Terrorism in Pakistan has become a major and highly destructive phenomenon in recent years. The annual death toll from terrorist attacks has risen from 164 in 2003 to 3318 in 2009, with a total of 35,000 Pakistanis killed between September 11, 2001 and May 2011. According to the government of Pakistan, the direct and indirect economic costs of terrorism from 2000–2010 total $68 billion.