There's no question that founder effect and a bottleneck can create situations where if deleterious genes are present, they can rise to very high frequencies through the operation of drift, with unfortunate consequences for the people involved. Not all of the diseases or conditions in question result in the death of the fetus or the death of offspring in infancy. Indeed, many don't result in death until after the person has already mated, which is why the "trait" survives in the population. Some don't result in death at all, just decreased fitness of one kind or another. Just because it doesn't directly result in death doesn't mean it isn't deleterious.
[---]
Of course, the traits that rise to fixation might also be advantageous. Or, you might have one set of traits that is advantageous, and one that is deleterious, both at high frequencies. However, in the case of random mutations, beneficial ones seem to be the rarest. (most seem to be neutral, thank goodness)
[---]
The examples are numerous: French Canadians, the Amish, certain communities in Sardinia, Ashkenazim, Indian communities in Britain, most of the royal families of Europe. Certain specific royal lines died out because of it. The hemophilia mutation that arose either in Queen Victoria, or immediately before her, spread throughout most of the royal houses of Europe because of the large amount of inbreeding among them. They didn't all die, but that isn't the point. I just yesterday posted a study done on a small, isolated, bottle-necked community in northeast Finland. The scientists found exceedingly high levels of schizophrenia and problems with cognitive functioning.
Indeed, a lot of genetics studies that we use for populations genetics purposes were actually done because the scientists were researching the extremely high levels of certain diseases in small, isolated communities. One was done a couple of years ago on some small language isolate communities in north-east Italy for the same reason.
[---]
We're also dealing with simulations, apparently, not with just comparisons with the genomes. We'll see how the paper reads when it's published. I want to see the proof for this, "We present simulations showing that archaic introgression may have had a greater fitness effect than the out-of-Africa bottleneck itself.
[---]