Hepatitis A Outbreak Spurring Cities to New Actions on Homelessness

A series of articles from around the Internet in recent weeks highlights the need for more services and support for the homeless. The location of this story is set in California, but all communities should heed these warnings.

2 minute read

December 8, 2017, 10:00 AM PST

By James Brasuell @CasualBrasuell


Adam Rogers describes the large Hepatitis A outbreak in California (mostly in San Diego but spreading to Los Angeles and Santa Cruz as well) in context of larger concerns about the future of public health if social policy doesn't address homelessness.

"Homeless people present a particular challenge for health—but for reasons as much political as medical. When the urban infrastructure shows signs of weakness, as it has with these hep A outbreaks, it’s not just a medical tragedy. It’s a signal of a failure yet to come," writes Rogers.

Rogers undertakes a detailed exploration of the Hepatitis A outbreak in San Diego, and traces the lessons public health officials have been learning as they've been battling the outbreak in 2017.

Another article by Emily Moon examines the city of San Diego's efforts to leverage the Hepatitis A outbreak to develop more housing for the city's homeless population (9,000 people, according to the figure cited in the article). Since the outbreak, the city created the city's first legal homeless camp (as reported by Gary Warth in October), but advocates and city officials are pushing for more housing. 

"In San Diego, city council members and shelter owners alike subscribe to the tenets of Housing First [pdf], a Housing and Urban Development-sanctioned approach started under George W. Bush that prioritizes permanent supportive housing over treatment for health issues like addiction," writes Moon.

Finally, a local report by Gale Holland breaks the news of the first new public toilets on skid row in Los Angeles in more than a decade. "The action represents a new consensus among many downtown interests about how to provide the essential service on skid row," writes Holland. "The restrooms also are expected to help in the fight against a statewide hepatitis A outbreak spread by poor hygiene in homeless camps that has killed more than a dozen people in San Diego." As reported by Holland, not everyone in attendance at the press conference announcing the new toilets were pleased with the city's actions leading up to the event. 

Friday, December 8, 2017 in Wired

Young Professional

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban and Environmental Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban and Environmental Planner

Get top-rated, practical training for planners

"Planetizen federal action tracker" logo superimposed over black and white image of US Capitol dome.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

5 hours ago - Zachary Whalen

Overlapping highways

The state-sanctioned urbicide of Austin

People don’t kill cities. Freeways do.

September 8, 2026 - Benjamin Schneider

The Hoover Dam blocking the Colorado River. The river's water level is noticeably low. The cliffs surrounding the blue water are brown and jagged.

US to reduce Colorado River water deliveries to Mexico

A new Colorado Treaty amendment reduces Mexico’s Colorado River water allocation by 250,000 acre feet.

September 11, 2026 - The Arizona Republic

A cluster of wind turbines beneath a stormy sky, above a forest where the leaves are beginning to change colors.

5 New England states march closer to 800 megawatt wind energy project

Securing federal approval for the project may be complicated under the Trump administration, which has historically been hostile towards domestic wind power.

1 hour ago - Inside Climate News

People boarding a bus on Maryland's Orange Route.

Baltimore to break ground on $50 million Transit Priority Project

The project will bring faster bus trips, safer streets and better bike connections to Baltimore.

2 hours ago - Mass Transit

A brick building with a circular sign with the Airbnb logo hanging off of it.

Airbnb launches $250 million 'last-dollar financing' housing accelerator, makes first investment in Austin

The company will put $6.4 million towards affordable housing development in Texas’ capital.

3 hours ago - Smart Cities Dive

FREE Course: Walkable City 1: Why Walkability?

After describing his path towards focusing on walkability as the essence of good planning, Jeff Speck marches through his five principal reasons for making more walkable places.

Reinventing Malls: Planning Alchemy—Turning Gray Fields Into Gold

The course focuses on the opportunities and imperatives that shape reinvention of mall sites.