Science
Drug overdose deaths plummet in San Francisco. What's changed?
SAN FRANCISCO — After surging during the COVID pandemic into a crushing public health emergency, drug overdose deaths in San Francisco plummeted in 2024, according to preliminary data compiled by city health officials.
The chief medical examiner’s office recorded 586 fatal overdoses in San Francisco in the first 11 months of 2024. That represents a nearly 23% decrease, or 174 fewer deaths, compared with the first 11 months of 2023. In total, 810 people died from drug overdoses in 2023, the highest number in city records.
The development mirrors both national and statewide data showing overdose deaths on the decline. Provisional data from the federal Centers for Disease Control and Prevention indicate a 14.3% decrease in fatal overdoses across California when comparing the 12 months that ended in July 2023 with the 12 months that ended in July 2024. Fatal overdoses fell 16.9% nationwide during that period, according to CDC figures.
Los Angeles County health officials have not yet released fatal overdose figures for 2024. But the most recent data also showed progress: Deaths from drug overdoses and poisoning plateaued between 2022 and 2023, after years of historic increases, according to the L.A. County Department of Public Health. In 2023, the county recorded 3,092 fatal overdoses, down slightly from 3,220 deaths the year before.
San Francisco public health experts attributed the decline in fatal drug use in the city to the widespread availability of naloxone, a medication commonly sold under the brand name Narcan that can rapidly reverse the effects of opioid overdoses, as well as buprenorphine and methadone, prescription medications that treat opioid addiction long-term.
“We are cautiously optimistic that our public health interventions are starting to see results in terms of saving lives,” said Dr. Grant Colfax, director of the San Francisco Department of Public Health.
Methadone prescriptions issued by the health department increased by more than 30% and buprenorphine prescriptions by nearly 50% in the last year, Colfax said. The department recently partnered with a “night navigator team” that works after dark to offer treatment, including a telehealth program that quickly connects people who abuse opioids with healthcare providers who can prescribe medications. The department has logged more than 2,300 calls since the program launched in March.
San Francisco has added about 400 residential treatment beds to 2,200 existing spots in recent years and tripled the number of street care workers in the last two years, according to the public health department and Mayor London Breed’s office.
Dr. Christopher Colwell, chief of emergency medicine at Zuckerberg San Francisco General Hospital and Trauma Center, said he has seen a notable increase in the number of people open to accepting treatment in the last year.
“I think a lot of patients are recognizing, more so in the last year than I’ve ever seen, how dangerous opioid use disorder is, watching their friends and colleagues die,” Colwell said. “I’ve seen a lot more willingness to at least have that discussion, and consider it, than I did even just a couple years ago.”
Keith Humphreys, a Stanford University psychiatry professor who studies addiction, called the 2024 numbers a “big deal.”
“Both because of the lives that are saved, but also just for the morale of every front-line worker, every harm-reduction worker, every treatment professional, every police officer who has been despairing that this is never going to get better,” Humphreys said. “This is a big boost.”
San Francisco, like many urban areas, recorded a sharp rise in fatal overdoses in the early years of the COVID pandemic, when government shutdowns made it more difficult to directly address the introduction of fentanyl into the street drug scene. For example, San Francisco counted 259 deadly overdoses in 2018, when fentanyl first hit the streets, and 441 fatalities in 2019. A year later, as the city effectively shut down to slow the spread of COVID-19 and it became more difficult to do community outreach, overdose deaths skyrocketed to more than 720.
Humphreys said the pandemic’s wane has also made it easier to address some of the social factors underlying addiction.
“Everything about COVID was terrible from a drug viewpoint. You had more reasons to use drugs: sadness, isolation, bereavement, loneliness,” Humphreys said. “The kind of structures that help people get and stay in recovery, like work, accountability, daily routines, social obligations, all went down.”
Breed lost her November reelection bid to nonprofit executive and Levi Strauss heir Daniel Lurie, a result widely attributed to voter frustration over homelessness and street drugs. Still, Breed said the recent decline in overdose deaths is a testament to her administration’s decision to take a “harder stance” against illicit drug use, arresting dealers and mandating treatment for some users.
Last March, for example, she sponsored a successful ballot measure to require drug screening and treatment for people receiving county welfare benefits who are suspected of illicit drug use.
Colwell said that although last year’s numbers are a positive sign, opioid use remains a serious problem. He stressed the importance of adding treatment options such as buprenorphine and methadone, which are more effective long-term than overdose reversal medications. And although he appreciates the city’s efforts to invest in treatment beds and housing, he said, “I don’t go a day where I don’t feel like we need more.”
He and other experts said it is crucial that the city and Lurie continue investing in solutions, even as San Francisco faces a projected $876-million budget shortfall. Lurie has pledged to declare a fentanyl emergency when he takes office Jan. 8 and to “get tough” on drug dealers.
“We’ve seen what can be helpful,” Colwell said, “and we need to keep doing this.”
Science
Video: NASA Announces Artemis III Crew
new video loaded: NASA Announces Artemis III Crew
transcript
transcript
NASA Announces Artemis III Crew
NASA announced the crew of Artemis III mission, which will fly to low-Earth orbit to test rendezvous and docking maneuvers with one or two lunar landers.
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“I am excited to welcome you as the next crew in the Artemis journey to successfully return to the moon — this time to stay.” “I’m honored by the role that I’ve been given. I’m also very humbled by the task in front of us. But first and foremost, I’m grateful.” “So with that, the Artemis II crew, comrade, hands you the baton. You got the controls.” “As you know, we had a significant anomaly at our Launch Complex 36A on May 28. We’ve redoubled our efforts and are moving forward.”
By Alisa Shodiyev Kaff
June 9, 2026
Science
Santa Monica Mountains’ last steelhead trout survived the Palisades fire — and even had babies
Scientists feared the Santa Monica Mountains’ last remaining steelhead trout were dead, smothered by debris flows unleashed by the Palisades fire.
But the endangered fish surprised them: A team of biologists recently spotted 30 of the rare trout — and 21 babies — in Topanga Creek.
“There was a lot of happy dancing in the creek,” said Rosi Dagit, principal conservation biologist for the Resource Conservation District of the Santa Monica Mountains, which works with public and private landowners to conserve natural resources.
That’s because the steelhead here are endangered, at both the state and federal levels. Once, they swam in most streams of the Santa Monicas, but their numbers plummeted amid overfishing and coastal development. Increasingly frequent wildfire has further stressed their habitat. Topanga Creek, a biodiversity hot spot, is home to their last known population in the mountains that stretch from the Hollywood Hills to Point Mugu in Ventura County.
The trout that were spotted, including this one, are part of a distinct Southern California population that’s listed as endangered at the state and federal levels.
(RCDSMM Stream Team)
The California Department of Fish and Wildlife spearheaded a complex mission to rescue trout threatened by the Palisades fire that sparked in January 2025.
Time was of the essence. The fire hadn’t yet been fully contained. But rain was on the way, which would sweep massive amounts of sediment from the denuded hillsides into the water. Fish are often killed this way.
Crews stunned the fish with electricity, scooped them up in buckets, trucked them to a hatchery and ultimately moved them to Arroyo Hondo Creek in Santa Barbara County.
Within days, Topanga Creek was choked with mud. Some assumed the fish left behind were goners.
But in March, the conservation district’s team found four. The following month, when water conditions were clearer, they saw more.
“These fish continue to amaze me,” said Kyle Evans, environmental program manager for the state Department of Fish and Wildlife, who had seen the damage to the creek. “I had seen populations get wiped out in similar situations. So when I heard, I was thrilled.”
Evans surmises the fish that survived were in an area of the creek where less charred material and sediment were swept in.
“These fish likely hunkered down, were hiding under some rocks or places to try to get away from the main concentration of flow,” he said. “And luckily they weren’t buried.”
The ones that were spotted were fairly small, around 6 to 14 inches. Rainbow trout and steelhead trout are the same species, but with different lifestyles. If the fish remain in freshwater, they’ll be considered rainbows. However, they can migrate to the ocean and become steelhead, where they typically grow larger before returning to their natal waters to spawn.
Topanga Creek hasn’t fully recovered from the damage it sustained, but scientists say it’s looking better. Surveys last year were “so depressing,” Dagit said, with very few animals, and stretches that were essentially transformed into flat roads from all the sediment buildup. Some of the riparian canopy burned right down to the creek.
Then came 32 inches of rain over the last nine months, scouring out and moving sediment, creating deeper pools. Dagit said they recently found newt egg masses for the first time in years, as well as a few adult newts and many frogs. Plants that provide cover are starting to recover.
She provided photos comparing certain pools last year and this year, some dramatically transformed. In September 2025, the Shrine Pool could have been an overgrown hiking trail. This April, it was filled with shallow water.
The Shrine Pool in September 2025, left, and the same location in April 2026, right, with RCDSMM’s Isaac Yelchin donning a wetsuit.
(RCDSMM Stream Team)
Topanga Creek is home to another endangered fish, the small but hardy northern tidewater goby, often described as cute. Not long before the trout operation, Dagit led a rescue of hundreds of these fish too. Many were repatriated to the lagoon at the mouth of the creek in a moving ceremony last June.
There’s still the matter of what to do with the trout that were moved to Santa Barbara County last year. Evans would like to bring them home to the Santa Monicas at some point, but isn’t sure if it will happen. On one hand, they could bolster the small, genetically isolated surviving population. On the other, they might inadvertently bring in a disease or bacteria. There is some time to decide. Evans estimates the creek still needs to recover for two to three more years.
For now, the fish are functioning fine in their adopted creek. Experts worried the trauma wrought by the move would disrupt their spawning process, but they had babies that spring. This year, they spawned again.
Science
Pacifica pier cracks, another coastal casualty as seas continue to rise
The Pacifica Municipal Pier was shut down and taped off Thursday after city workers noticed cracks running through the landmark structure and concrete chunks falling into the ocean.
It’s just one of many coastal California structures that have recently crumbled under pressure from a rising and relentless ocean.
Officials from the small, beach city south of San Francisco said the pier was closed due to “cracking, separation, and displacement of the concrete walkway and structural elements.”
It will stay closed while structural engineers asses its safety.
Photos taken by city employees show a wide crack that runs from top to bottom and across the structure as well. Other photos show a large horizontal crack under the foundation of a small restaurant on the pier, the Chit Chat Cafe.
The cafe was also shut down.
This is not the first time the 53-year-old pier has shown signs of stress. In 2021, part of it was shut down after handrails along the edge collapsed. And in 2023, after a series of storms pummeled the Central California coast, damaging parts of the pier, the structure was partially closed for more than year.
Those same storms caused extensive damage in Aptos and Capitola, 70 miles south, where piers and waterfront infrastructure were swept away or damaged.
In 2024, a 150- to 180- foot section of the Santa Cruz wharf was ripped off by powerful waves.
At least 10 of the state’s dozens of coastal public piers were closed for part or all of 2024 due to structural damage sustained in winter storms since 2022. At least five others have longer-term upgrades planned to address structural issues.
“These things are costly to maintain,” said Zach Plopper, senior environmental director at Surfrider. “They are a part of our California coastal culture in many ways, but we’re going to need to reckon with, one, the state that they’re in, and two, the continuous and worsening threats they’re going to experience,”
He said most of the piers were constructed in the early 1900s, and they weren’t built to withstand decades of rough seas, storms and rising sea level.
“With this incoming El Niño, which is forecasted to be significant, and this marine heat wave we’re in the midst of, we’re kind of in uncharted waters as far as what this winter could bring in terms of storms and swells to the California coast, and we’re likely going to see a lot more damage,” he said. “Not just piers, but roads and other coastal infrastructure up and down the state.”
There was no storm in Pacifica earlier this week, so no single event could be blamed for the destruction.
However, a 2025 report from an outside engineering firm, GHD, found that several sections of the pier were in “poor” or “serious” condition, and they recommended closure before anticipated storms or events that could “subject the piles to high winds, swells and large waves.”
The firm found several areas of the pier where concrete was missing and rebar was exposed and corroding.
“The pier has continued to experience high winds and large waves in a harsh marine environment,” the engineers wrote in the report, noting that continuous exposure to seawater or marine spray was “detrimental” to the structure.
A 2023 city report estimated it would cost $19 million to repair.
That same year, a state law was enacted to require local governments along the California coast to plan for sea level rise in the coming decades.
Sea level has risen some 8 inches, on average, along the coast in the past 150 years, Plopper said, and researchers anticipate another foot in the next 25 years.
“We’re going to see profound shifts on our coastline, none that we have ever experienced before, and building static structures on the coast just doesn’t work all that well,” he said. “We’re going to have to make some really hard decisions.”
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