Several dozen new infectious diseases have emerged over
the past three decades and have spread through travel. Most prominent currently is H1N1, commonly known as swine flu, which was first identified in Mexico in early 2009 and spread around the world very rapidly. The Bio.Diaspora Project, based at St. Michaels Hospital in Toronto, matched the global diffusion of H1N1 to airline travel patterns. The number of passengers arriving by air from Mex- ico was a strong predictor of the number of H1N1 cases in a particular city or country. AIDS. The most lethal epidemic in recent years has been AIDS (acquired immunodeficiency syndrome). Worldwide, 25 million people died of AIDS as of 2007, and 33 million were living with HIV (human immunodeficiency virus, the cause of AIDS). The distribution of AIDS within the United States was discussed in Chapter 1 (see Figure 1-22), but 90 percent of people living with HIV come from LDCs. There were 22 million people infected with HIV in sub-Saharan Africa in 2007, 5 million in Asia, 2 million each in Eastern Europe and Latin America, and 1 million each in North America and Western Europe (Figure 2-33). The impact of AIDS has been felt most strongly in sub- Saharan Africa. With one-tenth of the worlds population, sub-Saharan Africa had two-thirds of the worlds total HIV- positive population and nine-tenths of the worlds infected children. South Africa had the most cases, 6 million, and Botswana, Lesotho, and Swaziland had the highest rates of infectionone-fourth of the three countries adults were HIV- positive. CDRs in many sub-Saharan Africa countries rose sharply during the 1990s as a result of AIDS, from the mid-teens to the low twenties. The populations of Lesotho and Swaziland are forecast to decline between now and 2050 as a result of AIDS. Life expectancy has declined in these two countries, from the 50s during the 1980s to the 40s currently. ARCTIC OCEAN PACIFIC OCEAN ATLANTIC OCEAN INDIAN OCEAN PACIFIC OCEAN ARCTIC OCEAN ARABIAN SEA BAY OF BENGAL CORAL SEA 0 1,000 3,000 KILOMETERS 0 1,000 3,000 MILES 2,000 2,000 MODIFIED GOODE'S HOMOLOSINE EQUAL-AREA PROJECTION Tropic of Capricorn Tropic of Cancer Tropic of Cancer Equator Arctic Circle 50 40 30 20 10 0 10 30 40 50 60 70 80 60 50 40 30 20 10 20 30 40 50 50 40 30 20 10 0 30 40 50 50 60 70 80 90 140 150 10 20 30 40 50 10 20 30 40 50 20 30 20 30 40 180 150 140 130 120 110 120 150 160 170 20 160 160 100 and above 1099 39 Below 3 No data HIV/AIDS ADULT PREVALENCE PER 1,000 FIGURE 2-33 HIV/AIDS, 2007. The highest rates of HIV infection are in sub-Saharan Africa. India and China have relatively high numbers of HIV-positive adults, but they constitute a lower percentage of the total population. SUMMARY Overpopulationtoo many people for the available resourceshas already hit regions of Africa and threatens other countries in Asia and Latin America. The world as a whole does not face overpopulation imme- diately, but current trends must be reversed to prevent a future crisis. Geographers caution that the number of people living in a region is not by itself an indication of overpopulation. Some densely populated regions are not overpopulated, whereas some sparsely inhabited areas are. Instead, overpopulation is a relationship between the size of the population and a regions level of resources. The capacity of the land to support life derives partly from characteristics of the natural envi- ronment and partly from human actions to modify the environment through agriculture, industry, and exploitation of raw materials. The track toward overpopulation already may be irreversible in Africa. Rapid population growth has led to the overuse of land. As the land declines in quality, more effort is needed to yield the same amount of crops. This extends the working day of women, who have the primary 74 The Cultural Landscape CASE STUDY REVI SI TED / India Versus China The worlds two most populous countries, China and India, will heav- ily influence future prospects for global overpopulation (Figure 2-34). These two countriestogether encompassing more than one-third of the worlds populationhave adopted different family-planning pro- grams. As a result of less effective policies, India adds 12 million more people each year than does China. Current projections show that India would surpass China as the worlds most populous country around 2030. Indias Population Policies India, like most countries in Africa, Asia, and Latin America, remained in stage 1 of the demographic transition until the late 1940s. During the first half of the twentieth century, population increased modestlyless than 1 percent per yearand even decreased in some years because of malaria, famines, plagues, and cholera epidemics. Immediately following independence from England in 1947, Indias death rate declined sharply (to 20 per 1,000 in 1951), whereas the CBR remained relatively high (about 40). Consequently, the NIR jumped to 2 percent per year. In response to this rapid growth, India became the first country to embark on a national family-planning program, in 1952. The government has established clinics and has provided information about alternative methods of birth control. Birth-control devices have been distributed free or at subsidized prices. Abortions, legalized in 1972, have been performed at a rate of several million per year. All together, the government spends several hundred million dollars annually on various family-planning programs. FIGURE 2-34 Parents and their only child in Beijing, China. responsibility for growing food for their families. Women then regard hav- ing another child as a means of securing additional help in growing food. We cannot completely explain the overpopulation problem until we see how people in different regions earn a living and modify the environment. However, we can reach some conclusions by briefly reviewing the key issues raised at the beginning of this chapter. 1. Where Is the Worlds Population Distributed? Global pop- ulation is concentrated in a few places. Human beings tend to avoid those parts of Earths surface that they consider to be too wet, too dry, too cold, or too mountainous. 2. Where Has the Worlds Population Increased? Virtually all the worlds natural increase is concentrated in the LDCs of Africa, Asia, and Latin America. In contrast, most European and North American countries now have low population growth rates, and some are experiencing population declines. The difference in natu- ral increase between MDCs and LDCs is attributable to differences in CBRs rather than in CDRs. 3. Why is Population Increasing at Different Rates in Differ- ent Countries? The demographic transition is a change in a countrys population. A country moves from a condition of high birth and death rates, with little population growth, to a condi- tion of low birth and death rates, with low population growth. During this process the total population increases enormously, because the death rate declines some years before the birth rate does. The MDCs of Europe and North America have reached or neared the end of the demographic transition. African, Asian, and Latin American countries are at the stages of the demo- graphic transition characterized by rapid population growth, in which death rates have declined sharply, but birth rates remain relatively high. 4. Why Might the World Face an Over Population Problem? The rate at which global population grew during the second half of the twentieth century was unprecedented in history. A dra- matic decline in the death rate produced the increase. With death rates controlled, for the first time in history the most critical fac- tor determining the size of the worlds population is the birth rate. Birth rates began to decline sharply during the 1990s, slow- ing world population growth and reducing fear of overpopula- tion in most regions. Scientists agree that the current rate of natural increase must be further reduced, but they disagree on the appropriate methods for achieving this goal. (Continued) Chapter 2: Population 75 CASE STUDY REVI SI TED ( Conti nued) Indias most controversial family-planning program was the estab- lishment of camps in 1971 to perform sterilizationssurgical proce- dures by which people were made incapable of reproduction. A sterilized person was entitled to a payment, which has been adjusted several times but generally has been equivalent to the average monthly income in India. At the height of the program, in 1976, 8.3 million ster- ilizations were performed during a 6-month period, mostly on women. The birth-control drive declined in India after 1976. Widespread opposition to the sterilization program grew in the country because people feared that they would be forcibly sterilized. The prime minis- ter, Indira Gandhi, was defeated in 1977, and the new government emphasized the voluntary nature of birth-control programs. The term family planning, which the Indian people associated with the forced sterilization policy, was replaced by the term family welfare to indicate that compulsory birth-control programs had been terminated. Although Mrs. Gandhi served again as prime minister from 1980 until she was assassinated in 1984, she did not emphasize family planning because of the opposition during her previous administration. Government-sponsored family-planning programs have instead emphasized education, including advertisements on national radio and television networks and information distributed through local health centers. Given the cultural diversity of the Indian people, the national campaign has had only limited success. The dominant form of birth control continues to be sterilization of women, many of whom have already borne several children. Chinas Population Policies In contrast to India, China has made substantial progress in reducing its rate of growth. Since 2000, China has actually had a lower CBR than the United States. The core of the Chinese governments family-planning program has been the One Child Policy, adopted in 1980. Under the One Child Policy, couples need a permit to have a child. Couples receive financial subsidies, a long maternity leave, better housing, and (in rural areas) more land if they agree to have just one child. The gov- ernment prohibits marriage for men until they are 22 and women until they are 20. To further discourage births, people receive free contraceptives, abortions, and sterilizations. Rules are enforced by a government agency, the State Family Planning Commission. As China moves toward a market economy in the twenty-first cen- tury and Chinese families become wealthier, the harsh rules in the One Child Policy have been relaxed, especially in urban areas. Clinics provide counseling on a wider range of family-planning options. Instead of fines, Chinese couples wishing a second child pay a fam- ily-planning fee to cover the cost to the government of supporting the additional person. Fears that relaxing the One Child Policy would produce a large increase in the birth rate have been unfounded. After a quarter-century of intensive educational pro- grams, as well as coercion, the Chinese people have accepted the ben- efits of family planning. KEY TERMS Agricultural density (p. 52) The ratio of the number of farmers to the total amount of land suitable for agriculture. Agricultural revolution (p. 57) The time when human beings first domesticated plants and animals and no longer relied entirely on hunting and gathering. Arithmetic density (p.50) The total number of people divided by the total land area. Census (p. 62) A complete enumeration of a population. Crude birth rate (CBR) (p. 53) The total number of live births in a year for every 1,000 people alive in the society. Crude death rate (CDR) (p. 53) The total number of deaths in a year for every 1,000 people alive in the society. Demographic transition (p. 56) The process of change in a societys popula- tion from a condition of high crude birth and death rates and low rate of natural increase to a condition of low crude birth and death rates, low rate of natural increase, and a higher total population. Demography (p. 45) The scientific study of population characteristics. Dependency ratio (p. 59) The number of people under the age of 15 and over age 64 compared to the number of people active in the labor force. Doubling time (p. 53) The number of years needed to double a population, assuming a constant rate of natural increase. Ecumene (p. 49) The portion of Earths surface occupied by permanent human settlement. Epidemiologic transition (p. 71) Distinctive causes of death in each stage of the demo- graphic transition. Epidemiology (p. 71) Branch of medical sci- ence concerned with the incidence, distri- bution, and control of diseases that are prevalent among a population at a special time and are produced by some special causes not generally present in the affected locality. Industrial Revolution (p. 57) A series of improvements in industrial technology that transformed the process of manufac- turing goods. Infant mortality rate (IMR) (p. 55) The total number of deaths in a year among infants under 1 year old for every 1,000 live births in a society. Life expectancy (p. 55) The average number of years an individual can be expected to live, given current social, economic, and medical conditions. Life expectancy at birth is the average number of years a newborn infant can expect to live. Medical revolution (p. 58) Medical tech- nology invented in Europe and North America that is diffused to the poorer countries of Latin America, Asia, and Africa. Improved medical practices have eliminated many of the traditional causes of death in poorer countries and enabled more people to live longer and healthier lives. Natural increase rate (NIR) (p. 53) The per- centage growth of a population in a year, computed as the crude birth rate minus the crude death rate. Overpopulation (p. 46) The number of people in an area exceeds the capacity of the environment to support life at a decent standard of living. 76 The Cultural Landscape THINKING GEOGRAPHICALLY 1. As discussed in the Contemporary Geographic Tools box, the cur- rent method of counting a countrys population by requiring every household to complete a census form once every ten years has been severely criticized as inaccurate. The undercounting produces a geo- graphic bias, because people who are missed are more likely to live in inner cities, remote rural areas, or communities that attract a rel- atively high number of recent immigrants. Given the availability of reliable statistical tests, should the current method of trying to count 100 percent of the population be replaced by a survey of a carefully drawn sample of the population, as is done with political polling and consumer preferences? Why or why not? 2. Scientists disagree about the effects of high density on human behavior. Some laboratory tests have shown that rats display evi- dence of increased aggressiveness, competition, and violence when very large numbers of them are placed in a box. Is there any evi- dence that very high density causes humans to behave especially aggressively or violently? Discuss. 3. Paul and Anne Ehrlich argue in The Population Explosion (1990) that a baby born in an MDC such as the United States poses a graver threat to global overpopulation than a baby born in an LDC. The reason is that people in MDCs place much higher demands on the worlds supply of energy, food, and other limited resources. Do you agree with this view? Why? 4. Members of the baby-boom generationpeople born between 1946 and 1964constitute nearly one-third of the U.S. popula- tion. Baby boomers have received more education than their par- ents, and women are more likely to enter the labor force. They have delayed marriage and parenthood and have fewer children compared to their parents. They are more likely to divorce, to bear children while unmarried, and to cohabit. As they grow older, what impact will baby boomers have on the American population in the years ahead? 5. What policies should governments in MDCs pursue to reduce global population growth? If an MDC provides funds and advice to promote family planning, does it gain the right to tell developing countries how to spend the funds and how to use the expertise? Explain your answer. Pandemic (p. 71) Disease that occurs over a wide geographic area and affects a very high proportion of the population. Physiological density (p. 51) The number of people per unit of area of arable land, which is land suitable for agriculture. Population pyramid (p. 59) A bar graph rep- resenting the distribution of population by age and sex. Sex ratio (p. 60) The number of males per 100 females in the population. Total fertility rate (TFR) (p. 54) The average number of children a woman will have throughout her childbearing years. Zero population growth (ZPG) (p. 58) A decline of the total fertility rate to the point where the natural increase rate equals zero. RESOURCES Recent and classic books and articles on population geography: Bailey, Adrian. Making Population Geography. London: Hodder Arnold, 2005. Haub, Carl, and O. P. Sharma. Indias Population: Reconciling Change and Tradition. Population Bulletin 61 (3). Washington, DC: Population Reference Bureau, 2006. Lamptey, Peter, Jami L. Johnson, and Marya Khan. The Global Chal- lenge of HIV and AIDS. Population Bulletin. Washington, DC: Pop- ulation Reference Bureau, 2006. Malthus, Thomas. An Essay on the Principles of Population. 1978 (reprint). London: Royal Economic Society, 1926 (first published 1798). McFalls, Joseph A., Jr. Population: A Lively Introduction, 5th ed. Population Bulletin 62 (1). Washington, DC: Population Reference Bureau, 2007. Newbold, K. Bruce. Six Billion Plus: World Population in the Twenty- first Century, 2nd ed. Lanham, MD: Rowman & Littlefield, 2007. Riley, Nancy E. Chinas Population: New Trends and Challenges. Population Bulletin 59 (2). Washington, DC: Population Reference Bureau, 2004. Sanderson, Warren, and Sergei Scherbov. Rethinking Age and Aging. Population Bulletin 63 (4). Washington, DC: Population Reference Bureau, 2008. Simon, Julian. Theory of Population and Economic Growth. Oxford and New York: Blackwell, 1986. Smil, Vaclav. How Many People Can the Earth Feed? Population and Development Review 20 (1994): 25592. St. Michaels Hospital. The Bio.Diaspora Project: An Analysis of Canadas Vulnerability to Emerging Infectious Disease Threats via the Global Airline Transportation Network. Toronto: St. Michaels Hospital (2009). Journals featuring population geography: American Demographics, Demography, Intercom, Population, Population and Development Review, Population Bulletin, Population Studies Key internet sites: www.prb.org. The Population Reference Bureau (PRB) provides authoritative demographic information for every country and world region. The PRB also provides electronic access to many of the articles and reports it publishes. www.census.gov. The U.S. Bureau of the Census provides access to the results of the various censuses at its web site. The censuss American Factfinder has the latest information on communities within the United States. The Statistical Abstract of the United States publishes many census and other government statistics in book form, available in libraries or in PDF format through the census web site. A chapter of international statistics is included. Log in to www.mygeoscienceplace.com for videos, interactive maps, RSS feeds, case studies, and self-study quizzes to enhance your study of Population. Chapter 2: Population 77