Causes of infant mortality in the Middle Ages revealed by chemical and palaeopathological analyses of skeletal remains.

In most prehistoric and historic populations, mortality of small infants is very high. Causes of death are mainly discussed in analogy to the situation in modern preindustrial societies. The children are at high risk to fall ill or even die especially in times of weaning. Trace element analysis of the skeletal remains of small infants excavated in Schleswig (northern Germany, 11th/12th century AD) led to the estimation of weaning age as well as to the reconstruction of a stepwise substitution of mothers' milk by other food items. Subsequent palaeopathological analysis confirmed high mortality in this age-group. Thus, causes of death of small infants in a medieval town can be outlined.