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Age has been used both to identify the impact of and shape the response to COVID-19. We have long heard that those who are 65+ are at greater risk; the CDC reports that people in this age group account for 8 of 10 deaths. As frightening as these numbers are, they do not translate into 8 of 10 elders dying, or even 8 of 10 of those infected.
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.