While some clinal distributions are due to migration (gene flow), others have been shaped by natural selection.
Lactose tolerance

Figure \(\PageIndex{5}\) - Worldwide prevalence of lactose intolerance in recent populations.
The original human condition (found in most southern European, Asian, and African populations) is an inability for adults to digest lactose, the primary sugar found in dairy products. This is known as lactose intolerance and it has a genetic basis. Lactose intolerance can be a particularly unpleasant condition for those who consume dairy products and cannot digest them. Symptoms include diarrhea and intestinal gas.
However, some populations of people have developed an ability to digest lactose.
This is how that came about:
- An individual (or individuals) in the population was born with a genetic mutation that allowed them to digest lactose.
- During the same time span, the population was domesticating dairy-producing animals, collecting milk, and consuming it.
- Those who could digest the lactose in the milk (and therefore had a good food source without the unpleasant side effects) had more children than those who could not digest the lactose.
- Those children inherited the gene for lactose tolerance from their parents and passed it down to their children, etc.
This is biocultural coevolution between the domestication of dairy-producing animals in those populations and an increase in the prevalence of the lactose tolerance gene. In other words, the biology of the people was affected by their cultural behaviors and vice versa.
Sickle cell anemia
Sickle cell anemia is a very serious genetic disease that affects the hemoglobin in the blood.

Figure \(\PageIndex{6}\) - Sickle cell distribution
There are two forms of the Hb (hemoglobin) allele: 1) HbA, which is for normal functioning hemoglobin, that which allows red blood cells to carry oxygen efficiently, and 2) HbB (sometimes written as HbS), which is for sickle cell anemia (the hemoglobin and red blood cells do not function normally).
So, as we learned before about alleles and genotypes, when there are two alleles, there are three genotypes. In this case, the genotypes and phenotypes are:
- HbA/HbA = homozygous person has totally normal hemoglobin and their blood transports oxygen perfectly.
- HbA/HbB = heterozygous person has "the sickle cell trait" and therefore is a genetic carrier, but usually has few to no associated medical problems.
- HbB/HbB = homozygous person has sickle cell anemia.
Sickle cell anemia is a good example of the interaction of biology, environment, and culture. It has a fascinating biological interaction with the infectious disease malaria, which in turn is associated with agricultural practices. It has been found that those with sickle cell trait, i.e., people with the HbA/HbB genotype, are less likely to get malaria. Malaria is a disease caused by a parasite, Plasmodium. This life-threatening disease is transmitted through the bites of Anopheles mosquitos. Symptoms include fever, headache, chills, and vomiting. In severe cases, anemia, respiratory distress, or death may occur. Malaria in sub-Saharan Africa is associated with the spread of slash-and-burn agriculture and irrigation.
To recap:
- those with HbA/HbA easily get malaria,
- those with HbB/HbB get sickle cell anemia,
- those with HbA/HbB have protection from malaria and not have sickle cell anemia,
This is called the heterozygote advantage, because the heterozygotes are better off than either one of the homozygotes. It's this advantage that keeps the HbB allele present in certain populations, which is an example of a balanced polymorphism.
Important note: Remember that this HbB advantage only exists in malarial environments. It is environmentally specific. In an area without malaria, there is no advantage to having the HbB allele and therefore, the frequency of that allele is lower in populations in non-malarial environments.
A little fun with malaria: Malaria the video game