This paper argues that the secular decline in mortality, which began during the eighteenth century, is still in progress and will probably continue for another century or more. The evolutionary perspective presented in this paper focuses not only on the environment, which from the standpoint of...

This paper sketches a theory of the secular decline in morbidity and mortality that takes account of changes in human physiology since 1700. The synergism between technological and physiological improvements has produced a form of human evolution, much more rapid than natural selection, which is...