San Marcos is the top region by death by pneumonia in Guatemala. As of 2008, death by pneumonia in San Marcos was 708 that accounts for 14.19% of Guatemala's death by pneumonia. The top 5 regions (others are Huehuetenango, Alta Verapaz, Guatemala-Department, and Quiche) account for 55.21% of it. Guatemala's total death by pneumonia was estimated at 4,990 in 2008.