Study: Cancer Rate in Medieval Britain Higher Than Expected

A cancer cell (white) being attacked by two cytotoxic T cells
(red), part of a natural immune response triggered by immunotherapy.
Photo: Reuters
A cancer cell (white) being attacked by two cytotoxic T cells (red), part of a natural immune response triggered by immunotherapy. Photo: Reuters
TT

Study: Cancer Rate in Medieval Britain Higher Than Expected

A cancer cell (white) being attacked by two cytotoxic T cells
(red), part of a natural immune response triggered by immunotherapy.
Photo: Reuters
A cancer cell (white) being attacked by two cytotoxic T cells (red), part of a natural immune response triggered by immunotherapy. Photo: Reuters

Cancer isn't just a modern-day affliction. A new archaeological analysis suggests malignant growths in medieval Britain were not as rare as we once thought.

Even before widespread smoking, the Industrial Revolution, and the modern surge in life expectancy, it seems cancer was still a leading cause of disease.

Scanning and X-raying 143 medieval skeletons from six cemeteries in and around the city of Cambridge, archaeologists have predicted cancer cases between the 6th and the 16th century were roughly a quarter of what they are today. That's 10 times higher than previous estimates, which had put cancer rates at less than one percent.

"Until now it was thought that the most significant causes of ill health in medieval people were infectious diseases such as dysentery and bubonic plague, along with malnutrition and injuries due to accidents or warfare. We now have to add cancer as one of the major classes of disease that afflicted medieval people," archaeologist Jenna Dittmar from Cambridge University said in a report published by the Science Alert website.

Past analyses of medieval skeletons in Britain have only focused on the exterior of the bone, but Dittmar and her colleagues decided to look for evidence of metastases within the bone, too.

Scanning parts of the skeleton that are more likely to hold cancerous growths, such as the spinal column, the pelvis, and the thigh bone, the team found signs of malignancy in five individuals from medieval times.

Most cases were confined to the pelvis, but there was one middle-aged man that had lesions scattered throughout his skeleton, which is indicative of blood cancer.

"Using CT scans we were able to see cancer lesions hidden inside a bone that looked completely normal on the outside," says Dittmar.

Based on these statistics, the authors think the minimum prevalence of all cancers in medieval Britain would have sat somewhere between 9 and 14 percent.

The sample size of the current study was obviously small and focused on only one region. Yet even with these caveats in mind, the findings suggest we have been missing many cases of medieval cancer by not looking within the bone.

"We need further studies using CT scanning of apparently normal skeletons in different regions and time periods to see how common cancer was in key civilizations of the past," said author of the new research, archaeologist Piers Mitchell from Cambridge University.



Tunisia Women Herb Harvesters Struggle with Drought and Heat

A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)
A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)
TT

Tunisia Women Herb Harvesters Struggle with Drought and Heat

A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)
A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)

On a hillside in Tunisia's northwestern highlands, women scour a sun-scorched field for the wild herbs they rely on for their livelihoods, but droughts and rising temperatures are making it ever harder to find the precious plants.

Yet the harvesters say they have little choice but to struggle on, as there are few opportunities in a country hit hard by unemployment, inflation and high living costs.

"There is a huge difference between the situation in the past and what we are living now," said Mabrouka Athimni, who heads a local collective of women herb harvesters named "Al Baraka" ("Blessing").

"We're earning half, sometimes just a third, of what we used to."

Tunisia produces around 10,000 tons of aromatic and medicinal herbs each year, according to official figures.

Rosemary accounts for more than 40 percent of essential oil exports, mainly destined for French and American markets.

For the past 20 years, Athimni's collective has supported numerous families in Tbainia, a village near the city of Ain Draham in a region with much higher poverty rates than the national average.

Women, who make up around 70 percent of the agricultural workforce, are the main breadwinners for their households in Tbainia.

- 'Yield less' -

Tunisia is in its sixth year of drought and has seen its water reserves dwindle, as temperatures have soared past 50 degrees Celsius (122 degrees Fahrenheit) in some areas during the summer.

The country has 36 dams, mostly in the northwest, but they are currently just 20 percent full -- a record low in recent decades.

The Tbainia women said they usually harvested plants like eucalyptus, rosemary and mastic year-round, but shrinking water resources and rare rainfall have siphoned oil output.

"The mountain springs are drying up, and without snow or rain to replenish them, the herbs yield less oil," said Athimni.

Mongia Soudani, a 58-year-old harvester and mother of three, said her work was her household's only income. She joined the collective five years ago.

"We used to gather three or four large sacks of herbs per harvest," she said. "Now, we're lucky to fill just one."

Forests in Tunisia cover 1.25 million hectares, about 10 percent of them in the northwestern region.

Wildfires fueled by drought and rising temperatures have ravaged these woodlands, further diminishing the natural resources that women like Soudani depend on.

In the summer of last year, wildfires destroyed around 1,120 hectares near Tbainia.

"Parts of the mountain were consumed by flames, and other women lost everything," Soudani recalled.

To adapt to some climate-driven challenges, the women received training from international organizations, such as the Food and Agriculture Organization (FAO), to preserve forest resources.

Still, Athimni struggles to secure a viable income.

"I can't fulfil my clients' orders anymore because the harvest has been insufficient," she said.

The collective has lost a number of its customers as a result, she said.

- 'No longer sustainable' -

A recent study by the Tunisian Forum for Economic and Social Rights (FTDES) highlighted how climate-induced damage to forests had severely impacted local communities.

"Women in particular suffer the consequences as their activities become more difficult and arduous," the study said.

Tunisia has ratified key international environmental agreements, including the 2015 Paris Climate Accord.

But environmental justice researcher Ines Labiadh, who oversaw the FTDES study, said implementation "remains incomplete".

In the face of these woes, the Tbainia harvesters, like many women working in the sector, will be forced to seek alternative livelihoods, said Labiadh.

"They have no choice but to diversify their activities," she said. "Relying solely on natural resources is no longer sustainable."

Back in the field, Bachra Ben Salah strives to collect whatever herbs she can lay her hands on.

"There's nothing we can do but wait for God's mercy," she said.