{
  "alt": "County map of the United States on a violet-to-whiskey key. Most mapped counties are in the violet classes because their overdose rate is higher than their alcohol-induced rate, and the outermost violet class, where overdose is far above the alcohol-induced rate, is most common in the Mid-Atlantic, West Virginia and Louisiana. The whiskey counties, where alcohol is higher, lie mostly in the Southwest, the Mountain states, the northern Plains and the Pacific Northwest. Most counties are gray hatched because WONDER withholds a county-year count or the county has too few deaths.",
  "caption": "Violet counties have a higher overdose than alcohol-induced death rate and whiskey counties the reverse. Each class of the key is a doubling of the ratio, and the outermost classes hold counties where one rate is at least {fact:dom_f4} times the other. The overdose rate is at least {fact:dom_f2} times the alcohol-induced rate in {fact:dom_od_2x} mapped counties, and the alcohol-induced rate is at least {fact:dom_f2} times the overdose rate in {fact:dom_alc_2x}. Alcohol is the higher rate in {fact:dom_alc_west} of mapped counties in the West and {fact:dom_alc_midwest} in the Midwest, against {fact:dom_alc_south} in the South and {fact:dom_alc_ne} in the Northeast. Across the {fact:dom_both} counties whose two counts are published in every year, the overdose and alcohol-induced rates have a correlation of {fact:dom_corr} weighted by population and {fact:dom_corr_u} counting every county once.",
  "data": [],
  "id": "drug_vs_alcohol_dominance",
  "notes": [
    "A county is drawn when WONDER publishes its drug and alcohol counts in every year from 2018 to 2024 and it has at least {fact:map_floor} pooled deaths of each. WONDER withholds county-year counts above zero and below {fact:w_floor}, so a rate built from the published years of a county with withheld years would leave out its low-count years; the map uses only counties with no withheld year. That leaves {fact:dom_n} of the counties, which hold {fact:dom_pop} of residents outside Connecticut, and the tooltip gives the reason for every gray county.",
    "Those counties are selected on the outcome as well as on size. Among counties of {fact:sel_lo} to {fact:sel_hi} residents, the mean overdose rate in CDC's modeled panel is {fact:sel_od_in} in counties whose WONDER overdose count is published in every year and {fact:sel_od_out} in the rest: a county whose deaths reach {fact:w_floor} or more in every year has a high rate for its size. The map describes those counties and not counties in general.",
    "Rates are crude, not age-adjusted. Drug deaths are drug poisonings of any intent (unintentional, suicide, homicide and undetermined), alcohol-induced deaths are WONDER's alcohol-induced category, and the county ratio compares counts and populations from the same WONDER query. Connecticut's counties have no population in WONDER for 2022 to 2024, so they are gray. Valdez-Cordova AK is coded by its old code and draws on both successor areas; Kusilvak AK and Oglala Lakota SD are drawn under their current codes. Puerto Rico is not drawn."
  ],
  "source": "CDC WONDER underlying cause of death, 2018-2024; crude rates, counties with a published count in every year",
  "spec": {
    "fips": "fips",
    "legendLabel": "Alcohol-induced death rate relative to overdose death rate (log base 2 of the ratio; each class is a doubling)",
    "payload": "drug_vs_alcohol_dominance.json",
    "scale": {
      "domain": [
        -3,
        0,
        3
      ],
      "ends": [
        "More overdose deaths",
        "More alcohol-induced deaths"
      ],
      "palette": "despair",
      "thresholds": [
        -2,
        -1,
        0,
        1,
        2
      ],
      "type": "diverging"
    },
    "tooltipKeys": [
      "overdose",
      "alcohol",
      "deaths_od",
      "deaths_alc"
    ],
    "tooltipLabels": {
      "alcohol": "Alcohol-induced deaths per 100,000, 2018 to 2024",
      "deaths_alc": "Alcohol-induced deaths, 2018 to 2024",
      "deaths_od": "Overdose deaths, 2018 to 2024",
      "overdose": "Overdose deaths per 100,000, 2018 to 2024"
    },
    "value": "ratio",
    "valueFormat": {
      "digits": 1,
      "signed": true
    }
  },
  "subtitle": "Crude alcohol-induced death rate relative to crude overdose death rate, log base 2 of the ratio, counties with a published count in every year and at least 20 pooled deaths of each cause, 2018 to 2024",
  "title": "Overdose deaths exceed alcohol-induced deaths in {fact:dom_od_higher} of {fact:dom_n} mapped counties, and the {fact:dom_alc_higher} counties where alcohol is higher lie mostly in the West and Midwest",
  "type": "county-map",
  "width": "full"
}