A steady decline in the mortality rate over the years is primarily attributed to improvements in public health, healthcare, and living conditions. - (1) Control of epidemics such as cholera and smallpox: Successful efforts to control and eradicate major infectious diseases like smallpox, cholera, plague, etc., have significantly reduced death rates, especially among vulnerable populations. - (4) Improved sanitation and hygiene: Access to clean drinking water, proper waste disposal systems, and better personal and public hygiene practices drastically reduce the incidence of waterborne and infectious diseases, leading to lower mortality.