He was almost execute if not for all of his past patients petition for leniency and a mediation from high ranking feudal lord. He was confined to this city for the rest of his life though.
The Japanese text says 出生率は…ずっと低い “the birthrate is much lower” so the translation most likely is accurate. The manga later explains that child mortality in this world is very high, which sounds contradictory from a real-world demographic perspective, so i believe It’s a fantasy worldbuilding choice
He was almost execute if not for all of his past patients petition for leniency and a mediation from high ranking feudal lord. He was confined to this city for the rest of his life though.