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