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.     

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.     

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.     

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.     

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.     

An otological investigation of Lithuanian skulls

Two thousand seven hundred and sixty temporal bones from 1603 skulls ranging from the Neolithic to the eighteenth century AD were investigated visually and under magnification, scoring auditory exostoses, stapes footplate fixation and removing preserved auditory ossicles. Sixteen cases of auditory exostoses were noted. Changes in their occurrence were evident in adult skulls from the first to second millennia AD, (3.31 ± 0.87 per cent and 0.25 ± 0.18 per cent, p < 0.001). Clear sexual differences were also elucidated (males: 1.96 ± 0.56 per cent, females: 0.49 ± 0.28 per cent). Taking into account the geographical latitude of Lithuania, this prevalence should not be considered high. Twelve cases of stapes footplate fixation in the oval window, which could be considered as otosclerosis, were identified; no sexual or temporal differences were noted. The general frequency in adult skulls (0.99 ± 0.28 per cent) is similar to that in contemporary Caucasoid people. Three hundred and four intact auditory ossicles obtained during examination were measured. As these measurements did not differ significantly from data in the literature, morphological stability of the auditory ossicles was confirmed. Certain sexual differences were established for several measurements.     

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.     

Analysis and interpretation of flint toolmarks found on bones from West Tump long barrow,Gloucestershire

West Tump is a Neolithic chambered tomb originally excavated in 1880. The mound was found to contain a mixed skeletal assemblage, the majority of which was disarticulated. Between 2000 and 2001 material from the site including human bone was re‐examined with a portion of this project focused on taphonomic evidence observed on the human skeletal material. Amongst the factors selected for investigation were deliberate toolmarks. Three specimens were identified as exhibiting toolmarks. Analysis demonstrated that the observed features were cutmarks, consistent with the use of flint tools. However those on two of the specimens were found to be both post‐mortem and recent. The cutmarks observed on the remaining specimen, a right clavicle, were identified as having been inflicted during the peri‐mortem period and consistent with decapitation. British Neolithic mortuary practice has been the subject of ongoing debate since the earliest excavations of relevant sites, but until very recently few assemblages from such contexts have been re‐examined and much of the data in use has derived from sources of considerable age and questionable reliability. The selective removal of specific skeletal elements (particularly skulls) has repeatedly been described in the literature regarding the collective funerary monuments of this period. It has often been assumed that such practices took place after the soft tissues had decayed. One of the examples discussed, suggests this may not always have been the case and the potential significance of this finding is discussed in addition to a possible interpretation of the cutmarks seen on the remaining specimens. Copyright © 2004 John Wiley & Sons, Ltd.     

Root Canals of Buried Teeth: Radiographic Changes due to Crystal Growth

The radiographs of 43 skulls recovered from a 4000-year-old site in Central Thailand were examined for changes in the pulp chamber and root canals of teeth. Eleven specimens aged between 8 and 40 years featured marked root canal radiopacities not consistent with the appearance of dentine. Scanning electron microscopy and electron microprobe analysis revealed the presence of crystals of almost pure calcium. The crystals had developed post-mortem, with the likely source of the mineral being sea shells which were abundant at the place of burial. © 1997 by John Wiley & Sons, Ltd.     

The craniology and relationships of four species of Bos II. Basic craniology: Bos taurus L. Proportions and angles

This paper is the second of a series on the craniology of four species of Bos. It is a further study of the skulls of British domestic cattle which are used in an attempt to establish a basic craniology for the genus. Part 1 (Grigson, 1974) dealt with nomenclature, material, history, age assessment and absolute size. This paper deals first with cranial proportions and then with cranial angles.The results show that the proportions of the skull depend on its size and, to a lesser extent, on its sex, cows having relatively narrow skulls, with short horncores, but sometimes longer horns than bulls. Cranial angles seem to be independent of size or sex, but are influenced slightly by age, and also, in some cases, strongly by breed.     

Paul Broca’s search for Basque skulls: The full story

Paul Broca surmised that the short and broad—brachycephalic—skulls of the earliest European settlers had become longer and narrower—dolichocephalic—in modern populations due to the blending of different races. Swedish anatomist Anders Retzius had two brachycephalic skulls said to be from contemporary Basque individuals, a claim suited to test Broca’s hypothesis. Broca worked with fellow anatomist and surgeon Pedro González Velasco, the founding father of Spanish anthropology, to gather a large number of Basque skulls. In its time, this was the most fascinating collection owned by the Anthropological Society of Paris. This article explains how Broca and Velasco were able to gather such a sizeable array of specimens, which they had collected at a location known at first by the code name of “Z.” Although Broca finally concluded that the origin of the Retzius skulls could not be determined, his research was to spark anthropologists’ interest in the language and origins of the Basque people.     

The skulls of Chief Nonosabasut and his wife Demasduit – Beothuk of Newfoundland

In March 1819 a young woman was abducted by white settlers and her husband was killed. They were among the few remaining members of the Beothuk of Newfoundland. Eight years later their skulls were removed from their burial hut and transferred to the University of Edinburgh. This paper describes these two important skulls and details injuries and pathologies not previously recorded in detail. Chief Nonosabasut displayed evidence of extensive trauma to the region of his chin which is most likely to be evidence of previous, but well‐healed, combat injuries. His wife, Demasduit, presented with an intriguing perimortem fracture to the left parietal bone which extended onto the base of the skull. This is discussed in the light of evidence available at the time of her death. Copyright © 2008 John Wiley & Sons, Ltd.     

The diagnosis of pituitary disease from human skeletal remains

The purpose of this study was to determine whether the radiological criteria once widely used when investigating pituitary disease in the living can be applied to early man. The material examined forms part of the assemblage of skulls in the Duckworth Collection in Cambridge. It proved possible to measure the sella turcica from the radiographs of 88 of 155 predynastic adult Egyptian skulls with an intact base. These were compared with the measurements from 41 of 76 adult Burmese skulls of more recent origin and those of a randomly selected sample of living Caucasian adults. There was a wide range of sellar volumes in all three groups. The results were subjected to statistical analysis. Opportunities to apply the results of this study have been limited to the assessment of sellar erosion in a predynastic Badarian, review of the diagnosis of acromegaly in a, presumed, early Egyptian and the investigation of a hydrocephalic skull. The radiological examination of human skeletal remains thought to show evidence of pituitary disease or hydrocephalus can make palaeopathological diagnoses more secure.     

Sex assessment of medieval Norwegian skeletons based on permanent tooth crown size

The excavation of the Library site in Trondheim uncovered the medieval cemetry of St. Olav's church containing 388 skeletons, of which 248 had skulls with teeth. Sex assessment was based on osteological criteria, and for 145 skeletons sex classification was performed with a high degree of certainty. The remaining 103 were classified as uncertain male, uncertain female and sex undetermined. Mesio-distal and facio-lingual crown widths of permanent teeth in the group of reliably assessed males and females were used in sex-discriminant analyses. A combination of two or more teeth was less effective in discrimination than using one tooth alone. This was due to missing data in the combined variable sets and thereby loss of cases. Missing variables were due to post-mortem tooth loss, attrition or large deposits of calculus. The teeth were ranked according to their power in sex discrimination. The left maxillary first molar (26) represented by its facio-lingual dimension was the best sex discriminator (classified 85 per cent of the cases correctly), followed by the right maxillary first molar (16) also represented by its facio-lingual dimension (classified 77 per cent correctly). With only one variable in the discriminant function, a critical value could be calculated and tabulated for each tooth. This was used in sex assessment of the osteologically undetermined and uncertain groups. Only variables that could sex classify correctly at least 70 per cent of the cases with the Jack-knife procedure were used. Sex assessment could be made for 16 of 24 (66.7 per cent) of the osteologically sex-undetermined adult individuals and for 21 of 44 (47.7 per cent) of the children. Of 35 osteologically uncertainly sex-assessed skulls, only nine (six men and three women) corresponded with dental classification.     

The Technology of Skull Modelling in the Pre-Pottery Neolithic B (PPNB): Regional Variability,the Relation of Technology and Iconography and their Archaeological Implications

The manufacturing techniques of two PPNB plastered skulls each from Jericho, Kfar HaHoresh and Beisamoun were studied by a series of different and complementary analyses. These revealed that all share a common general technological background, and yet marked intra-site details of fabrication can be identified. All appear to have been locally produced. Similar conclusions are reached on the basis of iconographic features. Thus, although the artisans shared general concepts of the objects to be created and their means of manufacture, strong site-specific traditions were displayed. This conclusion is further reinforced by recent information concerning plastered faces from Ain Ghazal, as well as the preliminary reports on skulls from Ramad. Accordingly it is suggested that, while broad pyrotechnological and ritual information was most likely disseminated by oral communication, the artisans producing the plastered skulls were locally based and working within the framework of powerful on-site traditions.     

Boundary commissions as tools to safeguard British interests at the end of empire

Despite the many differences between Britain's decolonization of South Asia in 1947 and its withdrawal from the Palestine Mandate in 1948, there were important similarities in the British approach to boundary commissions in the two cases. As imperial interests evolved, boundary commissions proved flexible tools to preserve British prestige in the face of limited policy options. They were particularly useful in the years before and after World War II, when, with the empire facing potential disaster, its leaders sought to preserve its prestige in the eyes of domestic audiences and international allies. With its power fading, it was all the more important that the empire appear to be firmly in control. In particular, an examination of the Peel, Woodhead, and Radcliffe commissions shows that British leaders intended them to contribute to a façade of power. This article demonstrates that in retrospect they reveal the decline of imperial sway and the rise of nationalist influence.     

Trepanation in Italy: A Review

This paper reviews and discusses cases of skull trepanation in ancient Italy on the basis of information provided by the literature. A total of 54 individuals from 43 different Italian archaeological sites were found to have evidence of trepanation. The analysis of evidences of trepanation in Italy has demonstrated that no differences can generally be perceived between the trepanned individual and the social context of the burial, leading to exclude a special role of the former within the group. Trepanation in Italy covers a time span of approximately 7000 years, the most ancient cases dating back to the fifth millennium bc and the most recent to the 18th–19th centuries ad . The geographic distribution appears quite homogeneous, with a prevalence of cases in Central Italy and abundant evidence from prehistoric Sardinia. The majority of individuals show a single trepanation, whereas others present skulls with multiple holes. Trepanation in Italy was reserved to adult individuals, except for some rare cases, and shows a relevant preponderance for the male sex. The most diffused technique is scraping; cutting and drilling are less attested, especially as unique techniques for trepanation, but they were used more frequently in combination with scraping. Trepanation could in some cases be hypothesised as therapeutic intervention for the treatment of a traumatic wound or of other pathologies, whereas in other cases, a number of evidences are attested of trepanation performed as probable ritual intervention or as experimental surgery; in the remaining cases, the reasons for trepanation are unclear or not determinable. A high percentage of long‐term healing associated with trepanation has been evidenced. Copyright © 2017 John Wiley & Sons, Ltd.     

Genetic Sex Identification of 9400-year-old Human Skull Samples from Çayönü Tepesi,Turkey

Samples from 10 human skulls recovered from the “skull building” at Çayönü Tepesi, a 9400-year-old site in southeastern Turkey, were analysed and the sex identified using two biomolecular methods. One targeted the alphoid repeats on the sex chromosomes and the other targeted the amelogenin gene. The skulls had previously been morphologically sexed and the PCR amplification-based identifications were performed as a blind test. Of the 10 samples, one did not contain amplifiable DNA, and of the remainder, there was only one discrepancy between the genetic and morphological identification. These bone samples are presently the oldest genetically sexed human remains.