A needle, spoon, and narcotics bag are seen near a heroin encampment in the Kensington neighborhood of Philadelphia, Pennsylvania, on April 10, 2017. In North Philadelphia, railroad gulch as it is knowen, is ground zero in Philadelphia?s opioid epidemic. Known by locals as El Campanento, the open air drug market and heroin encampment is built with the discarded materials from the gulch and populated by addicts seeking a hit of heroin to keep their dope sick, or withdrawal symptoms, at bay. In one area, near the 2nd Avenue overpass, empty syringe wrappers blanket the refuse like grass the used needles they once contained poking through like thistles. According to the city Health Commission, Philadelphia is on track to see 33 percent more drug overdose deaths in 2017 over last year. / AFP PHOTO / DOMINICK REUTER (Photo credit should read DOMINICK REUTER/AFP/Getty Images)