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Evolutionary Anthropology 21:50–57 (2012)

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The Science Behind Pre-Columbian Evidence of
Syphilis in Europe: Research by Documentary
GEORGE J. ARMELAGOS, MOLLY K. ZUCKERMAN, AND KRISTIN N. HARPER

This article discusses the presentation of scientific findings by documentary, without the process of peer review. We use, as an example, PBS’s ‘‘The Syphilis Enigma,’’ in which researchers presented novel evidence concerning the origin of syphilis that had never been reviewed by other scientists. These ‘‘findings’’ then entered the world of peer-reviewed literature through citations of the documentary itself or material associated with it. Here, we demonstrate that the case for pre-Columbian syphilis in
Europe that was made in the documentary does not withstand scientific scrutiny. We also situate this example from paleopathology within a larger trend of ‘‘science by documentary’’ or ‘‘science by press conference,’’ in which researchers seek to bypass the peer review process by presenting unvetted findings directly to the public.

George J. Armelagos is Goodrich C.
White Professor of Anthropology at
Emory University, Atlanta, Georgia. His research has focused on diet and disease in prehistory. He was the Viking Medal
Medalist (Wenner-Gren Foundation) in
2005, received The Franz Boas Award for
Exemplary Service to Anthropology from the American Anthropological Association in 2008, and The Charles Darwin Award for Lifetime Achievement to Biological
Anthropology from the American Association of Physical Anthropologists in 2009.
Email: antga@emory.edu
Molly Zuckerman is an assistant professor in the Department of Anthropology and Middle Eastern Cultures at Mississippi State
University. Her research centers on the biosocial determinants of health inequalities among past populations, with a particular focus on social identity and gender, and on the evolution of infectious disease, with a focus on syphilis. She is associated with ongoing bioarcheological research projects in the UK, Mongolia, and St. Croix.
Email: mkz12@msstate.edu
Kristin Harper is a postdoctoral fellow in the Department of Environmental Sciences at Columbia University. Her research centers on the genetic and epigenetic pathways that lead from common environmental exposures to disease. Currently, she is investigating several possible mechanisms underlying the development of arsenicinduced cancer in Bangladesh.
Email: kh2383@columbia.edu

C
V 2012 Wiley Periodicals, Inc.

DOI 10.1002/evan.20340
Published online in Wiley Online Library
(wileyonlinelibrary.com).

The foundation of science is the peer review process.1 Within this process, research findings are vetted by peers who are experts in the field and can attest to the scientific worthiness of the authors’ assertions. Following publication in a scholarly venue, the popular press may disseminate the results of this research. Popular documentaries and press conferences following publication are two outlets that have gained a prominent role in realizing the obligation of scholars to bring their research to the public.
However, a new genre of research has emerged that circumvents the process of peer review. In ‘‘research by documentary,’’ controversial results are not initially presented to colleagues in the field for evaluation but are, instead, presented directly to the public without having undergone peer review. These unevaluated results then become part of the body of peerreviewed research through reviews, news stories, or personal communications. While this process has been called a ‘‘deviation’’ by some, it is becoming an increasingly common practice.2 Here we present a few prominent examples of this phenomenon that come from a controversial problem

in paleopathology. The origin and antiquity of syphilis are among the greatest historical and scientific questions in the history of medicine.
Did Columbus and his crew bring syphilis from the New World to the
Old World in 1493, as suggested by the timing of the first reported epidemic in Europe just years after their return (Fig. 1)?3–5 Or did syphilis originate in the Old World, simply going unrecognized until the early fifteenth century or, perhaps, noticeably increasing in prevalence or virulence at this time?6–8 These rival theories regarding the origin of syphilis in the Old World have been named, respectively, the Columbian and pre-Columbian hypotheses. In this article, we focus on ‘‘The Syphilis
Enigma,’’ a documentary in the Public Broadcasting Service (PBS) series
Secrets of the Dead,9 which presents the controversy surrounding the
Columbian hypothesis, and a more recent British Broadcasting Company (BBC) documentary, ‘‘Pompeii:
Life and Death in a Roman Town,’’ which reports the discovery of preColumbian European skeletons bearing evidence of syphilis in ancient
Rome.10 We discuss discrepancies between the findings described to the media and the results that, over time, have filtered out into the research community. We conclude with an overview of the origin and antiquity of syphilis in Europe in the light of data that have been presented in the peer-reviewed literature. ‘‘The Syphilis Enigma’’ documentary pits one of the authors (G. J. A.) against another paleopathologist,
Charlotte Roberts, as the protagonists in a debate wherein Roberts

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Figure 1. This woodcut, ‘‘The French Disease,’’ is dated to August 1, 1496, and is
¨rer. It is one of the attributed to Albrecht Du earliest known depictions of the disease now recognized as syphilis. The illustration was originally accompanied by a text commentary written by Theodoricus Ulsenius, city physician of Nuremburg, remarking on the recent emergence of the syphilis epidemic in Europe and attributing the origins of the new disease to the conjunction of Jupiter,
Mars, and Saturn in 1484, as indicated by the signs of the zodiac above the figure. The close temporal proximity of the production of this illustration to the return of Columbus and his crew provides support for the Columbian hypothesis. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.] presents evidence on the origins of syphilis, which, according to the

The Science Behind Pre-Columbian Evidence of Syphilis in Europe 51

documentary’s blurb, ‘‘turns the prevailing Columbian theory on its head.’’ The key to Roberts’ argument is skeletal material recovered from the Hull Magistrate’s Court site in
Hull, England, a friary founded in
AD 1316-1317 and occupied until
1539, which she states reveals indisputable evidence of syphilis. The narrator in the documentary specifies that the skeletons in question have been radiocarbon dated to AD 13001450. To support her position, Roberts cites ancillary skeletal data from
Pompeii and Metaponto, Italy, which she argues provide additional evidence of syphilis appearing in
Europe before 1492. All of this evidence is presented authoritatively, even though it has never been evaluated in the peer review process. In addition to the documentary, ‘‘The
Syphilis Enigma’’ is represented by a
PBS web site reaffirming the material presented in the film, as well as making it available to a wider audience than may have seen the film.11
Finally, an additional and more balanced treatment of the subject can be found in Hugh Miller’s12 chapter on the syphilis enigma in the companion book, The Secrets of the Dead.
The documentary primarily focuses on four skeletons from the Hull friary that are reported to bear indisputable evidence of syphilis. Roberts gives a detailed description of skeleton 1216, a young adult male with lesions that are undeniably due to some form of treponemal disease (that is, syphilis, yaws, or bejel). However, the other three skeletons Roberts mentions as having ‘‘syphilis-like’’ lesions (skeletons 805, 932, and 1121) are not described in any depth in the documentary.
Syphilis and the other treponematoses manifest on the skeleton in diverse ways, but characteristically cause caries sicca lesions, a series of confluent pits and star-like radial scars on the skull, along with thickening of the skull and periosteal reactions, or deposition of new bone on the exterior surface of a bone, accompanied by surface pitting and thickening of the bones.13–15 The documentary’s claim that 60% of the other 245 skeletons recovered at the site have postcranial lesions indica-

tive of syphilis is mentioned only briefly, and none of this evidence is presented for evaluation. In fact, this high reported prevalence of ‘‘syphilislike’’ lesions, which would substantially bolster the pre-Columbian hypothesis, has yet to be discussed in a peer-reviewed publication on the friary site.
Moreover, an unpublished draft report,16 which provides the only available comprehensive discussion of skeletal remains from the site, notes only several disarticulated long bones bearing
‘‘treponemal-like
lesions’’ and a solitary skull with caries sicca.16,50 The date ranges for these finds are not indicated. While approximately 70% of adult skeletons from the site do indeed have lesions on their postcrania, Holst and colleagues16,44 correctly note that periosteal lesions, the type of lesions observed, are very common in ancient skeletons. New bone can be deposited in response to irritation and inflammation, among other triggers.
Thus, periosteal reactions can be caused by numerous conditions, ranging from treponemal disease and varicose veins to trauma and tuberculosis.17–20
Periosteal
reactions caused by treponemal disease characteristically result in thickening or expansion of the affected bones, especially when accompanied by osteitis, the deposition of new bone within the marrow cavity, with localized enlargements (nodes) and shallow pitting on their exterior surfaces.
However, because of the wide range of possible causes of periosteal reactions, lesions of this kind are by no means diagnostic of syphilis.21,22
The key importance of skeleton
1216 in the documentary is primarily due to the pre-Columbian dates presented for it. The radiocarbon date reported is in the range of AD 13001430. The film also presents a cogent case for dendrochronological dating of skeleton 1216, based on Baltic forest wood taken from coffins found at the site. Wood from these coffins gives a date of AD 1340-1369. The documentary’s narrator interprets these dates as evidence of syphilis in
Europe 150 years before the return of Columbus from the New World.

52 Armelagos et al.

But how solid is the evidence underlying these dates?
Let us start with the radiocarbon dates. Skeleton 1216 has been radiocarbon dated twice, once in 2000 and again in 2003. We presented both dates to the public for the first time in
2011 as personal communications in a critical review of reported cases of
Old World, pre-Columbian treponemal disease.23 The first radiocarbon date for skeleton 1216 gives a range of AD 1310-1435; the second, a range of AD 1428-1611. These two dates, performed on the same skeleton, give ranges that barely overlap one another. This difference is most likely due to error inherent in the process of
AMS dating which is poorly understood and consequently not included when generating 95% confidence intervals.23 The latter date is consistent with an individual who contracted syphilis after 1493.
Moreover, neither of these date ranges takes into account an important source of uncertainty in radiocarbon dating: the marine reservoir effect. In ‘‘The Syphilis Enigma,’’ Roberts is quoted as saying that since Hull was a port city, many of its residents may have consumed a lot of fish, ‘‘and that high marine content in the diet can affect the accuracy of the radiocarbon results.’’ That is, a diet high in marine or lacustrine content can generate radiocarbon dates for the organism that can be hundreds or even thousands of years older than its actual age.24 This effect is caused by delayed exchange rates between atmospheric CO2 and ocean biocarbonate, together with the dilution effect caused by the mixing of surface waters with upwelling deep water that contains ‘‘old carbon.’’25–27 To correct for this effect, the relative proportion of marine content in an organism’s diet is assessed, typically using d13C values, because, relative to terrestrial protein sources, marine foods are typically enriched in d13C.28,29 Correcting for the effect is complicated, as d13C values yield only rough approximations of marine dietary content.30–32
However, a very conservative adjustment suggests that approximately
30% of skeleton 1216’s diet came from marine sources.23 Corrections for the marine reservoir effect yield adjusted

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date ranges of AD 1408-1611 for the first date and AD 1492-1657 for the second, more recent date. Both corrected dates include a span of more than 100 years after the return of
Columbus and the first recorded syphilis epidemic in Europe.
The dendrochronological dating of the coffins is also reported to place the affected individuals in the preColumbian period. In the documentary, the stratigraphic relationship of

A very conservative adjustment suggests that approximately 30% of skeleton 1216’s diet came from marine sources. Corrections for the marine reservoir effect yield adjusted date ranges of AD 14081611 for the first date and AD 1492-1657 for the second, more recent date. Both corrected dates include a span of more than 100 years after the return of
Columbus and the first recorded syphilis epidemic in Europe.

the dated coffins to skeleton 1216 or the other three skeletons is never clearly presented. However, personal communications in 2007 with the archeologist in charge of the excavations at the Hull friary site, David
Evans, have firmly contradicted any close stratigraphic, and thus temporal, relationship between 1216 and these medieval coffins. Problematically, a description of the archeology and stratigraphy of the site has never been published. Nonetheless, in the documentary, the ambiguity of the

stratigraphic relationship is never mentioned, which reinforces in the viewer’s mind a pre-Columbian date for skeleton 1216.
What of the three other skeletons reported to show ‘‘syphilis-like’’ lesions and to have definite pre-Columbian dates? According to the Secrets of the
Dead web site, as of 200211 Charlotte
Roberts was working to obtain new radiocarbon dates on these three skeletons, as well as some of the other bones recovered from the Hull friary site with ‘‘treponemal-like’’ lesions.
Indeed, in 2003, Roberts obtained radiocarbon dates for two of the skeletons, 932 and 1121. Independent evaluation of these cases shows that neither of them exhibit lesions that are diagnostic of syphilis or another treponemal disease. Also, the new radiocarbon dates for the skeletons, when corrected for their consumption of marine resources and the marine effect, stretch to 150 years after Columbus’s return: AD 1478-1647 and 1497-1671, respectively.23 Thus, none of the ‘‘evidence’’ reported in this widely viewed documentary holds up under scrutiny.
However, even though it became progressively more clear, after the documentary aired, that the evidence was faulty, updated and correct information was never presented to either the scientific community or the public because there was no article to retract. As the research discussed in the documentary had never been published, it took years for the authors of this article, as well as other interested researchers, to obtain and assess information that should have been easily accessible in a peer-reviewed journal article. Unfortunately, during this period, the conclusions presented in the documentary began to enter the body of peer-reviewed literature, unquestioned. How did this happen?
In von Hunnius and coworkers’33 article ‘‘Histological Identification of
Syphilis in Pre-Columbian England,’’ in the American Journal of Physical
Anthropology, a date range of AD
1300-1450 was reported for the four skeletons from the Hull friary site. von Hunnius and colleagues stated that the range was based on radiocarbon dating, dendrochronology of the aforementioned coffins, and stra-

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tigraphy. However, no specific radiocarbon date ranges were provided.
The article also lacked all of the other information traditionally provided for such dates, including laboratory IDs, uncalibrated dates, and d13C values. While the authors noted that, given the possibility that the dates may incorporate uncertainty from the marine effect, the radiocarbon dates alone cannot confirm a preColumbian date for the skeletons, they stated that stratigraphy and dendrochronology place the skeletons firmly within the pre-Columbian period.33 It should be noted that several years before this article was published, the second radiocarbon date for skeleton 1216, which substantially overlapped the post-Columbian time period even when uncorrected for the marine reservoir effect, had already been obtained by one of the authors
(C. A. R.). This second date, however, is not mentioned. Although this article reiterated the information stated in the documentary, that archeological evidence places the four skeletons in the pre-Columbian time period,
David Evans, the source of the personal communication cited by von Hunnius and colleagues, later stated that this was not the case. This resulted in a he-said, she-said situation that could not easily be resolved because of the lack of a peer-reviewed publication detailing the dating and archeological context of these skeletons.
Thus, information from ‘‘The Syphilis
Enigma’’ appeared almost word-forword in a peer-reviewed publication.
This occurred even though the documentary itself had never been evaluated by peer review and had, by the time of publication of the article by von Hunnius and coworkers, been shown to be questionable by a researcher involved in both works (C.
A. R.). In this form, it could now be easily cited in respectable, peer reviewed publications — and this is exactly what has happened. At the time of this writing, von Hunnius and coworkers33 have been cited fourteen times according to Google Scholar.
Moreover, other researchers have now used the spurious dates given for the Hull friary site as the basis for their own analyses.34

The Science Behind Pre-Columbian Evidence of Syphilis in Europe 53

Another example of how the suspect findings in ‘‘The Syphilis
Enigma’’ have become part of the peer-reviewed literature is through the process of review. In an article in the peer-reviewed journal Sexually
Transmitted Infections, Morton and
Rashid35 reported on the PBS documentary and posed this question:
‘‘The syphilis enigma: the riddle resolved?’’ While they were careful to use neutral language such as ‘‘It is claimed,’’ they ultimately accepted the evidence that the 245 skeletons from the Hull friary site represented evidence compatible with pre-Columbian treponemal disease. At the time of this writing, this article has been cited twenty times according to Google Scholar.
The skeletons from Hull were not the only evidence in favor of the preColumbian hypothesis presented in
‘‘The Syphilis Enigma.’’ Skeletal material reported to bear evidence of syphilis from Metaponto, Italy, a large
Greek colony dated to 580-250 BC, was also discussed. The evidence from Metaponto has been presented by Maciej and Renata Henneberg in archeological site reports, The New
York Times, National Geographic Exploration (a non-peer- reviewed periodical published by National Geographic), and Dutour and colleagues’3 influential conference proceedings volume on Old Word, pre-Columbian syphilis, L’Origine de la Syphilis en
Europe: Avant ou Apres 1493? How` ever, because Dutour and coworkers’ findings have never been peer reviewed, there is no objective way to evaluate their findings. In ‘‘The Syphilis Enigma,’’ the Hennebergs state that there is indisputable evidence of syphilis in skeletal remains found at
Metaponto and Pompeii. However, they are more cautious in print. For instance, in an evaluation of the health of residents of Metaponto,
Henneberg, Hennenberg, and Carter36:458 cautiously stated that the evidence for syphilis within the populace is ‘‘based on macroscopic observations and analysis of frequency distributions of symptoms that in isolation are not indisputably pathognomonic for treponematosis. The ultimate proof would have to be provided by a direct immunochemical test. Such a

test, however, is unlikely to succeed, since in tertiary treponematosis, when bone changes occur, very little antigen is present and antibody levels are lowered. These facts leave little hope of success when coupled with the expected partial decomposition of antigens and antibodies after death and during the centuries in the soil.’’
Two years later, in their contribution to Dutour and coworkers’s volume, the Hennebergs37 state that skeletal evidence for syphilis at Metaponto includes such features as thickening of diploe, a layer of bone
¨
in the cranial vault; bowed ‘‘sabershin’’ tibiae; and cranial lesions. However, as they acknowledge, the poor preservation of the remains prevents definitive diagnosis of caries sicca in the cases of cranial thickening,38 and the other types of lesions are not specific to syphilis. The authors also note the presence of dental stigmata on several of the teeth recovered from the site, including enamel hypoplastic defects and ‘‘mulberry molars,’’ which they regard as evidence for congenital syphilis. Skeletal evidence of congenital syphilis is widely regarded as confirmation that syphilis existed in a given region and time period39; it is critical to the argument for Old
World, pre-Columbian syphilis.40,41
However, neither enamel hypoplastic defects nor mulberry molars are diagnostic of congenital syphilis, a fact that the Hennebergs do not acknowledge. Hypoplastic defects are produced by incomplete development of the tooth enamel and can be due to any number of causes. Mulberry molars, also produced by incomplete development, have an irregular formation of the cusps, which makes the chewing surface resemble a mulberry.
A rigorous analysis by Hillson, Grigson, and Bond42 demonstrated that mulberry molars morphologically overlap with several forms of enamel hypoplastic defects. As a whole, conditions that disturb range of growth can cause these defects. Thus, mulberry molars are not diagnostic of the disease either.
Unfortunately, disregard for the peer review process by researchers delving into the origin of syphilis did not end with ‘‘The Syphilis Enigma.’’
In late 2010, a documentary named

54 Armelagos et al.

‘‘Pompeii: Life and Death in a Roman
Town’’ aired on the BBC.10 During the film, the recovery from the site of a pair of adolescent twins displaying what are ‘‘almost certainly the signs of congenital syphilis’’ was reported.43
Unfortunately, the nature of these signs was not described. However, this announcement echoed the earlier suggestion made in ‘‘The Syphilis
Enigma’’ and elsewhere by the Hennebergs,44 that there was abundant evidence, in the form of skeletal lesions, written documents, and artistic depictions, for cultural practices in Pompeii that supported the spread of sexually transmitted infections, including syphilis. Given the fact that a peerreviewed paleopathological survey of
250 skeletons from the nearby city of
Herculaneum, preserved by the same volcanic eruption, found no evidence of treponemal disease,45 the discoveries reported at Pompeii certainly deserve a healthy dose of scrutiny.
Whether the vague findings reported in ‘‘Pompeii: Life and Death in a
Roman Town’’ will also make their way into the peer-reviewed literature, having never undergone review themselves, remains to be seen.
These examples show that one danger associated with ‘‘science by documentary’’ is that faulty research can be presented as valid. Another, less obvious risk is that the interpretation of both the problem and the results are placed in the hands of media professionals aiming for high ratings rather than researchers seeking clarity. Thus, ambiguous evidence and intentionally polarizing presentations intersect to muddy real scientific debates. For example, the narrator of ‘‘The Syphilis
Enigma’’ states that the Columbian hypothesis ‘‘blames’’ ‘‘dirty American Indian women’’ for the transmission of syphilis to the Old World. Similarly,
Mary Lucas Powell states in the film that ‘‘for almost 500 years, native North
Americans have been blamed for giving the world syphilis and by implication, accused of sexual immorality.’’
Certainly, debates on the origins of sexually transmitted infections are morally loaded, and powerful groups often blame more vulnerable populations for spreading diseases such as syphilis (Fig. 2).46–48 However, the tone of the debate over the origins and an-

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Figure 2. This illustration was originally featured in a broadsheet in verse, De Pestilentiali
Scorra siue Mala de Franzos Eulogium, published in September, 1496, in Germany, by
Sebastian Brant. According to Gilman,66 the image shows a closed community of syphilitics, three male and one female, being punished by the flagellum Dei (the ‘‘whip of
God’’) for their sexual transgressions. The arrows emanating from the hands of Jesus function as agents of infection and signify the martyrdom of the victims, who suffer as a consequence of the fall from Eden. Later reworkings of this illustration place more emphasis on the male sufferer, emphasizing that he, and thus men, overall, are the true victims, whereas women, through their sin, are to blame for the illness. The black spots or ‘‘blatterns’’ (blisters) on their faces symbolize infection with the disease now known as syphilis and are an indicator of moral blight.

tiquity of syphilis shifted some years ago, when the pre-Columbian hypothesis faced a new, modified Columbian hypothesis, one that better fit available evidence and also absolved the New
World of being the birthplace of syphilis.49,50 Skeletal evidence from many pre-Columbian sites in the New World indicates a high prevalence of treponemal disease paired with a low age of infection and an apparent absence of lesions attributable to congenital syphilis.5 This suggests that a nonvenereal form of the disease, similar to modernday yaws or bejel, one not passed through the placenta was present.
Due to differences in climate, clothing, and sexual practices, Renaissance
Europe would have represented a very different environment than that present in Hispaniola, the location of
Columbus’s first arrival in the New
World. The bacterium responsible for treponemal disease, Treponema pallidum, would thus have encountered a very new set of selective pressures upon arrival in the Old World. Perhaps it was exposure to this novel host

environment that resulted in the birth of the T. pallidum subspecies that causes syphilis (T. pallidum subsp. pallidum). Thus, in this modified
Columbian hypothesis, Columbus and his crew could have transported a
New World, nonvenereal treponemal infection to Europe upon their return, which, once there, could have responded to dramatically different selection pressures with a new sexual transmission strategy. Today, neither of the major competing hypotheses regarding the origin of syphilis assigns blame or makes moral judgments upon Native Americans, as was suggested by ‘‘The Syphilis Enigma.’’
Given the conflicting information presented by these documentaries and our discussion here, the reader may wonder which, if any, hypothesis the peer-reviewed evidence supports. It is clear that treponemal disease existed in the pre-Columbian
New World; unmistakable skeletal lesions are found at sites throughout the Americas, and they stretch back for thousands of years.4,5 In contrast,

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though a number of cases of preColumbian, Old World treponemal disease have been reported, all seem to have a problematic diagnosis or date.23 To illustrate, let us consider only radiocarbon-dated cases of treponemal disease. In the New World, there are few such cases, both because the antiquity of the disease is less controversial there and because radiocarbon dating and other types of destructive analysis of indigenous human remains is often impossible or inadvisable because of the Native American Graves Protection and Repatriation Act (NAGPRA), as well as other social, ethical, and political concerns.51–54 Nonetheless, those cases that do exhibit definitive, diagnostic signs of treponemal disease and have been radiocarbon dated to the pre-Columbian period confirm that the disease existed in the Americas for millennia (Fig. 3). Radiocarbon dates are available for many more of the reported Old World cases, since invasive sampling is often permitted in these regions. Once radiocarbon dates are adjusted for the marine reservoir effect, all cases of Old World treponemal disease with a definitive diagnosis overlap 1493, the date of Columbus’s return (Fig. 3). These results, the lack of treponemal lesions in huge, preColumbian European and North African samples, and the sudden appearance of characteristic lesions in many of the same samples after 149323 all indicate that treponemal disease existed since ancient times in the New
World, but appeared in Europe and
North Africa only after Columbus’ return voyage.
Nevertheless, this area of investigation is still open and it is probable that novel molecular data will help close the book on the history of syphilis.
Recently, for example, it was possible to obtain phylogeographic data to help elucidate the evolutionary trajectory of this family of bacteria by sequencing modern strains of T. pallidum subsp. pallidum, as well as strains of the subspecies responsible for the nonvenereal human diseases yaws and bejel from all over the world. The results, obtained by sequencing twenty-one different genetic regions, suggested that syphilis strains diverged more recently than did their nonvenereal relatives. Their closest rela-

The Science Behind Pre-Columbian Evidence of Syphilis in Europe 55

Figure 3. A timeline showing the radiocarbon dates for reported pre-Columbian Old
World and New World cases of treponemal disease. This demonstrates that the earliest
Old World cases with skeletal lesions that are diagnostic of syphilis or another treponemal disease (for example, bejel or yaws) cluster tightly around the year AD 1493. This contrasts with reported Old World cases that are not diagnostic of treponemal disease and New
World cases with lesions that are diagnostic, both including specimens that can be securely dated to much older periods. The solid lines represent 95% confidence intervals for the radiocarbon dates, unadjusted for the marine reservoir effect. The dashed lines indicate the range of dates that must be considered after adjusting for the marine effect. Freshwater reservoir effects and some other sources of uncertainty were not incorporated into the adjustments.23

tives were two yaws-causing strains collected from indigenous inhabitants of
Guyana, in South America50,55 (but see
Mulligan, Norris, and Lukehart56).
These results are consistent with the modified Columbian hypothesis described earlier. Future sequencing efforts are likely to further clarify T. pallidum’s shared past with humans.
In conclusion, there has been a blatant disregard for the peer review process in making the case for preColumbian syphilis in the Old World.
Unfortunately, this is not an isolated example of that phenomenon. A cursory survey of important finds in the

natural and social sciences suggests that the strategies of ‘‘science by documentary’’ or ‘‘by press conference’’ are often used, especially to announce highly controversial findings. One strategy results in a complete circumvention of peer review and direct dissemination of findings to the press and thence to the public. This strategy, used in the reports of pre-Columbian Old World evidence at Metaponto, was used in 1989, when two chemists from the University of Utah,
Stanley Pons and Martin Fleischman, announced by press conference that they had achieved cold fusion. This

56 Armelagos et al.

finding was disseminated to the scientific community only by way of newspaper headings; experiments performed by independent researchers have never replicated their results.57
Similarly, this year Kamila Remisova Vesinova and her team of researchers from the Czech Archeological Society reported in a press conference that they had unearthed the remains of an early homosexual man from a site on the outskirts of
Prague dated 2900-2500 BC. Major news publications ran articles with titles such as ‘‘Gay Caveman Discovered’’58 and ‘‘An Ambiguously Gay
Caveman Is Your New Media Darling.’’59 While the story was quickly questioned by fellow scientists, the damage in terms of the dissemination of questionable findings had already been done.60
In another form of ‘‘science by documentary,’’ which was implemented for the cases from the Hull friary, press releases or documentaries are issued before peer-reviewed results are made available. This strategy is exemplified by reporting of the Clovis
Comet theory, which proposes that a devastating cosmic collision at about
13 kya caused the demise of the Clovis people and the extinction of much of
North America’s megafauna.61 The theory was initially presented in a press conference while the original paper was still under review at Proceedings of the National Academy of
Sciences, which published the evidence five months later. The Nova program on PBS, which aired two years later, failed to consider evidence that disputed the comet theory. While that theory still enjoys media and popular support, it has since received profound criticism from scholars in the field62 and is widely regarded as having been discredited.62–64
As in all scientific fields, in order to resolve the controversy over the origin and antiquity of syphilis in the Old
World, there is a strong need for adherence to standard practice in scientific publication and the increased publication of relevant evidence in peer-reviewed journals. As Park65 discussed in a short article in The
Chronicle of Higher Education, when researchers attempt to circumvent peer review by presenting their results

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directly to the public, it generally suggests that the presented findings are unlikely to stand up to scrutiny by scientific experts. Slow but steady progress is being made toward the goal of fleshing out the history of the fascinating pathogen, Treponema pallidum, which causes syphilis. Flawed documentaries can no longer stand as one of the primary sources of information on the current evidence for
Old World, pre-Columbian syphilis or any other scientific issue.

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The Tuskegee Study

...to conduct a study that would study syphilis in black men for 6 to 9 months, a year at the most (Gray, 1998). Then do a follow up with treatment. Others involved in the study had a different idea. They wanted to study the natural history of syphilis, and so they did for 40 years, 1932 - 1972. Syphilis is an infectious disease (CDC, 2009) that is caused by bacterium, Treponema palladium a spirochete capable of infecting almost any organ or tissue in the body and causing protean clinical manifestations (CDC, 2009). Transmission occurs most frequently during sexual contact, including oral sex, through minor skin or mucosal lesions; sites of inoculations are usually genitals but may be extragential (CDC, 2009). The risk of developing syphilis after unprotected sex is 30-50% (Engineering, 2006). If left untreated it causes death. Before death occurs the individual infected suffers tremendously. The Tuskegee Study was initiated by the Public Health Service of Macon County, Alabama. It took place on the campus of Tuskegee Institute at John A. Andrews Memorial Hospital. The incidence of syphilis was 36% among the 27,000 residents of Macon County, Alabama were infected with syphilis, giving this place syphilis prevalence among the greatest in the United States (Gray, 1998). Tuskegee residents were 82% black. This is the reason why Macon County was chosen to study the natural history of syphilis; it had the highest incidence of syphilis in the nation. Subjects were......

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