Correct option is C
The natural history of disease describes the progression of a disease process in an individual over time, without intervention.
The earliest stage is the pre-pathogenesis phase, where the individual is exposed to risk factors but the disease has not yet developed. If prevention or treatment is absent, the disease may progress through the pathogenesis phase, ultimately ending in recovery, disability, or death. Hence, Option 1 is correct.
Each disease has a unique course of development, but its progression may vary depending on age, immunity, genetics, nutrition, and environmental conditions. Therefore, not all individuals will experience the same disease outcome in the same way. Hence, Option 2 is also correct.
Thus, both Option 1 and Option 2 are correct, making the answer Option (c).