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 598 West Virginia Route 598 West Virginia Route 598 is a v-shaped state highway located entirely within Bluefield, West Virginia. The southern terminus of the route is at the Virginia state line (and southern city limits of Bluefield), where WV 598 continues southward as Virginia State Route 598. The northern terminus of the route is at U.S. Route 52 in Bluefield. WV 598 is a former alignment of US 21 and US 52, the latter of which now runs through the East River Mountain Tunnel with I-77. From its southern terminus at SR 598, WV 598 runs to the south-southwest for