The Kirby Institute, UNSW Sydney, Sydney, Australia.
Center for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, New York, United States.
Int J Drug Policy. 2020 Sep;83:102958. doi: 10.1016/j.drugpo.2020.102958.
SARS-CoV-2, the virus that causes COVID-19, has changed the world as we know it, and continues to do so. How COVID-19 affects people who use drugs, the environments in which they live, and capacities of response, warrants immediate attention. This special issue begins to map how COVID-19 is altering the health of people who use drugs, including in relation to patterns of drug use, service responses, harms that may relate to drug use, interventions to reduce risk of harms, COVID-19 health, and drug policies. We emphasise the need to envisage COVID-19 and its effects as a matter of intersecting 'complex adaptive systems': that is, the impacts of COVID-19 extend beyond the virus and related illness conditions to encompass multiple social, cultural, economic, policy and political effects; and these affect the health of people who use drugs directly as well as indirectly by altering the risk and enabling environments in which they live. We synthesize emergent evidence on the impact of COVID-19 on the health of people who use drugs. A key concern we identify is how to sustain policy and service delivery improvements prompted by COVID-19. We need to maintain an ethos of emergent adaptation and experimentation towards the creation of safer environments in relation to the health of people who use drugs.
SARS-CoV-2，即导致 COVID-19 的病毒，已经改变了我们所熟知的世界，并将继续如此。COVID-19 如何影响吸毒者、他们所处的环境以及应对能力，值得立即关注。本期特刊开始描绘 COVID-19 如何改变吸毒者的健康状况，包括与吸毒模式、服务应对、可能与吸毒有关的危害、减少危害风险的干预措施、COVID-19 健康以及毒品政策有关的情况。我们强调需要将 COVID-19 及其影响视为相互交织的“复杂适应系统”：也就是说，COVID-19 的影响不仅限于病毒和相关疾病状况，还包括多种社会、文化、经济、政策和政治影响；这些影响直接影响吸毒者的健康，也通过改变他们生活的风险和有利环境间接影响他们的健康。我们综合了关于 COVID-19 对吸毒者健康影响的新出现证据。我们确定的一个关键问题是如何维持因 COVID-19 而引发的政策和服务提供方面的改进。我们需要保持一种新兴适应和实验的精神，以创造更安全的环境，促进吸毒者的健康。
