Tophets are Phoenician and Punic sanctuaries where cremated infants and children were buried. Many studies focus on the potentially sacrificial nature of these sites, but this article takes a different approach. Combining osteological analysis with a consideration of the archaeological and wider cultural context, the authors explore the short life-courses and mortuary treatments of 12 individuals in the tophet at the Neo-Punic site of Zita, Tunisia. While osteological evidence suggests life at Zita was hard, and systemic health problems may have contributed to the deaths of these individuals, their mortuary rites were attended to with care and without concrete indication of sacrifice.

Medieval hospitals were founded to provide charity, but poverty and infirmity were broad and socially determined categories and little is known about the residents of these institutions and the pathways that led them there. Combining skeletal, isotopic and genetic data, the authors weave a collective biography of individuals buried at the Hospital of St John the Evangelist, Cambridge. By starting with the physical remains, rather than historical expectations, they demonstrate the varied life courses of those who were ultimately buried in the hospital's cemetery, illustrating the diverse faces of medieval poverty and institutional notions of charity. The findings highlight the value of collective osteobiography when reconstructing the social landscapes of the past.

Horses and chariots played a crucial social, cultural and military role in the emergence and development of early states in China. Little research, however, has explored the life histories of individual chariot horses or assessed their role as working animals. Here, the authors present a detailed zooarchaeological and palaeopathological study of eight adult male horses, used for pulling chariots, recovered from a single chariot-horse pit at the burial site of Shijia in north-western China. The characterisation of key osteological differences between chariot horses and ridden horses is offered as a contribution to the toolkit available for the archaeological investigation of human-horse interactions around the globe.

This article presents differences and similarities in dietary practices of fisher-gatherer groups excavated from two sambaquis (shell-mound archaeological sites) in Saquarema, Rio de Janeiro state, Brazil. We analyzed the buccal apparatus of 35 individuals excavated from Sambaqui da Beirada, dated from 5437 to 3440 years cal BP, and Sambaqui do Moa, dated from 4770 to 3199 years cal BP. Our oral health analysis of 852 alveoli and 704 teeth assessed the frequency and degree of teeth wear and the prevalence and frequency of caries, linear enamel hypoplasia, calculus, periapical cavities, and antemortem teeth loss. We applied the chi-square test and Fisher exact test to test statistical significance. Severe tooth wear, the absence of caries, a high frequency and prevalence of dental calculus, and a low prevalence of linear enamel hypoplasia were found in both sites, although periapical cavities and antemortem teeth loss indexes varied greatly. Despite a superficial homogeneity, the results point to variation in the physiopathological processes that occurred at both sites, including differences related to age and sex. These oral health-related results, together with other archaeological data from both sambaquis, showcase the expected cultural differences stemming from dietary practices.

Six vertebrae (one cervical, three articulated thoracic, and two lumbar) and an incomplete thoracic neural spine from a new late Pleistocene site at Anolaima, Cundinamarca, Colombia, are attributed to the extinct gomphothere (Elephantoidea, Proboscidea) Notiomastodon platensis. The preserved bones exhibit a range of alterations, including porosities, piercings, hollows, and deep bone lesions on the spinous process and the neural arch; asymmetrical zygapophyseal articulations; and osteoarthritic lesions. Diet, behaviour, ecological aspects, selective pressures, and disease have the potential to affect the bones, so the study of individual variations and palaeopathology provides important information for understanding aspects of the life of extinct organisms. Osteological anomalies in the Anolaima gomphothere are interpreted as the result of nutritional deficiencies in essential minerals caused by environmental stresses, possibly related to the palaeoenvironmental instability that characterized the late Pleistocene and that coincides with the age of the fossils. Excessive biomechanical loading on already weakened bones from locomotion through the uneven, upland terrain of the Anolaima region may have contributed to the pathologies. This palaeopathological analysis is the first for Colombian megafauna, and thereby broadens our knowledge of the health conditions of South American gomphotheres.

Intentional facial disfigurement is documented in archaeological contexts around the world. Here, the authors present the first archaeological evidence for intentional facial mutilation from Anglo-Saxon England—comprising the removal of the nose, upper lip and possible scalping—inflicted upon a young adult female. The injuries are consistent with documented punishments for female offenders. Although such mutilations do not appear in the written record until the tenth century AD, the instance reported here suggests that the practice may have emerged a century earlier. This case is examined in the context of a wider consideration of the motivations and significance of facial disfigurement in past societies.

Once considered rare, archaeological examples of violence in prehistoric Europe have accumulated over recent decades, with new discoveries providing evidence of large-scale, organised warfare among pre- and protohistoric populations. One example is La Hoya in north-central Iberia. Between the mid fourth and late third centuries BC, the site was subjected to a violent attack, its inhabitants killed and the settlement burned. Here the authors present osteological analyses for a massacre: decapitations, amputations and other sharp-force injuries affecting a wide cross section of the community. They interpret the massacre as an instance of conflict between rival local communities, contributing to a growing picture of the scale and nature of violence in Iron Age Europe.

Large, ‘complex’ pre-Neolithic hunter-gatherer communities thrived in southern China and northern Vietnam, contemporaneous with the expansion of farming. Research at Con Co Ngua in Vietnam suggests that such hunter-gatherer populations shared characteristics with early farming communities: high disease loads, pottery, complex mortuary practices and access to stable sources of carbohydrates and protein. The substantive difference was in the use of domesticated plants and animals—effectively representing alternative responses to optimal climatic conditions. The work here suggests that the supposed correlation between farming and a decline in health may need to be reassessed.

In modern populations, inequalities in oral health have been observed between urban and rural communities, but to date the impact of the place of residence on oral health in archaeological populations has received only limited attention. This meta-study analyses dental palaeopathological data to examine the relationship between place of residence and oral health in Roman, early medieval, and late medieval Britain. Published data on ante-mortem tooth loss, calculus, caries, dental abscesses, and periodontal disease were analysed from cemeteries in urban and rural locations from each period. The results indicate that the place of residence influenced oral health in Roman and late medieval times, with urban populations enjoying better oral health than rural populations in Roman Britain, but poorer oral health in the late Middle Ages. These findings may reflect changes in the nature of urban settlements and in their relationship with their rural hinterlands over time.

The migration of individuals and populations was a powerful factor in the spread of diseases among early human societies. Analysis of human remains from Tell Masaikh in the Middle Euphrates Valley provides a striking example in what is probably the earliest case of hereditary anaemia. Skeletal changes were consistent with thalassaemia, an uncommon disease in the steppe areas of Syria. Genetic analyses of the remains confirmed the pathological assessment and also suggested that the individual was of Asian descent, from the Indian Peninsula. Such an ancestry could then explain this unusual occurrence of thalassaemia.

The archaeological evidence for parasites in the Roman era is presented in order to demonstrate the species present at that time, and highlight the health consequences for people living under Roman rule. Despite their large multi-seat public latrines with washing facilities, sewer systems, sanitation legislation, fountains and piped drinking water from aqueducts, we see the widespread presence of whipworm (Trichuris trichiura), roundworm (Ascaris lumbricoides) and Entamoeba histolytica that causes dysentery. This would suggest that the public sanitation measures were insufficient to protect the population from parasites spread by fecal contamination. Ectoparasites such as fleas, head lice, body lice, pubic lice and bed bugs were also present, and delousing combs have been found. The evidence fails to demonstrate that the Roman culture of regular bathing in the public baths reduced the prevalence of these parasites. Fish tapeworm was noted to be widely present, and was more common than in Bronze and Iron Age Europe. It is possible that the Roman enthusiasm for fermented, uncooked fish sauce (garum) may have facilitated the spread of this helminth. Roman medical practitioners such as Galen were aware of intestinal worms, explaining their existence and planning treatment using the humoural theory of the period.

A fractured femur of a giant fossil penguin from the Anthropornis nordenskjoeldi Biozone (Late Eocene), Isla Marambio (Seymour Island), Antarctica (La Meseta Formation) is described. Palaeoecological, palaeopathological and taphonomical implications derived from the analysis of the kinds of fractures identified are also discussed. The main fracture has irregular margins, indicating there was collagen in the bone at the time of the impact. In this fracture, a mineral deposit was also identified as a fracture hematoma. According to the antemortem classification of fractures, it was produced by an indirect mechanism, provocating a “butterfly wing” or “third fragment” fracture. The remaining fractures are assigned to times of biostratinomic and fossil diagenesis.

The excavation of 81 skeletons at Cerro Cerrillos provided the occasion for a rigorously scientific deconstruction of human sacrifice, its changing methods and its social meaning among the Muchik peoples of ancient Peru. This paper shows how bioarchaeology and field investigation together can rediscover the root and purpose of this disturbingly prevalent prehistoric practice. Be warned: the authors' clinical and unexpurgated accounts of Andean responses to the spirit world are not for the fainthearted.

Introduction

The archaeological study of human skeletal remains has been undertaken in Ireland since the mid 19th century. This paper examines the development of human bone studies in Ireland up until the present day, reviews the various approaches which have been adopted, and takes a look at the formal structure of the discipline within an Irish contcxt. The objective is to provide an overview of the study of archaeological human skeletal remains in Ireland from the 19th century through to modern times.

Herodotus' 5th-century BC Histories provide us with one of the earliest written accounts for the practice of cannibalism. This paper examines the references concerning cannibalism contained in Herodotus, reviews the theories proposed to account for these references, and suggests a new explanation for this cultural motif.