St. Louis' death rate was also 59 for every 100K in 2017. If you're looking at the last city on that list (20 death rate for every 100K population), that's equal or lower than almost the top 20 cities death rates in the U.S. last year.

In order those cities are St. Louis, Baltimore, Detroit, New Orleans, Birmingham, Jackson (Miss), Baton Rouge, Hartford, Salinas, Milwaukee, Washington DC, Kansas City, Savannah, Cincinnati, West Palm Beach, Memphis, Oakland (CA), San Bernadino and Atlanta.

I'm sure those Mexican states have some very rough areas, but I imagine the cruise ships are still going to Manzanilla and Acapulco. I have a co-worker who goes to Mexico once or twice a year to visit relatives. She goes into Matamoros and says it's dangerous with lots of kidnappings but Mexican-Americans who travel through there are fine as long as they bring extra money with them in case they get stopped by gangs (basically a very high toll rate as she describes it). One of these days I wonder if she won't make it back alive, but so far so good for her. I'm not sure why she keeps going but she does.