Global population growth has occurred in three stages. The first stage saw high mortality and birth rates resulting in low population increase. The second stage saw declining mortality and sustained high birth rates, leading to rapid population growth and increased life expectancy. The third stage features declining birth and mortality rates, slowing population growth. Some countries now see negative population growth. Improvements in hygiene, diet, vaccines, healthcare and medicine facilitated 19th century population growth. Population distribution is unequal due to physical factors like population density, which is the total population divided by the land area. Natality is the birth rate calculated as births per 1000 people per year. Mortality is the death rate calculated as deaths per 1000 people per year. Natural increase is the