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Respiratory health in the past: a bioarchaeological study of chronic maxillary sinusitis and rib periostitis from the Iron Age to the Post Medieval Period in Southern England

By STACY KAREN BERNOFSKY

Abstract

Respiratory disease has affected human populations throughout our history and remains a significant cause of morbidity and mortality today. In spite of this, there is a dearth of bioarchaeological research on this important subject. Previous research has suggested a relationship between poor air quality and the prevalence of chronic maxillary sinusitis and rib periostitis. These conditions have many causes (e.g. congenital disorders, allergies, poor air quality, climate, infectious disease). Chronic maxillary sinusitis and rib periostitis are recognised as bone formation and/or destruction, indicating long-term inflammation of the soft tissues of the sinuses and ribs in some upper and lower respiratory tract conditions. \ud If air quality is a significant contributor to respiratory disease, the highest prevalence rates would be expected in populations exposed to high concentrations of indoor and outdoor pollutants. This study examines 12 skeletal samples from cemeteries located in southern England, ranging in date from the Iron Age to the Post Medieval Period. The samples were chosen to examine both synchronic and diachronic trends in respiratory disease, contrasting contemporaneous populations living in rural and urban contexts, as well as populations from high and low social status groups. A total of 1203 individuals were examined for this study. Of these, 1101 had at least one sinus preserved, and of these individuals, 546 (49.6%) had sinusitis in one or both sinuses. A total of 2091 sinuses were recorded. Of these, 854 (40.8%) had chronic maxillary sinusitis. 50.42% of 720 males and analysed had sinusitis and 47.85% of 372 females (not significant). Prevalence rates ranged from 30.6% (Post Medieval) to 75.44% (Iron Age) for chronic maxillary sinusitis and 1.59% (Iron Age) to 29.7% (Post Medieval) for rib periostitis, but, when combining the skeletal and archaeological/historical data, the hypothesis posed is not consistently supported. Based on archaeological evidence for lifestyle and housing, these results suggest that the causes of respiratory disease are more complex than this current hypothesis presumes

Topics: air quality, pollution, respiratory infection, inflammatory rib lesions, rhinosinusitis, environment, Danebury, Suddern Farm, Yarnton, Mill Hill, Lankhills, Roman London, Edix Hill, Cannington, Saint Mary Graces, Merton Priory, Abingdon Vineyard, Saint Nicholas Shambles, Guildhall Yard East, St. Bride's, Chelsea Old Church
Year: 2010
OAI identifier: oai:etheses.dur.ac.uk:614
Provided by: Durham e-Theses

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Citations

  1. (2004). [the Most Often Causes of Odontogenic Maxillary Sinusitis]. Vojnosanit Pregl doi
  2. (2007). [the Odontogenic Maxillary Sinusitis: 31 Cases]. Tunis Med 85(8):684-687.
  3. (1987). A 'Banjo' Enclosure
  4. (2004). A 200-Year Precipitation Index for the Central English Lake District. doi
  5. (2007). A Bioarchaeological Study of Maxillary Sinusitis.
  6. (2006). A Case of Wood-SmokeRelated Pulmonary Disease. Environmental Health Perspectives doi
  7. (1994). A Demographics Study of the Human Skeletal Populations from Historic Munster.
  8. (2003). A First Prehistoric Case of Tuberculosis from Britain. doi
  9. (1969). A Newly Developed Visual Method of Sexing the Os Pubis. doi
  10. (1985). A Revised Method of Age Determination Using the Os Pubis, with a Review and Tests of Accuracy of Other Current Methods of Pubic Symphyseal Aging. doi
  11. (1992). A Test of Several Methods of Skeletal Age Estimation Using a Documented Archaeological Sample. Can Soc Forensic Sci doi
  12. A Test of the Auricular Surface Ageing Technique.
  13. (2000). Addressing the Impact of Household Energy and Indoor Air Pollution on the Health of the Poor: Implication for Policy Action and Intervention Measures. Paper Prepared for the Comission on Macroeconomics and Health. World Health Organisation.
  14. (2003). Adult Chronic Rhinosinusitis: Definitions, Diagnosis, Epidemiology, and Pathophysiology. Otolaryngology- Head and Neck Surgery 129(3):S1-S32. doi
  15. (1995). Age Assessment of the Spitalfields Cemetery Population by Rib Phase Analysis. doi
  16. (1921). Age Changes in the Pubic Bone I: The Male White Pubic. doi
  17. (2002). Age Estimation from the Auricular Surface of the Ilium: A Revised Method. doi
  18. (1985). Age Estimation from the Rib by Phase Analysis: White Females
  19. (2000). Agricultural Lung Diseases. Environmental Health Perspectives doi
  20. (1996). Air Pollution and Its Effect on the Upper Respiratory Tract, and on Allergic Rhinosinusitis. Otolaryngology- Head and Neck Surgery doi
  21. (1983). Air Pollution and Rural Biomass Fuels in Developing Countries: A Pilot Village Study doi
  22. (1991). Allergic Reactions to Indoor Air Pollutants. Environmental Health Perspectives 95:45-45. doi
  23. (2005). Allergy and Chronic Rhinosinusitis. doi
  24. An Association between Air Pollution and Mortality in Six U.S. doi
  25. (2007). An Atlas of Roman Rural Settlement in England. York: Council for British Archaeology. doi
  26. (2006). An Historical Analysis of Drought in England and Wales.
  27. An Inquiry into the Trustworthiness of the Old Bills of Mortality. doi
  28. (2003). An Introduction to Anglo-Saxon England. Cambridge: doi
  29. (1984). Anatomical Considerations. In:
  30. (2006). Anatomy of a Serial Killer. Differential Diagnosis of Tuberculosis Based on Rib Lesions of Adult Individuals from the Coimbra Indentified Skeletal Collection, doi
  31. (2008). Basics in Paleodemography: A Comparison of Age Indicators Applied to the Early Medieval Skeletal Sample of Lauchheim. doi
  32. (1995). Biomass Fuels, Indoor Air Pollution and Health: A Multi-Disciplinary, Multi-Centre Study. Phase 1b. Final Report New Dehli Iscan
  33. (2006). Biomass Solid Fuel and Acute Respiratory Infections: The Ventilation Factor. doi
  34. (1978). Bone Infections Involving Anaerobic Bacteria. Medicine doi
  35. (2000). Bone Involvement in Sinusitis: An Apparent Pathway for the Spread of Disease. doi
  36. (1996). Boscombe Sports Field(Boscombe Down), Wiltshire. Human Bone Report 36874: Wessex Archaeology.
  37. (2000). Cannington Cemetery. London: English Heritage, Society for the Promotion of Roman Studies. doi
  38. (1998). Case of a Malignant Tumour from Abingdon, Oxfordshire, England. doi
  39. (1999). Causes of Odontogenic Maxillary Sinus Inflammations. Hno doi
  40. (2007). Changing Climate and Extreme Floods in the British Uplands. doi
  41. (2002). Characterizing Exposures to Indoor Air Pollution from Household Solid Fuel Use. Berkley: Univeristy of California at Berkley.
  42. (1958). Chronic Bronchitis and Occupation. doi
  43. (2006). Chronic Odontogenic Maxillary Sinusitis.
  44. (2001). Chronic Respiratory Diseases in Developing Countries: The Burden and Strategies for Prevention and Management.
  45. (2000). Chronic Sinusitis. doi
  46. (1985). Chronilogical Metamorphosis of the Auricular Surface of the Illium: A New Method for the Determination of Adult Skeletal Age at Death. doi
  47. (1952). Climate and Respiratory Infections. The Lancet 2:67. doi
  48. (2009). Climate Change and Respiratory Disease: European Respiratory Society Position Statement. doi
  49. (2007). Climate Change: Biological and Human Aspects: doi
  50. (1981). Climate from 1000bc to 1000ad. In:
  51. (1995). Climate History and the Modern World. doi
  52. (2007). Climate Signals Are Reflected in an 89 Year Series of British Lepidoptera Records. doi
  53. (1997). Climatic and Environmental Reconstructions Based on Fossil Assemblages from Middle Devensian (Weichselian) Deposits of the River Thames at South Kensington, doi
  54. (2004). Clinical Respiratory Medicine.
  55. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Due to Selected Major Risk Factors. Geneva: World Health Organization, Vol 2.
  56. (1995). Comparative Study of the Prevalence of Maxillary Sinusitis in Late Medieval Urban and Rural Populations in Northern England. doi
  57. (1997). Cooking Smoke: A Silent Killer. People Planet
  58. (1999). Correlation between Respiratory Alterations and Respiratory Disease Due to Urban Pollution. doi
  59. (1995). Correlation of Documentary and Skeletal Evidence in the St. Bride’s Crypt Population. Grave Reflections: Portraying the Past through Cemetery Studies. Toronto: Canadian Scholar’s Press.
  60. (2009). Cranial Muscle Markers: A Preliminary Examination of Size, Sex, and Age Effects. doi
  61. (1999). Daily Life in 18th-Century England.
  62. (1996). Daily Life in Victorian England: doi
  63. (2003). Danebury Hillfort. Brimscombe Port Stroud:
  64. (1985). Death in London, doi
  65. (1985). Dental Wear in Libben Populations: Its Functional Pattern and Role in the Determination of Adult Skeletal Age at Death. doi
  66. (2008). Deposition of Biomass Combustion Aerosol Particles in the Human Respiratory Tract. Inhalation Toxicology doi
  67. (1990). Differential Diagnosis of Rib Lesions: A Case Study from the Middle Woodland Southern Ontario Circa 230 A.D. doi
  68. (1997). Differential Susceptibility to Inhaled Pollutants: Effects of Demographics and Diseases. Environmental Toxicology and Pharmacology 4:323–330. doi
  69. (1981). Digging up Bones. doi
  70. (2007). Discovering Medieval Houses. Botley: doi
  71. (2005). Discovering Statistics Using Spss. doi
  72. (1989). Domestic Air Pollution from Biomass Burning in Kenya. Atmospheric Environment doi
  73. (2006). Early Historic Britain.
  74. (2002). Early Medieval Settlements : doi
  75. (1985). Ectocranial Suture Closure: A Revised Method for the Determination of Skeletal Age at Death Based on the Lateral-Anterior Sutures. doi
  76. (1996). Effects of Air Pollution in Asthma and Respiratory Allergy. Otolaryngology- Head and Neck Surgery doi
  77. (1996). Effects of Air Pollution on the Upper Aerodigestive Tract. OtolaryngologyHead and Neck Surgery doi
  78. (1996). Effects of Indoor Air Pollution Level from Introducing Improved Stoves in Rural Nepal.
  79. (1996). Environment in the 1st Millenium Bc.
  80. (1976). Environmental Factors in the Development of Infection and Allergy of the Nose and Paranasal Sinuses.
  81. (1996). Epidemiological Studies of the Respiratory Effects of Air Pollution. doi
  82. (1993). Evaluation of Morphological and Histological Adult Skeletal Age-at-Death Estimation Techniques Using Ribs.
  83. (2000). Everyday Life in Medieval England. London: Hambledon and London. doi
  84. (1999). Excavation of a Ceremonial Site at Folly Lane, Verulamium: Society for the Promotion of Roman Studies, doi
  85. (2001). Exposure from Cooking with Biofuels: Pollution Monitoring and Analysis for Rural Tamil Nadu, doi
  86. (2003). Exposure of Infants to Outdoor and Indoor Air Pollution in Low-Income Urban Areas: A Case Study of Dehli. doi
  87. (1996). Exposure to Biomass Smoke and Chronic Airway Disease in Mexican Women. A Case-Control Study. doi
  88. (1987). Factors Determining the State of Preservation of Human Remains.
  89. (2001). Family and Household in Medieval England. doi
  90. (2002). Frequency of Sinusitis in the Patients with Pneumonia. doi
  91. (2005). Freshwater Bivalves Tell of Past Climates: But How Clearly Do Shells from Polluted Rivers Speak. Palaeogeography Palaeoclimatology Palaeoecology doi
  92. (2004). Guidance on Recording Age at Death in Adults.
  93. (1999). Harrold, Bedfordshire (HM519) Human Bone Report, Wessex Archaeology,
  94. (1958). Haus Und Hof in Westgermanischen Volksrechten. Münster: Aschendorffsche Verlagsbuchhandlung.
  95. (2008). Hazardous Emissions from Combustion of Biomass. Energy Sources, Part A: Recovery, Utilization, and Environmental Effects doi
  96. (2003). Health and Disease in Britain: From Prehistory to the Present Day. Gloucestershire: doi
  97. (1997). Health Effects of Cooking Air Pollution among Women Using Coal Briquettes in Hanoi. doi
  98. (2006). Health Effects of Subchronic Exposure to Environmental Levels of Hardwood Smoke. Inhalation Toxicology 18(8):523-539. doi
  99. (2004). Household Gass Cooking: A Risk Factor from Respiratory Illnesses
  100. (1993). Housing Culture: Traditional Architecture in an English Landscape. doi
  101. (1994). Human Bone. In:
  102. (1996). Human Burials.
  103. (1995). Human Osteology: A Laboratory Field Manual.
  104. (1987). Human Skeletal Remains from Beckford,
  105. (1993). Human Skeletal Report from
  106. (2003). Identification of Pathological Conditions in Human Skeletal Remains, Second Edition. San Diego: doi
  107. (1999). Improved Stove or Inter-Fue Substitution for Decreasing Indoor Air Pollution from Cooking with Biomass Fuels in Highland Guatemala.
  108. (1997). Incidence of Maxillary Sinusitis in Highland Park Cemetery.
  109. (1993). Independent Test of the Fourth Rib Aging Technique. doi
  110. (1999). Indoor Air Pollutants Produced from Fossil Fuel and Biomass. Energy Conservation and Management doi
  111. (1997). Indoor Air Pollution and Acute Lower Respiratory Infections in Young Gambian Children. doi
  112. (2003). Indoor Air Pollution from Biomass Combustion and Acute Respiratory Illness in Preschool Age Children in Zimbabwe. doi
  113. (2001). Indoor Air Pollution from Biomass Combustion and Acute Respiratory Infections in Kenya: An Exposure-Response Study. doi
  114. (2005). Indoor Air Pollution from Biomass Fuels and Respiratory Health of the Exposed Population in Nepalese Households. doi
  115. (2004). Indoor Air Pollution from Household Use of Solid Fuels.
  116. (2004). Indoor Air Pollution from Household Use of Solid Fuels. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors Geneva: World Health Organization:1436-1493.
  117. (2001). Indoor Air Pollution in a Zone of Extreme Poverty of Metropolitan Santiago.
  118. (2000). Indoor Air Pollution in Developing Countries: A Major Environmental and Public Health Challenge.
  119. (1990). Indoor Air Pollution in Developing Countries. World Health Stat Quarterly
  120. (1998). Indoor Air Pollution in South East Santiago. Revista Medica Chilena
  121. (1993). Indoor Air Quality and Child Exposures in Highland Guatemala.
  122. (1994). Indoor Air Qualtiy in Rural Kitchens in Tigre/Ethiopoa: Monitering and Training.
  123. (1998). Indoor Biofuel Air Pollution and Respiratory Health: The Role of Confounding Factors among Women in Highland Guatemala. doi
  124. (2000). Indoor Pollution and Respiratory Disease in Ancient Rome. doi
  125. (1990). Indoor Woodsmoke Pollution Causing Lower Respiratory Disease in Children.
  126. (1998). Infectious Disease, Sex, and Gender. The Complexity of It All.
  127. (2007). Infectious Diseases and Eating Habits at Herculaneum (1st Century AD, Southern Italy). doi
  128. (1996). Infectious Diseases and Human Population History. doi
  129. (2007). Inference of Past Climate from Borehole Temperature Data Using Bayesian Reversible Jump Markov Chain Monte Carlo. doi
  130. (1994). Inflammatory Lesions of the Ribs. An Analysis of the Terry Collections. doi
  131. (2001). Instrumental Pressure Observations and Atmospheric Circulation from the 17th and 18th Centuries: London and Paris. doi
  132. (2002). Investigation of the Link between Visceral Surface Rib Lesions and Tuberculosis in a Medieval Skeletal Series from England Using Ancient DNA. doi
  133. (1995). Iron Age Burials from Mill Hill, doi
  134. (2005). Iron Age Communities in Britain: An Account of England, Scotland and Wales from the Seventh Century Bc until the Roman Conquest. doi
  135. (2000). Isometric Scaling of Maxillary Sinus Volume in Hominoids. doi
  136. (1999). Keep Your Eyes on the Ribs: The Spectrum of Normal Variants and Disease That Invlove the Ribs. Radiographics 19:1125-1142. doi
  137. (2008). Late 17th- to 19th- Century Burial and Earlier Occupation at All Saints, Chelsea Old Church, Royal Borough of Kensington and Chelsea London: Museum of London Archaeology Service, doi
  138. (2008). Lepers Outside the Gate": Excavations at the Cemetery of the Hospital doi
  139. (2008). Life and Death
  140. (1990). Life in a Medieval Village. doi
  141. (2006). Life in Roman Britain. Brimscombe Port,
  142. (2003). Living in an Urban Environment: Lifestyle Implications on a Late Medieval Population from York with a Focus on Maxillary Sinusitis, Unpublished M.Sc.
  143. (2007). Londinium Architecture and the Crafts: doi
  144. (2006). London: An Architectural History. doi
  145. (1998). Macro-Scale Experiment: Indoor Air Quality at Qalabotjha. Final Project report ES9609,Energy Branch, Department of Minerals and Energy,
  146. (2002). Making a Living in the Middle Ages: The People of Britain 850-1520. New Haven: doi
  147. (2004). Maxillary Sinusitis among the Moatfield People. In:
  148. (2000). Maxillary Sinusitis as an Indicator of Respiratory Health in Past Populations. doi
  149. (1995). Maxillary Sinusitis in Medieval Chichester. doi
  150. (1994). Medieval England: A Social History and Archaeology from the Conquest to 1600 Ad. doi
  151. (1997). Medieval Housing. doi
  152. (2003). Medieval Towns: The Archaeology of British Towns in Their European Setting.
  153. (1998). Modelling Particulate Exposure and Respiratory Illness Risk in a General Population.
  154. (1989). Morphological Assessment of Age in the Adult: The Thoracic Region. In:
  155. (2006). Mortality in Eighteenth-Century London: A New Look at the Bills. Local Population Studies(77):12-23.
  156. (1985). Multifactorial Determination of Skeletal Age at Death: A Method and Blind Tests of Its Accuracy. doi
  157. (2009). Museum of London Roman Western Cemetery.
  158. (2007). Museum of London: Guildhall Yard East.
  159. (2008). Museum of London: St. Bride's Lower.
  160. (2007). New Bone Formation in Unilateral Rhinosinusitis.
  161. (2005). Obstructive Airway Disease in Women Exposed to Biomass Smoke. doi
  162. (2006). On the Trail of Pulmonary Tuberculosis Based on Rib Lesions: Results from the Human Identified Skeletal Collection from the Museu Bocage, doi
  163. (2005). Osteitis in Chronic Rhinosinusitis. doi
  164. (2001). Osteological Assessment of Guildhall Yard.
  165. (2009). Paleoclimates: Understanding Climate Change Past and Present. doi
  166. (2003). Paranasal Sinus Bony Structures and Sinus Functioning During Viral Colds in Subjects with and without a History of Recurrent Sinusitis. doi
  167. (2006). Particulate Air Pollution from Bushfires: Human Exposure and Possible Health Effects. doi
  168. (2004). Pathogenesis of Chronic Rhinosinusitis: Role of Airborne Fungi and Bacteria. Immunology and Allergy Clinics of doi
  169. (2006). Pathogenesis of Chronic Rhinosinusitis. Current Allergy and Asthma Reports doi
  170. (1988). Patterns of Domestic Air Pollution in Rural India. Honolulu: Unversity of Hawaii.
  171. (2008). Perspectives on the Etiology of Chronic Rhinosinusitis: An Immune Barrier Hypothesis. doi
  172. (1999). Poor Urban Environments: Use of Paraffin and Other Fuels as Sources of Indoor Air Pollution. doi
  173. (2000). Possible Relationship between Indoor Pollution and Respiraotry Illness in an Eastern Cape Community.
  174. (2004). Prevalence and Patterns of Disease in Early Medieval Populations: A Comparison of Skeletal Samples from
  175. (2006). Preventing Disease through Healthy Environments. Towards an Estimate of the Environmental Burden of Disease. doi
  176. (1987). Racial Variation in the Sternal Extremity of the Rib and Its Effect on Age Determination.
  177. (2004). Reconstructing Climate and Environmental Change in Northern England through Chironomid and Pollen Analyses: Evidence from Talkin Tarn, Cumbria. doi
  178. (2007). Reconstruction – and Then What? Climatic Experiments in Reconstructed Iron Age Houses During Winter.
  179. (2001). Reducing Indoor Air Pollution in Rural Household in Kenya: Working with Communities to Find Solutions. The ITDG Smoke and Health Project
  180. (1998). Regional Deposition of Inhaled Particles in Human Lungs: Comparison between Men and Women.
  181. (1990). Reliability of Age at Death in the HamannTodd Collection: Validity of Subselection Procedures Used in Blind Tests of the Summary Age Technique. doi
  182. (2004). Reliability Test of the Visual Assessment of Cranial Traits for Sex Determination. doi
  183. (1994). Report on the Human Remains from
  184. (1967). Report on the Human Skeletal Remains from Red Castle Thetford. In:
  185. (2002). Respiratory Symptoms and Ventilatory Function of the Bakery Workers in doi
  186. (1996). Rib Enlargement in Patients with Chronic Pleural Disease. doi
  187. (1991). Rib Lesions and New World Tuberculosis. doi
  188. (1998). Rib Lesions and Tuberculosis: The Palaeopathological Evidence. Tuber Lung Dis 79(1):55-60. doi
  189. (1984). Rib Lesions in Chronic Pulmonary Tuberculosis. doi
  190. (2010). Risk Factors of Allergic Rhinitis: A Case-Control Study. doi
  191. (2006). Roman Britain: Civil and Rural Society.
  192. (2006). Shedding New Light on Wood Smoke: A Risk Factor for Respiratory Health. doi
  193. (2004). Sinusitis of Odontogenic Origin: Pathophysiological Implications of Early Treatment. doi
  194. (2006). Sinusitis of Odontogenic Origin. doi
  195. (2006). Sinusitis: Viral, Bacterial, or Fungal and What Is the Role of Staph? Combined Meeting of the Southwest Allergy Forum/Eastern Allergy Conference/Tesas-Allergy-Asthma-and-Immunology-Society. Vallarta: Ocean Side Publications Inc.
  196. (1955). Skeletal Age at Death: Reliability of Cranial and Pubic Age Indicators. doi
  197. (1957). Skeletal Age Changes in Young American Males: Analyzed from the Standpoint of Identification. Headquarters quartermaster research and development command,
  198. (1990). Skeletal Age Determination Based on the Os Pubis: Comparison of the Ascadi-Nemeskeri and Suchey Brooks Method. Human Evolution 5:227-238. doi
  199. (2000). Smoke Blackened Thatch: A Unique Source of Late Medieval Plant Remains from Southern England. doi
  200. (2010). Smoking and Health doi
  201. (1994). Standards for Data Collection from Human Remains: Proceedings of a Seminar at the Field Museum of Natural History Organized by Jonathan Haas. Arkansas Archaeological Survey Research Series. Volume 44.
  202. (1998). Standards of Living in the Middle Ages: Social Change in England C1200-1520. Cambridge: doi
  203. (2000). Suddern Farm, Middle Wallop, Hants,
  204. (2009). Suffolk Short Stack Houses. The Medieval House: Living with Smoke.,
  205. (1993). Test of the Multifactorial Aging Method Using Skeletons with Known Ages-atDeath from the Grant Collection. doi
  206. (2005). The Analysis of Maxillary Sinus Aeration According to Aging Process; Volume Assessment by 3-Dimensional Reconstruction by High-Resolutional Ct Scanning. Otolaryngology Head Neck Surgery doi
  207. (1998). The Anglo-Saxon Cemetery at Edix Hill (Barrington a), Cambridgeshire. York: Council for British Archaeology.
  208. (2007). The Atlantic Iron Age: Settlement and Identity in the First Millennium Bc: doi
  209. (2007). The Augustinian Priory of St. Mary Merton, Surrey: Excavations 1976-90. London: Museum of London Archaeology Services,
  210. (2003). The Bioarchaeology of Tuberculosis: A Global View on a Reemerging Disease. Gainsville: doi
  211. (2001). The Blackwell Encyclopaedia of Anglo-Saxon England. doi
  212. (2001). The Buildings of Roman Britain Brimscombe Port Stroud:
  213. (1988). The Cemetery of St. Nicholas Shambles. London: London and Middlesex Archaeological Society.
  214. (1999). The Crossbones Burial Ground, Redcross Way, Southwark London. Archaeological Excavations (1991-1998) for the London Underground Limited Jubilee Line Extension Project.
  215. (2000). The Danebury Environs Roman Programme : A Wessex Landscape During the Roman Era.
  216. (2000). The Eastern Cemetery of Roman London Excavations 1983-1990. London: Museum of London Achaeology Service.
  217. (2006). The Effects of Environment of Respiratory Health in Early Medieval Northeast England.
  218. (1998). The End of Roman Britain. doi
  219. (1981). The English Medieval House.
  220. (2002). The Eternal Slum: Housing and Social Policy in Victorian London: doi
  221. (2002). The Health Effects of Indoor Air Pollution Exposure in Developing Countries. Geneva: World Health Organisation.
  222. (2002). The Health Impacts of Exposure to Indoor Air Pollution for Solid Fuels in Developing Countries: Knowledge Gaps, and Data Needs. doi
  223. (2000). The Human Biology.
  224. The Human Bone Report from the Anglo-Saxon Cemetery at Tanner’s Row,
  225. (2007). The Human Bone.
  226. (1991). The Human Bone. In:
  227. (1980). The Human Bones. In: Wade-Martins
  228. (1982). The Human Burials. In:
  229. (1993). The Human Burials. In: Crummy
  230. (1993). The Human Remains from Caister-on-Sea. In: Darling M, and Gurney D, editors. Caister –on-Sea Excavations by Charles Green 1951-1955. Unpublished ed: East Anglian Archaeology Anderson T.
  231. (1987). The Human Remains. In:
  232. (1985). The Human Remains. In: Fasham
  233. (1998). The Human Skeletal Material. In: Malim
  234. (2000). The Human Skeletal Remains from Bourton-on-the-Water,
  235. (1990). The Human Skeletal Remains from Staunch Meadow,
  236. (2004). The Incidence of Concurrent Osteitis in Patients with Chronic Rhinosinusitis: A Clinicopathological Study. doi
  237. (2008). The Industrial Revolution. doi
  238. (2000). The Inhumation Burials. In:
  239. (1983). The Inhumed Skeletal Material from an Early Anglo-Saxon Cemetery in Worthy Park,
  240. (2009). The Iron Age Round-House: Later Prehistoric Building doi
  241. (2006). The Iron Age. In: doi
  242. (2000). The Iron and Roman Ages C. 600 Bc to 400 Ad. Death in England: An Illustrated History:
  243. (1994). The Jewish Burial Ground and Jewbury. The Archaeology of York 12/3 The Medieval Cemeteries. doi
  244. (2004). The Juvenile Skeleton. doi
  245. (1997). The Landscape of Roman Britain. doi
  246. (2007). The London Guildhall: An Archaeological History of a Neighbourhood from Early Medieval to Modern Times. London: Museum of London Archaeology Service. doi
  247. (1983). The Medieval Urban Environment in Documentary Evidence.
  248. (1988). The Middle-Saxon Settlement at Staunch Meadow,
  249. (2001). The Miles Method of Assessing Age from Tooth Wear Revisited. doi
  250. (2001). The Nose and Paranasal Sinuses Physiology and Anatomy. Advanced Drug Delivery Reviews 51:5-19. doi
  251. (1992). The Osteological Paradox. Problems of Inferring Health from Skeletal Samples. Current Anthropology doi
  252. (1985). The Prehistoric Settlement at Winnall Down, doi
  253. (2007). The Prehistory of Britain and Ireland: doi
  254. (1999). The Relationship between Moisture or Mould Observations in Houses and the State of Health of Their Occupants. doi
  255. (1987). The Relative Survival of the Human Skeleton: Implications for Palaeopathology. In:
  256. (2004). The Role of Allergy in Chronic Rhinosinusitis. doi
  257. (2005). The Role of Bacteria in Chronic Rhinosinusitis. doi
  258. (2002). The Role of Bone in Chronic Rhinosinusitis. doi
  259. (1979). The Roman Cemetery at Lankhills. doi
  260. (2002). The Roman House in Britain. doi
  261. (1990). The Romanisation of Britain. Cambridge:
  262. (1976). The Saxon Burials. In:
  263. (1995). The St. Bride’s Documented Skeletal Collection (Unpublished Document).
  264. (1998). Tolpuddle Hall Cemetery, Human Bone Report. Wessex Archaeology,
  265. (1998). Town Origins and Development in Early England, doi
  266. (1996). Travel and the Emergence of Infectious Diseases. doi
  267. (2008). Validation of Smoke Inhalation Therapy to Treat Microbial Infections. doi
  268. (1996). Volumetric Measurement of the Maxillary Sinus by Coronal Ct Scan. doi
  269. (1986). West Stow: The Anglo-Saxon Village. East Anglian Archaeology 24(Ipswich: Suffolk County Planning Department.). Whimster R.
  270. (1996). When Smoke Gets in Your Eyes: Kitchen Air Quality in Rural Bangladeshi Homes. Energy for Sustainable Development doi
  271. (2004). Why We Ventilate- an Historical Look.
  272. (1992). Wood Stove Effects on Indoor Air Quality in Brazillian Homes.
  273. (2007). Woodsmoke Health Effects: A Review. Inhalation Toxicology doi

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