10. Pennsylvania
Pennsylvania has the fifth-highest total death rate in the U.S.—more than 6,050—but it’s tenth in terms of the death rate, 47 deaths per 100,000 people. Nevertheless, there are 12 counties with higher death rates than the state as a whole. Philadelphia County, which has had the majority of deaths in Pennsylvania, has a rate of 91 per 100,000. But the considerably less populous Delaware County has the highest rate of all at 116 per 100,000.
