Iraq Dig Uncovers 5,000 Year Old Pub Restaurant

Archaeologists working in Iraq have uncovered the remains of a tavern dating back nearly 5,000 years they hope will throw new light on the emergence of the world's first cities. Asaad NIAZI / AFP
Archaeologists working in Iraq have uncovered the remains of a tavern dating back nearly 5,000 years they hope will throw new light on the emergence of the world's first cities. Asaad NIAZI / AFP
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Iraq Dig Uncovers 5,000 Year Old Pub Restaurant

Archaeologists working in Iraq have uncovered the remains of a tavern dating back nearly 5,000 years they hope will throw new light on the emergence of the world's first cities. Asaad NIAZI / AFP
Archaeologists working in Iraq have uncovered the remains of a tavern dating back nearly 5,000 years they hope will throw new light on the emergence of the world's first cities. Asaad NIAZI / AFP

Archaeologists in southern Iraq have uncovered the remains of a tavern dating back nearly 5,000 years they hope will illuminate the lives of ordinary people in the world's first cities.

The US-Italian team made the find in the ruins of ancient Lagash, northeast of the modern city of Nasiriyah, which was already known to have been one of the first urban centers of the Sumerian civilization of ancient Iraq, AFP said.

The joint team from the University of Pennsylvania and the University of Pisa discovered the remains of a primitive refrigeration system, a large oven, benches for diners and around 150 serving bowls.

Fish and animal bones were found in the bowls, alongside evidence of beer drinking, which was widespread among the Sumerians.

"So we've got the refrigerator, we've got the hundreds of vessels ready to be served, benches where people would sit... and behind the refrigerator is an oven that would have been used... for cooking food," project director Holly Pittman told AFP.

"What we understand this thing to be is a place where people -- regular people -- could come to eat and that is not domestic," she said.

"We call it a tavern because beer is by far the most common drink, even more than water, for the Sumerians", she said, noting that in one of the temples excavated in the area "there was a beer recipe that was found on a cuneiform tablet".

- 'Regular people' -
The world's first cities developed in what is now southern Iraq, after agricultural surpluses from the domestication of the first crops allowed the emergence of new social classes not engaged directly in food production.

The Lagash area, close to the confluence of the Tigris and Euphrates rivers, was dubbed the "garden of the gods" by the ancients for its fertility and gave rise to a string of Sumerian cities dating back to the early dynastic period.

"Lagash was one of the important cities of southern Iraq," Iraqi archaeologist Baker Azab Wali told AFP, after working with the US-Italian team on the site.

"Its inhabitants depended on agriculture, livestock, fishing, but also on the exchange of goods," he said.

Pittman said the team was eager to learn more about the occupations of the people who used the tavern in its heyday in around 2700 BC to throw new light on the social structure of the first cities.

Detailed analysis would need to be carried out on the samples taken during the excavations the team completed in November.

"There is so much that we do not know about this early period of the emergence of cities and that is what we are investigating," she said.

"We hope to be able to characterize the neighborhoods and the kinds of occupation... of the people that lived in this big city who were not the elite," she added.

"Most of the work done at the other sites focuses on kings and priests. And that is all very important but the regular people are also important."



Obesity Won’t Be Solely Defined by BMI under New Plan for Diagnosis by Global Experts

A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
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Obesity Won’t Be Solely Defined by BMI under New Plan for Diagnosis by Global Experts

A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)

A group of global experts is proposing a new way to define and diagnose obesity, reducing the emphasis on the controversial body mass index and hoping to better identify people who need treatment for the disease caused by excess body fat.

Under recommendations released Tuesday night, obesity would no longer be defined solely by BMI, a calculation of height and weight, but combined with other measurements, such as waist circumference, plus evidence of health problems tied to extra pounds.

Obesity is estimated to affect more than 1 billion people worldwide. In the US, about 40% of adults have obesity, according to the US Centers for Disease Control and Prevention.

"The whole goal of this is to get a more precise definition so that we are targeting the people who actually need the help most," said Dr. David Cummings, an obesity expert at the University of Washington and one of the 58 authors of the report published in The Lancet Diabetes & Endocrinology journal.

The report introduces two new diagnostic categories: clinical obesity and pre-clinical obesity.

People with clinical obesity meet BMI and other markers of obesity and have evidence of organ, tissue or other problems caused by excess weight. That could include heart disease, high blood pressure, liver or kidney disease or chronic severe knee or hip pain. These people would be eligible for treatments, including diet and exercise interventions and obesity medications.

People with pre-clinical obesity are at risk for those conditions, but have no ongoing illness, the report says.

BMI has long been considered a flawed measure that can over-diagnose or underdiagnose obesity, which is currently defined as a BMI of 30 or more. But people with excess body fat do not always have a BMI above 30, the report notes. And people with high muscle mass — football players or other athletes — may have a high BMI despite normal fat mass.

Under the new criteria, about 20% of people who used to be classified as obese would no longer meet the definition, preliminary analysis suggests. And about 20% of people with serious health effects but lower BMI would now be considered clinically obese, experts said.

"It wouldn't dramatically change the percentage of people being defined as having obesity, but it would better diagnose the people who really have clinically significant excess fat," Cummings said.

The new definitions have been endorsed by more than 75 medical organizations around the world, but it's not clear how widely or quickly they could be adopted in practice. The report acknowledges that implementation of the recommendations "will carry significant costs and workforce implications."

A spokesman for the health insurance trade group AHIP, formerly known as America's Health Insurance Plans, said "it's too early at this point to gauge how plans will incorporate these criteria into coverage or other policies."

There are practical issues to consider, said Dr. Katherine Saunders, an obesity expert at Weill Cornell Medicine and co-founder of the obesity treatment company FlyteHealth. Measuring waist circumference sounds simple, but protocols differ, many doctors aren't trained accurately and standard medical tape measures aren't big enough for many people with obesity.

In addition, determining the difference between clinical and pre-clinical obesity would require a comprehensive health assessment and lab tests, she noted.

"For a new classification system to be widely adopted, it would also need to be extremely quick, inexpensive, and reliable," she said.

The new definitions are likely to be confusing, said Kate Bauer, a nutrition expert at the University of Michigan School of Public Health.

"The public likes and needs simple messages. I don't think this differentiation is going to change anything," she said.

Overhauling the definition of obesity will take time, acknowledged Dr. Robert Kushner, an obesity expert at the Northwestern Feinberg School of Medicine and a co-author of the report.

"This is the first step in the process," he said. "I think it's going to begin the conversation."