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 191 Virginia State Route 191 State Route 191 (SR 191) is a primary state highway in the U.S. state of Virginia. Known as Jolliff Road, the state highway runs from U.S. Route 13, US 58, US 460, and US 460 Alternate north to SR 337 within the independent city of Chesapeake. SR 191 begins at a four-way intersection with US 13, US 58, US 460, and US 460 Alternate in the Bower's Hill area of the city of Chesapeake. US 13, US 58, US 460 head west as Military Highway toward Suffolk; just west of the intersection is the U.S. Highways'