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Me either, I'd think Wyoming would have a low baseline regardless since it's a windswept hellscape half the year. Also it's the least populated state. Wyoming is a strange place so I suppose it's not strange for it to be an outlier. Official Los Angeles Lakers shirt If I had to take a shot in the dark at a hypothesis it would be that it's just not profitable to ship drugs to wyoming so they are relatively unaffected by heroin. It also seems to be in the lower end of painkiller scripts per capita. As is California. The entire map overlays pretty neatly with opioid painkiller scripts per capita, there is definitely some type of co morbidity involved. Whether its prescribed more due to more accidents from bad labor practices or heroin overdoses indirectly caused by use of these drugs.

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