Infectious diseases and the First Epidemiological Transition in Central and Western Eurasian prehistory

A review in light of the aDNA revolution

Authors

  • Andrea Martín-Vela University of Málaga, Spain
  • Víctor Jiménez-Jáimez University of Málaga, Spain

DOI:

https://doi.org/10.4312/dp.52.20

Keywords:

First Epidemiological Transition, evolutionary mismatch, bioarchaeology, palaeogenomics

Abstract

The hypothesis of a First Epidemiological Transition postulates that, with the advent of the Neolithic, the proximity to domesticated animals would have increased exposure to zoonotic pathogens, whereas the population growth and concentration that often follows the introduction of agriculture would have led to a high rate of transmission of infectious diseases. In this paper, we will synthesize the history of research on this issue. We will then use recently published data, coming mostly from aDNA studies in Central and Western Eurasia, to test the hypothesis. We find out that the hypothesis is mostly supported by the new evidence.

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References

Akbari A., Barton A. R., Gazal S., +13 authors, and Reich D. 2024. Pervasive findings of directional selection realize the promise of ancient DNA to elucidate human adaptation: 2024.09.14.613021. bioRxiv. https://doi.org/10.1101/2024.09.14.613021

Alizon S., Hurford A., Mideo N., and Baalen M. V. 2009. Virulence evolution and the trade- off hypothesis: History, current state of affairs and the future. Journal of Evolutionary Biology 22(2): 245–259. https://doi.org/10.1111/j.1420-9101.2008.01658.x

Andrades Valtueña A., Mittnik A., Key F. M., +19 authotrs, and Krause J. 2017. The Stone Age plague and its persistence in Eurasia. Current Biology 27(23): 3683–3691.e8. https://doi.org/10.1016/j.cub.2017.10.025

Andrades Valtueña A., Neumann G. U., Spyrou M. A., +45 authors, and Herbig A. 2022. Stone Age Yersinia pestis genomes shed light on the early evolution, diversity, and ecology of plague. Proceedings of the National Academy of Sciences 119(17): e2116722119. https://doi.org/10.1073/pnas.2116722119

Anthony D. W. 2023. The Yamnaya Culture and the Invention of nomadic pastoralism in the Eurasian Steppes. In K. Kristiansen, G. Kroonen, and E. Willerslev (eds.), The Indo-European puzzle revisited: Integrating archaeology, genetics, and linguistics. Cambridge University Press. Cambridge: 13–33. https://doi.org/10.1017/9781009261753

Armelagos G. J. 2009. The paleolithic disease-scape, the hygiene hypothesis, and the second epidemiological transition. In G. A. W. Rook (ed.), The Hygiene Hypothesis and Darwinian Medicine. Birkhäuser Basel. Basel: 29–43. https://doi.org/10.1007/978-3-7643-8903-1_2

Armelagos G. J., Dewey J. R. 1970. Evolutionary response to human infectious diseases. BioScience 20(5): 271–275. https://doi.org/10.2307/1295204

Armelagos G. J., Goodman A. H., and Jacobs K. H. 1991. The origins of agriculture: Population growth during a period of declining health. Population and Environment 13(1): 9–22. https://doi.org/10.1007/BF01256568

Armelagos G. J., Harper K. N. 2005. Genomics at the origins of agriculture, part two. Evolutionary Anthropology: Issues, News, and Reviews 14(3): 109–121. https://doi.org/10.1002/evan.20048

Aufderheide A. C., Rodríguez-Martín C. 2011. The Cambridge encyclopedia of human paleopathology. Cambridge University Press. Cambridge.

Barker G. 2006. The agricultural revolution in Prehistory: Why did foragers become farmers? Oxford University Press. Oxford.

Barnes E. 2005. Diseases and human evolution. University of New Mexico Press. New Mexico.

Barrett R., Kuzawa C. W., McDade T., and Armelagos G. J. 1998. Emerging and re-emerging infectious diseases: The Third Epidemiologic Transition. Annual Review of Anthropology 27: 247–271. https://doi.org/10.1146/annurev.anthro.27.1.247

Barrie W., Yang Y., Irving-Pease E. K., +27 authors, and Willerslev E. 2024. Elevated genetic risk for multiple sclerosis emerged in steppe pastoralist populations. Nature 625 (7994): 321– 328. https://doi.org/10.1038/s41586-023-06618-z

Bocquet-Appel J.-P. 2008a. Explaining the Neolithic Demographic Transition. In J.-P. Bocquet-Appel, O. Bar-Yosef (eds.), The Neolithic Demographic Transition and its consequences. Springer Science + Business Media. New York: 35–55.

Bocquet-Appel J.-P. 2008b. Recent advances in palaeodemography: Data, techniques, patterns. Springer Science + Business Media. New York.

Bocquet-Appel J.-P. 2011. The agricultural demographic transition during and after the agriculture inventions. Current Anthropology 52 (S4): S497–S510. https://doi.org/10.1086/659243

Bocquet-Appel J.-P., Dubouloz J. 2004. Expected palaeoanthropological and archaeological signal from a Neolithic demographic transition on a worldwide scale. Documenta Praehistorica 31: 25–33. https://doi.org/10.4312/dp.31.2

Bocquet-Appel J.-P., Bar-Yosef O. (eds.). 2008. The Neolithic Demographic Transition and its consequences. Springer. Dordrecht.

Bocquet-Appel J.-P., Naji S. 2006. Testing the Hypothesis of a Worldwide Neolithic Demographic Transition: Corroboration from American Cemeteries. Current Anthropology 47(2): 341–365. https://doi.org/10.1086/498948

Bocquet-Appel J.-P., Naji S., and Bandy M. 2008. Demographic and health changes during the transition to agriculture in North America. In J.-P. Bocquet-Appel (ed.), Recent advances in palaeodemography: Data, techniques, patterns. Springer. Dordrecht: 277–292. https://doi.org/10.1007/978-1-4020-6424-1_10

Boivin N. L., Zeder M. A., Fuller D. Q., +4 authors, and Petraglia M. D. 2016. Ecological consequences of human niche construction: Examining long-term anthropogenic shaping of global species distributions. Proceedings of the National Academy of Sciences 113(23): 6388– 6396. https://doi.org/10.1073/pnas.1525200113

Boserup E. 1965. The conditions of agricultural growth. Aldine. Chicago.

Buikstra J. E., Cook D. C. 1980. Palaeopathology: an American account. Annual Review of Anthropology 9: 433–470.

Childebayeva A., Rohrlach A. B., Barquera R., +12 authors, and Haak, W. 2022. Population genetics and signatures of selection in Early Neolithic European farmers. Molecular Biology and Evolution 39(6): msac108. https://doi.org/10.1093/molbev/msac108

Cohen M. N. 1977. The food crisis in Prehistory: Overpopulation and the origins of agriculture. Yale University Press. New Haven.

Cohen M. N. 1989. Health and the rise of civilization. Yale University Press. New Haven.

Cohen M. N., Armelagos G. J. (eds.). 1984. Paleopathology at the origins of agriculture. Conference on Paleopathology and Socioeconomic Change at the Origins of Agriculture. Academic Press. Orlando.

Cohen M. N., Crane-Kramer G. M. M. (eds.). 2007. Ancient health: Skeletal indicators of agricultural and economic intensification. University Press of Florida. Florida.

Cox S. L., Nicklisch N., Francken M., +5 authors, and Mathieson I. 2024. Socio-cultural practices may have affected sex differences in stature in Early Neolithic Europe. Nature Human Behaviour 8(2): 243–255. https://doi.org/10.1038/s41562-023-01756-w

DeWitte S. N., Stojanowski C. M. 2015. The osteological paradox 20 years later: Past perspectives, future directions. Journal of Archaeological Research 23(4): 397–450. https://doi.org/10.1007/s10814-015-9084-1

Diamond J. M. 1997. Guns, germs, and steel: The fates of human societies. W.W. Norton & Co. New York.

Domínguez-Andrés J., Kuijpers Y., Bakker O. B., +7 authors, and Netea M. G. 2021. Evolution of cytokine production capacity in ancient and modern European populations. eLife 10: e64971. https://doi.org/10.7554/eLife.64971

Dutta S., Upadhyay A., Adapa S. R., O’Corry-Crowe G., Tripathy S., and Jiang R. H. Y. 2025. Ancient origins and global diversity of plague: Genomic evidence for deep Eurasian reservoirs and recurrent emergence. Pathogens 14(8): 797. https://doi.org/10.3390/pathogens14080797

Düx A., Lequime S., Patrono L. V., +17 authors, and Calvignac-Spencer S. 2020. Measles virus and rinderpest virus divergence dated to the sixth century BCE. Science 368(6497): 1367–1370. https://doi.org/10.1126/science.aba9411

Ellwanger J. H., Chies J. A. B. 2021. Zoonotic spillover: Understanding basic aspects for better prevention. Genetics and Molecular Biology 44(1 suppl 1): e20200355. https://doi.org/10.1590/1678-4685-gmb-2020-0355

Enard D., Petrov D. A. 2020. Ancient RNA virus epidemics through the lens of recent adaptation in human genomes. Philosophical Transactions of the Royal Society B: Biological Sciences 375(1812): 20190575. https://doi.org/10.1098/rstb.2019.0575

Forni D., Molteni C., Cagliani R., Clerici M., and Sironi M. 2023. Analysis of variola virus molecular evolution suggests an old origin of the virus consistent with historical records. Microbial Genomics 9(1): 000932. https://doi.org/10.1099/mgen.0.000932

Gaydarska B., Chapman J. 2022. Megasites in Prehistoric Europe: where strangers and kinsfolk met. Cambridge University Press. Cambridge. https://doi.org/10.1017/9781009099837

Goodman A. H., Armelagos G. J. 1989. Infant and childhood morbidity and mortality risks in archaeological populations. World Archaeology 21(2): 225–243. https://doi.org/10.1080/00438243.1989.9980103

Grauer A. L. (ed.). 2012. A companion to paleopathology. Wiley-Blackwell. Chichester.

Guzmán-Solís A. A., Navarro M. A., Ávila-Arcos M. C., and Blanco-Melo D. 2023. A glimpse into the past: What ancient viral genomes reveal about human history. Annual Review of Virology 10: 49–75. https://doi.org/10.1146/annurev-virology-111821-123859

Hershkovitz I., Gopher A. 2008. Demographic, biological and cultural aspects of the neolithic revolution: A view from the Southern Levant. In J.-P. Bocquet-Appel & O. Bar-Yosef (eds.), The Neolithic Demographic Transition and its consequences. Springer. Dordrecht: 441–479.

Houldcroft C. J., Underdown S. 2023. Infectious disease in the Pleistocene: Old friends or old foes? American Journal of Biological Anthropology 182(4): 513–531. https://doi.org/10.1002/ajpa.24737

Huss-Ashmore R., Goodman A. H., and Armelagos G. J. 1982. Nutritional Inference from Paleopathology. Advances in Archaeological Method and Theory 5: 395–474. https://doi.org/10.1016/b978-0-12-003105-4.50014-5

Immel A., Pierini F., Rinne C., +20 authors, Krause-Kyora B. 2021. Genome-wide study of a Neolithic Wartberg grave community reveals distinct HLA variation and hunter-gatherer ancestry. Communications Biology 4(1): 113. https://doi.org/10.1038/s42003-020-01627-4

Irving-Pease E. K., Refoyo-Martínez A., Barrie W., +30 authors, and Willerslev E. 2024. The selection landscape and genetic legacy of ancient Eurasians. Nature 625(7994): 312–320. https://doi.org/10.1038/s41586-023-06705-1

Kaplan D. 2000. The darker side of the “original affluent society”. Journal of Anthropological Research 56(3): 301–324. https://doi.org/10.1086/jar.56.3.3631086

Kelly R. L. 2013. The lifeways of hunter-gatherers: The foraging spectrum. Cambridge University Press. Cambridge.

Kerner G., Laval G., Patin E., Boisson-Dupuis S., Abel L., Casanova J.-L., and Quintana- Murci L. 2021. Human ancient DNA analyses reveal the high burden of tuberculosis in Europeans over the last 2,000 years. The American Journal of Human Genetics 108(3): 517– 524. https://doi.org/10.1016/j.ajhg.2021.02.009

Kerner G., Neehus A.-L., Philippot Q., +10 authors, and Quintana-Murci L. 2023. Genetic adaptation to pathogens and increased risk of inflammatory disorders in post-Neolithic Europe. Cell Genomics 3(2): 100248. https://doi.org/10.1016/j.xgen.2022.100248

Key F. M., Posth C., Esquivel-Gomez L. R., +41 authors, and Krause J. 2020. Emergence of human-adapted Salmonella enterica is linked to the Neolithization process. Nature Ecology & Evolution 4: 324–333. https://doi.org/10.1038/s41559-020-1106-9

Koch A., Brierley C., Maslin M. M., and Lewis S. L. 2019. Earth system impacts of the European arrival and Great Dying in the Americas after 1492. Quaternary Science Reviews 207: 13–36. https://doi.org/10.1016/j.quascirev.2018.12.004

Kocher A., Papac L., Barquera R., + 165 authors, and Kühnert D. 2021. Ten millennia of hepatitis B virus evolution. Science 374(6564): 182–188. https://doi.org/10.1126/science.abi5658

Kohler T. A., Glaude M. P., Bocquet-Appel J.-P., and Kemp B. M. 2008. The Neolithic Demographic Transition in the U.S. Southwest. American Antiquity 73(4): 645–669. https://doi.org/10.1017/S000273160004734X

Larsen C. 1997. Bioarchaeology: Interpreting behavior from the human skeleton. Cambridge University Press. Cambridge.

Larsen C. S. 2006. The agricultural revolution as environmental catastrophe: Implications for health and lifestyle in the Holocene. Quaternary International 150(1): 12–20. https://doi.org/10.1016/j.quaint.2006.01.004

Larsen C. S. 2018. The bioarchaeology of health crisis: Infectious disease in the past. Annual Review of Anthropology 47(1): 295–313. https://doi.org/10.1146/annurev-anthro-102116-041441

Larsen C. S., Knüsel C. J., Haddow S. D., +9 authors, and Glencross B. 2019. Bioarchaeology of Neolithic Çatalhöyük reveals fundamental transitions in health, mobility, and lifestyle in early farmers. Proceedings of the National Academy of Sciences 116(26): 12615–12623. https://doi.org/10.1073/pnas.1904345116

Lazaridis I. 2018. The evolutionary history of human populations in Europe. Current Opinion in Genetics & Development 53: 21–27. https://doi.org/10.1016/j.gde.2018.06.007

Lee R. B., DeVore I. (eds.). 1968. Man the hunter. Aldine Transaction. New Brunswick. London.

Lewis M. 2007. The bioarchaeology of children: Perspectives from biological and forensic anthropology. Cambridge University Press. Cambridge.

L’Hôte L., Light I., Mattiangeli V., +4 authors, and Daly K. G. 2024. An 8000 years old genome reveals the Neolithic origin of the zoonosis Brucella melitensis. Nature Communica- tions 15(1): 6132. https://doi.org/10.1038/s41467-024-50536-1

Lieberman D. E. 2013. The story of the human body: Evolution, health, and disease. Pantheon Books. New York.

Macleod R., Seersholm F., Sanctis B. de, +16 authors, and Willerslev E. 2024. Lethal Plague Outbreaks in Lake Baikal Hunter-gatherers 5500 Years Ago. bioRxiv. https://doi.org/10.1101/2024.11.13.623490

Marciniak S., Bergey C. M., Silva A. M., +37 authors, and Perry G. H. 2022. An integrative skeletal and paleogenomic analysis of stature variation suggests relatively reduced health for early European farmers. Proceedings of the National Academy of Sciences 119(15): e2106743119. https://doi.org/10.1073/pnas.2106743119

Mathieson I., Lazaridis I., Rohland N., +34 authors, and Reich D. 2015. Genome-wide patterns of selection in 230 ancient Eurasians. Nature 528(7583): 499–503. https://doi.org/10.1038/nature16152

Meek R. L. 1976. Social science and the ignoble savage. Cambridge University Press. Cambridge.

Michel M., Skourtanioti E., Pierini F., +91 authors, and Krause J. 2024. Ancient Plasmodium genomes shed light on the history of human malaria. Nature 631(8019): 125–133. https://doi.org/10.1038/s41586-024-07546-2

Miles L. S., Verrelli B. C., Adams R., +4 authors, and Booth W. 2025. Were bed bugs the first urban pest insect? Genome-wide patterns of bed bug demography mirror global human expansion. Biology Letters 21(5): 20250061. https://doi.org/10.1098/rsbl.2025.0061

Mühlemann B., Margaryan A., Damgaard P. de B., +27 authors, and Jones T. C. 2018. Ancient human parvovirus B19 in Eurasia reveals its long-term association with humans. Proceedings of the National Academy of Sciences 115(29): 7557–7562. https://doi.org/10.1073/pnas.1804921115

Müller J. 2017. From the Neolithic to the Iron Age – demography and social agglomeration: The development of centralized control? In M. Fernández-Götz, D. Krausse (eds.), Eurasia at the Dawn of History: Urbanization and social change. Cambridge University Press. Cambridge: 106–124.

Mummert A., Esche E., Robinson J., and Armelagos, G. J. 2011. Stature and robusticity during the agricultural transition: Evidence from the bioarchaeological record. Economics & Human Biology 9(3): 284–301. https://doi.org/10.1016/j.ehb.2011.03.004

Omran A. R. 1971. The epidemiologic transition: A theory of the epidemiology of population change. The Milbank Memorial Fund Quarterly 49: 509–538. https://doi.org/10.2307/3349375

Ortner D. J. 2012. Differential diagnosis and issues in disease classification. In A. L. Grauer (ed.), A companion to paleopathology. Wiley-Blackwell. Chichester: 250–267.

Pandey D., Harris M., Garud N. R., and Narasimhan V. M. 2024. Leveraging ancient DNA to uncover signals of natural selection in Europe lost due to admixture or drift. Nature Communications 15(1): 9772. https://doi.org/10.1038/s41467-024-53852-8

Pearce-Duvet J. M. C. 2006. The origin of human pathogens: Evaluating the role of agriculture and domestic animals in the evolution of human disease. Biological Reviews 81(3): 369–382. https://doi.org/10.1017/S1464793106007020

Pinhasi R., Stock J. (eds.). 2011. Human bioarchaeology of the transition to agriculture. Wiley-Blackwell. Chichester.

Quagliariello A., Modi A., Innocenti G., +18 authors, and Lari M. 2022. Ancient oral microbiomes support gradual Neolithic dietary shifts towards agriculture. Nature Communications 13(1): 6927. https://doi.org/10.1038/s41467-022-34416-0

Rascovan N., Sjögren K.-G., Kristiansen K., Nielsen R., Willerslev E., Desnues C., and Rasmussen S. 2019. Emergence and spread of basal lineages of Yersinia pestis during the Neolithic decline. Cell 176(1): 295–305.e10. https://doi.org/10.1016/j.cell.2018.11.005

Rasmussen S., Allentoft M. E., Nielsen K., +28 authors, and Willerslev E. 2015. Early divergent strains of Yersinia pestis in Eurasia 5,000 years ago. Cell 163(3): 571–582. https://doi.org/10.1016/j.cell.2015.10.009

Ravn K., Cobuccio L., Muktupavela R. A., +8 authors, and Rasmussen S. 2025. Tracing the evolutionary history of the CCR5delta32 deletion via ancient and modern genomes. Cell 188(14): 3679–3695.e16. https://doi.org/10.1016/j.cell.2025.04.015

Reich D. 2018. Who we are and how we got here: Ancient DNA revolution and the new science of the human past. Pantheon Books. New York.

Roberts C. 2015. What did agriculture do for us? The bioarchaeology of health and diet. In G. Barker, C. Goucher (eds.), A world with agriculture, 12,000 BCE–500 CE. Cambridge University Press. Cambridge: 93–123.

Roberts C. A., Manchester K. 2010. The archaeology of disease. The History Press. Stroud.

Rosenstock E., Ebert J., Martin R., Hicketier A., Walter P., and Groß M. 2019. Human stature in the Near East and Europe ca. 10,000–1000 BC: Its spatiotemporal development in a Bayesian errors-in-variables model. Archaeological and Anthropological Sciences 11(10): 5657–5690. https://doi.org/10.1007/s12520-019-00850-3

Sabin S., Herbig A., Vågene Å. J., +4 authors, and Bos K. I. 2020. A seventeenth-century Mycobacterium tuberculosis genome supports a Neolithic emergence of the Mycobacterium tuberculosis complex. Genome Biology 21(1): 201. https://doi.org/10.1186/s13059-020-02112-1

Schnorr S. L., Sankaranarayanan K., Lewis C. M., and Warinner C. 2016. Insights into human evolution from ancient and contemporary microbiome studies. Current Opinion in Genetics & Development 41: 14–26. https://doi.org/10.1016/j.gde.2016.07.003

Schuenemann V. J., Bos K., DeWitte S., +9 authors, and Poinar H. N. 2011. Targeted enrichment of ancient pathogens yielding the pPCP1 plasmid of Yersinia pestis from victims of the Black Death. Proceedings of the National Academy of Sciences 108(38): E746–E752. https://doi.org/10.1073/pnas.1105107108

Seersholm F. V., Sjögren K.-G., Koelman J., +22 authors, and Sikora M. 2024. Repeated plague infections across six generations of Neolithic Farmers. Nature 632(8023): 114–121. https://doi.org/10.1038/s41586-024-07651-2

Shennan S., Downey S. S., Timpson A., +4 authors, and Thomas M. G. 2013. Regional population collapse followed initial agriculture booms in mid-Holocene Europe. Nature Communications 4(1): 1–8. https://doi.org/10.1038/ncomms3486

Sikora M., Canteri E., Fernandez-Guerra A., +21 authors, and Willerslev E. 2025. The spatiotemporal distribution of human pathogens in ancient Eurasia. Nature 643: 1011–1019. https://doi.org/10.1038/s41586-025-09192-8

Slavin P., Sebbane F. 2022. Emergence and spread of ancestral Yersinia pestis in Late- Neolithic and Bronze-Age Eurasia, ca. 5,000 to 2,500 y B.P. Proceedings of the National Academy of Sciences 119(21): e2204044119. https://doi.org/10.1073/pnas.2204044119

Souilmi Y., Lauterbur M. E., Tobler R., +6 authors, and Enard D. 2021. An ancient viral epidemic involving host coronavirus interacting genes more than 20,000 years ago in East Asia. Current Biology 31(16): 3504–3514.e9. https://doi.org/10.1016/j.cub.2021.05.067

Spyrou M. A., Tukhbatova R. I., Wang C.-C., +8 authors, and Krause J. 2018. Analysis of 3800-year-old Yersinia pestis genomes suggests Bronze Age origin for bubonic plague. Nature Communications 9(1): 2234. https://doi.org/10.1038/s41467-018-04550-9

Spyrou M. A., Bos K. I., Herbig A., and Krause J. 2019. Ancient pathogen genomics as an emerging tool for infectious disease research. Nature Reviews Genetics 20(6): 323–340. https://doi.org/10.1038/s41576-019-0119-1

Steckel R. H., Rose J. C. (eds.). 2002. The backbone of history: Health and nutrition in the Western Hemisphere. Cambridge University Press. Cambridge.

Stock J. T., Pomeroy E., Ruff C. B., +12 authors, and Wells J. C. K. 2023. Long-term trends in human body size track regional variation in subsistence transitions and growth acceleration linked to dairying. Proceedings of the National Academy of Sciences 120(4): e2209482119. https://doi.org/10.1073/pnas.2209482119

Susat J., Lübke H., Immel A., +17 authors, and Krause-Kyora B. 2021. A 5,000-year-old hunter-gatherer already plagued by Yersinia pestis. Cell Reports 35(13): 109278. https://doi.org/10.1016/j.celrep.2021.109278

Suzman J. 2020. Work: A history of how we spend our time. Bloomsbury Circus. London. Swali P., Schulting R., Gilardet A., +20 authors, and Skoglund P. 2023. Yersinia pestis genomes reveal plague in Britain 4000 years ago. Nature Communications 14(1): 2930. https://doi.org/10.1038/s41467-023-38393-w

Swali P., Booth T., Tan C. C. S., +26 authors, and Skoglund P. 2025. Ancient Borrelia genomes document the evolutionary history of louse-borne relapsing fever. Science 388(6749): eadr2147. https://doi.org/10.1126/science.adr2147

Ulijaszek S. J. 1990. Nutritional status and susceptibility to infectious disease. In G. A. Harrison, J. C. Waterlow (eds.), Diet and disease in traditional and developing societies. Cambridge University Press. Cambridge: 137–154. https://www.jstor.org/stable/2803786?origin=crossref

Warinner C., Speller C., Collins M. J., and Lewis C. M. 2015. Ancient human microbiomes. Journal of Human Evolution 79: 125–136. https://doi.org/10.1016/j.jhevol.2014.10.016

Wittwer-Backofen U., Tomo N. 2008. From health to civilization stress? In search for traces of a health transition during the early Neolithic in Europe. In J.-P. Bocquet-Appel, O. Bar-Yosef (eds.), The Neolithic Demographic Transition and its consequences. Springer. Dordrecht: 501–538.

Wolfe N. D., Dunavan C. P., and Diamond J. 2007. Origins of major human infectious diseases. Nature 447(7142): 279–283. https://doi.org/10.1038/nature05775

Wood J. W., Milner G. R., Harpending H. C., and Weiss K. M. 1992. The osteological paradox: Problems of inferring Prehistoric health from skeletal samples. Current Anthropology 33(4): 343–370. https://doi.org/10.1086/204084

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Martín-Vela, A., & Jiménez-Jáimez, V. (2025). Infectious diseases and the First Epidemiological Transition in Central and Western Eurasian prehistory: A review in light of the aDNA revolution. Documenta Praehistorica, 52, 20-43. https://doi.org/10.4312/dp.52.20