I grew up in, went to school in and now practice medicine in West Virginia. This is unfortunately not surprising. Everyone is touched by the drug problem. Extremely sad and a very complicated, multifaceted, systemic problem here.
One important factor is the kind of heroin each area of the country consumes. The West gets tar heroin, very difficult to add fentanyl to, which keeps​ overdoses down. In the East, it's the currently very common addition of fentanyl to the powder heroin which is responsible for the huge rise in overdose deaths.
![image showing Drug Overdose Death Rates, 2015 [OC]](e732c450-9125-5e81-b2ba-87166523c7fc.jpg)
JacobRAllen on June 6th, 2017 at 12:58 UTC »
Do people in Nebraska know when to stop, or are there fewer drug users?
robot_raccoon on June 6th, 2017 at 13:28 UTC »
I grew up in, went to school in and now practice medicine in West Virginia. This is unfortunately not surprising. Everyone is touched by the drug problem. Extremely sad and a very complicated, multifaceted, systemic problem here.
truthseeeker on June 6th, 2017 at 13:48 UTC »
One important factor is the kind of heroin each area of the country consumes. The West gets tar heroin, very difficult to add fentanyl to, which keeps​ overdoses down. In the East, it's the currently very common addition of fentanyl to the powder heroin which is responsible for the huge rise in overdose deaths.