for the 17 peer countries and shows that the United States also experiences relatively high mortality rates for neuropsychiatric conditions, respiratory diseases, diabetes and other endocrine disorders, genitourinary disease, congenital anomalies, infectious diseases, and perinatal conditions. This pattern differs little when the data are examined separately by sex (see Notes in Table 1-1). An interactive graph, which allows a more thorough examination of the data in Table 1-1, is located at http://nationalacademies.org/IntlMortalityRates.

Figure 1-3 shows that in 2008 the United States had the second highest death rate from injuries among the 17 peer countries, exceeded only by Finland (World Health Organization, 2011a, Table 3). Unintentional injuries are the leading cause of death among Americans, from ages 1-44 (National Center for Health Statistics, 2012).

An important contributor has been deaths related to transportation. In 2009, the United States had the highest death rate from transportation-related accidents among the 17 peer countries (and the third highest in the OECD, exceeded only by Mexico and the Russian Federation). The death rate from transportation-related accidents decreased by 42 percent in OECD countries between 1995 and 2009, but by only 11 percent in the United States (OECD, 2011b). Although there are more motorists and miles driven in the United States, calculations of fatality rates per vehicle-kilometer, which correct for this confounding variable, also show that the United States

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FIGURE 1-3 Mortality from injuries in 17 peer countries, 2008.
SOURCE: Data from World Health Organization (2011a, Table 3).



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