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ADVANCE FOR USE MONDAY, MARCH 10 - In this photo taken on Thursday, Feb. 27, 2014, Brian Warden stocks syringes at the Minnesota AIDS Project needle exchange in Minneapolis, Minn. After years of running Minnesota's largest needle exchange, Warden is beginning to see something new among the increasing numbers of suburban and rural heroin users coming to trade in used needles. "What strikes me about it is they don't seem to have had what's traditionally called the gateway effect," Warden said. (AP Photo/Minnesota Public Radio, Jeffrey Thompson)

ADVANCE FOR USE MONDAY, MARCH 10 - In this photo taken on Thursday, Feb. 27, 2014, Brian Warden stocks syringes at the Minnesota AIDS Project needle exchange in Minneapolis, Minn. After years of running Minnesota's largest needle exchange, Warden is beginning to see something new among the increasing numbers of suburban and rural heroin users coming to trade in used needles. "What strikes me about it is they don't seem to have had what's traditionally called the gateway effect," Warden said. (AP Photo/Minnesota Public Radio, Jeffrey Thompson)

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