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As they'd pull people from crumpled cars or burning buildings, he'd say to himself, ''Man, they doing stuff'-they're awesome.'' When Barrett became a paramedic, in his twenties, he knew that he could make a lot more money ''going down the road,'' as people around here say, referring to Baltimore or Washington, D.C. Barrett's father and his uncles were volunteer firemen in the area, and, growing up, he often accompanied them in the fire truck. station, and, if he has to leave on a call before he can finish eating, the servers will box up his food in a hurry. The diner shares a strip mall with the E.M.T.

Barrett, who is thirty-three, with a russet-colored beard and mustache, works two twenty-four-hour shifts a week, starting at 7 a.m. He started his day as he often does, with bacon and eggs at the Olde Country Diner, in Martinsburg. One Thursday in March, a few weeks before Michael Barrett responded to Angel Holt's overdose, I rode with him in his paramedic vehicle, a specially equipped S.U.V. The medication was administered two hundred and twenty-three times in 2014, and four hundred and three times in 2016. Narcan, which costs fifty dollars a dose, consumed two-thirds of that allotment. Last year, the county's annual budget for emergency medication was twenty-seven thousand dollars.

This underestimates the scale of the epidemic, because many overdoses do not prompt 911 calls.

According to this data, during the next two and a half months emergency medical personnel responded to a hundred and forty-five overdoses, eighteen of which were fatal. On January 18th, county officials started using a new app to record overdoses. It's becoming the default explanation when an ambulance stops outside a neighbor's house, and the best guess for why someone is sitting in his car on the side of the road in the middle of the afternoon. ''Just imagine the hole is world peace and the sand traps are nuclear Armageddon and the club is your ability to deal calmly and rationally with complex situations.'' In Berkeley County, which has a population of a hundred and fourteen thousand, when someone under sixty dies, and the cause of death isn't mentioned in the paper, locals assume that it was an overdose. They know people don't just pass out for no reason.'' During the chaos, someone made a call to Child Protective Services. ''I was, like, 'I'm not gonna say.' The kids aren't stupid. From the other side of the backstop, the older kids asked Barrett if the parents had overdosed. '' 'Why's my kid gotta see this? Just let 'em lay there.' '' After a few minutes, the couple began to groan as they revived. ''You know, saying, 'This is bullcrap,' '' Barrett told me. The couple's younger children, aged ten and seven, were running back and forth between their parents, screaming, ''Wake up! Wake up!'' When Barrett and Mulligan knelt down to administer Narcan, a drug that reverses heroin overdoses, some of the other parents got angry. As Barrett later recalled, the couple's thirteen-year-old daughter was sitting behind a chain-link backstop with her teammates, who were hugging her and comforting her. Two of the parents were lying on the ground, unconscious, several yards apart.

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