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HUNTINGTON, WV – OCTOBER 2: Two partially used syringes and needles are seen as Rocky Meadows, left, former addict and founder of Lifehouse treatment and recovery center, walks with two former addicts along rail tracks where addicts use drugs on October 2, 2019 in Huntington, WV. Huntington, West Virginia is experiencing a surge in HIV cases related to intravenous drug use following a recent opioid crisis in the state. (Photo by Ricky Carioti/The Washington Post via Getty Images)