In the figure above, you can see how New York City has (for the last decade) lower opioid death rates than upstate New York. While often stigmatized as an urban problem, the opioid crisis it much more deadly beyond the 5 boroughs.

For more, see: https://www.health.ny.gov/statistics/opioid/data/pdf/nys_opioid_annual_report_2019.pdf