title: Are plague pits of particular use to palaeoepidemiologists?
abstract: BACKGROUND
  The demography and pattern of disease of skeletal assemblages may not accurately reflect those of the living population of which they were once a part. The hypothesis tested here was that skeletons from a mass disaster would more closely approximate to a living population than those from a conventional cemetery.
  
  
  METHODS
  Six hundred skeletons recovered from a Black Death plague pit in London were compared with 236 skeletons recovered from an overlying medieval cemetery. Age and sex were determined by standard anthropological means by a single observer and adjustments were made to correct for those skeletons for which either or both could not be established. An estimate of age structure of the living medieval population of London was made, using model life tables.
  
  
  RESULTS
  The age and sex distribution and the pattern of disease in the Black Death skeletons did not differ substantially from those in the control group of skeletons. Both assemblages tended to overestimate the numbers in the younger age groups of the model population and underestimate the numbers in the oldest age group.
  
  
  CONCLUSIONS
  On the evidence from this single site, a skeletal assemblage from a mass disaster does not provide a better representation of the living population from which it was derived than that from a conventional cemetery.
authors.affiliation: St Mary's Hospital, Praed Street, London W2 1NY, and Institute of Archaeology, University College London, Gordon Square, London WC1H 0PY, UK.
authors.forename: H A
authors.initials: HA
authors.lastname: Waldron
mesh_terms: D000293:Adolescent; D000328:Adult; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008131:London; D008297:Male; D008875:Middle Aged; D009027:Mortuary Practice; D010163:Paleontology; D010164:Paleopathology; D010930:Plague; D012863:Skeleton