Updated Aug 13, 2018

The congressional districts with the most opioids per person

Expand chart
Data: Opioid Prescribing Rates by Congressional District, United States, 2016. Note: The prescription rates are from 2016, but the map reflects the current representatives of the district. In Ohio’s 12th district, Troy Balderson is listed as the representative, but the race is currently too close to call. Correction: This map has been updated to use the previous district boundaries for Pennsylvania, before redistricting. A previous version of this map used the 2018 election district boundaries. Map: Kerrie Vila/Axios

The areas most flooded with prescription opioids are mostly represented by Republicans. The opioid crisis has taken a steep toll nationwide, but the South and Appalachia are particularly inundated with highly addictive prescription painkillers.

What's next: The House passed roughly 60 opioid-related bills in June; a timeline for getting a full package all the way to President Trump's desk is not yet clear. The administration — most notably the Food and Drug Administration — has also embraced new steps to help combat the addiction epidemic.

Between the lines: This is an association, not necessarily a cause-and-effect relationship. The abuse of prescription painkillers is worst in the South and Appalachia, which are predominantly represented by Republicans.

  • And it's often worse in rural areas than in major cities — note how much the Atlanta area stands out from the rest of the Deep South for its comparatively low levels of opioids per capita.

The big picture: Members of Congress from those districts are likely to hear about the opioid epidemic during their re-election campaigns, even if they're not in competitive races — which heightens the urgency of getting the legislation to Trump's desk.

  • A CBS News poll in May found that nearly eight out of 10 Americans want the federal government to do more to address it.

Prescription opioids are the main target of the federal response so far. The House's package includes bills to change the way some prescription drugs are packaged and how patients return unused drugs.

  • But the epidemic has spread well beyond prescription drugs: Fentanyl and heroin are now associated with more overdoses than prescription drugs.

The big picture: Experts say Congress' efforts are a worthwhile start, but that the main thing Washington needs to do is come up with a lot more money for addiction treatment programs.

  • Public-health experts have praised the FDA for embracing medication-assisted therapy — products like methadone that help reduce the symptoms of withdrawal so people are less likely to return to more dangerous and addictive illicit drugs.

Go deeper

Cuomo says New York is "literally going day-to-day with our supplies"

New York Gov. Andrew Cuomo said in a press conference on Sunday that New York is struggling to maintain medical supplies while combatting the novel coronavirus — operating "literally" on a "day-to-day" basis.

Why it matters: New York City has become an epicenter of the coronavirus outbreak, facing mass quarantines and stay-at-home orders. Cuomo said Saturday that New York reported 630 new deaths in 24 hours — an "all-time increase" that beat the previous day's record of 562 deaths.

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 11 a.m. ET: 1,225,360 — Total deaths: 66,542 — Total recoveries: 252,615Map.
  2. U.S.: Total confirmed cases as of 11 a.m. ET: 312,249 — Total deaths: 8,503 — Total recoveries: 15,021Map.
  3. Public health latest: CDC launches national trackers and recommends face coverings in public. Federal government will cover costs of COVID-19 treatment for uninsured. Surgeon general says this week will be "our Pearl Harbor, our 9/11 moment."
  4. 2020 latest: "We have no contingency plan," Trump said on the 2020 Republican National Convention. "We're having the convention at the end of August." Biden says DNC may have to hold virtual convention.
  5. States updates: The Louisiana governor warned that his state is set to run out of ventilators in four days. Illinois governor claims Trump doesn't understand the word "federal."
  6. Oil latest: Monday meeting among oil-producing countries to discuss supply curbs is reportedly being delayed amid tensions between Saudi Arabia and Russia.
  7. Work update: Employees still going to work are often facing temperature checks, distanced work stations, protective devices and mass absences.
  8. What should I do? Pets, moving and personal health. Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  9. Other resources: CDC on how to avoid the virus, what to do if you get it.

Subscribe to Mike Allen's Axios AM to follow our coronavirus coverage each morning from your inbox.

Illinois governor: "The president does not understand the word 'federal'"

Illinois Gov. J.B. Pritzker said on CNN's "State of the Union" Sunday that President Trump's comments about the federal government's stockpile of medical equipment suggest he "does not understand the word 'federal.'"

Why it matters: White House adviser Jared Kushner argued at a press briefing last week that the "notion of the federal stockpile was it’s supposed to be our stockpile; it’s not supposed to be state stockpiles that they then use."