The overall trend in the age-adjusted mortality rate was increasing in Europe and Japan but decreasing in the United States.

年龄调整死亡率在欧洲和日本总体呈上升趋势，而在美国整体呈下降趋势。

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The worst state for mortality was West Virginia, where the age-adjusted death rate was more than one-and-a-half times greater than in Hawaii — 958 per 100,000 people.

死亡率上最差的州是西佛吉尼亚，其年龄调整死亡率比夏威夷的高出一半多——每10万人958人。

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The best state to live in, in terms of mortality, was Hawaii, which had an age-adjusted death rate of 589 deaths per 100,000 people in 2008.

从死亡率上讲，最好的州是夏威夷，其2008年的年龄调整死亡率为每10万人589人。

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