Silhouette of person tripping over a rock

1 - Developing Support Networks

Just like today, people in the past sometimes got sick and injured.

We can look at evidence of recovery from illness and injury, and support for disability in the past to give us a better idea of if and how people were cared for.

Explore the examples below to look for clues for care in the distant past. While you look over the evidence, think about how their illness, injury or disability would have affected their everyday life, and the lives of the people around them. Would they have needed around-the-clock care, or would they simply have needed a little aid from others every now and then?

Silhouette of person reaching up to grab a buzzing bee hive from a branch
1KNM-ER 1808
Where were they found?

Kenya

When did they live?

Around 1.5 million years ago

Who is it?

An early human woman

What illness did they have?

The only evidence we have of this individual is a femur . The bone has an irregular outer layer of bone (which you can see in the picture below), which probably a result of a serious illness.

It looks like this woman had ‘hypervitaminosis A’ (an overdose of vitamin A), which can be caused by eating carnivore liver or bee brood. Both foods are an amazing source of energy, but too much can make you very ill.

How would this have affected her?

This woman would have been ill for weeks, perhaps even months, and the illness which caused the extra bone on her legs was most likely the cause of her death. An overdose of vitamin A would have caused her a lot of pain for a long period of time - weeks or even months - before her death.

People at this time were nomadic , and had to hunt and gather their food. How would this woman’s illness have affected her ability to keep up with the group?

What sort of help might her group have provided?

What does the treatment of this woman tell us about the rules and values of her group?

The thickening of the bone suggests she would have been in a lot of pain.
Original photograph © Smithsonian Institute.
Silhouette of a figure sat under a tree with walking stick
2La Chapelle-aux-Saints 1
Where were they found?

France

When did they live?

Around 60,000 years ago

Who is it?

This person was a Neanderthal man, aged between 25 and 40.

What illnesses/injuries did they have?

He had severe osteoarthritis in his spine and shoulder joints, as well as arthritis of the jaw. His left hip was breaking down and infected.

He had also lost a large number of his teeth long before death, and had severe gum disease.

How would this have affected them?

The osteoarthritis in his back and shoulder, and his hip problems, would have affected his ability to move. The problems with his jaw and mouth would probably have made it quite difficult to chew food.

People at this time were nomadic , and had to hunt and gather their food. How would this man’s illness have affected his ability to keep up with the group?

Think about how the group or others would relate to this man. What sort of help might they have provided?

What does the treatment of this man tell us about the rules and values of his group?

These are both Neanderthal skulls but show very different health.
La Feraise: Based on 3D data by mariamat098.CC-BY
La Chappelle-aux-Saints 1: original image by Luna04.Wikimedia Commons
Silhoutte of a figure with long hair raising their right arm to deflect a falling rock
3 Shanidar 1
Where were they found?

Shanidar Cave, Iraq

When did they live?

Around 40,000 years ago

Who is it?

This was a Neanderthal man, who was aged between 35 and 50.

What illnesses/injuries did they have?

While he had accumulated many injuries by the time he died, they had healed long before death. His injuries may have been the result of a rock fall.

His right arm had withered, and he had lost his lower arm and hand. The arm had been fractured but had healed, though he may have been paralysed on his right side.

A blow to the face had healed completely, but one side of his face was permanently deformed, with blindness in one eye and a hearing impairment.

His leg and foot bones were misshapen, and he probably would have had a painful limp.

How would this have affected them?

He would have had much more limited mobility, struggled to hear and see and wouldn’t have been able to walk as far as others.

People at this time were nomadic , and had to hunt and gather their food. How would this man’s injuries have affected his ability to keep up with the group?

What sort of help might he have needed?

What can the evidence of the Shanidar Man tell us about the values of his group?

Skull of Shanidar 1
The skull and arm bones of the Shanidar man.
You can see from this picture how withered the right arm bone was.
Original images © E. Trinkaus.
Silhoutte of a chest of a health young man with beaded necklace
4 Ohalo II
Where were they found?

Galilee, Israel

When did they live?

Over 20,000 years ago

Who is it?

These are some of the remains of a man who was in his mid-30s when he died.

What illnesses/injuries did they have?

Some time prior to death, he had suffered a traumatic injury to the chest, which had become infected.

How would this have affected them?

His damaged rib bones had regrown in such a way that he would have had a reduced lung capacity, making it more difficult for him to breathe.

As a result, he would have struggled to work for long periods of time.

People at this time were nomadic , and had to hunt and gather their food. How would this man’s injuries have affected his ability to keep up with the group?

Think about the group as a whole. How would they relate to this man and how would they have helped him?

Compare a healthy person’s ribs with those of Ohalo II’s.
Can you see where the ribs have regrown irregularly?
Original photograph © Dani Nadel.
Silhoutte of a two people sat on a log in a woodland clearing
5 Romito 2
Where were they found?

Romito Cave, southern Italy

When did they live?

Around 11,000 years ago

Who is it?

This individual was a man, who would have been between 17 and 20 years old when he died. He was buried with an older woman.

What illnesses/injuries did they have?

He was 120cm tall, and had a form of dwarfism.

How would this have affected them?

He would have looked different to the others in his group, and as a child may have taken longer to develop and walk. Physically, he would have had a limited range of movement in his arms and hands. He would have had mobility issues, struggling to walk for long periods of time without getting very tired, and his strength would have been more limited

Despite these difficulties he was healthy and received a careful burial, suggesting he was treated exactly the same as the rest of his group.

People at this time were nomadic , and had to hunt and gather their food. How would this man’s physical constraints have affected his ability to keep up with the group?

What does the treatment of the Romito man tell us about the rules and values of his group?

Skeleton from Romito 2
Skull and long bones from Romito.
Original image © David Frayer.