In this Nov. 2, 2017, file photo, a Cincinnati Fire Department medic nasally administers Naloxone to a man while responding to a possible overdose report at a gas station in downtown Cincinnati. New surges in the use of methamphetamine and cocaine, often in mixtures with synthetic opioids, are fueling rocketing overdose death tolls in states such as Ohio, one of the nation's hardest hit during the opioid crisis. (AP Photo/John Minchillo, File)
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