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Another study mentioned in the Lancet article cited the fact that post traumatic stress disorder (PTSD) symptoms were reported by hospital workers three years after quarantine, lending credence to the belief that loneliness and isolation can have long lasting mental health consequences.Those who are most at risk during the COVID 19 pandemic include those with compromised immune systems, underlying medical conditions, such as asthma, serious heart disease, obesity, diabetes, chronic kidney disease, and liver disease. Older individuals and those confined to nursing homes or long term care facilities are considered highly vulnerable to experiencing severe illness from coronavirus.Loneliness Serves as a Contributing Factor in Substance AbuseAccording to the National Institute on Drug Abuse (NIDA), the current COVID 19 pandemic may hit those with substance abuse “particularly hard.” In particular, those who regularly take opioids or have diagnosed opioid use disorder (OUD), or use methamphetamines, those who smoke tobacco, cannabis, or vape, can be at special risk for serious coronavirus complications to their lungs. Homelessness, being hospitalized and isolated or quarantined at home also elevate the risk of increased loneliness.Furthermore, among the general public, even those not quarantined due to contracting the virus or caring for someone who has it, serious stress and caregiver fatigue may lead them to try coping with drugs or alcohol.

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