A pre‐Columbian case of congenital syphilis from Anatolia (Nicaea, 13th century AD)

In this study, the skeleton of an approximately 15‐year‐old child, dating back to the Late Byzantine period (13th century AD) is examined with the aim of determining where this specimen fits in the continuing arguments on the origins of syphilis. It was unearthed during an excavation at an amphitheatre in Nicaea dating to the Roman period. The Nicaea specimen displays common symptoms found in the majority of people with congenital syphilis such as Hutchinson's incisor, mulberry molar, darkened enamel, radial scar on frontal bone, sabre tibia, syphilitic dactylitis, and gummatous and non‐gummatous osteomyelitis on almost every post‐cranial bone. Because of the sub‐periosteal new bone formation, the medullary spaces in some long bones are narrowed or completely obliterated. These lesions, which were observed via macroscopic and radiological examination, reflect the late stages of congenital syphilis. The specimen, when examined together with increasing numbers of other finds from the Old World, contributes to the argument that venereal syphilis did exist in the Old World before 1493, and brings forward the need to revise the Columbian hypothesis, which maintains that syphilis is a new disease carried to the Old World from the New World by Columbus' crew. Copyright © 2005 John Wiley & Sons, Ltd.     

Pre-Columbian congenital syphilis from the late antiquity in France

Today, exactly 500 years after the discovery of America, there is still a lot of controversy about the history of syphilis in Europe, especially about the Columbian and pre-Columbian hypotheses. This paper presents evidence for the presence of venereal treponematosis in the late Antiquity in France. The case that we examined comes from the necropolis of Costebelle (3rd-5th centuries AD; Hyères, Var, France). Grave no. 1 contained the well-preserved skeleton of a relatively old woman with the skeletal remains of an approximately 7-month-old fetus in her pelvic cavity. The osseous lesions of the fetal remains can be described in four groups: periosteal appositions on the skull vault (frontal and parietal); signs of periostitis on the long bones (bilateral cortical irregularities, predominantly on the left side, which affect first of all tibiae, femora, fibulae, radii and humeri, particularly in the metaphyseal region); some infraperiosteal detachment reminiscent of an infraperiosteal haematoma surrounding the distal extremity of the left forearm and the left hand; and finally, the irregular lesions of the humeral distal and proximal tibial metaphyses reminded us radiologically of Wimberger's signs. The most probable diagnosis of all the lesions mentioned above is that of a precocious congenital syphilis. This case consists of an argument against the epidemiological theories about the migration of Treponema pallidum from the New World back to the Old World starting at the end of the 15th century.     

Dental status of Napoleon's Great Army's (1812) mass burial of soldiers in Vilnius: childhood peculiarities and adult dietary habits

A mass grave of the soldiers of Napoleon's Great Army, containing no less than 3269 individuals who died during the retreat from Russia in December 1812, was uncovered during an archaeological rescue excavation in 2002 in Vilnius, Lithuania. General dental analysis, including that of dental wear, tooth loss, caries, calculus, and periodontal diseases and abscesses, was used to evaluate the oral health status and possible dietary patterns of individuals who represented recruits from almost all of Western and Central Europe. Growth conditions in childhood were studied by scoring of linear enamel hypoplasia. In all, 293 individuals (6528 teeth) were selected for the analysis; 20–30 year old males made up the majority of the sample. Their general dental status is characteristic of young individuals: low dental attrition and antemortem tooth loss, as well as low prevalence of calculus and abscesses. The caries rate was average compared with late Medieval/early industrial populations and typical for individuals with diverse diets. However, a considerable amount of pulp caries and a high number of carious teeth in some individuals indicate consumption of cariogenic products (e.g. sugar, sweet drinks) and poor oral hygiene. The frequency and severity of hypoplasia was lower compared with other populations of that time, suggesting the selection of the fittest individuals for military service; this correlates with the historically known selection criteria of that period. Copyright © 2006 John Wiley & Sons, Ltd.     

Dental Health of Free Blacks in New York State during the Mid‐19th Century

The current research will examine the frequency of carious teeth, periapical abscesses and ante‐mortem tooth loss in the Newburgh Colored Burial Ground (1830–1870), a free black cemetery in Newburgh, New York. The Newburgh material is compared with skeletal samples from the New York African Burial Ground, New York State almshouses, a free black cemetery from Philadelphia and middle‐class/upper‐class European cemeteries. Although previous research suggests that dental health became worse throughout the 19th century, there is no consistent pattern between the 17th‐century and 18th‐century skeletal sample of enslaved blacks from New York City and 19th‐century free blacks from Newburgh and Philadelphia. The frequency of dental caries does increase through time but the other indicators change little (equal or fewer ante‐mortem tooth loss) or suggest an improvement in dental health (fewer periapical abscesses) through time. Relative to contemporaneous populations, the individuals from Newburgh appear much more similar in terms of dental health to upper‐class and middle‐class European groups than to the other marginalised groups considered in this research. The impact of the economic, political and social changes that accompanied the Industrial Revolution and their potential impact on dental health are considered. Copyright © 2011 John Wiley & Sons, Ltd.     

Lead isotope analysis of intra‐skeletal variation in a 19th century mental asylum cemetery: diagenesis versus migration

Living bone sequesters environmental lead (Pb) from both inhalation and ingestion, providing a record of Pb exposure over a lifetime. Questions about the effects of diagenesis and how to remove them have hampered most isotopic and elemental determinations. As a result, researchers often restrict their analyses to tooth enamel, despite its limitations. We report Pb isotopes in teeth and bones in a frontier population of 15 individuals from a late 19th century mental hospital graveyard in Pueblo, Colorado, a town active at that time in the smelting of ores. Analysis of lead isotopes sequestered in healing bone from rib fractures gives an isotopic fingerprint from the last few months of individual's lives. When bone tissues or teeth from different stages of life are analysed, life history trajectories such as migration routes can be developed which are partially self‐correcting for diagenesis. Copyright © 2005 John Wiley & Sons, Ltd.     

The treatment of leprosy in 19th‐century London: a case study from St Marylebone cemetery

A young adult male, context [825], exhibiting a suite of proliferative and erosive skeletal changes, was excavated from the old burial ground of St Marylebone, London, in 2005 by the Museum of London Archaeology Service (MoLAS). Although pathognomonic rhinomaxillary changes were absent, a number of lesions were of a type previously recorded in individuals suffering from lepromatous leprosy, including resorption of the alveolar process of the maxillae and the digits of the right hand, osteomyelitis in the left ulna and collapse of the left ankle. Whilst this infectious disease was widespread in medieval Britain, it had declined by the 19th century, and has been identified in only one other post‐medieval archaeological context. The right leg of [825] had been surgically amputated. This form of intervention was a recognised treatment for the complications of the disease, where neuropathic damage of limbs led to life‐threatening infection. The healing of the amputation demonstrates the success of the operation, and the skill of the surgeon. Although the identity of the affected individual is unknown, burial within St Marylebone cemetery implies a level of status not frequently associated with leprosy sufferers in the past. Copyright © 2008 John Wiley & Sons, Ltd.     

A 19th century post‐mortem specimen from Deal,Kent

A disarticulated cranium from a builder's trench displayed clear evidence for surgical removal of the cranial vault. Documentary evidence indicates that the post‐mortem was undertaken between 1812–1869 and the patient was probably a British serviceman. Copyright © 2002 John Wiley & Sons, Ltd.     

Skeletal evidence for hyperparathyroidism in a 19th century child with rickets

The skeletal remains of a child aged 2.5–3.5 years, recovered during archaeological excavations at the churchyard of St Martin's Church, Birmingham, UK, were examined using gross observation, radiography and scanning electron microscopy. Lesions suggestive of the presence of rickets and of secondary hyperparathyroidism were found. This appears to be a first report of secondary hyperparathyroidism in response to rickets in a palaeopathological specimen. The potential of microscopic examination of bone for interpreting disease processes is emphasised. Copyright © 2006 John Wiley & Sons, Ltd.     

Pollen evidence for major shifts in forest composition since the mid‐nineteenth‐century in the vicinity of Sudbury,Ontario

Numerous anthropogenic stressors have impacted the region surrounding Sudbury, Ontario, leading to pronounced vegetation and landscape change. Few long‐term records exist to understand the nature or timing of this change. We use pollen analysis from radiometrically dated sediments of Clearwater Lake to compare pre‐ and post‐settlement vegetation. Beginning ～1850 CE, the record shows major shifts in forest composition, coincident with settlement and the beginnings of lumbering. These changes are unprecedented for the past ～5000 years, and consist of increases in diversity and abundance of deciduous tree taxa and herbaceous disturbance indicators. While evidence of mining appears as early as 1900 CE, little effect is seen in the pollen record until ～1930 CE, when sedimentation rates increased and acidification of the lake also began. At this time, further increases in palynological disturbance indicators and minimum sediment organic matter levels indicate the period of maximum vegetation loss. As a result of reduced emissions since the 1970s, water quality began to improve in Clearwater Lake and there are some decreases in the abundances of shade‐intolerant disturbance indicators in the pollen record. However, the fact that the pollen assemblages do not resemble those prior to 1850 suggests lasting vegetation changes.     

Black Death in the rural cemetery of Saint-Laurent-de-la-Cabrerisse Aude-Languedoc,southern France, 14th century: immunological evidence

An excavation carried out in 2007 in Saint-Laurent-de-la-Cabrerisse (Aude-Languedoc, southern France), revealed a medieval rural cemetery used during the 8th–14th centuries. One hundred and forty nine graves were identified. Amongst those, three burials radiocarbon dated to the 14th century contained the remains of several individuals. No paleotraumatological evidences of violence due to warfare or to a civil massacre were identified in the exhumed skeletons. Therefore, we hypothesized that the simultaneous inhumations could have occurred during the “Black Death” outbreak or during one of its resurgences. A rapid diagnostic test for the detection of Yersinia pestis F1 antigen was applied to the nine putative plague victims to authenticate the cause of their death. Seven of the nine individuals tested from the three graves were positive to Y. pestis F1 antigen. We additionally tested fourteen skeletons from single graves archaeologically dated to the 13th–14th centuries. Four of them were positive to Y. pestis F1 antigen, thus showing a higher mortality rate due to plague than originally expected. The Saint-Laurent-de-la-Cabrerisse plague victims are the oldest samples from which Y. pestis F1 antigen has been, hitherto, identified. Few rural French cemetery containing plague victims have previously been identified and amongst them, only one dates to the 14th century. In the present report, we provide suggestive evidence of a second rural cemetery from southern France where victims of Y. pestis infection were buried. Our findings provide new information about the management of the plagued corpses during the “Black Death” in small rural communities.     

Pig domestication and husbandry practices in the middle Neolithic of the Wei River Valley,northwest China: evidence from linear enamel hypoplasia

Linear enamel hypoplasia is a physical deficiency occurring during the process of enamel formation and it is visible on the crowns of mammal teeth. It can be used to trace physical stresses during life. In this study, linear enamel hypoplasia in samples of pigs from three Neolithic sites in the Wei River valley (China) were recorded and analysed, to investigate the status of pigs at these sites, their living conditions, and furthermore to explore husbandry strategies for pigs during the Neolithic in the valley. The results suggest a domesticated status for pigs in the Neolithic and early Bronze Age. Also the frequency of LEH occurrence for the pigs corroborates a presumed intensification processes of pig husbandry, and the presence of environmental fluctuations during the period are considered. Some evidence also points to the fact that for pig, spring farrowing was the most common reproductive strategy in the Neolithic and early Bronze Age in this region.     

The necropolis of Vallerano (Rome, 2nd–3rd century AD): an anthropological perspective on the ancient Romans in the Suburbium

The present study investigates the skeletal remains of individuals who were part of a Roman suburban community, in order to assess lifestyle and living conditions in the town's outskirts during the Roman Imperial age. The existence of the community was linked to the functioning of one of the many villas that surrounded the town of Rome at that time. In order to assess health, several indicators were explored, including mortality, oral pathologies and specific (cribra orbitalia) and aspecific (linear enamel hypoplasia) indicators of nutritional and physiological impairment. The sample, which probably represents the labour force of the villa, shows a high number of individuals dying in the early adult age and very few living beyond 50. Subadults were frequently affected by pathological conditions which may indicate anaemia and/or inflammations and infections, as witnessed by the frequency of cribra orbitalia. Growth was also impaired, as the individuals suffered from systemic disturbances during the early years of life that led to the formation of linear enamel hypoplasia (LEH) in their teeth. Frequency of LEH is very high, as well as its multiple occurrence through time (2.44 defects per individual) and its onset occurs from the earliest age classes. Diet, on the other hand, does not seem to have been particularly carbohydrate based. Oral pathologies are very low, which is consistent with meat consumption complementing a diet rich in low‐calorific products of agriculture and seemingly low in refined carbohydrates. Copyright © 2005 John Wiley & Sons, Ltd.     

Health Consequences of European Contact in the Great Plains: A Comparison of Systemic Stress Levels in Pre‐ and Post‐Contact Arikara Populations

The biocultural effects of European contact varied considerably throughout the Americas. Some populations were decimated by colonialism, while others benefited from trade relationships and access to new technologies. It has been suggested that initial contact with European fur traders and explorers was economically favourable for Plains village populations, thereby facilitating a period of cultural florescence. In this study, we evaluate the hypothesis that Plains groups were better off than their predecessors during the initial contact period by comparing frequencies of enamel hypoplasia, cribra orbitalia, and porotic hyperostosis in pre‐ and post‐contact Arikara skeletal assemblages. We included both juveniles and adults in our sample to capture variation in the stress experience of different segments of the population. Our analysis revealed similarly low frequencies of cribra orbitalia in the pre‐ and post‐contact groups and no observed cases of porotic hyperostosis. Enamel hypoplasia, however, was significantly more prevalent among post‐contact Arikara villagers when compared to their pre‐contact counterparts, which suggests that stress levels were higher after European contact. Additionally, enamel hypoplasia was most common among post‐contact juveniles. The elevated frequency of enamel hypoplasia in the post‐contact sample combined with the low frequencies of cribra orbitalia and porotic hyperostosis suggests that disease stress, rather than nutritional deficiencies, was likely responsible for the decline in overall health following European contact. These results also suggest that juveniles are sensitive indicators of systemic stress within a population and should be included in bioarchaeological analyses of prehistoric health when available. Copyright © 2015 John Wiley & Sons, Ltd.     

Multicentric osteosarcoma associated with DISH,in a 19th century burial from England

Osteosarcoma is a rare type of malignant neoplasm that is most frequent in adolescents and young adults although it can develop at any age. It can metastasize from a primary site in bone to other bones and soft tissues. Usually the disorder causes a single bone‐forming lesion (unicentric) but some cases have multicentric, bone‐forming lesions. Some of these lesions develop at different sites at different times. In a second variant of multicentric osteosarcoma, synchronous bone‐forming lesions develop at multiple sites. Distinguishing between these two types of multicentric osteosarcoma is challenging in a clinical context and the criteria for doing so are unlikely to be met in an archaeological burial. Wolverhampton burial HB 39 was excavated from an early‐nineteenth century cemetery site in England. It consists of the incomplete skeleton of an adult male of at least 45 years of age with multicentric osteosarcoma. The individual represented by this burial also had diffuse idiopathic skeletal hyperostosis (DISH). Three of the bone‐forming lesions associated with osteosarcoma developed on the bony outgrowths related to DISH. Copyright © 2010 John Wiley & Sons, Ltd.     

Metastatic carcinoma in a 14th–19th century skeleton from Constância (Portugal)

During 2002, the extensive archaeological excavations of the ancient Constância necropolis (Centre of Portugal), dated from 14th–19th centuries, resulted in the exhumation of 151 individuals. Among the several paleopathological cases, a middle‐aged female skeleton with osteolytic lesions in her skull, axial skeleton, upper limbs and femurs was observed. These pathological findings are characterised by an asymmetric pattern with osteolytic focus of distinct size and irregular shape. Some skeletal elements display both osteolytic and osteoblastic lesions. The latter exhibit deposition of fine layers of woven bone. Lesions were observed macroscopically and radiology was used as a complementary method of scrutiny, especially in cases of unclear observation. The case was diagnosed as that of a probable metastatic carcinoma due to the multifocal distribution of the lesions in areas of intense haematopoietic activity, their morphology and some osteoblastic responses, as well as the presence of pathological fractures in the ribs. The skeleton's sex and age at death are in agreement with the proposed diagnostic, constituting the first case of malignant carcinoma detected in non‐identified Portuguese human skeletal remains. Copyright © 2009 John Wiley & Sons, Ltd.     

Comparing the Chronological Distribution of Enamel Hypoplasia in Rogowo,Poland (2nd century ad) Using Two Methods of Defect Timing Estimation

The frequency and chronological distribution of enamel hypoplasias were assessed in a Roman Period population of the Wielbark culture from Rogowo, northern Poland, dated to the 2nd century ad . Hypoplasias were recorded on permanent incisors, canines, and premolars of 52 skeletons. The position of linear defects on the crown surface was measured and then converted to the age of occurrence using two methods: a conventional method that employs the chart of enamel development for the permanent teeth, constructed by Massler et al. (1941) in Swärdstedt's (1966) modification, and the method by Goodman & Song (1999), which corrects for hidden cuspal enamel. Hypoplastic defects were found in 48.1% of examined cases. Linear defects [linear enamel hypoplasias (LEH)] were observed in 38.5% of individuals and in 22% of investigated teeth. The chronological distribution of LEH according to the conventional method revealed two peaks of defects: one at 2.6–3.0 years of age and the other at 4.1–4.5 years of age. The method that accounts for hidden cuspal enamel also provided two peaks, but they occurred at later ages: 3.0–4.0 and 4.6–5.0 years of age. The prevalence of hypoplasia in the Rogowo population in comparison with other European populations of the Roman Period seems to be rather low for both individuals and teeth affected. This may indicate advantageous living conditions, which are supported by archaeological data that suggest general well‐being of the Wielbark people. Copyright © 2011 John Wiley & Sons, Ltd.