Last month the Washington Post gained access to ARCOS, the U.S. Drug Enforcement Agency’s database of controlled substance transactions, which tracks the path, from manufacturer to pharmacy, of every pain pill in the United States. The Post’s initial analysis found that some 76 billion oxycodone and hydrocodone pills were distributed in the U.S. between 2006 and 2012, that only a few companies manufactured and distributed the bulk of the pills, and some regions of the country were utterly saturated with the pills. That’s where the maps come in: the Post has county-level maps of all this data.

Comparing county-level maps of opioid overdose deaths and pill shipments reveal a virtual opioid belt of more than 90 counties stretching southwest from Webster County, W.Va., through southern Virginia and ending in Monroe County, Ky. This swath includes 18 of the top 20 counties ranked by per-capita prescription opioid deaths nationwide and 12 of the top 20 counties for opioid pills distributed per capita.

Revealing. Damning. Horrifying.