Will give ! the prevalence of endemic diseases is most effected by factors related to poverty. geography. family history. climate.

The constant presence of diseases or infectious agents within a given geographic area or population group. it may also refer to the usual prevalence of a given disease with such area or group. it includes holoendemic and hyperendemic diseases. a holoendemic disease is one for which a high prevalent level of infection begins early in life and affects most of the child population, leading to a state of equilibrium such that the adult population shows evidence of the disease much less commonly than do children (malaria in many communities is a holoendemic disease). a hyperendemic disease is one that is constantly present at a high incidence and/or prevalence rate and affects all groups equally. so probably family history.

The  pharaoh  was at the top of that pyramid. in the level below were nobles, priests, and officials. they the  pharaoh  govern egypt. so did soldiers, who fought battles for their ruler, and scribes,  who kept records  for the government and the temples. i know this