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Mountain Lake, near the southern end of today's Presidio : "Round about were
grazing deer, and scattered here and there were the antlers of large elk.

The U. San Francisco has a minority-majority population, as non-Hispanic whites
comprise less than half of the population, Research collected on the immigrant
clusters in the city show that more than half of the Asian population in San
Francisco is either Chinese born Of all major cities in the United States, San
Francisco has the second-highest percentage of residents with a college degree,
behind only Seattle.

San Francisco has the highest estimated percentage of gay and lesbian
individuals of any of the 50 largest U. The average household size was 2. The
median age of the city population is 38 years. San Francisco "declared itself a
sanctuary city in , and city officials strengthened the stance in with its 'Due
Process for All' ordinance. The law declared local authorities could not hold
immigrants for immigration officials if they had no violent felonies on their
records and did not currently face charges.

Homelessness, historically, has been a major problem in the city and remains a
growing problem in modern times. In , 7, homeless people were officially counted
in the city, two-thirds of whom were dealing with serious health issues like
mental illness or HIV. In January a United Nations special rapporteur on
homelessness, Leilani Farha , stated that she was "completely shocked" by San
Francisco's homelessness crisis during a visit to the city.

She compared the "deplorable conditions" of the homeless camps she witnessed on
San Francisco's streets to those she had seen in Mumbai. According to academic
Rob Wilson, San Francisco is a global city , a status that pre-dated the city's
popularity during the California Gold Rush. A divide is created within the city
of ethnic, typically lower-class neighborhoods, and expensive ones with newly
developed buildings.

This in turn creates a population of highly educated, white-collar individuals
as well as blue-collar workers, many of whom are immigrants, and who both are
drawn to the increasing number of opportunities available. San Francisco has a
diversified service economy , with employment spread across a wide range of
professional services, including financial services , tourism , and increasingly
high technology.

The legacy of the California Gold Rush turned San Francisco into the principal
banking and finance center of the West Coast in the early twentieth century.
Many large financial institutions, multinational banks, and venture capital
firms are based in or have regional headquarters in the city. With over 30
international financial institutions, [] six Fortune companies, [] and a large
support infrastructure of professional services—including law, public relations,
architecture and design—San Francisco is designated as an Alpha - World City.

Since the s, San Francisco's economy has diversified away from finance and
tourism towards the growing fields of high tech, biotechnology , and medical
research.


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The top employer in the city is the city government itself, employing 5. In an
effort to buoy small privately owned businesses in San Francisco and preserve
the unique retail personality of the city, the Small Business Commission started
a publicity campaign in to keep a larger share of retail dollars in the local
economy, [] and the Board of Supervisors has used the planning code to limit the
neighborhoods where formula retail establishments can set up shop, [] an effort
affirmed by San Francisco voters.

Like many U. The city's largest manufacturing employer is Anchor Brewing Company
, and the largest by revenue is Timbuk2. San Francisco became a hub for
technological driven economic growth during the internet boom of the s, and
still holds an important position in the world city network today. Between the
years of and , the job growth rate was 4. In the second technological boom
driven by social media in the mid s, San Francisco became a location for
companies such as Apple , Google , Facebook and Twitter to base their tech
offices and for their employees to live.

The tech sector's dominance in the Bay Area is internationally recognized and
continues to attract new businesses and young entrepreneurs from all over the
globe. Tourism is one of the city's largest private-sector industries,
accounting for more than one out of seven jobs in the city. In , it attracted
the fifth-highest number of foreign tourists of any city in the United States.
Both of these locations were often used as landscape shots for the hit American
sitcom Full House. There is also Lombard Street , known for its "crookedness"
and extensive views.

Tourists also visit Pier 39 , which offers dining, shopping, entertainment, and
views of the bay, sun-bathing seals, and the famous Alcatraz Island. San
Francisco also offers tourists cultural and unique nightlife in its
neighborhoods. A heightened interest in conventioneering in San Francisco,
marked by the establishment of convention centers such as Yerba Buena, acted as
a feeder into the local tourist economy and resulted in an increase in the hotel
industry: "In , the city had fewer than thirty-three hundred first-class hotel
rooms; by , the number was nine thousand; and by , there were more than thirty
thousand.

Although the Financial District , Union Square , and Fisherman's Wharf are well
known around the world, San Francisco is also characterized by its numerous
culturally rich streetscapes featuring mixed-use neighborhoods anchored around
central commercial corridors to which residents and visitors alike can walk.
Because of these characteristics, San Francisco is ranked the second "most
walkable" city in the United States by Walkscore.

This approach especially has influenced the continuing South of Market
neighborhood redevelopment with businesses and neighborhood services rising
alongside high-rise residences.


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Since the s, the demand for skilled information technology workers from local
startups and nearby Silicon Valley has attracted white-collar workers from all
over the world and created a high standard of living in San Francisco. The
city's property values and household income have risen to among the highest in
the nation, [] [] [] creating a large and upscale restaurant, retail, and
entertainment scene. According to a quality of life survey of global cities, San
Francisco has the highest quality of living of any U. The international
character that San Francisco has enjoyed since its founding is continued today
by large numbers of immigrants from Asia and Latin America.

In particular, the arrival of many ethnic Chinese, which accelerated beginning
in the s, has complemented the long-established community historically based in
Chinatown throughout the city and has transformed the annual Chinese New Year
Parade into the largest event of its kind in its hemisphere. With the arrival of
the "beat" writers and artists of the s and societal changes culminating in the
Summer of Love in the Haight-Ashbury district during the s, San Francisco became
a center of liberal activism and of the counterculture that arose at that time.

The Democrats and to a lesser extent the Green Party have dominated city
politics since the late s, after the last serious Republican challenger for city
office lost the mayoral election by a narrow margin. San Francisco also has had
a very active environmental community. Starting with the founding of the Sierra
Club in to the establishment of the non-profit Friends of the Urban Forest in ,
San Francisco has been at the forefront of many global discussions regarding the
environment.

The Sunset Reservoir Solar Project, completed in , installed 24, solar panels on
the roof of the reservoir.

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The 5-megawatt plant more than tripled the city's 2-megawatt solar generation
capacity when it opened in December Morgan ; and the first transgender police
commissioner, Theresa Sparks. The city's large gay population has created and
sustained a politically and culturally active community over many decades,
developing a powerful presence in San Francisco's civic life. Survey data
released in by Gallup place the proportion of the San Francisco metro area at 6.


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One of the most popular destinations for gay tourists internationally, the city
hosts San Francisco Pride , one of the largest and oldest pride parades. San
Francisco Pride events have been held continuously since The events are themed
and a new theme is created each year. In , over 1.

The major daily newspaper in San Francisco is the San Francisco Chronicle ,
which is currently Northern California's most widely circulated newspaper. The
San Francisco Examiner , once the cornerstone of William Randolph Hearst 's
media empire and the home of Ambrose Bierce , declined in circulation over the
years and now takes the form of a free daily tabloid, under new ownership.

San Francisco and 7x7 are major glossy magazines about San Francisco. The
national newsmagazine Mother Jones is also based in San Francisco. The city's
oldest radio station, KCBS , began as an experimental station in San Jose in ,
before the beginning of commercial broadcasting.

The city's first television station was KPIX , which began broadcasting in All
major U. The Pac Network is also based in San Francisco. Public broadcasting
outlets include both a television station and a radio station , both
broadcasting under the call letters KQED from a facility near the Potrero Hill
neighborhood. San Francisco-based inventors made important contributions to
modern media. During the s, Eadweard Muybridge began recording motion
photographically and invented a zoopraxiscope with which to view his recordings.

These were the first motion pictures. Then in , Philo Farnsworth 's image
dissector camera tube transmitted its first image.


SAN FRANCISCO

Northward, the routing for U. Sign in to add this to a playlist. The team began
playing its home games at Levi's Stadium in Santa Clara in Read More Steven
Bracco. The members of the Board of Supervisors are elected as representatives
of specific districts real men gay Daly City USA the city. City Hall rose again
in splendid Beaux Arts style, and the city celebrated its rebirth at the
Panama—Pacific International Exposition in The members of the Board of
Supervisors are elected as representatives of specific districts within the
city. Retrieved July 2, Inzoologist Joseph Grinnell wrote that osprey were only
rare visitors to the San Francisco Bay Area, although he noted records of one or
two used nests in the broken tops of redwood trees along the Russian River. Last
Online: 1 hours ago. Retrieved February 18,

This was the first television. San Francisco's War Memorial and Performing Arts
Center hosts some of the most enduring performing-arts companies in the country.




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Midwood, Brooklyn, Where Urban and Suburban Meet Young Men’s Health Project
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The Stonewall Inn in the gay village of Greenwich Village , Manhattan , the
cradle of the modern gay rights movement. Sexual orientation. Social attitudes.
Academic fields and discourse. Lesbian feminism Lavender linguistics Queer
studies Queer theory Transfeminism. Main article: Stonewall Inn. Main article:
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There was little open animosity, and some bystanders applauded when a tall,
pretty girl carrying a sign "I am a Lesbian" walked by. The Culture Trip.
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The police decided to take everyone present to the police station, after
separating those cross-dressing in a room in the back of the bar. Politics in
New York City are mainly liberal. He pointed to several challenges in the
community: gentrification, under-resourced schools, low-paying jobs,
insufficient affordable housing, and over-policing. Retrieved August 6, My
second biggest fear was that my picture would be in a newspaper or on a
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Dogs, which offers up exactly what its name implies— and. Wagner, Jr. Club
Cumming Jeffrey H. Buy your tickets online in advance for the best prices.
Social Media Links. Greenwich Village.

Retrieved June 25, National Park Service, U. Department of the Interior.
Retrieved April 21, Retrieved September 4, October The Williams Institute.
Archived from the original PDF on January 15, Queens Times Ledger. Retrieved
November 11, Associated Press. June 23, Archived from the original on March 3,
Retrieved June 23, The TransAdvocate. Retrieved October 26, The New Yorker.

August 1, Retrieved June 28, Let's Keep It That Way". Lonely Planet , September
1, The Rough Guide to New York. Penguin Books , January 1, Retrieved September
24, Retrieved January 2, The Cock, a delightfully perverse gay bar on Second
Avenue, Atlas Obscura. The Village Voice. Retrieved September 8, Retrieved
February 12, Retrieved February 4, That group includes several Black and Brown
progressives. The growing number of openly gay candidates are coming forward as
Americans are increasingly accepting of them. Another sign of the change in
attitude came in June with the U.

Inclusion leads to better outcomes for all of us.

His mother, an Afro-Latina from Puerto Rico, was actively involved in voter
registration drives. House of Representatives. A breakdown Malliotakis declares
victory in race for 11th congressional district, Rose refuses to concede.

Community board vies to annex Atlantic Yards. More from Around New York. Gay
City News. Caribbean Life.


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for life. Truvada and Descovy are contraindicated for use as pre-exposure
prophylaxis PrEP in individuals who have an unknown or positive HIV status.
Research shows that pre-exposure prophylaxis PrEP is generally safe and well
tolerated for most individuals, although some side effects have been noted to
occur. Osteopenia or bone loss has been reported in clinical studies.

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Fat redistribution and accumulation was more commonly seen in individuals
receiving antiretroviral therapy, particularly older antiretrovirals, for the
treatment of HIV. Other potential serious side effects of Truvada include acute
exacerbations of hepatitis B in individuals with HBV infection, lactic acidosis
, and severe hepatomegaly with steatosis.

Descovy research and data from public use has shown similar "start-up" effects;
however, some data indicates that Descovy is better for one's kidneys and for
those with a diagnosis of osteoporosis. This combination of drugs is also known
to increase HIV resistance to these medications when used as pre-exposure
prophylaxis PrEP in individuals who are determined to be HIV positive. It is
recommended that individuals continue to periodically get tested to determine
their HIV status to ensure proper continuing use of these medications for PrEP.

Truvada was previously only approved by the U. In , the FDA approved the drug
for use as pre-exposure prophylaxis PrEP , based on growing evidence that the
drug was safe and effective at preventing HIV in populations at increased risk
of infection. In , the World Health Organization WHO issued guidelines for PrEP
and made similar recommendations for its use among men and transgender women who
have sex with men.

The WHO noted that "international scientific consensus is emerging that
antiretroviral drugs, including PrEP, significantly reduce the risk of sexual
acquisition and transmission of HIV regardless of population or setting. Funded
access to PrEP will require that people undergo regular testing for HIV and
other sexually transmitted infections, and are monitored for risk of side
effects.

Expected Fall , Teva Pharmaceuticals will begin producing a generic version of
Truvada within the United States; however, it has been reported that the details
surrounding the rights to the patent are unclear, which makes it difficult to
predict if this will increase access to the medications. In December , the U.
Department of Health and Human Services HHS and allows qualifying individuals to
fill their prescription for PrEP medication free of cost at their choice of
participating pharmacies or through the mail. The database includes over 1, PrEP
providers from all 50 U.

Beginning in January , after California Governor Gavin Newsom signed Senate Bill
SB in late , licensed pharmacists in California are authorized to initiate and
dispense a 30 to 60 day supply of pre-exposure prophylaxis PrEP or the full
course of post-exposure prophylaxis PEP without a doctor's prescription, given
certain clinical criteria of the individual are met.

The bill acts as an extension of Medi-Cal benefits the Medicaid program in the
state of California. Since the FDA approval of PrEP for the prevention of HIV,
moves toward greater adoption of PrEP have been met some issues, especially
around the overall public health effect of widespread adoption, the cost of PrEP
and associated disparities in availability and access. Many public health
organizations and governments have embraced PrEP as a part of their overall
strategy for reducing HIV.

The campaign aims to dramatically reduce the number of new HIV infections in the
city and relies on expanding access to PrEP as a key strategy for achieving that
goal.

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For instance, in New York City in Gay Men's Health Crisis launched an ad
campaign in bus shelters across the city reminding riders that adherence to PrEP
is important to ensuring the regimen is maximally effective. Social media
pushes, such as an ad campaign called "PrEP for Her", targeted African-American
women, who, along with gay and bisexual African-American men, are at high risk
of infection in the district.

Despite those efforts, PrEP remains controversial among some who worry that
widespread PrEP adoption could cause public health issues by enabling risky
sexual behaviors. For example, the U. PrEP is used predominantly by gay men,
often as an alternative to condoms. Apart from criticisms of PrEP stemming from
potential side effects or from concerns that it may raise the risk of spreading
sexually transmitted infections other than HIV, the rejection of PrEP is
sometimes connected to a stigma against the acceptability of promiscuous
sexuality - a stigma which is present in both online dating platforms such as
Grindr , but also to some extent in the media - since PrEP has been perceived to
promote promiscuity.

PrEP is globally underutilized. A systematic review of 76 peer-reviewed articles
and 28 conference abstracts of values and preferences among global populations
who might benefit from PrEP found that awareness of PrEP is low, but individuals
were receptive to use when presented with information. Toronto , Ontario.
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Learning Opportunities Want to stay abreast of changes in prevention, care,
treatment or research or other public health arenas that affect our collective
response to the HIV epidemic? Stay up to date with the webinars, Twitter chats,
conferences and more in this section. More Learning Opportunities. A lower
lowest-ever CD4 count and a higher initial viral load were each associated with
a greater likelihood of developing multidrug resistance. They found that four
aging-related outcomes had a statistically significant association with HIV,
meaning the connection is unlikely to have been driven by chance.

These include shortness of breath, chronic obstructive pulmonary disease COPD, a
chronic inflammatory lung disease that obstructs airflow to the lungs , anemia
and bone fractures. Two additional aging-related conditions had a highly
statistically significant association with HIV: cough and ischemic heart disease
a narrowing of the arteries that supply the heart.

Researchers studied outcomes among nearly such women who participated in an
initiative to provide them with screening, referrals and various services in
Chicago, Los Angeles, New York and the San Francisco Bay Area. Most were Latina
or Black, unemployed and had low incomes. When appropriate, the participants
received referrals and services for HIV primary care, mental health and
substance use treatment, assistance with housing and food, legal advice, and
support around education, job training and finding work. After adjusting the
data to account for various differences among the study participants, the
researchers found that the following factors were associated with a two- to
six-fold increased likelihood of achieving viral suppression after 24 months:
screening for mental health issues and food insecurity, referral to HIV primary
care services, mental health care and food assistance, retention in care
counseling and employment assistance.

Researchers recruited participants from a randomized controlled study that
assessed various means of providing care to people with an injection drug use
history who were receiving MAT in the Bronx in New York City. A total of of the
participants, all of whom were cured of HCV, made at least one of the study
follow-up visits, which were scheduled every six months for up to two years.
Three people, all of whom reported injecting drugs during the follow-up period,
were reinfected with HCV during a cumulative years of followup, yielding a
reinfection rate of 1.

However, among those who reported ongoing injection drug use, the infection rate
was much higher, at 7. The study authors found that reinfection with hep C was
associated with reported ongoing injection drug use, a lack of confidence in the
ability to avoid contracting hep C, homelessness and living with a person who
injects drugs. Got Ink?

An estimated 3—5 million Americans are living with hepatitis C. Get tested
today. An FDA advisory panel had previously recommended that Descovy PrEP be
approved for cisgender men who have sex with men and for trans women—the groups
included in the major trial that proved Descovy is as effective as Truvada for
PrEP. Two major studies have shown that the regimen, when given at monthly
intervals, is highly effective among those starting HIV treatment for the first
time as well as those switching from other antiretroviral regimens.

Clinical trial participants have reported high levels of satisfaction with the
regimen. In a new large trial, researchers randomized participants already
taking antiretrovirals to switch to injections of the long-acting regimen
administered either every four or every eight weeks. After 48 weeks of
treatment, rates of viral suppression were comparable between the two study
groups.


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The San Francisco Bay Area, popularly referred to as the Bay Area or simply the
Bay, is a During this time, the Bay Area was the center of the LGBT rights
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