A curious aspect of the kind of natural selection under consideration,—that which operates by death without reference to the food-supply,—is seen in the evolution of a wide pelvis in women. Before the days of modern obstetrics, the woman born with an unusually narrow pelvis was likely to die during parturition, and the inheritance of a narrower type of pelvis was thus stopped. With the introduction and improvement of instrumental and induced deliveries, many of these women are enabled to survive, with the necessary consequence that their daughters will in many cases have a similarly narrow pelvis, and experience similar difficulty in childbirth. The percentage of deliveries in which instrumental aid is necessary is thus increasing from generation to generation, and is likely to continue to increase for some time. In other words, natural selection, because of man's interference, can no longer maintain the width of woman's pelvis, as it formerly did, and a certain amount of reversion in this respect is probably taking place—a reversion which, if unchecked, would necessarily lead after a long time to a reduction in the average size of skull of that part of the human race which frequently uses forceps at childbirth. The time would be long because the forceps permit the survival of some large-headed infants who otherwise would die.
But it must not be supposed that lethal, non-sustentative selection works only through forms of infant mortality. That aspect was first discussed because it is most obvious, but the relation of natural selection to microbic disease is equally widespread and far more striking.
As to the inheritance of disease as such there is little room for misunderstanding: no biologist now believes a disease is actually handed