High altitude agriculture in the Titicaca basin (800 BCE-200 CE): Impacts on nutrition and disease load.

OBJECTIVES: This study investigates the biological impacts of sedentism and agriculture on humans living in the high altitude landscape of the Titicaca Basin between 800 BCE and CE 200. The transition to agriculture in other global areas resulted in increases in disease and malnutrition; the high altitude of the Titicaca Basin could have exacerbated this. Our objective is to test whether the high altitude of the Titicaca Basin created a marginal environment for early agriculturalists living there, reflected through elevated rates of malnutrition and/or disease. METHODS: To test this, we analyzed human remains excavated from seven archaeological sites on the Copacabana Peninsula for markers of diet and disease. These markers included dental caries, dental abscesses, cribra orbitalia, porotic hyperostosis, periosteal reactions, osteomyelitis, and linear enamel hypoplasia. RESULTS: Results showed that markers of diet did not support malnutrition or micronutrient deficiencies but instead, indicated a relatively diverse diet for all individuals. Markers of disease also did not vary significantly but were common, indicating circulation of pathogens or chronic bodily stress. CONCLUSIONS: We interpret these results as an indication that while diets remained nutritious, investment in the landscape exposed populations to issues of sanitation and disease. The high-altitude of the Titicaca Basin did not exacerbate the biological impacts of agriculture in terms of increased malnutrition. Additionally, disease load was likely related to problems faced by many sedentary groups as opposed to unique challenges posed by high altitude. In sum, despite the high elevation, the Titicaca Basin is not truly a marginal environment for humans.

Three trepanned skulls from the Copacabana Peninsula in the Titicaca Basin, Bolivia (800 BC-AD 1000).

This paper presents three trepanned skulls from the Copacabana Peninsula in the Titicaca Basin, dating from 800 BC to AD 1000. Trepanation has been practiced for two millennia in the Andes, with the earliest specimens coming from the coastal Paracas culture (circa 400 BC). Trepanned skulls have been found throughout the Andes, displaying a variety of techniques. This modification was practiced as surgical intervention after injury and treatment for headaches and other ailments, among other reasons (Verano, 2003: 234). With the exception of four examples from the Island of the Sun, few early cases of trepanation have been found in the Titicaca Basin of Peru and Bolivia. The three skulls presented here are important for several reasons: (1) they originate from a region under-represented in the literature on Andean trepanation, (2) they represent a variety of trepanation techniques, and (3) they confirm the practice of trepanation in the lake basin during the Early Horizon.