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. 2019 Aug;109(8):1084–1091. doi: 10.2105/AJPH.2019.305136

FIGURE 1—

FIGURE 1—

The Geographic Distribution of Opioid Mortality Classes by County: United States

Note. Classes are derived from absolute mortality rates in 2014–2016 and the change in rates between 2002–2004 and 2014–2016. Counties in the synthetic+ class have above average and fast-growing mortality rates from synthetic opioids alone or in combination with prescription opioids and, to a lesser extent, heroin.