In 2023, eight villages in Okinawa Prefecture had fewer than 10 childbirths, with Tonaki recording none, Tokashiki just one, and Izena and Tarama two each.

The eight villages — all of them on small, remote islands — account for one-fifth of the prefecture’s 41 municipalities.

Okinawa Prefecture has long held the nation’s record for having the highest total fertility rate, or the average number of children a woman will bear in her lifetime, boasting an image of “islands blessed with children.”

AloJapan.com