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This statistic ranks the countries of the world based on the mortality rate related to smoking by comparing the years 1990 and 2019. The country with the highest smoking-related mortality rate is Kiribati, an island republic in the central Pacific, with 368 deaths per 100,000 inhabitants. Also found in the TOP 10 are other Oceanian countries including the Solomon Islands, Nauru, and Micronesia, as well as two Southeastern European countries, Montenegro and North Macedonia, each with more than 170 deaths per 100,000 inhabitants. France ranks 138th in 2019 with only 58 deaths per 100,000 people.