The ancient people of Balinese: a study of health status based on paleopathology remains
DOI:
https://doi.org/10.18778/1898-6773.87.2.01Keywords:
ancient, population, teeth, skeleton, paleopathologyAbstract
Humans have been constantly exposed to the environment in their daily activities, which may result in some pathological changes. Paleopathology research is rare, particularly on ancient humans who lived in Bali, Indonesia. This research is intended to gain more insight into the history of diseases and the community in the past to assist future health researchers. This study was conducted to understand variation in disease among the ancient populations in Bali, Indonesia. The study examines skeletons from the Gilimanuk, Semawang, and Pacung Sembiran sites in Bali, Indonesia, collected from 1964 to 2008. A total of 336 individuals were identified, including 63 adult males, 75 adult females, and 56 adults whose sex could not be determined. In addition, 142 children were included in the analysis. The examination of the individuals revealed the presence of various dental pathological changes, such as caries and enamel hypoplasia, as well as periodontitis. Furthermore, several bone-related diseases and abnormalities were identified, such as osteophytes, fractures, porotic hyperostosis, and spina bifida occulta. Available evidence suggests a similarity in the types of pathological changes among the ancient populations of Gilimanuk, Semawang, and Pacung Sembiran. While a comprehensive explanation of the paleopathological variations observed in these populations necessitates further investigation, the present findings hold considerable value for medical experts and anthropologists seeking to better understand patterns of disease distribution among ancient Indonesian populations.
This study was funded by the Directorate General of Higher Education, Research, and Technology of the Ministry of Education, Culture, Research, and Technology of Indonesia for the fiscal year 2023.
Downloads
References
Ardika IW. 1991. Archaeological Research in Northeastern Bali Indonesia (Thesis). Canberra: Australian National University.
View in Google Scholar
Ardika I, Bellwood P, Sutaba I, Yuliati K. 1997. Sembiran and the first Indian contacts with Bali: An update. Antiquity 71(271):193–195. https://doi.org/10.1017/S0003598X00084696
View in Google Scholar
Aufderheide AC, Rodríguez-Martin C, Langsjoen O. 1998. The Cambridge encyclopedia of human paleopathology. Cambridge: Cambridge University Press.
View in Google Scholar
Aziz FA. 1995. Situs Gilimanuk (Bali) sebagai pilihan lokasi penguburan pada awal Masehi. Berkala Arkeologi 15(3):43–46. https://doi.org/10.30883/jba.v15i3.669
View in Google Scholar
Blom DE, Buikstra JE, Keng L, Tomczak PD, Shoreman E, Stevens-Tuttle D. 2005. Anemia, and childhood mortality: latitudinal patterning along the coast of pre-Columbian Peru. Am J Phys Anthrop 127:152–169. https://doi.org/10.1002/ajpa.10431
View in Google Scholar
Boonlop K. 2018. The association between dental caries and the emergence of agriculture in prehistoric Thailand from 5000 BP. (Doctoral dissertation). Leicester: University of Leicester.
View in Google Scholar
Bosch X. 2000. Look to the bones for clues to human disease. The Lancet 355:1248. https://doi.org/10.1016/S0140-6736(05)74685-7
View in Google Scholar
Brothwell D. 1981. Digging up bones. London: British Museum (Natural History).
View in Google Scholar
Buikstra JE, Ubelaker DH. 1994. Standards for Data Collection from Human Skeletal Remains. Fayetteville: Arkansas Archaeological Survey.
View in Google Scholar
Buzon MR, Eng JT, Lambert PM, Walker PL. 2005. Bioarchaeological methods In: HDG Maschner and C Chippendale, editors. Handbook of Archaeological Methods. Altamira Press, Walnut Creek, 871–918.
View in Google Scholar
Calo A, Prasetyo B, Bellwood P, Lankton J, Gratuze B, Pryce TO, Reinecke A, Leusch V, Schenk H, Wood R, Bawono RA, Kompiang Gede ID, Citha Yuliati NLK, Fenner J, Reepmeyer C, Castillo C, Carter AK. 2015. Sembiran and Pacung on the North Coast of Bali: a Strategic Crossroads for Early Trans-Asiatic Exchange. Antiquity 9(344):378–396. https://doi.org/10.15184/aqy.2014.45
View in Google Scholar
Domet KM, Tayles N. 2006. Adult fracture patterns in prehistoric Thailand: a biocultural interpretation. Int J Osteoarchaeol 16(3):185–199. https://doi.org/10.1002/oa.815
View in Google Scholar
Gautama IGAGO. 2011. Evaluasi perkembangan wisata bahari di pantai Sanur. (Tesis). Denpasar: Universitas Udayana.
View in Google Scholar
Harkantiningsih MTN. 1990. Jenis dan Peletakan Bekal Kubur di Situs Semawang dan Selayar: Pola Kubur Dari Abad Ke-14 – 19. In: Analisis Hasil Penelitian Arkeologi I. Jakarta: Departemen Pendidikan dan Kebudayaan.
View in Google Scholar
Hillson S. 1997. Relationship of enamel hypoplasia to the pattern of tooth crown growth: a discussion. Am J Phys Anthrop 104:89–103 https://doi.org/10.1002/(SICI)1096-8644(199709)104:1<89::AID-AJPA6>3.0.CO;2–8
View in Google Scholar
Jacob T. 1972. Kesehatan di kalangan manusia purba. Berita Ilmu Kedokteran Gadjah Mada 1:143–157.
View in Google Scholar
Jacob T. 1977. Evolusi ekosystem manusia. Berkala Ilmu Kedokteran 9:35–40.
View in Google Scholar
Jurmain RD. 1990. Paleoepidemiology of a Central Californian prehistoric population from CA-ALA. I Degenerative joint disease. Am J Phys Anthrop 83:83–94. https://doi.org/10.1002/ajpa.1330830110
View in Google Scholar
Kim DK, Kim MJ, Kim YS, Oh CS, Shin DH. 2012. Vertebral osteophyte of pre-modern Korean skeletons from Joseon tombs. Anat Cell Biol 45(4):274–81. https://doi.org/10.5115/acb.2012.45.4.274
View in Google Scholar
King T, Humphrey LT, Hilson S. 2005. Linear enamel hypoplasia as indicators of systemic physiological stress: Evidence from two known age-at-death and sex populations from post-medieval London. Am J Phys Anthrop 128 (3):547–559. https://doi.org/10.1002/AJPA.20232
View in Google Scholar
Klaus HD. 2017. Paleopathological rigor and differential diagnostic: Case studies involving terminology, description, and diagnostic frameworks for scurvy in skeletal remains. Int J Paleopathology 19:96–110. https://doi.org/10.1016/j.ijpp.2015.10.002
View in Google Scholar
Klaus HD. 2020. Metabolic diseases in Andean paleopathology: Retrospect and prospect. Int J Paleopathology 29:54–64. https://doi.org/10.1016/j.ijpp.2019.06.008
View in Google Scholar
Koesbardiati T, Murti DB. 2019. Konsumsi sirih pinang dan patologi gigi pada masyarakat prasejarah Lewoleba dan Liang Bua, di Nusa Tenggara Timur, Indonesia. Berkala Arkeologi, 39:121–138. https://doi.org/10.30883/jba.v39i2.470
View in Google Scholar
Koesbardiati T, Murti DB, Herina DA, Sari AA. 2018. The Occurrence of enamel hypoplasia, porotic hyperostosis, and cribra orbitalia in three ancient skeletal assemblages from Indonesia. Bull Int Assoc Paleodont 12:33–40.
View in Google Scholar
Koesbardiati T, Murti DB, Suriyanto RA. 2015. Cultural dental modification in ancient population in Indonesia. Bull Int Assoc Paleodont 9:52–60.
View in Google Scholar
Larsen CS, Hutchinson DL, Stojanowsky CM, Williamson MA, Griffin MC, Simpson SW, Ruff CB, Schoeninger MJ, Norr L, Teaford MF, Driscoll EM, Schmidt C, Tung TA. 2007. Health and lifestyle in Georgia and Florida: Agricultural origins and intensification in regional perspective. In: MN Cohen and GMM Crane-Kramer, editors. Ancient Health: Skeletal Indicators of Agricultural and Economic Intensification. Gainesville: University Press of Florida, 20–34.
View in Google Scholar
Lovejoy CO. 1985. Dental wear in the Libben population Its functional pattern and role in the determination of adult skeletal age and death. Am J Phys Anthropol 68(1):47–56. https://doi.org/10.1002/ajpa.1330680105
View in Google Scholar
Lovejoy CO, Meindl RS, Pryzbeck TR, and Mensforth RP. 1985. Chronological metamorphosis of the auricular surface of the ilium: A new method for the determination of adult skeletal age at death. Am J Phys Anthrop 1(68):15–28. https://doi.org/10.1002/ajpa.1330680103
View in Google Scholar
Lukacs JR. 1989. Dental paleopathology: methods for reconstructing dietary patterns. In: MY Iscan and KAR Kennedy, editors. Reconstruction of life from the skeleton. New York: Alan Liss, 261–86.
View in Google Scholar
Merbs C. 2004. Sagittal clefting of the body and other vertebral developmental errors in Canadian Inuit skeletons. Am J Phys Anthrop 123(3):236–249. https://doi.org/10.1002/ajpa.10264
View in Google Scholar
Molto JE, Kirkpatrick CL, Keron J. 2019. The paleoepidemiology of Sacral Spina Bifida Occulta in population samples from the Dakhleh Oasis, Egypt. Int J Paleopathology 26:93–103. https://doi.org/10.1016/j.ijpp.2019.06.006
View in Google Scholar
Murti DM, Fajari NME, Koesbardiati T. 2023. Periodontal disease on individual GJL 1.1 from Kotabaru South Kalimantan, Indonesia. Bull Int Assoc Paleodont 17(1):21–31.
View in Google Scholar
Noerwidi S. 2020. Penyakit populasi kosmopolit kuno di Pantai utara Jawa Tengah abad XII–XV. In: SJ Suyono, I Muhtarom, D Trisnawati, editors. Menolak Wabah: Suara-suara dari Manuskrip, Relief, Khazanah Rempah dan Ritual Nusantara. Yogyakarta: Penerbit Ombak. 261–286.
View in Google Scholar
Nguyen VC. 1990. The habit of black lacquering of teeth and dental caries. Czah Stomatol 43:600–603.
View in Google Scholar
Ortner DJ. 2003. Identification of Pathological Conditions in Human Skeletal Remains. San Diego: Academic Press.
View in Google Scholar
Prayudi A, Suriyanto RA. 2018. GLM LVI: Tinjauan Osteoarkeologis atas sebuah rangka dari Gilimanuk. Forum Arkeologi 31(2):105–116. https://doi.org/10.24832/fa.v31i2.526
View in Google Scholar
Prayudi A, Suriyanto RA, Rahmawati NT, Hastuti J. 2020. Rekonstruksi kehidupan individu dari Terjan: Sebuah hipotesis. AMERTA, AMERTA 38(1):17–30. https://doi.org/10.24832/amt.v38i1.17.30
View in Google Scholar
Roberts CA, Manchester K. 2005. The Archaeology of Disease. Gloucestershire: Sutton Publishing.
View in Google Scholar
Rühli FJ, Galassi FM, Haeusler M. 2016. Palaeopathology: Current challenges and medical impact. Clin Anat 29(7):816–22. https://doi.org/10.1002/ca.22709
View in Google Scholar
Sheiham A. 2006. Dental caries affects body weight, growth, and quality of life in preschool children. British Dent J 201(10):625–6. https://doi.org/10.1038/sj.bdj.4814259
View in Google Scholar
Soejono RP. 1977. Sistim-sistim penguburan pada akhir masa prasejarah di Bali. Disertasi, Program Studi Arkeologi. Jakarta: Universitas Indonesia.
View in Google Scholar
Soenarto 1993. Paleogeomorfologi dalam studi daya dukung permukiman purba di Gilimanuk dan daerah sekitarnya. Universitas Gadjah Mada Fakultas Geografi. Yogyakarta.
View in Google Scholar
Sperber GH. 2017. Dental Wear: Attrition, Erosion, and Abrasion-A Palaeo-Odontological Approach. Dent J (Basel) 5(2):19. https://doi.org/10.3390/dj5020019
View in Google Scholar
Stuart-Macadam P. 1985. Porotic hyperostosis: representative of a childhood condition. Am J Phys Anthropol 66:391–398. https://doi.org/10.1002/ajpa.1330660407
View in Google Scholar
Steckel RH. 2005. Young adult mortality following severe physiological stress in childhood: Skeletal evidence. Econ Hum Biol 3:314–328. https://doi.org/10.1016/j.ehb.2005.05.006
View in Google Scholar
Steckel RH, Rose JS. 2002. The Backbone of History: Health and Nutrition in the Western Hemisphere. Cambridge: Cambridge University Press.
View in Google Scholar
Suastika IM. 2008 Traces of human lifestyle from the Paleolithic era to the beginning of the first century AD. In: B Hauser-Schäublin and IW Ardika, editors. Burials, Texts, and Rituals ethnoarchaeological investigations in North Bali, Indonesia, Gӧttingen: Universitӓtsverlag Gӧttingen. 158–175.
View in Google Scholar
Suddhasthira T, Thaweboon S, Dendoung N, Thaweboon B, Dechkunakorn S. 2006. Antimicrobial activity of Cratoxylum formosum on Streptococcus mutans. Southeast Asian J Trop Med Public Health 37:1156–1159.
View in Google Scholar
Suriyanto RA. 2020. Membaca tulang dan gigi: Bukti-bukti penyakit dari masa prasejarah Indonesia dari kacamata bioarkeologis, In: SJ Suyono, I Muhtarom and D Trisnawati, editors. Menolak Wabah: Suara-suara dari Manuskrip, Relief, Khazanah Rempah dan Ritual Nusantara. Penerbit Ombak, Yogyakarta. 179–211.
View in Google Scholar
Suriyanto RA, Koesbardiati T. 2010. Dental modifications: A perspective of Indonesia chronology and the current applications. Dent J 43:81–90. https://doi.org/10.20473/j.djmkg.v43.i2.p81-90
View in Google Scholar
Ungar PS. 2014. Teeth: A very short introduction. New York: Oxford University Press.
View in Google Scholar
Walker PL, Bathurst RR, Richman R, Gjerdrum T, Valerie AA. 2009. The causes of porotic hyperostosis and cribra orbitalia: A reappraisal of the iron-deficiency-anemia hypothesis. Am J Biol Anthrop 139(2):109–125. https://doi.org/10.1002/ajpa.21031
View in Google Scholar
Wiradyana K. 2010. Pentarikhan baru situs Hoabinhian dan berbagai kemungkinannya. Berkala Aarkeologi Sangkhakala, 13(26):222–233. https://doi.org/10.24832/bas.v13i26.174
View in Google Scholar
Yuliati LKDC. 1990. Sanur, situs arkeologi yang kompleks. Forum Arkeologi 2 (2):60–74. https://doi.org/10.24832/fa.v212.173
View in Google Scholar
Zumbroich TJ. 2007/2008. The origin and diffusion of betel chewing: a synthesis of evidence from South Asia, Southeast Asia and beyond, eJIM 1:63–116.
View in Google Scholar
Published
Versions
- 2024-09-16 (2)
- 2024-06-18 (1)
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.