The USA saw the highest number of fatalities from road accidents in 2019, at 36,120 deaths. That's around 110 deaths for every one million of its citizens. According to state-by-state analysis in 2019, South Carolina had the highest death rate per 100 million miles traveled at 1.73, compared with Massachusetts, the lowest, at just 0.51. It also found 45% of motor vehicle crash deaths in 2019 occurred in rural areas.

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