We had a repair shop just out of downtown Seattle and I saw the fish market area / downtown go from a few panhandlers in the park playing instruments for money to the trash & filth you referenced and a fear to even be downtown at any time of the day. We closed our shop area got so bad could not keep the empolyees safe.I don't think most people know that it's as bad as that picture. And assume it's just isolated to a very few places. I was at that fish market in Seattle a few years and it was pretty bad.