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. 2020 Aug;97(4):448-456.
doi: 10.1007/s11524-020-00465-3.

A Community Responds to the COVID-19 Pandemic: a Case Study in Protecting the Health and Human Rights of People Who Use Drugs

Robert Heimer  1 , Ryan McNeil  2 , David Vlahov  3
Affiliations

A Community Responds to the COVID-19 Pandemic: a Case Study in Protecting the Health and Human Rights of People Who Use Drugs

Robert Heimer et al. J Urban Health. 2020 Aug.

Abstract

Effective responses to a global pandemic require local action. In the face of a pandemic or similar emergencies, communities of people who use drugs face risks that result from their ongoing drug use, reduced ability to secure treatment for drug use and correlated maladies, lack of access to preventive hygiene, and the realities of homelessness, street-level policing, and criminal justice involvement. Herein, we document the efforts of a coalition of people who use drugs, advocates, service providers, and academics to implement solutions to reduce these risks at a municipal and state level focusing on New Haven and the State of Connecticut. This coalition identified the communities at risk: active users needing access to harm reduction services, persons in treatment needing access to their medications, the homeless and marginally housed needing improved hygiene, people engaged in sex work, and the incarcerated needing release from custody. The section describing each of the risks demonstrates how the coalition acted preemptively at early stages of the pandemic, ahead of official initiatives, to develop ameliorative risk reduction solutions. Outcomes discussed include instances in which obstacles were overcome or still remain.

Keywords: COVID-19; Harm reduction; Homelessness; Incarceration; People who use drugs; Substance abuse disorders; Treatment for opioid use disorders.

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Figures

Fig. 1
Fig. 1
Details from COVID-19 Informational Brochure for People Who Use Drugs. Developed by the New Haven Harm Reduction Working Group and designed and printed by the Greater Hartford Harm Reduction Coalition
See this image and copyright information in PMC

Comment in

  • COVID-19 and People Who Use Drugs - A Commentary.
    Walters SM, Seal DW, Stopka TJ, Murphy ME, Jenkins WD. Walters SM, et al. Health Behav Policy Rev. 2020 Oct;7(5):489-497. doi: 10.14485/hbpr.7.5.11. Health Behav Policy Rev. 2020. PMID: 33134405 Free PMC article.

References

    1. National Alliance to End Homelessness. The State of Homelessness in America. 2017: Washington, DC. https://endhomelessness.org/homelessness-in-america/homelessness-statist.... Last accessed May 15, 2020.
    1. National Survey of Drug Use and Health. National Insititute on Drug Abuse; 2019: Rockville, MD. https://www.drugabuse.gov/national-survey-drug-use-health. Last accessed May 15, 2020.
    1. Volkow ND. Collision of the COVID-19 and addiction epidemics. Ann Intern Med. 2020; published on-line; 10.7326/M20-1212. - PMC - PubMed
    1. National Institute on Drug Abuse . COVID-19: potential implications for individuals with substance use disorders. Rockville, MD: National Insititute on Drug Abuse; 2020.
    1. Centers for Disease Control and Prevention . Interim guidance for homeless service providers to plan and respond to coronavirus disease 2019 (COVID-19) Atlanta, GA: Centers for Disease Control and Prevention; 2020.