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.
U.S. Route 52 in West Virginia U.S. Route 52 in West Virginia U.S. Route 52 (US 52) skirts the western fringes of the U.S. state of West Virginia. It runs from the Virginia state line near Bluefield, where it is concurrent with Interstate 77 (I-77), in a general northwest and north direction to I-64 at Kenova. There it turns east, overlapping I-64 for before splitting off onto the West Huntington Expressway into Ohio via the West Huntington Bridge. Despite having an even number, US 52 is signed north–south in West Virginia. In some other states along its route, it is signed east-west. The West Virginia segment