But a few people – worried about heroin’s impact on the local economy, the fishery and the addicts themselves – believe it’s time to speak out.

Maine lobstermen are plagued by opioid addiction, leading to deaths, ruined lives and even fishing violations to pay for the habit. Some in recovery also recognize the challenge: Getting help to an intensely independent breed that rarely asks for it.

Its economic strife and its proximity to the Massachusetts drug trade put the York County city in the cross hairs of the crisis. But forces within Sanford are stepping up and fighting back.

The up-and-down journey, marked by the ever-present risk and reality of relapse, means opioid addicts who want to quit – like this 24-year-old mother from western Maine – face a grueling, sometimes lifelong battle.

In addition to woefully inadequate treatment resources to meet exploding demand in Maine, there is tension, too, among providers and policymakers over the best way to beat an opioid addiction.

The rising death toll means more children than ever are confronted by unthinkable loss. When the questions come, experts say, keep it simple and be honest.

When children lose parents, the onus falls upon other resources – aging grandparents and the state’s child welfare system – to care for the youngest victims of Maine’s heroin crisis.