One thing that has made the problem way worse are laws banning plastic grocery bags which many homeless would use to discard their feces. Now that they aren't available they have no other choice but to defecate in the street. It's crazy how unforeseen consequences like this can occur.
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I didn't know this @mathiasian, but then the cities would actually have to pick up the garbage. I've read all the big cities are falling behind collecting the garbage, especially in poor areas.