Food, parasites, and epidemiological transitions: A broad perspective.

Pathoecology provides unique frameworks for understanding disease transmission in ancient populations. Analyses of Old and New World archaeological samples contribute empirically to our understanding of parasite infections. Combining archaeological and anthropological data, we gain insights about health, disease, and the way ancient people lived and interacted with each other and with their environments. Here we present Old and New World parasite evidence, emphasizing how such information reflects the different ways ancient populations exploited diverse environments and became infected with zoonotic parasites. It is clear that the most common intestinal helminths (worm endoparasites) were already infecting ancient inhabitants of the New World prior to the European conquest, although not so intensely as in ancient Europe. The first paleoepidemiological transition from hunting-gathering to agriculture did not change the zoonotic infection pattern of people in the Americas. However, the same transition in Europe resulted in increased zoonotic parasitism with parasites from domestic animals. Therefore, there is a demonstrable difference in the impact of the first paleoepidemiologic transition in the Americas compared to Europe.

How does a riverine setting affect the lifestyle of shellmound builders in Brazil?

The contact of inland and coastal prehistoric groups in Brazil is believed to have been restricted to regions with no geographical barrier, as is the case in the Ribeira de Iguape valley. The inland osteological collection from the riverine shellmound Moraes (5800-4500 BP) represents a unique opportunity to test this assumption for this region. Despite cultural similarities between riverine and coastal shellmounds, important ecological and site distribution differences are expected to impact on lifestyle. The purpose of this study is thus to document and interpret health and lifestyle indicators in Moraes in comparison to coastal shellmound groups. Specifically we test if the rare evidence of fish and mollusc remains in the riverine shellmound led to (a) higher caries rates and (b) lower auditory exostosis frequency and (c) if the small size of the riverine shellmound translates into reduced demographic density and thus rarity of communicable infectious diseases. Of the three hypotheses, (a) was confirmed, (b) was rejected and (c) was partly rejected. Bioanthropological similarities between Moraes and coastal shellmounds include auditory exostoses with equally high frequencies; significantly more frequent osteoarthritis in upper than in lower limbs; cranial and dental morphological affinities and low frequencies of violent trauma. However, there are also important differences: Moraes subsisted on a much broader protein diet and consumed more cariogenic food, but showed a stature even shorter than coastal groups. Thus, despite the contact also suggested by treponematoses in both site types, there was enough time for the people at the riverine site to adapt to local conditions.

The finding of Echinostoma (Trematoda: Digenea) and hookworm eggs in coprolites collected from a Brazilian mummified body dated 600-1,200 years before present.

The identification of parasites from ancient cultures expands our list of parasites infective to extant humans. A partially mummified human body from the archeological site of Lapa do Boquete, Minas Gerais State, Brazil, was recently discovered. It was interred between 600 and 1,200 yr ago. Dietary analysis showed that the mummified body was from a society that had a mixed subsistence of agriculture and gathering of wild foods. Coprolites from the body contained numerous helminth eggs. The eggs were identified as those of Echinostoma sp. and hookworm. Hookworm infection in pre-Columbian populations is already established, but this is the first evidence of Echinostoma sp. eggs found in human coprolites. The diagnosis of a true infection, as opposed to false parasitism, is discussed. The possibility of Echinostoma ilocanum infection is discussed, as this is a common species found in humans in the Asiatic region, which could have been introduced in South America in the pre-Columbian period. Alternative possibilities are also considered, including indigenous Brazilian Echinostoma species.

Human enterobiasis in evolution: origin, specificity and transmission.

The co-evolutionary pathway seems to be the most plausible hypothesis for the explanation of the origin of human pinworms. Of the two modes of transmission of oxyurids among humans which have been documented, the direct oral/anal route is also observed in other Primates and seems to have been favoured by selection. As indirect air-borne transmission has also been shown for human enterobiasis, the question of "How this alternative to the standard transmission method could have arisen" is examined. The results of comparative studies of prevalence of Enterobius in human coprolites, in villages of Neolithic age of the arid west of North America, show that a higher prevalence of pinworms is correlated with the lower total amount of air-exchange in caves relative to other structures. The air-borne route of transmission of pinworms among humans is interpreted as an innovation in the human/Enterobius pair. This mode of transfer could have been favoured during the time when humans changed their behaviour from a hunting-gathering to a more sedentary existence, initially associated with cave habitats.

Three-dimensional (3-D) imaging in post-mortem examinations: elucidation and identification of cranial and facial fractures in victims of homicide utilizing 3-D computerized imaging reconstruction techniques.

The analysis of cranial and facial fractures in skeletal remains of homicidal victims can prove challenging for forensic anthropologists and forensic pathologists in postmortem examination. In such cases, the use of 3-D computerized imaging to elucidate the fractures and patterns of injuries can provide strong medical evidence that is very useful during litigation and at trial. The authors describe 3-D reconstructions of the skull performed as part of forensic postmortem examination in a recent victim of homicide.

Human dental microwear caused by calcium oxalate phytoliths in prehistoric diet of the lower Pecos region, Texas.

Recent research demonstrates that silica phytoliths of dietary origin are associated with microwear of human teeth. Previous research has shown that severe enamel microwear and dental wear characterizes Archaic hunter-gatherers in the lower Pecos region of west Texas. Calcium oxalate crystals are especially common in Archaic coprolites. The vast majority are derived from prickly pear and agave, which were the dietary staples in west Texas for 6,000 years. The calcium oxalate phytoliths are harder than enamel. Therefore, calcium oxalate crystals are the most likely source of previously documented dental microwear and wear in the lower Pecos region.

Further evidence of lead contamination of Omaha skeletons.

A previous analysis of Omaha skeletons dating between A.D. 1780 and 1820 revealed the presence of lead in all skeletons with high concentrations in children and adult males (Reinhard and Ghazi [1992] Am. J. Phys. Anthropol. 89:183-195). Two likely explanations for the high lead levels were presented: 1) metabolic absorption of lead and 2) diagenetic uptake of lead by the bones from postmortem application of pigments to the corpse. Two types of lead were available to the Omaha tribe: 1) Mississippi Valley type, and 2) non-Mississippi Valley type. It has been suggested that red-lead pigment mixed with mercury sulphide (cinnabar) applied to the corpse may have been one of the sources of lead found in bones. Further isotopic analyses of samples of pigment and metallic lead artifacts associated with the skeletons revealed that non-Mississippi Valley type lead is present in the pigment while Mississippi Valley type lead comes from metallic artifacts. Both lead and mercury were found in the pigment samples, verifying that a lead-based pigment mixed with cinnabar-based pigment was used as a cosmetic by the Omaha. Isotopic analysis of lead in skeletons indicates that the pigment contributed most to lead content of bone. This new evidence clarifies the previous study and suggests specific mechanisms by which lead became incorporated into bone.

Evaluation of lead concentrations in 18th-century Omaha Indian skeletons using ICP-MS.

The analysis of skeletal remains of Omaha Indians buried between AD 1780 and 1820 indicated that lead was incorporated in cortical bone. The diagenetic or biogenetic origin of the lead was evaluated by examination of lead isotope ratios of the bones and artifacts, and comparison of lead concentrations in burial soils with those of the bones. The isotopic values of the lead artifacts demonstrate that the lead was mined in the Missouri region. Although the isotope ratios in the bones are not identical with that from the lead artifacts, there is a strong relationship between them. This finding indicates that the lead in the bone was at least partly derived from the artifacts. Because lead artifacts rarely accompanied the burials but lead was ubiquitous in the bones, we suggest a biogenetic origin for the lead. There is also the possibility that some of the lead may have been derived from pigments applied to the corpse during mortuary ritual.

Archaeoparasitology in North America.

The study of prehistoric parasitism through analysis of coprolites, mummies, skeletons, and latrine soils is rapidly growing. Its development in North America is interdisciplinary and is derived from the fields of physical anthropology, parasitology, and archaeology. The various parasite finds from North America are reviewed. The data show that prehistoric peoples in North America suffered from a variety of parasitic diseases. The validity of the findings are then considered. Although most finds of parasites from prehistoric contexts result from human infections, some finds cannot be verified as such. However, in combination with data from South America, it is clear that prehistoric peoples in the Americas were host to a variety of human parasites, some of which were not previously thought to be present before historic times.

Cultural ecology of prehistoric parasitism on the Colorado Plateau as evidenced by coprology.

The study of coprolites (desiccated feces) is recognized as a viable method for analyzing parasitism of prehistoric peoples. Eight species of helminth parasites, including nematodes, cestodes, and acanthcephalans, have been recovered from archaeological sites on the Colorado Plateau. The comparative analysis of parasitological findings illustrates the effects of changing subsistence strategies and varying life-style on prehistoric human parasitism. This comparative study is based on the analysis of coprolites recovered from one Archaic hunter-gatherer site and two Anasazi agricultural villages. Hunter-gatherers are represented by coprolites from Dust Devil Cave in south-eastern Utah. Coprolites of prehistoric agriculturalists from Antelope House in Canyon de Chelly, Arizona, and from Salmon Ruin in northwestern New Mexico were studied. The results demonstrate that helminth parasitism increased with the advent of agriculture. Between the agricultural sites, differences in patterns of excreta disposal, foraging behavior, and local ecology resulted in pronounced variations in both percentage of coprolites containing parasite remains and the number of parasite species represented.

Helminth remains from prehistoric Indian coprolites on the Colorado Plateau.

Examination of coprolites excavated from archaeological sites in the Americas demonstrates excellent preservation of helminth eggs and, in some cases, larvae. To gain an understanding of helminth parasitism in prehistory on the Colorado Plateau of Arizona, New Mexico, and Utah, 319 coprolites from 5 archaeological sites were analyzed. Helminth eggs and larvae were recovered after the coprolites were rehydrated, screened, and sedimented. At a sixth site, soils excavated from 5 rooms used as latrine areas were processed with palynological techniques. The results indicate that all but 1 of the prehistoric populations examined were infected with intestinal worms. The helminths implicated are Enterobius vermicularis, Trichuris trichiura, cf. Ascaris lumbricoides, cf. Trichostrongylus sp., cf. Strongyloides sp., taeniid cestodes, and hymenolepidid cestodes. The study suggests that prehistoric hunter-gatherer peoples carried fewer helminth parasites than agriculturalists. At 1 site, it appears that increased helminth parasitism preceded abandonment of the village.