In common with developed countries, cardiovascular disease is a leading cause of mortality, accounting for 49.4% (62,979) of all deaths in 2013. However, this number peaked in 1985 with 79,355 deaths, and has been declining continuously since the fall of Communism. The second leading cause of death is cancer with 33,274 (26.2%), which has been stagnant since the 1990s. Deaths from accidents dropped from 8,760 in 1990 to 3,654 in 2013; the number of suicides has declined precipitously from 4,911 in 1983 to 2,093 in 2013 (21.1 per 100,000 people), the lowest since 1956. There are considerable health disparities between the western and eastern parts of Hungary; heart disease, hypertension, stroke, and suicide is prevalent in the mostly agricultural and low-income Great Plain region in the east, but infrequent in the high-income, middle class areas of Western Transdanubia and Central Hungary.