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A number of factors could be in play--more random death for women in general in the name of honor, higher illness-leading-to-death because women aren't worth wasting medical care on, women killing baby daughters either to please their male relatives' need for boys, or to spare them from the life they have in store.
Even still, 23% in Qatar seems ridiculously low. I do wonder if that's partly due to under-reporting because the women aren't considered people.
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