Definition
Natural change is births minus deaths. This table lists every country or area where it is negative in the reference year, ranked by the crude death rate minus the crude birth rate.
2026 medium projection
In these countries and areas more people die than are born each year. Whether the total population still grows then depends on migration.
The UN series provides historical estimates through 2023. Figures from 2024 onward—including 2026—are medium-scenario projections, not counts or predictions guaranteed to occur.
Select any country to inspect its full age-by-sex structure and projections.
| Rank | Country or area | Region | Natural decrease per 1,000 | Deaths minus births |
|---|---|---|---|---|
| 1 | Vatican City | Europe | 20.3 | 11 |
| 2 | Saint Helena | Africa | 10.2 | 52 |
| 3 | Monaco | Europe | 9.1 | 345 |
| 3 | Saint Pierre and Miquelon | Northern America | 9.1 | 50 |
| 5 | Latvia | Europe | 7.5 | 13,917 |
| 6 | Ukraine | Europe | 7.2 | 285,208 |
| 7 | Japan | Asia | 6.7 | 817,272 |
| 8 | Lithuania | Europe | 6.5 | 18,247 |
| 9 | Belarus | Europe | 6.4 | 57,762 |
| 9 | Bulgaria | Europe | 6.4 | 42,889 |
| 11 | Croatia | Europe | 6.0 | 22,822 |
| 11 | Bosnia and Herzegovina | Europe | 6.0 | 18,663 |
| 13 | Greece | Europe | 5.8 | 57,576 |
| 14 | Serbia | Europe | 5.7 | 38,148 |
| 15 | Montserrat | Latin America and the Caribbean | 5.2 | 23 |
| 16 | Italy | Europe | 5.0 | 289,782 |
| 16 | Puerto Rico | Latin America and the Caribbean | 5.0 | 16,102 |
| 18 | Estonia | Europe | 4.8 | 6,346 |
| 19 | Hungary | Europe | 4.7 | 45,357 |
| 20 | United States Virgin Islands | Latin America and the Caribbean | 4.6 | 382 |
| 21 | Russia | Europe | 4.5 | 655,044 |
| 22 | Germany | Europe | 4.3 | 352,381 |
| 23 | Romania | Europe | 4.2 | 79,733 |
| 24 | Moldova | Europe | 4.1 | 12,182 |
| 25 | Taiwan | Asia | 3.8 | 86,277 |
| 26 | Poland | Europe | 3.6 | 135,961 |
| 27 | Czechia | Europe | 3.3 | 34,479 |
| 28 | Portugal | Europe | 3.2 | 33,713 |
| 29 | Finland | Europe | 3.1 | 17,358 |
| 30 | San Marino | Europe | 2.9 | 96 |
| 31 | Curaçao | Latin America and the Caribbean | 2.8 | 526 |
| 31 | Isle of Man | Europe | 2.8 | 237 |
| 31 | Jersey | Europe | 2.8 | 293 |
| 31 | Hong Kong | Asia | 2.8 | 21,039 |
| 31 | Spain | Europe | 2.8 | 133,070 |
| 36 | South Korea | Asia | 2.7 | 135,799 |
| 37 | Slovenia | Europe | 2.5 | 5,409 |
| 38 | North Macedonia | Europe | 2.4 | 4,287 |
| 39 | Austria | Europe | 2.1 | 19,225 |
| 39 | Cuba | Latin America and the Caribbean | 2.1 | 23,455 |
| 41 | China | Asia | 2.0 | 2,856,811 |
| 42 | Dominica | Latin America and the Caribbean | 1.7 | 115 |
| 42 | Palau | Oceania | 1.7 | 31 |
| 42 | Slovakia | Europe | 1.7 | 9,077 |
| 45 | Bermuda | Northern America | 1.5 | 102 |
| 45 | Guernsey | Europe | 1.5 | 96 |
| 47 | Thailand | Asia | 1.4 | 95,794 |
| 48 | Martinique | Latin America and the Caribbean | 1.3 | 442 |
| 48 | Saint Barthélemy | Latin America and the Caribbean | 1.3 | 15 |
| 50 | Belgium | Europe | 1.2 | 15,044 |
| 51 | Georgia | Asia | 0.9 | 3,618 |
| 51 | Montenegro | Europe | 0.9 | 579 |
| 53 | Aruba | Latin America and the Caribbean | 0.7 | 83 |
| 54 | Mauritius | Africa | 0.5 | 679 |
| 55 | Uruguay | Latin America and the Caribbean | 0.3 | 858 |
| 56 | Malta | Europe | 0.2 | 115 |
| 57 | Sweden | Europe | 0.1 | 1,351 |
Natural change is births minus deaths. This table lists every country or area where it is negative in the reference year, ranked by the crude death rate minus the crude birth rate.
Natural decrease is the signature of a constrictive pyramid: small young cohorts and large older ones. Once it begins it usually persists for decades, because the cohorts that would become parents are already small.
Natural decrease is not the same as population decline: net immigration can more than offset it. Crude rates also depend on age structure, not only on fertility and health.
Vatican City leads with 20.3, while Bulgaria is at rank 9 with 6.4. At the other end of the complete table, Sweden has 0.1.
Those positions describe this particular indicator, definition, and reference period. They do not imply that every country near the top has the same population pyramid or demographic path. Open the profiles to compare the underlying cohorts.
Vatican City ranks first in this comparison with 20.3. The table uses 2026 medium projection from UN World Population Prospects 2024.
In World Population Prospects 2024, historical estimates run through 2023 and values from 2024 onward are projections. The peak-year table labels historical and projected results separately.
Sources can use different reference dates, revisions, country definitions, estimation methods, or projection scenarios. Close ranks can also change after revisions.