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"COVID just kind of opened a can of whoop-ass": The rapid growth of safer supply prescribing during the pandemic documented through an environmental scan of addiction and harm reduction services in Canada. 

Glegg S, McCrae K, Kolla G, Touesnard N, Turnbull J, Brothers TD, Brar R, Sutherland C, Le Foll B, Sereda A, Goyer MÈ, Rai N, Bernstein S, Fairbairn N. 

Int J Drug Policy. 2022 Jun 6;106:103742. doi: 10.1016/j.drugpo.2022.103742. Epub ahead of print. PMID: 35679695; PMCID: PMC9170132.

https://www.sciencedirect.com/science/article/pii/S095539592200161X

Vaccination and Communicable Disease Testing Services' Integration Within a Syringe Services Program: A Program Brief. 

Heidari O, Meyer D, O'Conor KJ, Cargill V, Patch M, Farley JE. COVID-19 

J Assoc Nurses AIDS Care. 2022 May-Jun 01;33(3):348-352. doi: 10.1097/JNC.0000000000000322. Epub 2022 Jan 12. PMID: 35025822.

https://journals.lww.com/janac/Fulltext/2022/06000/COVID_19_Vaccination_and_Communicable_Disease.10.aspx

Evaluation of an emergency safe supply drugs and managed alcohol program in COVID-19 isolation hotel shelters for people experiencing homelessness. 

Brothers TD, Leaman M, Bonn M, Lewer D, Atkinson J, Fraser J, Gillis A, Gniewek M, Hawker L, Hayman H, Jorna P, Martell D, O'Donnell T, Rivers-Bowerman H, Genge L. 

Drug Alcohol Depend. 2022 Apr 7;235:109440. doi: 10.1016/j.drugalcdep.2022.109440. Epub ahead of print. PMID: 35461084; PMCID: PMC8988445.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8988445/

The impact of an integrated safer use space and safer supply program on non-fatal overdose among emergency shelter residents during a COVID-19 outbreak: a case study. 

Lew B, Bodkin C, Lennox R, O'Shea T, Wiwcharuk G, Turner S. 

Harm Reduct J. 2022 Mar 21;19(1):29. doi: 10.1186/s12954-022-00614-8. PMID: 35313903.

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-022-00614-8

Harm reduction and health services provided by syringe services programs in 2019 and subsequent impact of COVID-19 on services in 2020. 

Behrends CN, Lu X, Corry GJ, LaKosky P, Prohaska SM, Glick SN, Kapadia SN, Perlman DC, Schackman BR, Des Jarlais DC. 

Drug Alcohol Depend. 2022 Mar 1;232:109323. doi: 10.1016/j.drugalcdep.2022.109323. Epub 2022 Jan 20. PMID: 35124386; PMCID: PMC8772135.

https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC8772135/

Kanada. How Halifax’s Safe Supply Hotels Brought Hope in the Early Pandemic

Early in the COVID-19 pandemic, in April 2020, there was a confirmed case at a pop-up shelter in Halifax, Nova Scotia. The unhoused residents—initially around 35 people, including some of the city’s most marginalized people who use drugs—were then moved into a fancy hotel in the city center to isolate.

Everything was such a mess at the time, much like it still is now. But a group of caring health care practitioners, including doctors, nurses, pharmacists, researchers, and harm reduction workers, took on the task of providing a safe supply of drugs to the people forced into the hotel. (Filter, 09.02.2022)

https://filtermag.org/halifax-safe-supply-hotels/

The Bronze Age of drug checking: barriers and facilitators to implementing advanced drug checking amidst police violence and COVID-19. 

Carroll, J.J., Mackin, S., Schmidt, C. et al.

Harm Reduct J 19, 9 (2022). doi.org/10.1186/s12954-022-00590-z

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-022-00590-z

Assessment of a Hotel-Based Protective Housing Program for Incidence of SARS-CoV-2 Infection and Management of Chronic Illness Among Persons Experiencing Homelessness. 

Huggett TD, Tung EL, Cunningham M, Ghinai I, Duncan HL, McCauley ME, Detmer WM. 

JAMA Netw Open. 2021 Dec 1;4(12):e2138464. doi: 10.1001/jamanetworkopen.2021.38464. PMID: 34902035.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2787067

Harm reduction must be recognised an essential public health intervention during crises. 

Csák, R., Shirley-Beavan, S., McHenry, A.E. et al. 

Harm Reduct J 18, 128 (2021). doi.org/10.1186/s12954-021-00573-6

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-021-00573-6

Investigating Community Pharmacy Take Home Naloxone Dispensing during COVID-19: The Impact of One Public Health Crisis on Another. 

Daskalakis G, Cid A, Grindrod K, Beazely MA. 

Pharmacy (Basel). 2021 Jul 23;9(3):129. doi: 10.3390/pharmacy9030129. PMID: 34449716; PMCID: PMC8396297.

https://www.mdpi.com/2226-4787/9/3/129

Kanada. Overdose Prevention During a Pandemic

As the COVID-19 pandemic continues to present new challenges, historic, and systemic oppressors experienced by PWUD have only become more exacerbated. PWUD were already experiencing a lack of resources, lack of funding, and neglect by the health care system. In the context of a global pandemic, these inequities have driven up risk for PWUD, and it is paramount that we capture this experience to prevent history from repeating itself.

Therefore, the Canadian Association of People who Use Drugs collected data and held focus groups with our members to gain insight into the collateral impacts of COVID-19, as it relates specifically to overdose prevention services. (Canadian Association of People who Use Drugs, 02.07.2021)

https://zenodo.org/record/5086337#.YPV6tehKiUk

Program Adaptations to Provide Harm Reduction Services During the COVID-19 Pandemic: A Qualitative Study of Syringe Services Programs in the U.S. 

Frost MC, Sweek EW, Austin EJ, Corcorran MA, Juarez AM, Frank ND, Prohaska SM, LaKosky PA, Asher AK, Broz D, Jarlais DCD, Williams EC, Glick SN. 

AIDS Behav. 2021 Jun 10:1–12. doi: 10.1007/s10461-021-03332-7. Epub ahead of print. PMID: 34110506; PMCID: PMC8190167.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8190167/

USA. Harm Reduction Is the Best Approach for COVID and Drug Addiction

In both cases, harm reduction is a better strategy than draconian rules that feel virtuous but don't actually work. (Scientific American, USA, 07.07.2021)

https://www.scientificamerican.com/article/what-fighting-covid-and-fighting-drug-addiction-have-in-common/

Harm Reduction and Adaptations Among PWUD in Rural Oregon During COVID-19. 

Seaman A, Leichtling G, Stack E, Gray M, Pope J, Larsen JE, Leahy JM, Gelberg L, Korthuis PT. 

AIDS Behav. 2021 May;25(5):1331-1339. doi: 10.1007/s10461-020-03141-4. Epub 2021 Jan 20. PMID: 33471243; PMCID: PMC7816753.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816753/

Health literacy and changes in pattern of drug use among participants at the Stockholm Needle Exchange Program during the COVID-19 pandemic. 

Lindqvist, K., Wallmofeldt, C., Holmén, E. et al. 

Harm Reduct J 18, 52 (2021). doi.org/10.1186/s12954-021-00499-z

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-021-00499-z

Trends in Filled Naloxone Prescriptions Before and During the COVID-19 Pandemic in the United States. 

O’Donoghue AL, Biswas N, Dechen T, et al. 

JAMA Health Forum. 2021;2(5):e210393. doi:10.1001/jamahealthforum.2021.0393

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2779948

USA. Make Harm Reduction Federal Health Policy Now, Say Yale Experts

Since the start of the COVID-19 pandemic over a year ago, alcohol and substance use has surged in the United States, along with overdoses from opioids. To save lives, using practical strategies to reduce the negative effects of substance use, or harm reduction strategies should become federal health policy now, urges experts Kimberly Sue, MD, PhD, and David Fiellin, MD, from the Yale Program in Addiction Medicine. (Yale School of Medicine. USA, 08.05.2021)

https://medicine.yale.edu/news-article/harm-reduction-health-policy/

Kanada. Virtual 'spotting' could help keep drug users safe during COVID-19, U of T researchers say

A group of researchers at the University of Toronto and the Canadian Association of People Who Use Drugs are studying a remote supervised-consumption model known as “spotting” to understand its benefits among people who use drugs during the pandemic.

The research team coined the term because the model involves a “spottee” consuming drugs in a safe location such as their home while a friend, family member or an acquaintance – the spotter –monitors them virtually. (University of Toronto, Kanada, 26.04.2021)

https://www.utoronto.ca/news/virtual-spotting-could-help-keep-drug-users-safe-during-covid-19-u-t-researchers-say

Implementation of a Recuperation Unit and Hospitalization Rates Among People Experiencing Homelessness With COVID-19. 

Barocas JA, Gai MJ, White LF, Faretra D, Sachs K, Komaromy M. 

JAMA Netw Open. 2021 Mar 1;4(3):e212826. doi: 10.1001/jamanetworkopen.2021.2826. PMID: 33688963; PMCID: PMC7948053.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7948053/

COVID-19 Social Restrictions: An Opportunity to Re-visit the Concept of Harm Reduction in the Treatment of Alcohol Dependence. A Position Paper. 

Kouimtsidis C, Pauly B, Parkes T, Stockwell T, Baldacchino AM. 

Front Psychiatry. 2021 Feb 18;12:623649. doi: 10.3389/fpsyt.2021.623649. PMID: 33679480; PMCID: PMC7930817.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930817/

Ingenuity and resiliency of syringe service programs on the front lines of the opioid overdose and COVID-19 crises. 

Wenger LD, Kral AH, Bluthenthal RN, Morris T, Ongais L, Lambdin BH. 

Transl Res. 2021 Mar 18:S1931-5244(21)00074-8. doi: 10.1016/j.trsl.2021.03.011. Epub ahead of print. PMID: 33746108.

https://www.translationalres.com/article/S1931-5244(21)00074-8/fulltext

Kanada. British Columbia. Safe drug supply program still not reaching enough people in B.C., say advocates

The province says 3,329 people are now receiving hydromorphone as a safer alternative to toxic street drugs. (CBC, Kanada, 26.03.2021)

https://www.cbc.ca/news/canada/british-columbia/bc-safe-supply-drug-prescription-one-year-1.5964963

USA. Harm Reduction Services to Get $30 Million in First-Ever Federal Funding

The $1.9 trillion American Rescue Plan signed into law last week contained a series of provisions that have excited Democrats and progressives. (…) 

Buried beneath the billions allocated for big-ticket items, three paragraphs in the 242-page legislation have given harm reductionists cause for celebration. They allocate $30 million for a range of harm reduction services and spell out a seismic change for the federal government’s approach to harm reduction. It is the first time the federal government has ever provided funding for such services. (Filter, USA, 16.03.2021)

https://filtermag.org/harm-reduction-federal-funding/

USA. Covid-19’s big public health lesson: Ask people to be careful, not perfect

Harm reduction works. Covid-19 has proved it. (VOX, USA, 15.03.2021)

https://www.vox.com/22315478/covid-19-coronavirus-harm-reduction-abstinence

‘They already operated like it was a crisis, because it always has been a crisis’: a qualitative exploration of the response of one homeless service in Scotland to the COVID-19 pandemic.

Parkes, T., Carver, H., Masterton, W. et al. 

Harm Reduct J 18, 26 (2021). doi.org/10.1186/s12954-021-00472-w

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-021-00472-w

COVID-19 AND PEOPLE WHO USE DRUGS - Essential interventions to save lives and protect people

Pompidou Group of the Council of Europe and Correlation – European Harm Reduction Network, Februar 2021

https://www.correlation-net.org/wp-content/uploads/2021/02/covid_pwud_pompidou_cehrn.pdf

A Pilot Study of Peer-to-Peer SBIRT Simulation as a Clinical Telehealth Training Tool During COVID-19. 

Washburn M, Zhou S, Sampson M, Palmer A. 

Clin Soc Work J. 2021 Feb 25:1-15. doi: 10.1007/s10615-021-00799-8. Epub ahead of print. PMID: 33649691; PMCID: PMC7904511.

https://link.springer.com/article/10.1007/s10615-021-00799-8

Seroprevalence and risk factors of exposure to COVID-19 in homeless people in Paris, France: a cross-sectional study

Roederer, Thomas et al.

The Lancet Public Health, Volume 0, Issue 0 

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00001-3/fulltext

COVID-19 and homelessness: when crises intersect

Baggett, Travis P et al.

The Lancet Public Health, Volume 0, Issue 0 

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00022-0/fulltext

Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness. 

Fuchs JD, Carter HC, Evans J, Graham-Squire D, Imbert E, Bloome J, Fann C, Skotnes T, Sears J, Pfeifer-Rosenblum R, Moughamian A, Eveland J, Reed A, Borne D, Lee M, Rosenthal M, Jain V, Bobba N, Kushel M, Kanzaria HK. 

JAMA Netw Open. 2021 Mar 1;4(3):e210490. doi: 10.1001/jamanetworkopen.2021.0490. PMID: 33651111.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2776930