“…Likewise, prolonged alcohol use is linked to impaired mucociliary clearance and lung function, and methamphetamine use is linked to noncardiac pulmonary edema, ARDS, alveolar hemorrhage, pneumonia, and pneumoconiosis (10,11). In addition, cocaine, methamphetamines, alcohol, tobacco, and opioids are reported to have adverse effects on the cardiovascular system, including hypertension, ischemia, venous thromboembolism, and brain hemorrhage (5,12,14). Substance use disorders can also increase the risk of adverse COVID-19 outcomes through immunosuppression (3).…”