San Francisco has consistently seen more than 600 overdose deaths a year, and the rate of fatal overdoses has recently spiked. Dr. Jeffrey Hom, director of the city’s Office of Overdose Prevention, is optimistic that the city can turn the tide on overdoses, but acknowledges a long road ahead. The health department released a plan last year to reduce fatal overdoses, which calls for expansions in medication treatment and Narcan distribution as well as establishing safe consumption sites. Despite opposition in some quarters, opening safe consumption sites has broad support in city government, but they are against federal law. | Unlimited Chronicle access: sfchronicle.com/pod

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