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FILE - In this Wednesday, Aug. 23, 2017 file photo an unidentified heroin user, left, is injected by another man, right, on the street near a strip of land sometimes referred to as "Methadone Mile," in Boston. Fatal drug overdoses in the U.S. were long known as being most common in big cities. That changed 13 years ago, when Appalachia and other rural areas started seeing the nation’s highest overdose death rates. According to a government report released on Friday, Aug. 2, 2019, it’s shifted back again. (AP Photo/Steven Senne)

FILE - In this Wednesday, Aug. 23, 2017 file photo an unidentified heroin user, left, is injected by another man, right, on the street near a strip of land sometimes referred to as "Methadone Mile," in Boston. Fatal drug overdoses in the U.S. were long known as being most common in big cities. That changed 13 years ago, when Appalachia and other rural areas started seeing the nation’s highest overdose death rates. According to a government report released on Friday, Aug. 2, 2019, it’s shifted back again. (AP Photo/Steven Senne)

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