“The reasons for this decline are not altogether clear to us. Some of the failure to reproduce can undoubtedly be traced to the widespread availability of birth control of various kinds, including abortion, in the immediate pre-Gilead period. Some infertility, then, was willed, which may account for the differing statistics among Caucasians and non-Caucasians; but the rest was not. Need I remind you that this was the age of the R-strain syphilis and also of the infamous AIDS epidemic, which, once they spread to the population at large, eliminated many young sexually active people from the reproductive pool? Stillbirths, miscarriages, and genetic deformities were widespread and on the increase, and this trend has been linked to the various nuclear-plant accidents, shutdowns, and incidents of sabotage that characterised the period, as well as to leakages from chemical- and biological-warfare stockpiles and toxic-waste disposal sites, of which there were many thousands, both legal and illegal—in some instances these materials were simply dumped into the sewage system—and to the uncontrolled use of chemical insecticides, herbicides, and other sprays," Atwood writes