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The study tracks overdoses that made it to the emergency room. In WV, more people died before they got there. Kentucky, on the other hand, might be a success story.

    "Decreases in the Southeast (Kentucky and West Virginia) were unanticipated and might foreshadow changes in opioid overdose death trends in 2017," the report said. "The significant decreases in Kentucky might be explained by fluctuations in drug supply and warrant confirmation."

http://www.register-herald.com/news/cdc-report-suggests-opioid-misuse-is-still-on-the-rise/article_df0b247d-1086-5ce8-901e-02db77cf0421.html