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The Collective for Health Equity and Well-Being

Cooperative Extension’s Collective for Health Equity and Well-Being is a community of Extension personnel and their partners united by their shared commitment to advancing health equity and well-being. Members work together to support the implementation of Cooperative Extension’s National Framework for Health Equity and Well-Being (2021) to ensure that all people can be as healthy as they can be.

Millennum Health Signals Report - COVID-19 Special Edition

David Young

Background

• Public health officials across the country are reporting spikes in drug overdose deaths that appear to be associated with the COVID-19 pandemic, with over 30 states reporting increases in opioid-involved overdose deaths primarily related to illicit fentanyl1

• Public health emergencies typically affect communities and individuals in a variety of ways, including economic loss and instability, emotional or physical isolation, additional stressors from mass at-home confinement, and anxiety from fear of contracting disease.2 The impact on mental health may be contributing to increased substance use in general

• Additionally, several experts have published op-eds or letters to the editors of medical journals warning of increased risks to patients with substance use disorders3,4 In this analysis, we evaluate the urine drug testing (UDT) positivity rates of non-prescribed fentanyl, cocaine, heroin, and methamphetamine in the periods before and after COVID-19 was declared a national emergency.

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About the Extension Foundation

The Extension Foundation was formed in 2006 by Extension Directors and Administrators. Today, the Foundation partners with Cooperative Extension through liaison roles and a formal plan of work with the Extension Committee on Organization and Policy (ECOP) to increase system capacity while providing programmatic services, and helping Extension programs scale and investigate new methods and models for implementing programs. The Foundation provides professional development to Cooperative Extension professionals and offers exclusive services to its members. In 2020 and 2021, the Extension Foundation has awarded 85% of its direct funding back to the Cooperative Extension System, 100% of funds are used to support Cooperative Extension initiatives. 

This technology is supported in part by New Technologies for Ag Extension (funding opportunity no. USDA-NIFA-OP-010186), grant no. 2023-41595-41325 from the USDA National Institute of Food and Agriculture. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the U.S. Department of Agriculture or the Extension Foundation. For more information, please visit extension.org. You can view the terms of useat extension.org/terms.

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