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Anthony Alexander, 42, who is addicted to fentanyl, smokes fentanyl on Hyde street after he was turned-away for the second time in a week at the city-run Tom Waddell Urban Health Clinic nearby for a space at the Joe Healy Detox Program in San Francisco, California Monday, March 15, 2021. | IMG_4958.jpg

Anthony Alexander, 42, who is addicted to fentanyl, smokes fentanyl on Hyde street after he was turned-away for the second time in a week at the city-run Tom Waddell Urban Health Clinic nearby for a space at the Joe Healy Detox Program in San Francisco, California Monday, March 15, 2021.

Anthony Alexander, 42, who is addicted to fentanyl, smokes fentanyl on Hyde street after he was turned-away for the second time in a week at the city-run Tom Waddell Urban Health Clinic nearby for a space at the Joe Healy Detox Program in San Francisco, California Monday, March 15, 2021.

A Disaster In Plain Sight