Bay Area
Roots Clinic Warns of Alarming Uptick of COVID-19 in Deep East Oakland
On Tuesday mornings, Dr. Noha Aboelata MD and other physicians from the Roots Community Clinic host The People’s Health Briefing on Facebook and YouTube to offer COVID-19 information pertinent to Oaklanders based on their specific location.
The Roots Community Center began these weekly briefings after realizing that what East Oakland residents were hearing did not pertain to them.
“Alameda surged past 10,000 cases last Saturday, July 25. We hear national statistics, state, and city statistics, but what’s important are statistics specifically for East Oakland because the numbers are dramatically different from what people consider “averages,” said Aboelata.
Dr. Aboelata shared data that validates her cause for alarm. The COVID-19 infection rate in Alameda County is 548 per 100,000 residents. In Oakland, the rate is 832 per 100,000. However, in five zip codes, the infection rate is 6 to 8 times higher.
For example, the infection rate in Alameda County is 4.96% per 100,000 people, but in the 94603 area code the infection rate is 15.48%, 94612 is 16.56%, 94601 is 16.09% and 94605 is 10.52% — a 21%,25%, 23% and 15% higher rate respectively than Alameda County as a whole, Aboelata said.
So far, there have been 178 COVID-19 deaths in Alameda County, all patients were over the age of 50, which highlights Dr. Aboelata ‘s next concern as the cause for increased cases of COVID-19.
“When we first collected data on COVID-19, 80% of positive patients largely consisted of essential workers. Now, in July, we see this increase solely from community contact from parties, social gatherings and places where people are in group settings like jails, markets and construction sites,” said Aboelata.
“It is imperative that people take personal responsibility for their movement and actions, people have got to stop traveling and attending social gatherings. That means do not get on a plane, go to Vegas, or party — but if you absolutely have to get on a plane we recommend you BYOE, which means bring your own equipment, wear a mask and social distance.”
Dr. N. Kenji Taylor debunked some common myths that have been circulating in the community. “People are concerned about breathing in carbon dioxide, a natural substance the body creates upon exhalation. People should not worry. Medical personnel have been wearing masks for centuries with no issues, as masks filter out carbon dioxide (which is) able to pass in and out of the mask just as oxygen is able to pass in and out of the mask,” said Taylor.
Another common myth is how infections are likely to occur. Dr. Taylor said that infection can occur when a person is within 6 feet of an infected person for 15 minutes, and cautioned that people who live at home with high-risk individuals — those over age 50 or those with underlying conditions — should wear masks in their presence in the home also.
“We are just starting to understand the long term effects of COVID-19. So people who get it and survive may have reason for concern because even though they have recovered, it does not mean their relationship with COVID-19 has passed,” said Aboelata.
Activism
Oakland Post: Week of November 20 – 26, 2024
The printed Weekly Edition of the Oakland Post: Week of November 20 – 26, 2024
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Activism
An Inside Look into How San Francisco Analyzes Homeless Encampments
Dozens of unhoused people are camped at Sixth and Jesse streets in San Francisco’s South of Market neighborhood. Tents made of tarps and blankets, piles of debris, and people lounging alongside the allies and walls of businesses are seen from all angles. These are some of the city’s hotspots. City crews have cleared encampments there over 30 times in the past year, but unhoused people always return.
By Magaly Muñoz
Dozens of unhoused people are camped at Sixth and Jesse streets in San Francisco’s South of Market neighborhood. Tents made of tarps and blankets, piles of debris, and people lounging alongside the allies and walls of businesses are seen from all angles.
These are some of the city’s hotspots. City crews have cleared encampments there over 30 times in the past year, but unhoused people always return.
But it’s normal to have tents set up again within less than 24 hours after an encampment sweep, David Nakanishi, Healthy Streets Operation Center Manager at the Department of Emergency Management, says. Sometimes there’s less people than before but often there is also no change.
“Most of the people that were in the encampments that want to go inside, we’ve gotten the majority of those [into shelter],” Nakanishi says. “Many of the people we encounter now, are those who have various reasons to not accept shelter, and some are already in shelter/housing”.
Since the ruling of Grants Pass by the US Supreme Court earlier this summer, which allows cities the authority to ban people from camping or sleeping on the streets, San Francisco has been at the head of the conversation to crack down on encampments.
Where neighboring cities in the Bay Area are clearing encampments a few days a week, San Francisco is sweeping 10 times a week, two per weekday.
Considering the controversy that plagues the city around its harsh policies, the Post decided to tag along on a ride with Nakanishi to show us how he decides what encampments make it on the city’s sweep list.
Nakanishi, having over 20 years of experience in homelessness management, drives around the busiest parts of the city almost daily. He’s tasked with arranging a weekly sweeping operation schedule for city teams to engage with unhoused folks to help get them off the streets.
So what exactly is he looking out for when deciding what encampments get swept?
It depends, he says.
Locations like schools, recreational centers, senior centers, or businesses are places he tends to want to address quickly, especially schools. These are the places where the complaints are highest and access to facilities is important for residents.
He says he also takes into account 311 calls and reports made to him by city staff. On the date of publication, over 100 calls and reports were made about encampments around the city, according to San Francisco data.
Nakanishi made a few 311 reports himself on the ride along, pulling over to take photos and describe the encampments into his 311 app. He says it helps him remember where to possibly sweep next or allows smaller teams in the city to engage quicker with individuals on the streets.
Nakanishi also looks at the state of the encampments. Are there a lot of bulky items, such as furniture, or makeshift structures built out of tarps and plywood, blocking areas of traffic? Is trash beginning to pile up and spill into the streets or sidewalks? Sites that meet this criteria tend to be contenders for encampment sweeps, Nakanishi says.
Street by street, he points out individuals he’s interacted with, describing their conditions, habits, and reasons for denying assistance from the city.
One man on 2nd St and Mission, who rolls around a blue recycling bin and often yells at passing pedestrians, has refused shelter several times, Nakanishi says.
People deny shelter for all kinds of reasons, he says. There’s too many rules to follow, people feel unsafe in congregate or shared shelters, or their behavioral and mental health problems make it hard to get them into proper services.
Nakanishi references another man on South Van Ness under the freeway, who city outreach have attempted to get into shelter, but his screaming outbursts make it difficult to place him without disturbing other people in the same space. Nakanishi says it might be an issue of the man needing resources like medication to alleviate his distress that causes the screaming, but the city behavioral team is in the process of outreaching him to figure that out.
In October, city outreach teams engaged with 495 unhoused people. 377 of those engaged refused shelter and only 118 accepted placements, according to city data. That number of monthly referrals is consistent throughout the entirety of 2024 so far.
Nakanishi has long advocated for the well-being of unhoused people, he explains. In 2004, he was working with the Department of Public Health and told then-Mayor Gavin Newsom that there needed to be more housing for families. Nakinishi was told it was easier to deal with individuals first and the city “will get there eventually.” 20 years later, family housing is still not as extensive as it could be, and the waiting list to get placements for families is a mile long with over 500 names.
In 2020, he was a Senior Behavioral Health Clinician at a hotel in the city during the pandemic. He says in 2021 he collaborated with DPH to provide vaccines to those staying in the makeshift hotel shelters once those became available.
Despite the constant media attention that city outreach is inhumanely treating homeless people, so much so that it has led to lawsuits against San Francisco from advocates, Nakanishi says not a lot of people are seeing the true conditions of some encampments.
He describes soiled clothing and tents, drenched in urine, and oftentimes rodents or bug infestations in places where people are sleeping. He’s asked homeless advocates- often those who are the most critical about the city’s work- who have shown up to observe the sweeps if those are conditions the city should allow people to be subjected to, but not many have answers for him, Nakanishi says.
The city’s “bag and tag” policy allows city workers to throw away items that are “soiled by infectious materials” such as bodily fluids and waste.
Sweep operations are conducted at 8am and 1pm Monday through Friday. People at the encampments are given 72 hour notice to vacate, but some don’t leave the area until the day of the sweep.
City outreach workers come out the day before and day of to offer resources and shelter to those interested. The Department of Public Works discards any trash that is left over from the sweep and washes down the area.
Nakanishi told the Post that the only time the city takes tents or personal possessions from residents is when folks become physically violent towards workers and police take the items as evidence. Other items taken are bagged and tagged in accordance with city policy.
Stories from local newspapers such as the San Francisco Standard and the Chronicle show instances of SFPD handcuffing residents while their items are thrown in the trash or disposing of personal possessions without reason.
Advocates have long been pushing for a more competent and compassionate process if the city is going to choose to continue sweeping unhouse people.
No matter the lawsuits and constant criticisms from allies, the encampment sweeps are not slowing down, even with the cold weather quickly approaching the coastal city.
Nakanishi says there aren’t a lot of large encampments left in San Francisco so now they do runs of streets in order to stretch out the sweeps as much as possible.
It’s calculated strategies and years of first hand knowledge that make this job work, “It takes dedication to the work, caring for the people and the community, and persistence, patience and sometimes good luck to make the positive changes for the people on the street,” Nakanishi says.
Activism
Oakland Post: Week of November 13 – 19, 2024
The printed Weekly Edition of the Oakland Post: Week of November 13 – 19, 2024
To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.
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