Social Issues

Opioids in America: An Intimate Portrait of a National Crisis

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Jérôme Sessini A poem written by Fred DiMarco in tribute to his son Nicholas DiMarco. He was 18 when he died from a dose of heroin laced with Fentanyl on March 9, 2015. Cleveland, Ohio. March 14, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Youngstown, in the Mahoning valley, is a post-industrial city that fell into decline in the 1970s. Youngstown, Ohio. March 10, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Jessica 27 (L) and her cousin Missy 30 (R) preparing a heroin injection. Jessica is pregnant and has 2 children. She has been addicted to heroin for 8 years after being prescribed Oxycodone for sco (...)
Jérôme Sessini Chillicothe was the first capital of Ohio in Ross County. The City is crossed by “the 23 pipeline,” a reference to Route 23. The highway brings in dealers from Columbus and Detroit to the north. Do (...)
Jérôme Sessini Kay, 40, of Chillicothe. She has a long story of heroin addiction, including three overdoses. She has been clean for 9 months and was living in an LGBTQI sober house in Cleveland. Chillicothe, Ohi (...)
Jérôme Sessini United States of America. Chillicothe, Ohio. March 17, 2018.

Jessica is pregant, and she has 2 children. She's addicted to heroin since 8 years after having Oxycodon prescriptions for a scoliosis. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Missy, 30, and her best friend Kay at the Grand View Cemetery. Chillicothe, Ohio. March 15, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Youngstown, in the Mahoning valley, is a post-industrial city. It's still the site of several steel and metalworking operations, though nothing on the scale seen during the "glory days" of the "Ste (...)
Jérôme Sessini United States of America. Portsmouth, Ohio. March 18, 2018. Street scene downtown Portsmouth, once famous for shoe factories, Portsmouth is now better known as the setting of “Dreamland,” the accl (...)
Jérôme Sessini Missy, 30, gets a heroin injection into the jugular vein by a friend. She's has been using heroin for three years. Her three children have been taken away by social services because of her addictio (...)
Jérôme Sessini United States of America. Cleveland, Ohio. March 15, 2018.

LGBT Sober house. © Jérôme Sessini | Magnum Photos
Jérôme Sessini United States of America. Cleveland, Ohio. March 15, 2018.

LGBT Sober house. © Jérôme Sessini | Magnum Photos
Jérôme Sessini "The King", a heroin addict who initiated Kai to heroin 8 years ago. Chillicothe, Ohio, United States of America. March 16, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Street scene downtown. Portsmouth, Ohio, United States of America. March 18, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Donald LoGiudice, whose son died from a heroin overdose. Youngstown, Ohio, United States of America. March 11, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini Nicholas DiMarco was 18 when he died from a dose of heroin laced with fentanyl on March 9, 2015. Cleveland, Ohio. March 14, 2018. © Jérôme Sessini | Magnum Photos
Jérôme Sessini United States of America. Youngstown, Ohio. March 12, 2018. Youngstown, in the Mahoning valley, is a post-industrial city and it's still the site of several steel and metalworking operations, thou (...)
Jérôme Sessini United States of America. Portsmouth, Ohio. March 18, 2018. Street scene downtown Portsmouth, once famous for shoe factories, Portsmouth is now better known as the setting of “Dreamland,” the accl (...)
Jérôme Sessini United States of America. Chillicothe, Ohio. March 17, 2018.

Drug House. © Jérôme Sessini | Magnum Photos