4 ms·

Interestingly high rate of OD deaths in a county on the Hawaiian island of Molokai. Access is pretty restricted and the whole island has a population of less th

• GFK_of_xmaspast 11y ago
  With these county maps, it's easy to get very high or very low rates of anything in sparsely-populated counties (see also all those red blotches in the mountain west). Checking wikipedia, it looks like there are 90 (!!!) people in that county; you can guess what one death does to the rates-per-100k people.
• onetwotree 11y ago
  Recovery is hard in tiny communities. All your friends are doing drugs, there are maybe 2 or 3 12-step meetings a week, no outpatient programs that you can attend while working, no sober living facilities, and treatment involves a trip to the big city. Contrast this with a modest sized city like my home of Madison, WI, where there are two rehabs in town, the land of a thousand rehabs is just across the state line, hundreds of meetings a week, and there is a thriving sober living community. Small town folks make up the majority of the recovering heroin addicts I meet here. They all took the quick trip up the road to Madison for rehab, moved into sober living in town, and stayed for the recovery community. Perhaps that's more difficult on an isolated island community? If you think it's too hard to get the dope there, you haven't met an addict in need...