On a set of 10 steps states can take to prevent injuries , 24 states scored a five or lower. Two states, California and New York, received the highest score of nine out of a possible 10, while two states scored the lowest, Montana and Ohio, with two out of 10. Overall, New Mexico has the highest rate of injury-related deaths in the United States, at a rate of 97.8 per 100,000 people, while New Jersey has the lowest rate at 36.1 per 100,000, according to the report. The national rate is 57.9 per 100,000 Americans who die in injury-related fatalities.