There were 14,510 births in quarter 4 2018, 199 births or 1.4% less than the same period in 2017.  This corresponds to a birth rate of 11.9 per 1,000 population, a decrease of 0.4 from quarter 4 2017.

There were 7,103 deaths in quarter 4 2018, a decrease of 0.2% (or 12 deaths) from quarter 4 2017.  This equates to a death rate of 5.8 per 1,000 population, a decrease of 0.1 points from quarter 4 2017.

There were 40 infant deaths registered in quarter 4 2018 giving an infant mortality rate of 2.8 per 1,000 live births.

The number of births less the number of deaths in quarter 4 2018 resulted in a natural increase of population of 7,407 persons.