A viral video filmed at 7th and Market Street in the Tenderloin neighborhood of San Francisco has drawn significant attention to the city's ongoing struggles with drug use and homelessness. The footage, shared by local resident JJ Smith, depicts numerous individuals appearing heavily under the influence of drugs, with some mentioning the use of fentanyl and crystal meth. While the San Francisco Police Department (SFPD) reports improvements since increased drug enforcement efforts began in June 2023, the video highlights a stark reality that many residents face. According to the Centers for Disease Control and Prevention, San Francisco has one of the highest overdose death rates in the country, second only to Baltimore. City officials, including Matt Dorsey, have acknowledged the need to address the factors that contribute to drug-related activity in the area, emphasizing that other regions are improving faster than San Francisco. The video has sparked a strong online reaction, with many viewers expressing shock at the scenes depicted, prompting discussions about the city's changing landscape and the challenges that remain.