Sex, Vaccines, and Drug Prescriptions

Editor’s Note: This post by Ejura Salihu is the third in our Pharmaceutical Inequalities series. Ejura’s experience of a disrupted menstrual cycle post-COVID19 vaccination prompted her to write a much-needed commentary on why medical trials repeatedly overlook women’s needs and health. The Pharmaceutical Inequalities series is funded by the Holtz Center and the Evjue Foundation.

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Situation Report: Conducting Research at the U.S. National Archives in College Park, Maryland (Archives II)

Editor’s Note: This situation report provides an overview of the current protocols at the National Archives in College Park, Maryland (Archives II). Please note this refers to Archives II only, as at early April 2022, and may be subject to change. Please check the NARA website for updates and communicate with the archives before making any definitive research plans. For further information and updates see: https://www.archives.gov/college-park.

Many thanks to Bill McAllister for agreeing to share his personal experiences/correspondence with the Points audience.

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Points Interview: “Just Say Know: A Social History of How Naloxone Came to Matter,” with Nancy Campbell

Editor’s Note: Starting today and running periodically over the next month, Points will feature interviews with authors from the latest issue of ADHS’s journal Social History of Alcohol and Drugs (vol. 34, no. 2; Fall 2020), published by the University of Chicago Press. Today’s post by Dr. Nancy Campbell reflects on both her keynote address at the 2019 ADHS biennial conference in Shanghai and on learning how to promote a book during the early days of a global pandemic. Dr. Campbell is Professor & Department Head, Science and Technology Studies, at Rensselaer Polytechnic Institute. You can see her keynote address here. Contact the University of Chicago Press to subscribe to the journal or to request access to this article or any other article from SHAD

Nancy Campbell in Shanghai
Nancy Campbell at the Humble Administrators Garden in Suzhou, China.

Delivered steps from Shanghai University, my 2019 ADHS keynote address in the Fall 2020 issue of SHAD foreshadowed my latest book OD: Naloxone and the Politics of Overdose (The MIT Press). The David F. Musto Center for Drugs and National Security Studies was the event’s host organization, and the SHAD editorial trio (editor’s note: Nancy Campbell, David Herzberg, and Lucas Richert) was in town for the first ADHS conference held in Asia, “Changing Minds: Societies, States, the Science, and Psychoactive Substances in History.” Thus my memories are bound up with an evening at Healer in Shanghai, where Phoebe Han mixes ritual, baijiu aged within live bamboo, creativity, and incense into exquisite concoctions (pictured). Even reading the page proofs of the keynote brought that moment of contemplative refreshment back to me like Proust’s imagined petit madeleines dunked in tea.

Multi-modality drink at Healer.
Multi-modality drink at Healer; photo by the author.

The keynote address condensed the book, which came out on March 5, 2020—right before institutions shut down in the face of COVID-19. Fumbling around Zoom and jerry-rigging cables to ease home WiFi traffic while pivoting my class “Drugs in History” online, I leaned into co-editing SHAD, heading a department, and maintaining a brisk writing and walking schedule with COVID buddy Marion Roach Smith. I learned more about promoting books than I ever wanted to know in the basement corner that became my pop-up studio. To up my audio game, I hid beneath a blanket to record, while coordinating my video outfits with a teal couch and russet walls.

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“All that was missing were the hugs”: Virtual Recovery in the Era of the Pandemic

Editor’s Note: Today’s post comes from contributing editor Michael Brownrigg. Michael recently received his PhD in US history from Northwestern University, where he studied the relationship between emotion, white masculinity, and capitalism to explain the emergence of an antinarcotic consensus in America at the turn of the twentieth century. 

“Important Update regarding meetings,” read an announcement on the website of the Eastern Massachusetts Central Service Committee of Alcoholics Anonymous in early March. “Due to the Covid-19 health risk note that most meetings have been suspended by the host facility until further notice.” Similar posts appeared on the sites of AA chapters across the nation as the novel Corona virus grew increasingly widespread, prompting state and local governments to enact precautionary measures such as closures of businesses, schools, churches—wherever people could gather—to  slow its transmission. As officials encouraged citizens to stay at home and practice social distancing, alcohol and drug addicts found themselves in a particularly precarious state: isolated and struggling to cope alone with the mounting stress of living with the frightening specter of a global pandemic.  

Because of precautionary measures to stem the spread of COVID-19, the sites where traditional recovery meetings were held faced mass closures, disrupting networks and leaving addicts without a vital source of support.

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Beyond the Quarantine Effect: The Multiple Dimensions of Cannabis in the COVID-19 Pandemic

Editor’s Note: Today’s post comes from new contributing editor Nick Johnson. Johnson is a historian and editor based in Fort Collins, Colorado. His book Grass Roots: A History of Cannabis in the American West (2017) is a history of cannabis agriculture that explores the environmental and social dynamics of the nation’s most controversial crop. He also blogs (and occasionally podcasts!) about all things cannabis on his website, Hempirical Evidence.

Before the COVID-19 pandemic hit, millions of people already used cannabis drugs to help relieve depression, anxiety, and boredom. It should be no surprise, then, that cannabis sales are exploding during a pandemic that has forced us all to stay home, stay away from each other, and, if we’re being honest, stay anxious about an uncertain future. But as with most stories about the cannabis plant, there’s more to it than that. Just as it has helped people cope with the realities of COVID-19, cannabis might actually be useful in fighting the disease itself, and trends during the pandemic are working against the black market that has been a bogeyman for the politics of legalization.

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The pandemic is exacerbating other, co-occurring epidemic(s)

Editor’s Note: Today’s post comes from guest writers Mae Tidd and Deepika Rao, graduate students at UW-Madison in the Health Services Research in Pharmacy Program. 

Mae’s research interests focus on LGBTQ+ health and health communication in pharmacy spaces and wider medical spheres. She studies the promotion of health information (between physician and patient, health education, and public health campaigns), health activism, and community/stakeholder engagement. More specifically, she is working to understand HIV-prevention’s pre-exposure prophylaxis (PrEP) uptake, or the lack thereof, in the state of Wisconsin by identifying barriers that are obstructing health services along the cascade of the PrEP Continuum of Care. 

Deepika is particularly interested in studying the use of dissemination and implementation sciences in pharmacy, especially in the prevention and treatment of substance use disorders. Currently, her primary research involves using mixed methods approaches to explore and develop patient-centered interventions for opioid misuse that can be implemented in the pharmacy settings. 

The current pandemic continues to be the front of discussion, as it should be. Yet, we need not to forget the other epidemic(s) that continue to occur: opioid overdoses, HIV, and the effects of systemic racism chief among them. This is especially true because people among the subgroups affected by these epidemics are at increased risk for the coronavirus and face significantly more problems accessing health care.

As we head into the fifth month of seized day-to-day life, the repercussions of COVID-19 are more than apparent – numerous people are (still) unemployed, mentally drained, isolated, and even homeless. The high number of COVID deaths are compounded by the fact that there are also numerous long-term COVID patients who are still suffering from incapacitating symptoms. With no end in sight, society is flooded with uncertainty.

These repercussions are concerning as they impact the mass majority. Yet at a heightened concern is the pandemic has exacerbated issues for the 20 million+ people in the US battling a substance use disorder.

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From California, With Love: Buying Marijuana Under Quarantine

Editor’s Note: COVID-19 has killed over 40,000 Americans, and is expected to kill tens of thousands more before this pandemic subsides. It has generated a nearly-nationwide lockdown, with many states and communities encouraging those who are able to stay home and avoid public spaces. This has caused delivery services for everything—from standard items like groceries, take-out and medications, to other, less-than-legal, substances—to thrive.

Over the next few weeks, Points is going to explore the effect of the quarantine on drugs and drug use in the United States and abroad. Today’s post was submitted by a guest blogger who chose to remain anonymous, given the illegal status of marijuana in their state, but who wanted to capture a sense of history in action, reporting on what buying cannabis was like during the lockdown.

If you’re interested in reporting on drug and alcohol use under quarantine where you are, get in touch. We believe it’s important to record history as it happens, especially as it involves substances and behaviors that rarely elicit front-page coverage. Email managing editor Emily Dufton at emily (dot) dufton (at) gmail (dot) com to suggest an article idea or for more information.

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I had almost forgotten that delivery was an option. Though the state I live in hasn’t legalized marijuana, I can go across the border into Washington, DC, and find a “CBD store” where, after they scare kids away by asking to check ID, customers can go past the CBD lotions and tinctures to a case in the back where THC products are for sale. It’s fun; because DC legalized in a backward way where cannabis possession is legal but sales are not, you have to talk in code, like at a speakeasy. The customer says, “I’ll take this $80 sticker, please,” and in return, they’ll get a sticker that just happens to come with two pot-infused chocolate bars. Other “stickers” include gifts of infused candy, loose flower, or pre-rolled joints. I always enjoyed shopping for my pot in Washington because the whole experience felt like a knowing charade, where everyone was in on the joke. A wink and a nod, and I had enough pot to last me a couple of months, purchased in an actual store where I was treated like a beloved customer. Still, if asked by a cop, I can honestly say I’ve technically never bought weed in DC. I do, however, have quite a few stickers.

But now I was stuck at home, my stockpile of weed was drying up, and I wasn’t sure what I was going to do. Riding the metro into the city seemed like a foolish way to potentially expose myself to the virus, and besides, I wasn’t sure if my CBD store was considered an “essential business.” Medical marijuana dispensaries and liquor stores had the mayor’s approval to stay open, but a place that sold “stickers” and CBD? Probably not.

So, in a moment of desperation, I texted a friend, who offered to put me in touch with their “guy.” “He’s reliable and nice,” my friend said. “I’ll tell him you’ll get in touch.” They did, and the following day, I had weed delivered to my front door, just like Amazon or groceries.

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