Prescription drug abuse is on the rise, not only in Oklahoma but around the entire United States. Oklahoma leads the nation in both prescription painkiller abuse and related deaths. Native Americans in Oklahoma are at the same level as the general population when it comes to prescription painkiller abuse and deaths. Painkiller abuse and related deaths are highest among Whites and Native Americans, about three times higher those of Blacks and Hispanics. Because of this abuse and related deaths due to prescription painkillers, the Absentee Shawnee Tribal Health Board of Directors voted at their recent monthly meeting to approve the pharmacy department request to stop the practice of mailing narcotics to out-of-state addresses.