What does the cryptic crossword clue "Unwell in old island state (8)" mean?

The definition is "state". The wordplay uses a charade (building blocks). ILL (synonym of "Unwell") + IN (synonym of "in") + O (synonym of "old") + IS (synonym of "island"); definition: "state" The answer is ILLINOIS.

Unwell in old island state (8)

Independent Cryptic #11843 | 29 Across | 2024-09-24 flower

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