard to open in San Francisco since \u003ca href=\"https://www.kqed.org/news/11923303/sf-health-groups-determined-to-forge-ahead-with-safe-consumption-site-despite-newsoms-veto\">Gov. Gavin Newsom vetoed a bill\u003c/a> allowing the city to pilot them.\u003c/p>\n\u003cp>Supporters like Lydia Bransten, executive director of the Gubbio Project, said supervised consumption sites could make a significant difference in simply saving lives and slowing the uptick in overdose deaths.\u003c/p>\n\u003cp>She was one of about a dozen volunteers who ran a \u003ca href=\"https://www.kqed.org/news/11959803/in-act-of-civil-disobedience-activists-set-up-safe-drug-consumption-site-in-san-francisco\">pop-up overdose prevention center\u003c/a> in August, where two lives were saved from overdoses during the civil disobedience act.\u003c/p>\n\u003cp>Gubbio Project was also one nonprofit that the city had pegged to privately run safe consumption services last year when the city announced a plan to open so-called “wellness hubs” with various overdose prevention services.\u003c/p>\n\u003cp>But after months of dragging the idea along with no progress, Bransten said the plan is at a “dead end.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More Stories on Health ","tag":"health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“There are a lot of words to run [supervised consumption sites], but nothing to say we will be there for you if something happens legally. That has really put people in a position where they don’t feel safe to be able to do it,” Bransten said.\u003c/p>\n\u003cp>Her organization offers a space to sleep and gives away hygiene kits to people experiencing homelessness. It also provides wellness services like massages and interfaith chaplains for people who come through its doors in the Mission neighborhood.\u003c/p>\n\u003cp>Many people who rely on Gubbio’s basic needs services also use drugs, Bransten said. The rising overdose toll has hit the community hard.\u003c/p>\n\u003cp>“We lost two people in our direct community last month, both of whom had been using drugs for decades and have been in and out of treatment multiple times,” Bransten told KQED. “This is a tragedy that is hitting not only San Francisco but cities around the country, and it will take a federal response to be able to take down some of the barriers to help us be able to curb these overdose deaths.”\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/11967618/san-francisco-projected-to-reach-highest-overdose-death-toll-in-2023","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_26003","news_18543","news_29747","news_38"],"featImg":"news_11967664","label":"news"},"news_11965813":{"type":"posts","id":"news_11965813","meta":{"index":"posts_1716263798","site":"news","id":"11965813","score":null,"sort":[1698444047000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1698444047,"format":"standard","title":"SF Wants to Charge Drug Dealers With Homicide — But Could It Lead to More Overdose Deaths?","headTitle":"SF Wants to Charge Drug Dealers With Homicide — But Could It Lead to More Overdose Deaths? | KQED","content":"\u003cp>Starting next year, drug dealers in San Francisco could be charged with murder if the opioids they sell lead to overdoses—but some experts say that plan could instead lead to more deaths.\u003c/p>\n\u003cp>Gov. Gavin Newsom and San Francisco Mayor London Breed announced Friday morning that law enforcement officials in California and San Francisco will investigate drug overdose deaths as homicides beginning in 2024.\u003c/p>\n\u003cp>The plan aims to deter drug dealing and hold suppliers accountable for overdose deaths. But many public health and criminal justice advocates are concerned it will, instead, lead to an increase in the already high number of overdose deaths. They say this latest effort to crack down on drug dealing \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">could further worsen San Francisco’s drug overdose crisis\u003c/a> by creating more chaotic conditions in the drug trade and deterring people from calling 9-1-1 when help is needed.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Angela Chan, San Francisco public defender's office\"]‘It’s going to deter people from calling 9-1-1 and getting an ambulance, getting doctors and help to this.’[/pullquote]“It’s more of the same failed policy and regressive \u003ca href=\"https://www.kqed.org/news/11929022/is-sf-reviving-the-war-on-drugs-former-cop-health-experts-say-yes\">War on Drugs\u003c/a>. This latest announcement threatens homicide prosecutions, but will only further increase, unfortunately, overdose deaths,” Angela Chan, assistant chief attorney at San Francisco’s public defender’s office, told KQED.\u003c/p>\n\u003cp>“It’s going to deter people from calling 9-1-1 and getting an ambulance, getting doctors and help to this,” Chan said. It’s not uncommon for people to use drugs with their supplier, who could be a friend or \u003ca href=\"https://www.wsj.com/articles/prosecutors-treat-opioid-overdoses-as-homicides-snagging-friends-relatives-1513538404\">even a family member\u003c/a>. “People who are overdosing need immediate emergency care, and every second matters.”\u003c/p>\n\u003cp>Breed and Newsom’s plan is to combine personnel from the San Francisco Police Department, the San Francisco District Attorney’s Office, the California Highway Patrol and the California National Guard to jointly investigate opioid deaths in San Francisco similar to homicide cases and to pursue murder charges against drug dealers. City officials did not say exactly when next year the group would begin this work or how many staff would be assigned to it.\u003c/p>\n\u003cp>“We have already been working with these state agencies to deal with the open-air drug dealing that’s been happening in San Francisco,” Mayor London Breed told reporters on Friday, “we plan to take it a step further.”\u003c/p>\n\u003cp>“This is impacting the quality of life in San Francisco more than any other drug we’ve encountered,” Breed said. “We must treat the trafficking and sale of fentanyl more severely, and people must be put on notice that pushing this drug could lead to homicide charges.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the plan, the law enforcement task force would investigate opioid cases as a homicide if there is sufficient evidence from an overdose death scene to trace it to a specific dealer. Medical examiners currently determine what substances are involved in an overdose death, and evidence from the scene where a person overdoses could then be used by the district attorney’s office to file murder charges against the supplier.\u003c/p>\n\u003cp>This dramatic shift to charging some drug dealers with murder comes after Breed and Newsom \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">earlier this year announced\u003c/a> that state law enforcement agencies would assist San Francisco in cracking down on drug dealing and drug trafficking.\u003c/p>\n\u003cp>Before that, the state added more than $1 billion to support the National Guard’s efforts to combat fentanyl trafficking, and state law enforcement seized 594% more fentanyl in 2022 compared to 2021, according to Newsom’s office.\u003c/p>\n\u003cp>[aside postID=news_11950467,news_11945418,news_11948421,mindshift_62310 label='More on the Opioid Crisis']Efforts to increase punishments for drug dealers are also escalating locally and nationally. In California, at least two dealers have been convicted of murder charges related to a fentanyl overdose death since last year. Breed’s plan will have San Francisco follow San Diego and Santa Clara counties, which have already moved to charge some dealers with homicide.\u003c/p>\n\u003cp>“We hope that dealers will decide that San Francisco is not the place for them to be dealing,” Breed said. “People who are dealing these drugs need to be accountable in a way they haven’t been before.”\u003c/p>\n\u003cp>Nationwide, just 28 people in the country faced drug-induced homicide prosecutions in 2007, but that spiked to nearly 700 people in 2018, based on an \u003ca href=\"https://www.healthinjustice.org/drug-induced-homicide\">analysis\u003c/a> of media reports from Northeastern University School of Law.\u003c/p>\n\u003cp>Fatal drug deaths have increased, as well, across the country and the Bay Area in recent years.\u003c/p>\n\u003cp>San Francisco is currently on track to have its deadliest year on record for overdose deaths. There have been \u003ca href=\"https://sf.gov/data/preliminary-unintentional-drug-overdose-deaths\">619 overdose deaths\u003c/a> in the city from January to September, according to data from the office of the medical examiner. San Francisco is projected to have 200 more overdose-related fatalities this year than last year.\u003c/p>\n\u003cp>“Treating opioid deaths similarly to homicides only serves to stigmatize those battling substance use disorders and can discourage individuals from seeking assistance,” said Gary McCoy, vice president of policy and public affairs at HealthRight 360, which provides drug treatment services in San Francisco. “Such an approach also exacerbates cycles of incarceration without achieving the essential objectives of overdose prevention and saving lives in public health.”\u003c/p>\n\u003cp>The worsening of the city’s overdose crisis that occurred in tandem with those changes has experts, like Chan, deeply concerned about the city’s efforts to move further in that direction.\u003c/p>\n\u003cp>Public health and harm reduction advocates in San Francisco have for many years been pushing the city to open up more services to address the demand for drugs, like supportive housing, more treatment options and \u003ca href=\"https://www.kqed.org/news/11959803/in-act-of-civil-disobedience-activists-set-up-safe-drug-consumption-site-in-san-francisco\">safe consumption sites\u003c/a> where people struggling with addiction can use drugs in a medically supervised setting and doctors can reverse an overdose.\u003c/p>\n\u003cp>“They announce policy after policy that is focused on criminalizing, police-centered approaches, rather than public health approaches,” Chan said. “We urge the mayor, the governor and other city officials, including our DA, to take stock of how much of a failure this approach has been and how harmful it’s been in terms of increasing overdoses.”\u003c/p>\n\u003cp>\u003cem>KQED senior editor Tyche Hendricks and reporter Oscar Palma contributed to this story. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1078,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":23},"modified":1698452292,"excerpt":"Law enforcement agencies want harsher punishments for drug dealers, but critics say it could stop people from calling for help when there are overdoses. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Law enforcement agencies want harsher punishments for drug dealers, but critics say it could stop people from calling for help when there are overdoses. ","title":"SF Wants to Charge Drug Dealers With Homicide — But Could It Lead to More Overdose Deaths? | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"SF Wants to Charge Drug Dealers With Homicide — But Could It Lead to More Overdose Deaths?","datePublished":"2023-10-27T15:00:47-07:00","dateModified":"2023-10-27T17:18:12-07:00","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":"sf-wants-to-charge-drug-dealers-with-homicide-but-could-it-lead-to-more-overdose-deaths","status":"publish","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11965813/sf-wants-to-charge-drug-dealers-with-homicide-but-could-it-lead-to-more-overdose-deaths","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Starting next year, drug dealers in San Francisco could be charged with murder if the opioids they sell lead to overdoses—but some experts say that plan could instead lead to more deaths.\u003c/p>\n\u003cp>Gov. Gavin Newsom and San Francisco Mayor London Breed announced Friday morning that law enforcement officials in California and San Francisco will investigate drug overdose deaths as homicides beginning in 2024.\u003c/p>\n\u003cp>The plan aims to deter drug dealing and hold suppliers accountable for overdose deaths. But many public health and criminal justice advocates are concerned it will, instead, lead to an increase in the already high number of overdose deaths. They say this latest effort to crack down on drug dealing \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">could further worsen San Francisco’s drug overdose crisis\u003c/a> by creating more chaotic conditions in the drug trade and deterring people from calling 9-1-1 when help is needed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It’s going to deter people from calling 9-1-1 and getting an ambulance, getting doctors and help to this.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Angela Chan, San Francisco public defender's office","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“It’s more of the same failed policy and regressive \u003ca href=\"https://www.kqed.org/news/11929022/is-sf-reviving-the-war-on-drugs-former-cop-health-experts-say-yes\">War on Drugs\u003c/a>. This latest announcement threatens homicide prosecutions, but will only further increase, unfortunately, overdose deaths,” Angela Chan, assistant chief attorney at San Francisco’s public defender’s office, told KQED.\u003c/p>\n\u003cp>“It’s going to deter people from calling 9-1-1 and getting an ambulance, getting doctors and help to this,” Chan said. It’s not uncommon for people to use drugs with their supplier, who could be a friend or \u003ca href=\"https://www.wsj.com/articles/prosecutors-treat-opioid-overdoses-as-homicides-snagging-friends-relatives-1513538404\">even a family member\u003c/a>. “People who are overdosing need immediate emergency care, and every second matters.”\u003c/p>\n\u003cp>Breed and Newsom’s plan is to combine personnel from the San Francisco Police Department, the San Francisco District Attorney’s Office, the California Highway Patrol and the California National Guard to jointly investigate opioid deaths in San Francisco similar to homicide cases and to pursue murder charges against drug dealers. City officials did not say exactly when next year the group would begin this work or how many staff would be assigned to it.\u003c/p>\n\u003cp>“We have already been working with these state agencies to deal with the open-air drug dealing that’s been happening in San Francisco,” Mayor London Breed told reporters on Friday, “we plan to take it a step further.”\u003c/p>\n\u003cp>“This is impacting the quality of life in San Francisco more than any other drug we’ve encountered,” Breed said. “We must treat the trafficking and sale of fentanyl more severely, and people must be put on notice that pushing this drug could lead to homicide charges.”\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>Under the plan, the law enforcement task force would investigate opioid cases as a homicide if there is sufficient evidence from an overdose death scene to trace it to a specific dealer. Medical examiners currently determine what substances are involved in an overdose death, and evidence from the scene where a person overdoses could then be used by the district attorney’s office to file murder charges against the supplier.\u003c/p>\n\u003cp>This dramatic shift to charging some drug dealers with murder comes after Breed and Newsom \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">earlier this year announced\u003c/a> that state law enforcement agencies would assist San Francisco in cracking down on drug dealing and drug trafficking.\u003c/p>\n\u003cp>Before that, the state added more than $1 billion to support the National Guard’s efforts to combat fentanyl trafficking, and state law enforcement seized 594% more fentanyl in 2022 compared to 2021, according to Newsom’s office.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11950467,news_11945418,news_11948421,mindshift_62310","label":"More on the Opioid Crisis "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Efforts to increase punishments for drug dealers are also escalating locally and nationally. In California, at least two dealers have been convicted of murder charges related to a fentanyl overdose death since last year. Breed’s plan will have San Francisco follow San Diego and Santa Clara counties, which have already moved to charge some dealers with homicide.\u003c/p>\n\u003cp>“We hope that dealers will decide that San Francisco is not the place for them to be dealing,” Breed said. “People who are dealing these drugs need to be accountable in a way they haven’t been before.”\u003c/p>\n\u003cp>Nationwide, just 28 people in the country faced drug-induced homicide prosecutions in 2007, but that spiked to nearly 700 people in 2018, based on an \u003ca href=\"https://www.healthinjustice.org/drug-induced-homicide\">analysis\u003c/a> of media reports from Northeastern University School of Law.\u003c/p>\n\u003cp>Fatal drug deaths have increased, as well, across the country and the Bay Area in recent years.\u003c/p>\n\u003cp>San Francisco is currently on track to have its deadliest year on record for overdose deaths. There have been \u003ca href=\"https://sf.gov/data/preliminary-unintentional-drug-overdose-deaths\">619 overdose deaths\u003c/a> in the city from January to September, according to data from the office of the medical examiner. San Francisco is projected to have 200 more overdose-related fatalities this year than last year.\u003c/p>\n\u003cp>“Treating opioid deaths similarly to homicides only serves to stigmatize those battling substance use disorders and can discourage individuals from seeking assistance,” said Gary McCoy, vice president of policy and public affairs at HealthRight 360, which provides drug treatment services in San Francisco. “Such an approach also exacerbates cycles of incarceration without achieving the essential objectives of overdose prevention and saving lives in public health.”\u003c/p>\n\u003cp>The worsening of the city’s overdose crisis that occurred in tandem with those changes has experts, like Chan, deeply concerned about the city’s efforts to move further in that direction.\u003c/p>\n\u003cp>Public health and harm reduction advocates in San Francisco have for many years been pushing the city to open up more services to address the demand for drugs, like supportive housing, more treatment options and \u003ca href=\"https://www.kqed.org/news/11959803/in-act-of-civil-disobedience-activists-set-up-safe-drug-consumption-site-in-san-francisco\">safe consumption sites\u003c/a> where people struggling with addiction can use drugs in a medically supervised setting and doctors can reverse an overdose.\u003c/p>\n\u003cp>“They announce policy after policy that is focused on criminalizing, police-centered approaches, rather than public health approaches,” Chan said. “We urge the mayor, the governor and other city officials, including our DA, to take stock of how much of a failure this approach has been and how harmful it’s been in terms of increasing overdoses.”\u003c/p>\n\u003cp>\u003cem>KQED senior editor Tyche Hendricks and reporter Oscar Palma contributed to this story. \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/11965813/sf-wants-to-charge-drug-dealers-with-homicide-but-could-it-lead-to-more-overdose-deaths","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_30249","news_27626","news_6931","news_31709","news_29747","news_20331"],"featImg":"news_11965817","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. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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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. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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