The U.S. opioid epidemic rages on. The latest official estimates say more than people died from drug overdoses in the year that ended in June 2018 – nearly 200 victims a day. Most of the toll – about two-thirds – involves pain pills, heroin and – increasingly – the potent synthetic opioid fentanyl. Drug overdoses are the top cause of death for adults under 50. And as bad as the estimates seem, researchers say actual overdose deaths may be 20 to 35 percent higher.

VOA journalists Chris Simkins and Jeff Swicord spent all of 2018 documenting stories from the epidemic’s front lines. Their series, “The Damage Done”, follows Americans in three cities – Miami, Philadelphia, and Nashville, N.C. – where lives and neighborhoods have been tragically transformed by heroin and other opioid drugs.