Study: Tenderloin OD-prevention site saved lives — and got in its own way

By Joe Eskenazi : missionlocal – excerpt

An academic study published today in the International Journal of Drug Policy noted a statistic one needn’t be a doctor nor a mathematician to grasp: 333 overdoses were recorded at the Tenderloin Center, and 333 of those overdoses were reversed.

The Tenderloin Center, a clandestine overdose-prevention site at which clients could use drugs overtly, was open from January to December, 2022, and recorded 124,100 visits. The perfect record on overdose prevention, wrote lead author Dr. Leslie Suen of the University of California, San Francisco, points to the site being “an effective harm-reduction strategy to save lives.”

With the Tenderloin Center shuttered after 11 months of operation, the city is presently on pace for perhaps its highest recorded number of overdoses yet. Citing a federal law actually known as “the Crack House Statute,” neither City Attorney David Chiu nor Mayor London Breed are game to continue operating such an overdose-prevention site in contravention of that law, despite the fact the city clearly did so for nearly all of 2022, and the statute of limitations for violating the Crack House Statute is five years…

But, while the Tenderloin Center’s record on reversing overdoses was perfect, the policies undergirding this hastily thrown together site were not. Staff here were mandated by the city to call 911 every time naloxone was administered to a person overdosing on drugs. This resulted in hundreds and hundreds of calls to 911 and the scrambling of emergency responders to visit the site. Far more often than not, by the time they arrived, the drug user had been revived and did not need or want to take an ambulance ride to the hospital, resulting in a waste of time and money and a diversion of emergency personnel…

There is another option to reverse many overdoses, however, that avoids the incessant 911 calls: Oxygen. This was used at the Tenderloin Center a few months into its operation, and is the subject of the academic paper, formally titled “Evaluating Oxygen Monitoring and Administration during Overdose Responses at a Sanctioned Overdose Prevention Site in San Francisco, California: A Mixed-Methods Study.” …

The 911 policy was described by the Department of Emergency Management as ensuring “additional life safety measures were in place to protect against the lethality of a fentanyl overdose. … Please keep in mind that when the Tenderloin Center was established, San Francisco was testing new approaches to address the overdose epidemic.”…(more)

RELATED:

Evaluating oxygen monitoring and administration during overdose responses at a sanctioned overdose prevention site in San Francisco, California: A mixed-methods study 

S.F. commissioner behind ‘doom loop’ tour resigns in defiant letter to Mayor Breed

By J.D. Morris and Roland Lee : sfchronicle – excerpt

A San Francisco commissioner who created a controversial planned tour that intended to show attendees downtown’s worst “doom and squalor” resigned from his city position on Monday.

Alex Ludlum is stepping down from the city’s Commission on Community Investment and Infrastructure after emails affiliated with the so-called Downtown Doom Loop Walking Tour indicated he had organized the event, which was canceled shortly before it was supposed to occur over the weekend.

“I regret that my attempt to bring attention to the deplorable street conditions & rampant criminality in my neighborhood has been misconstrued as a mockery of suffering individuals. Satire is a poor way to address the grave issues we face as a city,” Ludlum wrote in a letter to Mayor London Breed, which he provided to the Chronicle. Breed appointed Ludlum to the commission last year…(more)

Another Breed Appointee bites the dust. Loses faith in the fate of San Francisco.

San Francisco Corruption Scandal Forces New Ballot Measure for Voters

By Liz Lindqwister : sfstandard – excerpt

San Francisco ethics watchdogs have long urged the city to adopt tighter restrictions on gift-giving practices that have in the past opened the door for corruption. Now, the city will take the issue to voters.

The Ethics Commission voted on Aug. 18 to place a package of anti-corruption measures on the March 5, 2024, election ballot. The news comes after two delayed efforts to bring a corruption-related ballot measure to voters, first in the June 2022 special election and again on the Nov. 8, 2022, ballot.

“Our city residents and dedicated public servants alike expect and deserve a city government that works to promote the public good, not personal interests,” said Ethics Commission Vice Chair Theis Finlev. “Reformed conflict of interest laws and increased training for city officials can help ensure that governmental decisions are made on a fair and impartial basis.”…(more)

Something is happening at the Ethics Commission. They are finally giving the residents the right to vote on a package of anti-corruption measures after years of attempts to do so. Maybe they are overwhelmed by the number of cases.

Disgraced S.F. engineer at heart of City Hall scandal sentenced to 30 months in prison

By St. John Barned-Smith : sfchronicle – excerpt

Prominent San Francisco engineer Rodrigo Santos, who has pleaded guilty to bank fraud, wire fraud and tax evasion charges as part of a wide-ranging federal corruption probe, was sentenced Friday to 30 months in prison and three years of supervised release.

Santos has pleaded guilty to charges that he stole money from clients through check fraud and improperly influencing a senior building inspector by having clients donate money to the official’s favored rugby club.

Prosecutors wanted 51 months in prison, to be followed by three years of supervised release. Santos’ attorney Randall Knox had requested a sentence of just over a year in prison.

At the beginning of Friday’s hearing, Senior District Judge Susan Illston said she was inclined to sentence Santos to 30 months, as the probation department recommended.

“You had everything going for you — but I find the offenses set out here to be very, very serious and very destructive,” Illston said. “The effect of fraud on city and county of San Francisco was substantial.”…(more)

Protests erupt over harbor relocation plan in ‘usually quiet’ S.F. neighborhood

by Sam Whiting : sfchronicle – excerpt

A summer of simmering San Francisco neighborhood resistance to a plan to build a new small boat harbor in front of the Marina Green boiled over into a protest outside a community meeting on Wednesday.

Members of the recently organized citizen group Keep the Waterfront Open gathered outside the meeting hosted by the San Francisco Recreation and Park Department at Moscone Rec Center.

The plan was to carry signs, march and chant at the entrance to the meeting in the old gymnasium on Chestnut Street. Around 75-100 energized people showed up, some with signs in hand — though they forwent the march, and the chanting was done mainly by two 8-year-old girls, Siobhan Butler and Carolyn Wong, president and vice president of the Earth Club at their school.

“Save the cove!” they chanted loudly, alternating with, “Clean the cove!”…

Some of the more adamant protesters are still fighting a $190 million settlement reached in 2021 between the city attorney and PG&E to pay for the cleanup. Homeowners along Marina Boulevard claim that the cleanup plan is insufficient for remediating both the boat harbor and the property beneath their homes…(more)

Historic San Francisco Theater Developer in Feud With City That Could Kill 74 Homes Plan

by Garrett Leahy :sfstandard – excerpt

A feud between a property developer and a city official may squash housing plans for a dilapidated old San Francisco movie theater.

The conflict centers on a local supervisor’s plan to designate the Alexandria Theater as a historic landmark, which the property owner says will cause development costs to skyrocket, making it impossible to complete the project—and leaving the theater in its blighted condition.

Development plans for the theater have fallen through before. Now the city and restoration advocates are seething at the thought of the failure of another project that could transform the theater into much-needed San Francisco housing if completed…

Woody LaBounty, head of San Francisco Heritage, a nonprofit that seeks to preserve San Francisco’s unique architecture, said his organization has pushed for the theater’s redevelopment for at least 15 years. The local historian said he’s tired of seeing the Alexandria Theater in a state of disrepair and wants to see it redeveloped.

“The whole idea was housing in the back, and swim center in the front,” LaBounty said. “At what point are we supposed to believe that the owners don’t have the money to build it because it’s a historic landmark? The owners have had two approved projects, and they haven’t done anything.”…(more)

Developers of controversial 50-story tower in Sunset District sue S.F.

By Megan Fan Munce : sfchronicle – excerpt

The developers behind a controversial project to build a 50-story condo building in San Francisco’s Sunset District have sued the city, claiming that officials misinterpreted and violated a state law meant to incentivize affordable housing.

California’s Density Bonus Law (DBL) is designed to incentivize the construction of low to moderate income housing by allowing developers to build more housing units in a project than local regulations normally allow if they agree to make a larger percentage of those units affordable housing.

In a lawsuit filed Tuesday in the San Francisco Superior Court, the developers, 2700 Sloat Holding, which owns the site, argues that the city is misinterpreting the requirements of the law and also violating it by requiring developers to pay certain fees…

San Francisco Planning Director Rich Hillis said he had not reviewed the exact details of the complaint, but said he believes the developers of the project have misinterpreted how far beyond local regulation the density bonus law allows developers to build.

“It kind of defies logic that you could take a site that has a 100-foot height limit, apply a 50% bonus to it and somehow get a 560-foot tower,” Hilles said. “We think they’re wrong in their interpretation of what’s allowed under the zoning.”…(more)

Farmers’ market drama is the last thing San Francisco needs right now

By Soleil Ho : sfchronicle – excerpt

On Monday, San Francisco’s Recreation and Parks Department held an open house at Civic Center focused on the city’s plan to revamp the area — a plan that includes the controversial decision to relocate a popular biweekly U.N. Plaza farmers’ market to nearby Fulton Plaza.

About 100 attendees looked at posters depicting stock photos of people doing Zumba in front of City Hall while casually pecking at catered snacks. The hollow plinking of a pingpong ball in play echoed through the room, but the mood was far from leisurely…

Is this what passes for “community engagement” in San Francisco? The big decisions have already been made — and according to advocates, no one knew about the changes to the market until it was too late…

“For them to claim that we’ve been working with them all along? That hasn’t happened,” he said.

Pulliam said it was only after he brought the rumors up to the Civic Center Community Benefit District that the city arranged a meeting with him to share its plan, which he objected to immediately. His suggestion that the market share the plaza with the skate park went unheeded. Since then, city departments haven’t shared any updated maps of the space with him; he had to ask me what they were planning.

The worst part? This quickie play at urban renewal is all just an experiment. If the revamp doesn’t hash out within six months, Pulliam said he was told the farmers’ market can go right back to where it’s been for the past 40 years.

All of this chaos, and all of the people that will have to scramble because of it, is just spaghetti being thrown at the wall by a city that doesn’t seem to give a damn either way…(more)

I’ll bet everyone who ever held a job has experienced a manager who managed by creating chaos. That appears to be the primary goal of our current administration and they are really good at that job.

Unfortunately management by chaos never accomplishes much other than to convince people they don’t need that job. I remember a few times I was trapped and could not wait to leave so I could regain my sanity.

We understand that the city is understaffed and has a long process for hiring that usually takes at least 18 months. That 18 months figure comes up a lot in excuses for the slow process we see in filling empty affordable units and other city programs. How do we get past the 18 months slowdown and management by chaos? Hopefully we will soon have some options in new management styles before we kill off what is left of the “Heart of San Francisco”. The patient needs a transfusion fast. See https://hotcfarmersmarket.org/

‘It’s going to be a nightmare’: SF displaces farmers market to make room for skate area

By Timothy Karoff : sfgate – excerpt

A beloved farmers market’s tenure in U.N. Plaza is nearing an end.

City officials have elected to move the Heart of the City Farmers’ Market, a staple of Civic Center for 42 years, to the nearby Fulton Street parking lot, making room for a skate area, chess boards, pingpong tables and Teqball (a sport similar to table tennis) tables, according to a press release from the farmers market.

The market will move one street over to Fulton Street between Larkin and Hyde on Sept. 3, and construction of the recreation area is set to wrap up in November. The decision is an attempt at revitalization, with hopes that a vibrant hub of activity will make the area safer, as U.N. Plaza is known as a site for the sale and purchasing of drugs

“Nobody has a food access program as large as ours,” Steve Pulliam, the market’s executive director, told SFGATE. “Certainly not in California. We have the numbers to prove that.”

Pulliam cited a host of issues with the new location. Compared to the U.N. Plaza location, Fulton Street’s space is limited. He pointed out that in the new location, vendors won’t be able to park their vehicles behind their stalls, leaving them exposed to smashed windows and break-ins. This also puts merchandise at risk, since some vendors use their vehicles to store extra produce…(more)

Why not just have the market extended to more days of the week? Or do some activities that don’t disrupt it on the off-days. Does anyone really think this is going to stop the activities around the BART station?