Ukraine has the second-highest mortality rate of 15.2 deaths per 1,000 people. Ukraine is considered to be in a demographic crisis because of its high mortality rate and low birth rate. Overall, Ukraine's health care system is poorly financed, and the country has very low vaccination rates and high rates of diseases and disorders that could be better managed with increased funding. One factor contributing to the mortality rate is the high death rate of working-age males from preventable causes such as alcohol poisoning and smoking. Additionally, Ukraine has one of the fastest-growing HIV/AIDS epidemics globally and suffered one of the worst measles epidemics in the world in 2019.