Alloparenting Adolescents: Evaluating the Social and Biological Impacts of Leprosy on Young People in Saxo-Norman England (9th to 12th Centuries AD) through Cross-Disciplinary Models of Care

The majority of historical sources describe past attitudes towards people with leprosy as negative, focussing on ostracism and damnation, and this is thought to have impacted on the care that sufferers received. More recent historical and archaeological evidence challenges this longstanding perspective, portraying a very different view of care for those with this potentially debilitating and disfiguring disease (Roberts 2002; Rawcliffe 2006; Roberts 2013; Roberts 2018). This paper aims to explore the social and biological impacts of adolescents with leprosy in SaxoNorman England (9th – 12th centuries AD). The intersection of youth, chronic infection, aspects of care (inclusive of medical, surgical, and daily support), and cultural identity has only been tangentially explored in the past (e.g see Redfern and Gowland 2011; Roberts and Bernard 2015; Lewis 2017). Studies that integrate these entwined themes can, however, provide a more holistic view of societal responses to wider encultured disease identities. This study utilises multiple lines of evidence for medical care and social treatment to evaluate the validity of dominant historical narratives about leprosy, i.e. that people in the past with leprosy were not cared for or treated well. In order to achieve this, the notion of past requirements of care and treatment through an alloparental model will be introduced. This is followed by a review of the existing historiographical evidence for medical care for young people in the medieval period to better understand systems of care provision and parental reactions to their sick children at this time. Discussions of leprosy in young people in the present and past will help contribute to longitudinal views of the biological impacts of leprosy and help the necessity for care in relation to certain pathological responses (i.e. the manifestation of lepromatous leprosy). To apply this framework to the past, palaeopathological and archaeological evidence from adolescent individuals excavated from the North Cemetery of St. Mary Magdalen leprosy hospital will be analysed. The presence of both leprosy and alloparental care for adolescents in the Saxo-Norman transition at this hospital is demonstrated. Finally, the construction of a theoretical model of required clinical care and provisions, such as the Index of Care framework, helps interpret the evidence for care in alloparental institutions such as leprosaria. The treatment of people with leprosy in the medieval period is often cited as a justification for the continuing stigma and community expulsion of family members with leprosy in some parts of the world (World Health Organization 2015). Therefore, it is worth examining the social milieu of this disease in which young people with leprosy in the past lived, and the models of care and treatment that may be interpreted from these data in order to dispel this longstanding stigma

Creating communities of care: Sex estimation and mobility histories of adolescents buried in the cemetery of St. Mary Magdalen leprosarium (Winchester, England)

Objectives This study examines the biological sex and geographical origins of adolescents buried at the St Mary Magdalen leprosarium (Winchester, UK). The data are combined with archaeological and palaeopathological evidence to broaden the understanding of mobility and its relationship to leprosy and leprosaria in Medieval England. Materials and Methods Nineteen individuals (~10–25 at death) with skeletal lesions diagnostic of leprosy were analyzed using standard osteological methods. Amelogenin peptides were extracted from five individuals whose biological sex could not be assessed from macroscopic methods. Enamel samples were analyzed to produce 87Sr/86Sr and δ18O values to explore mobility histories. Results Amelogenin peptides revealed three males and two females. Tooth enamel samples provided an 87Sr/86Sr ratio range from 0.7084 to 0.7103 (mean 0.7090, ±0.0012, 2σ). δ18OP values show a wide range of 15.6‰–19.3‰ (mean 17.8 ± 1.6‰ 2σ), with corresponding δ18ODW values ranging from −9.7‰ to −4.1‰ (mean −6.3 ± 2.4‰ 2σ). Discussion Amelogenin peptide data reveal the presence of adolescent females with bone changes of leprosy, making them the youngest confirmed females with leprosy in the archaeological record. Results also show at least 12 adolescents were local, and seven were from further afield, including outside Britain. Since St. Mary Magdalen was a leprosarium, it is possible that these people traveled there specifically for care. Archaeological and palaeopathological data support the notion that care was provided at this facility and that leprosy stigma, as we understand it today, may not have existed in this time and place

Romans, barbarians and foederati: New biomolecular data and a possible region of origin for “Headless Romans” and other burials from Britain

The Archiud “Hânsuri” cemetery in Transylvania, Romania is the burial site of a barbarian population from the Kingdom of the Gepids (4th–7th Cent AD). Previous work examining the dietary isotope life-histories and palaeopathological profiles of the non–adults (<16 years) has been published (Crowder et al., 2019). Strontium, carbon and oxygen isotopes were measured on enamel, dentine, and bone of four individuals from the Archiud cemetery to investigate residential origins. The Archiud individuals had 87Sr/86Sr values ranging from 0.70959 to 0.71016, δ13CVPDB values from −10.3 to −6.7‰ and δ18OVSMOW values from 23.9 to 25.5‰. All individuals are consistent with the available published data for the Transylvania Basin. The Archiud humans were compared to published Roman period individuals from British cemeteries of unknown origin who have isotope profiles inconsistent with Britain and the Mediterranean. Ten individuals from Driffield Terrace and 13 individuals from six other Roman cemeteries in Britain have similar isotopic values to the Archiud humans. The data suggest the non–British individuals may have originated from a region of similar geology and climate/latitude to the Transylvania Basin. The results of this research help to fill the gap in the biosphere data from Transylvania, as well as contextualise mobility studies within Transylvania, Europe, and Britain

Illness and inclusion: Mobility histories of adolescents with leprosy from Anglo‐Scandinavian Norwich (Eastern England)

Leprosy is one of the most notorious diseases in history, widely associated with social stigma and exclusion. This study builds on previous work to reevaluate the medicohistorical evidence for social stigma in relation to leprosy. This is achieved by isotopic and palaeopathological analyses of adolescent skeletons (10–25 years old) from the Anglo-Scandinavian (10th–11th centuries AD) parish cemetery of St. John at the Castle Gate in Norwich (Eastern England/East Anglia). Core enamel samples from premolar and molar teeth from 10 young individuals with diagnostic lesions for leprosy were selected for radiogenic strontium (87Sr/86Sr) and oxygen (δ18O) stable isotope analyses. Isotope data did not exclude anyone from the regional range. Palaeopathological data and archaeological contexts suggest that those with visible signs of leprosy were buried with their local community and in a normative manner, thus challenging the notion of social exclusion experienced by people with leprosy throughout the Medieval Period. This study underscores the importance of bioarchaeological data in challenging broad medicohistorical and archaeological narratives