San Francisco, the city of the Golden Gate Bridge, cable cars, and tech innovation, has also earned a dubious distinction: it has the highest rate of drug overdoses in California, and one of the highest in the nation.
According to data from the California Department of Public Health, San Francisco recorded 713 fatal drug overdoses in 2020, more than double the number of deaths from COVID-19 in the same year. The city’s overdose death rate was 81.2 per 100,000 residents, far surpassing other large cities in the state such as Los Angeles (26.1), San Diego (24.6), and San Jose (12.3).
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