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This resulted in 1.4 million deaths in 2013, up from 1.1 million deaths in 1990. About 68,000 of these occurred in children less than five years old. Almost all high-income countries have decreasing death rates, while the majority of low-income countries have increasing death rates due to traffic collisions.
Road crashes are the leading cause of death among young people ages 15-29, and the second leading cause of death worldwide among young people ages 5-14. Each year nearly 400,000 people under 25 die on the world's roads, on average over 1,000 a day. Over 90% of all road fatalities occur in low and middle-income countries, which have less than half of the world's vehicles. Road crashes cost USD $518 billion globally, costing individual countries from 1-2% of their annual GDP.