Heroin has plagued Cincinnati for a long time, and the summer of 2019 was no exception. Overdoses kept a consistent grip in several neighborhoods, and certain areas in and around Cincinnati were hit harder than others. This photo essay examines the communities and people in cincinnati whose lives have been permanently altered by this epidemic. Here, two women sit on a stoop on east McMicken Avenue in Over-the-Rhine, smoking crack cocaine, on Thursday, July 11, 2019. One says she plans to inject heroin later. She's been using the drug for 20 years. Made in 2019 for The Cincinnati Enquirer.