Supervised smoking facility access, harm reduction practices, and substance use changes during the COVID-19 pandemic: a community-engaged cross-sectional study.

This finding is echoed by recent coroner’s reports showing an increased prevalence of stimulants in opioid overdoses [ 7 , 24 ], and is aligned with an observed trend of initiation of methamphetamine use by people who use opioids [ 30 ] and increases in methamphetamine-related emergency room admissions [ 31 ].

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