The ten countries with the highest crude death rate, according to the 2016 CIA World Factbook estimates, are: Rank Country Death rate (annual deaths/1,000 persons) 1 Lesotho 14.9 2 Bulgaria 14.5 3 Lithuania 14.5 <<<<------------------ 4 Ukraine 14.4 5 Latvia 14.4 6 Guinea-Bissau 14.1 7 Chad 14.0 8 Afghanistan 13.7 <<<<------------------ 9 Serbia 13.6 10 Russia 13.6