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View the San Francisco for Sunday, July 21, 2024

A study published last year found the share of overdose deaths nationwide in which fentanyl and stimulants were detected rose from 0.6% in 2010 to

Ciccarone and his peers characterize the opioid epidemic’s “waves” as follows: The first began in the early 2000s with prescription opioids, followed by heroin during the second, in the 2010s. Around 2015, the third wave began with the rise of fentanyl, and the drug reached the West Coast in 2018. Although the drug detections add up to more than the total deaths, Kunins said it was unclear which deaths had multiple substances present.Dr. Alexander Bazazi, a UCSF epidemiologist and substance-use expert who also provides treatment in The City, said it’s rare to encounter patients on fentanyl who aren’t using stimulants. He said fentanyl acts as a sedative, and many users are looking to boost their highs.

Some users will try to prevent this type of cross-contamination by differentiating pipes with colored rubber bands, said Bazazi, who said that a harm-reduction program similar to needle exchanges would also be helpful in addressing this issue by providing clean pipes. The first-of-its-kind gender-identity law California Gov. Gavin Newsom signed earlier this month brings state policy in line with San Francisco’s — and The City’s school district had previously received flak from some of the new law’s most vocal critics.

At least one school district has already sued Newsom over his signing of the SAFETY Act — Chino Valley Unified in San Bernardino County, one of several districts that passed policies in 2023 requiring teachers to notify parents if their child identifies as transgender — saying the law violates parents’ constitutional rights.

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