Orders, decorations, and medals of the Holy See of the Catholic Church by his authority as head of the Holy See and sovereign of the Vatican City State. Historically, membership in these orders was either conferred by Papal bulls not signed by the Pope or by apostolic letters signed by the Pope himself. Since the reforms of these orders in the beginning of the 20th century, the diplomas have been signed by the Cardinal Secretary of State. In general, "Papal orders of knighthood" refers to the five equestrian orders of the Holy See awarded directly by the Supreme Pontiff as head of the Catholic Church, Holy See and
Foreign relations of the Holy See time. Currently it has the territory of the State of the Vatican City under its direct sovereign rule. In the period of 1870-1929 between the annexation of Rome by the Kingdom of Italy and the ratification of the Lateran Treaty establishing the current Vatican City State, the Holy See was devoid of territory. In this period some states suspended their diplomatic relations, but others retained them (or established such relations for the first time or reestablished them after a break), so that the number of states that did have diplomatic relations with the Holy See almost doubled (from 16 to