Via the New York Times
More than 80 people [in a community of about 4200] in Scott County have tested positive for H.I.V. since December, mostly in the last few weeks. They range in age from 20 to 56, and health officials say almost all of them live in Austin, which sits along Interstate 65 about 80 miles south of Indianapolis, surrounded by rural space. The outbreak, the worst in Indiana’s history, stems largely from the intravenous use of the prescription painkiller Opana, which everyone from the police to pastors to the owner of the city’s sole grocery recognizes as a plague on one ragged neighborhood in particular.