An epidemiologist testifying at West Virginia's ongoing trial against three major pharmaceutical companies said the influx of prescription opioids into communities was the main driver of the state’s drug crisis.
Keyes described West Virginia, one of the poorest U.S. states, as the “epicenter of the opioid crisis in the U.S.” More people have died of overdoses in the state per capita than any other, all while the state has been grappling with a loss of jobs from the declining coal industry. West Virginia was one of the only U.S. states to lose population during the 2020 U.S. census.
“Economic factors certainly are important and certainly play a role and we should be paying attention to those, but the opioid supply is by far the predominant risk factor,” she said.2021 study reviewing opioid shipments to retail pharmacies across the country showed that Mingo County, West Virginia, had the highest rate of per capita pill volume in the country in 2008. The county saw an influx of 372 pills per capita, compared with a population-weighted national average of around 35.
Lawyers representing the pharmaceutical companies said West Virginia has greater rates of prescription drug use across the board. They also said there are higher rates of individuals who are diagnosed with chronic pain conditions in the state compared with the national average, a statistic likely related to the higher number of people working jobs that require manual labor.
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