 In 2009, the lowest death rate was recorded for Azovsky German National Raion (9.4 per 1000) and the highest birth rate was recorded for Moskalenskom (17.0 per 1000), Isilkulskom (15.2), Maryanovsky (15.8), Pavlogradski (15.8), Tevrizskom (16.6), Ust-Ishim (15.4) and Sherbakulskom (16.2).Regions with the highest population growth were Moskalensky area (5.5 ppm), Azovsky German National Raion (4.8 ppm), Sherbakulsky (3.8 ppm) and Pavlogradskij (3.2 ppm).Ethnic Russian birth rate in the province is significantly lower than that of the ethnic Kazakhs (by 50%) and that of ethnic Germans (by 20%), according to the 2002 Census.