Urban Sprawl

America’s opioid crisis is spilling from rural communities into cities, where it is killing African-Americans at a faster rate.

From 2014-2017, Washington DC's Office of the Medical Examiner reported a shocking 245% rise in opioid overdose deaths among black men ages 40-69. The challenge of dosing drugs laced with super-potent fentanyl has caught even veteran heroin users by surprise.

At his DC clinic, Edwin Chapman, MD is doggedly fighting addiction by treating it like any other chronic illness. Prescribing Suboxone to control cravings, he has a 78% patient retention rate. "This is a chronic disease and not a moral failing," he says.


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