In 1925, the crude birth rate in South Africa was just under 49 births per thousand people, meaning that almost five percent of the population was born in that year. This figure would follow the country’s trends in fertility, remaining largely unchanged until the 1950s when, following the implementation of apartheid rule in the country in 1948, declines in fertility from the government's family planning programs would lead to the birth rate's rapid decline. Apart from a brief pause in the early-1980s, births rates would decline throughout the second half of the 20th century, falling to just under 24 births per thousand people by 2000. The crude birth rate would see a brief increase in the early 2000s, largely attributed to a diversion of healthcare funding away from contraceptives to funding for treatments for the HIV/AIDS epidemic in the country, but since then, birth rates have resumed their decline, and in 2020, it is estimated that South Africa had a birth rate just under 21 births for every thousand people.

The total fertility rate of the world has dropped from around 5 children per woman in 1950, to 2.2 children per woman in 2025, which means that women today are having fewer than half the number of children that women did 75 years ago. Replacement level fertility This change has come as a result of the global demographic transition, and is influenced by factors such as the significant reduction in infant and child mortality, reduced number of child marriages, increased educational and vocational opportunities for women, and the increased efficacy and availability of contraception. While this change has become synonymous with societal progress, it does have wide-reaching demographic impact - if the global average falls below replacement level (roughly 2.1 children per woman), as is expected to happen in the 2050s, then this will lead to long-term population decline on a global scale. Regional variations When broken down by continent, Africa is the only region with a fertility rate above the global average, and, alongside Oceania, it is the only region with a fertility rate above replacement level. Until the 1980s, the average woman in Africa could expect to have 6-7 children over the course of their lifetime, and there are still several countries in Africa where women can still expect to have 5 or more children in 2025. Historically, Europe has had the lowest fertility rates in the world over the past century, falling below replacement level in 1975. Europe's population has grown through a combination of migration and increasing life expectancy, however even high immigration rates could not prevent its population from going into decline in 2021.

BackgroundEndometrial cancer is the sixth leading cause of cancer among females and about 97,000 global deaths of endometrial cancer. The changes in the trends of obesity, fertility rates and other risk factors in South Africa (SA) may impact the endometrial cancer trends. The aim of this study was to utilise the age period cohort and join point regression modelling to evaluate the national and ethnic trends in endometrial cancer mortality in South Africa over a 20year period (1999–2018).MethodsData from Statistics South Africa was obtained to calculate the annual number of deaths, and annual crude and age standardised mortality rates (ASMR) of endometrial cancer from 1999–2018. The overall and ethnic trends of endometrial cancer mortality was assessed using the Join point regression model, while Age-period-cohort (APC) regression modelling was conducted to estimate the effect of age, calendar period and birth cohort.ResultsDuring the period 1999–2018, 4,877 deaths were due to endometrial cancer which constituted about 3.6% of breast and gynecological cancer deaths (3.62%, 95% CI: 3.52%–3.72%) in South Africa. The ASMR of endometrial cancer doubled from 0.76 deaths per 100,000 women in 1999 to 1.5 deaths per 100,000 women in 2018, with an average annual rise of 3.6% per annum. (Average Annual Percentage change (AAPC): 3.6%, 95%CI:2.7–4.4, P-value < 0.001). In 2018, the overall mean age at death for endometrial cancer was was 67.40 ± 11.04 years and, the ASMR of endometrial cancer among Indian/Asians (1.69 per 100,000 women), Blacks (1.63 per 100,000 women) and Coloreds (1.39 per 100,000 women) was more than doubled the rates among Whites (0.66 deaths per 100,000 women). Indian/Asians had stable rates while other ethnic groups had increased rates. The Cohort mortality risk ratio (RR) of endometrial cancer increased with successive birth cohort from 1924 to 1963 (RR increased from 0.2 to 1.00), and subsequently declined among successive cohorts from 1963 to 1998 (1.00 to 0.09). There was strong age and cohort but not period effect among the South African women. Ethnic disparity showed that there was age effect among all the ethnic groups; Cohort effect among Blacks and Coloureds only, while Period effect occurred only among Blacks.ConclusionsThe mortality rates of endometrial cancer doubled over a twenty-year period in South Africa from 1999–2018. There was strong ethnic disparity, with age and cohort effect on endometrial cancer trends. Thus, targeted efforts geared towards prevention and prompt treatment of endometrial cancer among the high-risk groups should be pursued by stake holders.

Background: Rabies is a serious yet neglected public health threat in resource-limited communities in Africa, where the virus is maintained in populations of owned, free-roaming domestic dogs. Rabies elimination can be achieved through the mass vaccination of dogs, but maintaining the critical threshold of vaccination coverage for herd immunity in these populations is hampered by their rapid turnover. Knowledge of the population dynamics of free-roaming dog populations can inform effective planning and implementation of mass dog vaccination campaigns to control rabies. Methodology/Principal Findings: We implemented a health and demographic surveillance system in dogs that monitored the entire owned dog population within a defined geographic area in a community in Mpumalanga Province, South Africa. We quantified demographic rates over a 24-month period, from 1st January 2012 through 1st January 2014, and assessed their implications for rabies control by simulating the decline in vaccination coverage over time. During this period, the population declined by 10%. Annual population growth rates were +18.6% in 2012 and -24.5% in 2013. Crude annual birth rates (per 1,000 dog-years of observation) were 451 in 2012 and 313 in 2013. Crude annual death rates were 406 in 2012 and 568 in 2013. Females suffered a significantly higher mortality rate in 2013 than males (mortality rate ratio [MRR] = 1.54, 95% CI = 1.28-1.85). In the age class 0-3 months, the mortality rate of dogs vaccinated against rabies was significantly lower than that of unvaccinated dogs (2012: MRR = 0.11, 95% CI = 0.05-0.21; 2013: MRR = 0.31, 95% CI = 0.11-0.69). The results of the simulation showed that achieving a 70% vaccination coverage during annual campaigns would maintain coverage above the critical threshold for at least 12 months. Conclusions and Significance: Our findings provide an evidence base for the World Health Organization's empirically-derived target of 70% vaccination coverage during annual campaigns. Achieving this will be effective even in highly dynamic populations with extremely high growth rates and rapid turnover. This increases confidence in the feasibility of dog rabies elimination in Africa through mass vaccination.

In 2023, it is estimated that the BRICS countries have a combined population of 3.25 billion people, which is over 40 percent of the world population. The majority of these people live in either China or India, which have a population of more than 1.4 billion people each, while the other three countries have a combined population of just under 420 million. Comparisons Although the BRICS countries are considered the five foremost emerging economies, they are all at various stages of the demographic transition and have different levels of population development. For all of modern history, China has had the world's largest population, but rapidly dropping fertility and birth rates in recent decades mean that its population growth has slowed. In contrast, India's population growth remains much higher, and it is expected to overtake China in the next few years to become the world's most populous country. The fastest growing population in the BRICS bloc, however, is that of South Africa, which is at the earliest stage of demographic development. Russia, is the only BRICS country whose population is currently in decline, and it has been experiencing a consistent natural decline for most of the past three decades. Growing populations = growing opportunities Between 2000 and 2026, the populations of the BRICS countries is expected to grow by 625 million people, and the majority of this will be in India and China. As the economies of these two countries grow, so too do living standards and disposable income; this has resulted in the world's two most populous countries emerging as two of the most profitable markets in the world. China, sometimes called the "world's factory" has seen a rapid growth in its middle class, increased potential of its low-tier market, and its manufacturing sector is now transitioning to the production of more technologically advanced and high-end goods to meet its domestic demand.

Maternal and neonatal related factors among mothers and neonates who admitted to NICU of the selected public Hospitals in Somali Regional State, Eastern Ethiopia, 2020.

As of 2023, the total population of Africa was over 1.48 billion. The number of inhabitants on the continent increased annually from 2000 onwards. In comparison, the total population was around 831 million in 2000. According to forecasts, Africa will experience impressive population growth in the coming years and will close the gap with the Asian population by 2100. Over 200 million people in Nigeria Nigeria is the most populous country in Africa. In 2025, the country’s population exceeded 237 million people. Ethiopia followed with a population of around 135 million, while Egypt ranked third, accounting for approximately 118 million individuals. Other leading African countries in terms of population were the Democratic Republic of the Congo, Tanzania, South Africa, and Kenya. Additionally, Niger, the Democratic Republic of Congo, and Chad recorded the highest population growth rate on the continent in 2023, with the number of residents rising by over 3.08 percent compared to the previous year. On the other hand, the populations of Tunisia and Eswatini registered a growth rate below 0.85 percent, while for Mauritius and Seychelles, it was negative. Drivers for population growth Several factors have driven Africa’s population growth. For instance, the annual number of births on the continent has risen constantly over the years, jumping from nearly 32 million in 2000 to almost 46 million in 2023. Moreover, despite the constant decline in the number of births per woman, the continent’s fertility rate has remained considerably above the global average. Each woman in Africa had an average of over four children throughout her reproductive years as of 2023, compared to a world rate of around two births per woman. At the same time, improved health and living conditions contributed to decreasing mortality rate and increasing life expectancy in recent years, driving population growth.

Socio-demographic characteristics of neonates admitted to NICU of selected public Hospitals in Somali Regional State, Eastern Ethiopia, 2020.

Bi-variable logistic regression analysis of factors associated with neonatal mortality at selected public hospitals in Somali Regional State, Eastern Ethiopia, 2020.

Projections estimate that the population in Italy will decrease in the following years. In January 2025, the Italian population added up to 59 million people, but in 2030 Italians will be 58 million individuals. Twenty years later, the population will be around 52 million people. Low birth rate and old population The birth rate in Italy has constantly dropped in the last years. In 2023, 6.4 children were born per 1,000 inhabitants, three babies less than in 2002. Nationwide, the highest number of births was registered in the southern regions, whereas central Italy had the lowest number of children born every 1,000 people. More specifically, the birth rate in the south stood at 7 infants, while in the center it was equal to 5.9 births. Consequently, the population in Italy has aged over the last decade. Between 2002 and 2024, the age distribution of the Italian population showed a growing share of people aged 65 years and older. As a result, the share of young people decreased. The European exception Similarly, the population in Europe is estimated to decrease in the coming years. In 2024, there were 740 million people living in Europe. In 2100, the figure is expected to drop to 586 million inhabitants. However, projections of the world population suggest that Europe might be the only continent experiencing a population decrease. For instance, the population in Africa could grow from 1.41 billion people in 2022 to 3.92 billion individuals in 2100, the fastest population growth worldwide.

Nigeria has the largest population in Africa. As of 2025, the country counted over 237.5 million individuals, whereas Ethiopia, which ranked second, has around 135.5 million inhabitants. Egypt registered the largest population in North Africa, reaching nearly 118.4 million people. In terms of inhabitants per square kilometer, Nigeria only ranked seventh, while Mauritius had the highest population density on the whole African continent in 2023. The fastest-growing world region Africa is the second most populous continent in the world, after Asia. Nevertheless, Africa records the highest growth rate worldwide, with figures rising by over two percent every year. In some countries, such as Chad, South Sudan, Somalia, and the Central African Republic, the population increase peaks at over 3.4 percent. With so many births, Africa is also the youngest continent in the world. However, this coincides with a low life expectancy. African cities on the rise The last decades have seen high urbanization rates in Asia, mainly in China and India. African cities are also growing at large rates. Indeed, the continent has three megacities and is expected to add four more by 2050. Furthermore, Africa's fastest-growing cities are forecast to be Bujumbura, in Burundi, and Zinder, Nigeria, by 2035.

As of March 2025, South Africa had the highest unemployment rate among the 19* countries that are members of the G20. The unemployment rate in South Africa stood at **** percent that year. The country has recently been plagued by an economic downturn, including energy shortages and high unemployment levels. On the other hand, Japan had the lowest unemployment rate at just *** percent. Economic inequality in South Africa Not only does South Africa top the G20 in overall unemployment, but it also has a significant level of youth unemployment, as nearly half of the young population is unemployed. Thirty years after the end of Apartheid, South Africa is also still one of the most unequal countries in the world, with a Gini score of ****. The prominence of inequality in the country makes escaping unemployment and underemployment difficult. Japanese economic slowdown While Japan had the lowest unemployment rate out of all G20 nations, as well as the lowest youth unemployment rate out of the G20 nations, Japan’s economy is still facing many challenges. With an aging population, the total Japanese population is facing a rapid decline, meaning that it will struggle to have enough workers participating in the labor market. Despite this, Japan maintains strict immigration policies, limiting the chances for foreign workers to move to Japan. Moreover, Japan has the second lowest fertility rate out of the G7 nations and one of the lowest fertility rates globally, adding another challenge in addressing population shrinkage.

In 1870, the average life expectancy in South Africa was 33.5 years from birth. This life expectancy would remain largely unchanged until the late-1910s, where life expectancy would drop to as low as thirty years as a result of the 1918 Spanish Flu epidemic. In the 1930s, life expectancy in South Africa would begin to steadily rise, peaking at over 63 years in 1995, as industrialization and greater access to healthcare and vaccinations led to significantly reduced child mortality rates across the region. However, life expectancy experienced a sudden drop beginning after 1995, as the HIV/AIDS epidemic spread throughout the country, beginning in the early 1990s. As the epidemic spread through the country, life expectancy would fall by almost 10 years, bottoming out below 54 years in 2005. Life expectancy would begin to rise again beginning in the early 2010s however, as access to HIV counselling and treatments, such as antiretroviral therapy, became more widely available throughout the region. Life expectancy in the country is estimated to be almost 64 years from birth in 2020; a return to the pre-HIV figures of the early 1990s.

Tunisia had the highest projected life expectancy at birth in Africa as of 2025. A newborn infant was expected to live about 77 years in the country. Algeria, Cabo Verde, Morocco, and Mauritius followed, with a life expectancy between 77 and 75 years. On the other hand, Nigeria registered the lowest average, at 54.8 years. Overall, the life expectancy in Africa was just over 64 years in the same year.

In 2024, the average life expectancy in the world was 71 years for men and 76 years for women. The lowest life expectancies were found in Africa, while Oceania and Europe had the highest. What is life expectancy?Life expectancy is defined as a statistical measure of how long a person may live, based on demographic factors such as gender, current age, and most importantly the year of their birth. The most commonly used measure of life expectancy is life expectancy at birth or at age zero. The calculation is based on the assumption that mortality rates at each age were to remain constant in the future. Life expectancy has changed drastically over time, especially during the past 200 years. In the early 20th century, the average life expectancy at birth in the developed world stood at 31 years. It has grown to an average of 70 and 75 years for males and females respectively, and is expected to keep on growing with advances in medical treatment and living standards continuing. Highest and lowest life expectancy worldwide Life expectancy still varies greatly between different regions and countries of the world. The biggest impact on life expectancy is the quality of public health, medical care, and diet. As of 2022, the countries with the highest life expectancy were Japan, Liechtenstein, Switzerland, and Australia, all at 84–83 years. Most of the countries with the lowest life expectancy are mostly African countries. The ranking was led by the Chad, Nigeria, and Lesotho with 53–54 years.