The body of Brian Malmsbury is taken away after he overdosed on heroin in the basement of his family’s home, Miamisburg, Ohio, USA.

A man overdosing on heroin collapses after first-responders administer Narcan, which blocks effects of opioids, Dayton, Ohio, USA.

A woman phones from the drug detoxification unit at Montgomery County Jail in Dayton, Ohio, USA. 

A police officer feels for the pulse of a man who has just overdosed, to determine if he is alive, while his daughter stands in the background, in Drexel, Ohio, USA. The man died before paramedics could arrive.

An official from Montgomery County’s coroner’s office examines a sample of seized carfentanil, a synthetic opioid which is 10,000 times more potent than morphine and is used to sedate large mammals, such as elephants, in Drexel, Ohio, USA.

Veronica ‘Ronnie’ Elam (24) cries while discussing her family’s history with addiction, outside her home in Drexel, Ohio, USA. Both of her parents are addicted to heroin, and she began using at the age of 16.

A man is arrested for possession of crystal meth and heroin after a foot pursuit with a police officer, in Drexel, Ohio, USA.

Inmates of the drug detoxification ward of the Montgomery County Jail in Dayton, Ohio, USA.

Veronica ‘Ronnie’ Elam (24) injects herself at home in Drexel, Ohio, USA. Both of her parents are addicted to heroin, and she began using at the age of 16.

The body of someone who has died of a suspected overdose lies beside others in the Montgomery County coroner’s morgue in Dayton, Ohio, USA. The morgue goes through periods of over capacity, when it has to rent refrigerated trailers for more space.

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