San Francisco, CA
Here’s Why Some San Francisco Nonprofits Give Foil and Pipes to Drug Users | KQED
“Maybe you yesterday said, ‘I’m going to start recovery,’ and you didn’t because addiction is strong, addiction is a disease, it takes a lot to get to a place where you’re ready to get on that recovery spectrum,” Fromer said. “But we want to make sure when you’re ready, you have what you need.”
She told KQED that Glide’s decision to offer foil and other supplies “is really about saving lives and preventing disease, but also creating opportunities for recovery.”
Dr. Amer Raheemullah, the director of the Inpatient Addiction Medicine Service at Stanford Hospital, said such harm-reduction strategies not only make drug users safer but also can urge them to turn to treatment options when made available at the same location as other recovery services.
“The idea is to reduce harm, but then also have this interaction with somebody who’s actively using to slowly nudge them toward treatment,” he told KQED. “That can be through counseling, like a skilled counseling interview that’s been shown to be effective, but it can also simply be by co-locating treatment in the same place that they’re getting these needles or these other harm reduction tools.”
One way to think about harm reduction, Raheemullah said, is to consider those struggling with addiction as having a neurological deficit.
Take someone with Parkinson’s disease, for example — “They might have an increased risk of falls. So, in order to reduce harm, we pad their house; we may make adjustments in their living situation, not to encourage falls, but to reduce the damage of falls if or when they occur. It’s the same with substance use,” he said.
Sharing and reusing needles can increase the risk of contracting HIV and Hepatitis C, which can lead to illness and, in some cases, death.
“The higher objective is to just reduce this harm that’s occurring, preserve life and not do too much damage for later down the line when people eventually accept treatment,” Raheemullah said.
There is also no proof that administering needles or other safe injection supplies increases the use of illegal drugs, he told KQED.
A randomized study of 600 people who injected cocaine, morphine and/or amphetamines found “no difference in the number of injections over time” for people supplied with sterile needles compared to those taught how to purchase them, according to the 2003 report out of the University of Alaska Anchorage.
The Center for Disease Control also said in a February 2024 report that 30 years of research has shown programs that provide access to sterile injection equipment “do not increase illegal drug use.”
Fromer said that Glide’s distribution of safer drug-use materials is one of the nonprofit’s many programs geared toward helping drug users — whether they have chosen recovery or not.
Sometimes life requires an easy hang, without the need for reservations and dressing up, and preferably with food that’s easy to rally folks behind. The newish Hamburguesa Bar is just such a place, opening in December 2025 and serving a tight food menu of smash and tavern burgers (made with beef ground in-house), along with hand-cut duck fat fries, poutine, and Caesar salad. The best part? Nothing here costs more than $20. Seriously, this spot has so much going for it, including solid cocktails and boozy shakes. It’s become a homing beacon for post-work hangs, judging by a recent weekday crowd.
Hamburguesa Bar’s drinks are the epitome of unfussy: Cocktail standards, four beers on tap, two choices of wine (red or white), boozy and non-boozy shakes, plus 21 beers by the can or bottle. Standards on the cocktail menu are just that, a list of drinks you’ve heard before — such as an Old Fashioned, daiquiri, gin or vodka martini, or Harvey Wallbanger — with no special tinctures or fat-washed liquors to speak of (that we know of, at least). I’m typically split on whether boozy shakes are ever worth it, but the Fruity Pebbles option ($14) makes a convincing case, mixed with a just-right amount of vodka and some cereal bits. (I’ll leave the more adventurous Cinnamon Toast shake made with Fireball to others with more positive experiences with that liquor.)
Downtown and SoMa has a reputation for restaurants closing early, but Hamburguesa Bar keeps later hours, closing at midnight from Monday through Saturday (closed Sundays). It’s also open for lunch at noon during those days, with the exception of Saturdays when it opens at 5 p.m.
She acknowledged that Iranian Americans hold a range of political views, including some who support U.S. intervention, but said she believes the future of Iran should be determined by its people.
“The Iranian people in Iran can decide the future of their country,” she said. “War, I don’t think, is going to help.”
Speaking to the crowd, Mortazavi challenged what she described as a narrative that Iranians broadly support U.S. and Israeli military action.
“They want you to believe that every Iranian … is cheering on the United States and Israel,” she said. “That is unequivocally false.”
She urged attendees to continue organizing beyond the rally and announced plans for additional demonstrations.
Dina Saadeh, an organizer with the Palestinian Youth Movement, said multiple groups mobilized quickly in response to the strikes.
“I’m angered today,” Saadeh told KQED. “People here don’t want to see our country engaged in more endless war.”
Saadeh described the protest as part of a broader effort to oppose sanctions, military escalation and what she called U.S. imperialism. She said participants were calling on elected officials to redirect public funds toward domestic needs.
“People want money for jobs and education, not for war and occupation,” she said.
KQED’s María Fernanda Bernal contributed to this story.
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