Out of the 50 most dangerous cities in the world, an incredible 43 of them are located in Central or South America, according to a study released by Mexico’s Citizens’ Council for Public Security and Criminal Justice.

Brazil leads the way, with an astonishing 21 cities named on the list, followed by Venezuela, with eight, Mexico, with five, and the United States and South Africa, with four. Colombia had three cities on the list; Honduras had two. El Salvador, Guatemala, and Jamaica each had one city on the list.

Ranked by the number of homicides per 100, 000 inhabitants in 2015, the top ten most dangerous cities were listed as:

  1. Caracas, Venezuela – 119.87
  2. San Pedro Sula, Honduras – 111.03
  3. San Salvador, El Salvador – 108.54
  4. Acapulco, Mexico – 104.73
  5. Maturin, Venezuela – 86.45
  6. Distrito Central, Honduras – 73.51
  7. Valencia, Venezuela – 72.31
  8. Palmira, Colombia – 70.88
  9. Cape Town, South Africa – 65.53
  10. Cali, Colombia – 64.27

The last four years, San Pedro Sula was ranked at the top of the list.