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Poor Health Seriously, and most of it's linked to Heart problems caused by poor health. Americans are just obsessed with labor saving equipment! The number one cause would probably be a myocardial infarction, or Heart Attack. If it is not restricted to silence however, the answer is still poor health! But to be more specific traffic accidents (most occur in urban settings where the poor health of Americans restrict them from simply traveling manually). Keep healthy! (In America, pedestrians are hit less often than drivers).

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Q: What is the number one killer of Americans today is often called silent killer?
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