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Jun 16 - 'Fentanyl has changed the whole landscape': SF faces worst drug epidemic ever



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 1 month ago '07        #1
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yola  topics gone triple plat - Number 1 spot x56
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Jun 16 - 'Fentanyl has changed the whole landscape': SF faces worst drug epidemic ever
 

 
visit this link https://www.sfgate.com/ba .. c-16237333.php

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A physician, two nurses, a professional athlete, a drug dealer and a lawyer who had nodded off in court. Teenagers, specifically a 14- and a 15-year-old. And a 7-year-old who got into a stash in her mother's purse.

These are some of the types of people Dr. Christopher Colwell, the chief of emergency medicine at Zuckerberg San Francisco General Hospital, has recently seen in the emergency room for medical issues related to fentanyl use and overdoses.

"That's just in the last couple weeks," Colwell said. "It’s really remarkable because it runs the entire spectrum. This affects all walks of life, all folks. It’s hard to overstate how impactful it can be to anyone. It doesn’t seem to care about race or background or gender — or anything."

Colwell said on average about 10 to 15 people who've taken fentanyl are treated in the San Francisco General emergency room a day, sometimes more. And that's at just one hospital in the city.

The majority of people are found passed out and brought into the emergency room by emergency medical services. Most are very sleepy and unable to stay awake. Those who are on both fentanyl and methamphetamine can be very agitated and unable to stay still.

Naloxone (Narcan) is a medicine used treat a fentanyl overdose and prevent death, and when administered, patients actively vomit and sweat.

"Our most immediate threat right now is the opioid epidemic and the trauma we are seeing. We are seeing increases I haven’t seen in my career around dependency and overdoses, mostly involving fentanyl. We always had problems with opioids, specifically heroin, but fentanyl has changed the whole landscape of drugs."

Fentanyl is a powerful synthetic opioid that's 50 to 100 times more powerful than morphine. Like all opioids, it's a respiratory depressant and can impact the user's ability to breathe.

It was initially created in the 1960s to manage pain after surgery, and its clinical use expanded in the 1990s with the introduction of the extended release patch for chronic pain, typically advanced cancer pain.

"I give fentanyl in the ER every day for people in trauma," said Colwell. "It’s very quick. Morphine reaches peak effect is 20 minutes. Fentanyl is immediate."

More recently, fentanyl is being illicitly made in labs and usually either sold under its own name as powders or tablets or mixed with a wide range of drugs, such as heroin, cocaine, methamphetamine and MDMA. It's also made into counterfeit pills that look like other prescription opioids.

Fentanyl wasn't a problem for San Francisco a decade ago, but since about 2018, illegally produced fentanyl has flooded the recreational drug market, intensified the peril of addiction and amplified overdoses. Colwell said the majority of people who land in the ER have ingested it unintentionally, either using a drug that they didn't realize was laced with fentanyl, or that they thought was something else entirely but was actually fentanyl.

"Even our most savvy drug users know that fentanyl is something to be very careful with," he said. "Of the ones that present to the emergency department, I would say about two-thirds say they did not realize they were taking it. But there are people who also take it knowingly and they just don’t know how potent it is. We need to be aware of how dangerous this is and how common it is."

Colwell said he treated a drug dealer who explained to him that he mixes the heroin he sells with fentanyl to make a larger profit. The dealer explained that customers can't afford pure heroin, but if he dilutes it with other substances, then customers aren't satisfied with their highs and stop buying.

"The dealer told me, 'My out is I can put a little fentanyl in there. I dilute it, mix it and they still get that intense high,'" Colwell said.

But while the majority of fentanyl cases that land in the ER may be due to accidental use, Dr. Phillip Coffin, director of substance use research for the San Francisco Department of Public Health, said the majority of people using fentanyl in the city are seeking it out and taking it intentionally.

"It is easy to produce, it is cheap to produce, it is easy to move from one location to another, and it is more efficient in terms of the effect you get for the dollar you spend," said Coffin, who has helped develop overdose prevention and syringe exchange programs for the city. "The people who are trading in drugs have switched to fentanyl because it’s so much easier. The people buying are largely dependent on what’s available."
---
Amid a drug epidemic fueled by fentanyl, 2021 is on track to be a record-breaking year for overdose deaths in San Francisco. In January through April, 252 people died from overdoses, according to preliminary data from the San Francisco Chief Medical Examiner's Office. Of those, 182 involved fentanyl. In the same time frame last year, 181 people died from overdoses.

Fifty percent of those who died from overdoses since the start of the year are white, 28% black, 15% Latino and 2% Asian.

"Fentanyl has become the dominant opioid on the street in San Francisco," said Coffin. "Every community that has had that happen has seen a four-fold increase in opioid overdose mortality."

Research shows that the potency of fentanyl is more likely to trigger an overdose than other opioids. "The likelihood for overdose is almost 10 times that of oxycodone," said Coffin, citing an Australian study.

One reason the risk for overdose is so high with fentanyl is it acts almost immediately. While a heroin overdose can takes 20 minutes to progress to cardiac arrest in 30 minutes, with fentanyl it can happen in minutes.

Kristen Marshall is the project manager for the Drug Overdose Prevention and Education Project (DOPE Project), a city-funded program that coordinates San Francisco’s response to overdoses. Marshall spoke with SFGATE for a previous story and said fentanyl use started an upward climb only three years ago, and the impact on overdose death was huge: In 2019, 441 people died of drug overdoses — a 70% increase from 2018.

"Drug supplies move in cycles, and fentanyl is just really notable now because it’s very strong," Marshall said. "The margin of error around using it is small because it’s white powder, it’s often mistaken for other things. You may get a surprise dose of fentanyl when you think you're buying cocaine."

Use has skyrocketed even higher amid the pandemic.

"The one golden rule of overuse prevention is to try to not use alone, and the shelter-in-place order said to keep yourself safe, you need to isolate," she said. "That’s just the opposite. People at high risk went into isolation and that heightened the risk. The chaos put people at higher risk. The worst months were in the dead of the summer when it was most chaotic for this community."

Juliana DePietro, director of harm reduction services at the Glide Foundation, is also part of the team of people across the city devoted to ending the fentanyl crisis. DePietro said its impact is catastrophic on those without housing and shared details of a recent conversation she had with people working in one of the city's emergency rooms.

"They mentioned that a lot of folks come in after overdosing in the evenings, and then when they're discharged, there’s nowhere for them to go," she said. "There are no treatment programs to take people at midnight. We know people are more susceptible to overdose again after being discharged."

DePietro manages Glide's range of harm reduction services, from outreach programs to Narcan distribution, that help more than 5,000 people a year. She has witnessed the impacts of these programs firsthand and said if the city takes the right approach in coming years — seeing this as a health crisis and not a criminal crisis — the situation will improve.

"I think if the right investments are made then I think we can address this," she said. "I worry quite frankly about overcriminalization of fentanyl leading to the same devastating impacts and overpolicing that we saw in the war on crack in the '80s and '90s. We know criminalization isn’t the outcome. We need person-centered care, a wide variety of options for folks. Safe consumption spaces, more drug testing, improved safety nets, access to permanent housing and everything in between. I think also we can’t ignore the impact of poverty, systemic racism, and serious social issues, health care concerns, especially those exacerbated by COVID."

The San Francisco Police Department said in a recent press release that since the start of the year it has booked 248 people for sales or possession of dangerous drugs, seized more than $104,000 in cash and confiscated more than 17 pounds of fentanyl, more than one pound of cocaine, almost five pounds of crack cocaine, more than seven pounds of heroin and more than 10 pounds of methamphetamine.

In a bust earlier this month, the police department confiscated more than 16 pounds of fentanyl from three locations in Oakland.

"The amount of fentanyl seized in this single operation is enough lethal overdoses to wipe out San Francisco's population four times over," SFPD Chief Bill Scott said in a statement. "Fentanyl remains the primary chemical culprit in the record-shattering number of fatal overdoses plaguing our city, and the recovery of semi-automatic ghost guns along with this haul of deadly drugs most likely intended for the Tenderloin is ominous."
+9   



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186 comments
 

 1 month ago '07        #2
yola  topics gone triple plat - Number 1 spot x56 OP
Props total: 83508 83 K  Slaps total: 9135 9 K
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?


Last edited by yola; 06-16-2021 at 08:24 AM..
+208   

 1 month ago '09        #3
2nd2none 
Props total: 7051 7 K  Slaps total: 948 948
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?


where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
Real fu*king sh*t.

People need to check out the crime of the century on HBO to see how intricate the scheme is

I'm stick with the basics
+61   

 1 month ago '04        #4
ItAlY2BkLyN 
Props total: 30536 30 K  Slaps total: 7714 7 K
Weed is my anti drug

+43   

 1 month ago '07        #5
yola  topics gone triple plat - Number 1 spot x56 OP
Props total: 83508 83 K  Slaps total: 9135 9 K
 2nd2none said
Real fu*king sh*t.

People need to check out the crime of the century on HBO to see how intricate the scheme is
didn't know about this, good look
+5   

 1 month ago '20        #6
I Know  topics gone triple plat - Number 1 spot x3
Props total: 4582 4 K  Slaps total: 4370 4 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
This ain’t the fentanyl imported from China?


And San Francisco ChinaTown capital?
+7   

 1 month ago '18        #7
Mr Tibbs 
Props total: 20490 20 K  Slaps total: 2091 2 K

+36   

 1 month ago '16        #8
alejandrugas 
Props total: 4525 4 K  Slaps total: 228 228
 2nd2none said
Real fu*king sh*t.

People need to check out the crime of the century on HBO to see how intricate the scheme is

I'm stick with the basics
I watched that and it was crazy. That company (Purdue I think) was having parties with the guy singing prescribe oxy or something like that smh also them being in that motel with the FDA to write it up so that it would get passed, truly crazy
+11   

 1 month ago '09        #9
faceoffizhere 
Props total: 11633 11 K  Slaps total: 2777 2 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
yup this shows how these politicians break bread with these rich families these the biggest gang and they in bed with criminals as well that sell the hard drugs. So making money on both sides with no consequences.



Best believe those cannabis deaths gonna ramp up now that it's back in the governments hands and we know when they get their hands on something it goes to sh*t. They alter it so they can mass produce and lose quality. Cig companies making weed cigs etc all bad. Besides we know big pharma does not want cures they need treatments. Look out for a bunch of ailments coming from weed real soon in the next few years.


Last edited by faceoffizhere; 06-16-2021 at 10:34 AM..
+11   

 1 month ago '19        #10
zzxxccvvbb 
Props total: 26036 26 K  Slaps total: 3364 3 K
It's wild because the news talks about "tainted" drugs like junkies still want heroin

 1 month ago '07        #11
castro  topics gone triple plat - Number 1 spot x15
Props total: 24414 24 K  Slaps total: 4867 4 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
evil people vs good people

it's not political it's human
+8   

 1 month ago '16        #12
Boogie1790  topics gone triple plat - Number 1 spot x1
Props total: 56037 56 K  Slaps total: 8791 8 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
Capitalist are getting rich off of legal weed too.

Whays your point?
+6   

 1 month ago '04        #13
erickonasis  topics gone triple plat - Number 1 spot x2
Props total: 83385 83 K  Slaps total: 8861 8 K
 ItAlY2BkLyN said
Weed is my anti drug

K2 is not weed Fam
+7   

 1 month ago '18        #14
set117  topics gone triple plat - Number 1 spot x2
Props total: 17884 17 K  Slaps total: 2173 2 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
Loving this take on bullsh*t late stage capitalism. I hate how stupid Americans are. Too dumb to realize socialism helps them. But it seems uneducated rednecks are too huge a voting block to be ignored. Then you have the neo-liberal (moderate republican) democrats and the clueless people that go along with whatever they say like my parents and family. Truly sad state of affairs here man.
-2   

 1 month ago '11        #15
UrDoinGood 
Props total: 6592 6 K  Slaps total: 1544 1 K
I just said SF looked worse than ATL the other day on here and got slapped into oblivion
+7   

 1 month ago '20        #16
Colonel 
Props total: 414 414  Slaps total: 160 160
It doesn’t seem to care about race or background or gender — or anything.


....It's a fuvking inanimate powder.
+17   

 1 month ago '20        #17
nyctoneworleans  topics gone triple plat - Number 1 spot x7
Props total: 10420 10 K  Slaps total: 923 923
I feel the same way white people felt during the Crack Era






+33   

 1 month ago '19        #18
Jadedkiss 
Props total: 10992 10 K  Slaps total: 517 517
 nyctoneworleans said
I feel the same way white people felt during the Crack Era






+8   

 1 month ago '19        #19
ym7171yea  topics gone triple plat - Number 1 spot x2
Props total: 11967 11 K  Slaps total: 2418 2 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists
All of the fentanyl is coming from communist China, genius.

The communist country that's basically just totalitarian capitalism now because socialism never ever ever ever ever ever ever no matter the weather ever works & just produces societies that are capitalist but worse.

All socialism has to offer is capitalism except with zero human rights, but it has no moral standards and that appeals to people.

fu*k socialism fu*k communism fu*k the CCP and all bootlickers bellyaching in rich countries while North Koreans live on a few dollars a month
+4   

 1 month ago '15        #20
DamianDragunov 
Props total: 56216 56 K  Slaps total: 8595 8 K
One thing I do know from many years ago is whoever using that foiley in the pic is a messy fool and they wasting product with that wrinkly azz foil.
Almost looks like the wrong side too…



So glad I never made it a lifestyle.
+2   

 1 month ago '18        #21
KdenIII 
Props total: 29989 29 K  Slaps total: 4429 4 K
 yola said
never forget,

fetanyl was created by capitalists

fentanyl was distributed by capitalists

capitalists told us opiates were safer than cannabis

to this day, cannabis is a schedule one drug while fentanyl is schedule two

but where are the cannabis overdoses?

where are the cannabis deaths?

capitalists fu*ked the country up with their greed and lies, no one went to jail or even lost their fortune and now we're rewarding them with billions of dollars in vaccine contracts

but socialism is the problem?
humans are the problem, no matter what kind of government is in power it will inevitably be corrupted
+15   

 1 month ago '15        #22
DamianDragunov 
Props total: 56216 56 K  Slaps total: 8595 8 K
 ym7171yea said
All of the fentanyl is coming from communist China, genius.

The communist country that's basically just totalitarian capitalism now because socialism never ever ever ever ever ever ever no matter the weather ever works & just produces societies that are capitalist but worse.

All socialism has to offer is capitalism except with zero human rights, but it has no moral standards and that appeals to people.

fu*k socialism fu*k communism fu*k the CCP and all bootlickers bellyaching in rich countries while North Koreans live on a few dollars a month

+3   

 1 month ago '14        #23
longliverick 
Props total: 12038 12 K  Slaps total: 6251 6 K
That’s why there will be no more drug charges. The left is normalizing drug addiction smh

This doesn’t happen in conservative cities
-7   

 1 month ago '20        #24
I Know  topics gone triple plat - Number 1 spot x3
Props total: 4582 4 K  Slaps total: 4370 4 K
 nyctoneworleans said
I feel the same way white people felt during the Crack Era








Gotta look at those type of stats per capita.

Smarten up.
-1   

 1 month ago '18        #25
HoopLife88 
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Lay off the crack ladies and gentlemans.
+3   



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