West Virginia per year, with 1,400 of those statistically attributed to deaths from heart, respiratory and kidney disease from living in an Appalachian coal county. In 2015, McDowell County had the highest rate of drug-induced deaths of any county in the United States, with a rate of 141 deaths per 100,000 people. Four of the five US counties with the highest rates of drug-induced deaths are located in West Virginia (McDowell, Wyoming, Cabell and Raleigh Counties). West Virginia's capital and seat of government is the city of Charleston, located in the southwest area of the state. The West Virginia Legislature is bicameral.
Virginia State Route 20 Virginia State Route 20 State Route 20 (SR 20) is a primary state highway in the U.S. state of Virginia. The state highway runs from U.S. Route 15 (US 15) in Dillwyn north to SR 3 in Wilderness. SR 20 is a C-shaped route that connects Charlottesville with Farmville (via US 15) in Southside Virginia. The state highway also links Charlottesville to Fredericksburg (via SR 3) by way of Orange County, within which SR 20 is the main east–west highway and intersects US 15 again in the county seat of Orange. SR 20 is a Virginia Byway from Scottsville to