COVID-19 San Francisco opioid crisis explodes in a pandemic

SF fentanyl crisis gets worse

The coronavirus pandemic creates conditions that further exacerbate the fentanyl crisis in San Francisco.

San Francisco – While COVID-19 continues to spread in San Francisco, the epidemic of opioids is also exploding, raising concerns that a global pandemic could lead to death from overdose.

Although social distance and isolation can be important in stopping the person-to-person spread of coronaviruses, these techniques are potentially dangerous for drug users.

Paul Harkin, who works on mitigation at HealthRIGHT 360 in San Francisco, said:

Herkin gives out Narkan (naroxone, a drug reversal drug) and encourages anyone using the drug to do it with others.

In San Francisco last year, opiate overdose was by far the most common, partly due to the recent market introduction of fentanyl. Fentanyl is 40 times more potent than heroin and can cause an immediate overdose.

The Tenderloin area of ​​San Francisco is a epicenter of fashion. Dealers and users come from all over the region to the neighborhood to sell or buy powerful medicines.

According to the data published by San Francisco Public Health ServiceIn 2018, 165 were fatally overdosed from fentanyl or other drugs containing fentanyl. Last year, that number more than doubled to 339.

City medical inspectors still need to perform autopsy and toxicity tests on hundreds of cases, but experts believe 2020 will get worse.

“In San Francisco last year, overdose mortality has risen substantially, and at the moment it’s still overdose,” said Dr. Alex Kral, an epidemiologist who has been studying drug use for 30 years.

He has long defended safe consumer sites as a way to avoid death.

San Francisco Approved legislation to open a secure consumer site, But the city is awaiting approval under Proposition 362. If the bill is passed, the city could start running the site next year.

Meanwhile, the opiate and overdose epidemic “is essentially being exacerbated by evacuation ordinances,” Kral said.

The San Francisco police said the same trend was being seen. To date, police have canceled more overdose than in any previous year.

By July 29, police had canceled 148 overdose, 98 of which were in Tenderloin. Five years ago, police in San Francisco canceled only three overdose in the city at the same time.

Many users are aware of the dangers of fentanyl. KTVU visited a community of people along Willow Street on the edge of Tenderloin for a few days. Whenever they use fentanyl, make sure someone is nearby to administer Nalkane.

Carmen Sierra said:

She was taken back by her friends three times from the brink of death, saving dozens of other users themselves, she said.

“Many of my friends living all over the country don’t have access to something like this and its use is 100 times more dangerous,” she said.

Carmen Sierra uses fentanyl on Willow Street in Tenderloin, San Francisco.

Well-ordered shelters are also disrupting the fentanyl supply chain, experts say. Users are buying from different dealers where the drug may be more powerful. And other people who are kept clean may be pushed back to drug use by the stress from the pandemic.

The drugs they are finding on the road have taken a long journey to get there. They are mainly made in China and Mexico.

“There’s a super lab that’s making this synthetic fentanyl, from which it’s acquired across borders and spread throughout the United States. It’s predating addicts.” “

Outside his office on the streets of Tenderloin, the fentanyl epidemic continues to rage, and probably outlasts coronaviruses.

Evan Selnovsky is a research reporter at KTVU. Email Evan [email protected] Follow us on Twitter @EvanSernoffsky

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