While West Virginia is leading the nation in poor educational outcomes, teen childbirths, incarcerations, and chronic health conditions, the Trust for America's Health says the state now leads the nation in the rate of fatal drug overdoses.

The fatal drug overdose rate is six times higher than it was about a decade ago.

The report says 28.9 per 100,000 people died of fatal overdoses in 2010.

Most of those involved prescription drugs.

That's 605 percent higher than 1999, when the rate was just 4.1 per 100,000 people.

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