Sign up for our daily briefing

Make your busy days simpler with Axios AM/PM. Catch up on what's new and why it matters in just 5 minutes.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on the day's biggest business stories

Subscribe to Axios Closer for insights into the day’s business news and trends and why they matter

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sign up for Axios Pro Rata

Dive into the world of dealmakers across VC, PE and M&A with Axios Pro Rata. Delivered daily to your inbox by Dan Primack and Kia Kokalitcheva.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sports news worthy of your time

Binge on the stats and stories that drive the sports world with Axios Sports. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tech news worthy of your time

Get our smart take on technology from the Valley and D.C. with Axios Login. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Get the inside stories

Get an insider's guide to the new White House with Axios Sneak Peek. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Denver news?

Get a daily digest of the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Des Moines news?

Get a daily digest of the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Twin Cities news?

Get a daily digest of the most important stories affecting your hometown with Axios Twin Cities

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Tampa Bay news?

Get a daily digest of the most important stories affecting your hometown with Axios Tampa Bay

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Charlotte news?

Get a daily digest of the most important stories affecting your hometown with Axios Charlotte

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Nashville news?

Get a daily digest of the most important stories affecting your hometown with the Axios Nashville newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Columbus news?

Get a daily digest of the most important stories affecting your hometown with the Axios Columbus newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Dallas news?

Get a daily digest of the most important stories affecting your hometown with the Axios Dallas newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Austin news?

Get a daily digest of the most important stories affecting your hometown with the Axios Austin newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Atlanta news?

Get a daily digest of the most important stories affecting your hometown with the Axios Atlanta newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Philadelphia news?

Get a daily digest of the most important stories affecting your hometown with the Axios Philadelphia newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Chicago news?

Get a daily digest of the most important stories affecting your hometown with the Axios Chicago newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sign up for Axios NW Arkansas

Stay up-to-date on the most important and interesting stories affecting NW Arkansas, authored by local reporters

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top DC news?

Get a daily digest of the most important stories affecting your hometown with the Axios DC newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!
Expand chart
Data: Centers for Disease Control and Prevention’s National Center for Health Statistics; Chart: Michelle McGhee/Axios

The fertility rate in the U.S. dropped by 4% last year compared to 2019, the lowest it's been in nearly 50 years, according to provisional data from the National Center for Health Statistics.

Why it matters: The data corroborates previous surveys that predicted a "COVID baby bust," with women reporting they were postponing pregnancy and having fewer children, as well surveys indicating less sexual activity overall.

By the numbers: There were 55.8 births per 1,000 women aged 15 to 44 last year. It is the sixth straight year the number of births in the U.S. have fallen, CDC data shows.

  • There was an overall decline in all age groups between 15 to 44. Brady Hamilton, the lead author of the study, called those drops "unusual" and "extraordinary." Births had been rising for women in their 30s, he said.
  • The preterm birth rate declined for the first time since 2014 to about 10% in 2020.

The big picture: Fertility rates in the U.S. and around the world have been falling for years as women in developed countries have gained more freedoms, received more education, and in some cases, gotten increased access to birth control.

Yes, but: Though significant, the decrease of 142,000 births last year is about half of what experts predicted. Researchers saw closed child centers and schools as key reasons for slowed births.

In a separate study published Wednesday, the NCHS found that more women in New York City, once the epicenter of the pandemic in the U.S., left to give birth in 2020 than in 2019.

  • Out-of-city births peaked in April and May with about 10% of women leaving the city compared to about 6% in 2019. This was especially true for white women, per the report.

Go deeper: The uncertain future of human reproduction

Go deeper

Updated Aug 13, 2021 - Health

U.S. approves third vaccine dose for certain immunocompromised people

Photo: Dinendra Haria/SOPA Images/LightRocket via Getty Images

The Food and Drug Administration and the Centers for Disease Control and Prevention have both recommended that certain immunocompromised people receive a third dose of the Pfizer-BioNTech or Moderna vaccine.

Why it matters: Data suggest that people with weakened immune systems don't generate strong enough levels of protection against the virus with just two doses, but a third dose could significantly help.

Aug 12, 2021 - Health

Over 800 physicians call on DeSantis to repeal anti-mask order in schools

Photo: Joe Raedle/Getty Images

More than 800 physicians signed a letter on Thursday calling on Florida Gov. Ron DeSantis to repeal an executive order that prohibits local officials from requiring masks in school.

Driving the news: The Republican governor is threatening to withhold pay from superintendents and school board members who mandate face masks in schools, even as Florida experiences a surge in COVID-19 cases and hospitalizations driven by the Delta variant.

Aug 12, 2021 - Health

CDC head warns unauthorized boosters undermine safety monitoring

Rochelle Walensky. Photo: Greg Nash-Pool/Getty Images

Rochelle Walensky, director of the Centers for Disease Control and Prevention, warned Thursday that Americans getting unauthorized booster shots of the COVID-19 vaccine undermine the CDC's safety monitoring of recipients.

Why it matters: With booster shots a near inevitability, many Americans are eager to know when they will be able to get one. Some are now circumventing official CDC guidelines and getting a third shot.