Disruptions to naloxone training among lay and occupational responders in Maryland during the emergence of COVID-19: Early impacts, recovery, and lessons learned

Autor: Himani Byregowda, Catherine Tomko, Kristin E. Schneider, Erin Russell, Renee M. Johnson, Ryoko Susukida, Saba Rouhani, Taylor Parnham, Ju Nyeong Park
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Drug and Alcohol Dependence Reports, Vol 8, Iss , Pp 100173- (2023)
Druh dokumentu: article
ISSN: 2772-7246
DOI: 10.1016/j.dadr.2023.100173
Popis: Background: Opioid overdose death rates increased during the COVID-19 pandemic. Disruptions in community-based naloxone trainings could have reduced the likelihood of overdose reversal and increased the chances of a fatal overdose. We investigated changes in the number of people trained in naloxone administration and distribution in Maryland before, during, and after COVID-related stay-at-home orders. Methods: Data on naloxone training are from the Maryland Department of Health. We used interrupted time series models to estimate changes in average monthly number of people trained: [1] pre-interruption (4/2019–3/2020), [2] 1-month post-interruption (4/2020–5/2020), and [3] 12-month post-interruption (4/2020–3/2021). Trainees were classified as lay (e.g., people who use drugs) or occupational (e.g., law enforcement officers and harm reduction workers) responders. Results: There were 101,332 trainees; 54.1% lay, 21.5% occupational, and 23.4% unknown responder status. We observed a decrease in the average monthly number of trainees in the pre-interruption period (-235, p
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