Two women are speaking to each other at a protest rally on a plaza outside of San Francisco City Hall. They are Supervisor Hillery Ronen, who holds a pink sign that reads "We Love Marginalized Communities," and Vitka Eisen, CEO of HealthRight 360, who holds a sign that reads "Harm Reduction Works." They are both wearing jeans and black T-shirts. Many of the people standing around them are similarly dressed.

City Officials Lack Urgency to Prevent Overdose Deaths, Say Safe Consumption Proponents

Several weeks after a crucial legal hurdle blocking safe consumption sites in San Francisco was seemingly resolved, proponents said they were dismayed that city leaders and public health officials were still not greenlighting centers that could reduce deaths related to drug use.

Overdose deaths have reached 620 this year — on track to have the highest annual tally since counting began, with fentanyl causing the vast majority of fatalities, according to the chief medical examiner’s latest report.

A San Francisco Sheriff's Department prisoner transport bus arrives at the San Francisco County Jail in San Bruno. The cream-colored bus is driving through the entrance, which is flanked by two brown brick walls. A series of tall, narrow traffic cones appear on the left side of the frame. District Attorney Brooke Jenkins criticizes the use of pretrial diversion programs offering defendants accused of selling drugs rehabilitation, counseling and training rather than jail sentences. Many such suspects are held at the San Francisco County Jail in San Bruno.

DA’s Opposition to Drug Diversion Programs Undermines Public Safety, Say Legal Advocates

San Francisco District Attorney Brooke Jenkins has criticized and diminished the use of diversion programs that offer criminal defendants accused of selling drugs rehabilitation, counseling and training rather than jail sentences.

Since taking office 15 months ago, Jenkins has reduced the number of referrals to the San Francisco Pretrial Diversion Project by 70%, according to its CEO David Mauroff.

And as San Francisco’s rate of overdose fatalities reaches more than two deaths a day, Jenkins is pushing for defendants accused of selling drugs to remain in jail. But some legal experts say that’s a bad strategy both for the defendants and for public safety.

A rally at City Hall with a sign reading "Every Overdose Death Is a Policy Failure" #fundharmreduction

Drug Crackdown Has Sparked Violent Turf Warfare in Central San Francisco, Supervisor Says

A drug crackdown in the Tenderloin and South of Market has resulted in more than 600 arrests, with authorities seizing more than 200 pounds of fentanyl since the initiative launched in May, Mayor London Breed said.

But the coordinated effort, involving city and state law enforcement agents, appears to be leading to violent clashes, said Supervisor Dean Preston, whose district includes the Tenderloin. “They’re poking a hornet’s nest,” he said in an interview.

Graffiti covers a poster with the words "Jail the Sacklers"

Anonymous Posters Singling Out Judges for Leniency in Drug Cases Earn Condemnation From Defense Lawyers

An anonymous poster campaign calling out judges who dropped charges against people accused of selling fentanyl is getting strong pushback from San Francisco legal professionals. 

“This is just wildly inappropriate,” said Kirk Jenkins, Senior Counsel at Arnold & Porter Kaye Scholer. “You could cause violence against judges.”

Three people wearing vests and jackets with city logos speak with a man standing in the entrance of a tent covered with plastic tarps on a city sidewalk.

SF ‘Failing’ on Housing as Overdose Solution, Health Expert Says

Sarah Evans has spent decades advancing drug overdose prevention initiatives around the world. As a division director for Open Society Foundations — a grantmaking network founded and chaired by business magnate George Soros — Evans promotes one surefire way to help abate San Francisco’s homelessness and fatal overdose crisis: housing.

“The way that people get off the street is by getting into housing, where people can get support and stay there even while they are continuing to struggle with substance use disorders of all kinds and mental health issues,” said Evans, who leads the organization’s drug policy programs globally. “It literally is the only way.”

San Francisco isn’t doing enough to meet this housing need, according to health experts.