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In this Dec. 14, 2018 photo, a heroin addict prepares a dose for himself, in an area where heroine uses shoot up behind an abandoned home in Humacao, Puerto Rico. An opioid problem is growing in Puerto Rico even as the U.S. territory struggles to cope with an economic crisis and the devastation caused by Hurricane Maria. (AP Photo/Carlos Giusti)

In this Dec. 14, 2018 photo, a heroin addict prepares a dose for himself, in an area where heroine uses shoot up behind an abandoned home in Humacao, Puerto Rico. An opioid problem is growing in Puerto Rico even as the U.S. territory struggles to cope with an economic crisis and the devastation caused by Hurricane Maria. (AP Photo/Carlos Giusti)

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