Drug overdose deaths and Expected yearly inland flood loss
Where Drug overdose deaths is higher, Expected yearly inland flood loss tends to be higher. The link is weak: +0.34 across 1,774 counties, on a scale from −1 (opposite) to +1 (in step). That figure compares places with the same population density, income and education, so those differences can't explain it. It holds inside states too. Measured separately within each of 30 states, the middle value of the link is +0.17.
Holds after adjusting
Every place, plotted
One dot for each place reporting both measures. Hover over or tap a dot to see its name and values. The thin line is the straight line that best fits the dots. The bold line, shown for counties, is the link after adjusting for density, income and education. A dot far from the lines is a place that does not follow the pattern.
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What each measure is
Drug overdose deaths
Deaths from drug overdose per 100,000 people, from any drug.
County Health Rankings · County Health Rankings v138
Expected yearly inland flood loss
The damage flooding from rivers and heavy rain is expected to do to buildings in an average year, in dollars for every $100,000 that the buildings are worth. Flooding from the sea is not included. FEMA works it out from flood maps and the floods recorded since 1996.
FEMA National Risk Index · FEMA National Risk Index v1.20, NRI_Table_Counties / NRI_Table_States, IFLD_ALRB
Highest and lowest
Where each measure is highest and lowest among the places reporting both (2023), with the other measure beside it. This is shown for every size of place where both are published. Metro-area values are added up from their counties. A measure that cannot be added up across counties, such as a middle value (median), has no metro figure. Counts are shown per 1,000 residents, since raw totals would only list the largest places. Cities and towns and ZIP codes are shown where the Census survey or the CDC publishes them; most other sources stop at the county. They are shown for places of 5,000 residents or more, and only where the survey’s margin of error is small enough for the figure to be usable. The CDC publishes its health estimates for cities in a version adjusted for age, so places with older or younger people can be compared fairly, but not for ZIP codes.
Counties
By drug overdose deaths
| Drug overdose deaths | Expected yearly inland flood loss | |
|---|---|---|
| Highest | ||
| McDowell County, WV | 181 | 341 |
| Logan County, WV | 164 | 404 |
| Baltimore city, MD | 144 | 44.1 |
| Raleigh County, WV | 138 | 98.2 |
| Cabell County, WV | 132 | 176 |
| Lowest | ||
| Hidalgo County, TX | 5.37 | 45 |
| Cameron County, TX | 6.05 | 49.6 |
| Limestone County, AL | 6.55 | 98.7 |
| Gallatin County, MT | 7.14 | 54.6 |
| Lincoln County, SD | 7.43 | 64 |
By expected yearly inland flood loss
| Drug overdose deaths | Expected yearly inland flood loss | |
|---|---|---|
| Highest | ||
| Floyd County, KY | 88.4 | 651 |
| Wetzel County, WV | 60.3 | 476 |
| Martin County, KY | 72.1 | 458 |
| Hawaii County, HI | 15.8 | 444 |
| Wyoming County, WV | 120 | 428 |
| Lowest | ||
| Anchorage Municipality, AK | 39.3 | 0 |
| Virginia Beach city, VA | 25.4 | 16.5 |
| Ketchikan Gateway Borough, AK | 36.4 | 17.4 |
| Juneau City and Borough, AK | 33.5 | 20.3 |
| Rolette County, ND | 39.3 | 22.2 |
States
By drug overdose deaths
| Drug overdose deaths | Expected yearly inland flood loss | |
|---|---|---|
| Highest | ||
| West Virginia | 78 | 206 |
| District of Columbia | 64.5 | 29.9 |
| Tennessee | 51 | 83.8 |
| Delaware | 50.1 | 82.5 |
| Kentucky | 49.9 | 127 |
| Lowest | ||
| South Dakota | 10.5 | 86.9 |
| Nebraska | 11.1 | 83.4 |
| Iowa | 14.4 | 80.8 |
| Texas | 16.5 | 81 |
| North Dakota | 16.6 | 57 |
By expected yearly inland flood loss
| Drug overdose deaths | Expected yearly inland flood loss | |
|---|---|---|
| Highest | ||
| Hawaii | 19.3 | 230 |
| West Virginia | 78 | 206 |
| California | 26.1 | 149 |
| Arizona | 36 | 139 |
| Kentucky | 49.9 | 127 |
| Lowest | ||
| Alaska | 30.7 | 15 |
| District of Columbia | 64.5 | 29.9 |
| Maryland | 44 | 40.1 |
| Utah | 19.2 | 52.2 |
| Maine | 44.2 | 56 |
Metro areas — Expected yearly inland flood loss is not published for metro areas
By drug overdose deaths
| Drug overdose deaths | Expected yearly inland flood loss | |
|---|---|---|
| Highest | ||
| Portsmouth, OH | 126 | — |
| Beckley, WV | 125 | — |
| Española, NM | 111 | — |
| Charleston, WV | 104 | — |
| Bluefield, WV-VA | 97 | — |
| Lowest | ||
| McAllen-Edinburg-Mission, TX | 5.37 | — |
| Brownsville-Harlingen, TX | 6.05 | — |
| Bozeman, MT | 7.14 | — |
| Ames, IA | 7.73 | — |
| Grand Island, NE | 8.1 | — |
Counties furthest from the pattern
Compared with the straight line that best fits all 1,774 counties: the five with far more expected yearly inland flood loss than their drug overdose deaths would suggest, and the five with far less.
| Drug overdose deaths | Expected yearly inland flood loss | |
|---|---|---|
| Above the line | ||
| Floyd County, KY | 88.4 | 651 |
| Hawaii County, HI | 15.8 | 444 |
| Wetzel County, WV | 60.3 | 476 |
| Martin County, KY | 72.1 | 458 |
| Clay County, KY | 56.9 | 404 |
| Below the line | ||
| Baltimore city, MD | 144 | 44.1 |
| Petersburg city, VA | 112 | 48.9 |
| Menominee County, WI | 123 | 67.7 |
| Mahnomen County, MN | 111 | 59.4 |
| Pamlico County, NC | 90.8 | 40.4 |
Two series, one county
Both measures over time for a county you pick. The two charts are stacked, so they share only the years along the bottom. You can pick from the thirty largest counties reporting both. This panel covers 2010–2024, and a measure published only once shows as a single dot.
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Every version of the link
Each row measures the same link, from −1 to +1, in a different way. If the rows mostly agree, the link does not depend on one choice of method.
| Before adjusting for anything | +0.352 | 1,774 counties reporting both |
| After adjusting for density, income and education | +0.342 | the part of the link that is not just how urban, rich and educated a place is |
| Also adjusting for population size | +0.348 | size taken out as well as density |
| Also comparing only within each state | +0.217 | each county is compared only with others in its own state, so this is no longer a comparison between states |
| Giving bigger counties more weight | +0.084 | the adjusted link for the average resident rather than the average county. With this weighting, the data counts for about 260 equally weighted counties |
| Middle value inside single states | +0.167 | the link worked out inside each of 30 states with at least 20 counties reporting |
| Using ranks, after adjusting | +0.176 | uses each county’s rank, not its value, so a few extreme counties cannot create the link |
How much to believe it
Could it be chance?
The p-value is the chance of seeing a link this strong if there were really none. A value of 0.05 or less means the link is unlikely to be chance. Very small values are written in short form: 3.1e-16 means 0.00000000000000031, and the bigger the number after “e-”, the smaller the value. Treating every county as a separate case gives p = 8.7e-50. But counties in the same state tend to resemble each other, so the better figure allows for that: p = 0.004. The site tested 29,403 pairs, and testing so many turns up some flukes. The q-value allows for that too. For this pair it is 5.6e-49.
Do nearby places look alike?
Moran’s I measures how much nearby places look alike: 0 means no map pattern, and higher means neighbours are more similar. For the part of each county that the adjustment leaves unexplained, it is +0.49 (p = 0.001). That unexplained part still clusters on the map. So some regional factor shared by both measures is not accounted for.
Did they change together?
Not measurable: at least one of these is published for too few of the years a change needs (2014–2019 or 2019–2023), or for too few counties in both.
Related pairs
- Drug overdose deaths and Years of potential life lost — +0.53
- Land surface form (flat to mountainous) and Expected yearly inland flood loss — +0.46
- Drug overdose deaths and Premature mortality — +0.44
- Life expectancy and Drug overdose deaths — -0.42
- Frequent mental distress and Drug overdose deaths — +0.42
- Arthritis and Drug overdose deaths — +0.36
- Depression and Drug overdose deaths — +0.34
- Current asthma and Drug overdose deaths — +0.32
Association only. Nothing here shows that either measure changes the other. This describes counties, not the people in them. Two measures going together across places does not mean the same people have both. How the US county data works · Explore Drug overdose deaths and Expected yearly inland flood loss