The Centers for Disease Control and Prevention has identified 220 U.S. counties at risk of outbreaks of H.I.V. and Hepatitis C because of the opioid crisis – thirteen are in Missouri, including 4 local counties. The CDC lists Ozark, Wright, Ripley, and Reynolds, counties as vulnerable.
Neighboring Kentucky has 54 counties on the CDC list. Tennessee is not far behind with 42 counties. West Virginia has at risk 28 counties.