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In this Oct. 31, 2019, photo, an Indian drug addict lies unconscious by the side of a road in Kapurthala, in the northern Indian state of Punjab. Mass abuse of the opioid tramadol spans continents, from India to Africa to the Middle East, creating international havoc some experts blame on a loophole in narcotics regulation and a miscalculation of the drug’s danger. Punjab, the center of India's opioid epidemic, was among the latest to crack down on the tramadol trade. Researchers estimate about 4 million Indians use heroin or other opioids, and a quarter of them live in the Punjab, India's agricultural heartland bordering Pakistan. (AP Photo/Channi Anand)

In this Oct. 31, 2019, photo, an Indian drug addict lies unconscious by the side of a road in Kapurthala, in the northern Indian state of Punjab. Mass abuse of the opioid tramadol spans continents, from India to Africa to the Middle East, creating international havoc some experts blame on a loophole in narcotics regulation and a miscalculation of the drug’s danger. Punjab, the center of India's opioid epidemic, was among the latest to crack down on the tramadol trade. Researchers estimate about 4 million Indians use heroin or other opioids, and a quarter of them live in the Punjab, India's agricultural heartland bordering Pakistan. (AP Photo/Channi Anand)

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