Scurvy as a factor in the loss of the 1845 Franklin expedition to the Arctic: a reconsideration

In 1845, an expedition, commanded by Sir John Franklin, set out to discover the Northwest Passage. The ships entered the Canadian Arctic, and from September 1846 were beset in ice off King William Island. A note left by the expedition in May 1847 reported all was well, but by April 1848, 24 of the 129 men had died. The ice‐locked ships were deserted in April 1848, but the 105 survivors were so weakened that all perished before they could reach safety. The causes of the morbidity and mortality aboard the ships have long been debated, and many commentators have argued that scurvy was an important factor. This study evaluates the historical evidence for the likely effectiveness of anti‐scorbutic precautions taken on polar voyages at that time, and investigates whether the skeletal remains associated with the expedition provide evidence for scurvy. Skeletal remains available for study were carefully examined for pathological changes, and lesions potentially consistent with scurvy were subject to histological analysis. Where remains were no longer accessible, use was made of published osteological work. It is argued that the anti‐scorbutic measures customarily taken on mid 19^th century British naval polar voyages were such that there is no a priori reason to suppose that scurvy should have been a problem prior to the desertion of the ships. The analysis of the skeletal evidence provided little in the way of bony lesions consistent with the disease, and cannot therefore be used to support the presence of scurvy. Factors other than scurvy may been the main causes of morbidity and mortality in the 11 months prior to the desertion of the ships. Copyright © 2012 John Wiley & Sons, Ltd.     

From convicts to colonists: the health of prisoners and the voyage to Australia, 1823-53

From 1815, naval surgeons accompanied all convict voyages from Britain and Ireland to the Australian colonies. As their authority grew, naval surgeons on convict ships increasingly used their medical observations about the health of convicts to make pointed and sustained criticisms of British penal reforms. Beyond their authority at sea, surgeons' journals and correspondence brought debates about penal reform in Britain into direct conversation with debates about colonial transportation. In the 1830s, naval surgeons' claims brought them into conflict with their medical colleagues on land, as well as with the colonial governor, George Arthur. As the surgeons continued their attempts to combat scurvy, their rhetoric changed. By the late 1840s, as convicts' bodies betrayed the disturbing effects of separate confinement as they boarded the convict ships, surgeons could argue convincingly that the voyage itself was a space that could medically, physically and spiritually reform convicts. By the mid-1840s, surgeons took the role of key arbiters of convicts' potential contribution to the Australian colonies.     

Scurvy in adults and youngsters: the Dutch experience. A review of the history and pathology of a disregarded disease

Prior to the Dutch maritime expansion of the 17th and 18th centuries, scurvy was known in the Low Countries as an endemic disease. From the end of the 16th century the disease started to draw much more attention due to increasing long sea journeys of sailors. Already in the Dutch medical literature of the 16th century, a strong relation was expressed between the prolonged taking of foodstuffs of poor quality and the risk of contracting scurvy. Although from that time, many Dutch physicians recommended oranges, scurvy grass and brook‐lime, it took 200 years before inadequate therapy on the fleet was replaced by systematic prevention. Why did the old time effective recommendations for the therapy of scurvy stay inadequate for mariners? To understand, maritime and medical history were unfolded and evaluated with respect to palaeopathological findings reported for 39 cases of active scurvy and one case of healed scurvy. The palaeopathology of scurvy in adults and still growing youngsters was investigated from the remains of 50 Dutch whalers who had been buried during the 17th and 18th centuries on an island of the Spitsbergen Archipelago. Conforming the clinical literature, the original haematomas from scurvy were found as a black staining at the tips of dental roots. In the weight‐bearing bones of the lower extremities large black stains were positioned bilaterally around endofractures of the metaphyses, bilaterally on joint surfaces and bilaterally at epiphyseal discs of youngsters. In the non‐weight‐bearing bones they were often found unilaterally, such as at insertions of muscles. Immunoenzymatic staining of microscopic sections proved that the black stains were from remnants of denatured haemoglobin. No microscopic bone repair activities had happened. In a case of healed scurvy it could even be demonstrated how many times the recovery process had taken place from the layers of appositional bone which had replaced the original subperiosteal haematomas. Copyright © 2004 John Wiley & Sons, Ltd.     

Adult scurvy in skeletal remains of late 19th century mineworkers in Kimberley,South Africa

Throughout history, scurvy has been a well‐known disease which develops due to restricted resources of fresh fruit and vegetables. The condition results from an extended limited intake of vitamin C. Although skeletal lesions associated with infantile scurvy have been well described by many authors, very little literature is available on adult scurvy and the resulting skeletal lesions. The purpose of this study was to investigate the skeletal remains of a 19th century mining population from Kimberley, South Africa, for any skeletal lesions that may be indicative of adult scurvy. Scurvy was well documented as being extremely prevalent in this population. The skeletal remains of 107 individuals, presumed to have died around 1898, were studied. The majority of these individuals were males between 19 and 45 years of age. It is likely that most individuals were migrant workers at the diamond mines. All bones were visually assessed for macroscopic indications of pathological bone alterations associated with healed scurvy. Bone samples were also taken from ambiguous lesions in order to perform histological investigations. Lesions indicative of possible healed adult scurvy were observed in 16 individuals. These lesions included bilateral ossified haematomas, osteoperiostitic bone changes and periodontal disease. Histological investigation confirmed the presence of ossified haematomas on the anterior tibiae of some individuals. Hospital records and historical documents describing the incidence of scurvy in the local hospitals and the daily diet of the black mine workers supported these findings. Copyright © 2009 John Wiley & Sons, Ltd.     

Childhood scurvy in a medieval burial from Mačvanska Mitrovica,Serbia

The type and distribution of abnormalities in the skeleton of a child 2 years of age indicates that the child likely suffered from scurvy at the time of death. The burial is from the archaeological site of Zidine, Mačvanska Mitrovica, Serbia dated to the Medieval Period. Abnormal porosity and reactive woven bone formation are present affecting both the axial and appendicular skeleton. This case of scurvy is important because archaeological evidence of scurvy in this geographical location and at this time period is unknown. It is also important because the relative completeness of the skeleton and the widespread evidence of skeletal abnormalities provide additional insight regarding the skeletal manifestations of scurvy in young children. Copyright © 2009 John Wiley & Sons, Ltd.     

Presence and Absence: An Exploration of Scurvy in the Commingled Subadults in the Spring Street Presbyterian Church Collection,Lower Manhattan

This paper presents the results of an examination of scurvy in the commingled subadult remains (minimum number of individuals = 70) of the Spring Street Presbyterian Church. This historic congregation in New York City had active burial vaults from 1820 to 1846. Scurvy is a vitamin C deficiency that results in haemorrhaging at the sites of muscle origin and insertion, particularly around the skull. These resulting lesions can occur in subadults undergoing growth, weaning and dietary stress. Applying diagnoses suggested by recent research, this article examines specific sites on the skull for lesions consistent with and suggestive of scurvy. Findings include 30 elements that display associated pathology. This population data are drawn from maxillae, sphenoids and orbits. Two osteobiographies are also presented. By connecting the biological data to the socio‐cultural environment of the church, this article raises questions of how to interpret the presence and absence of scurvy in a commingled collection. Copyright © 2016 John Wiley & Sons, Ltd.     

An examination of skulls from two British sites for possible evidence of scurvy

Skulls and mandibles from the Romano‐British site of Poundbury, Dorset and a medieval site at Abingdon in Oxfordshire were examined for porosity which has been considered to be indicative of the presence of scurvy. In addition, a number of skulls from various locations in Peru were examined. Virtually all the skulls had porosity at at least one site and in all cases the palate was most frequently affected. The rank order of affected sites showed some differences between the three samples but the most striking change was the frequency with which the cranial vault and maxilla were affected in the Peruvian skulls compared with the British. The differences were not statistically significant, however. None of the appearances was consistent with those of known cases of infantile scurvy and we doubt whether scurvy can be diagnosed on the basis of porosity in the skull and mandible unless it conforms to recognized clinical patterns. Copyright © 2003 John Wiley & Sons, Ltd.     

A regional investigation of subadult dietary patterns and health in late Iron Age and Roman Dorset,England

This is the first regional analysis of the impact of Romanisation on subadult dietary patterns and related health parameters in Britain. A sample of 200 subadults from late Iron Age (LIA) and Romano-British (RB) Dorset were examined for dental health and specific metabolic diseases, and a sub-sample of 29 individuals were selected for nitrogen and carbon isotope analysis. The results showed that dental health declined in the Romano-British period and the incidence of scurvy and rickets rose. Increased consumption of marine foods in the RB period is indicated by an increase in δ¹³C between the LIA and RB subadults. After early childhood, there was no age-dependent variation in dietary protein in the RB and LIA populations from Dorset. We propose that these changes related to the introduction of urban living, Romanised diets and population migration.     

From Science to Religion: Justifying French Pacific Voyaging and Expansion in the Period of the Restoration and the July Monarchy

Abstract

What explains the generous state sponsorship of the French Pacific voyages of scientific exploration in the period of the Restoration and the July Monarchy, and what links did these voyages have with the beginnings of a French Pacific empire from 1842? While it is argued that the early voyages owed much to state advancement of science, this goal receded as a reviving France became increasingly imperial minded. In justifying imperial expansion into the Pacific, the French monarchy turned increasingly to another source of national identity and global influence: the activities of French missionaries. Though the promotion of French missions did not constitute a primary goal of French Pacific expeditions, their reports helped to strengthen the alliance between French missions and an increasingly expansionist state. Ironically it was the voyagers’ attention to religion rather than science that was to be more directly linked with the foundations of a French Pacific empire.     

Reports of the Cook voyages in the Hamburgischer Correspondent

The beginnings of a racialised order in Oceania, and of German involvement in such, reach back a long way. In this article, the author traces elements of this racialisation back to the years before the first formal European settlement on the Australian continent. She examines important aspects of the German journalistic reception of James Cook’s voyages to the Pacific by focusing on one particularly highly networked and very widely distributed newspaper and its reporting in the period 1768–1787. She uses this to show how the editors, and especially London-based German-speaking correspondents, consciously leveraged an Anglophilia that was typical of the Hanseatic city of Hamburg in a way that encouraged their German-speaking readers, wherever they might be, to closely identify with British exploration and even claim ownership of these events themselves. Anglophilia and the German-language reporting of the Cook voyages, therefore, supplied raw materials for an entangled sense of imperial identity.     

Trephination as a possible treatment for scurvy in a middle bronze age (ca. 2200 BC) skeleton

Although trephination of sub-adults in antiquity is rare, scurvy both infantile and adult, is even more rare in the archaeological record. Pathological changes appearing in the maxilla, mandible and orbits of a child of 8–9 years of age are highly suggestive of infantile scurvy. Advanced forms of this metabolic disturbance lead to severe subperiosteal haemorrhaging, at times turning the skin of the face and skull black. This condition may have led to the trephination along the sagittal suture as a form of blood letting in hopes of draining the subperiosteal haemorrhage in the cranium. Although cause and effect are often confusing in antiquity, the surgical intervention presented here led to the ultimate death of the child.     

A leprous skeleton of the 7th century from Eccles,Kent, and the present evidence of leprosy in early Britain

A male skeleton of 7th century date from the Anglo-Saxon cemetery at Eccles, Kent, is described. Certain skeletal changes associated with leprosy are manifest. The disease is discussed in its palaeopathological context and this case in relation to the few other cases of the disease hitherto diagnosed in Great Britain.     

Did Children in Medieval and Post‐medieval Poland Suffer from Scurvy? Examination of the Skeletal Evidence

Late‐medieval and post‐medieval writings report that scurvy was a widespread condition in medieval and early historical Poland. Archaeological and historical data indicate that the diet of children was based on foods poor in vitamin C and contained small amounts of raw plant products. Also, historians emphasise that in medieval and post‐medieval Poland, there were seasonal fluctuations in food availability, frequently accompanied by poor harvests. Both resulted in long periods of poor nutrition, which affected children most severely. The aim of this study was to investigate skeletal manifestations of scurvy in subadult remains from medieval and post‐medieval Poland. Following standards described by Ortner and colleagues, anatomical sites pathognomonic of scurvy in subadults (<17 years) were assessed for abnormal porosity and hypertrophic bone among skeletons excavated from three sites: Ostrów Lednicki (dated to the 11th–14th centuries AD), Cedynia (10th–14th centuries AD) and Słaboszewo (14th–17th centuries AD). In total, 3.6% of all examined children were found to bear traces of vitamin C deficiency. The prevalence of scorbutic lesions was 4.5% for Cedynia, 2.6% for Ostrów Lednicki and 3.6% for Słaboszewo. The majority of affected children were less than 7 years of age. Scurvy was likely more widespread in the living populations than it appears from the calculation of skeletal markers, because some individuals might have recovered or died before obvious traces became apparent. Also, in some children, scurvy might not have reached an advanced stage, identifiable in the skeletal material. The prevalence of scurvy reflects not only dietary patterns but also food storage and preparation techniques adopted in the Polish territories during the Middle Ages, which contributed to low intakes of vitamin C. Copyright © 2015 John Wiley & Sons, Ltd.     

Interpreting the Moon Landings: Project Apollo and the Historians

By focusing on the key book‐length studies of the Apollo program that landed American astronauts on the Moon in the 1960s and 1970s, this essay seeks to evaluate the historiography about Apollo in the first decade of the twenty‐first century, dividing the subject into five major areas. The first area is the foreign policy and public policy antecedents of Apollo and its immediate ramifications; some of these efforts have yielded significant studies. The second area involves the evolution of space hardware, in many instances these are overwhelmingly detailed studies of rockets and other space flight technologies. Third, there is a great fascination with the astronauts and their actual flights, and a rich tradition of memoir and narrative exists in this arena. The fourth area receiving attention from historians of Apollo and the lunar voyages emphasizes the history of science, in which much of the focus is on the scientists, scientific findings from the voyages of discovery, and the use of this evidence in developing larger theories about the origin and evolution of the solar system. Finally, and increasingly so in the last 20 years, the Apollo story has been recontextualized through social and cultural investigations of its meaning in modern America. Assessing the five major areas enumerated above, this essay also offers some possibly fruitful avenues of future research.     

A Case of Identity: The Artefacts of the 1770 Kamay (Botany Bay) Encounter*

Collections of Indigenous artefacts made during the voyages of Captain James Cook have been extensively researched, but significant issues around the provenance and identification of artefacts remain complex and unresolved. This article considers the case of a shield in the British Museum, said for fifty years to have been appropriated by Cook at the time of first contacts with Gweagal in April 1770, and other artefacts associated with the same encounters.     

Scurvy‐related Morbidity and Death among Christopher Columbus' Crew at La Isabela,the First European Town in the New World (1494–1498): An Assessment of the Skeletal and Historical Information

This article explores the living conditions and specifically the possible etiologies of subperiosteal reactions among those seafarers who did not survive Christopher Columbus' second voyage to the Americas and died at La Isabela, the first permanent European settlement in the New World, which is located in the present‐day Dominican Republic. The town was founded in 1494 by Christopher Columbus (1451–1506) and occupied for only 4 years. This study analyses the macroscopic and histological evidence of the skeletal series excavated from this contact cemetery, which is presently curated at the Museo del Hombre Dominicano. Twenty of the 27 systematically scored individuals reveal subperiosteal bone accretions, and in at least 15 individuals, these accretions appear bilaterally. The morphology, distribution and healing stages of the majority of these lesions provide new, direct evidence suggesting severe adult scurvy, a condition caused by sustained vitamin C deprivation, which was common among seafarers before the 18th century. The historical context surrounding the individuals' death at the European contact settlement and the conditions and duration of Christopher Columbus' second transatlantic voyage to the New World represent key elements in the interpretation of these lesions. In this case, the evidence also corroborates the known failure of Columbus' crew to exploit the locally available foods rich in vitamin C. Scurvy probably contributed significantly to the outbreak of sickness and collective death within the first months of La Isabela's settlement, an aspect that inflects the current discussion about the degree of virulence of New World infections that decimated the European newcomers, who we conclude to have been already debilitated and exhausted by scurvy and general malnutrition. Copyright © 2014 John Wiley & Sons, Ltd.     

How Was Edmond Halley’s Map of Magnetic Declination (1701) Constructed?

Edmond Halley made two scientific voyages in the Atlantic Ocean as captain of the HMS Paramore between 1698 and 1700. Following these voyages he published the first map showing lines of equal magnetic declination in 1701. Halley did not reveal how he constructed the map, however, and it remains unknown. In this study, a construction procedure is hypothesized that uses mathematical tools that were available in his day, namely arithmetical averages and Isaac Newton’s method of divided difference for fitting a polynomial curve to data. To enable his map construction, a method is suggested whereby Halley could have created new data to augment the situations where insufficient data were collected.     

Geophysical and Archaeological Investigation of the Survivor‐Camp of the Antelope (1783) in the Palau Islands,Western Pacific

Survivor‐camps were an unavoidable and particular category of terrestrial shore‐camp when European scientific, mercantile and imperial interests began to impinge significantly on the islands of the Pacific Ocean. In 1783 the packet Antelope was wrecked in the Palau Islands and the account of the ‘new’ archipelago, first published in 1788, was, after Cook's voyages, the most popular Pacific text in the late‐18th century. The results of archaeological and geophysical research at the camp reported here contribute to a nuanced account of early culture contact and of survivor‐camp behaviour, demonstrating the significance of shore‐camp remains for understanding maritime societies. © 2010 The Authors     

Bone changes in the human skull probably resulting from scurvy in infancy and childhood

Scurvy in children is poorly known in the palaeopathological literature despite biomedical references indicating that bone changes do occur in some cases and should be observable in human skeletal remains. Research on infants' and children's skulls in museum and anatomical collections in the USA and Europe reveals a complex of features on the external surface of the greater wing of the sphenoid and adjacent bone tissue that may be caused by scurvy. The lesions are bilateral and are characterized by porosity and, in some cases, hypertrophic bone formation. These abnormal bone changes are probably the result of a reaction to chronic haemorrhage in the deep vasculature associated with temporalis muscle function. While these lesions resemble those seen in anaemia and infection, their distinctive anatomical location and association with chewing should differentiate them, in most cases, from other disease conditions. These features are also associated with porous, hypertrophic lesions of the orbital roof and provide additional evidence that caution is needed in attributing porous lesions of the orbital roof solely to anaemia. © 1997 John Wiley & Sons, Ltd.