BackgroundLeprosy is a chronic infectious disease caused by Mycobacterium leprae that affects almost 250,000 people worldwide. The timing of first infection, geographic origin, and pattern of transmission of the disease are still under investigation. Comparative genomics research has suggested M. leprae evolved either in East Africa or South Asia during the Late Pleistocene before spreading to Europe and the rest of the World. The earliest widely accepted evidence for leprosy is in Asian texts dated to 600 B.C.Methodology/Principal FindingsWe report an analysis of pathological conditions in skeletal remains from the second millennium B.C. in India. A middle aged adult male skeleton demonstrates pathological changes in the rhinomaxillary region, degenerative joint disease, infectious involvement of the tibia (periostitis), and injury to the peripheral skeleton. The presence and patterning of lesions was subject to a process of differential diagnosis for leprosy including treponemal disease, leishmaniasis, tuberculosis, osteomyelitis, and non-specific infection.Conclusions/SignificanceResults indicate that lepromatous leprosy was present in India by 2000 B.C. This evidence represents the oldest documented skeletal evidence for the disease. Our results indicate that Vedic burial traditions in cases of leprosy were present in northwest India prior to the first millennium B.C. Our results also support translations of early Vedic scriptures as the first textual reference to leprosy. The presence of leprosy in skeletal material dated to the post-urban phase of the Indus Age suggests that if M. leprae evolved in Africa, the disease migrated to India before the Late Holocene, possibly during the third millennium B.C. at a time when there was substantial interaction among the Indus Civilization, Mesopotamia, and Egypt. This evidence should be impetus to look for additional skeletal and molecular evidence of leprosy in India and Africa to confirm the African origin of the disease.

Methods for estimating body mass from the human skeleton are often required for research in biological or forensic anthropology. There are currently only two methods for estimating body mass in subadults: the width of the distal femur metaphysis is useful for individuals 1-12 years of age and the femoral head is useful for older subadults. This article provides age-structured formulas for estimating subadult body mass using midshaft femur cross-sectional geometry (polar second moments of area). The formulas were developed using data from the Denver Growth Study and their accuracy was examined using an independent sample from Franklin County, Ohio. Body mass estimates from the midshaft were compared with estimates from the width of the distal metaphysis of the femur. Results indicate that accuracy and bias of estimates from the midshaft and the distal end of the femur are similar for this contemporary cadaver sample. While clinical research has demonstrated that body mass is one principle factor shaping cross-sectional geometry of the subadult midshaft femur, clearly other biomechanical forces, such as activity level, also play a role. Thus formulas for estimating body mass from femoral measurements should be tested on subadult populations from diverse ecological and cultural circumstances to better understand the relationship between body mass, activity, diet, and morphology during ontogeny.

In spring of 1846, the George and Jacob Donner families and some 80 traveling companions began their overland trek to California. When the party ascended the Sierra Nevada in late October, a snowstorm forced the group to bivouac. At this point, the train became separated into two contingents; the larger party camped near Donner Lake and the smaller group—including the Donner families—settled at Alder Creek. Though written accounts from the Lake site imply many resorted to cannibalism, no such records exist for Alder Creek. Here we present archaeological findings that support identification of the Alder Creek camp. We triangulate between historical context, archaeological traces of the camp, and osteological remains to examine the human condition amid the backdrops of starvation and cannibalism. A stepped analytical approach was developed to examine the site’s fragmentary bone assemblage (n= 16,204). Macroscopic and histological analyses indicate that the emigrants consumed domestic cattle and horse and procured wild game, including deer, rabbit, and rodent. Bladed tools were used to extensively process animal tissue. Moreover, bone was being reduced to small fragments; pot polish indicates these fragments were boiled to extract grease. It remains inconclusive, however, whether such processing, or the assemblage, includes human tissue.

Recent research interest has focused on the bioarchaeology of children. Although paleodemography is essential for accurate reconstructions of lifestyle and health in past populations, currently there is no published technique for estimating fertility and life expectancy at birth for skeletal populations in which adults are underenumerated. This paper provides a formula to predict Gross Reproductive Rate (GRR) from the proportion of young infants to subadults in a skeletal population. The formula was developed from 98 of Coale and Demeny's Female Model West Life Tables, which represented diverse fertility and mortality rates. The formula's accuracy was examined using independent samples from historical and archaeological cemeteries. Estimates of GRR from the subadult fertility formula were compared with estimates from Bocquet-Appel and Masset's juvenile:adult ratio. Results indicate that the subadult fertility formula predicts GRR with consistent accuracy (R 2 ¼ 0.98) and precision (AE 1 offspring) in the model life tables, across diverse subadult age structures and demographic characteristics. The formula is useful for subadult populations with a proportion of perinates:subadults between 0.12 and 0.45. The adult component of the sample is not included in the analysis and thus the formula is similarly useful in cases where adults are under-enumerated, or not. When applied to historical and archaeological populations, estimates for GRR are similar to previous estimates from the juvenile:adult ratio. Because crude birth rate and life expectancy at birth can be calculated from GRR using established fertility centred approaches to demography, the subadult fertility formula allows skeletal populations of diverse composition to be included in demographic research, essential for understanding of how mortality and fertility are affecting the morbidity profiles of subadult samples and for comparative bioarchaeological analyses.

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that affects almost 500,000 people worldwide^1^. The timing of first infection, geographic origin, and pattern of transmission of the disease are unknown^1-3^. Comparative genomics research has recently suggested M. leprae evolved in East Africa or South Asia before spreading to Europe and the rest of the World^4-5^. The earliest accepted textual evidence indicates that leprosy existed in India by at least 600 B.C. and was known in Europe by 400 B.C.^6-7^. The earliest skeletal evidence was dated 300-200 B.C. in Egypt^8^ and Thailand^9^. Here, we report the presence of lepromatous leprosy in skeletal remains from Balathal, a Chalcolithic site (2300-1550 B.C.) in India^10-11^. A middle aged adult male skeleton demonstrates manifestations of facies leprosa and rhinomaxillary syndrome, degenerative joint disease, infectious involvement of the tibia (periostitis), and injury to the peripheral skeleton, often the result of skin anaesthesia. Paleopathological analysis indicates that lepromatous leprosy was present in India by 1800 B.C., a result which supports some translations of the Atharva Veda that reference leprosy and its treatment in hymns composed before the first millennium B.C.^12^. The presence of leprosy in Chalcolithic India suggests M. leprae may have been transmitted during the second or third millennium B.C., at a time when there was substantial interaction between South Asia, West Asia, and Northeastern Africa^13^. This evidence should be impetus to look for additional skeletal and molecular evidence of leprosy in human remains from this time period in India and Africa to confirm the origin of the disease.