Although alcohol abuse has a major impact on the mortality pattern of northern regions in general, it has had a particularly significant impact on indigenous peoples, with levels of alcohol use atypically high among women. For instance, in the Berezovo region of the Khanty-Mansi autonomous district, in 1996-1999, out of 362 deaths among indigenous peoples excluding infants, one third were associated with alcohol, while the rate of alcohol-related deaths was 15 per cent in non-indigenous population. Alcohol-related deaths in women were five times higher among the indigenous peoples than among Russian northerners.565 In the Chukchi autonomous district, alcohol caused 42 per cent of indigenous women's deaths, white alcohol caused 19 per cent of deaths of non-indigenous women.566 Even when it does not end in human losses, alcohol consumption leads to economic losses which directly or indirectly decrease life quality. The rate of death resulting from external causes among indigenous northerners is more than twice the Russian average.