Third rails typically carry hundreds of volts in high amperage current. This makes them very dangerous. In 2005 American James Maki fell onto the third rail at a Boston rail station and suffered extensive and disfiguring injuries. As part of his treatment he became the second American recipient of a face transplant. Many deaths occur around the world each year due to human contact with a third rail. In New York City, there have been multiple cases of people dying because they have urinated on the third rail.