It's interesting, there are 7500 homeless people in San Francisco and no access to public bathrooms. Hence the mess...
I was in Moscow Russia a few years ago and Moscow is 3 times the size of New York city with a population of 12 Million. Now, of course I did not venture out all over the outskirts of Moscow but within the first ring of the center (Moscow has major roads that form rings from the center out) there was not even ONE homeless person.... I know Moscow had plenty of them at one point but god only knows what happened to them.... I'm afraid to even guess... Seriously.