[7] The Portland Loo has features such as blue lighting said to make it difficult for intravenous drug users to find a vein for injection.
In 2011, police officer (and future police union president) Daryl Turner characterized the existing Portland Loo in the Old Town Chinatown neighborhood in Portland described as "Randy Leonard's crack house right there" and "a favorite nighttime destination for drug dealers and prostitutes, who conduct their business behind its closed door.
"[67] In 2014, National Geographic's documentary Drugs, Inc. Dope-landia featured two female transients occupying the Portland Loo at the same time and smoking methamphetamine at the Southwest Naito Parkway and Southwest Taylor Street location in downtown Portland by the Tom McCall Waterfront Park.
Magazine called criticism of the Portland Loo a focus point for "systematic denial of humanity to homeless people".
[70] San Diego officials documented an increase in police calls after Portland Loo units were installed.
[71]In 2016, some stakeholders in Seattle's U-District expressed concerns about increase in transient people and drug activity with the proposed installation of a Portland Loo in their neighborhood.
[72] In October 2017, Caddo Parish, Louisiana commission discussed on the proposal for installing a Portland Loo on the courthouse grounds.
[73] Some business owners in San Diego expressed concerns about increase in drug and transient activity in general.
[16] In 2018 Vernon, British Columbia planned to purchase Portland loos, but withdrew after being placed on a waiting list, so had a local firm design a similar system.