Investigating mobility and pastoralism in Kerma-period communities upstream of the fourth cataract, Sudan.

OBJECTIVES: The Kingdom of Kush in today's northern Sudan and southern Egypt (ancient Nubia) is often depicted as a secondary state relative to ancient Egypt. More recent investigations have set aside Egyptocentric and western, colonialist perspectives of state development focused on control of land and agricultural surplus, examining Kushites through the lens of African-based models of mobile pastoralism in which power and authority were achieved through control of herds and alliance-building. Here, analyses of radiogenic strontium isotopes in human dental enamel are used to investigate diachronic shifts in mobility patterns linked to pastoralism and state development during the Kerma period (ca. 2500-1100 BCE). MATERIALS AND METHODS: From five cemetery sites around al Qinifab, Sudan, upstream of the capital at Kerma, we analyzed the strontium isotope ratios of 50 teeth from 27 individuals dating from the Early through Late Kerma phases. RESULTS: Individuals from the Early and Middle Kerma phases demonstrated considerable 87 Sr/86 Sr ratio variability (mean = 0.70835 ± 0.00109), with 50% falling outside the locally bioavailable strontium range. Conversely, most Classic (0.70756 ± 0.00043) and Late Kerma (0.70755 ± 0.00036) individuals exhibited ratios consistent with the local region. DISCUSSION: These changes indicate a potential transformation in subsistence strategies and social organization as early communities engaged in a more mobile lifestyle than later groups, suggesting a greater degree of pastoralism followed by declining mobility with Kushite state coalescence and a shift to agropastoralism. Because 87 Sr/86 Sr ratios from enamel reflect childhood geographic residence, these findings indicate that mobility likely involved extended family groups, and not just transhumant adults.

Climate change, human health, and resilience in the Holocene.

Climate change is an indisputable threat to human health, especially for societies already confronted with rising social inequality, political and economic uncertainty, and a cascade of concurrent environmental challenges. Archaeological data about past climate and environment provide an important source of evidence about the potential challenges humans face and the long-term outcomes of alternative short-term adaptive strategies. Evidence from well-dated archaeological human skeletons and mummified remains speaks directly to patterns of human health over time through changing circumstances. Here, we describe variation in human epidemiological patterns in the context of past rapid climate change (RCC) events and other periods of past environmental change. Case studies confirm that human communities responded to environmental changes in diverse ways depending on historical, sociocultural, and biological contingencies. Certain factors, such as social inequality and disproportionate access to resources in large, complex societies may influence the probability of major sociopolitical disruptions and reorganizations-commonly known as "collapse." This survey of Holocene human-environmental relations demonstrates how flexibility, variation, and maintenance of Indigenous knowledge can be mitigating factors in the face of environmental challenges. Although contemporary climate change is more rapid and of greater magnitude than the RCC events and other environmental changes we discuss here, these lessons from the past provide clarity about potential priorities for equitable, sustainable development and the constraints of modernity we must address.

Prevalence and Management of Sexually Transmitted Infections in Correctional Settings: A Systematic Review.

Admissions to jails and prisons in the United States number 10 million yearly; persons entering locked correctional facilities have high prevalence of sexually transmitted infections (STIs). These individuals come disproportionately from communities of color, with lower access to care and prevention, compared with the United States as a whole. Following PRISMA guidelines, the authors present results of a systematic review of literature published since 2012 on STIs in US jails, prisons, Immigration and Customs Enforcement detention centers, and juvenile facilities. This updates an earlier review of STIs in short-term facilities. This current review contributed to new recommendations in the Centers for Disease Control and Prevention 2021 treatment guidelines for STIs, advising screening for Trichomonas in women entering correctional facilities. The current review also synthesizes recommendations on screening: in particular, opt-out testing is superior to opt-in protocols. Carceral interventions-managing diagnosed cases and preventing new infections from occurring (eg, by initiating human immunodeficiency virus preexposure prophylaxis before release)-can counteract structural racism in healthcare.

Twenty-first century bioarchaeology: Taking stock and moving forward.

This article presents outcomes from a Workshop entitled "Bioarchaeology: Taking Stock and Moving Forward," which was held at Arizona State University (ASU) on March 6-8, 2020. Funded by the National Science Foundation (NSF), the School of Human Evolution and Social Change (ASU), and the Center for Bioarchaeological Research (CBR, ASU), the Workshop's overall goal was to explore reasons why research proposals submitted by bioarchaeologists, both graduate students and established scholars, fared disproportionately poorly within recent NSF Anthropology Program competitions and to offer advice for increasing success. Therefore, this Workshop comprised 43 international scholars and four advanced graduate students with a history of successful grant acquisition, primarily from the United States. Ultimately, we focused on two related aims: (1) best practices for improving research designs and training and (2) evaluating topics of contemporary significance that reverberate through history and beyond as promising trajectories for bioarchaeological research. Among the former were contextual grounding, research question/hypothesis generation, statistical procedures appropriate for small samples and mixed qualitative/quantitative data, the salience of Bayesian methods, and training program content. Topical foci included ethics, social inequality, identity (including intersectionality), climate change, migration, violence, epidemic disease, adaptability/plasticity, the osteological paradox, and the developmental origins of health and disease. Given the profound changes required globally to address decolonization in the 21st century, this concern also entered many formal and informal discussions.