When it comes to hepatitis C cases, we lead the nation! We're also known for bicycles in the Portland area, we have more strip clubs per capita than anyplace else in the country, we're known for craft beers, and we're in the top five nationally for syphilis (in the latter, Portland ranks at #5, while the state overall ranks #8). But hey - we're among the bottom nationally when it comes to education, so there's that.
Tattooing, as well as many body piercing practices, such as acupuncture and ear-piercing, have contributed significantly to the spread of HCV. All of which are big in Portland.