Total road deaths in New Zealand are high by developed country standards. 2010 figures from the International Transport Forum placed New Zealand 25th out of 33 surveyed countries in terms of road deaths per capita, a rank that has changed little in 30 years. The fatality rate per capita is twice the level of Germany's, or that of the United Kingdom, Sweden or the Netherlands (2010 comparison). This is variously blamed on aggressive driving, insufficient driver training, old and unsafe cars, inferior road design and construction, and a lack of appreciation of the skill and responsibility required to safely operate a motor vehicle.