For a village of 400 people, you would expect anywhere between 1,000 and 0 opioid pills a year...
Just to make sure it's acknowledged, the kermit one's just flat nuts, yeah. I could
maybe see those numbers of huntington, just going by US prescription rates (which are probably themselves somewhere in crazyland compared to how things work regarding the NHS -- from what I've seen, even this long into the opioid crisis docs are very, very casual about prescribing opioids), but the kermit one boggles even the possibility of reason. Idle look into it suggests there was a lot of tourism coming into that town to pick up prescriptions*, but that'd have to do a hell of a lot of lifting to get those kind of numbers.
But yeah, making it clear, I do think the kind of numbers huntington saw is fucking nuts. I'm just less sure they're
unusual for (parts of) the US. It's an indictment of the state of US healthcare more than anything, heh.
Funny thing is, from that map posted it kinda' looks like they were actually a little
below their state's average at the time, so have fun with that one.
... though there's also a dash of frustration with the reporting involved. 81 million sounds like a scary number, but the presentation involved with it was shit -- you gave better context on that in a maybe an hour without pay than those reporters did in who knows how much time for a paycheck :V
*Though, in something vaguely resembling fairness for that one, it's not actually uncommon for folks to go across state lines to pick up prescriptions in the US... lot of times it's just cheaper to do that for whatever reason, or access just isn't available where you live.