In some very rich countries like Japan birth rate declines, Death rate decreases very quickly because of improvements in sanitation and healthcare, Countries in this stage are likely to be HICs, Countries in this stage are likely to be NEEs, Countries in this stage are likely to be LICs, Death rate is very high because of poor sanitation and a lack of trained doctors, Birth rate falls because of fewer children are dying - so parents don't need replacement children, Rate of natural increase is very high here, Children are needed for farming so families have many children, Death rates are low because of good health care and reliable food supply , Birth rates are low because women are likely to be in education or employment .

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