That's 32 pills per person per day.
Source: Wikipedia
Drug firms poured 780M painkillers into WV amid rise of overdoses. (Charleston Gazette-Mail, 12/17/2016)
Rural [96% white] and poor, Mingo County [where Kermit is located] has the fourth-highest prescription opioid death rate of any county in the United States. The trail also weaves through Wyoming County, where shipments of OxyContin have doubled, and the county's overdose death rate leads the nation. One mom-and-pop pharmacy in Oceana received 600 times as many oxycodone pills as the Rite Aid drugstore just eight blocks away.
Kermit pharmacies:
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