SF to end free distribution of fentanyl paraphernalia without treatment
'We can no longer accept the reality of two people a day dying from overdose,' Lurie said. 'The status quo has failed to ensure the health and safety of our entire community, as well as those in the throes of addiction. Fentanyl has changed the game, and we've been relying on strategies that preceded this new drug epidemic, which ends today.'
The policy shift is part of Lurie's 'Breaking the Cycle' plan, which is aimed at getting people off the streets and into drug treatment. It marks a departure from existing city policy, under which fentanyl-smoking supplies like foil, pipes and plastic straws are handed out to drug users with few conditions attached.
Suspects nabbed after escaping burglary via boat in Solano County
The new guidelines, issued by San Francisco Department of Public Health (DPH) Director Dan Tsai, mean people will need to agree to treatment, counseling, or be connected to services to receive safer drug use supplies.
'As public health, we are responsible for the health of the individual on the street and the health of the community impacted by this crisis. We are implementing strategic changes to build a more responsive system of care that moves people from the streets into effective treatment and sustained recovery,' said Tsai.
The new policy, which goes into effect April 30, will mandate that drug paraphernalia, including fentanyl smoking supplies and clean needles for IV drug users, will only be distributed to people who undergo counseling designed to get them into treatment. The policy shift will also move distribution of drug supplies indoors, off the streets, and into city-sanctioned buildings.
San Francisco first began distributing free needles decades ago to help stem the spread of HIV/AIDS. As part of the new policy, Lurie's office said the DPH will monitor overdose rates, and HIV/Hepatitis C transmission to 'ensure policy aligns with public health goals.'
According to the New York Times, more than 3,000 people have died as a result of San Francisco's drug crisis over the past five years — more than COVID-19, homicide and car crashes combined.
Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Medscape
an hour ago
- Medscape
WHO Urges Rapid Treatment for Concurrent HIV and Mpox
People living with HIV who contract mpox should start antiretroviral therapy (ART) as soon as possible, according to updated recommendations from the World Health Organization (WHO). People living with HIV are disproportionately infected by mpox and experience more severe disease and higher rates of death than individuals who develop mpox but do not have HIV, said Remco Peters, MD, medical officer of the WHO, who presented the updated guideline at the International AIDS Society Conference on HIV Science. The standard of care calls for initiation of ART within 7 days of an HIV diagnosis, Peters said in his presentation. Some concerns have been raised about the risk for immune reconstitution inflammatory syndrome associated with mpox, but data are limited, Peters said. However, the guideline developers focused on the 'very clear benefits of direct entry to viral therapy in general for people living with HIV,' he said. Without entry to biotherapy, individuals with low CD4 counts in particular (defined as < 200 cells/mm3) are at greater risk for severe disease and death from mpox, and early treatment of HIV is even more important in this population, given the lack of a specific treatment for mpox, Peters said in his presentation. Consequently, the WHO's strong recommendation, based on moderate certainty of evidence, calls for rapid ART initiation in people with HIV and mpox who are ART-naïve or who have had an extended interruption in ART treatment. In practice, this means that early HIV testing should be conducted when patients present with presumptive or confirmed mpox, said Peters in his presentation. Patients should be referred for ART as soon as possible, including an offer of same-day start, with the goal to provide therapy within 7 days, he said. The guideline also states that people already on ART should continue their therapy if they contract mpox, Peters emphasized. For people already on ART but with an undetectable viral load, ART regimens should be continued without interruption or change, while those with detectable viral loads should be managed accordingly, he added. The guidelines for management of mpox align with the WHO's broader guidance for rapid treatment initiation in new cases of HIV, according to the WHO's press release.
Yahoo
4 hours ago
- Yahoo
COVID-19 cases are on the rise in MA, CDC says. What to know about 'Nimbus' strain.
COVID-19 numbers are rising in Massachusetts, and in states across the country. "COVID-19 laboratory percent positivity is increasing nationally," according to the Centers for Disease Control and Prevention (CDC) website. "Emergency department visits for COVID-19 are increasing among young children 0-4 years old," though the CDC noted that emergency room visits are "low" overall. The latest COVID-19 strain is known as "Nimbus." Here's what to know. Are COVID-19 numbers increasing in Massachusetts? The CDC website has evaluated the issue in each state and determined cases in Massachusetts are likely rising. In Massachusetts, there is an 85.8% chance that COVID-19 numbers are increasing, according to the CDC. The Massachusetts Department of Public Health (DPH) reported that as of June 28, there were 377 confirmed cases of COVID and 77 unconfirmed cases. No COVID-19 deaths were reported at the time. The data stops in June because the Massachusetts DPH "ended data collection for the 2024-2025 viral respiratory season on June 28, 2025, and routine updates to their dashboard for the 2025-2026 season will resume later this summer." What is the current COVID-19 strain 'Nimbus?' As of early June, the new strain known as NB.1.8.1, or "Nimbus," made up 37% of COVID-19 cases nationwide. Variant NB.1.8.1 was first detected in China in January 2025 but accounted for about 0% of cases in the United States until May. The World Health Organization added at the time that currently approved COVID-19 vaccines are "expected to remain effective to this variant against symptomatic and severe disease." Virologists describe Nimbus as a 'slightly upgraded' version of its predecessor. While there is no evidence it causes more severe disease, it appears to be highly transmissible. What are the symptoms of Nimbus? Reported symptoms of NB.1.8.1 are similar to other COVID-19 strains, but one distinctive complaint is a severe sore throat, sometimes described as 'razor-blade throat fatigue.' Other symptoms may include: Mild cough Fever Muscle aches Nasal congestion Are vaccines still effective? Health experts say that updated COVID-19 vaccines remain the best protection against severe illness. Vaccination rates vary widely by state, and health officials continue to urge eligible individuals to stay current with their shots. How can people get tested? People can either take an at-home test or they can see their respective doctors. (This story was updated because an earlier version included an inaccuracy.) This article originally appeared on COVID cases on rise in MA, CDC says. What to know about latest strain Solve the daily Crossword


UPI
14 hours ago
- UPI
State Department to burn birth control worth $9.7M meant for poor nations
The U.S. government plans to destroy $9.7 million of contraceptives for poor nations, mainly in Africa, after the nation "explored all possible options to prevent the destruction." UPI file photo | License Photo July 27 (UPI) -- The U.S. government plans to destroy a stockpile of contraceptives worth $9.7 million for poor nations, mainly in Africa, after the State Department "explored all possible options to prevent the destruction." The contraceptives include nearly 2 million doses of injectables, 900,000 implantable devices and more than 2 million oral packets, according to internal auditing in April obtained by The Washington Post. Chelsea Polis, a researcher with Guttsmacher Institute, which supports abortion rights, told the newspaper that the contraceptives could provide more than 650,000 women with pregnancy protection for up to one year and 950,000 women for three years. U.S. laws and rules prohibit sending U.S. aid to organizations that provide abortion services, counsel about the procedure or advocate for the right overseas. "The State Department confirms that a preliminary decision was made to destroy certain abortifacient birth control commodities from terminated Biden-era USAID contracts," a spokesperson said in a statement. "Only a limited number of commodities have been approved for disposal. No HIV medications or condoms are being destroyed." The destruction will cost $167,000, the spokesperson said. Most contraceptives have less than 70% of shelf life before expiration, the spokesperson said. The Guardian contacted an aide who visited the warehouse in Belgium and found the earliest expiration date was 2027. Two-thirds didn't have any labels. Belgium, the United Nations and humanitarian groups said they unsuccessfully stopped the destruction plans for the contraceptives. The U.S. Agency for International Development, which Trump disbanded and merged into the State Department, was to have distributed them. They are part of a $9.5 billion program over 10 years to provide aid to more than 40 nations. The government said it based its decision on a policy that restricts funding for reproductive-related actions in the Mexico City Policy and the Kemp-Kasten amendment. President Ronald Reagan instituted the policy in 1985 and it has become a political issue. It has rescinded by Democratic presidents and reinstated by Republicans several times, including by President Donald Trump when he returned to office in January. A bipartisan group of U.S. legislators doesn't want the contraceptives to be destroyed, including Republican Sens. Lisa Murkowski of Alaska, and Democrats Jeanne Shaheen of New Hampshire and Brian Schatz of Hawaii. "This is a waste of U.S. taxpayer dollars and an abdication of U.S. global leadership in preventing unintended pregnancies, unsafe abortions and maternal deaths," said Shaheen, who in June sent a letter to the Secretary of State Marco Rubio about the matter. The U.N. Population Fund and the International Planned Parenthood Federation were interested in receiving the contraceptives. "UNFPA was in conversation with Chemonics about purchasing the contraceptives but didn't receive an answer from them," UNFPA spokesman Eddie Wright said. "It's the height of hypocrisy for a government to preach efficiency and cutting waste, only to turn around and recklessly destroy lifesaving supplies when the need has never been greater," Micah Grzywnowicz, regional director of the International Planned Parenthood Federation European Network, said in a statement MSI Reproductive Choices offered to pay for shipping and repackaging. MSI provides abortion services. "The complete dismantling of the world's largest donor for international family planning has been a catastrophe for the global supply chain of contraceptives," said Sarah Shaw, associate director of advocacy and for the organization. Sub-Saharan Africa has experienced an increase in teen births, according to a study at Columbia University in 2024. The number of births climbed from 4.5 million births in 2000 to 6.1 million in 2021as they decreased in the rest of the world. In Africa, 30% of all woman use birth control but more than half would use it if available, according to DebboAfrica, a healthcare company for African women. Worldwide, around half of women of reproductive age of 15-19 use some form of contraception, according to Focus2030. Foreign aid cuts could lead to more than 14 million additional deaths by 2023, including two-thirds children, according to a study published in Lancet earlier this month. Congress earlier this month passed legislation to remove $8 billion in foreign assistance. The Atlantic reported earlier this month that 551 tons of emergency food were expiring and will be incinerated rather than being fed to almost 1.5 million children in Afghanistan and Pakistan. Almost 800,000 Mpox vaccines to be sent to Africa also are not usable because they are past their expiration date, Politico reported earlier this month.