https://oxfordre.com/publichealth/display/10.1093/acrefore/9780190632366.001.0001/acrefore-9780190632366-e-501?d=%2F10.1093%2Facrefore%2F9780190632366.001.0001%2Facrefore-9780190632366-e-501&p=emailAGba0yu10y7AM It’s a global phenomena, it might be higher in the US but it’s not orders of magnitude or anything.