As of spring 2011, the county has had more than 120 drug-related deaths over the preceding decade,[52] and in 2009 had the second-highest death rate in the state from accidental drug overdoses, although it is sparsely populated compared to the urban population centers of the state.[63] According to Lisa Roberts, a registered nurse with the Portsmouth City Health Department, Southern Ohio distributes four times as many prescription drugs as Northern Ohio, contributing to the high death rates.[51] Local deaths from a lethal drug combination of opiates, sedatives and muscle relaxants are so common that locals have dubbed it the Portsmouth Cocktail.[52] Admissions into rehab facilities for painkiller addictions in the town are five times the national average.[64] Almost one in 10 infants born in Scioto County in recent years has been addicted to prescription drugs.[64] Because of the extent of the problem, the Drug Enforcement Administration has listed Scioto County on its watch list of the 10 most significant places in the country for trafficking in prescription drugs.[54]