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CHICAGO (AP) -- America may be the world's superpower, but its survival rate for newborn babies ranks near the bottom among modern nations, better only than Latvia.
Among 33 industrialized nations, the United States is tied with Hungary, Malta, Poland and Slovakia with a death rate of nearly 5 per 1,000 babies, according to a new report. Latvia's rate is 6 per 1,000.
The study by the U.S.-based independent charity Save the Children says the African nation of Liberia has the world's highest newborn mortality rate, with 65 out of 1,000 babies dying.
The report says Liberia is followed by Afghanistan, where 60 out of every 1,000 babies die.
Behind them come Iraq and Sierra Leone, with 59 of 1,000 newborns dying, and Pakistan, which has a rate of 58 deaths.
The report says illiteracy, poverty, malnutrition, poor hygiene, and crippled health-care systems are among the factors contributing to the high rates of death among infants and mothers during or soon after birth.