By Fernando Vergara and Jacobo Garcia  for AP/The Washington Post. DOSQUEBRADAS, Colombia — As night falls, heroin addicts walk toward a white truck distributing rubber tubes, syringes and sterilized water.

The kits come from a group called Cambie — Spanish for change. Every evening, the Cambie team combs the industrial town for addicts, hoping to swap new syringes for used ones so they don’t end up in public parks, where children can step on them or they can be reused by other addicts, increasing the risk of HIV or hepatitis transmission.

Team members are nonjudgmental.

Social worker Hugo Castro doesn’t reproach 39-year-old Wilson Pineda as he shows him how to tie a tourniquet over his arm to tap a vein instead of hitting a muscle.

“Sometimes I come every day. Other times I’m asleep because I’m so high,” says Pineda, who said he’s been shooting up for three years.

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