, the pandemic obscures the overdose crisis. “People are avoiding emergency departments for fear of infection,” Volkow said. People who have overdosed are therefore more likely to die, and more likely to suffer another overdose later if they survive, because they are not offered the treatment and recovery options they would get at a hospital. Fatal overdoses require testing to identify, and those tests are being delayed by health care systems struggling to set up testing for coronavirus.
One reason is that social distancing required for flattening the curve of coronavirus cases works against drug users, said Zibbell. “Addiction is the opposite of community. Social distancing makes isolation the new normal.” One key tenet of “harm reduction” approaches to drug use, for example, is to never shoot up alone because if you overdose alone, you might die alone, he said. “A lot of us are alone now,” Zibbell said.
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