× Expand Flickr/Paul Sableman A ranking of the most dangerous cities in the world puts St. Louis at No. 19.

St. Louis is the only U.S. city in the top 20 on a list of the world’s most dangerous cities.

A report from the independent advocacy group Citizen Council for Public Security and Criminal Justice, based in Mexico City, ranked the world’s largest cities based exclusively by their 2014 murder rate per capita.

St. Louis was the No. 19 most dangerous city in the world, with 159 homicides in a population of 318,416, according to the report. Detroit is the second-highest rated American city, ranked No. 22 with 309 murders last year with a population of more than 688,000 people.

See also: St. Louis Murder Rate Soars in 2015, Other Violent Crime Up Too

The report, which was released in January, names San Pedro Sula in Honduras as the most dangerous city in the world for the fourth year in a row. In 2014, the city had a murder rate of 171.20 per 100,000 inhabitants.

St. Louis Alderman Cara Spencer, who represents Ward 20 in south city, posted the study to her Facebook page Monday and called for new policies to reduce violent crime, including a Citizen Advisory Board and an improved 911 call system.

× We are currently the 19th most VIOLENT city in the WORLD. There is not another US city higher on the list than us.... Posted by Cara Spencer on Monday, July 20, 2015

“This is just the tip of the iceberg,” Spencer says on Facebook. “There is no single one person that can fix the growing crime problem: IT IS TIME TO WORK TOGETHER.”

St. Louis is on pace to beat last year’s total of 159 homicides. Three killings on Sunday pushed the city’s 2015 homicide tally to more than 100, compared to 71 through July 2014.

Follow Lindsay Toler on Twitter @StLouisLindsay or send her an email at LToler@stlmag.com. For more from St. Louis Magazine, subscribe or follow us on Facebook and Twitter.

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