Passage Summary: Hardly anyone in Country X gets this specific sickness, but if you are one of the few who do, you are way more likely to die than patients elsewhere.

Reasoning: Country X has the lowest rate of disease P, yet those who do catch it in Country X have the highest mortality rate compared to other countries.

Analysis: This is a classic statistical paradox involving rates versus totals. We need a reason why Country X has few cases but high mortality per case. It could be that only the most severe cases are ever reported in Country X, making the death rate look artificially high. Look for an answer that explains why the reported cases in Country X are skewed toward the most lethal outcomes.