AQA · A-Level · Geography

    Course version: 7037 · Version from Sept 2018

    Global patterns of health, mortality and morbidity. Economic and social…

    Full specification wording

    Environment, health and well-being: Global patterns of health, mortality and morbidity. Economic and social development and the epidemiological transition.

    Global health patterns show stark contrasts, measured by mortality (death rates) and morbidity (illness prevalence).

    Checked against the AQA 7037 specification (opens in a new tab) on .

    • Point 1 of 5
    • 4 key terms

    Study notes

    From the checked teaching notes for this specification point.

    The idea

    Global health patterns show stark contrasts, measured by mortality (death rates) and morbidity (illness prevalence). These patterns are driven by economic and social development. As nations develop, they undergo the epidemiological transition. This model describes a shift from high mortality caused by infectious diseases (like malaria) to lower mortality but higher morbidity from non-communicable, degenerative diseases (like heart disease). For example, a low-income country may struggle with waterborne diseases due to poor sanitation, while a high-income country faces healthcare challenges from an ageing population and lifestyle conditions. This transition explains how the global disease burden shifts alongside economic progress.

    What earns the marks

    • Define mortality as the incidence of death and morbidity as the incidence of disease or illness within a population.
    • Explain the stages of Omran's epidemiological transition model, linking them to demographic changes and development.
    • Analyse how economic development improves sanitation, nutrition, and healthcare, reducing communicable diseases.
    • Evaluate how social development, particularly female education, correlates with improved family health outcomes and lower infant mortality.
    • Discuss the rise of diseases of affluence (non-communicable diseases) in advanced stages of the epidemiological transition.

    Common mistakes and how to put them right

    • Confusing mortality and morbidity.

      Put it right: Mortality refers to death rates, whereas morbidity refers to the prevalence of illness or disease.

    • Assuming the epidemiological transition only applies to economic changes.

      Put it right: It must also be linked to social development such as education and healthcare access.

    • Stating that infectious diseases are entirely eradicated in high-income countries.

      Put it right: They are reduced but can still cause significant morbidity, especially novel viruses.

    Exam tips

    • Use specific country examples to contrast different stages of the epidemiological transition model.
    • When discussing development, explicitly separate economic factors (like GDP per capita) from social factors (like literacy rates).
    • Link changes in morbidity and mortality to the Demographic Transition Model to show synoptic understanding of population dynamics.

    Try the lesson

    The start of the Environment, health and well-being: Global patterns of health, mortality and morbidity. Economic and social development and the epidemiological transition. lesson, made from checked teaching notes for this specification point.

    Have a go first

    According to the epidemiological transition model, what is the defining characteristic of the 'Age of Degenerative and Man-Made Diseases'?

    Listen

    Global health patterns show stark contrasts, measured by mortality (death rates) and morbidity (illness prevalence). These patterns are driven by economic and social development. As nations develop, they undergo the epidemiological transition. This model describes a shift from high mortality caused by infectious diseases (like malaria) to lower mortality but higher morbidity from non-communicable, degenerative diseases (like heart disease). For example, a low-income country may struggle with waterborne diseases due to poor sanitation, while a high-income country faces healthcare challenges from an ageing population and lifestyle conditions. This transition explains how the global disease burden shifts alongside economic progress. A strong answer earns marks for these points. Define mortality as the incidence of death and morbidity as the incidence of disease or illness within a population. Explain the stages of Omran's epidemiological transition model, linking them to demographic changes and development. Analyse how economic development improves sanitation, nutrition, and healthcare, reducing communicable diseases. Evaluate how social development, particularly female education, correlates with improved family health outcomes and lower infant mortality. Exam tip: Use specific country examples to contrast different stages of the epidemiological transition model.

    See it

    A top-down flowchart. At the top, a node labelled 'Economic and social development' branches into two nodes: 'Improved sanitation, nutrition and healthcare' and 'Social development, including female education'. The first of these leads to 'Reduced communicable diseases', and the second leads to 'Improved family health outcomes and lower infant mortality'. Both of these feed into a single node, 'Epidemiological transition'. That node branches into two outcomes: 'Shift from high mortality caused by infectious diseases' and 'Lower mortality but higher morbidity from non-communicable, degenerative diseases'. The first outcome leads to 'Low-income country: waterborne diseases due to poor sanitation', and the second leads to 'High-income country: ageing population and lifestyle conditions'.
    This shows how economic and social development drive the epidemiological transition, shifting the disease burden from infectious to non-communicable diseases.

    Key words

    Say what each word means before you turn the card.

    Mortality

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    Morbidity

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    Epidemiological transition

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    Development

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    See every definition
    Mortality
    The incidence of death within a population, measured by death rates.
    Morbidity
    The incidence of disease or illness within a population, or the prevalence of illness.
    Epidemiological transition
    A model describing a shift from high mortality caused by infectious diseases to lower mortality but higher morbidity from non-communicable, degenerative diseases as nations develop.
    Development
    Economic and social progress, including improved sanitation, nutrition, healthcare, education and healthcare access, which drives changes in health patterns.

    Label the diagram

    Some boxes have lost their names. Pick the right name for each number.

    The diagram again, with 3 boxes numbered instead of named. A top-down flowchart. At the top, a node labelled 'Economic and social development' branches into two nodes: 'Improved sanitation, nutrition and healthcare' and 'Social development, including female education'. The first of these leads to 'Reduced communicable diseases', and the second leads to 'Improved family health outcomes and lower infant mortality'. Both of these feed into a single node, 'Epidemiological transition'. That node branches into two outcomes: 'Shift from high mortality caused by infectious diseases' and 'Lower mortality but higher morbidity from non-communicable, degenerative diseases'. The first outcome leads to 'Low-income country: waterborne diseases due to poor sanitation', and the second leads to 'High-income country: ageing population and lifestyle conditions'.
    • 1Box 1

    • 2Box 2

    • 3Box 3

    0 of 3 labelled

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