Jeff Adachi, who was San Francisco's public defender, died on Feb. 22, 2019.

San Francisco Public Defender

Alcohol, Cocaine Caused Jeff Adachi's Death

Melissa Culross
March 22, 2019 - 7:00 pm

SAN FRANCISCO — Jeff Adachi, San Francisco's former public defender, died from an accidental overdose of cocaine and alcohol and had an underlying heart condition, according to the San Francisco Medical Examiner.

The autopsy results were released on Friday.

Adachi, 59, was found unresponsive in a Telegraph Hill apartment on Feb. 22. Authorities initially said that it appeared a heart attack had killed him. Foul play was ruled out immediately. 

Related: Investigators Look Into Sudden Death Of San Francisco's Public Defender

The cause of death is listed as "acute mixed drug (cocaine and ethanol) toxicity." A form of cardiovascular disease was listed as another condition involved in Adachi's death.

There was a "trace amount" of cocaine in his system that "cannot be quantified," the report said. 

The medical examiner's report says that a woman who had been with Adachi that night told paramedics that he had been acting strangely and was grinding his teeth before he collapsed. He was pronounced dead at the California Pacific Medical Center. 

San Francisco is the only city in California where voters elect the public defender. Adachi first won election to the office in 2002.

Manohar Raju was recently named by Mayor London Breed to fill Adachi's position.