I visited NYC for the first time in 1989. So not at the height of the epidemic, but it was still going strong. I didn't see anything as graphic as what you did saw, but I watched people go in and out of a crack building one day, and I noticed one woman who came back so many times, I lost count. And while I couldn't see exactly what she was doing inside the building with the dealers, I could guess. This was on my second visit to NYC, in Harlem, which I had previously romanticized because of James Baldwin's books. I was terrified of NYC as child because of police/crime dramas on TV, and even the sitcoms joked about getting mugged. My mom went to NYC when I was 5 and I cried the whole time she was away. I was a sensitive child lol. Even when I went in '89 and '90, I was scared to ride the subway. I was still scared when my then-fiance lived there in the early 90s and I'd come in every other weekend from Connecticut to visit him in Brooklyn. And I still drove everywhere once I was living in Brooklyn with him for the first 4 months of our marriage. I got a busted tire from a pothole, and I felt like that symbolized my time there lol. But looking back, I didn't take advantage of the time there at all. We lived on Eastern Parkway, right across the street from the Brooklyn Botanic Garden, and I don't think I went once.
I didn't enjoy Brooklyn until around 2005/2006 after my first divorce. I had friends in Brooklyn and Philly, and we'd meet up usually in Brooklyn (and once in Philly; no one ever wanted to come to Pittsburgh lol) for a weekend. We'd go dancing until 4 am at APT in the Meat Packing District, then go to breakfast, and then crash as the sun was coming up. Then go to Chez Oscar (in Ft. Greene, I think) for brunch. Those were good times!
NYC to WV? That's a lot!