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Global fertility rates set to fall, shifting burden to poorer nations

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FERTILITY rates in nearly all countries will be too low to sustain population levels by the end of the century, and most of the world’s live births will be occurring in poorer countries, according to a study published on Wednesday.

The trend will lead to a “baby boom” and “baby bust” divide across the world, with the boom concentrat­ed in low-income countries that are more susceptibl­e to economic and political instabilit­y, senior researcher Stein Emil Vollset from the Institute for Health Metrics and Evaluation (IHME) at the University of Washington in Seattle said in a statement.

The study reported in The Lancet projects 155 of 204 countries and territorie­s worldwide, or 76%, will have fertility rates below population replacemen­t levels by 2050. By 2100, that is expected to rise to 198, or 97%, researcher­s estimated.

The forecasts are based on surveys, censuses, and other sources of data collected from 1950 through 2021 as part of the Global Burden of Diseases, Injuries, and Risk Factors Study.

Over three-quarters of live births will occur in low- and lowermiddl­e-income countries by the end of the century, with more than half taking place in sub-Saharan Africa, researcher­s said.

The global fertility rate — the average number of births per woman — has fallen from around 5 children in 1950 to 2.2 in 2021, data show.

By 2021, 110 countries and territorie­s (54%) had rates below the population replacemen­t level of 2.1 children per woman.

The study highlights a particular­ly worrying trend for countries like South Korea and Serbia, where the fertility rate is less than 1.1 child per female, exposing them to challenges of a dwindling workforce.

Many of the most resourceli­mited countries “will be grappling with how to support the youngest, fastest-growing population on the planet in some of the most politicall­y and economical­ly unstable, heat-stressed, and health system-strained places on earth,” Mr. Vollset said.

While tumbling fertility rates in high-income countries reflect more opportunit­ies for education and employment for women, researcher­s said the trend signals an urgent need for improvemen­t in access to modern contracept­ion and female education in other regions.

In addition, “once nearly every country’s population is shrinking, reliance on open immigratio­n will become necessary to sustain economic growth,” IHME’s Natalia Bhattachar­jee, a coauthor of the report, said in a statement.

The authors noted that prediction­s were limited by quantity and quality of past data, especially for the 2020 to 2021 COVID -19 pandemic period. —

 ?? REUTERS ?? A WOMAN pushing her baby in a stroller walks around in the Hongdae area of Seoul, South Korea, June 29, 2016.
REUTERS A WOMAN pushing her baby in a stroller walks around in the Hongdae area of Seoul, South Korea, June 29, 2016.

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