As the leader in developing clinical guidelines and standards in addiction medicine, ASAM takes its responsibility very seriously. Many providers and programs are urgently working to mitigate risks related to COVID-19. From May through August 2020, the American College of Medical Toxicology (ACMT) recurring “3rd Friday Addiction Toxicology Case Conference” series is co-hosted by the American Society of Addiction Medicine (ASAM). The co-hosted series will be an interactive discussion of addiction toxicology cases and will feature ASAM and ACMT members, as well as guest experts. This series of sessions provides a comprehensive overview of COVID-19 resources and focuses on challenging cases to inform your practices during the pandemic.
This co-hosted series has been extended to July 2021 and has also been moved to the 1st Friday of every month.
Buprenorphine is a life-sustaining medication. Abrupt discontinuation can lead to withdrawal as well as return to pretreatment substance use, overdose, and overdose death. The anxiety and stress associated with the COVID-19 pandemic, and the societal response to it, is exacerbating symptoms of opioid use disorder for many people. In addition, ongoing changes to the drug supply has increased the need for treatment. Every effort should be made to ensure that patients currently taking buprenorphine have timely access to refills of this medication and that any new patients in need of treatment for opioid use disorder can initiate treatment in a timely manner.
This resource was developed by a Task Force appointed by ASAM’s Executive Council. To enable more rapid development and dissem-ination it was not developed through ASAM’s normal process for clinical guidance development that is overseen by the ASAM Quality Improvement Council.
These materials seek to provide guidance to ambulatory addiction treatment clinicians, including those working in primary care, and in addiction treatment programs as they strive to ensure that patients continue to have safe, appropriate access to buprenorphine1 during the COVID-19 pandemic.
Testing trends tool
These charts lay out the key metrics for understanding the reach and severity of COVID-19 in a given area: number of new daily cases, tests per 100,000 people (testing rate), and percentage of tests that are positive (positivity rate).
As testing capacity increases, considering confirmed new cases, testing rates, and percent positivity together gives us a fuller picture of COVID-19 in a particular state or region. Under these conditions and stable testing practices, trends in daily cases can be cautiously interpreted as trends in transmission of the virus. Leaders can then make informed decisions about lifting social distancing and other transmission control measures.
JOHNS HOPKINS: Coronavirus Resource Center
The effective reproduction number (Rt) characterizes the COVID-19 spread rate, defined as the average number of secondary infectious cases produced by a primary infectious case. It’s used to define the potential for spread at a specific time. If Rt > 1, the virus will spread out and the disease will become an epidemic; if Rt = 1, the virus will spread locally and the disease is endemic; if Rt < 1, the virus will stop spreading and the disease will disappear eventually.
INTERACTIVE MAP: covid19-analysis.org