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Stage 1 is known as the stage of Pestilence and Famine. In this stage infectious diseases with no cures are highly probable causes of death.
For example the bubonic plague wiped out 1/3 of the world's population in this stage. There was no cure and no medicine that could prevent this disease from spreading.
Stage 1 of the demographic transition model aligns with stage 1 of the epidemiological transition model because the demographic model shows how the birth and the death rates were both high which means there is low to no growth in this society.
The reason for the death rates being so high is because of the diseases that spread and killed people rapidly due to the lack of medicines being available in this time. The reason for high birth rates in this time period was because this stage is more agriculturally based, which means hand for farms. It also means that the babies are more likely to die because of these diseases, and there are more replacement babies
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