Looking at Livescience.com yesterday I came across this map of the most distinctive causes of death. Distinctive means that the mortality rate is the highest above the national rate among 110 causes of death for that state. A distinctive cause of death can be a rare cause of death.
For Pennsylvania the highest rate was pneumoconioses, a lung disease caused by inhaling toxic dusts such as coal dusts. The coal mining states of West Virginia and Kentucky shared this distinction. Florida was the only state where HIV was most distinctive. For Nevada, New Mexico, and Oregon, it was deaths due to law enforcement other than capital punishment. For Texas the most distinctive cause of death is not capital punishment but Tuberculosis which can be attributed to having the highest rate of uninsured in the US.
For Utah, as well as DC, Massachusetts and Rhode Island, the most distinctive cause was other or unspecified causes of death. I don't have a good explanation for why this is. All of these states except DC have life expectancies above the US rate except for DC which is at or near the bottom of health measures. DC was at the bottom when this graph was created in 2010 while having the largest per capita income. Utah has high life expectancy and low infant mortality rates but low income rates.