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It also has the greatest rate of alcohol related deaths in the state.Lake County actually ranks second to San Francisco for the highest overall death rate. But remove AIDS deaths from the calculation, and, at 611 deaths per 100,000 people OVER a three year period, Lake County has the highest rate in the state by far.Even researchers who have spent careers studying the causes and subtle patterns of death are surprised."Something truly unusual is going on when you find high death rates for this wide a variety of causes," said , an analyst for the state Department of . "There is most certainly something besides age involved when high cancer, high car accidents and high suicides are all in one place."So why does this rural area, beloved for decades as a pleasant, inexpensive place for Northern Californians to enjoy a cabin by the water, have such serious problems?It isn’t the environment.