Anaemia in the Ancient Indus Valley

The Harappan, or Indus Valley, civilization is considered by many to be among the earliest and most developed of ancient civilizations, with features such as a highly specialized and functionally integrated economy, centralized bureaucratic institutions and a large population base. Two of 29 crania recovered during the most recent cemetery excavations at Harappa display cranial lesions of porotic hyperostosis, suggestive of chronic anaemia. No lesions consistent with the effects of genetic anaemias were exhibited by any of the 92 individuals for which postcranial remains were preserved, however, suggesting that an acquired iron deficiency is the most likely diagnosis. This low prevalence of anaemia may be linked to a good nutritional base in a diverse ecological setting, and few gastrointestinal and other infections due to high standards of personal and community hygiene. A genetic anaemia may be responsible for an apparent higher frequency of porotic hyperostosis at Mohenjo-Daro, a Harappan site that is located in a different environmental zone, but the small samples available for these and other South Asian sites render these conclusions tentative. © 1997 by John Wiley & Sons, Ltd. Int. J. Osteoarchaeol., 7 : 115–123 (1997) No. of Figures: 2. No. of Tables: 1. No. of References: 57.     

Tooth Ablation in Prehistoric Southeast Asia

A sample of skeletons excavated from an undisturbed prehistoric (4000–3500 years BP) burial site in Thailand included a high proportion of individuals with anterior teeth missing in distinctive, mostly symmetrical, patterns. The patterns, types and numbers of teeth missing have been compared between males and females, with age at death, with depth of burial and among spatially distinct groups within the cemetery. The patterns of missing teeth changed over time. In early burials, lateral maxillary incisors were most commonly missing. Two-thirds of the adults had missing teeth. There were no significant differences between the sexes or with age. In later burials, central maxillary incisors and mandibular incisors were most commonly missing. All adults and some children as young as 11 years had missing teeth. There were no significant changes with age but females had more missing teeth than males. Loss as a result of extreme wear inflicted through the use of teeth as tools, congenital absence and ritual ablation are discussed as explanations for the absence of the teeth. The evidence suggests that ritual ablation is the most likely explanation, although the loss of mandibular incisors in some early burials may be as a result of industrial use of the teeth. The ablation of maxillary lateral incisors, found in the early burials, has been recorded at another prehistoric site in the west of Thailand and at sites in southern China.     

NORTH AND SOUTH AT THE END OF THE MYCENAEAN AGE: ASPECTS OF AN OLD PROBLEM

Summary. The end of the Mycenaean age calls for an explanation outside the immediate Aegean area. The evidence is more likely to come from changes in habit than in the importation of objects of bronze or pottery. In order to understand events it is necessary to look beyond Greek frontiers to the Danube and Balkans. Among important changes are those in fighting tactics with a return to the sword in the Aegean and new workshop practice in Europe with more bronze forging against casting. Evidence for actual arrival of people is never likely to be conclusive; various alternatives are considered.     

Reading the Body: Mystical Theology and Spiritual Actualisation in Early Seventeenth‐Century Lima*

In early seventeenth‐century Lima, Peru, female visionaries composed texts of their bodies, and texts composed their bodies. This fact can be explained, in part, by the belief that an individual could gain access to and appropriate the language of God (His spiritus) in distinct ways. Mystical narratives, stigmata, as well as the spoken words of enraptured visionaries communicating with absent souls were considered readable texts because the object to be read could be a book, a painting, or the body itself. Thus the reading of, and listening to, texts was parallel to Lima's visionaries entering a state of spiritual ecstasy (arrobamiento), and “reading” their bodies as living books, which perforce became a readable space.     

Imaging Evaluation of Skull Trepanation Using Radiography and CT

Cranial surgery as practised by the prehistoric and present-day traditional medicine man is the oldest known and one of the highest surgical achievements in the history of medicine. This study examines morbidity and mortality of this ancient surgical procedure by re-examining and reviewing reports of 71 completely trepanned skulls from pre-Columbian Peru by three techniques: gross visual observation and palpation; radiography; and CT. The specimens are located in the San Diego Museum of Man and are part of the Hrdlicka collection. Clear distinction can be made by visual observation between skulls with bone regeneration and those without; that is, between patients who survived long enough to allow bone healing and those who died immediately or within a few days of the operation. 64.8 per cent of skulls had complete healing, 12.7 per cent had partial healing and 22.5 per cent had no evidence of healing. Thus, a post-operative survival rate of 77.5 per cent is noted by gross examination. The meaning of completely trepanned skulls with no evidence of healing is questionable, however, some unhealed skulls may represent post-mortem trepanation, suggesting a lower surgical mortality. Both radiography and CT scan demonstrate with considerable accuracy the presence or absence of new bone formation on trepanned skulls. One skull demonstrated evidence of partial bone healing by CT and radiography but not by our gross examination or by that of some anthropologists. Evidence of osteomyelitis was illustrated by CT scan but not by radiography.