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GMJ News > GMJ Briefs > 2023 Birth Figures Expose Demographic Crisis Below Population Replacement Level

2023 Birth Figures Expose Demographic Crisis Below Population Replacement Level

GMJ
Last updated: 11/06/2026 15:46
By
Prof. Giorgi Pkhakadze
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1 Min Read
Infographic showing declining birth rates in England and Wales from 1977 to 2023
Live births in England and Wales dropped to their lowest level since 1977, with fertility rates falling to 1.49 children per woman. Economic pressures, housing costs, and climate concerns drive delayed childbearing as women's average age at first birth reaches 30.9 years. — Photo: Jonathan Borba / Pexels
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1 min read|134 words

Latest data from the Office for National Statistics reveals a stark demographic picture: only 591,072 babies were born in England and Wales in 2023, the lowest recorded since 1977. This decline is particularly significant when contextualized against population replacement requirements. The total fertility rate now stands at 1.49 children per woman—a considerable gap below the 2.1 rate necessary for population stability without net migration. This metric places England and Wales among developed nations experiencing substantial demographic transitions. The statistical reality reflects not merely declining birth numbers, but a fundamental shift in family formation patterns. Economic researchers note that similar patterns are evident across OECD nations, where inverse correlations exist between housing affordability, economic uncertainty, and fertility rates. These figures carry substantial implications for healthcare planning, workforce projections, and social support systems. Read the full article on GMJ Newsroom.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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