Where you live matters when it comes to getting powerful painkillers. No state in the country is immune to problems associated with opioid abuse.

Overall, opioid-prescribing declines between 2010 and 2015, but remains at high levels and varies from state to state, according to a report from The Centers for Disease Control and Prevention.

In states where doctors are prescribing the drugs, they are prescribing a lot of them.

“We’re now experiencing the highest drug overdose death rates ever recorded in the United States, driven by prescription opioids and by illicit opioids,” CDC Acting Director Anne Schuchat says. “With opioid medications, we’re still seeing too many getting too much for too long.”

Providers in the highest-prescribing counties prescribed six times more opioids per person than in the lowest-prescribing counties in 2015.

“The amount of opioids prescribed in 2015 was enough for every American to be medicated round the clock for three weeks.”

Schuchat adds, “No part of the country is spared; we see within every state some high-prescribing counties.

“The Appalachian region has been really hard-hit.”

Schuchat says counties with a higher prevalence of people with diabetes or arthritis or disability, had higher rates of prescribing. “And that kind of makes sense in terms of those conditions perhaps directly or indirectly being associated with greater pain issues,” she explains.