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U.S. states with the highest risk of fatal accidents experience injuries related to motor vehicles, falls, firearms, drug overdoses and accidental poisonings, according to a report by Malloy Law Offices.

West Virginia and New Mexico lead the nation in fatal accidents, the data showed, with both states reporting high rates of substance abuse, increased accidental poisoning deaths and a combination of impaired driving and long stretches of rural highways leading to higher fatality rates in road accidents.

“States such as West Virginia should focus on increasing public health initiatives, providing better access to healthcare, and offering more extensive safety education to significantly lower fatality rates,” said Seann Malloy of Malloy Law Offices.

“Beyond the obvious losses to the community, the economic burden of these accidents also extends far beyond the immediate healthcare costs,” he added. “Motor vehicle accidents, in particular, have a ripple effect, from increased insurance premiums to higher healthcare costs and lost productivity.”

Rounding out the top three U.S. states for fatal accidents is Louisiana. The southern state has the highest rates of firearm-related deaths in the country.

Top five states with the most fatal accidents per 100,000 residents:

  • West Virginia 141.48
  • New Mexico 126.73
  • Louisiana 114.29
  • Tennessee 112.87
  • Alaska 110.06
Meanwhile, comprehensive public health programs, widespread access to healthcare, well-developed infrastructures and geographic location can be attributed to U.S. states with the least amount of fatal accidents.

New York and Hawaii lead the nation in fewest fatal accidents, with both states reporting effective public health campaigns and stringent laws around motor vehicle safety.

Rounding out the top three for fewest fatal accidents is California. The West Coast state leads the nation in firearm safety laws.

Top five states with the fewest fatal accidents per 100,000 residents:

  • New York 54.97
  • Hawaii 57.43
  • California 59.67
  • Nebraska 61.4
  • New Jersey 62.12
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