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While the proportion increased through rural to urban migration, high death rates in the cities slowed urban growth. Cities were unhealthy places because of crowded living conditions, the prevalence of contagious diseases, and the lack of sanitation. Until the mid-1800s, the number of deaths exceeded births in many large European cities. Migration accounted for as much as 90 percent of city growth during this period.
Urbanization in most less developed countries in the past 50 years contrasts sharply with the experience of the more developed countries. Death rates have fallen faster in urban areas because of greater access to health services...
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