Recovery runs on connection — meetings, sponsors, jobs, family, routine. Distancing removed most of that at once, while adding job loss, grief, childcare chaos and boredom. Alcohol sales rose, drinking patterns shifted heavier, and relapse rates climbed for people who had been stable for years.
Overdose deaths in the United States rose sharply during that period, and the drug supply got more dangerous at the same time as fentanyl saturated the Philadelphia region. Using alone — which distancing made the default — is what turns an overdose into a death, because nobody is there with naloxone.