I've lived in Kerala for twenty years. Can attest to this being due to better healthcare. There's also very little underreporting of deaths happening (my siste

I've lived in Kerala for twenty years. Can attest to this being due to better healthcare. There's also very little underreporting of deaths happening (my sister's a doctor directly involved with the government effort). It's a bit like Cuba, with the Communist past and healthcare/life-expectancy that stands out (compared to say, per-capita income which is average).