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Tyler Dixon, left, of Abbotsford, and Kim Baptiste, of Bella Bella, smoke fentanyl along East Hastings Street in the Downtown Eastside neighborhood of Vancouver, Canada. (Gary Coronado / Los Angeles Times)
A woman looks at her reflection on a window to apply lipstick along East Hastings Street, where there are high levels of drug use, homelessness, poverty and crime. (Gary Coronado / Los Angeles Times)
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A supervised consumption site located in the Downtown Eastside neighborhood, has injection booths where clients inject pre-obtained illicit drugs under the supervision of staff. (Gary Coronado / Los Angeles Times)
A surfer rides a wave in Huntington Beach on a warm first day of winter
Steve Bolduc receives an injection of fentanyl to the neck administered by Geoffrey Bordas, a fentanyl addict, who also volunteers at an overdose prevention site in Vancouver. (Gary Coronado / Los Abgeles Times)
(Gina Ferazzi/ Los Angeles Times)
Josie Brotherston, right, pauses to look at a map where she was cleaning up her belongings, while friend, Jesse Esson, looks down East Hastings Street in Vancouver. (Gary Coronado / Los Angeles Times)
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Shyan Willow, left, and Kia Haim smoke fentanyl along East Hastings Street in Vancouver. (Gary Coronado / Los Angeles Times)
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Melody Watts, left, and her son Seth Lewis go through their belongings along East Hastings Street in Vancouver. Both are homeless and addicted to fentanyl. (Gary Coronado/ Los Angeles Times)
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Medics with the Vancouver Fire Rescue Services attend to a man who overdosed on drugs in the Downtown Eastside neighborhood of Vancouver. (Gary Coronado/ Los Angeles Times)
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Vancouver police detain a man on suspicion of robbery along East Hastings Street, where levels of drug use, homelessness, poverty, and crime are high. (Gary Coronado / Los Angeles Times)
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A man smokes drugs through a glass pipe near historic Chinatown in the Downtown Eastside neighborhood of Vancouver. (Gary Coronado / Los Angeles Times)
