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Comment
. 2020 Oct;7(5):489-497.
doi: 10.14485/hbpr.7.5.11.

COVID-19 and People Who Use Drugs - A Commentary

Suzan M Walters  1 , David W Seal  2 , Thomas J Stopka  3 , Megan E Murphy  4 , Wiley D Jenkins  5
Affiliations
Comment

COVID-19 and People Who Use Drugs - A Commentary

Suzan M Walters et al. Health Behav Policy Rev. 2020 Oct.

Abstract

Objective: People who use drugs (PWUD) face increased risk of exposure to COVID-19, but also elevated risk associated from injection drug use. We describe factors underlying their increased risk and identify mechanisms for reducing or minimizing rates of COVID-19 transmission and other health outcomes.

Methods: Our commentary draws upon empirical data, governmental and other reports, and field-based unpublished data from our own studies to inform our conclusion and recommendations.

Results: Co-morbid health conditions (eg, diabetes), structural challenges (eg, homelessness, criminal justice involvement), stigma (eg, social devaluation, discrediting), and syndemic clustering of of overdose, HCV, and HIV among PWUD are exacerbated by COVID-19.

Conclusions: Beyond the many challenges all people face to remain safe and healthy during the COVID-19 pandemic, PWUD face additional barriers to remaining safe not only from COVID-19 but from negative health outcomes associated with their living environments, socioeconomic positions, and injection drug use. Collaborative efforts among governmental agencies, health providers, SSPs, CBOs, and other agencies providing services to PWUD is essential to the development of programs and services to meet the many needs of PWUD, which have been particularly accentuated during the COVID-19 pandemic.

Keywords: COVID-19; people who use drugs; prevention and treatment.

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Conflict of interest statement

CONFLICT OF INTEREST DISCLOSURE STATEMENT None of the authors have any conflicts of interest.

Comment on

References

    1. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/. Published (N/A). Updated October 6, 2020 Accessed October 7, 2020.
    1. Worldometer. United States Population (Live). https://www.worldometers.info/world-population/us-population/ Published (N/A). Updated October 7, 2020 Accessed October 7, 2020.
    1. Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2001;116(5):404–416. - PMC - PubMed
    1. Webb Hooper M, Nápoles AM, Pérez-Stable EJ. COVID-19 and Racial/Ethnic Disparities. JAMA. 2020;323(24):2466–2467. - PMC - PubMed
    1. Chen JT, Krieger N. Revealing the Unequal Burden of COVID-19 by Income, Race/Ethnicity, and Household Crowding [published online ahead of print]. J Public Health Manag Pract. doi:10.1097/phh.0000000000001263. - DOI - PubMed

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