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Parasites, Porotic Hyperostosis, and the Implications of Changing Perspectives

Published online by Cambridge University Press:  20 January 2017

Thomas D. Holland  and
Michael J. O'Brien
Thomas D. Holland
Affiliation:
U.S. Army Central Identification Laboratory, Hawaii, Hickam Air Force Base, HI 96853–5530
Michael J. O'Brien
Affiliation:
Department of Anthropology, University of Missouri, Columbia, MO 65211
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Abstract

Cribra orbitalia and porotic hyperostosis traditionally have been viewed (at least by archaeologists) as indicators of chronic iron deficiency anemia resulting from a dependency upon maize. Recent interpretations, however, have sought to explain these conditions as an evolutionary, adaptive response to intestinal parasites rather than as a consequence of poor nutrition. Thus diet is eliminated as a contributing factor. This model, however, adopts too simplistic a view of evolution. Furthermore, it concomitantly severs the well-documented link that exists between cranial lesions and cereal-based subsistence. A more realistic approach would be to incorporate both diet and pathogens (bacterial as well as parasitic) into a symbiotic model that acknowledges the important role of parasites in the etiology of cribra orbitalia and porotic hyperostosis, while maintaining the diagnostic value of these conditions as hallmarks of early agriculture.

Cribra orbitalia y porotic hyperostosis se han visto tradicionalmente (por lo menos por arqueólogos) como indicadores de anemia por deficiencia de hierro a consecuencia de una dependencia de maize. Interpretaciones recientes, sin embargo, han intentado explicar estas condiciones como una reacción evolutiva y adaptiva a parásitos intestinales en vez de una consecuencia de pobre nutrición. Entonces, la dieta es eliminada como un elemento contributivo. El problema es que este modelo adopta una perspectiva demasiada sencilla de evolución. Además, el modelo rompe el esclabón bien documentado que existe entre lesiones craneales y una subsistencia basada en cereales. Una aproximación más realística sería incorporar dieta y patógenos (los bacterianos tanto como los parasíticos) a un modelo simbiótico que reconozca el papel importante de parásitos en la etiologia de cribra orbitalia y porotic hyperostosis mientras mantenga el valor diagnostico de estas condiciones como señales de la agricultura antigua.

Type
Articles
Information
American Antiquity , Volume 62 , Issue 2 , April 1997 , pp. 183 - 193
Copyright
Copyright © The Society for American Archaeology 1997

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References

References Cited

American Medical Association (Committee on Iron 1968 Iron Deficiency in the United States. Journal of the American Medical Association 203: 407–412.Google Scholar
Angel, J. L. 1966 Porotic Hyperostosis, Anemias, Malarias and the Marshes in Prehistoric Eastern Mediterranean. Science 153: 760–762.Google Scholar
Arthur, C. K., and Isbister, J. P. 1987 Iron Deficiency: Misunderstood, Misdiagnosed and Mistreated. Drugs 33: 171–182.CrossRefGoogle ScholarPubMed
Baynes, R. D., and Bothwell, T. H. 1990 Iron Deficiency. Annual Review of Nutrition 10: 133–148.CrossRefGoogle ScholarPubMed
Beard, J. 1990 Iron Deficiency, Thyroid Function, and Thermoregulation. In Functional Significance of Iron Deficiency, edited by Enwonwu, C. O., pp. 71–80. Meharry Medical College, Nashville.Google Scholar
Bothwell, T. H., Charlton, R. W., Cook, J. D., and Finch, C. A. 1979 Iron Metabolism in Man. Blackwell Scientific Publications, Oxford.Google Scholar
Brune, M., Magnusson, B., Persson, H., and Hallberg, L. 1986 Iron Losses in Sweat. American Journal of Clinical Nutrition 43: 438–443.Google Scholar
Buikstra, J. E., and Ubelaker, D. H. 1994 Standards for Data Collection from Human Skeletal Remains. Arkansas Archeological Survey, Fayetteville.Google Scholar
Carlson, D., Armelagos, G., and Van Gerven, D. 1974 Factors Influencing the Etiology of Cribra Orbitalia in Prehistoric Nubia. Journal of Human Evolution 3: 405–110.Google Scholar
Cohen, M. N., and Armelagos, G. J. (editors) 1984 Paleopathology at the Origins of Agriculture. Academic Press, New York.Google Scholar
Cook, G. C. 1980 Tropical Gastroenterology. Oxford University Press, New York.Google Scholar
Cook, J. D. 1990 Adaptation in Iron Metabolism. American Journal of Clinical Nutrition 51: 301–308.Google Scholar
Dallman, P. R. 1987 Iron Deficiency and the Immune Response. American Journal of Clinical Nutrition 46: 329–334.Google Scholar
Dallman, P., Yip, R., and Johnson, C. 1984 Prevalence and Cause of Anemia in the United States. American Journal of Clinical Nutrition 39: 437–445.Google Scholar
Dubos, R. 1978 Health and Creative Adaptation. Human Nature (January): 74-82.Google Scholar
Dunn, F. L. 1972 Intestinal Parasitism in Malayan Aborigines (Orang Asli). Bulletin of the World Health Organization 46: 99–113.Google Scholar
Durham, W. H. 1991 Coevolution. Stanford University Press, Palo Alto, California.Google Scholar
El-Najjar, M. Y. 1976 Maize, Malaria and the Anemias in the Pre-Colombian New World. Yearbook of Physical Anthropology 20: 329–337.Google Scholar
El-Najjar, M. Y., Andrews, J., Moore, J. G., and Bragg, D. G. 1982 Iron Deficiency Anemia in Two Prehistoric American Indian Skeletons: A Dietary Hypothesis. Plains Anthropologist 44: 447–18.Google Scholar
El-Najjar, M. Y., Lozoff, B., and Ryan, D. J. 1975 The Paleoepidemiology of Porotic Hyperostosis in the American Southwest: Radiological and Ecological Considerations. American Journal of Roentgenology and Radiation Therapy 25: 918–924.CrossRefGoogle Scholar
El-Najjar, M. Y., Ryan, D. J., Turner, C. G. II, and Lozoff, B. 1976 The Etiology of Porotic Hyperostosis Among the Prehistoric and Historic Anasazi Indians of the Southwestern U.S. American Journal of Physical Anthropology 44: 447–188.Google Scholar
El-Najjar, M. Y., and Robertson, J. R. 1976 Spongy Bones in Prehistoric America. Science 193: 141–143.Google Scholar
Fairbanks, V. F. 1994 Iron in Medicine and Nutrition. In Modern Nutrition in Health and Disease, vol. 1, edited by Shils, M. E., Olson, J. A., and Shike, M., pp. 185–213. Lea and Febiger, Philadelphia.Google Scholar
Goodman, A. H. 1994 Cartesian Reductionism and Vulgar Adaptationism: Issues in the Interpretation of Nutritional Status in Prehistory. In Paleonutrition, the Diet and Health of Prehistoric Americans, edited by Sobolik, K. D., pp. 163–177. Occasional Paper No. 22. Center for Archaeological Investigations, Southern Illinois University, Carbondale.Google Scholar
Goodman, A. H., Martin, D. L., and Armelagos, G. J. 1984 Indications of Stress from Bone and Teeth. In Paleopathology at the Origins of Agriculture, edited by Cohen, M. N. and Armelagos, G.J. pp. 13–49. Academic Press, New York.Google Scholar
Gordon, J. E., Chitkara, J. D., and Wyon, J. B. 1963 Weanling Diarrhea. American Journal of the Medical Sciences 245: 345–375.CrossRefGoogle ScholarPubMed
Gould, S. J., and Lewontin, R. 1979 The Spandrels of San Marco and the Panglossian Paradigm: A Critique of the Adaptationist Programme. Proceedings of the Royal Society of London B205: 581–598.Google Scholar
Green, R., Charlton, R. W., Seftel, H., Brothwell, T. H., 1968 Body Iron Execretion in Man: A Collaborative Study. American Journal of Medicine 45: 336–353.Google Scholar
Hengen, O. P. 1971 Cribra Orbitalia: Pathogenesis and Probable Etiology. Homo 22: 57–75.Google Scholar
Henschen, P. 1961 Cribra Cranii—A Skull Condition Said to Be of Racial or Geographical Nature. Pathologie et Microbiologie 24: 724–729.Google ScholarPubMed
Hill, M. C, and Armelagos, G. J. 1991 Porotic Hyperostosis in Past and Present Perspective. In A Life in Science: Papers in Honor of J. Lawrence Angel, edited by Buikstra, J. E., pp. 52–63. Scientific Papers No. 6. Center for American Archeology, Kampsville, Illinois.Google Scholar
Hrdlicka, A. 1914 Anthropological Work in Peru in 1913, with Notes on Pathology of Ancient Peruvians. Smithsonian Miscellaneous Collections 61: 1–69.Google Scholar
Johnson, A. A. 1990 Iron Deficiency: Pediatric Epidemiology. In Functional Significance of Iron Deficiency, edited by Enwonwu, C. O., pp. 57–66. Meharry Medical College, Nashville.Google Scholar
Kent, S. 1986 The Influence of Sedentism and Aggregation on Porotic Hyperostosis and Anaemia: A Case Study. Man 21: 605–636.Google Scholar
Kent, S., and Weinberg, E. 1989 Hypoferremia: Adaptation to Disease? New England Journal of Medicine 320: 672.Google Scholar
Kent, S., and Dunn, D. 1993 Etiology of Hypoferremia in a Recently Sedentary Kalahari Village. American Journal of Tropical Medicine and Hygiene 48: 554–567.Google Scholar
Keusch, G. T. 1990 Immunity and Infection in Iron Deficiency. In Functional Significance in Iron Deficiency, edited by Enwonwu, C. O., pp. 81–91. Meharry Medical College, Nashville.Google Scholar
Kiple, K. F. (editor) 1993 The Cambridge World History of Human Disease. Cambridge University Press, Cambridge.Google Scholar
Lallo, J., Armelagos, G. J., and Mensforth, R. P. 1977 The Role of Diet, Disease and Physiology in the Origin of Porotic Hyperostosis. Human Biology 49: 471–183.Google ScholarPubMed
Mensforth, R., Lovejoy, C. O., Lallo, H., and Armelagos, G. J. 1978 The Role of Constitutional Factors, Diet and Infectious Disease in the Etiology of Porotic Hyperostosis and Periosteal Reactions in Prehistoric Infants and Children. Medical Anthropology 2: 1–59.CrossRefGoogle ScholarPubMed
Morris, E. R. 1990 Dietary Factors Influencing Bioavailability of Dietary Iron. In Functional Significance in Iron Deficiency, edited by Enwonwu, C. O., pp. 33—44. Meharry Medical College, Nashville. Allowances, Food and Nutrition Board).Google Scholar
National Academy of Sciences (Committee on Dietary) 1980 Recommended Dietary Allowances. 9th ed. National Academy of Sciences, Washington, D.C. Google Scholar
O'Brien, M. J., and Holland, T. D. 1992 The Role of Adaption in Archaeological Explanation. American Antiquity 57: 36–59.Google Scholar
O'Brien, M. J., and Holland, T. D. 1995 The Nature and Premise of a Selection-Based Archaeology. In Evolutionary Archaeology, edited by Teltser, P. A., pp. 175–200. University of Arizona Press, Tucson.Google Scholar
Pollitt, E. 1987 Effects of Iron Deficiency on Mental Development: Methodological Considerations and Substantive Findings. In Nutritional Anthropology, edited by Johnston, F., pp. 225–254. Alan R. Liss, New York.Google Scholar
Reinhard, K. J. 1988 Cultural Ecology of Prehistoric Parasitism on the Colorado Plateau as Evidenced by Coprology. American Journal of Physical Anthropology 77: 355–366.Google Scholar
Reinhard, K. J. 1990 Archaeoparasitology in North America. American Journal of Physical Anthropology 82: 145–163.Google Scholar
Rindos, D. 1984 The Origins of Agriculture: An Evolutionary Perspective. Academic Press, New York.Google Scholar
Rose, J. C, Burnett, B. A., Blaeuer, M. W., and Nassaney, M. S. 1984 Paleopathology and the Origins of Maize Agriculture in the Lower Mississippi Valley and Caddoan Culture Areas. In Paleopathology at the Origins of Agriculture, edited by Cohen, M. N. and Armelagos, G.J. pp. 393–424. Academic Press, New York.Google Scholar
Scrimshaw, N. S. 1990 Functional Significance in Iron Deficiency. In Functional Significance in Iron Deficiency, edited by Enwonwu, C. O., pp. 1–13. Meharry Medical College, Nashville.Google Scholar
Scrimshaw, N. S. 1991 Iron Deficiency. Scientific American (October): 46-52.Google Scholar
Spurr, G. B. 1990 Malnutrition, Work Performance and the Role of Iron. In Functional Significance of Iron Deficiency, edited by Enwonwu, C. O., pp. 103–116. Meharry Medical College, Nashville.Google Scholar
Spurr, G. B. 1978 Iron Deficiency, Infections, and Immune Function: A Reassessment. American Journal of Clinical Nutrition 31: 660–666.Google Scholar
Stuart-Macadam, P. L. 1982 A Correlative Study of Paleopathology of the Skull. Unpublished Ph.D. dissertation, Department of Physical Anthropology, Cambridge University, Cambridge.Google Scholar
Stuart-Macadam, P. L. 1985 Porotic Hyperostosis: Representative of a Childhood Condition. American Journal of Physical Anthropology 66: 391–398.Google Scholar
Stuart-Macadam, P. L. 1988 Nutrition and Anaemia in Past Human Populations. In Diet and Subsistence: Current Archaeological Perspectives, edited by Kennedy, B. Y. and LeMoine, G.M. pp. 284–287. University of Calgary, Calgary, Alberta.Google Scholar
Stuart-Macadam, P. L. 1989 Nutritional Deficiency Diseases: A Survey of Scurvy, Rickets, and Iron-Deficiency Anemia. In Reconstruction of Life from the Skeleton, edited by M. Y Iscan and K. A. R. Kennedy, pp. 201–222. Alan R. Liss, New York.Google Scholar
Stuart-Macadam, P. L. 1990 Anemia in Past Human Populations. In Diet, Demography, and Disease: Changing Perspectives on Anemia, edited by P. Stuart-Macadam and S. Kent, pp. 151–170. Aldine de Gruyter Press, Hawthorne, New York.Google Scholar
Stuart-Macadam, P. L. 1991 Porotic Hyperostosis: Changing Interpretations. In Human Paleopathology, edited by Ortner, D. J. and Aufderheide, A.C. pp. 36–39. Smithsonian Institution Press, Washington, D.C. Google Scholar
Stuart-Macadam, P. L. 1992 Porotic Hyperostosis: A New Perspective. American Journal of Physical Anthropology 87: 39–47.Google Scholar
Walker, P. L. 1986 Porotic Hyperostosis in a Marine-Dependent California Indian Population. American Journal of Physical Anthropology 69: 345–354.Google Scholar
Weinberg, E. D. 1974 Iron and Susceptibility to Infectious Disease. Science 184: 952–956.Google Scholar
Weinberg, E. D. 1984 Iron Withholding: A Defense against Infection and Neoplasia. Physiology Review 64: 65–102.Google Scholar
Welcker, H. 1888 Cribra Orbitalia, ein Ethologisch-Diagnostishes Merkmal am Shadel Mehrerer Menschrassen. Archaeological Anthropology 17: 1.Google Scholar
Williams, G. C, and Nesse, R. M. 1991 The Dawn of Darwinian Medicine. The Quarterly Review of Biology 66: 1–22.Google Scholar
Williams, H. 1929 Human Paleopathology. Archaeological Anthropology 7: 839–902.Google Scholar
Williams, S. R. 1985 Nutrition and Diet Therapy. Times Mirror/Mosby, St. Louis, Missouri.Google Scholar
Wood-Jones, F. 1910 General Pathology (including Diseases of the Teeth). In Report on the Human Remains, The Archaeological Survey of Nubia, Report for 1907-1908, vol. 2., edited by Smith, G. E. and Wood-Jones, F., pp. 263–292. National Printing Department, Cairo, Egypt.Google Scholar