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Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada
Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada
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Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada
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Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada
Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada

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Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada
Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada
Journal Article

Local Impact From International Crises: Unregulated Drug Toxicity During the COVID-19 Pandemic in British Columbia, Canada

2024
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Overview
The first few months of the COVID-19 pandemic brought uncertainty and instability for people around the world. Public health interventions primarily centered around physical distancing measures that disproportionately affected structurally vulnerable populations, including people who use drugs, exacerbated social isolation by disrupting established routines and networks. The article in this issue of AJPH by Chandra et al. (p. 599) is the first to describe the excess drug-related deaths attributable to the COVID-19 pandemic in the United States at a local (county-level) scale. We applaud the authors for bringing to light the geographic variability in excess drug-related mortality on a granular level.Chandra et al. propose four main factors that \"interacted and differentially affected\" overdose mortality rates across the United States through the first 18 months of the COVID-19 pandemic: an overburdened health system, pandemic-related sociobehavioral factors, the growing availability of potent drugs, and pandemic period changes to supply and demand. We describe how each of these factors contributed to increased illicit drug-related mortality in British bia (BC).