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Arseniasis as an environmental hypothetical explanation for the origin of the oldest artificial mummification practice in the world.

Bernardo Arriaza, Ph.D.

Universidad de Tarapacá

Departamento de Antropología

Centro de Investigación del Hombre en el Desierto

Arica-Chile

1st Paleopathology Association Meeting in South America, Brazil, July 27-29, 2005

What is unique to Camarones?

• Oldest artificial mummification in the world

Oldest mummies are infants

What is unique to Camarones?

• Very high contents of arsenic in the natural water system (1000 µ g/L) and high level in the food

• Camarones arsenic level in the water is 100 times higher than accepted

WHO recommendations

WHO accepted arsenic level in the water is

10µg/L

Area

Lluta

Arsenic level Times above the norm

200 µ g/L 20

Camarones 1000 µ g/L 100

Antofagasta 30-40 µ g/L 3-4

Valparaíso <1 µ g/L Normal

Village

Camarones

Taltape

Esquiña

Huancarane

Illapata

Esquiña

Huancarane

Illapata

Camarones water quality

Source of water Arsenic concentration

( µ g/L)

River 1000

River

River

1000

750

River 750

River

Water spring

Water spring

Water spring

1300

75

75

50

Taken from: Cornejo 2004

1000µg/L

750µg/L

1300µg/L

Taken from: Cornejo 2004

Levels of arsenic in the body of modern

Camarones people

Taken from: Cornejo 2004

Lab data

Arsenite is more potent than arsenate (Hood 1972)

But arsenate is converted to arsenite in the body by glutathione during biomethylation in the human body (Nemec et al. 1998)

Nemec MD, Holson JF, Farr CH, et al. (1998). Developmental toxicity assessment of arsenic acid in mice and rabbits. Reprod Toxicol. 12:647–658

Hood RD. (1972). Teratogenic effects of sodium arsenate in mice. Arch Environ Health. 24:62– 65

Is there a connection between arsenic intake and artificial mummification?

You betcha!

It is hypothesized here that arseniasis triggered artificial mummification

Why?

Arsenic poisoning produces:

Hyperpigmentation of the skin and nails

Keratosis

Carcinoma of the liver and urinary bladder

Anemia

Taken from: http://www.ecplanet.com/pic/2003/04/1051353968/arsenico.jpg

Taken from: http://www.sos-arsenic-net/images/feet1.jpg

Hyperpigmentation

Taken from: http://dermis.multimedica.de/doia/image.asp?zugr=d&lang=s&cd=43&nr=40&diagnr=757335

Taken from: http://www.pathology.vcu.edu/research/paleo/case2.html

Presence of Mees lines, after 3 months of arsenic poisoning

Taken from: http://www.estrucplan.com.ar/Producciones/entrega.asp?IdEntrega=37

More important yet, arseniasis produces severe consequences in mothers and children

Premature births

Stillbirths

Low birth weight

Spontaneous abortions

High infant mortality

Systemic organ damage and low red blood cell production

After: Milton 2005, Hopenhayn 2003

Definitions

Spontaneous abortion: a natural failure of pregnancy of less than 28 weeks of gestation.

Stillbirths: any delivery after 28 weeks of gestation that did not show any evidence of breathing or signs of life.

Neonatal death: the death of the newborn within 28 days after birth.

After Dutta DC. (1994)Textbook of Obstetrics Including Perinatology and

Contraception, 3rd ed. Kolkata, India:New Central Book Agency P Ltd; p. 618.

Unfortunately…

 Arseniasis in children often goes unnoticed

 Adult arsenic poisoning has received more attention due to the chronic nature of the lesions

 In Bangladesh, tube wells to reduce cholera and diarrhea now produce arseniasis

Field data

Ahmad et al. (2001) Reported that Bangladesh women of reproductive age that were drinking water with 100 µg/L of arsenic, had spontaneous abortion rates nearly three times greater than normal ( N= 192).

These exposed women had more than double the rates of stillbirths and preterm births compared to their unexposed counterparts.

Women exposed to arsenic for more than 15 years, had a rate about five times greater than unexposed individuals.

THEN

Assuming a linear correlation between level of poisoning and health consequences, extrapolating the Bangladesh spontaneous abortion rate, and the 1000µg/L of arsenic at Camarones, then

Chinchorro women likely had rates 30 times higher for spontaneous abortion, stillbirths and preterm births than a normal population.

Adverse pregnancy outcomes as a consequence of drinking contaminated water with arsenic levels greater than 100 µ g/L in

Bangladesh (Samta Village) for 1,000 live birth

Group

Nonexposed

Exposed

Rate

Spontaneous abortions

23.7

68.8

2.9

Stillbirth

23.7

53.1

2.2

Preterm birth

27.1

68.8

2.5

Years of exposure Spontaneous abortions Stillbirth Preterm birth

Less than 15 years 43.5

43.5

47.8

More than 15 years

Rate

133.3

3.1

77.5

1.8

122.2

2.6

Years of exposure Spontaneous abortions Stillbirth Preterm birth

Nonexposed 23.7

23.7

27.1

More than 15 years

Rate

133.3

5.6

77.5

3.2

122.2

4.5

“There are few reports about the effect of arseniasis in drinking water on human pregnancy outcomes”

Akhtar Ahmad 2001

Camarones site reported by Schiappacasse and Niemeyer (1984)

Twenty-three inhumations were discovered and exhumed

Six inhumations were under 4 years of age and five had artificial mummification

Camarones 14: anthropogenic burials

(Schiappacase and Niemeyer, 1984:85-105)

Burial Nº

13

21

22

8

9

Age

1 year

2 years

2 months

4 years

Newborn

Wig

-

Yes

-

Yes

Yes

Yes

Yes

Yes

Yes

-

Clay mask

Longitudinal sticks

Yes

-

Yes

Yes

Yes

14 C in YBP

7000+135

Camarones 17:

(Arriaza, Aufderheide and Muñoz 1993:115-118)

Burial Nº Age Sex

Clay mask

No 1 39-40 years Female

2

3

4

9 months Unknown Yes

Newborn Unknown Yes

Newborn Unknown Yes

Others

Natural mummification

Artificial mummification

Artificial mummification

Artificial mummification

14 C in YBP

-

-

6780+110

6930+140

Camarones 14 has high infant mortality.

Schiappacase and Niemeyer (1984) suggested infanticide (p. 171 and 179)

A better explanation is arseniasis

They estimated birth and mortality rates 45.1 (per one thousand)

High arsenic content in the environment

(in water and riverine resources)

The proposed model

High rates of:

Stillbirths

Premature birth

Abortion

Infant mortality

Personal and social grief:

Intentional preservation of infants began at Cam

14

Artificial mummification assuaged community grief:

People like what they see

All ages undergo mummification

Mummification spread to surrounding areas and became more elaborated and popular

Main factors triggering Chinchorro artificial mummification practices

Environmental

(Arsenic and dry environment)

Ideological

(After life)

Health

(neonatal dead)

Emotional

(parental grief)

Visit: www.momiaschinchorro.com

Literature cited

☼ S. Akhtar Ahmad, M.H. Salim Ullah Sayed, Shampa Barua, Manzurul Haque Khan, M.H. Faruquee, Abdul Jalil, S.

Abdul Hadi, and Humayun Kabir Talukder. Arsenic in Drinking Water and Pregnancy Outcomes (2001).

Environmental Health Perspectives Vol 109 (6): 629=631

☼ Abul Hasnat Milton, Wayne Smith, Bayzidur Rahman, Ziaul Hasan, Umme Kulsum, Keith Dear, M. Rakibuddin, and

Azahar Ali (2005) Chronic Arsenic Exposure and Adverse Pregnancy Outcomes in Bangladesh. Epidemiology

Volume 16(1):82=86)

☼ Claudia Hopenhayn, Catterina Ferreccio, Steven R. Browning, Bin Huang, Cecilia Peralta, Herman Gibb, and Irva

Hertz-Picciotto (2003) Arsenic Exposure from Drinking Water and Birth Weight. Epidemiology 14: 593–602

☼ Dutta DC. (1994) Textbook of Obstetrics Including Perinatology and Contraception, 3rd ed. Kolkata, India:New

Central Book Agency P Ltd; 1994;618

☼ Nemec MD, Holson JF, Farr CH, et al. Developmental toxicity assessment of arsenic acid in mice and rabbits.

Reprod Toxicol. 1998;12:647–658 Hood RD. Teratogenic effects of sodium arsenate in mice. Arch Environ Health.

1972;24:62– 65

☼ Schiappacasse and Niemeyer (1984). Descripción y Análisis interpretativo de un sitio arcaico temprano en la quebrada de Camarones. Publicada Ocasional Nro. 41.

☼ Lorena Cornejo 2004. http://www.cnea.gov.ar/xxi/ambiental/agua-pura/presentacionesencuentro/presentación%20proyecto%20oea%20lorena%20en%20buenos%20aires2.pdf

☼ http://www.ecplanet.com/pic/2003/04/1051353968/arsenico.jpg

☼ http://www.sos-arsenic-net/images/feet1.jpg

☼ http://dermis.multimedica.de/doia/image.asp?zugr=d&lang=s&cd=43&nr=40&diagnr=757335

☼ http://www.estrucplan.com.ar/Producciones/entrega.asp?IdEntrega=37

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