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In this Tuesday, Feb. 11, 2014 photo, Dr. Marcus Romanello, medical director for the Fort Hamilton Hospital emergency room, checks equipment in the emergency room of the hospital in Hamilton, Ohio. The hospital saw 200 heroin overdose cases last year, and countless related problems: abscesses from using unsterile needles, heart-damaging endocarditis and potentially fatal sepsis infections. (AP Photo/Al Behrman)

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Police investigate the scene of an accident on a dead-end street where a car containing five passengers plunged into Steinway Creek in the Astoria neighborhood of Queens, Saturday, April 5, 2014, in New York. The New York Police Department says four of five people pulled from a vehicle submerged in a New York City creek have died. The fifth apparently escaped serious injury. (AP Photo/John Minchillo)

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Police investigate the scene of an accident on a dead-end street where a car containing five passengers plunged into Steinway Creek in the Astoria neighborhood of Queens, Saturday, April 5, 2014, in New York. The New York Police Department says four of five people pulled from a vehicle submerged in a New York City creek have died. The fifth, believed to have been the driver, was in stable condition. (AP Photo/John Minchillo)

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Police investigate the scene of an accident on a dead-end street where a car containing five passengers plunged into Steinway Creek in the Astoria neighborhood of Queens, Saturday, April 5, 2014, in New York. The New York Police Department says four of five people pulled from a vehicle submerged in a New York City creek have died. The fifth, believed to have been the driver, was in stable condition. (AP Photo/John Minchillo)

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Residents attend a prayer service dedicated to the communities affected by the Highway 530 mudslide, during the "Together Evening of Prayer" at Haller Middle School in Arlington, on Friday, April 4, 2014. (AP Photo/POOL, Marcus Yam)

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Police investigate the scene of an accident on a dead-end street where a car containing five passengers plunged into Steinway Creek in the Astoria neighborhood of Queens, Saturday, April 5, 2014, in New York. The New York Police Department says four of five people pulled from a vehicle submerged in a New York City creek have died. The fifth apparently escaped serious injury and is in stable condition. (AP Photo/John Minchillo)

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Police investigate the scene of an accident on a dead-end street where a car containing five passengers plunged into Steinway Creek in the Astoria neighborhood of Queens, Saturday, April 5, 2014, in New York. The New York Police Department says four of five people pulled from a vehicle submerged in a New York City creek have died. The fifth apparently escaped serious injury and is in stable condition. (AP Photo/John Minchillo)