Following the 1906 San Francisco earthquake, more than 40,000 people were relocated to a makeshift tent city in Golden Gate Park and were treated by the faculty of the Affiliated Colleges.
Until 1906, the school faculty had provided care at the City-County Hospital (San Francisco General Hospital, 1915–2016, but Zuckerberg San Francisco General Hospital and Trauma Center (SFGH) since 2016), but did not have a hospital of its own. The earthquake was crucial in the development of the University of California, San Francisco and its medical facilities.
Many of the city's leading poets and writers retreated to Carmel-by-the-Sea where, as 'The Barness', they established the arts colony reputation that continues today. Though San Francisco rebuilt quickly, the disaster diverted trade, industry and population growth south to Los Angeles, which during the 20th century became the largest and most important urban area in the West. Over 80% of the city was destroyed by the earthquake and fire. economic and military power was projected into the Pacific and Asia. Over a period of 60 years, the city had become the financial, trade and cultural center of the West operated the busiest port on the West Coast and was the 'gateway to the Pacific', through which growing U.S.
At the time of the disaster, San Francisco had been the ninth-largest city in the United States and the largest on the West Coast, with a population of about 410,000. The earthquake and fire left long-standing and significant pressures on the development of California.
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