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Stimuli have been shown to play a fundamental role in shaping the individuals’ emotional states. At a conceptual level, this has been explained by the activation of similar emotional behaviours, rather than states of the same emotion (Kreibig 2006). The experimental work of Langleben (2005) confirmed that even the inner stimuli that trigger the predominant emotional response could play a role in determining the secondary response, as subjects who perceived a positively-valenced stimulus experienced less negative mood in response to a subsequent negative stimulus. This has been used to explain the positive association between general wellbeing and the degree of positive affect in the public (Onwerbach and Leary 2010).

However, there have been numerous authors using social media to analyse the public response to the Covid-19 pandemic. This includes work that has focused on the psychological burden of the social restrictions. For instance, Stella et al. (2020) use the circumplex model of affect (Posner et al. 2005) and the NRC lexicon (Mohammad and Turney 2010) to give a descriptive analysis of the public mood in Italy from a Twitter dataset collected during the week following the introduction of lockdown measures. In addition, Venigalla et al. (2020) has developed a web portal for categorising tweets by emotion in order to track mood in India on a daily basis.

For various reasons, many drug users, including people who inject drugs (PWID), have responded to the novel coronavirus with alarm. The most recent pandemic, COVID-19, has affected many countries, with 182,145 deaths when this paper was published. PWID face a triple threat of high rates of infection, often requiring hospital care and frequently resulting in death, but these are compounded in this population by the additional stress of having a substance use disorder, poverty, homelessness, and pre-existing health conditions that increase their risk of complications.

During a pandemic, harm reduction workers provide a critical service that prevents disease transmission and provides timely and appropriate health care. A paucity of research has looked at the psychological state of harm reduction workers on the front line of the response in the US. d2c66b5586

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