Topiramate
Topiramate is the drug which might be responsible for this malformation.
Topiramate is an anticonvulsant drug which is taken alone or with other drugs to prevent and control epilepsy. Topiramate is produced in four forms and are all taken by mouth. Topiramate has many side effects which include birth defects if is taken during pregnancy, osteoporosis, vision loss, nervousness and upper respiratory tract infection.
Honestly it depends on what state so you have to look up if they are legal in your area
The answer is B., Natural Selection.
Weather certainly doesn't change populations, and genes only caused individuals in a population to be slightly ( genetically-wise ) different from the others. It does cause change, but not change in the whole population over time.
Natural disasters don't change the populations over time either. Natural disasters only caused change in their environment, at most.
So, the only answer left is natural selection, and it makes sense too!
Natural selection is the process where the individuals with better traits suited to survive in that specific environment live on and give those good traits to their offspring.
The individuals with less suited traits to survive will die out, and will not be given an opportunity to reproduce and pass on their less suited traits, so over time, the population will increase of individuals with better suited traits to survive and the individuals with less suited traits will eventually die out, therefore making the entire population change.
Hope I helped you!
Carbon is the basis for all organic molecules. Silicone could also be the answer too though.