<p>Vitaly Melnikov, a 29-year-old Russian heroin addict, shoots up in a Moscow apartment. He learned to use clean needles in a Doctors Without Borders risk-reduction program aimed at lowering the numbers of people passing disease through dirty needles.</p>

Heroin Addict

Vitaly Melnikov, a 29-year-old Russian heroin addict, shoots up in a Moscow apartment. He learned to use clean needles in a Doctors Without Borders risk-reduction program aimed at lowering the numbers of people passing disease through dirty needles.

Photograph by Karen Kasmauski

Photos of the AIDS Crisis

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