(PBS Newshour) A southern West Virginia town in the state’s poorest county has joined other communities in seeking to recoup the costs of dealing with opioid abuse.

According to the CDC, West Virginia had the highest rate of opioid-related deaths of all states in 2015, at 41.5 per 100,000 people.

The Charleston Gazette-Mail reported that the McDowell County town of Welch filed a lawsuit Monday against five of the largest out-of-state drug distributors.

The lawsuit claims the companies delivered huge amounts of prescription pain pills that created a “public nuisance” in the town of 2,200. Welch is the county seat of McDowell County, which has the highest drug overdose death rate in the nation.

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