That sort of surprises me. On worldometers, Alabama's per capita death rate isn't that unusual. It's ranked 5th and roughly on par with, e.g. Massachusetts. And that's now counting Delta variant and its likely higher percentage unvaccinated population; I don't think I remember it being so high in 2020.

So what's the story? Higher death rate than other states excluding covid? Very low birth rate? It's also the case for other states and just not mentioned here?