The birth rate is sharply declining while the mortality rate is declining but has started to level off.

Both the birth and mortality rates are declining sharply.

The birth rate has begun to decline sharply but the mortality rate has stabilized and is not showing much change.

The birth and mortality rates have both declined and stabilized.

The birth rate has remained consistently high, while the death rate has plummeted and stabilized at a low rate.

more widespread beliefs in folk medicine

improved medical knowledge and technology

higher urban sanitation standards

improved access to medical care

improved agricultural technologies

The birth rate is consistently high and the mortality rate is steadily declining.

Both the birth and mortality rates are steady but high.

Both mortality and birth rates are in steady decline.

The mortality rate has declined and stabilized while the birth rate has remained consistently high.

Both the birth and mortality rates have declined and stabilized, remaining consistently low.

High and erratic birth rates with a correspondingly high and fluctuating mortality rate

High but relatively constant birth rate and a fluctuating death rate

A fluctuating birth rate and a consistently high death rate

A birth and death rate that are both moderate but constantly fluctuating

A low birth rate and a fluctuating death rate

Increase in social programs benefitting the elderly

Slowed economic growth

Reductions in labor force

Population decline

Smaller tax base