Between 2005 and 2014, a total of 46,149 people were struck and killed by cars while walking in the United States. In 2014, the most recent year for which data are available, 4,884 people were killed by a car while walking—105 people more than in 2013. Dangerous by Design 2016 takes a closer look at this alarming epidemic. The fourth edition once again examines the metro areas that are the most dangerous for people walking. It also includes a racial and income-based examination of the people who are most at risk, and for the first time also ranks states by their danger to pedestrians.