Cholera, Community, and Public Health in Gold Rush Sacramento and San Francisco

This article argues that the expansion of shelter and welfare provisions for the homeless can lead to increased criminalization of homeless people in public spaces. First, I document how repression of people experiencing homelessness by the police in San Francisco neighborhoods increased immediately after the opening of new shelters. Second, I reveal how shelter beds are used as a privileged tool of the police to arrest, cite, and confiscate property of the unhoused, albeit in the guise of sanitary and public health initiatives. I conclude by considering how shelters increasingly function as complaint-oriented “services,” aimed at addressing the interests of residents, businesses, and politicians, rather than the needs of those unhoused.

Download Full-text

448. Disproportionate Burden of COVID-19 on Latinx Residents among Hospitalized Patients at San Francisco’s Public Health Hospital

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.641 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S292-S292

Author(s):

Vivek Jain ◽

Lillian B Brown ◽

Carina Marquez ◽

Luis Rubio ◽

Natasha Spottiswoode ◽

...

Keyword(s):

Public Health ◽

African American ◽

San Francisco ◽

Ethnic Disparities ◽

Food Service ◽

Lengths Of Stay ◽

Hospital Deaths ◽

Health Hospital ◽

Disproportionate Burden ◽

Overall Mortality

Abstract Background San Francisco implemented one of the earliest shelter-in-place public health mandates in the U.S., with flattened curves of diagnoses and deaths. We describe demographics, clinical features and outcomes of COVID-19 patients admitted to a public health hospital in a high population-density city with an early containment response. Methods We analyzed inpatients with COVID-19 admitted to San Francisco General Hospital (SFGH) from 3/5/2020–5/11/2020. SFGH serves a network of >63,000 patients (32% Latinx/24% Asian/19% African American/19% Caucasian). Demographic and clinical data through 5/18/2020 were abstracted from hospital records, along with ICU and ventilator utilization, lengths of stay, and in-hospital deaths. Results Of 157 admitted patients, 105/157 (67%) were male, median age was 49 (range 19-96y), and 127/157 (81%) of patients with COVID-19 were Latinx. Crowded living conditions were common: 60/157 (38%) lived in multi-family shared housing, 12/1578 (8%) with multigenerational families, and 8/157 (5%) were homeless living in shelters. Of 102 patients with ascertained occupations, most had frontline essential jobs: 23% food service, 14% construction/home maintenance, and 10% cleaning. Overall, 86/157 (55%) of patients lived in neighborhoods home to majority Latinx and African-American populations. Overall, 45/157 (29%) of patients needed ICU care, and 26/157 (17%) required mechanical ventilation; 20/26 (77%) of ventilated patients were successfully extubated, and 137/157 (87%) were discharged home. Median hospitalization duration was 4 days (IQR, 2–10), and only 6/157 (4%) patients died in hospital. Conclusion In San Francisco, where early COVID-19 mitigation was enacted, we report a stark, disproportionate COVID-19 burden on Latinx patients, who accounted for 81% of hospitalizations despite making up only 32% of the patient base and 15% of San Francisco’s total population. Latinx inpatients frequently lived in high-density settings, increasing household risk, and frequently worked essential jobs, potentially limiting the opportunity to effectively distance from others. We also report here favorable clinical outcomes and low overall mortality. However, an effective COVID-19 response must urgently address racial and ethnic disparities. Disclosures All Authors: No reported disclosures

Download Full-text

Galapagos Tortoises and Sea Turtles in Gold Rush-Era California

California History ◽

10.1525/ch.2014.91.2.20 ◽

2014 ◽

Vol 91 (2) ◽

pp. 20-39 ◽

Cited By ~ 5

Author(s):

Cyler Conrad ◽

Allen Pastron

Keyword(s):

San Francisco ◽

Native Species ◽

Sea Turtles ◽

Rare Event ◽

Legal Protection ◽

Sea Turtle ◽

Gold Rush ◽

Late Nineteenth Century ◽

Scientific Curiosity ◽

Native Populations

Spotting a sea turtle or Galapagos tortoise on the early wharfs and streets of San Francisco or Sacramento, California during the Gold Rush (1848-1855) would not have been a rare event. Massive population influx into the San Francisco Bay region during this time resulted in substantial impacts to native species and habitats of all taxa, but the demand for food resulted in many resources, turtles and tortoises included, being imported into the cities. Providing a fresh and delectable food source, these terrapin were brought to San Francisco and Sacramento to feed the hungry Gold Rush populous. Their taste, popularity and demand also resulted in small numbers being imported into gold mining towns in the San Joaquin Valley and foothills of the Sierra Nevada’s. Remarkable as this process was, the consumption and importation of both sea turtles and Galapagos tortoises during the Gold Rush pushed native populations of these species to the brink of extinction during the mid to late-nineteenth century. Declining numbers of terrapin and increased scientific curiosity, with a desire to safeguard these creatures for future generations, resulted in their eventually legal protection and conservation. In many ways the impacts of the decimation of terrapin in the eastern Pacific during the Gold Rush are still felt today, as conservation and breeding efforts continue in an attempt to return native turtle and tortoise populations to pre-Euro-American contact levels. This research describes the historical, and new archaeofaunal, evidence of the terrapin import market in San Francisco, Sacramento and beyond during the dynamic period of the California Gold Rush.

Download Full-text