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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.

Windows and doors!

The doors and front windows are completed!

The windows include the many lovely faces from the community for our #SeeYourselfHere campaign. (Have you submitted your photo yet for the campaign?)

The doors are made of reclaimed wood that we found in the building when we first started construction.

Hello windows!

As part of our teaser campaign to get the neighborhood excited about our building opening this spring, we are covering our front windows with our current #SeeYourselfHere campaign featuring images of community members. We can't wait to open so everyone can check out our new space!

Here's the step-by-step account of the window decals going up:

Learn more about the actual campaign and participate yourself here.

Bird watch

This morning we found a bird's egg on our deck. Do you know what type of egg it is? We think it might be a pigeon egg but we'll keep you updated on the bird watch. :-)

First floor update

To make sure our space feels open, warm and welcoming, our offices will have floor to ceiling glass.

Also remember the sexual health reception we showed you last week? There are shelves now!


Have you walked past this bus shelter in the Castro neighborhood on Market Street and Castro Street?

We're excited to launch our #SeeYourselfHere campaign to let people know something new is coming to the Castro.

We can't wait to open the doors this spring to our new home for gay & bi men's health and wellness, a new home for services you already know and trust. We believe you should be celebrated, supported, and whole. 

Look for these ads in the Bay Area Reporter and GLOSS magazine too!

More importantly, have you submitted a photo to the campaign yet? Join our community and hashtag your photos with #SeeYourselfHere for a chance to be featured in our new building.

Then and now stairs

When you enter our building, you'll be welcomed by the sight of a large staircase! 

Here's a look at what the stairs looked like a couple of months ago to now. We now have handrails and actual steps for people to walk on. :-)



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?