NPR

'Nowhere To Go But Up ' — A Small Town Confronts Its Addiction Crisis

Two years after East Liverpool, Ohio, gained notoriety from a viral photo of an overdosed couple, the community is coming to terms with its addiction problem — and taking tentative steps forward.
The 2016 viral photo of a couple passed out in a car while a child sits in the back seat triggered a painful moment of self-reflection in East Liverpool, Ohio. The community took steps to address its addiction problem, but progress has been spotty.

In September 2016, the town of East Liverpool, Ohio, captured national attention when a photo of a local couple's overdose went viral. It showed a woman and her boyfriend sprawled comatose in the front seats of a car, while the woman's 4-year-old grandson sat in the back. The image was originally posted by the local police department. Overnight, East Liverpool, a town of just over 11,000 people, became the face of the opioid crisis enveloping parts of the country.

Like many small communities in the Appalachian region, East Liverpool struggles with a foundering economy. The town is in the Mahoning Valley region, once home to a thriving steel industry. The region now has high unemployment and low average income, and has seen a steadily rising opioid overdose rate over the last decade.

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