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Persons experiencing addiction may be at very high risk of infectious disease like COVID-19 due to high rates of smoking, recent imprisonment, conditions like HIV/AIDS, and high-risk behaviors (Ezzati et al. 2002; Farhoudian, et al. 2020). During the COVID-19 pandemic, most courts have shuttered, and treatment center admissions have halted, yet the opioid crisis rages on. Addiction intersects with material hardship, trauma, broken institutions, and human frailty in a multidimensional web of disadvantage (Desmond and Western 2018)—a process illustrated by COVID-19.
As the COVID-19 pandemic continues its devastating march around the globe and across the United States, only those who dismiss statistics about its deadly toll or denigrate the pain of those afflicted can ignore the handwriting on the chalkboard: We ignore at our peril the biological foundations of our being and the evolutionary processes that have shaped and continue to change our natural and social worlds. From the functioning of our social institutions to the consequences of our social divisions, nothing about us stands apart from nature.