nerative diseases as well as severe sud-
den trauma (Resnick & Niwayama, 1983).
Osteoarthritis is a common condition in all skeletal popula-
tions. Bone changes are most visible around the margins of
vertebral body surfaces or either on or peripherial to the mar-
gins of the articular surfaces of appendicular joints. Ortner
(2003) provides the three major components of skeletal in-
volvement in osteoarthritis: 1) the collapse of articular cartilage
that results in bone on bone contact and in abnormal abrasion of
the subchondral bone; 2) reactive bone formation (sclerosis) in
the subchondral compact bone (eburnation) and in the trabecu-
lae underlying the affected subchondral compact bone and pos-
sibly associated with cyst formation; 3) new growth of cartilage
and bone at the joint margins (osteophytes). These degenerative
changes may result from the activities that produce mild
chronic, single acute or repeated severe functional stress
(Stein-Bock, 1976; Ortner & Putshar, 1985).The frequency of
degenerative arthritis is correlated with age (Goodman et al.,
1984).
Traumatic Lesions
Trauma may be defined many ways but conventionally is
understood to refer to an injury to living tissue that is caused by
a force or mechanism extrinsic to the body. Observable in ar-
chaeological material are types of trauma that leave a mark on
the skeleton. Ortner & Putschar (1985) categorized trauma into
eight categories: fractures, dislocation (luxation), deformation,
scalping, mutilation, trephination, traumatic problems resulting
from pregnancy, and sincipital T mutilation. Studies of trauma
in archaeological material tell us about the prevalence of acci-
dents and the degree of aggression in a society. They can also
give us an insight into the medical knowledge and level of care
in that society (Arcini, 1999). As the discipline of palaeopa-
thology has developed, the objectives of traumatic injury analy-
sis have shifted from a focus on the identification and descrip-
tion of the earliest and the most unusual pathological specimens
to the interpretation of the cultural, social, or environmental
causes of traumatic injury; their relationship to biological vari-
ables, such as sex and age, that may have cultural or social
relevance; and their temporal and spatial variation. Thus, inter-
pretations of the cause of trauma in antiquity range from inter-
and intragroup conflict (e.g. Angel, 1974; Jurmain, 1991; Khu-
daverdyan, 2009, 2010a; Liston & Baker, 1996; Stewart, 1974;
Walker, 1989; and others) to environmentally or occupation-
ally facilitated misadventure and accident (e.g. Angel, 1974;
Burrell et al., 1986; Grauer & Roberts, 1996; Kelley & Angel,
1987; Khudaverdyan, 2009; Lovejoy & Heiple, 1981; and oth-
ers). Of these lesions, fractures and bone wounds by intentional
instrument use (trephination) are mainly significant in archeo-
logical populations (Manchester, 1983).
Trepanation represents the first evidence of a surgical tech-
nique in humans done without modern equipment and yet there
is evidence, from healing patterns on the skull, that many indi-
viduals survived this surgery. According to Aufderheide’s &
Rodriguez-Martin’s Encyclopedia of Human Paleopathology
(1998: p. 33), there are four distinguishable methods of trepa-
nation that include grooving, scraping, drilling, and cutting.
Trephination is caused by the intentional use of a sharp instru-
ment for the removal of part of the skull vault, generally with-
out damaging the underlying meninges and brain. This dan-
gereous operation was performed for a variety of reasons: to
alleviate the intracranial pressure produced by compressed
fractures of the skull vault, to clean the wounds caused by frac-
tures, to treat headaches, epilepsy, or other forms of mental
illness and so on (Ortner & Putshar, 1985). The trephination
may also have been symbolic or ritualistic in its type.
Historical and Archaeological Background
The Armenian Highland—a crossroads linking the worlds of
East and West (Figure 1).
The Kingdom of Urartu flourished in the Caucasus and east-
ern Asia Minor between the 9th century BC and 585 BC in the
Armenian Highland. The Urartians established their sover-
eignty over all of Taron and Vaspurakan. The main rival of
Urartu was the Neo-Assyrian Empire. During the reign of Sar-
duri I (834-828 BC), Urartu had become a strong and organ-
ized state. Sarduri made Tushpa (Van) the capital of Urartu. His
son, Ishpuinis, extended the borders of the state by conquering
what would later be known as the Tigranocerta area and by
reaching Urmia. Menuas (810-785 BC) extended the Urartian
territory up north, by spreading towards the Araratian fields.
Argishtis I of Urartu conquered Latakia from the Hittites, and
reached Byblos, Phoenicia, and he built Erebuni (Yerevan). The
Medes under Cyaxares invaded Assyria later on in 612 BC, and
Copyright © 2012 SciRes. 225
A. YU. KHUDAVERDYAN
Copyright © 2012 SciRes.
226
Figure 1.
Main sites discussed in text.
then took over the Urartian capital of Van towards 585 BC,
effectively ending the sovereignty of Urartu. With VIII century
BC in the Armenian Highland the interaction of different ethno-
cultural units-Iranian-speaking nomadic (Scythians, Sarmatians,
Sauromatians, Saka) and local. Finds of tumuli in the Caucasus
show the permanent presence of Scythians in these parts. The
advancement of the Scythians, Sarmatians and Saka in the ter-
ritory of Armenian highlands and Transcaucasia was accompa-
nied by not only an interaction of various cultural elements, but
also a mixture (Khudaverdyan, 2011a, 2012). According to
archeologists, the Scythian presence in the Caucasus had been
permanent (Vinogradov & Dudarev, 1983; Petrenko, 1983;
Il’inskaya & Terenozhkin, 1983).
IX-VI century BC from the Shirakavan cemetery. This ceme-
tery are located in Shirak plateau, Armenia. No research has
been done on the health status of Iron Age people from Shirak
plateau before. This paper reports on the results of diseases
associated with stress, trauma, as well as infectious and degen-
erative diseases etc.
Materials and Methods
The human remains that will be analyzed for this article un-
earthed by archaeologists Hamazasp Khachatryan, Larisa
Eganyan and Levon Petrosyan. The results of the excavations at
ancient Shirakavan showed that human activities began here
since the 3 rd millennium BC and continued until the 7th-6th
The aim of the paper is to assess the health of population of
A. YU. KHUDAVERDYAN
centuries BC. The excavated sample material sheds light on
various sides of the life of ancient inhabitants of the region,
testifying convincingly that a complex culture existed all over
the Shirakavan was an important element of this system (Toro-
syan et al., 2002). Burials of leaders are rich, especially in the
9th-8th centuries BC: early 1st millennium seemed to be a time
of the social and economic relations and high military potency.
Excavations of some settlements confirm this supposition. Al-
together, about 21 individuals were found from Shirakavan
(excavations 2007-2011) (Table 1).
Some skeletons were lost, and all available remains were
used. The major excavations at Sirakavan yielded material cul-
ture of the period known as Iron Age (9th century BC-6th cen-
tury BC). Males individuals predominated (57.2% of the 21
individuals sexed): 19.1% of the young adults (20 - 39 years),
and 38.1% of middle and older adults. 42.9% were female
(23.9% of adolescent and young adults and 19.1% of middle
adults). The attention prevalence absence of skeletons of babies
in burial grounds is noteworthy. The absence of babies’ skele-
tons is probably connected with the tradition of burial existing
among the juvenile population or some other ceremony.
Age-at-death and sex were assessed through the use of mul-
tiple indicators. Morphological features of the pelvis and cra-
nium were used for the determination of sex (Phenice 1969;
Buikstra & Ubelaker, 1994). A combination of pubic symphy-
sis (Gilbert & McKern, 1973; Katz & Suchey, 1986; Meindl et
al., 1985), auricular surface changes (Lovejoy et al., 1985),
degree of epiphyseal union (Buikstra & Ubelaker, 1994), and
cranial suture closure (Meindl et al., 1985) were used for adult
age estimation.
Teeth and bones were examined for pathological lesions by
means of simple macroscopic visual observation. Gross obser-
vations of abnormal changes appearing in ancient skeletons
principally provides the basic information for paleopathological
diagnosis (Goodman et al., 1984; Ortner, 2003). Non-specific
signs of disease that were assessed include enamel hypoplasia,
cribra orbitalia and subperiosteal bonegrowth/periostitis. The
number of affected individuals and teeth for each disease were
calculated as percentages of the total number of observed indi-
viduals or teeth in order to determine the prevalence of each
disease. Cribra orbitalia was recorded as present or absent on
individuals whose orbital roofs were present. All complete and
fragmented crania were examined for porotic hyperostosis.
Association between porotic hyperostosis and cribra orbitalia
was recorded where present. Enamel hypoplasia was evaluated
by means of the identification of lines of detention of enamel
Table 1.
Number of individuals from Shirakavan (n = 21).
Shirakavan
Age categories Male fe male indeterm
Child I (0 - 6 years)
Child II (7 - 12 years)
Adolescent (13 - 19 years) 1
Young adult (20 - 39 years) 4 4
Middle adult (40 - 49 years) 3 4
Old adult (50+ years) 5
growth, a problem that is also associated with disturbances in
the individuals’ nutrition. Adults were examined for signs of
arthritic and degenerative diseases. Scoring criteria. For this
analysis I used the visual reference system devised by Hawkey
(Hawkey & Merbs, 1995). The scoring system consists of three
main categories: robusticity markers, stress lesions, and ossify-
cation exostosis. Each category has four grades of increasing
expression of musculoskeletal stress marker (MSM) where 0 =
absent and 3 = strong (Hawkey & Merbs, 1995; Mariotti et al.,
2004). Robusticity markers are expressed as rugged markings at
the musculoskeletal attachment site and are the normal skeletal
reaction to daily activities (Hawkey & Merbs, 1995; Mariotti et
al., 2007). The scores range from no rounding of the cortex to
the formation of sharp crests of bone at the attachment site.
Since muscle has a lower tensile strength than tendon, mus-
cle-to-bone attachments require a larger area of attachment to
prevent rupture when stressed (Hawkey & Merbs, 1995: p. 329).
At tendon attachment sites, such as the biceps brachii insertion
site on the radial tuberosity, it is the area adjacent to the inser-
tion site that shows the effects of muscular pull (Hawkey &
Merbs, 1995). A mesenchymal cell barrier, composed of layers
of calcified and uncalcified layers of hyaline cartilage, between
the tendon and bone prevents the resorption or formation of
new bone at the attachment site (Hawkey & Merbs, 1995: p.
328), thus the scoring criteria used must reflect the difference.
All skeletons were also assessed for specific diseases. Where
possible, a differential diagnosis was made. The data previously
obtained for Lori Berd (c. VI-V BC), Karmir (c. IХ-VIII BC),
N. Getashen III and Sarukhan (c. XI-IX/VIII BC) (Movsessian,
1990; Khudaverdyan, 2011b) were used for comparative analy-
sis.
Results and Discussion
Trauma and Trepanation
One old-aged male was found to have undergone two surgi-
cal procedures. The defect (in diameter approximately 34 mm)
on skull is not round-it appears round in the upper part and then
has straight sides more inferiorly. The hole was in the left pa-
nrietal bone (see Figure 2). This was a common piece of surgi-
cal kit carried by practitioners during this period. Differential
diagnosis for this defect include weapon injury (depressed frac-
ture with the section of bone removed surgically) or trepanation.
The scalp had been ressected; several fine incision marks were
observed around the line of the craniotomy cut, some parallel to
each other, around the sides of the head. It is likely then that the
scalp from the top of the head was removed by cutting across
the front and along the sides, (roughly following the hairline in
front but cutting through it posteriorly) and then lifting the
scalp back, making subdermal incisions to the back of the head
to further the reflection of the scalp to allow the craniotomy.
The cranium of this individual possesses multiple lesions that
should allow determination of the underlying disease process.
Differential diagnosis of lesions of the cranial vault includes
treponematosis, depressed fractures, bacterial osteomyelitis,
tuberculosis, benign and malignant primary tumors, metastases,
hematological malignancy, and postmortem damage (Ortner &
Putschar, 1985). On the right side of the frontal bone the lesions
corresponds with osteomyelitis. Pathological changes observed
in the cranial vault include several focal cavitations that pene-
trate into the diploë but do not affect the inner table. There are
Copyright © 2012 SciRes. 227
A. YU. KHUDAVERDYAN
Figure 2.
Trepanation (burial 11, 55 - 60 years).
also compact bone depressions with radial grooves that create a
stellate pattern (Figure 3). The cranial lesions in this case are
focused on the frontal bone. The anterior endocranium contains
regions of hypervascularity and thickened diploë. Some post-
mortem erosion of the frontal bone is also present, with flaking
and crumbling of the external cortex.
An ancient skull (1st c. BC-3rd c. AD) from Shirakavan
(excavations in 1990) also showed evidence of trepanation
(Khudaverdyan, 2011c: Figure 3). The individual was a juve-
nile (8 - 9 yr. old). Trepanation, achieved using a drilling tech-
nique, created a hole which was noted on the right parietal bone
of the funnel-shaped type (diameter = 8 mm). Since there was
no evident biological reason to trepan this individual, and given
the fact that this individual was quite young, it was possibly
part of a ritual or religious ceremony. Perhaps the child died not
from the trepanation process, but from complications of the
surgery.
Several skulls showed evidence of traumatic injury. Trauma
found in the skeletal populations from the Shirak plateau has
often been put into the context of interpersonal conflict. Evi-
dence of traumatic events in the Shirakavan group were in three
individuals. The trauma were produced long before the indi-
vidual’s death (burial 4/2, 25 - 30 years, Figure 4(a)), the
margins are smoothed and the initial compressed bone region
has been reduced and replaced by normal bone, because the
fracture occurred several years before death. The trauma (burial
1, 20 - 25 years, Figure 4(c)) shows a large angular blade
wound, 7 cm long, broad and 2.5 mm deep, which occurs above
the right parietal bone. This antemortem wound does not perfo-
rate the endocranium. This wound was produced by a blow
from an anterior position; the blade-most likely. Perimortem
typical defect found on the skull (Figure 4(b), burial 4, view on
the outer table) the male 30 - 35 years. Singular punctured
sharp force trauma on the parietal bone, most probably caused a
hammerhead. The imprint of the wound could be recovered.
Because of the form and the frequency of its appearance, the
hammer was most probably the weapon that caused lesion. The
only metal objects that show an approximately round profile are
a special kind of lancet peak, and a hammerhead similar to
those used today by masons and brick workers.
Degenerative Disease and Mu sculoskeletal Stress
Markers
Degenerative joint disease directly affects the musculoskeletal
Figure 3.
Detailed view of ectocranial lesions: superficial cavitation perforating
into the diploë. The lesion exhibits stellate grooves and a sclerotic
margin.
Figure 4.
Typical antemortem (a), (c) and perimortem (b) defects found on the
crania. Burial 4/2 healed blunt force trauma on the right parietal bone,
produced several years before death (a, view on the outer table; scale
bar = 19 mm.); sharp force trauma on the right parietal bone most
probably caused by a cut (c, burial 1); typical perimortem (b) defect
found on the skull/burial 4, view on the outer table/; singular punctured
sharp force trauma on the parietal bone, most probably caused a ham-
merhead.
system, which acts as a support and protection of the body,
giving it a function of lever in a system of pulleys, where the
muscles are inserted in the bones, hence producing the move-
ment of the skeleton. According to the sort of movement, fre-
quency and repetition, we can infer which the wear and/or joint
condition may have been that produces, from light discomforts
and pain to functional impotence. I rather focus on the fields of
biomechanical origin; in this sense, when an unbalance in the
forces applied to the joints appears and there is wear in the
tissue to resist such efforts, mechanical articular deterioration
arises. For the present study, the registration and analysis of
this problem was sought in the shoulder-elbow, hip-knee, hand
and feet joints, because of the high altitudes the group lived in,
to evaluate this articular problem. The hip-knee problems, we
observed that among women are four cases (n = 7) and in the
group of men-six (n = 5); whereas in joint problems in hands
and feet, we find five cases in women and six in men.
The activities performed by the individuals who inhabited in
the Shirak plateau are represented in adult ages (n = 12). The
Copyright © 2012 SciRes.
228
A. YU. KHUDAVERDYAN
presence of the aforementioned degenerative joint diseases
suggests an intensive locomotive activity in the case of feet,
across mountainous terrains. We also should consider the pos-
sibility that the transportation of heavy objects across the high-
lands.
Considerable muscle trauma was observed in skeleton (burial
6, 30 - 35 years), which may have caused discomfort. The
enthesopathies observed in skeleton affected muscles aiding
flexion and extension of the forearm, plantar flexion of the foot,
extension and flexion of the leg at the knee joint and particu-
larly all movements of the hip (Figure 5). All of the lower limb
enthesopathies affected those muscles which are responsible for
movements required for walking and it is possible that long
distance marching (in high mountains) may have caused the
necessary stress to produce muscular trauma.
The ossification of tissues in elbow joint is a result of
strenuous overuse of the muscle, ligament or tendon in that area.
The elbow joint pathology is significantly more severe as the
ulnae have developed an extension of bone on the posterior
surface of the proximal end (Figure 6). This area of the ulna,
which is where the insertion for the biceps brachii is located, is
attributed to “carrying heavy loads while the elbows are tightly
flexed” (Larsen, 2000: p. 189). This action is also verified by
the noted strenuous use of the supinator on the ulna which
works with the biceps brachii for turning the palm anterior and
lifting something with one’s elbows partially flexed. Activities
associated with stress on the biceps brachii include woodcutting,
blacksmithing (Capasso et al., 1999).
As for the problems in shoulders, elbows and hands, these
might be associated with the activities of milling products such
as grains, transportation of water, washing of clothing of food
that imply constant movement and effort which may favor joint
wear and the presence of degenerative problems, linked to the
conditions proper to age. On the other side, we observe sturdy
insertions of the deltoid in the clavicles; this muscle takes part
in the extension and abduction of the humerus raising it, pro-
ducing backward rotation and toward the column of scapula
and clavicle. Said physical activity might be linked to the fact
of moving heavy objects on the head or back, an activity
closely related to men, causing at the same time injuries to the
spine because of the crushing of the vertebral body.
Problems in vertebral column were detected through the
presence of osteophytosis and the collapse of the vertebral body;
appearing in the cervical, dorsal and lumbar vertebrae almost
with the same frequency. Injuries to vertebral column are
caused by work overload, which the population suffered from
the sub-adult stages to advanced ages; this explains the sort of
labor that was possibly carried out in the environment where
they lived (Table 2).
A greater presence is observed among masculine population;
this explains men worked very hard in the production and to
consolidate their dwellings; this is why we dare say that social
conditions to survive were arduous for certain population sector.
Nonetheless, we cannot state this for there is not enough ar-
chaeological information associated to the death so as to infer
their social rank, according to the place they held in society.
What we may infer is that biomechanical stress to work over-
loads, particularly the back, as for the articular problems of the
vertebral column. In any case, we must bear in mind that said
indicators appear in the bone only if the individual has usually
repeated certain activities, or if within a certain period of their
lives the individuals have carried them out with great intensity.
Figure 5.
Left femur of skeleton (burial 4, 30 - 35 years), enthesopathies for
gluteus maximus.
Figure 6.
Proximal end of the left ulna, showing arthritic lipping on articular
facets and ossification of connective tissues (burial 11, 55 - 60 years).
It is important to mention the age aspect, because if the indi-
vidual died at a relatively early age, they might have not shown
any character, or if they were too old their osseous tissue may
have remodeled and lose the trace of any indicator. The same
might occur if the activity significantly changes along their
lives.
Estimation of the Gen eral State of Hea lth
Based on Stress Markers
In the materials of Shirakavan we find a high incidence of
cribra orbitalia in 9 (42.9%, 4 of men, 5 women) of the 21
evaluable individuals. As for sponge or porotic hyperostosis, it
appeared five times (23.9%): two men and three women. The
women buried in the burials show a higher incidence of
non-specific indicators of infection. The primary cause is usu-
ally iron-deficiency anaemia, which stimulates red blood cell
production and bone marrow proliferation (Stuart-Macadam,
1992). In the burials in Shirakavan, mild cases of orbital roof
involvement were found, suggesting iron deficiency related to
infectious diseases and parasitism, which can also affect the
occurrence of anaemia. Such causes as scurvy and direct infec-
tion cannot be excluded either (Larsen, 1997). The prevalence
of cribra orbitalia is 28.6% from Sarykhan group and 8.8%
from N. Getashen III (Movsessian, 1990). Two individuals (n =
8) from Lori Berd showed evidence of cribra orbitalia (Khu-
daverdyan, 2011b).
Another unspecific marker of stress and deprivation, usually
Copyright © 2012 SciRes. 229
A. YU. KHUDAVERDYAN
Copyright © 2012 SciRes.
230
Table 2.
Problems in vertebral column in the total sample from Shirakavan (n = 12).
Cervical Dorsal Lumbar
Osteophytosis Collapsed Osteophytosis Collapsed Osteophytosis Collapsed Schmorl’s
Absence 5 8 7 8 6 7 6
Presence 7 4 5 4 6 5 6
associated with inflammation, is the presence of traces of pe-
riosteal reaction. Such periosteal inflammatory reactions, as
well as more severe lesions, where bone marrow is affected, are
most often caused by such microorganisms as Staphylococcus
and Streptococcus, the tibia being the bone most often involved
(Goodman & Martin, 2002). A high incidence of this indicator
in the skeletal remains makes it evident the presence of pre-
carious or unhealthy conditions of the sanitary practices. The
behavior of this periosteal reaction of infection in tibia was as
follows: out of the 12 individuals who had the osseous element
(tibia) to evaluate, 5 presented periosteal reaction. In relation to
adults, in men there are two cases, one of about 21 years of age
and another of around 26; whereas in women there are three
cases, all of them located in the age range from 40 to 45 years
of age. The results however low compared with other Armenia
population (Lori Berd: 6 individuals, n = 8) are significant, as it
is one of the indicators where more cases appear; which may
indicate that infections manifested in this population in an en-
demic manner with severe hygienic problems because of pol-
luted water.
Enamel hypoplasias represent a permanent chronological re-
cord of a stressful incident during the first 7 years of life
(Goodman & Rose, 1990). In individuals from Shirakavan there
was no instance of line of hypoplasia. Six individuals from
Sarykhan and three from Lori Berd showed evidence of enamel
hypoplasias (Khudaverdyan, 2011b).
Dental caries is a multifactoral, multibacterial disease of
dental tissue, characterised by local demineralisation of the
inorganic portion of the tooth by acidproducing bacteria with
subsequent destruction of the organic component by bacterial
metabolic protease (Aufderheide & Rodríguez-Martin, 1998).
Caries is a progressive disease in that a continuation of the
same environmental conditions that caused the lesion will in-
evitably lead to tooth destruction and loss. A relative not high
frequency of dental caries was observed in Shirakavan (1/21)
and in Lori Berd (1/8) samples. In individuals from Karmir,
Akynk and Sarykhan there was no instance of dental caries
(Khudaverdyan, 2011b).
If tooth destruction from any carious lesion penetrates the
pulp cavity infection of the supporting tissues is almost inevita-
ble. This leads to bone destruction around the base of the tooth
root with sclerosis around the infection in chronic cases, fol-
lowed by tissue necrosis, suppuration, and eventual periapical
abscess formation within the alveolar bone. This may allow
bacteria to enter the bloodstream (septicaemia) initiating ab-
scesses in locations such as the long bones, vertebrae, heart
valves or brain, often with fatal consequences (Aufderheide &
Rodríguez-Martin, 1998: p. 403). Alternatively the abscess may
form a fistula or sinus, penetrating the alveolar cortical bone
and allowing pus to drain into the oral cavity. Abscess was
uncommon amongst the Shirakavan population, occurring in 1
young adult (burial 4/4, , 25 - 30 years). At Sarykhan, seven
adults showed evidence of dental abscesses, which was higher
than in the Akynk group, where only one individual was af-
fected. Two out of four dentitions from Karmir showed evi-
dence of dental abscesses.
Calculus was recorded on the teeth of 4/21 individuals (buri-
als 1/1, 2, 11, 12) in the Shirakavan sample. It ranged in sever-
ity from slight (n = 1), through moderate (n = 3). The most
severely affected teeth were the molars, premolars, canines,
followed by the incisors. Calculus develops most commonly at
loci close to the salivary glands, and is thus more common
along the lingual margins of the lower anterior teeth and buccal
margins of the maxillary molars. Although the presence of cal-
culus is generally painless for the affected individual, the pres-
ence of substantial deposits can contribute to the development
of periodontal disease and infections, and generally indicates a
lack of oral hygiene. Four out of eight dentitions from Lori
Berd showed evidence of dental calculus.
The individuals from Shirakavan also has fixed chipped teeth
(antemortem damage to the crown of the tooth). Small pieces of
enamel are missing on the buccal sides of the maxillary premo-
lars, and the first maxillary molar (burials 6, 11).
Finally, attrition or dental wear was reflected in different age
intervals, which range from the first 20 years of age to 55, also
considering a slight to severe attrition (19.1%); of the former 8
cases were found (38.1%), six women among young and mid-
dle-aged adults, and two men between the same age intervals.
I found one case of marked dental modification in Shira-
kavan (Figure 7). Unusual wear of the right first upper premo-
lar and development of a bone relief in area fastening a chew-
ing muscle at the woman from necropolis Shirakavan (burial
6/2, , 30 - 35 years) give the basis to assume wear of tooth as
consequence of functional loading (i.e. use of a teeth as the
working tool).
The grooves, 2.0 mm in width, give the appearance of being
caused by repetitious sliding of a thin thread of sinew over the
tooth. This have been associated with using the mouth to soften
and hold fibers in the production of baskets, mats, fishing and
fowling nets, and various types of cordage including rope and
yarn (Larsen, 1985; Larsen et al., 1988; Scott & Jolie, 2008;
Waters-Rist et al., 2010). Activity-induced dental modification
has been documented in past populations from all over the
world, with archaeological and ethnographic data being used to
infer possible causal activities (e.g. Merbs, 1983; Blakely &
Beck, 1984; Larsen, 1985; Larsen et al., 1988; Lukacs & Pastor,
1988; Erdal, 2008; Scott & Jolie, 2008; Waters-Rist et al.,
2010). While it is not possible to determine the exact purpose(s)
of processed fibers and cordage, it is reasonable to follow the
example of other researchers who have used archaeological,
environmental, and ethnographic data to suggest primary us-
ages (e.g. Larsen, 1985; Scott & Jolie, 2008; Waters-Rist et al.,
2010). Such feature of teeth can be connected with weaving
A. YU. KHUDAVERDYAN
(a)
(b)
Figure 7.
Unusual wear of the right first premolar (burial 6/2,
, 30 - 35 years).
baskets. Archaeological data from Armenia provide evidence
for the importance weaving and spinning, manufacturing of all
kinds of cords, baskets in population of the Iron Age (Martiro-
syan, 1974; Torosyan, et al., 2002).
Conclusion
The Shirakavan burial assemblage presents a window onto
the biological context of Iron Age Armenia. The burial ground
thus presents a relatively small statistical sample, and it is clear
from the demographic distribution that the assemblage most
likely represents a culturally-biased artefact rather than a re-
flection of population mortality. The youngest individual died
between 15 and 19 years of age, with the oldest well into ma-
ture adulthood (50+ years). Males are over-represented within
the adult assemblage. The bulk of the assemblage was com-
prised of middle-aged adult (20 to 49 years). The absence of
infant remains is striking; segregated burial outside the social
proscription of the burial ground is most likely-the outward
continuation of a tradition which was firmly established in the
Iron Age.
Shirak plateau was an ecologically favorable place for the
reproduction of a society, as it offered a diversity of products
for a balanced alimentation and well-suited to the biotic condi-
tions of the place. Health issues in the individuals from Shira-
kavan provoked not by nutritional problems, but problems of
infectious nature. This is observed inferring that the lifestyle of
these people manifests a deficient personal hygiene, the contact
with animals that carry fungi, viruses and bacteria, et cetera.
Cribra orbitalia and porotic hyperostosis register a high per-
centage inside the sample, which allowed inferring this altera-
tion has great repercussion on the population who suffered
anemia, which may have been caused by several factors, among
them we find: lack of iron or a deficiency of it caused by meta-
bolic disorders, chronic parasitic diseases and the existence of
other infectious diseases. Another aspect that was considered
was that in the case of women the causes of anemia might have
appeared because of the continuous pregnancies, starting in
adolescence, birth itself, as they did not have the most favorable
hygienic conditions and become infected, menstruation and a
lengthy lactation.
The skeletal traumas of the inhabitants of the Shirak plateau
are connected only with military conflicts. The investigation of
injury morbidity and mortality facilitates the assessment of
environmental, cultural and social influences on behaviour. By
examining traumatic bone lesions in the archaeological record,
we may reconstruct aspects of the physical and social environ-
ments of past populations. The data obtained indicates that the
traumas are found exclusively among males. Although the
sample size is small, the findings are consistent with the ar-
chaeological data. The one skull represents one of the oldest
cases of trepanation in the Armenia.
As for the problems of degenerative nature, basically os-
teoarticular, they developed from adolescence to midlife or
advanced ages, this is to say, they spanned along the inhabi-
tants’ life an caused numberless alterations at the level of mus-
culoskeletal system, particularly in those bone segments where
there was frequent and strenuous physical activity, such as the
backbone joints result from biomechanical stress; such a prob-
lem affected men and women at different ages. The results of
this study are those that suggest strenuous labor for at least
some individuals, based on the presence of osteophytosis, os-
teoarthritis, enthesopathies, and Schmorl’s nodes. The activities
these inhabitants were been used to transport stone blocks, con-
struction and manufacture of ceramic, among many others.
Then, these actions leave a mark in the skeletons, product of a
biomechanical activity. Then, these actions leave a mark in the
skeletons, product of a biomechanical activity.
The data presented herein demonstrate that the analysis of
activity-induced dental modification in archaeological samples
can contribute to our behavioral reconstructions of past popula-
tions. This variation is perhaps not surprising, and is likely
simply reinforcing the multiplicity of ways and activities in
which people used their mouths and teeth. Indeed, a wide vari-
ety of extra-masticatory activities that in many cases caused
dental modifications have been well-documented among an-
Copyright © 2012 SciRes. 231
A. YU. KHUDAVERDYAN
cient peoples (1st c. BC-3rd c. AD) from Armenia (Beniamin,
Vardbakh) (e.g. Khudavedyan, 2010b, 2011c). Activity-in-
duced dental modification in woman from Shirakavan clearly
show that teeth can record past habitual activity patterns, and
provide an additional source of data in reconstructing past sub-
sistence and material culture production systems.
We believe that the Shirakavan sample represents a unique
and highly valuable collection of human skeletal remains from
the Iron Age. Although the sample size was small, bioarchae-
ological data from the studied historical population of Shira-
kavan are useful in understanding the lifeways of the Armenian
population in Iron Age.
REFERENCES
Angel, J. L. (1974). Patterns of fracture from Neolithic to modern times.
Anthropologiai Közlemények, 18, 9-18
Arcini, K. (1999). Health and disease in early Lund. Osteo-pathologic
studies of 3, 305 individuals buried in the first cemetery area of Lund
990-1536. Lund: Medical Faculty Lund University.
Aufderheide, A. C., & Rodriguez-Martin, C. (1998). The Cambridge
encyclopedia of human paleopathology. Cambridge: Cambridge
University Press.
Blakely, R. L., & Beck, L. (1984). Tooth-tool use versus dental mutila-
tion: A case study from the prehistoric southeast. Midcontinental
Journalof Archaeoogyl, 9, 269-284.
Broth, W. D., & Sandison, A. T. (1967). Disease in antiquity: A survey
of the diseases, injuries and surgery of early populations. Springfield,
IL: Charles C Thomas Publishers.
Buikstra, J. E., & Ubelaker, D. H. (1994). Standards for data collection
from human skeletal remains. Seminar at the field museum of natural
history 44, Arkansas Archaeological Survey Research Series.
Buikstra, J. E., & Cook, D. C. (1980). Paleopathology: An American
account. Annual Review o f Anthropology, 9, 433-470.
doi:10.1146/annurev.an.09.100180.002245
Burrell, L. L., Mass, M. C., & Van Gerven, D. P. (1986). Patterns of
long-bone fracture in two Nubian cemeteries. Journal of Human
Evolution, 1, 495-506. doi:10.1007/BF02437466
Capasso, L., Kennedy, K. A. R., & Wilczak, C. A. (1999). Atlas of
occupational markers on human remains. Journal of Paleopathology
(Monographic pub l ic a t io n 3), 3, 1-183.
Centurion-Lara, A., Castro, C. et al. (1998). The flanking region se-
quences of the 15-kDa lipoprotein gene differentiate pathogenic tre-
ponemes. Journal of Infectious Dis ease s, 177, 1036-1040.
doi:10.1086/515247
El-Najjar, M. Y., Ryan, D. J. et al. (1976). The etiology of porotic
hyperostosis among the prehistoric and historic Anasazi Indians of
Southwestern United States. American Journal of Physical Anthro-
pology, 44, 477-488. doi:10.1002/ajpa.1330440311
Eshed, V., Gopher, A. et al. (2004). Musculoskeletal stress markers in
Natufian hunter-gatherers and Neolithic farmers in the Levant: The
upper limb. American Journal of Physical Anthropology, 123, 303-
315. doi:10.1002/ajpa.10312
Gilbert, B. M., & Mckern, T. W. (1973). A method for aging the female
os pubis. American Journal of Physical Anthropology, 38, 31-38.
doi:10.1002/ajpa.1330380109
Grauer, A. L., & Roberts, C. A. (1996). Paleoepidemiology, healing,
and possible treatment of trauma in the Medieval cemetery popula-
tion of St. Helen-on-the-Walls, York, England. American Journal of
Physical Anthropology, 100, 531-544.
doi:10.1002/(SICI)1096-8644(199608)100:4<531::AID-AJPA7>3.0.
CO;2-T
Goodman, A. H., Martin, D. L. et al. (1984). Indications of stress from
bones and teeth. In M. N. Cohen, & G. J. Armelagos (Eds.), Paleo-
pathology at the origins of agriculture (pp. 13-49). New York: Aca-
demic Press. doi:10.1002/ajpa.1330330506
Goodman, A. H., & Martin, D. L. (2002). Reconstructing health pro-
files from skeletal remains. In R. H. Steckel, & J. C. Rose (Eds.), The
Back-bone of history: Health and nutrition in the western hemi-
sphere (p 11-60). Cambridge: Cambridge University Press.
Goodman, A. H., & Rose, J. C. (1990). Assessment of systemic physio-
logical perturbations from dental enamel hypoplasias and associated
histological structures. Yearbook of Physical Anthropology, 33,
59-110. doi:10.1371/journal.pntd.0000148
Harper, K. N., Ocampo, P. S. et al. (2008). On the origin of the tre-
ponematoses: A phylogenetic approach. PLoS Neglected Tropical
Diseases, 2, e148. doi:10.1371/journal.pntd.0000148
Hawkey, D. E., & Merbs, C. F. (1995). Activity-induced muscu-
loskeletal stress markers (MSM) and subsistence strategy changes
among ancient Hudson Bay Eskimos. International Journal of Os-
teoarchaeology, 5, 324-338.
doi:10.1002/oa.1390050403
Herrer, A. D., Roldan, S. et al. (2000). The periodontal abscess (I):
Clinical and microbiological findings. Journal of Clinical Periodon-
tology, 27, 387-394. doi:10.1034/j.1600-051x.2000.027006387.x
Il’inskaya, V. A., & Terenozhkin, A. I. (1983). Scythia 7th-4th centu-
ries BC. Kiev.
Jurmain, R. D. (1991). Paleoepidemiology of trauma in a prehistoric
central California population. In D. J. Ortner, & A. C. Aufderhide
(Eds.), Human paleopathology, current synthesis and future op- tions
(pp. 241-248). Washington DC: Washington Smithsonian In- stitu-
tion Press.
Katz, D., & Suchey, J. M. (1986). Age determination of the male os
pubis. American Journal of Physical Anthropology, 69, 427-435.
doi:10.1002/ajpa.1330690402
Kelley, J. O., & Angel, J. L. (1987). Life stresses of slavery. American
Journal of Physical Anthropology, 74, 199-211.
doi:10.1002/ajpa.1330740208
Khudaverdyan, A. Y. (2009). Population of the Armenian highland
during a Bronze Age. Ethnogenesis and ethnichistory. Yerevan: Van
Arian.
Khudaverdyan A. (2010a). Pattern of disease in II millennium BC-I
millennium BC burial from Lchashen, Armenia. Anthropologie
(Brno), 3, 239-254.
Khudaverdyan, A. (2010b). Pattern of disease in three 1st century
BC-3rd century AD burials from Beniamin, Vardbakh and the Black
Fortress I, Shiraksky plateau (Armenia). Journal of Paleopathology,
22, 15-41.
Khudaverdyan, A. (2010c). Palaeopathology of human remains from
Vаrdbakh and the black fortress I, Armenia. Bioarchaeology of the
Near East, 4, 1-23. doi:10.2478/v10044-010-0004-1
Khudaverdyan, A. (2011a). Migrations in the Eurasian steppes in the
light of paleoanthro-pological data. The Mankind Quarterly, 4,
387-463.
Khudaverdyan, A. (2011b). The anthropology of infectious diseases of
Bronze Age and Early Iron Age from Armenia. Dental Anthropology,
2 (2):42-54.
Khudaverdyan, A. (2011c). Trepanation and artificial cranial defor-
mations in ancient Armenia. Anthropological Review, 74, 39-55.
Khudaverdyan, A. Y. (2012) A bioarchaeological analysis of the popu-
lation of the Armenian highland and transcaucasus in the antiquity
age. The Mankind Quarterly, 53, 3-35.
Lagunas, Z., & Hernández, P. (2000). Manual de osteología, Mexico:
Consejo nacional para la cultura y las Artes. Instituto nacional de an-
tropología e historia. Escuela Nacional de Antropología e Historia:
Secretaría de Educación Pública.
Larsen, C. S. (1985). Dental modification and tool use in the Western
Great Basin. American Journal of Physical Anthropology, 67,
393-402. doi:10.1002/ajpa.1330670411
Erdal, Y. S. (2008). Occlusal grooves in anterior dentition among
Kovuklukaya inhabitants (Sinop. Northern Anatolia, 10th century
AD). International Journal of Oste o archaeology, 18, 152-166.
doi:10.1002/oa.925
Lallo, J., Armelagos, G. J., & Mensforth, R. P. (1977). The role of diet,
disease and physiology in the origin of porotic hyperostosis. Human
Biology, 49, 471-483.
Larsen, C. (1997). Bioarchaeology. Interpreting behavior from the
human skeleton. Cambridge: Cambridge University Press.
doi:10.1017/CBO9780511802676
Copyright © 2012 SciRes.
232
A. YU. KHUDAVERDYAN
Copyright © 2012 SciRes. 233
Larsen, C. S. (2000). Skeletons in our closet: Revealing our past
through bioarchae olog y. Princeton, NJ: Princeton University Press.
Larsen, C. S., Teaford, M. F., & Sandford. M. K. (1988). Teeth as tools
at Tutu: Extramasticatory behavior in prehistoric St. Thomas, US
Virgin Islands. In J. R. Lukacs (Ed.), Human dental development,
morphology, and pathology: A tribute to Albert A. Dahlberg (pp.
401-420). Eugene, OR: University of Oregon Anthropological Papers,
No.54.
Lewis, M. A. O., Macfarlane, T. W., & Mcgowan, D. A. (1986). Quan-
titative bacteriology of acute dento-alveolar abscesses. Journal of
Medical Microbiology, 21, 101-104.
doi:10.1099/00222615-21-2-101
Liston, M. A., & Baker, B. J. (1996). Reconstructing the massacre at
Fort William Henry, New York. International Journal of Osteoar-
chaeology, 6, 28-41.
doi:10.1002/(SICI)1099-1212(199601)6:1<28::AID-OA242>3.0.CO;
2-W
Lovejoy, C. O., & Heiple, K. G. (1981). The analysis of fractures in
skeletal populations with an example from the Libben Site, Ottowa
County Ohio. American Journal of Physical Anthropology, 55,
529-541. doi:10.1002/ajpa.1330550414
Lukacs, J. R., & Pastor, R. F. (1988). Activity-induced patterns of den-
tal abrasion in prehistoric Pakistan: Evidence from Mehrgarh and
Harappa. American Journal of Physical Anthropology, 76, 377-398.
doi:10.1002/ajpa.1330760310
Mariotti, V., Facchini, F., & Belcastro, M. G. (2004). Enthesopathies—
Proposal of a standardized scoring method and applications. Col-
legium Antropologicum, 28, 145-159.
Mariotti, V., Facchini, F., & Belcastro, M. G. (2007). The study of
enthuses: Proposal of a standardised scoring method of twenty-three
enthuses of the postcranial skeleton. Collegium Antropologicum, 31.
291-313.
Martirosyan, A. A. (1974). Argishtikhinili. Archaeological monuments
from Armenia. Urartian monuments. Yerevan: Science.
Meindl, R. S., Lovejoy, C. O. et al. (1985). Accuracy and direction of
error in the sexing of the skeleton: Implications for paleodemography.
American Journal of P hys i cal Anthropology, 68, 79-85.
doi:10.1002/ajpa.1330680108
Merbs, C. F. (1983). Patterns of activity-induced pathology in a Cana-
dian Inuit population. national museum of man mercury series, ar-
chaeological survey of Canada, Paper No. 119. Ottawa: National
Museums of Canada.
Movsesyan, A. A. (1990). To the paleoanthropology of the Bronze Age
in Armenia. Biological Journal o f Armenia, 4, 277-283.
Ortner, D. J. (2003). Identification of pathological conditions in human
skeletal remains (2nd ed.). London: London Academic Press.
Ortner, D. J., & Putschar, W. G. J. (1985). Identification of pathologi-
cal conditions in human skeletal remains. Washington, DC: Smith-
sonian Institution Press.
Petrenko, V. G. (1983). Scythian culture in the Northern Caucasus.
Archaeological Collection of Articles of the State Hermitage, 23,
Leningrad.
Phenice, T. W. (1969). A newly developed visual method of sexing the
os pubis. American Journal of Physical Anthropology, 30, 297-302.
doi:10.1002/ajpa.1330300214
Resnick, D., & Niwayama, G. (1983). Entheses and enthesopathies.
Radiology, 146, 1-9.
Robb, J. E. (1998). The interpretation of skeletal muscle sites: A statis-
tical approach. International Journal of Osteoarchaeology, 8, 363-
377.
doi:10.1002/(SICI)1099-1212(1998090)8:5<363::AID-OA438>3.0.C
O;2-K
Roberts, C., & Manchester, K. (1995). The archaeology of disease.
New York: Cornell University Press.
Scott, G. R., & Jolie, R. B. (2008). Tooth-tool use and yarn production
in Norse Greenland. Alaska Journal of Anthropology, 6, 253-264.
Steckel, R. H., & Rose, J. C. (2002). The backbone of history: Health
and nutrition in the Western Hemisphere. Cambridge: Cambridge
University Press. doi:10.1017/CBO9780511549953
Steckel, R. H., Rose, J. C. et al. (2002). Skeletal health in the Western
Hemisphere from 4000 BC to the present. Evolutionary Anthropol-
ogy, 11, 142-155. doi:10.1002/evan.10030
Steinbock, R. (1976). Paleopathological diagnosis and interpretation:
Bone disease in ancient human populations. Springfield, IL: Charles
Thomas Publisher.
Stewart, T. D. (1974). Nonunion of fractures in antiquity, with descrip-
tions of five cases from the New World involving the forearm. The
New York Academy of Sciences, 50, 876-891.
Stuart-Macadam, P. (1992). Porotic hyperostosis: A new perspective.
American Journal of Physi c al Anthropology, 87, 39-47.
doi:10.1002/ajpa.1330870105
Torosyan, R. M., Hnkikyan, O. S., & Petrosyan, L. A. (2002). Ancient
Shirakavan (the results of excavations 1977-1981). Archaeological
excavations in Armenia. Yerevan: Gitutyun: Science.
Villotte, S., Castex, D. et al. (2010a). Enthesopathies as occupational
stress markers: Evidence from the upper limb. American Journal of
Physical Anthropology, 142, 224-234.
Villotte, S., Churchill, S. E. et al. (2010b). Subsistence activities and
the sexual division of labor in the European Upper Paleolithic and
Mesolithic: Evidence from upper limb enthesopathies. Journal of
Human Evolution, 59, 35-43. doi:10.1016/j.jhevol.2010.02.001
Vinogradov, V. B., & Dudarev, S. L. (1983). Chronology of some
monuments and complexes at the beginning of the 1st millennium
BC from Karachaevo-Cherkesia and pyatigore. Problems of archae-
ology and ethnography of Karachaevo-Cherkesia). Cherkessk.
Walker, P. L. (1989). Cranial injuries as evidence of violence in pre-
historic southern California. American Journal of Physical Anthro-
pology, 80, 313-323. doi:10.1002/ajpa.1330800305
Waters-Rist, A., Bazaliiskii, V. I. et al. (2010). Activity-induced dental
modification in holocene Siberian hunter-fisher-gatherers. American
Journal of Physical Anthropology, 143, 266-278.
doi:10.1002/ajpa.21313
Weiss, E. (2007). Muscle markers revisited: Activity pattern recon-
structed with controls in a central California amerind population.
American Journal of Physica l Anthropology, 133, 931-940.
doi:10.1002/ajpa.20607
Wood, J. W., Milner, G. R. et al. (1992). The osteological paradox
problems of inferring prehistoric health from skeletal samples. Cur-
rent Anthropology, 33, 343-370. doi:10.1086/204084