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Demographic Transition Model
DTM
Model that shows what happens to demographics as a country develops (from a LDC to a MDC).
Demographic Measures
CBR
CDR
NIR
Population
DTM - Stage 1
High birth rates
High death rates
Lower population
Slow growth
DTM - Stage 2 - Early Expanding
High birth rates
Falling death rates
Population growing quickly
DTM - Stage 3 - Late Expanding
Falling birth rates
Falling death rates
Slowing Population Growth
DTM - Stage 4
Low birth rates
Low death rates
Zero/negative population growth
DTM - Stage 5?
Low birth rates
Rising death rates
Negative NIR/decreasing population
Is the DTM Still Relevant?
Critics Say...
Based on England only
Population growing much faster then ever before
Graying Population living longer than ever
Medical Revolution- 1900's
Stage 5?
The Epidemiologic Transition
Epidemiologists study diseases
The Epidemiologic Transition connects specific healththreats to each stage of the DTM
The Epidemiologic Transition: Stage 1 (High CDR)
Stage 1 - Infectious/parasitic disease, accidents, animal attacks
Black Plague is a Stage1 example:killed 25 million- ½ ofEurope's population
The Epidemiologic Transition: Stage 2 (Rapidly Declining CDR)
Stage 2 - Receding Pandemics
Cholera is a Stage 2 example
The Epidemiologic Transition: Stage 3 (Moderately Declining CDR)
Stage 3- Degenerative and human created diseases
Decrease in deaths from infectious diseases and an increase in disorders associated with aging
Cardiovascular disease and cancer
Epidemiologic Transition:Stage 4 (Low, but Increasing CDRs)
Stage 4- Delayed degenerative diseases such as heart diseases and cancer
Life is extended through medical advances
Epidemiologic Transition: Stage 5?Reemergence of Infectious Diseases
3 reasons for a POSSIBLE Stage 5
Evolution of new strains of diseases
Poverty
Globalization and easier travel
Medical Services
Most MDCs pay high percentage of medicals costs for its citizens (USAan exception)
Even in MDCs, governments must make choices... less coverage orhigher taxes
People in LDCs have little help with medical costs