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In this Feb. 16, 2017, photo, Parker O’Neall, a homeless man living in a shelter of tarps in an encampment in the outskirts of Everett, Wash., rubs his face as he talks with police and social workers checking on him. As overdose deaths from opioids and heroin spiked the mayor of Everett took steps to tackle the epidemic devastating this working-class city north of Seattle. Mayor Ray Stephanson has spent thousands to clean up streets, hire social workers to ride along with police officers and build permanent housing for the chronically homeless. (AP Photo/Elaine Thompson)