need to keep in mind, that in russia, there also are issue with syntethic narcotics. fentanyl is widespread in usa, but russians have their own verisons too. difference is, that in russia, there are way more skyrise buildings, and commie blocks. so when some junkie steps outside of window in usa, he falls in lawn, and basically nothing happens. stands up, and walks home.  when same thing happens in russia, there is good chance that he falls more than 20 meters, and hits the ground.
Latvia