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The United States is in the throes of a heroin and opiate epidemic. India Rakusen travels to Lorain County, in the state of Ohio, where addiction has become part of everyday life. West of the city of Cleveland, Avon Lake is a wealthy suburb – its large, expensive properties back onto the shores of Lake Eerie, and wild deer frolic on neat lawns. But behind this façade, there is a crisis. Many families have felt the damaging impact of addiction. And across Lorain County, opiates – pharmaceutical and street heroin - have killed twice as many people in the first six months of 2016 alone, as died in the whole of 2015.

(Image: India Rakusen (L) speaks to Mason Butler (R), a heroin addict for 10 years on his seventh time in rehab)