Happy New Year Everyone!
Lets make 2023 great!

Dear Community,
It has been quite an exciting year full of activism and progress toward the full realization of sex worker rights. Just on the horizon: starting January 1st, 2023, California will be enacting SB357. Through the hard-earned effort of sex workers over many years, SB357 will prevent police profiling of women, especially Trans Women of Color, as prostitutes. Police will no longer be able to target sex workers of all genders for what they wear or what neighborhood they are standing in. Global activism persists as strippers in Los Angeles are unionizing and sex workers continue to fight for full decriminalization in Canada and South Africa. Meanwhile, St James Infirmary continues to advocate and provide free quality healthcare and housing services for the most marginalized among our community.
Please consider donating to SJI’s herstoric program, the Taimon Booton Navigation Center (TBNC). TBNC is the first ever Transgender and Gender Non-Conforming shelter to provide services by and for TGNC people and sex workers experiencing homelessness. There is a wishlist of items needed, but as always, donations of $money$ are always appreciated. If donating via check or Venmo (@stjamesinfirmary), please indicate that it is for “TBNC”.
For more information reach out to [email protected]


Rest In Power


Ivory Nicole Smith
Ivory was a Site Supervisor at Taimon Booton Navigation Center, a shelter for TGNC people and sex workers. She previously worked as a Program Associate at the Transgender District where she helped organize events to promote the visibility and brilliance of the Trans community. Born and raised in the Tenderloin in San Francisco, Ivory supported the unhoused and most vulnerable people in her city and built community strength both in her career and her day-to-day. Her smile and love for her community will continue to shine in our memories of her.

Carol Leigh
AKA Scarlot Harlot
The mother of the sex worker movement. She coined the term "sex worker" to build solidarity and to bring respect to the profession. She was a tireless activist and advocate, our community's archivist, and brilliant artist and writer. She co-led the Sex Worker Film and Art Festival that always brought sex workers near and far to our fabulous city. She loved her mom and loved her many mentees and unrepentant whores of our community. She brought warmth and light everywhere she went while maintaining a fierce fight for decriminalization of prostitution and advocacy for the most marginalized. Thank you Carol, for supporting St James Infirmary. Thank you for everything you did to further the cause for civil rights for sex workers.
Check out BAYSWAN for her archives and links to her writings and videos http://www.bayswan.org


In 2022, the World Health Organization (WHO) published the Consolidated guidelines on HIV, viral hepatitis and STI prevention, diagnosis, treatment and care for key populations. They provide guidance for public health and rights-based responses to HIV, viral hepatitis, and sexually transmitted infections (STIs) for key populations. The guidelines can be used by sex worker and other key population-led organizations to advocate for rights and evidence-based HIV, STI, and hepatitis programs, and by managers, policymakers, donors, and others to inform rights and evidence-based HIV, STI, and hepatitis policies and programming.
This Smart Guide summarizes and discusses the guidelines’ key recommendations for sex workers in plain English. The Smart Guide can be used as a tool when advocating for rights-based services. It is available now in English and will soon be available in Spanish, French, Russian, Chinese and Arabic.


Community Support Line for Sex Workers Seeks Volunteers
SWOP Behind Bars is seeking volunteers for their Community Support Line especially for people located on the West-coast.
If you are a sex worker in need of support check out the link for online chat functions or
call 1-877-776-2004 ext. 1


artwork by Amanda Priebe
Online Workshop Series Continues
Mindfulness and Meditation with Vadan is every Monday at 12noon

What We Believe
There are many factors which affect the working conditions and experiences for all Sex Workers including the political and economic climate, poverty and homelessness, stigmatization, violence, as well as the overwhelming intricacies of the legal, public and social systems. It is the philosophy of St. James Infirmary to build upon existing skills and strengths in order to allow individuals to determine their own goals.
- We are fundamentally against the criminalizing of Sex Workers—regardless of our different perspectives on decriminalization or legalization, the collective view of the St. James Infirmary is that incarceration of our community further marginalizes and disenfranchised us, which creates barriers to capacity building, and exacerbates a public health crisis.
- We believe in revolution through healthcare. We challenge the conventional healthcare model that divides patients and providers and fosters unhealthy power dynamics. Our peer-based model creates a safe, trusted, and honest environment in which to provide services, and empowers our community to define our own well-being.
- We are founded on the principles of harm reduction—St. James Infirmary supports Sex Workers being treated with dignity and respect, in every aspect of their lives
Our Impact
- We increase access to primary healthcare and social services for Sex Workers throughout the San Francisco Bay Area.
- We formalize communication and collaboration among individuals and agencies who serve Sex Workers to better serve our community.
- We promote peer-based public health initiatives on behalf of Sex Workers, which may be used as a model for improving occupational health and safety standards and developing comprehensive medical and social services for Sex Workers around the world.

From Our Blog

Will SF voters decriminalize prostitutes this November?
This November, San Francisco voters can decriminalize prostitution in our City by voting Yes on Proposition K. St. James Infirmary is against the criminalizing of sex workers for their profession. Regardless of how sex workers got to their current job, being criminalized is a social injustice with serious public health consequences. Police and prosecutors say […]
Read MoreSt. James Infirmary Open House
Join legendary Sex Worker rights activist and St. James Infirmary Founder Margo St. James along with the dynamic staff of the first Occupational Health & Safety Clinic for Sex Workers at our very first Open House Party. There will be food & wine, random door-prizes and a 50/50 raffle. WHEN: Friday September 19th, 5:30pm – […]
Read MoreVolunteers Needed 4 Folsom
We are looking for people to help out St. James Infirmary and volunteer for a shift at Folsom Street Fair September 28, 2008!!! For St. James supporters with a darker dirtier side, this should be a perfect event for you to give of yourself and express your kinkier sides! For more information on how you […]
Read MoreSt. James does Folsom Street Events 2008-“Up Your Alley”
This year St. James Infirmary is partnering as a major beneficiary of the Folsom Street Fair Events and will receive a grant of $9,000 grant. This money will be used to expand our under-funded Transgender Health Services Program. This program is currently at capacity, however this new money will allow us to enroll new participants […]
Read MoreJoin the Hos of Harm Reduction at the SF AIDS Walk
St. James is raising money for the clinic and the AIDS Walk. In 2007, 25,000 walkers raised a record-breaking $4.6 million to help the San Francisco AIDS Foundation and 42 other Bay Area organizations fight AIDS. This year, we have a wonderful team, the Hos of Harm Reduction, and we would love to have your […]
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