Fentanyl: The San Francisco travesty

image-2, Fentanyl: The San Francisco travesty, Culture Currents
Tony Chase, founding member of Positive Directions Equals Change.

by Tony Chase, Positive Directions Equals Change

We are dying left and right from it! It seems to be very contagious because more and more people are getting sucked into it. You’d better mask up around it and remember to put your gloves on so it doesn’t touch your skin. 

They still don’t know a lot about it, let alone how to stop it. But the one thing that we do know for sure is – it keeps on killing. 

Fentanyl has become a household name in San Francisco, and we are second in the U.S. in OD deaths only behind Philadelphia. People have been dropping like flies as this death sentence is being carried out. 

Which battle to fight: the opioid epidemic or the Coronavirus? It forced people on the front lines to pick which crisis to fight first. Both were fatal, and to try to stop one led to a rise in the other.

I know from first hand experience working to help prevent either from afflicting those around us. In San Francisco alone, there were over 650 overdose deaths with close to 400 from fentanyl in 2021, compared to 425 deaths associated with Covid-19 in the same time frame. So far in 2022, there have already been close to 100 overdose deaths due to fentanyl.

Most of you reading this have not seen what a fentanyl overdose looks like. I have and it is not a pretty sight, plus it can be very traumatizing to witness. A lot of the ODs are people others step over on the streets. But, for some, there can be some foaming at the mouth, fluid coming out their bulging eyes and, depending on the skin pigmentation, their lips and skin are ashen or blue. 

fentanyl is 50 to 100 times stronger than heroin

If we’re lucky you may have some Narcan, and yes – when I say some, I mean four or five vials of it! That is because it takes that much to hopefully bring somebody back from a fentanyl overdose if you’re lucky and you get to them in time. 

How many Narcans do you carry? One, maybe two? So, you tell me where the harm reduction is for that.

Covid was easy compared to this, because if you get vaccinated and boosted, you are pretty free from getting sick from it. With this fentanyl, which is 50 to 100 times stronger than heroin, there is a false sense of security for those who play Russian roulette with their lives. 

I say that because those who think they are getting crack, meth or even weed on the streets have found out too late that it is laced with fentanyl – and it’s the same with pills that are sold out there. 

Those unlucky ones don’t even know what hit them, and, Wham! That’s a wrap. I believe that a lot of those young dealers out on those corners don’t even know that they are selling death.

That is so, so, so, so, sad, this day and age! It is so sad when you can go downtown and see more dealers than customers and those same customers openly using without fear of the police. 

Tour buses full of people from other faraway places were touring the Tenderloin to show off the drug addicts and homeless tents.

As a matter of fact – and this was before the Covid pandemic took over the city – tour buses full of people from other faraway places were touring the Tenderloin to show off the drug addicts and homeless tents. The looks on the faces of those passengers as they passed through, left me feeling embarrassed for our people.

Of course, the majority of the people on the buses were white, but most of the faces on the streets were people of color. So, as San Francisco opens back up and the tour buses start to roll once again with the tourists returning to the city, they will now see the results of the fentanyl induced pandemic. 

So, what to do with this other pandemic? Okay, okay – I’ll correct myself and call it an epidemic, because people are dropping like flies! How do we defeat this other pandemic? 

I can’t see using harm reduction as a winning way, because you can’t become less dead. When you are hooked on that stuff you have to detox first and then you need to have an abstinence only program to kick the drug and learn some new behaviors in changing one’s life. 

Harm reduction keeps perpetuating the situation and when you look around, they are still using dope and are still hooked, still stuck with the same epidemic, playing Russian roulette with one’s life again and again! And the cycle continues. 

Right now, it seems like it is death do us part!

Why don’t you all ask us what is needed, since we are in the trenches every day. We know what is needed! I’m here to tell you that, “Oh, poor booby, here is some harm reduction for you,” isn’t going to work for this pandemic or any other ‘demic. 

Just like Covid-19, we had to meet it head on with vaccines and so what that would mean, is to incorporate some longer term “abstinence based programs.” So, where have those programs gone? Why do you want to continue enabling folks? 

Do the math and take a look around, if you choose to open your eyes and see the reality that is in front of us. There is not nearly enough being done to create the answer in SF to help defeat this other pandemic. 

Right now, it seems like it is death do us part! If we want to defeat this other pandemic, we have to offer the opportunity that focuses on abstinence as a new lifestyle! So, why can’t we do this? That is the million-dollar question.

We have found a way to pretty much beat Covid-19 here in SF, so now let us do the same to beat this other killer pandemic. Yes of course, I know it’s called an epidemic – so let’s treat it as that, then.

If you or someone you know needs help for addiction or co-occurring disorder issues, please give us a call. Positive Directions Equals Change, a community-based organization in the Bayview, offers classes and support groups each day of the week. 

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Monday through Friday of each week, Positive Directions hosts Zoom recovery meetings that are open to all. Please call at 415-401-0199 or email the team at recoverycorner@pd4life.org if you want some support!

If we aren’t the best fit for you or your loved one, we will take the necessary time to work with you to find a treatment center or provider that better fits your needs. Please give us a call at 415-401-0199 or email our team at: recoverycorner@pd4life.org. The schedule is below and all are welcome. 

Tony Chase is a founding member of Positive Directions Equals Change and director of the Embarcadero San Francisco Navigation Center.