History I / Urban Geography and City Systems
Practice question · True or false

Pre-modern cities had death rates above their birth rates and grew only through migration.

Hints
  1. Could a pre-modern city sustain itself?
  2. The urban graveyard effect.
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True

Why

True. Crowding, contaminated water and epidemic disease meant cities consumed population; London needed a continuous inflow from the countryside merely to hold steady. Urban growth was therefore a rural story, and the pattern only broke with nineteenth-century sanitation.

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