Nathaniel Pearson has an eminently readable post up on human effective population sizes. If you don't know the importance of harmonic means in this domain, worth a read. He finishes though with an issue of practical importance, the proliferation of individually deleterious alleles at the large census sizes we see us today:
Along the way, our changing population size may shape public health in complex ways. In particular, a key question will be what happens to the likely sizable subset of newly arisen rare variants that pose health risks to people who carry them. As our population continues to skyrocket, more such variants will come into our midst. At the same time, continued population growth should ultimately help natural selection purge such variants more efficiently than it can in a small population (where chance dominates the fate of variants, harmful or not). But, to the extent that our future population ...
