In this Nov. 8, 2017, file photo, Steph Gaspar, a volunteer outreach worker with The Hand Up Project, an addiction and homeless advocacy group, cleans up needles used for drug injection that were found at a homeless encampment in Everett, Wash. The U.S. Centers of Diseases Control and Prevention says 42,000 people died of overdoses in 2016 from opioids, a class of drug that includes powerful prescription painkillers such as OxyContin and Vicodin; illegal heroin; and fentanyl, a strong synthetic drug sold both through prescriptions and on the street. (AP Photo/Ted S. Warren)
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