If there is an epicenter in the US for the opioid epidemic, it is the Kensington neighborhood in Philadelphia. I've been there half a dozen times or so passing through.
Everything you see in this video is real.
Amerika, 2021.
It seems that among other things Philadelphia does not have a garbage collection or street cleaning department.
Great mayor! NOT!
One solution was safe injection sites, but that was rejected by the community because the conservatives don't want them in their neighborhood. Truthfully nobody really does. By the same token efforts to clean up North Kensington and Tioga have been squashed by liberal advocates as "targeting dependant citizens". The situation could be improved if everybody just cut the crap, on both sides, and accepted what has to be done. The situation in LA is getting this bad as well. Maybe worse.
It is really sad what has happened to many neighborhoods in cities all around the country.
Sadly Philly was never known as the cleanest city. The sections where the tourists hang out are kept cleaner but it's been years since I was back there to visit family.