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.
West Virginia Route 9 West Virginia Route 9 West Virginia Route 9 (WV 9) is a major east–west state highway located in the eastern extents of West Virginia's Eastern Panhandle. The western terminus of the route is at the Maryland state line north of Paw Paw, where WV 9 becomes Maryland Route 51 (MD 51) upon crossing the Potomac River. The eastern terminus is at the Virginia state line at Keyes Gap near Mannings, West Virginia, where WV 9 continues onward as Virginia State Route 9 (SR 9). With no east–west US Highway in the region, WV 9 acts as the major east–west transportation