From the San Juan Star for Thursday, December 19, 2002:
Puerto Rico had more alcohol-related deaths in traffic accidents than any state in the United States last year, according to a federal government study released Wednesday.
With 1.38 per 100 million vehicle miles in 2001, the island's rate is more than double the national rate of 0.63, says the report by the National Highway Traffic Safety Commission.
In Puerto Rico, a person is four to five times more likely to be killed in a drunken driving accident than in Utah, which has the lowest rate.
Puerto Rico still has an 18-year-old drinking age, and has refused to change it despite the loss of federal highway funds.
You know what they don't mention? How Puerto Rico measures up to the states in non-accident related drinking and driving arrests. I'll bet enforcement is almost non-existant.