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According to the report authors and other experts, the stunning increase in alcohol and drug deaths in 2020 was exacerbated by: a continued rise in synthetic opioid and psychostimulant overdoses and the anxiety, stress, grief, disruption to substance misuse recovery programs, and financial hardship many individuals and families experienced during the COVID-19 pandemic

Caldwell pities his characters, but he is merciless toward their convenient self-delusions, their voluntary ignorance, and their sins

doi: 10.1016/j.seppur.2015.03.016

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Rahman, Muhammad Aziz et al

Where: Eq = Evidence Quality score (0100) Sc = Scientific Consensus score (0100) Ec = Evidence Consistency score (0100) Er = Evidence Recency score (0100) Sp = Scientific Plausibility score (0100) These component weights were determined through expert consensus and validated in our pilot study with public health specialists, as described in the following section