Select Maps
| Map 1 | Map 2 | |
|---|---|---|
| Opioid Indicators | ||
| Drug-related Deaths | ||
| Age-adjusted Drug Poisoning Deaths per 100,000 (Modeled) | ||
| Opioid Prescriptions per 100 Persons | ||
| Number of 30 Days Supply of Opioids per Part D Enrollee | ||
| Vulnerable County Rank | ||
| HIV Indicators | ||
| Number of People Living with Diagnosed HIV | ||
| Number or People Living with Diagnosed HIV per 100,000 | ||
| New HIV Diagnoses | ||
| Counties and States included in the Ending the HIV Epidemic Plan | ||
| Services Indicators | ||
| Facilities Providing Substance Abuse Services | ||
| Facilities Providing Some Medication Assisted Treatment | ||
| Facilities Providing All Medication Assisted Treatments | ||
| Providers Licensed to Administer Buprenorphine | ||
| Syringe Exchange Programs | ||
| Distance to Nearest SSP | ||
| Distance to Nearest Substance Abuse Facility providing MAT | ||
| Other Indicators | ||
| Unemployment Rate | ||
| Percent of People without Health Insurance | ||
Kentucky Opioid Epidemic
Most Vulnerable Counties
The CDC has identified 220 counties at risk of outbreaks of HIV and/or hepatitis C as a result of the opioid epidemic. These represent only the top 5% of counties in the nation based on 6 factors assessed. Health officials responsible for these counties should be particularly sensitive to ensure targeted, evidence-based interventions and services are available. The article abstract is available here.
- Wolfe County National Rank: 1
- Breathitt County National Rank: 3
- Perry County National Rank: 4
- Clay County National Rank: 5
- Bell County National Rank: 6
- Leslie County National Rank: 8
- Knox County National Rank: 9
- Floyd County National Rank: 10
- Clinton County National Rank: 11
- Owsley County National Rank: 12
- Whitley County National Rank: 14
- Powell County National Rank: 15
- Knott County National Rank: 17
- Pike County National Rank: 21
- Magoffin County National Rank: 23
- Estill County National Rank: 25
- Lee County National Rank: 30
- Menifee County National Rank: 31
- Martin County National Rank: 34
- Boyle County National Rank: 35
- Lawrence County National Rank: 39
- Rockcastle County National Rank: 40
- Harlan County National Rank: 45
- McCreary County National Rank: 48
- Letcher County National Rank: 50
- Johnson County National Rank: 53
- Russell County National Rank: 54
- Elliott County National Rank: 56
- Laurel County National Rank: 65
- Carroll County National Rank: 67
- Taylor County National Rank: 75
- Grant County National Rank: 77
- Adair County National Rank: 93
- Lincoln County National Rank: 97
- Wayne County National Rank: 99
- Cumberland County National Rank: 101
- Gallatin County National Rank: 108
- Bath County National Rank: 125
- Grayson County National Rank: 126
- Greenup County National Rank: 129
- Green County National Rank: 132
- Casey County National Rank: 153
- Carter County National Rank: 154
- Monroe County National Rank: 163
- Garrard County National Rank: 167
- Robertson County National Rank: 175
- Lewis County National Rank: 178
- Edmonson County National Rank: 179
- Allen County National Rank: 180
- Boyd County National Rank: 187
- Hickman County National Rank: 191
- Breckinridge County National Rank: 202
- Campbell County National Rank: 212
- Mercer County National Rank: 214
State Opioid Policies
Several policies can mitigate the impact of increased opioid use. These include legislation permitting the operation of syringe exchange programs, good samaritan laws that provide legal protections to bystanders who call for help in the event of an overdose, and state Medicaid coverage of methadone for the treatment of opioid use disorder. In addition, states experiencing, or at an elevated risk of, experiencing HIV or hepatitis outbreaks may use federal DHHS funds to support syringe service programs. In order to be eligible to do so, state, local, tribal, and territorial health departments must consult with CDC and provide evidence demonstrating risk.
Syringe Exchange Programs are Legal (2021)
Good Samaritan Law Does Not Protect from Parole/Probation Violations (2018)
State Medicaid Program does Not Cover Methadone (2017)
State Trends
Federal Funding to Kentucky
The Substance Abuse and Mental Health Services Administration (SAMHSA) makes grants to fight the opioid epidemic through several programs. The largest of these are the Opioid State Targeted Response (STR) and State Opioid Response (SOR) grants. Several smaller grant programs are also available.
STR grants: $10,528,100 (2018)
SOR grants: $31,207,500 (2018)
The Centers for Disease Control and Prevention (CDC) provides leadership in improving public health by working with community, state, national, and international partners in surveillance, research, and prevention and evaluation activities. The Division of HIV/AIDS Prevention (DHAP) and the Division of Viral Hepatitis (DVH) are responsible for HIV and viral hepatitis control activities, respectively. The National Center for Injury Prevention and Control (NCIPC) provides grants to states for both illicit and prescription opioid monitoring and research.
HIV/AIDS: $5,301,190 (2022)
Viral Hepatitis: $208,467 (2022)
Injury - Opioids: $8,831,230 (2022)
The Ryan White HIV/AIDS Program provides a comprehensive system of care that includes primary medical care and essential support services for people living with HIV who are uninsured or underinsured. The Program works with cities, states, and local community-based organizations to provide HIV care and treatment services to more than half a million people each year.
Ryan White: $13,337,500 (2016)
The Housing Opportunities for Persons With AIDS (HOPWA) Program is the only Federal program dedicated to the housing needs of people living with HIV/AIDS. Under the HOPWA Program, HUD makes grants to local communities, States, and nonprofit organizations for projects that benefit low-income persons living with HIV/AIDS and their families.
HOPWA: $2,083,900 (2021)
| * Small values are suppressed to preserve confidentiality. State-level data include the suppressed estimates so county rows will not sum to state totals. |
Data Explorer
County | Number of People Living with Diagnosed HIV (2021) | New HIV Diagnoses per 100,000 (2023) | Number or People Living with Diagnosed HIV per 100,000 (2021) | Estimated Acute Hepatitis C Cases per 100,000 (2017) |
|---|---|---|---|---|
| United States | 1,071,000 | * | 382 | 1.60 |
| Kentucky | 8,137 | * | 215 | 4.40 |
| Adair County | 16 | 0 | 98 | Data not reported to CDC |
| Allen County | 15 | 0 | 86 | Data not reported to CDC |
| Anderson County | 24 | 0 | 119 | Data not reported to CDC |
| Ballard County | 7 | 0 | 0 | Data not reported to CDC |
| Barren County | 36 | 0 | 97 | Data not reported to CDC |
| Bath County | 5 | 0 | 0 | Data not reported to CDC |
| Bell County | 18 | 0 | 89 | Data not reported to CDC |
| Boone County | 109 | 0 | 97 | Data not reported to CDC |
| Bourbon County | 13 | 0 | 76 | Data not reported to CDC |
| Boyd County | 77 | 0 | 189 | Data not reported to CDC |
| Boyle County | 24 | 0 | 91 | Data not reported to CDC |
| Bracken County | 5 | 0 | 71 | Data not reported to CDC |
| Breathitt County | 10 | 0 | 87 | Data not reported to CDC |
| Breckinridge County | 24 | 0 | 138 | Data not reported to CDC |
| Bullitt County | 45 | 0 | 64 | Data not reported to CDC |
| Butler County | 10 | 0 | 97 | Data not reported to CDC |
| Caldwell County | 18 | 0 | 170 | Data not reported to CDC |
| Calloway County | 16 | 0 | 49 | Data not reported to CDC |
| Campbell County | 143 | 0 | 180 | Data not reported to CDC |
| Carlisle County | * | 0 | 0 | Data not reported to CDC |
| Carroll County | 5 | 0 | 57 | Data not reported to CDC |
| Carter County | 5 | 0 | 23 | Data not reported to CDC |
| Casey County | 5 | 0 | 38 | Data not reported to CDC |
| Christian County | 119 | 0 | 209 | Data not reported to CDC |
| Clark County | 8 | 0 | 26 | Data not reported to CDC |
| Clay County | 14 | 0 | 81 | Data not reported to CDC |
| Clinton County | 8 | 0 | 102 | Data not reported to CDC |
| Crittenden County | 5 | 0 | 0 | Data not reported to CDC |
| Cumberland County | 6 | 0 | 121 | Data not reported to CDC |
| Daviess County | 98 | 0 | 115 | Data not reported to CDC |
| Edmonson County | 6 | 0 | 56 | Data not reported to CDC |
| Elliott County | 9 | 0 | 139 | Data not reported to CDC |
| Estill County | 11 | 0 | 0 | Data not reported to CDC |
| Fayette County | 1,131 | 0 | 412 | Data not reported to CDC |
| Fleming County | 6 | 0 | 48 | Data not reported to CDC |
| Floyd County | 15 | 0 | 50 | Data not reported to CDC |
| Franklin County | 77 | 0 | 174 | Data not reported to CDC |
| Fulton County | 8 | 0 | 0 | Data not reported to CDC |
| Gallatin County | 5 | 0 | 0 | Data not reported to CDC |
| Garrard County | 14 | 0 | 95 | Data not reported to CDC |
| Grant County | 10 | 0 | 49 | Data not reported to CDC |
| Graves County | 53 | 0 | 175 | Data not reported to CDC |
| Grayson County | 10 | 0 | 45 | Data not reported to CDC |
| Green County | 12 | 0 | 125 | Data not reported to CDC |
| Greenup County | 29 | 0 | 95 | Data not reported to CDC |
| Hancock County | 7 | 0 | 93 | Data not reported to CDC |
| Hardin County | 183 | 0 | 199 | Data not reported to CDC |
| Harlan County | 11 | 0 | 51 | Data not reported to CDC |
| Harrison County | 8 | 0 | 0 | Data not reported to CDC |
| Hart County | 10 | 0 | 62 | Data not reported to CDC |
| Henderson County | 69 | 0 | 185 | Data not reported to CDC |
| Henry County | 14 | 0 | 106 | Data not reported to CDC |
| Hickman County | 5 | 0 | 0 | Data not reported to CDC |
| Hopkins County | 31 | 0 | 82 | Data not reported to CDC |
| Jackson County | 16 | 0 | 148 | Data not reported to CDC |
| Jefferson County | 3,373 | 0 | 514 | Data not reported to CDC |
| Jessamine County | 73 | 0 | 163 | Data not reported to CDC |
| Johnson County | 11 | 0 | 58 | Data not reported to CDC |
| Kenton County | 370 | 0 | 262 | Data not reported to CDC |
| Knott County | 6 | 0 | 50 | Data not reported to CDC |
| Knox County | 12 | 0 | 48 | Data not reported to CDC |
| Larue County | 5 | 0 | 0 | Data not reported to CDC |
| Laurel County | 58 | 0 | 111 | Data not reported to CDC |
| Lawrence County | 5 | 0 | 37 | Data not reported to CDC |
| Lee County | 9 | 0 | 139 | Data not reported to CDC |
| Leslie County | 0 | 0 | 0 | Data not reported to CDC |
| Letcher County | 9 | 0 | 50 | Data not reported to CDC |
| Lewis County | 8 | 0 | 73 | Data not reported to CDC |
| Lincoln County | 9 | 0 | 0 | Data not reported to CDC |
| Livingston County | 7 | 0 | 91 | Data not reported to CDC |
| Logan County | 25 | 0 | 109 | Data not reported to CDC |
| Lyon County | 12 | 0 | 151 | Data not reported to CDC |
| Madison County | 69 | 0 | 85 | Data not reported to CDC |
| Magoffin County | 6 | 0 | 0 | Data not reported to CDC |
| Marion County | 11 | 0 | 67 | Data not reported to CDC |
| Marshall County | 18 | 0 | 66 | Data not reported to CDC |
| Martin County | 8 | 0 | 83 | Data not reported to CDC |
| Mason County | 19 | 0 | 134 | Data not reported to CDC |
| McCracken County | 137 | 0 | 241 | Data not reported to CDC |
| McCreary County | 27 | 0 | 189 | Data not reported to CDC |
| McLean County | 7 | 0 | 92 | Data not reported to CDC |
| Meade County | 19 | 0 | 75 | Data not reported to CDC |
| Menifee County | 6 | 0 | 110 | Data not reported to CDC |
| Mercer County | 12 | 0 | 62 | Data not reported to CDC |
| Metcalfe County | 5 | 0 | 0 | Data not reported to CDC |
| Monroe County | 5 | 0 | 0 | Data not reported to CDC |
| Montgomery County | 30 | 0 | 127 | Data not reported to CDC |
| Morgan County | 6 | 0 | 0 | Data not reported to CDC |
| Muhlenberg County | 23 | 0 | 88 | Data not reported to CDC |
| Nelson County | 30 | 0 | 76 | Data not reported to CDC |
| Nicholas County | 5 | 0 | 0 | Data not reported to CDC |
| Ohio County | 7 | 0 | 35 | Data not reported to CDC |
| Oldham County | 83 | 0 | 145 | Data not reported to CDC |
| Owen County | 6 | 0 | 62 | Data not reported to CDC |
| Owsley County | * | 0 | 0 | Data not reported to CDC |
| Pendleton County | 7 | 0 | 57 | Data not reported to CDC |
| Perry County | 25 | 0 | 107 | Data not reported to CDC |
| Pike County | 25 | 0 | 51 | Data not reported to CDC |
| Powell County | 6 | 0 | 55 | Data not reported to CDC |
| Pulaski County | 41 | 0 | 74 | Data not reported to CDC |
| Robertson County | 0 | 0 | 0 | Data not reported to CDC |
| Rockcastle County | 8 | 0 | 58 | Data not reported to CDC |
| Rowan County | 21 | 0 | 98 | Data not reported to CDC |
| Russell County | 5 | 0 | 33 | Data not reported to CDC |
| Scott County | 46 | 0 | 95 | Data not reported to CDC |
| Shelby County | 58 | 0 | 142 | Data not reported to CDC |
| Simpson County | 18 | 0 | 110 | Data not reported to CDC |
| Spencer County | 5 | 0 | 0 | Data not reported to CDC |
| Taylor County | 10 | 0 | 46 | Data not reported to CDC |
| Todd County | 13 | 0 | 131 | Data not reported to CDC |
| Trigg County | 10 | 0 | 83 | Data not reported to CDC |
| Trimble County | 0 | 0 | 0 | Data not reported to CDC |
| Union County | 13 | 0 | 109 | Data not reported to CDC |
| Warren County | 177 | 0 | 155 | Data not reported to CDC |
| Washington County | 14 | 0 | 139 | Data not reported to CDC |
| Wayne County | 16 | 0 | 96 | Data not reported to CDC |
| Webster County | 0 | 0 | 0 | Data not reported to CDC |
| Whitley County | 8 | 0 | 27 | Data not reported to CDC |
| Wolfe County | 9 | 0 | 0 | Data not reported to CDC |
| Woodford County | 27 | 0 | 118 | Data not reported to CDC |
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