San Francisco Public Press (https://www.sfpublicpress.org/category/health/)
Sylvie Sturm appeared on KALW’s “Your Call” with host Rose Aguilar for last week’s Media Roundtable to talk about her reporting on San Francisco’s opioid crisis and recent rise in deaths, what the city and nonprofits are doing to address it, and how initiatives might be funded.
On average in the U.S., more than 1 in 3 women, and 1 in 4 men, will experience physical violence, rape or stalking by an intimate partner, according to the National Domestic Violence Hotline. Nevertheless, when victims turn to family court for protection from their abusers, they often face skeptical judges. And that’s especially true when the abuse doesn’t leave a mark.
Since the 1970s, San Francisco’s average temperature has increased by 2 degrees Fahrenheit. City leaders are developing new strategies to keep people safe, with infrastructure designed for much cooler weather. The question is whether San Francisco is ready for the next deadly heat wave.
Administrators are overhauling policies and procedures to regain federal funding that is set to expire following the issuance of multiple damning inspection reports at Laguna Honda Hospital. They have until Sept. 13 to implement changes, which include a requirement to transfer or discharge all patients, before they can apply for recertification from the Center for Medicare and Medicaid Services — which has the authority to restore funding for patient services. But administrators say they’re struggling to fulfill the center’s mandate to move out all patients by the looming deadline.
More than one month after statewide eviction protections expired on June 30, less than 4% of rent relief funds requested by San Francisco households remain unprocessed, with 55% of funds paid out.
Nearly 700 live-in patients at Laguna Honda Hospital were thrown into chaos this spring after a series of damning inspections led the Center for Medicare and Medicaid Services to pull funding and mandate a closure plan for the facility.
It’s a dire situation for residents of the skilled nursing facility who have specialized needs that make them hard to place elsewhere. Hospital administrators are scrambling to attain the recertification needed to continue to receive federal funding.
Two former Laguna Honda physicians say they have continued to warn city officials about this looming crisis after first flagging it 18 years ago. That’s when a Department of Public Health policy began admitting to Laguna Honda patients whose needs fell outside the scope of a typical nursing home for the elderly.
The AIDS Memorial Quilt was unfurled recently in San Francisco’s Golden Gate Park for its largest display in a decade, marking the start of a campaign to educate the public about a disease that, since 1981, has infected 1.2 million people nationwide.
While new HIV infections in the United States have been in decline, the disease continues to take a disproportionate toll on racial and ethnic minorities, men who identify as gay or bisexual, and other men who have sex with men. The highest rates of new infections and numbers of untreated people are found in the South.
Organizers estimated that 20,000 people visited the San Francisco quilt display June 11 and 12. This fall, sections of the quilt will be taken on a tour of the South for “large displays in city centers, as well as smaller displays in rural, non-metro areas,” said Dafina Ward, executive director of the Southern AIDS Coalition. New names will be added to the 35-year-old quilt during the tour, she said.
After two years of focusing on COVID-19 pandemic response, the Biden Administration is renewing attention to other ongoing public health challenges, including HIV and AIDS. The response is led by Harold Phillips, director of the White House Office of National AIDS Policy. The San Francisco Public Press spoke with Phillips this month when he came to San Francisco to participate in events tied to the display of the AIDS Memorial Quilt in Golden Gate Park.
Over the past several months, health care providers have been warning San Francisco officials that while the city was focused on fighting COVID-19, rates of HIV infection and related illnesses were creeping in the wrong direction.
From the very beginning, and throughout the HIV epidemic, which began in 1981, San Francisco led the way in prevention, care and treatment that came to be recognized around the world.
The key to addressing San Francisco’s overdose crisis, say community activists and medical experts in the city, is harm reduction. That’s an approach that acknowledges not all drug users will achieve abstinence, and that focuses on keeping them safe and alive if they’re not ready or able to quit. Drug overdoses killed more people in San Francisco than did COVID-19 in the first two years of the pandemic — 711 deaths in 2020, and 645 in 2021.
In San Francisco, drug overdoses killed more people than did COVID-19 in the first two years of the pandemic — 711 deaths in 2020, and 645 in 2021. These figures are troubling, even without counting nonfatal overdoses and other suffering associated with this crisis. While fentanyl is often cited for the rapid increase, many factors contribute to this trend both in San Francisco and nationally.