We study ergodic properties of a class of Markov-modulated general birth-death processes under fast regime switching. The first set of results concerns the ergodic properties of the properly scaled joint Markov process with a parameter that is taken large. Under very weak hypotheses, we show that if the averaged process is exponentially ergodic for large values of the parameter, then the same applies to the original joint Markov process. The second set of results concerns steady-state diffusion approximations, under the assumption that the 'averaged' fluid limit exists. Here, we establish convergence rates for the moments of the approximating diffusion process to those of the Markov modulated birth-death process. This is accomplished by comparing the generator of the approximating diffusion and that of the joint Markov process. We also provide several examples which demonstrate how the theory can be applied.