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In 2020, 20 states had more deaths than births for the first time in history.
In 2020, the impact of COVID-19 contributed to a record 3,376,000 deaths in the United States: 18 percent more than in 2019. In addition, births diminished by 4 percent to 3,605,000 in 2020. Because U.S. population growth depends on a surplus of births over deaths, this slowed U.S. population growth in 2020. The surplus of births over deaths added just 229,000 to the population in 2020 compared to 892,000 in 2019: a decline of 74 percent. This decline coupled with diminished immigration produced the United States’ smallest annual percentage population gain in at least 100 years.
https://carsey.unh.edu/publication/snapshot/2020-deaths-exceeded-births-in-record-number-of-states