Columbiana County, OH U.S.DR RANK #861 of 3144 (1 Worst) moved up 346 sickening notches from #1207 to #861 highest worst DR (death rate) in U.S. recent 9 years, 11.6% death increase, 1,233 more deaths recent 9 years! Deaths prior to the Norfolk Southern Railroad train derailment.
Norfolk Southern Railroad train derailed in East Palestine, Ohio in Columbiana County, Ohio on Feb. 3, 2023 after a rail car axle failed from a mechanical defect. The derailment damaged about 50 cars, 11 of which contained hazardous materials. Five cars contained vinyl chloride, a known carcinogen, which safety crews vented and burned. cars that derailed contained several other hazardous materials, including butyl acrylate, ethylene glycol monobutyl ether, ethylhexyl acrylate and isobutylene. Two cars also had benzene residue. https://www.cbsnews.com/philadelphia/news/what-is-vinyl-chloride-what-other-chemicals-were-on-train-derailed-east-palestine-ohio-paulsboro-new-jersey/

Ohio has 12th highest WORST, ages 15-34 years old death rate in U.S. recent 7 years (#1 is worst). Ohio had HORRIFIC #3 worst young death increase 33.3% recent 7 years! #2 worst ages 15-34 years old DEATH RATE INCREASE increased 28.6 points recent 7 years! https://hiskingdomnumbersmatter.blogspot.com/p/warn-kids-addictive-deadly-illicit.html
-----------------------------------------------------------------------------------------------------------------------------------Medicinal and Rec need tight lid to keep kids safe, otherwise leads kids right into illicit opiate destructionMichigan chart below is an example of what happens to young when unclear lax laws presented to voters and are allowed to exist, see chart below.  Crude deaths in Michigan were going down in ages 15-34 years old until 2008, when medicinal heavy over-prescribing happened. The 2008 Michigan marijuana law voted in allowed a physician to prescribe medical marijuana giving the patient the ability to possess marijuana up to 2.5 ounces of medical marijuana, a 4.5 month supply of medical marijuana, drug dealing supply of weed!  http://norml.org/legal/item/michigan-medical-marijuana   In 2008, the 2.5 ounces of marijuana never should not have been brought to voters written in such a way that it left out important details stating this bill includes heavy dangerous over-prescribing a mind-altering substance and the ramifications this increase presents to young people, young deaths tend to increase in areas where it is implemented.   Before the 2008 marijuana bill was brought to Michigan voters, it should have been clarified to voters it included heavy over-prescribing, and the ramifications over-prescribing presents to an area.   Over-prescribing mind-altering substances does not do well for young people in the area, young crude deaths tend to increase in areas where lax mind-altering substance laws are instituted.  When mind altering substances increase in an area - accidents, suicides, homelessness, runaways, prostitution, violence, theft, arrests and sicknesses increase due to the high/drunk deceiving effect a mind-altering substance has on a person.  Boulder County, is the first county in Colorado to implement recreational marijuana, experienced horrible tragic young death increase.  Cap it:  A 2-4 week limit should be placed on ALL mind altering substances to prevent them from reaching a crowd of people for which they were not intended, young people.  Instead of a 2-4 week limit, Michigan medical marijuana made a way for people to possess, drive around with DRUG DEALING AMOUNT OF WEED, a lot of weed a 4.5 month supply of weed, which is heavy over-prescribing - 141 medical marijuana joints of a 0.5 gram size is 2.5 ounces of marijuana. 
The 2008 michigan medicinal marijuana allowed a physician to prescribe a patient 2.5 ounces of marijuana, DRUG DEALING SUPPLY OF WEED, which equals 141 medical marijuana joints of a 0.5 gram size, a 4.5 month supply of medical marijuana, heavy, dangerous, over-prescribing. The bill just said a physician can prescribe 2.5 ounces of marijuana, the majority of voters didn't smoke marijuana, didn't realize 2.5 ounces is at least a 4.5 month supply of weed, a very addictive mind-altering substance.  Assuming a patient smokes a 0.5 gram marijuana joint each day, which is a lot, this is a 4.5 month supply of weed, marijuana.   As such, marijuana over-flow has been building up in Michigan since 2008, which coincides with YOUNG death increase in the chart below.  We were built to serve God, we were not built to serve misery of addiction bondage of mind-altering substances.  Trying to recover from a mind-altering substance is hard, it deceives the mind of the person using, thus it is really important to limit its' use.
Source for photo ages 15-34 years old substance and crude deaths by U.S.state selection MICHIGAN:
Substance Death ICD List
Cannabis & Opioid Use Disorder Early initiation of marijuana (before 18 years) emerged as the dominant predictor. Prohibiting marijuana before age 34 years old is an effective strategy in preventing opioid addiction in young adults https://www.ncbi.nlm.nih.gov/pubmed/31962227
Death and Population Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Dataset: Underlying Cause of Death. on CDC WONDER Online Database. Data from the Multiple Cause of Death Files, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. CDC source data, Data Accessed at http://wonder.cdc.gov/  and https://wonder.cdc.gov/ucd-icd10.html 
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Resources –Seeking Help - COMING OFF SUBSTANCE PEOPLE FEEL SUICIDAL
24 Hour Toll Free Prayer Lines
Common Ground:  (248) 456-8144 (24 hours/day)  Families and friends can ask questions at common ground number, it is often a hard emotional time, they help family and friends guide loved ones into treatment or detox (coming off a mind-altering substance is hard, it can temporarily make a person feel suicidal, which is why protected recovery detox is important, to have support during withdraw and to build recovery support.  Some people have a hard time sleeping during early recovery, this is another reason for addiction treatment recovery, so a person doesn't have to be responsible for work during withdraw.  Some mind-altering substances require tapering off slowly with medical support for safe detoxification withdraw to reduce risk of harm (e.g., seizures, hallucinations, etc.)  these are alcohol, opiates, benzodiazepines, methamphetamine, oxycontin, methadone or suboxone).    
Good low cost Christian recovery Life Challenge, they have scholarships for those who can not afford it, recovery is available, message Living in Grace, local community programs, local churches or hospitals, we can find scholarships to help people in https://lcministries.org/ Phone: (313) 531-0111
Young parents are often afraid to talk about need for recovery, afraid they will loose custody of children, thankfully that that is no longer the case, recovery works, ensures parent/child strength. Programs like Odyssey Village allows young children and either (or both parents) to attend recovery together, is low cost, scholarships and long-term recovery opportunities are available. Odyssey Village odysseyvillage.com/ Phone: (810) 238-5888.
Responsibility:  
Greatest Commandment:  Matthew 22:35-40
Parents indicated reporting was needed to support young people, they were right, U.S. report revealed young adults ages 25-34 years old in the experienced critical horrible significant 21.6% death increase in the recent five years - - - - - 46,613 more deaths in the recent five year span versus prior five years, 2013-2017 vs 2008-2012, this is a terrible, critical increase in young deaths.  We must determine to support life, support sober-minded life, tell the truth about the deceiving nature of mind-altering substances, help young and old people to recovery, support churches, recovery centers, prisons, support sober-minded laws and sobriety education in schools. To see mind-altering substance reports go here https://hiskingdomwematter.blogspot.com/p/us-age-25-34-year-old-substance-deaths.html or see link at bottom of this report page.
The first step to changing a situation is to admit the situation exists, addiction exists, mind-altering substances can cause misery and tragic early death if addiction sets in without recovery support. The good news is we have a God who saves,   Deuteronomy 6 indicates God commands us to teach children about when God saved the nation Israel, millions of people with no phones, no computers - God heard the cries and prayers of the people, he saved. God commands us to teach children keep these words in our heart, teach them diligently when sitting in the house, when walking out of the house or in the house, when thou liest down and when thou risest up. God is saying, keep the words, memorize them, never forget them, keep them close in mind, daily. God so loves us and our children, he gave us these words to save and teach these words to be saved. https://www.kingjamesbibleonline.org/Deuteronomy-Chapter-6/
Knowing where death increased enables us locate critical suffering populations to work on sober-minded solutions to give support.  Living in Grace created these reports to improve the health of people. Recovery and sobriety works.  Living in Grace shares reporting to support SALVATION, please share post with people, schools, churches, places of worship, community groups, universities, colleges, hospitals, police, fire departments, EMS, businesses, government and prisons to SUPPPORT LIFE, PREVENT the next generation of children from stepping into the destructive substance situation.
Contact:  Phone:  Please join us in supporting good health of all people call 248-392-8676 
Mind-Altering-Substance Reports old: the link below works if you replace the ^^^" with a period dot "."  Facebook blocked the reports again, some reports are still here until we move them to the site listed above, in the meantime replace ^^^ with a "."  https://hisgracematters^^^blogspot.com/p/us-substance-deaths-2013-2017-5-year.html
Crude_Death_Reports_Old:  the link below works if you replace the ^^^" with a period dot "."  Facebook blocked the reports again, some reports are still here until we move them to the site listed above, in the meantime replace ^^^ with a "."   
https://HisGraceMattersCommunityNumbersMatter^^^blogspot.com/
Substance Death ICD List
Webpage: https://hisgracematters.com
U.S. KIDS need Jesus EMERGENCY protection to ages 35 years old (All Ages by state Summary),Infants under 1 years old, ages 1-4, ages 5-14, ages 15-34 years old, ages 15-24, ages 25-34,ages 35-44, ages 45-54, ages 55-64, ages 65-74, ages 75-84, ages 85+ Top 75 worst, Top worst ages 15-34, Top worst ages 85+, Top 85+ Horrific Death Rate Increase of 2400+ points ages 85+

