I left my body waste in San Francisco

This was from 2009, so how has the city changed since then?

For a first world city, San Francisco is dirty. No, filthy. No, disgusting. Whenever I travel outside of San Francisco, I'm amazed at what a disastrous anomaly it is. Sidewalks are routinely covered in broken glass, trash, old food, and human excrement....... Aging hippies in the Haight argue about marijuana legalization and anti-war referendums when men and women are dying – visibly dying – on the streets of the Tenderloin. It's as if all parties don't occupy the same city...

 Clean up San Francisco’s streets, tourist industry pleads . . . "People injecting themselves with drugs in broad daylight, their dirty needles and other garbage strewn on the sidewalks. Tent camps. Human feces. The threatening behavior of some people who appear either mentally ill or high. Petty theft. 

“ 'The streets are filthy. There’s trash everywhere. It’s disgusting,” D’Alessandro said, adding he’s traveled the world, and San Francisco stands out for the wrong reasons. “I’ve never seen any other city like this — the homelessness, dirty streets, drug use on the streets, smash-and-grabs. 

“ 'How can it be?” he continued. 

“ 'How can it have gotten to this point?” Remember, this is the man whose job is to glorify San Francisco, which tells you something about how far the city has sunk." . . .