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474 Castro

We are embarking on an exciting new chapter in the response to HIV/AIDS—one that, when successful, will serve as proof of concept and energize the nation to end the fight against the disease once and for all. Because we believe—and the data show—that San Francisco can be the first U.S. city to end the transmission of HIV. That's what the vision of our future work at 474 Castro is all about.

Despite incredible progress, there are 16,000 people in San Francisco living with HIV/AIDS—more than half of whom now over 50 years of age. Additionally, half of all newly diagnosed people are not engaged in proper care. To ensure the health of these people, and to support the further reduction of HIV infections to the point where they become incredibly rare, we are partnering with local leaders, public health officials, and the broader community to create a new model that focuses on health and wellness instead of sickness and disease.

The project will bring together and expand the services of three of our existing popular programs for gay and bisexual men and will add new services for special under-served populations, including young gay men of color and older gay men, both HIV positive and HIV negative. The seamless integration and expansion of service offerings for the community will revolutionize the way gay and bi men think about their total health and wellness, and in doing so create a stronger, more vibrant community.

This is the vision behind 474 Castro—a home for health and wellness located in the neighborhood where we can reach the most gay and bisexual men. We invite you to learn more about the project through this website and see our blog for regular project updates. It is an exciting time in the history of this battle, and together as a united community, we will make another giant leap toward winning the fight.

Everything's coming together

When people enter our building looking for sexual health services, they will get directed to our reception area and then counseling rooms for their appointments.

Below is a sneak peek of how this space is shaping up. We're in the process of shelves for behind the reception area and installing lights in our hallways. Check out that long line of counseling rooms!

How are you liking our fun wall color?

We're getting stucco!

We're installing stucco siding on our exterior walls. We think it's going to look really nice when it's all finished.

Hey rooms hey!

The construction crew is hard at work in getting our building ready for opening this spring. Different parts of the building are in various stages of prep. Here is a sneak peek at the behind the scenes peek of some of our medical rooms.

Phlebotomy room

Med room


And can you guess what this room will eventually turn into?

If you answered bathroom, you are correct!

Looking Mahvelous!

Who says counseling rooms have to look boring? Check out how purple magnificent our counseling room looks like with paint and carpet! 

Building out the first floor

Check out the infrastructure of beams on the first floor. Once completed, this space will be offices for staff.

Balcony space

We're really excited about our balcony on the second floor. We just installed the door and glass windows.

Splash of color

We're adding a splash of color to some of the second and third floor now that the walls are mostly done. Do you like our paint choice?

If you look closely in the second picture, there's a sneak peek of what our carpets will look like too.