Drug abuse has plagued Appalachia for at least two decades. Starting in the 1990s, the use of “meth” spread throughout the region. By 2005, the simple “shake-and-bake” method of producing meth had gained popularity, making it easy for virtually anybody who had access to the necessary ingredients to “cook” the drug at home. Between 2007 and 2013, the number of meth labs in Kentucky more than tripled, with southeastern Kentucky particularly hard hit. The systemic drug abuse in Appalachia continues today and has increasingly spread throughout the nation.