Sara Vance, 33, a third-generation coal miner, holds her 11-month-old daughter, Alexis, at her home on October 12, 2020, in Tridelphia, W.Va. Vance voted for Donald Trump in 2016 and will do so again on Election Day. “I look at my job as patriotic. What I do powers office buildings and homes, the grocery stores where people get their food, as well as schools and churches and companies that build things that build our country. We help keep the lights on and keep people warm as well,” she says
Ohio
East Palestine Derailment 1 of 3 /
A mannequin is displayed on a porch with a sign that reads ‘We Are Fine’ on February 28, 2023 in East Palestine, Ohio.
Carly Tunno of Darlington, Pa., stands outside of Sprinklz on Top, a restaurant where EPA Administrator Michael S. Regan was meeting with community business leaders and Trent Conaway, mayor of East Palestine, on February 28, 2023 in East Palestine, Ohio. She hoped to ask them questions about issues that deeply concern her.
“I get it. Somebody messed up. I don't care. Somebody messed up. I get nobody's going to take blame for this. I get that, but somebody needs to tell people it is dangerous. It's dangerous to be here. It is dangerous to live and raise your children here,” she said as she wiped tears from her eyes.
Toxic chemicals float on the surface of Leslie Run creek on February 25, 2023 in East Palestine, Ohio. On February 3rd, a Norfolk Southern Railways train carrying toxic chemicals derailed causing an environmental disaster. Thousands of residents were ordered to evacuate after the area was placed under a state of emergency and temporary evacuation orders.
“Every morning I get up and my chest's killing me. I never did have chest pains. Now I got chest pains, and my nose is always running… Burning all the time,” says Lee Jenkins, 71, of Negley, Ohio, as he picks up water for his elderly neighbors with Matthew Mazza, 61, of Negley, (left) in the neighboring town of East Palestine on February 28, 2023. “I know what's going to happen. The railroad company going to go bankrupt. They ain't going to pay nobody. What can you do? You can't do nothing. It happened. It's over with. You know, you got to live from day to day.”
Contractors with Norfolk Southern work on cleaning toxic chemicals from Sulphur Run on February 28, 2023 in East Palestine, Ohio.
Trent Conaway, mayor of East Palestine, (center) sits with EPA Administrator Michael S. Regan as they meet with community business leaders at Sprinklz on Top, a popular restaurant, on February 28, 2023 in East Palestine, Ohio.
Courtney Miller gets her blood drawn for Dr. Beatrice Golomb Research Group as her children, Eliana, 6, and Mathias, 10, watch on at the Main Street Theater in Columbiana, Ohio on February 3, 2024. The study’s title is: Uncovering the Public Health Impact of Toxin Release in East Palestine, Ohio. The lab checked blood, urine, hair, fingernails and lung capacity as well as gathering other stats and info.
A Norfolk Southern train passes though the center of East Palestine, Ohio on Wednesday, March 1, 2023.
Wayne O’Connell, 66, and his wife, Lori, 59, sit in the kitchen of their home in Darlington, Pa., on January 19, 2024.
Norfolk Southern has agreed to pay $600 million in a class-action lawsuit settlement related to the train derailment in East Palestine, Ohio, in February 2023.
The settlement, if approved by a court, would pay class action claims within a 20-mile radius of the accident and personal injury claims within a 10-mile radius.
Residents, many of which still complain about respiratory issues, anxiety, unexplained rashes, and nosebleeds, fear it isn’t enough and doesn’t take into account potential costs from long-term health impacts of the derailment that spilled more than a million pounds of hazardous chemicals into the soil, water and air.
View full gallery here.
East Palestine Derailment 2 of 3 /
Jami Cozza yells, “Help us,” as President Biden’s motorcade passes by on February 16, 2024 in East Palestine, Ohio.
David Lonsbrough, 40, loads his suitcase into a friend’s truck after finishing packing to move from his apartment on Wednesday, March 1, 2023 in East Palestine, Ohio. Lonsbrough who lives and works just blocks from the site of the Feb. 3 derailment says “It took about two weeks, once the evacuation was lifted and we came back and it still smelled terrible. But the trains were running. So as soon as that happened, I was like, they don't care about us, so I'm leaving. I'm getting out of town." Lonsbrough is staying with a friend for a few days in Warren, Ohio before moving to Texas.
David Lonsbrough, 40, gives the middle finger to a Norfolk Southern train as it passes in East Palestine, Ohio on Thursday, Feb. 16, 2023.
U.S. Congressman Bill Johnson (OH-6) stands with Ohio Senator Sherrod Brown and U.S. Congressman Chris Deluzio (PA-17), take questions from media at a press conference on February 16, 2023 in East Palestine, Ohio.
Lonnie Miller becomes emotional as she stands in the living room at her home along East Clark street in East Palestine, Ohio on February 2, 2024. She has put her home on the market; although, it has gotten no interest in 100 days.
Jami Wallace, 46, holds a container that holds the ashes of her father, best friend and sister-in-law, as her daughter, Kyla, 3, watches her from the steps at a B&B where she is staying on March 23, 2023 in Columbiana, Ohio. Wallace and her husband are fearful of returning to their home after the Norfolk Southern train derailment in East Palestine, Ohio on Feb. 3. The remains of her loved ones was one of the few things she took with her when she evacuated her home.
Local newspapers sit on the counter of Sprinklz on Top, a popular restaurant in East Palestine, Ohio on Friday, March 3, 2023.
Crews continue to cleanup at the site of a Norfolk Southern train derailment on February 24, 2023 in East Palestine, Ohio.
Tracy Hager, 44, talks with Greg Kildare, senior director of claims and risk management for Norfolk Southern, at an open house for East Palestine residents on March 23, 2023 at the East Palestine High School in East Palestine, Ohio. The open house gives residents a chance to speak with agencies involved in the Norfolk Southern train derailment cleanup as well as community resources.
Hager was concerned about getting reimbursed for purchases of clothing, shoes, and cat food as she stays at a cabin in a campground with her family while they are fearful of returning to their home.
“I cried everyday for three weeks,” she says.
“We R Sick” is painted on the front of Courtney Miller’s old home along East Taggart Street in East Palestine, Ohio on January 21, 2024.
Norfolk Southern has agreed to pay $600 million in a class-action lawsuit settlement related to the train derailment in East Palestine, Ohio, in February 2023.
The settlement, if approved by a court, would pay class action claims within a 20-mile radius of the accident and personal injury claims within a 10-mile radius.
Residents, many of which still complain about respiratory issues, anxiety, unexplained rashes, and nosebleeds, fear it isn’t enough and doesn’t take into account potential costs from long-term health impacts of the derailment that spilled more than a million pounds of hazardous chemicals into the soil, water and air.
View full gallery here.
East Palestine Derailment 3 of 3 /
Purdue University professor Dr. Andrew Whelton, an expert on disasters, environmental chemistry, public health and water quality, climbs down the bank to take water samples of Sulfur Run on March 24, 2023 in East Palestine, Ohio. The stream was heavily contaminated by the Feb. 3 Norfolk Southern train derailment.
Jet Walker, 13, holds a sign in front of his East Palestine home as President Biden drives by in his motorcade to visit the site of the Norfolk Souther train derailment on February 16, 2024.
George Rockenberger, 84, and his wife, Janet, sits on a bench as over 150 people wait in line for the Norfolk Southern Family Assistance Center to open on February 17, 2023 at the Abundant Life Church in New Waterford, Ohio. Residents who qualify can receive a $1000 payment as well as reimbursement to cover costs related to the evacuation from Norfolk Southern.
Tyson Tunno, 4, holds a coloring book ‘Coping After a Disaster’ that was given to him at the Health Resource Center in Darlington, Pa., on March 1, 2023. Tyson’s mother, Carly Tunno was visiting the center to have questions answered about soil contamination and possible testing. She has limited her children’s time outdoors with concerns after the Norfolk Southern train derailment in East Palestine, Ohio. The Pennsylvania Department of Health opened the center on Feb. 28 at the Darlington Township Building to see residents with concerns following the Norfolk Southern train derailment in East Palestine, Ohio.
People fill the auditorium of Blackhawk High School at the East Palestine Justice’s town hall meeting on March 23, 2023 in Beaver Falls, Pa. East Palestine Justice, a team of attorneys and activists headed by environmental advocate Erin Brockovich, has hosted several town halls in Ohio and Pennsylvania since the Norfolk Southern derailment in East Palestine. Blackhawk High School, which is 9 miles from East Palestine, was evacuated over concerns of an explosion. A mandatory evacuation order was in effect for anyone living within one mile of the scene.
Courtney Miller, 35, stands near a pile of paperwork she’s gathered about the Norfolk Southern train derailment, as she stands in the kitchen of her home in East Palestine, Ohio on Saturday, March 4, 2023.
Contractors with Norfolk Southern work on cleaning toxic chemicals from Sulphur Run on February 24, 2023 in East Palestine, Ohio.
The railroad tracks have been removed through an area that is being remediated as efforts continue the clean-up from the Feb. 3 Norfolk Southern train derailment on March 15, 2023 in East Palestine, Ohio.
Christa Graves, 49, of Unity Township pokes at Sulfur Run to see if she can still see the sheen on the one-year anniversary of the Norfolk Southern train derailment in East Palestine, Ohio on Saturday, Feb. 3, 2024.
Snow falls along North Market Street as seen through the photographers windshield in East Palestine, Ohio on January 18, 2024.
Norfolk Southern has agreed to pay $600 million in a class-action lawsuit settlement related to the train derailment in East Palestine, Ohio, in February 2023.
The settlement, if approved by a court, would pay class action claims within a 20-mile radius of the accident and personal injury claims within a 10-mile radius.
Residents, many of which still complain about respiratory issues, anxiety, unexplained rashes, and nosebleeds, fear it isn’t enough and doesn’t take into account potential costs from long-term health impacts of the derailment that spilled more than a million pounds of hazardous chemicals into the soil, water and air.
View full gallery here.
Decline of Small Town Life /
“I’ll probably be one of the next ones to go,” says Lee Goldthwaite, 79, the caretaker of the Sheffield Township cemetery, as he walks through the tombstones.
Sheffield, the small Warren County town that sits along the edge of the Allegheny National Forest, shares a similar story to other rural Pennsylvania towns as the number of deaths outpace births and population loss accelerates. The town, which once was a hub for timber had the largest sawmill east of the Mississippi River, has lost nearly a quarter of the population it had 20 years ago. Many expect the decline of small-town life to be a topic in this presidential election.
Along Main Street, few businesses remain. The local bank and liquor store have closed, the town’s daycare shuttered as the number of children dwindled to the single digits. The local ambulance service was discontinued, and the town’s beloved Johnny Appleseed Festival doesn’t have enough volunteers or money to continue this year. When asked if the town has a doctor, Goldthwaite points through the cemetery. “The last doctor we had is buried right up the hill,” he says. While he sees the town’s decline firsthand, Goldthwaite isn’t ready to give up, “we’re gonna make it work,” he says.
Published in @washingtonpost.
Cracker Plant /
An ethane cracker plant sits under construction along the Ohio River in Beaver County, Pa on Thursday, January 17, 2019.
Troy Balderson /
To view more images visit Getty Images.
Along the Promenade /
Daren Johnson, 64, busks on Tuesday, Oct. 17, 2017 along the promenade of the Loudoun Street Pedestrian Mall in Winchester, Va. Johnson, a retired school teacher and former supporter of Hillary Clinton, is exhausted by recent elections, but will vote in the upcoming gubernatorial election. Being uninsured and relying on a free healthcare clinic he cares deeply about the state of healthcare in America. Read more about this story in The New York Post.
Staughton Lynd /
Staughton Lynd, 87, a formidable figure in the ’60s social justice movement, sits in the basement of his Niles, Ohio home on Sept. 6, 2017. Lynd, the Manhattan-born academic from Harvard, immediately became part of the fabric in the working-class community as a labor lawyer after Black Monday, the day when Youngstown Sheet and Tube abruptly furloughed 5,000 workers in one day. Read more about Lynd and Black Monday in the New York Post.
Shooting of a Judge /
William 'Thuggy' Robinson sits on the porch of his longtime-friend Nathaniel "Snake" Richmond on Tuesday, Aug. 22, 2017 in Steubenville, Ohio. Richmond was shot and killed Monday in front of the Jefferson County courthouse after he ambushed Judge Joseph Bruzzese Jr., and open fired on him. Justin Merriman for DailyMail.com
A photo of Nathaniel "Snake" Richmond sits on a table on his porch on Tuesday, Aug. 22, 2017 in Steubenville, Ohio. Richmond was shot and killed Monday in front of the Jefferson County courthouse after he ambushed Judge Joseph Bruzzese Jr., and open fired on him. Justin Merriman for DailyMail.com
Sheriff Fred Abdalla sits in his office as he discusses the shooting of Jefferson County Judge Joseph Bruzzese Jr., on Tuesday, Aug. 22, 2017 in Steubenville, Ohio. Justin Merriman for DailyMail.com
A statue stands on top of the Jefferson County courthouse in Steubenville, Ohio on Tuesday, Aug. 22, 2017. Justin Merriman for DailyMail.com
A memorial sits at the site where an April 2015 fire took the lives of Mae Etta Richmond, 70, and Te'on Dillard, 2, along Wellesley Avenue in Steubenville, Ohio on Tuesday, Aug. 22, 2017. The fire was part of a wrongful death suit that Nathaniel Richmond filed on behalf of his mother, Mae Etta and had pending before Judge Joseph Bruzzese Jr. Richmond was shot and killed on Monday after he ambushed the Judge Bruzzese outside of the Jefferson County courthouse.
Justin Merriman for DailyMail.com
Curtis Golsby stands in front of the home of Nathaniel "Snake" Richmond, after Golsby was released from the Jefferson County jail on Tuesday, Aug. 22, 2017 in Steubenville, Ohio. Golsby was with Richmond when he went to the Jefferson County courthouse and ambushed Judge Joseph Bruzzese Jr., and open fired on him. Richmond was shot and killed during the incident. Justin Merriman for DailyMail.com
Nathaniel 'Snake' Richmond was killed after he waited for Jefferson County Judge Joseph Bruzzese, Jr. to arrive at the courthouse on Monday, Aug. 21, 2017. When Richmond saw the judge he exited his car and opened fire, wounding the judge. The judge and a probation officer returned firing, killing Richmond, 51. Read more about this story at Daily Mail.
World Series /
Jim Weinfurtner cheers on the Cleveland Indians outside of Progressive Field prior to game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Joe Wiegand of Colorado Springs, Colo., a Theodore Roosevelt impersonator and self-proclaimed Cubs fan, greets fans outside of Progressive Field prior to game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
(left to right) Casey Weinfurtner, Eddie Weinfurtner and Jim Weinfurtner cheer on the Indians outside of Progressive Field prior to game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Terminal Tower is lit for game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Jim Schulz of Elyria shows off his Cleveland Indian painted head outside of Progressive Field prior to game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Paul Hollo of Cleveland wears his Indian headgear as he cheers on the Indians outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Jim Stamper of Cleveland hangs a sign outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Joe Cooney of Willowick, Ohio stands outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Demilles Jones, 35, of Cleveland holds a homemade World Series trophy outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Stephen Caton, 29, of St. Louis, a Chicago Cub fan watches game 6 of the World Series through a fence at Progressive Field on November 1, 2016 in Cleveland, Ohio.
Gary Eckart, 26, of Cleveland watches the game on a big screen outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Cleveland Indian fans watch game 6 of the World Series on a big screen outside of Progressive Field on November 1, 2016 in Cleveland, Ohio.
A large crowd watch a big screen outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
Fan react as the Cleveland Indians give up 3 runs in the the first inning as they watch on a big screen outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Fan react as the Cleveland Indians give up 3 runs in the the first inning as they watch on a big screen outside of Progressive Field during game 6 of the World Series on November 1, 2016 in Cleveland, Ohio.
Cleveland Indian fans watch game 6 of the World Series on a big screen outside of Progressive Field on November 1, 2016 in Cleveland, Ohio.
Cleveland Mounted Police keep watch near Progressive Field before the start of game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
Cam Lathem, 21, of Ashville, Ohio cheers on the Indians outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
Indian fans react as they watch the big screen outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
(L-R) Dayana Guzman, 38, Alex Marquez, 33, and Doraliz Guzman-Marquez, 35, all of Chicago cheer for the Cubs in outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
Indian fans react as they watch the big screen outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
Fans react as they watch the big screen outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
William Burgos of Cleveland prays in the street outside of Progressive Field during the 9th inning of game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio.
Fans react as they watch a big screen outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio. The Chicago Cubs defeated the Cleveland Indians 8-7.
Fans react as they watch a big screen outside of Progressive Field during game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 2, 2016 in Cleveland, Ohio. The Chicago Cubs defeated the Cleveland Indians 8-7.
An Indian fan sits in the street after the Chicago Cubs defeated the Cleveland Indians 8-7 in game 7 of the World Series on November 3, 2016 in Cleveland, Ohio.
Chicago Cubs fans hug outside of Progressive Field after game 7 of the World Series between the Cleveland Indians and the Chicago Cubs on November 3, 2016 in Cleveland, Ohio. The Chicago Cubs defeated the Cleveland Indians 8-7.
Cubs fans celebrate after the Chicago Cubs defeated the Cleveland Indians 8-7 in game 7 of the World Series on November 3, 2016 in Cleveland, Ohio.
Indian fans sit outside of Progressive Field after the Chicago Cubs beat the Cleveland Indians 8-7 in game 7 of the World Series on November 3, 2016 in Cleveland, Ohio.
I covered Game 6 & 7 of the 2016 World Series in Cleveland for Getty Images. I spent my time outside the park, immersed in the large crowd that gathered near Progressive Field to watch the game on a big screen. You can see my images on The New York Times, NBC, ESPN and many other publications.
Trump's America /
A cross painted with "It's not about religion! It's about relationships" stands in a yard along West 6th Street in East Liverpool, Ohio on Sept. 15, 2016.
Courtney Lally, 23, stands with her daughter, Gianna, 2, at her home in Munhall, Pa., home on Tuesday, Oct. 25, 2016. Lally's sister, Jessica Lally, 25, and her boyfriend, Christopher Dilly, 26, were found dead by police after Jessica's 7-year-old daughter alerted a school bus driver that her parents were blue and she was unable to wake them. The two had overdosed on heroin.
Vacant business are reflected in an empty storefront in McKeesport, Pa., on Oct. 25, 2016.
Harrold Nelson, 60, stands in the street in front of his home in McKeesport, Pa., on Oct. 25, 2016. Few homes remain on Nelson's block, many of those that do remain are abandoned.
Donald Trump supporters cheer at a campaign stop at the Cambria County War Memorial Arena on October 21, 2016 in Johnstown, Pennsylvania. Trump and Democratic presidential nominee Hillary Clinton continue to campaign as Election Day nears.
Republican presidential candidate Donald Trump speaks to supporters during a campaign stop at the Cambria County War Memorial Arena on October 21, 2016 in Johnstown, Pennsylvania.
Andy Stafford, a vendor from Sarasota, Florida, holds a Trump flag as he sets up his stand in the parking lot of the International Exposition Center prior to a campaign stop by Republican presidential nominee Donald Trump on October 22, 2016 in Cleveland, Ohio. "I'm a Trump lover," says Stafford.
Students on a bus shout obscenities as they give the middle finger to Trump supporters lined up outside of the Cambria County War Memorial Arena prior to a Donald Trump campaign stop on October 21, 2016 in Johnstown, Pennsylvania.
A Trump supporters yells at members of the media during Republican presidential nominee Donald Trump's campaign stop at the International Exposition Center on October 22, 2016 in Cleveland, Ohio.
Bill Hummel, 69, who has worked as a tow-truck driver since 1959, sits in his tow truck in Youngstown, Ohio on Oct. 26, 2016.
A sign stands in a vacant lot in Youngstown, Ohio on Nov. 23, 2016.
A Trump supporter shows off his t-shirt as he stands in line outside of the Cambria County War Memorial Arena prior to a Donald Trump campaign stop on October 21, 2016 in Johnstown, Pennsylvania.
A billboard advertising protection for people losing their homes stands above a small car dealership in Youngstown, Ohio on Nov. 23, 2016.
A crew works at a demolition site of a historic building in East Liverpool, Ohio on Sept. 15, 2016.
A painting sits in a window in Downtown, Youngstown, Ohio on Nov. 23, 2016.
A supporter of Republican presidential candidate Donald Trump listens on as he speaks during a campaign stop at the Cambria County War Memorial Arena on October 21, 2016 in Johnstown, Pennsylvania.
A Trump sign sits in a window in Youngstown, Ohio on Wednesday, Nov. 23, 2016.
Sam Cappelli of Boardman, Ohio watches the demolition of a historic building in East Liverpool, Ohio on Thursday, Sept. 15, 2016.
Republican presidential nominee Donald Trump is on a television at the Golden Dawn in Youngstown, Ohio on Oct. 26, 2016.
Phillip Naples stands behind the bar at the Golden Dawn in Youngstown, Ohio on Nov. 19, 2016.
East Liverpool, Ohio sits on the edge of the Ohio River on Thursday, Sept. 15, 2016. The town, once a bustling steel and pottery town, now has a population of about 11,000 people and like many towns across the United States is facing a growing opiate problem.
Antonio Lake, 6, walks in front of a Trump sign in Youngstown, Ohio on Nov. 23, 2016.
Jean Barefoot, 58, reflects on the loss of her daughter, Jessica Lally, to a heroin overdose as she stands near her Munhall, Pa., home on Tuesday, Oct. 25, 2016. Lally was found by police after her 7-year-old daughter alerted a school bus driver that her parents were blue and she was unable to wake them.
Tom Brophey, 77, sits in his barber shop along West 6th Street in East Liverpool, Ohio on Sept. 15, 2016. Brophey, who worked in the Crucible Steel plant, opened his barber shop after losing his job in the mill in 1982. "Everyone knows there's a problem, but no one knows how to fix it," he says speaking of the heroin problem the town faces. "Drugs are the economy now. It's like an infection. It spreads," he says.
Carl Venzeio, 77, a self-proclaimed supporter of Democratic presidential nominee Hillary Clinton, stands in front of his trunk in Youngstown, Ohio on Oct. 26, 2016.
Steps lead to a vacant lot where a home once stood in McKeesport, Pa., on Oct. 25, 2016.
A giant statue of Donald Trump stands in a yard of a home along Route 982 just up the road from the Tin Lizzy, a 266-year-old tavern in Youngstown, Pa., on Sept. 26, 2016.
A closed sign hangs in front of a flag in a storefront in East Liverpool, Ohio on Thursday, Sept. 15, 2016.
I spent quite a bit of time traveling through West Virginia, Ohio, and Pennsylvania documenting the presidential election, communities struggles with the opioid epidemic, and life in America's Rust Belt. The images were published a variety of publications including STAT, The Daily Mail, The New York Post, The Dallas Morning News, The Washington Post, The Chicago Sun Times, The Times of Oman, The Boston Globe, The Oregonian, Forbes, Folha de S. Paulo, BBC and many others.