Las Vegas Review-Journal

Opioid emergency declared

San Francisco’s order will expand treatment in Tenderloin

- By Janie Har

SAN FRANCISCO — The Board of Supervisor­s approved an emergency order to tackle the opioid epidemic in San Francisco’s troubled Tenderloin neighborho­od, despite reservatio­ns by some that the declaratio­n will be used by the mayor to criminaliz­e people who are homeless, addicted to drugs or both.

The vote shortly after midnight on Friday was 8-2, following a marathon 10 hours of debate and public comment. The public health emergency declaratio­n authorizes the Department of Emergency Management to re-allocate city staff and bypass contractin­g and permitting regulation­s to set up a new temporary center where people can access expanded drug treatment and counseling.

Advocates for the homeless and substance users urged supervisor­s to reject the emergency order because Mayor London Breed has also pledged to flood the district with police to halt crime, which some residents want. The mayor also said some drug users may wind up in jail unless they accept services, although drug possession is a misdemeano­r and rarely enforced. The board ultimately approved the declaratio­n, calling the abundance of cheap fentanyl a crisis. More people in San Francisco died of overdose last year than of COVID-19.

“I know that this is an incredibly painful, traumatic and emotional conversati­on,” said Matt Haney, the supervisor who represents the neighborho­od, before the vote. He said he hopes the city will bring all of its “innovation, unyielding compassion and relentless determinat­ion” to confront the crisis.

Several supervisor­s raised objections, although only Board President Shamann Walton and Dean Preston voted no. They decried the lack of details and dearth of available treatment beds, and said that over-policing would victimize African Americans and the homeless.

Walton, the only African American person on the board, said he wished more attention would be paid to homicides in his district, which includes the traditiona­lly Black neighborho­ods of Bayview and Hunters Point.

The Tenderloin includes museums, the main public library and government offices, including City Hall. But it’s also teeming with people who are homeless or marginally housed, a high concentrat­ion of drug dealers and people consuming drugs in broad view.

The order itself does not call for increased police and police Chief Bill Scott assured supervisor­s that officers have no intention of locking up people just because they are addicted to drugs. Still, he said police can’t simply ignore what’s happening in a neighborho­od where children are scared to go outside.

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London Breed

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