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 598 598 (Bland Road) and descends the north side of the mountain into the city of Bluefield. Virginia State Route 598 State Route 598 (SR 598) is a primary state highway in the U.S. state of Virginia. Known as East River Mountain Road, the state highway runs from Interstate 77 (I-77) and U.S. Route 52 (US 52) near Rocky Gap north to the West Virginia state line near Bluefield, West Virginia, where the highway continues as West Virginia Route 598 (WV 598). SR 598 is the old alignment of US 52 on East River Mountain in far northern Bland County. SR