Slide 1
Studying the health of past human populations is possible by many means
Bioarchaeology: Skeletal stress, paleonutrition, paleopathology
DNA of living bacteria and parasites (e.g., Plasmodium falciparum); molecular clock
Medicinal plant remains, medical equipment (e.g., trephination drills)
Important to study
Diseases have shaped the human genome
Human exposure to disease often follows lines of social inequality
Understanding cultural and technological strategies for coping with health challenges
Slide 2
Human populations have experienced several key demographic transitions in the past several thousand years
Agriculture
Sedentism
Industrialization
Colonization
Two important influences on disease communication stemming from human organization
Sedentism/urbanism
Sanitation problems
More frequent exposure to diseases; human contact
Living near animals
Food scarcity/unequal access to adequate foods
Population movement/migration
Spreads diseases interregionally
New exposure among people with no acquired resistance
For example, colonization
Humans have developed many technological strategies for ameliorating these adverse health effects; for example, sewage systems, water treatment, medicine, improved food production techniques such as fertilizers
Slide 3
The Silk Road connected Asia and Europe 2,000 years ago and allowed traders to move intercontinentally (especially East–West trade of silk textiles to Europe)
Probably allowed smallpox, measles, and bubonic plague to spread intercontinentally
Reported in 2016: Latrine at a relay station in China at the site of Xuanquanzhi
Used by travelers on the Silk Road
Sticks wrapped with cloth used for personal hygiene preserving traces of preserved feces, including parasite eggs
One of several intestinal worm varieties in the preserved feces was the Chinese liver fluke (Clonorchis sinensis), which is only found today some 1,500 km further south and east in China
A trader, government official, or soldier must have acquired the parasite far away and brought it to Xuanquanzhi, attesting to the role the Silk Road must have played in spreading illness
Slide 4
Another latrine study in 2016: ancient Rome
Ancient Romans are attributed many advances in government, politics, and law; art, literature, and architecture; engineering and technology
Among the Romans’ many other technological advances are public toilets, bathhouses, and sewers
Widely assumed that these contributions to personal hygiene, along with laws governing how waste was managed in cities, improved people’s health and helped manage crowded living conditions
However, comparative research of many latrines showed that whipworm, roundworm, and dysentery persisted in latrines before, during, and after the Roman Empire
Sanitation did not reduce pathogens in ancient Rome
Practices such as sharing the same sponges at toilets may have contributed to health problems
Slide 5
All organisms face challenges to their health and ability to survive
However, none are as good as humans at creating the very health challenges we are struggling to overcome
Pollution, overnutrition, extensive travel (think of a crowded airport), poor sanitation, and antibiotic-resistant diseases are just some examples of this paradox
In the name of progress—namely, technology, culture, and communication—we inadvertently create many health problems for ourselves and have for thousands of years
Latrine finds show the deep roots of health problems to which culture and technology have contributed