What's the mortality rate in your area?
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In Louisiana the overall mortality rate is 976.7/100,000 (as of 2021). That compares to the U.S. rate of 793.7. The average life expectancy in the Bayou State is about four years lower than the national average. A much sadder disparity is infant mortality, with Louisiana at 7.2 per 1000 births compared to the U.S. rate of 1.9/1000 births. The state has one of the highest levels of pre-term births in the nation, which contributes to that. We also have one of the highest homicide rates. Add smoking, drinking, drugs and Southern fried everything (we'd deep fat fry water if we could), and the figures aren't as surprising as you thought.
For all groups? In Utah the age-adjusted rate is 48.8 across the state but I'm in Salt Lake City and it's 50.6 here. Our infant mortality rate is better than the national average though