In this Sept. 19, 2017 photo, trash from homeless encampments lines a street in San Diego. In a place that bills itself as “America’s Finest City,” renowned for its sunny weather, surfing and fish tacos, spiraling real estate values have contributed to spiraling homelessness in San Diego. Most alarmingly, the explosive growth in the number of people living outdoors has contributed to a hepatitis A epidemic. (AP Photo/Gregory Bull)
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