In this Feb. 9, 2013 photo, Phil Wahby, of St. Louis, an outreach coordinator with the STLHeroinHelp organization, waves to motorists during an anti-heroin rally in Belleville, Ill. Coroners from the Chicago area to St. Louis' Illinois suburbs say heroin overdose deaths have spiked in recent years, given the relative cheapness, purity, potency and broad availability. (AP Photo/Belleville News-Democrat, Tim Vizer)
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