![]() ![]() Situated across from a Whole Foods and a few blocks from Twitter’s headquarters, the facility was a visible reminder of poverty and drug use, said Alex Kral, PhD, an epidemiologist at the research nonprofit RTI International who has been analyzing the health impacts of the site. Some experts are now using the term “drug-poisoning crisis” instead of “overdose crisis” because the root of the increase is in contamination of the drug supply with the powerful narcotic fentanyl. The site became a local flash point in the debate about how to handle the drug-poisoning crisis, which killed more than 100,000 Americans in 2021 alone ( CDC National Center for Health Statistics, 2022). Last year, the city government of San Francisco did something new as part of an emergency response to the city’s overdose crisis: They opened a center in the Tenderloin neighborhood where people could go to use substances in a supervised environment, well stocked with the opioid-blocker naloxone and staffed with medical professionals to watch for potential signs of overdose. ![]()
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