Stage I represents conditions in a pre-modern society with death rates around 30 per 1,000 people. Stage II brings better jobs, sanitation, medical care, and improved living standards, leading to rapid decrease in death rates. Populations overgrow during Stages II and III when death rates have fallen but birth rates remain high. In Stage IV, both birth and death rates are low, often a third or less than those in the predevelopment era in developed countries