A coalition of addiction experts and treatment advocates is commending the San Francisco Department of Public Health for committing some of the $352 million opioid lawsuit settlement funds the city expects to receive over the next 18 years to expanding methadone treatment and addressing racial disparity in fatal overdoses.
Category: Overdose Crisis

Reporter Sylvie Sturm has reported in depth in recent years for the Public Press’ podcast, “Civic,” examining why San Francisco and other localities struggle to control an epidemic of deaths and disability caused by addiction to street drugs, as well as efforts to think creatively about solutions.
Overdose Prevention Centers — Nonstarter in SF, Despite Success in NYC
San Francisco officials appear to have abandoned efforts to open facilities where people can consume drugs under supervision — even as more cities adopt the model to prevent deadly overdoses.
Recent studies show that overdose prevention centers save lives, keep people from consuming drugs in public and do not lead to increased crime.
Las Muertes por Sobredosis entre los Mayas en San Francisco Muestran la Necesidad Urgente de un Tratamiento Culturalmente Sensible
Desde el comienzo de la pandemia del COVID-19, los mayas de San Francisco han estado muriendo por sobredosis de drogas a tasas elevadas. Los expertos dicen que se necesitan servicios de salud más capacitados, y los proveedores deben ser culturalmente competentes y capaces de comunicarse de manera efectiva con estos residentes, que no pueden hablar con fluidez inglés o español.
Overdose Deaths Swell Among SF’s Maya Residents, Highlighting Urgent Need for Culturally Competent Drug Health Services
Since the beginning of the COVID-19 pandemic, San Francisco’s Mayans have been dying of drug overdoses at elevated rates. More robust health services are needed, experts say, and providers should be culturally competent and able to communicate effectively with these residents, who may not be fluent in English or Spanish.
Proveedores de Servicios Exigen Acceso a Reclusos Latinos
La falta de programación en español es un problema crecientemente grave ya que el encarcelamiento de latinos ha aumentado desde el lanzamiento el junio pasado de una ofensiva policial contra las drogas en los vecindarios de Tenderloin y sur de Market. • Read in English: https://www.sfpublicpress.org/service-providers-demand-access-to-latinx-jail-inmates
Drug Policy, Addictions Specialists Oppose Prop F Tying Welfare to Drug Tests
Numerous drug policy experts and addictions specialists from across the country — as close as UCSF and as far away as Rhode Island — publicly oppose a San Francisco ballot measure that would compel adult welfare recipients to undergo drug screening before collecting cash benefits.
And efforts to publicize the measure have brought practitioners who don’t always agree about addiction treatment practices to the same side of the debate.
Service Providers Demand Access to Latinx Jail Inmates
Spanish-language programming at San Francisco’s County Jail has since become virtually non-existent as routine lockdowns caused by staff shortages have made it practically impossible to hold classes. Even while deputies work mandatory 16-hour shifts, there aren’t enough of them to escort people who administer rehabilitation sessions and other training programs into the jails.
On Feb. 2, numerous social service providers for the Latinx incarcerated population implored the Sheriff’s Department Oversight Board during its monthly meeting to help them gain access to the jail.
2023 Is San Francisco’s Deadliest Year on Record for Drug Overdoses
Last Thursday San Francisco’s chief medical examiner released the city’s updated overdose death count — 752 so far — making 2023 the worst year on record for drug-related fatalities. One-third of those people were listed as having no fixed address. Later that day, a crowd gathered at Civic Center Plaza to remember more than 420 who died in the city while experiencing homelessness this year.
SF Students, SRO Residents Train to Reverse Drug Overdoses
Experts in overdose prevention say many teen and adult lives could be saved if more people know how to identify and respond to overdoses. In San Francisco, an array of programs are providing overdose response training to teenagers, college and medical-school students, and residents in neighborhoods that have a high rate of overdose deaths.
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.
