Counties With the Worst Drug Problem in Every State

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Source: Jeffrey Beall / Wikimedia Commons

41. Pennington County, South Dakota
> Annual drug deaths per 100,000 residents: 10.9 (county) 8.0 (state)
> Drug-related deaths, 2012-16: 54 (county) 274 (state)
> Poverty rate: 13.8%
> Population 107,298

Source: Brian Stansberry / Wikimedia Commons

42. Overton County, Tennessee
> Annual drug deaths per 100,000 residents: 37.4 (county) 22.4 (state)
> Drug-related deaths, 2012-16: 41 (county) 5,900 (state)
> Poverty rate: 20.0%
> Population 22,090

Source: Larry D. Moore / Wikimedia Commons

43. Orange County, Texas
> Annual drug deaths per 100,000 residents: 29.9 (county) 10.1 (state)
> Drug-related deaths, 2012-16: 123 (county) 11,030 (state)
> Poverty rate: 15.2%
> Population 83,751

Source: LIC Habeeb at Malayalam Wikipedia / Wikimedia Commons

44. Carbon County, Utah
> Annual drug deaths per 100,000 residents: 43.8 (county) 21.7 (state)
> Drug-related deaths, 2012-16: 46 (county) 2,581 (state)
> Poverty rate: 15.5%
> Population 20,733

Source: Wikimedia Commons

45. Windham County, Vermont
> Annual drug deaths per 100,000 residents: 17.1 (county) 17.2 (state)
> Drug-related deaths, 2012-16: 38 (county) 431 (state)
> Poverty rate: 14.0%
> Population 43,609