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The state of Virginia has seen drug overdose deaths plunge by more than 40% in a single year. Many other states are seeing improvements above 30%. Why is this happening? Researchers say it may be a combination of factors, some hopeful and some painful. Spencer Platt/Getty Images hide caption

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US Secretary of Health and Human Services Robert F. Kennedy Jr., himself in long-term recovery from opioid addiction, says a national emergency declaration linked to opioid overdose deaths will be extended past Friday's expiration date. JIM WATSON/AFP via Getty Images/AFP hide caption

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JIM WATSON/AFP via Getty Images/AFP

Elena (left) and Vadim pose for a photo in the Kensington neighborhood of Philadelphia, Pennsylvania on Feb. 26. Rachel Wisniewski for NPR hide caption

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Rachel Wisniewski for NPR

Experts say fentanyl crisis may be ending

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Robert F. Kennedy Jr. says faith-based, 12-step and farm- or camp-centered programs should be a major part of the U.S. addiction response. Here, he visits the First Baptist Church food pantry in New York City last year. John Nacion/Getty Images hide caption

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(Photo Illustration by Scott Olson/Getty Images) Scott Olson/Getty Images hide caption

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The cautionary tale of a recovering day trading addict

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FDA moves to make all cigarettes less addictive with lower nicotine

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Moderate drinkers who also take weight-loss drugs like Mounjaro, report drinking less alcohol, a new study finds. AzmanJaka/Getty Images hide caption

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Social drinkers cut back on alcohol when on obesity drugs

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10-30 SEX AND LOVE ADDICTION ANONYMOUS

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The hope was that bringing many other services to people with high needs would stabilize their health problems. While the strategy has succeeded sometimes, it hasn't saved money. Douglas Sacha/Getty Images hide caption

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Marine Buffard for NPR

Parents, it's time to talk to your child about vaping

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Drug-related street crime in Portugal has dropped along with overdoses. "There's an impression in the U.S. that if you decriminalize drugs, it's a wild west," said Miguel Moniz at the Institute of Social Sciences, University of Lisbon. "That hasn't been the case in Portugal." Brian Mann/NPR hide caption

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Brian Mann/NPR

Guillermo A. Santos on his high school graduation day in 2021, with his father, Guillermo Jose Santos. The elder Santos died later the same year of a drug overdose. The Santos-Honkala Family hide caption

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The Santos-Honkala Family

Matt Capelouto, whose daughter died from a fentanyl overdose, speaks at a news conference outside the Capitol in Sacramento, Calif., Tuesday, April 18, 2023. Capelouto is among dozens of protesters who called on the Assembly to hear fentanyl-related bills as tension mounts over how to address the fentanyl crisis. (AP Photo/Tran Nguyen) Tran Nguyen/AP hide caption

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Tran Nguyen/AP

In 2023 fentanyl overdoses ravaged the U.S. and fueled a new culture war fight

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Mental health courts have sprung up around the country. Getty Images hide caption

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Well-intentioned mental health courts can struggle to live up to their goals

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Louise Vincent has used street drugs since she was 13. She has emerged as a leading voice trying to humanize and help people who use drugs as they face the most devastating overdose crisis in U.S. history. April Laissle/NPR hide caption

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April Laissle/NPR

One woman's controversial fight to make America accept drug users for who they are

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The settlement deal with Indivior, which makes an addiction treatment medication called Suboxone, ends a legal battle with 41 states and the District of Columbia. Spencer Platt/Getty Images hide caption

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