Dental caries as a measure of diet, health, and difference in non-adults from urban and rural Roman Britain

Dental disease in childhood has the potential to inform about food availability, social status, and feeding practices, in addition to contributing to a child’s overall health status. This paper presents the first comprehensive overview of carious lesion frequencies in 433 nonadults (1-17 years), and 6283 erupted permanent and deciduous teeth from 15 urban and rural Romano-British settlements. Pooled deciduous and permanent caries rates were significantly higher in major urban sites (1.8%) compared to rural settlements (0.4%), with children from urban sites having significantly higher lesion rates in the deciduous dentition (3.0%), and in younger age groups with mixed dentitions. The differences in dental caries between urban and rural populations suggest disparities in maternal oral health, early childhood feeding practices, food preparation and access to refined carbohydrates. A richer, perhaps more ‘Roman’, cuisine was eaten in the urban settlements, as opposed to a more modest diet in the countryside. The effect of early childhood stress on caries frequency was explored using evidence for enamel hypoplasia. Co-occurrence of caries and enamel hypoplasia was highest in the major urban cohort (5.8%) and lowest in the rural sample (1.3%), suggesting that environmental stress was a contributing factor to carious lesion development in Romano-British urban children

Listening to the kids: the value of childhood palaeopathology for the study of rural Roman Britain

Childhood palaeopathology remains an underutilised resource in the study of Roman Britain, particularly for exploring the lives of the rural population. Lesions in child skeletons provide unique insights into past lifeways and population health, as adverse environmental conditions translate more readily into the osteological record of these vulnerable members of society. To demonstrate the range of information gleaned from the children, 1,279 non-adults (0–17 years) from 26 first- to fifth-century urban and rural settlements were analysed, comparing morbidity and mortality in the most comprehensive study to date. The distribution of ages-at-death suggests migration between country and town, the latter presenting a stressful and unsanitary environment. However, as demonstrated by high rates of metabolic disease and infections, life in the countryside was hampered by demanding physical labour and potentially oppressive conditions with restricted access to resources

Dying young: a palaeopathological analysis of child health in Roman Britain

Children represent the most vulnerable members of society, and as such provide valuable insight into past lifeways. Adverse environmental conditions translate more readily into the osteological record of children, making them primary evidence for the investigation of ill-health in the past. To date, most information on growing up in Roman Britain has been based on the Classical literature, or discussed in palaeopathological studies with a regional focus, e.g. Dorset or Durnovaria. Thus, the lifestyles and everyday realities of children throughout Britannia remained largely unknown. This study sets out to fill this gap by providing the first large scale analysis of Romano-British children from town and country. The palaeopathological analysis of 1643 non-adult (0-17 years) skeletons, compiled from the literature (N=690) and primary osteological analysis (N=953), from 27 urban and rural settlements has highlighted diverse patterns in non-adult mortality and morbidity. The distribution of ages-at-death suggest that older children and adolescents migrated from country to town, possibly for commencing their working lives. True prevalence rates suggest that caries (1.8%) and enamel hypoplasia (11.4%) were more common in children from major urban towns, whereas children in the countryside displayed higher frequencies of scurvy (6.9%), cribra orbitalia (27.7%), porotic hyperostosis (6.2%) and endocranial lesions (10.9%). Social inequality in late Roman Britain may have been the driving force behind these urban-rural dichotomies. The results may point to exploitation of the peasantry on the one hand, and higher status of the urban population as a more ‘Romanised’ group on the other. Comparison with Iron Age and post-medieval non-adults also demonstrated a decline in health in the Roman period, with some levels of ill-health, particularly in the rural children, similar to those from post-medieval London. This research provides the most comprehensive study of non-adult morbidity and mortality in Roman Britain to date. It has provided new insights into Romano-British lifeways and presents suggestions for further work

Poundbury Camp in context – a new perspective on the lives of children from urban and rural Roman England

Objectives The current understanding of child morbidity in Roman England is dominated by studies of single sites/regions. Much of the data are derived from third to fifth century AD Poundbury Camp, Dorchester, Dorset, considered an unusual site due to high levels of non-adult morbidity. There is little understanding of children in rural areas, and whether Poundbury Camp was representative of Romano-British childhood. Materials and methods The study provides the first large scale analysis of child health in urban and rural Roman England, adding to the previously published intra-site analysis of non-adult paleopathology at Poundbury Camp. Age-at-death and pathology prevalence rates were reassessed for 953 non-adults (0–17 years) from five major urban, six minor urban, and four rural sites (first to fifth century AD). The data were compared to the results from 364 non-adults from Poundbury Camp. Results Rural sites demonstrated higher levels of infant burials, and greater prevalence of cribra orbitalia in the 1.1–2.5 year (TPR 64.3%), and 6.6–10.5 year cohorts (TPR 66.7%). Endocranial lesions were more frequent in the minor urban sample (TPR 15.9%). Three new cases of tuberculosis were identified in urban contexts. Vitamin D deficiency was most prevalent at Poundbury Camp (CPR 18.8%), vitamin C deficiency was identified more frequently in rural settlements (CPR 5.9%). Discussion The Poundbury Camp data on morbidity and mortality are not representative of patterns in Roman England and other major urban sites. Rural children suffered from a distinct set of pathologies described as diseases of deprivation, prompting reconsideration of how Romano-British land management affected those at the bottom of the social hierarchy

New visions of the countryside of Roman Britain volume 3: life and death in the countryside of Roman Britain

This is the third and final volume of New Visions of the Countryside of Roman Britain (2016-18). Drawing on the mass of new data deriving, in particular, from developer-funded archaeology since 1990, this presents a social archaeology of the rural population of Roman Britain in the context of the regional and chronological framework and the settlement hierarchy as defined in Vol. 1 of New Visions. Themes around the question of identity are addressed. They include dress and personal display, lifestyle and the domestic environment (eg variation in the built environment, eating and drinking, recreation and literacy), the relationship betweeen people and animals, both domesticated and wild, religion (eg sacred space, associated material culture, animal and plant remains), burial practice and the people themselves as revealed through osteological analysis (eg diet and the impact of daily stressors)

Death Metal: Evidence for the impact of lead poisoning on childhood health within the Roman Empire

The use of lead was ubiquitous throughout the Roman Empire, including material for water pipes, eating vessels, medicine, and even as a sweetener for wine. The toxicity of lead is well established today, resulting in long-term psychological and neurological deficits as well as metabolic diseases. Children are particularly susceptible to the effects of lead, and it is likely that the widespread use of this deadly metal among Roman populations led to a range of adverse health effects. Indeed, lead poisoning has even been implicated in the downfall of the Roman Empire. This research examines, for the first time, the direct effect of lead poisoning on the inhabitants of the Empire. It explores whether the dramatic increase in lead during this period contributed to the failure to thrive evident within the skeletal remains of Roman children. Lead concentration and paleopathological analyses were used to explore the association between lead burdens and health during the Roman period. This study includes 173 individuals (66 adults and 107 non-adults) from five sites, AD 1st–4th centuries, located throughout the Roman Empire. Results show a negative correlation between age-at-death and core tooth enamel lead concentrations. Furthermore, higher lead concentrations were observed in children with skeletal evidence of metabolic disease than those without. This study provides the first bioarcheological evidence that lead poisoning was a contributing factor to the high infant mortality and childhood morbidity rates seen within the Roman world