First time I was walking through Houston I saw a man shit on the sidewalk and fall into it. What was your point?
We definitely have what we like to call an 'opioid' problem here.
I lived in Houston from Rita to Harvey. Also had serious drug problems. Needles and all. There is no way other people living in Houston could not have noticed these issues. Homelessness, drugs, rampant crime.
For San Fran to be different from Houston, there would need to be something more.