Developing an archaeology of malaria. A critical review of current approaches and a discussion on ways forward

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2023-06-01 DOI:10.1016/j.ijpp.2023.03.002
Rachel Schats
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引用次数: 2

Abstract

Objective

This paper presents the current state of the art in the investigation of past malaria by providing an extensive review of previous studies and identifying research possibilities for the future.

Materials

All previous research on the detection of malaria in human skeletal material using macroscopic and biomolecular approaches is considered.

Methods

The approaches and methods used by scholars and the results they obtained are evaluated and the limitations discussed.

Results

There is a link between malaria and porous lesions with significantly higher prevalence in malaria-endemic areas, however, they are not pathognomonic or specific for malaria. Malaria can be identified using biomolecular techniques, yet, to date there is no completely satisfactory method that is able to consistently diagnose the disease.

Conclusions

Using macroscopic and biomolecular techniques, malaria can be investigated in past populations and the impact of the disease studied. Yet, this is not a straightforward process and the use of multiple lines of evidence is necessary to obtain the best results.

Significance

The extensive discussion on ways malaria can and cannot be identified in past populations and the suggestions for new approaches provide a steppingstone for future research into this debilitating, global disease.

Limitations

Malaria is a difficult disease to study archaeologically and successful identification depends on many intrinsic and extrinsic factors.

Suggestions for further research

More large-scale spatial analyses of porous lesions as well as targeting different tissues or molecules for biomolecular identification may improve the archaeological understanding of malaria.

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发展疟疾考古学。对当前方法的批判性回顾和对前进方向的讨论
目的本文通过对以往研究的广泛回顾和确定未来研究的可能性,介绍了过去疟疾调查的最新进展。所有先前的研究都是用宏观和生物分子方法检测人类骨骼材料中的疟疾。方法对学者们所采用的研究方法和取得的结果进行评价,并讨论其局限性。结果在疟疾流行地区,多孔性病变与疟疾有一定的联系,但多孔性病变并非疟疾的特征性或特异性病变。利用生物分子技术可以识别疟疾,然而,迄今为止还没有一种完全令人满意的方法能够始终如一地诊断这种疾病。结论利用宏观和生物分子技术,可以对过去人群中的疟疾进行调查,并研究该疾病的影响。然而,这并不是一个简单的过程,为了获得最佳结果,需要使用多种证据。关于疟疾在过去人群中可以和不能识别的方法的广泛讨论以及对新方法的建议为未来研究这种使人衰弱的全球疾病提供了踏脚石。局限性疟疾是一种难以进行考古研究的疾病,成功的鉴定取决于许多内在和外在因素。对多孔性病变进行更大规模的空间分析,以及针对不同组织或分子进行生物分子鉴定,可能会提高对疟疾的考古认识。
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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
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