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 219 in West Virginia County, Maryland. U.S. Route 219 in West Virginia U.S. Route 219 (US 219) is a part of the U.S. Highway System that travels from Rich Creek, Virginia to West Seneca, New York. In the U.S. state of West Virginia, the U.S. Highway travels from the Virginia state line near Peterstown to the Maryland state line near Silver Lake. US 219 enters West Virginia in Peterstown at the split of US 219 and WV 12. US 219 then heads northeast into Union. US 219 continues through Greenbrier County running through the towns of Ronceverte, Lewisburg, where it intersects US 60, and