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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.
Compared to natural disasters—hurricanes, tornadoes, floods—pandemics are comparatively rare. British sociologist Phil Strong (1990) was one of the few to study pandemics. He developed a framework based on accounts of pandemics back to the Black Death in 14th century Europe. Pandemics represented moments of transparency in the social order. All sorts of institutions, relationships, and interactions suddenly became problematic. The taken-for-granted assumptions of everyday life were exposed and became uncertain and questionable.