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It says "a leading cause", not "the leading cause". Depending on how long your list of leading causes is, anything could qualify.
I skimmed the source they linked, and it lists guns as the leading cause of death for ages 1-19. I did not see an overall list.
I would agree that a more carefully phrased sentence would have been better and less misleading.
Link to source: https://publichealth.jhu.edu/sites/default/files/2022-05/2020-gun-deaths-in-the-us-4-28-2022-b.pdf
English is not my native language but this sounds like it should not be a thing. Sounds like it was made for con artists...
Basically yes. It's at best a way to hedge their language and avoid being technically wrong, but in practice it can certainly be used in quite misleading ways.
I would say that in my opinion "a leading cause" would need to at least be in the top half, but it could possibly be anything but last since it's "leading" last place...