Bedford County's live birth rate was 560 births in 1990. The County's live birth rate in 2000 was 592 births, while in 2011 it had declined sharply to 484 babies. Over the past 50 years (1960 to 2010), rural Pennsylvania saw a steady decline in both the number and proportion of residents under 18 years old. In 1960, 1.06 million rural residents, or 35 percent of the rural population, were children. Pennsylvania's birth rate has been declining for two decades. According to data from the Pennsylvania Department of Health, in 1990, the Commonwealth of Pennsylvania's birth rate was 171,053. In 2000, Pennsylvania's birth rate was 145,874. Finally in 2011, the State's birth rate declined further to 142,021. From 2000 to 2009, the number of babies born in rural counties declined 5 percent.