Annual Automobile Fatalities: 48.4 deaths per 100,000 inhabitants
If you head to Eritrea, you won't be driving outside of the capital city of Asmara without explicit government permission, and this is probably a good thing. Eritrea is the world's worst country to drive in; the country has the highest mortality rate among motorists and it isn't close. Though paved roads connect the six major cities in the country, most roads outside of urban centers are unpaved and in poor condition. Road signs and guardrails are largely non-existent. Livestock and pedestrians clog the roads. There is a complete lack of traffic law enforcement. And as if all of this didn't make driving in Eritrea bad enough, gas prices there are the highest in the world.