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 33 in West Virginia U.S. Route 33 in West Virginia In the U.S. state of West Virginia, US 33 extends from the Ohio River at Ravenswood to the Virginia state line atop Shenandoah Mountain west of Harrisonburg, Virginia. Shortly after entering West Virginia and crossing the Ohio River, US 33 turns south, joining Interstate 77 to Ripley. The route then turns east from I-77, joining US 119 at Spencer, then passing through extremely rural areas of Roane, Calhoun, Gilmer, and Lewis counties. US 33 Intersects Interstate 79 at Weston, West Virginia. From Interstate 79 east, US 33 is a four-lane highway, part of Corridor