Bioarchaeologists have been able to identify skeletal changes suggestive of M. leprae for some time. These changes only occur in the most severe cases making it unclear how common true leprosy was in ancient and medieval times. It takes many years, if not decades, for leprosy to cause skeletal changes. As with many chronic infectious diseases, it is likely that more people died with the disease than from it. Another way to assess the level and origins of ancient and medieval leprosy is by looking at ancient DNA.
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