Pohjois-Karjala - Crude rate of natural change of population

-2.0 (%) in 2013

In 2013, crude rate of natural change of population for Pohjois-Karjala was -2 %. Though Pohjois-Karjala crude rate of natural change of population fluctuated substantially in recent years, it tended to increase through 2004 - 2013 period ending at -2 % in 2013.

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What is Pohjois-Karjala crude rate of natural change of population?