ArchaeoBlog

June 10, 2013

Breeding the nutrients out of food

Filed under: Public Health — acagle @ 7:13 am

Hawks comments on a recent story:

I think it’s useful to keep in mind that the qualities of food that loom important for us now, in an age of rapid transcontinental refrigerated food transportation, are not the same qualities that mattered to the first agriculturalists. Five thousand years ago, people needed food products that could be stored through the lean season, that made harvesting the plants easier, and that resisted the insults of bad weather and pathogens. Robinson focuses attention on the developments of the last hundred years, in which some crop varieties have been selected for much higher sugar content, but the long history of domestication before these recent events has also shaped the taste and nutrient content of foods.

I don’t go along too far with the conclusions expressed in the article either. We really know very little about ancient HG health primarily because they didn’t bury their dead in nice, neat cemeteries whence we can get reasonable population data.

May 23, 2013

Back to circumcision

Filed under: Public Health — acagle @ 3:09 pm

I went into this in an earlier post(s), but found this paper while doing some background reading on HPV-related items. A number of studies have shown that circumcision reduces the transmission of HIV, but does it reduce other infectious diseases as well? Maybe:

Circumcision Cuts HPV Risk for Both Sexes

Male circumcision can reduce the risk that female partners will acquire human papillomavirus (HPV), researchers reported.

Women in two large trials of circumcision had a lower incidence and prevalence of HPV if their partners got the procedure, according to Aaron Tobian, MD, of Johns Hopkins University, and colleagues.

Summary and some comments below the fold. . . .

Here’s the summary:

Background Randomised trials show that male circumcision reduces the prevalence and incidence of high-risk human
papillomavirus (HPV) infection in men. We assessed the effi cacy of male circumcision to reduce prevalence and
incidence of high-risk HPV in female partners of circumcised men.

Methods In two parallel but independent randomised controlled trials of male circumcision, we enrolled HIV-negative
men and their female partners between 2003 and 2006, in Rakai, Uganda. With a computer-generated random
number sequence in blocks of 20, men were assigned to undergo circumcision immediately (intervention) or after
24 months (control). HIV-uninfected female partners (648 of men from the intervention group, and 597 of men in the
control group) were simultaneously enrolled and provided interview information and self-collected vaginal swabs at
baseline, 12 months, and 24 months. Vaginal swabs were tested for high-risk HPV by Roche HPV Linear Array.
Female HPV infection was a secondary endpoint of the trials, assessed as the prevalence of high-risk HPV infection
24 months after intervention and the incidence of new infections during the trial. Analysis was by intention-to-treat.
An as-treated analysis was also done to account for study-group crossovers. The trials were registered,
numbers NCT00425984 and NCT00124878.

Findings During the trial, 18 men in the control group underwent circumcision elsewhere, and 31 in the intervention
group did not undergo circumcision. At 24-month follow-up, data were available for 544 women in the intervention
group and 488 in the control group; 151 (27·8%) women in the intervention group and 189 (38·7%) in the control
group had high-risk HPV infection (prevalence risk ratio=0·72, 95% CI 0·60–0·85, p=0·001). During the trial,
incidence of high-risk HPV infection in women was lower in the intervention group than in the control group
(20·7 infections vs 26·9 infections per 100 person-years; incidence rate ratio=0·77, 0·63–0·93, p=0·008).

Interpretation Our findings indicate that male circumcision should now be accepted as an efficacious intervention for
reducing the prevalence and incidence of HPV infections in female partners. However, protection is only partial; the
promotion of safe sex practices is also important.

They say it’s only “partial” because it only reduced transmission by a fairly modest amount. It’s a practice that seems to be fairly common throughout history, though at times it’s tough to determine whether what is being referred to is really “circumcision” or just some sort of ritual scarring or the like. But the selectionist argument that it provides some benefit and is thus fixed in certain populations has been largely based on the supposed health effects for the male and now also the female — which may end up being the key. Remember, you don’t need people to necessarily be aware of the benefits (though they certainly could be) but just that the results of said behavior are greater reproductive fitness which may well be the case if it is protecting the bearer of children from debilitating infections.

March 20, 2013

Bodies, bodies everywhere!

Filed under: Egypt, Public Health — acagle @ 7:11 pm

3,300-year-old Egyptian cemetery revealed

While an Egyptian pharaoh built majestic temples filled with sparkling treasures, the lower classes performed backbreaking work on meager diets, new evidence suggests.

An analysis of more than 150 skeletons from a 3,300-year-old cemetery at the ancient Egyptian city of Amarna reveals fractures, wear and tear from heavy lifting, and rampant malnutrition amongst the city’s commoners.

The discovery, detailed in the March issue of the journal Antiquity, could shed light on how the non-elites of ancient Egyptian society lived.

Actually a pretty good summary of what the site represents. I’m unable to get a copy of the article and the abstract is kind of useless. Seems like a good pathology study though (Jerome Rose is involved, he’s done a lot of work on paleo-health).

Thanks, Sonali!

March 18, 2013

Mummy atherosclerosis update

Filed under: Paleodiet, Public Health — acagle @ 12:59 pm

Atherosclerosis in Ancient Mummies Revisited

Many of you are already aware of the recent study that examined atherosclerosis in 137 ancient mummies from four different cultures (1). Investigators used computed tomography (CT; a form of X-ray) to examine artery calcification in mummies from ancient Egypt, Peru, Puebloans, and arctic Unangan hunter-gatherers. Artery calcification is the accumulation of calcium in the vessel wall, and it is a marker of severe atherosclerosis. Where there is calcification, the artery wall is thickened and extensively damaged. Not surprisingly, this is a risk factor for heart attack. Pockets of calcification are typical as people age.

The more important point is that atherosclerosis does not equal heart attack. Atherosclerosis is an important risk factor, but extensive cardiac autopsy studies have suggested that traditional cultures with near-zero heart attack incidence have coronary atherosclerosis (6, 7, 8, 9). Although they tend to have less atherosclerosis than industrial populations when adjusted for age, differences in atherosclerosis alone cannot explain their remarkable resistance to heart attacks: other factors must be involved. These could include the tendency of the blood to clot, the tendency of atherosclerotic plaque to rupture, and perhaps the diameter of the coronary vessels.

Some have used the mummy paper to argue the view that it’s silly to try to eat like our ancestors because they got sick just like we do. The paper does not support this view, for two reasons. First, as I said previously, atherosclerosis is not the only risk factor for heart attacks, and we have extensive cardiac autopsy data from multiple non-industrial cultures indicating that the actual rate of heart attacks was very low, even when adjusted for age (10, 11). And second, although arterial calcification was common in all cultures represented by the mummies, it was less common in the coronary arteries, where it matters most for heart attack risk.

Plus some interesting comments.

UPDATE: BTW, a couple things to keep in mind in all of this. First, not all HG or even all agriculturalist diets are or were the same. We’ve seen that HG diet is very dependent on what’s available and that can be extremely variable. Even agriculturalists can have highly variable diets. Second, diet isn’t the only variable. HG’s differ from settled agriculturalists in a lot of ways, from the number and kind of parasites that they encounter to their local habitation environment to their level of activity and exposure to other pathogens. That gets even more complicated when trying to draw conclusions by comparing our own lifestyle to any of the above.

March 11, 2013

Public health in ancient Egypt. And Peru. And the southwest. And. . .

Filed under: Paleodiet, Public Health — acagle @ 11:13 am

Fresh across the wires: Study: Even ancient mummies had clogged arteries

CT scans of 137 mummies showed evidence of atherosclerosis, or hardened arteries, in one third of those examined, including those from ancient people believed to have healthy lifestyles. Atherosclerosis causes heart attacks and strokes. More than half of the mummies were from Egypt while the rest were from Peru, southwest America and the Aleutian islands in Alaska. The mummies were from about 3800 B.C. to 1900 A.D.

“Heart disease has been stalking mankind for over 4,000 years all over the globe,” said Dr. Randall Thompson, a cardiologist at Saint Luke’s Mid America Heart Institute in Kansas City and the paper’s lead author.

Haven’t gotten a hold of the actual paper yet, but here is the abstract (a portion quoted):

Probable or definite atherosclerosis was noted in 47 (34%) of 137 mummies and in all four geographical populations: 29 (38%) of 76 ancient Egyptians, 13 (25%) of 51 ancient Peruvians, two (40%) of five Ancestral Puebloans, and three (60%) of five Unangan hunter gatherers (p=NS). Atherosclerosis was present in the aorta in 28 (20%) mummies, iliac or femoral arteries in 25 (18%), popliteal or tibial arteries in 25 (18%), carotid arteries in 17 (12%), and coronary arteries in six (4%). Of the five vascular beds examined, atherosclerosis was present in one to two beds in 34 (25%) mummies, in three to four beds in 11 (8%), and in all five vascular beds in two (1%). Age at time of death was positively correlated with atherosclerosis (mean age at death was 43 [SD 10] years for mummies with atherosclerosis vs 32 [15] years for those without; p<0·0001) and with the number of arterial beds involved (mean age was 32 [SD 15] years for mummies with no atherosclerosis, 42 [10] years for those with atherosclerosis in one or two beds, and 44 [8] years for those with atherosclerosis in three to five beds; p<0·0001).

I can’t get to the full article through the university library yet (I may be able to, I just can’t figure out how to access early online pub stuff). I like the fact that they got a variety of mummies from different areas, times, environments, and subsistence regimes. The abstract doesn’t get into enough detail as to what the differences in subsistence were, but the thing that stuck out to me was the age difference: 43 vs. 32 for those with and without, respectively. I think in a slightly earlier post I speculated as to whether heart disease might be much more age-related than diet or lifestyle related, much like cancer appears to be.

The primary difficulty I see at this point is probably the relative lack of true hunter-gatherers, even though some are included in the study. HG mummies are hard to come by, as are HG skeletons in general, at least compared with their sedentary agriculturalist brethren, so we really know quite a lot less about their health than we do about sedentary peoples. Will definitely do another post when I can find the whole paper.

March 7, 2013

And still more bodies. . . .

Filed under: Public Health — acagle @ 8:01 pm

The governors of Ancient Egypt suffered from malnutrition and infectious diseases, dying before they were 30 years old

The ancient Egyptians did not live in such good conditions and were not surrounded by such opulence as was thought up to now, but, rather, suffered from hunger and malnutrition, a whole range of infectious diseases and an extremely high infant mortality rate. Furthermore, the governors of Aswan, on the border with Sudan, as well as their families, interbred with the black peoples of the neighbouring country.

These are some of the conclusions drawn from the Qubbet el-Hawa research project, carried out by the University of Jaen, in which anthropologists from the University of Granada have participated, as well as the Supreme Council of Antiquities of the Arab Republic of Egypt.

There’s not a whole lot there in terms of what the specific health problems were except for this cryptic sentence: “This is revealed by the fact that the bones of the children had no marks on them, “which demonstrates that they died from some serious infectious disease”. One supposes they simply mean (apparently non-native English speakers) that it wasn’t an accidental traumatic death, since there could be any number of “marks” on bones that could indicate various diseases. But it seems like a fairy typical population with low life expectancy and high infant mortality (which are, of course, related).

Via Nigel H..

December 28, 2012

“Only fallen, weak, mad and demonic monks ate meat.”

Filed under: Public Health — acagle @ 9:39 am

Urban Byzantine monks gave in to temptation

WHO ate all the pies? In 6th-century Jerusalem, the Byzantine monks were greedy gobblers – despite strict rules that they should eat mainly bread and water.

Most early Byzantine monasteries were located in remote deserts, but St Stephen’s monastery thrived in Jerusalem. Wondering how urban living affected the monks, Lesley Gregoricka at the University of South Alabama in Mobile took bone samples from 55 skeletons buried under the monastery.

There’s a paper on it but I haven’t read it yet (I should). I’m not sure what the exact rules were regarding dietary restrictions, but I kind of doubt any diet based solely on bread and water would have lasted very long as everybody would have been dying of malnutrition.

December 6, 2012

Answering the important questions

Filed under: Public Health — acagle @ 4:47 pm

Burning Question: Air Blowers or Paper Towels?

In June, the Mayo Clinic published a comprehensive study of every known hand-washing study done since 1970. The authors concluded that drying skin is essential to staving off bacteria, and that paper towels are superior to driers: They’re more efficient, they don’t spatter germs, they won’t dry out hands and most people prefer them. Dr. Thompson’s study was one of the dozen samples reviewed, and he concurs with the recent findings.

There are a number of problems with the whole handwashing thing to begin with. Unless the faucet is an auto-on one, you have to touch the handle to turn it off, thus potentially contaminating the hands you’ve just washed. Ditto manual towel dispensers. I suppose the best-designed bathroom facility would be one with automatic faucets, automatic soap dispensers, auto-dispensing towels, and no door or a push-open door. OTOH, when one is out in the field in the cold, boy, those blowers sure are nice. . .

What’s the difference between chemists and biologists? Chemists wash their hands before, biologists after.

October 3, 2012

Well, here goes

Filed under: Online publications, Public Health — acagle @ 1:57 pm

My first foray into both of my fields of study at the same time: Public Health in Ancient Egypt
Here’s the abstract:

Most studies of health and illness in ancient Egypt concentrate on disease and other maladies affecting individuals and the medical treatments administered to individuals. However, the concept of public health has received comparatively little attention, largely because the practice of public health has been seen as a fairly modern phenomenon tied to purely scientific notions of the sources and causes of illness and disease and their prevention. Nevertheless, even in the absence of a true germ theory of disease, the ancient Egyptians did possess an understanding of the social context in which many disease conditions occurred and took steps to prevent and alleviate certain conditions at a group level. From fairly basic public health practices, such as the removal of trash to peripheral locations, to reasonably sophisticated theories on the origin of disease and the widespread promulgation of preventive practices, ancient Egypt shows that even in pre-scientific complex societies an awareness of the social context of health and disease existed. Egypt and other ancient societies developed strategies to deal with health and wellness on a community and national level and thus are amenable to study using modern public health theory.

So, whaddayathink?

September 22, 2012

Blogging update

Filed under: Blogging update, Public Health — acagle @ 8:50 am

Yeah, little or no posting yesterday. Busy! I spent most of the day meeting on Global Health issues or doing the yeoman’s work of entering shovel probe data. I’m assisting on research at my old/new/future place of employment with the Coptic Center. I worked with them on their data for the HIV-related stuff a couple times over the last couple of years, but now I’m starting to assist more with the research end. Here at the UW they primarily work with the HIV part of the clinic which interests me only mildly, but once I get back from Egypt I’ll be starting to work with their TB data more. TB is interesting because it’s been around forEVER and has had a large impact on the health of human societies since we started living in close proximity to one another. There’s some evidence that a 16th century epidemic of TB in Europe essentially rid the continent of leprosy and there’s also been some work done on the relation of TB to the 1918 influenza pandemic such that many of the people who died of the flu were already weakened by TB infection. The co-immunity idea of the former makes some sense since they’re related at the genus level (Mycobacterium), though it’s not quite that straightforward.

At any rate, I like the idea that this project is through something ‘Coptic’ and yes, it’s that Coptic. I met the director, Fr. Mena, who is actually a North American by birth. So we’ll see; much work but I like it.

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