sentences:  In some continental Amerindian tribes, the rate of fetal alcohol spectrum disorder is as high as 1.5 to 2.5 per 1000 live births, more than seven times the national average, while among Alaska natives, the rate of fetal alcohol spectrum disorder is 5.6 per 1000 live births.Deaths due to alcohol among American Indians are more common in men and among Northern Plains Indians, but Alaska Natives showed the least incidence of death.Existing data do indicate, however, that Alaska Native alcohol-related death rates are almost nine times the national average, and approximately 7% of all Alaska Native deaths are alcohol related.