Albania's infant mortality rate, estimated at 20 per 1,000 live births in 2000, has also declined over the years since the high rate of 151 per 1,000 live births in 1960. There were 69,802 births in 1999 and the fertility rate in 1999 was 2.5 while the maternal mortality rate was 65 per 100,000 live births in 1993. In addition, in 1997, Albania had high immunization rates for children up to one year old: tuberculosis at 94%; diphtheria, pertussis, and tetanus, 99%; measles, 95%; and polio, 99.5%.