In response to increasing HIV diagnoses in homeless populations and people who use drugs, SanFrancisco is expanding what's referred to as health access points, essentially pop-up clinics targeting specific populations.
New HIV diagnoses have largely been on the decline in San Francisco in recent years, going from 543 in 2006 to 160 in 2021, according to the most recent data available. That progress has been the result of citywide programs, as well as outreach and advocacy campaigns to connect people newly diagnosed as well as high-risk individuals with HIV to treatment and prevention options, such as pre-exposure prophylaxis, or PrEP, a medicine that helps prevent HIV transmission.
Since 2016, there has also been an increase in overall deaths among people living with HIV, which health experts partly attributed to an aging HIV-positive population. But for the first time, accidental deaths related to drug overdoses are now also among the leading causes of death for people diagnosed with HIV.
A total of 725 people died of accidental drug overdose in San Francisco in 2020, largely driven by fentanyl, according to data from the Office of the Chief Medical Examiner. In 2021, 641 people in San Francisco died of overdose, and at least 346 overdose deaths have occurred so far in 2022. HIV screening tests have largely resumed their pre-pandemic rates; however, some community-based clinics that offer to test have struggled to resume full capacity. In March, HIV screening at community sites was 27% below the 2019 monthly average, the report shows.
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