|Appalachian Ohio in blue|
More than a quarter of all kids in Ohio's 32 Appalachian counties live in households without enough food, say Renuka Mayadev and Dawn Wallace-Pascoe of the Children's Defense Fund. Ohio's top 12 counties with the highest rates of child poverty are all in Appalachia.
The report found that in Appalachian Ohio, 15.4 babies per every 1,000 births are born with Neonatal Abstinence Syndrome—addiction to opiates—with numbers as high as 76 out of every 1,000 in Scioto County, on the Kentucky border. Also, "a higher percentage of babies are being born at low birthweight, putting them at increased risk of development problems and dying within the first year of life," the report says.