My daughter and granddaughter used to volunteer to pick up debris on the beach in SF... until they started finding hypodermic needles and my daughter stopped volunteering for those cleanups. My wife and I had volunteered in past decades to clean up parts of GG Park in SF; we wouldn't dare to that now. San Franciscans now go down the peninsula to shop in suburbs rather than shop in their own city. It's gotten real bad under Mayor London Breed who let it go to hell.
Absolutely - my family in San Francisco tends to buy everything online now instead of going of going out shopping, with very very few exceptions.
I was walking my dogs in Chrissy Field not too long ago, down on the beach - when a clean-up official from the city stopped me and told me to be careful of letting my dogs sniff around washed up debris, like driftwood, etc. He was there to clean up needles that had washed up on the shore (where kids play) - he was using a metal detector. He showed me a pile of needles he’d picked up just that morning- around 15. He said testing showed the needles had blood in them. I read where most of the needles for the “needle exchange program” end up being tossed in the trash or on the street.