Earth scientist Jed Kaplan and colleagues suggest that less than one-half of the land currently used for food production was used in 1600 and less than one-third in 100 CE. It is true that making more of the land available takes more work—sometimes brutally hard work, and that risks malnutrition. Again, some land couldn’t be cultivated without innovations, including heavy plows and irrigation. Nonetheless, it seems clear that throughout most of history the number of humans on Earth fluctuated far below the maximum possible.
Instead, we should probably thank (or blame) the regulatory mechanism of infection for limiting populations. As the number of people grew, population density drove up disease rates. This thinning mechanism was, in most places, probably the most powerful check on the number of people, particularly during the centuries that humans have been farmers. …And when infectious death declined in the nineteenth and twentieth centuries, population, urbanization, intensification, land use, and prosperity all climbed to historically unprecedented levels worldwide.
Although there’s a lot of interesting history in Kenny’s book, I’m not sure he does enough with this insight. To me it seems a fairly important finding that the foundation of modern technological civilization is the ability to control infectious disease. (To be fair to Malthus, he did discuss disease as one of the mechanisms that acted to limit human population growth, but he generally discounted its importance relative to food supply.) Modern economies are all fundamentally dense, urban economies–the US is 82% urban, China 60%–and this population structure cannot be sustained without a set of technologies and practices that manage infectious disease.
When industrialization and urbanization happened without those controls, as they did in early 19th-century Britain, they led to actual declines in living standards and life expectancy. Rampant disease in pre-industrial cities like ancient Rome killed off residents faster than they could reproduce, requiring a continuing inflow of migrants to maintain their population. If our current systems for controlling infectious disease weaken or fail, therefore, we’re in trouble