RACHEL MARTIN, HOST:
I'm Rachel Martin, and this is For the Record. It is an epidemic that affects all corners of this country, big cities, small rural towns, teenagers and working professionals. According to a recent study by the Centers for Disease Control, more than 8,000 people died of heroin-related overdoses in 2013. But the risk hasn't dented demand.
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UNIDENTIFIED REPORTER: Police say their biggest problem is heroin, very cheap to buy and so pure, dealers are stamping their product with creative names such as Deathmate and Skull to try and generate repeat business.
MARTIN: This past week, the Obama administration weighed in.
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UNIDENTIFIED WOMAN: The White House is announcing a new plan aimed at trying to slow down the skyrocketing heroin epidemic. It comes at a critical time. Between 2002 and 2013, heroin deaths in the U.S. almost quadrupled.
MARTIN: The drug is ravaging families and communities. Today, we'll focus on one of them. For the Record, chasing heroin.
Marion, Ohio is just north of Columbus, and it used to be a thriving steel town. A generation ago, this community was an idyllic place to grow up.
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KELLY CLIXBY: I lived across the street from one of the big parks here, and we would rip and run all day and all night and come in when the street lights were on.
BETH CAREY: It was just a nice place to live.
BILL COLLINS: You know, you could walk to school, ride your bike to school, really nothing any different about Marion back in that day than anywhere else.
MARTIN: But Marion is different today. The change started around 2007, when police began seeing balloons of heroin during routine traffic stops. And today, Police Chief Bill Collins says his town is grappling with a heroin epidemic.
COLLINS: All of the property crimes we have, the shoplifting, the thefts, the robberies all go back to one thing, and that's heroin.
MARTIN: We'll hear more from Chief Collins in a moment, but now we're going to introduce you to two women with very personal experiences with heroin. First, Beth Carey. Her twin sister, Chrystina Carey, died of a heroin overdose in 2013. Beth started worrying about her sister when they were in their early 20s. At that point, Chrystina was hanging in a different crowd. She was taking ecstasy while working as a dietitian.
CAREY: And she was on call all the time. And that was another reason that she said about the ecstasy, you know, she was taking it to stay up when we would go out on the weekends and all that.
MARTIN: At some point, Chrystina switched from ecstasy to Oxycontin and eventually to heroin.
CAREY: She was probably on heroin about six or seven years, maybe. Out of the six or seven years, she's probably incarcerated a good two, two and a half years, but still continued to use drugs.
MARTIN: The last time Chrystina Carey got out of prison, she went to stay at an addiction recovery house in the next town over. Kelly Clixby was living there, too. She knew Chrystina well.
CLIXBY: Yes, that was my best friend.
MARTIN: Kelly remembers the night before Chrystina died. She was heading out with someone known to be wrapped up in drugs, and Kelly was worried.
CLIXBY: I said, if you leave with that person, you're probably going to die tonight. And I was being sarcastic, and by no means did I mean it. And she left. And at 8 o'clock the next morning I woke up to a phone call that she had died. She had overdosed after seven months of sobriety.
MARTIN: How did that affect your own sobriety, to see that someone who was so close to you was still clearly so fragile and susceptible to falling off?
CLIXBY: It terrified me. For a long time after that, I stayed clean just merely, you know, so I wouldn't disrespect her or so her death wouldn't be in vain.
MARTIN: Police Chief Bill Collins has witnessed many overdoses like the one that killed Chrystina Carey. Back in May of this year, he said his team was responding to as many as two or three in a single hour.
COLLINS: You walk in and, you know, you see somebody that's blue. I mean, to you, they appear to be dead. And upon administering the Narcan to the person that's overdosing, it's like a miracle drug, you know? I mean, within 30 seconds, they snap out of it. They wake up. They look at you like they don't know what happened. And, you know, you tell them, you're really lucky 'cause you were circling the drain. You know, we would get called to the same house, and people had just seen somebody overdose. And they would still do it.
MARTIN: Collins remembers several years ago, when all he had to worry about in Marion was crack cocaine. And at least crack addicts, he says, could somehow hold a life together.
COLLINS: And with heroin, you just don't see that. These people are not able to hold a job. They steal their family blind to the point where the family just pretty much disowns them. So it doesn't take long for you to end up seeing a heroin addict that has burned every bridge they've ever had.
MARTIN: Marion, Ohio has been able to get a loose grip on the heroin epidemic there because of another drug called Vivitrol. It's helped heroin addicts like Kelly Clixby. She explains how.
CLIXBY: Vivitrol's a time-release opiate blocker. I get a shot every four weeks. And what it does is it sits on the opioid receptors in the brain, and if I were to use heroin or an opiate, it wouldn't be able to attach to that receptor. So I wouldn't get high. So it's basically a waste of time. A lot of people think it's a cure-all. It's not.
MARTIN: And because Vivitrol only blocks the effects of opiates like heroin, Chief Collins says addicts dead set on getting high are looking elsewhere.
COLLINS: We've seen a pretty big increase back into the crack cocaine market 'cause they can be on probation and be on the Vivitrol shot and still use crack cocaine and get high. So they're still feeding their addiction. They've just switched to something different again.
MARTIN: It's been almost eight years since heroin showed up in Marion, Ohio. Since then, Chief Collins says public awareness campaigns have helped. More funding for drugs like Narcan and Vivitrol has saved lives. And a couple of months ago, his department brought down a major drug dealer.
COLLINS: You know, you feel like you're in the ocean without a life jacket. And I, at least, feel like I have a life jacket on now.
MARTIN: After years of fighting her own heroin addiction, Kelly Clixby's life is on more stable footing. She's got her own apartment. She's regained custody of one of her five kids. And she's working on her second marriage, although her husband is still battling his own addiction.
CLIXBY: I've really learned just to stay on my track and just keep trudging forward despite what he's doing. If he uses, I can't, no matter what.
MARTIN: And Beth Carey, she thinks about her twin sister every day. Chrystina Carey left behind two daughters. One is now 15 years old and lives with Beth's grandmother. And Beth is raising the younger girl. Her name is Jazlen, and she is 3 years old. I overheard Jazlen talking with Beth before our interview.
JAZLEN: Other way, other way, Mommy.
MARTIN: Other way, Mommy, she's saying.
CAREY: When I first got her, you know, I was letting her call me Aunt Beth. And then after a while, she was going to day care. And she would hear other people cry out for mommy. So she started calling everyone mommy 'cause she didn't understand what that meant. And I knew that she needed to associate that word with someone.
MARTIN: Beth Carey is trying to look forward, but it's hard when so many other families in her community are also suffering the effects of heroin. Sometimes a loved one dies, like her sister. Other times, they just slip away.
CAREY: They're just zombies. They're just on a mission and lying and stealing and manipulating and cheating. They're not the aunt or uncle or daughter or son or sister that you used to know. They're a shell of a person that used to be great.
MARTIN: For the Record this Sunday morning, that was Beth Carey, Kelly Clixby, and Police Chief Bill Collins, all residents of Marion, Ohio. If you'd like to see pictures of them, go to npr.org.
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