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    Global and regional health and food security under strict conservation scenarios

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    The earliest Pleistocene record of a large-bodied hominin from the Levant supports two out-of-Africa dispersal events

    The Levant region, the major land bridge connecting Africa with Eurasia, was a significant dispersal route for Hominins and fauna during the early Pleistocene1,2,3. But while there are numerous Eurasian early Pleistocene sites, fossil hominin remains are rare and present only at four localities dated between 1.1 and 1.9 Mya4,5,6,7,8,9,10,11: Dmanisi (Georgia), Venta Micena (Orce, Granada), Modjokerto and Sangiran (Java, Indonesia), and Sima De Elefante (Atapuerca, Spain) (Supplementary 2: Table 1; Fig. 1a). In contrast, early Pleistocene east African sites containing Homo cranial remains are more abundant, but postcranial remains are scarcer, and the best-preserved skeleton is Nariokotome KNM-WT 1500012,13.Figure 1‘Ubeidya site locality. (a) Map of Africa and Eurasia with major Pleistocene paleoanthropological sites. Black circles denote sites with no osteological remains; red circles denote sites with human osteological remains. (b) The location of the site of ‘Ubeidiya, south of lake Kineret (Sea of Galilee), on the western banks of the Jordan Valley (red circle) (c) aerial photograph of the excavation plan of ‘Ubeidiya with the location of layer II-23 where UB 10749 was recovered.Full size imageIn the Levant, the only site from this time-period with hominin remains is ‘Ubeidiya at the western escarpment of the Jordan Valley which is a part of the broader Rift Valley (Supplementary 1: Fig. 1b,c). The fossil remains include cranial fragments (UB 1703, 1704, 1705, and 1706), two incisor (UB 1700, UB 335) and a molar (UB 1701), identified as Homo cf. erectus/ergaster14,15,16,17,18. It is important to note that some of these fragments were bulldozed out of the ground preceding the first season, while others are considered intrusive and younger than the surroundings deposits17.In 2018 during a reanalysis of the faunal assemblages done by two of the authors (A. B, and M. B.) a complete vertebral body (UB 10749) with hominin characteristics was found. This is the first hominin postcranial remain found at ‘Ubeidiya securely assigned to early Pleistocene deposits (See “Materials and methods”).Here we assess the taxonomic affinity of UB 10749, its serial location along the spinal column, its chronological and physiological age at death, estimate the specimen’s height and weight, and detect any pathological or taphonomic changes. Based on our findings, we explore the unique developmental characteristics of the UB 10749 within the context of early Homo paleobiology and its implications for hominin dispersal out of Africa.Description of the findingUB 10749 is a complete vertebral body (Fig. 2). The superior plate of the vertebra is oval, with an uneven surface, indicating non-ossification of the vertebral endplate. Similarly, the inferior plate is also oval with marked postero-lateral edges. A small pit is found in the center of both superior and inferior plates. The inferior plate is bilaterally wider than the superior plate. The anterior and lateral walls are smooth and slightly concave i.e., their superior and inferior edges are more prominent than the center. There is no evidence of rib attachment to the body on the lateral walls. The posterior wall can be divided into three parts, the center and right and left lateral thirds. The central part is smooth with two nutritional foramina. The two lateral thirds are located at the junction between the vertebral body and the pedicles. Their surface is uneven, indicating that the pedicle had not yet ossified to the vertebral body. In a lateral view, the vertebra shows a lordotic wedging as the height of the anterior wall is greater than that of the posterior wall (Supplementary 2: Table 2). The oval shape of the vertebral body, the concavity of the inferior plate, the lordotic wedging, and the lack of rib bearing facets all indicate a lower lumbar vertebra, i.e., presacral (PS) 1, PS2, or PS3 (corresponding to L5, L4, and L3 in modern humans).Figure 2UB 10749 vertebral body. (a) Superior view; (b) posterior view; (c) inferior view; (d) anterior view.Full size imageA micro-CT (µCT) scan of UB 10749 (Fig. 3) reveals a well-developed cortical bone on the anterior and lateral walls and the central part of the posterior wall. The cancellous bone at the superior and inferior plates is very thin, as is the bone at the lateral thirds of the posterior wall, indicating that these were not yet ossified. The µCT scan also reveals well-developed canals within the vertebral body –Bastons’ venous plexus19 (Fig. 3c). A small pit at the superior and inferior plates is seen in the mid-sagittal and coronal planes of the CT scan (Fig. 3a, b). A thin vertical region that appears black on the µCT connects the two pits, indicating that this area was not yet ossified.Figure 3µCT scan of UB 10749. (a) Midsagittal section. (b) Coronal section. (c) Horizontal section.Full size imageTaxonomic identificationWe compared UB 10749 to a range of mammalian species from, but not limited to, those present in ‘Ubeidiya such as carnivores (e.g., Ursus, Hyeana, Panthera), Artiodactyla (e.g., Hippopotamus, Praemegaceros), Perissodactyla (Rhinocertidae, Equidae), Proboscidea (Mamuthus, Elephas), and Primates (Homo, Pongo, Gorilla, Theropithecus and Papio).UB 10749 lacks the inward indentation on the posterior wall distinctive of Ursus and is short cranio-caudally, as opposed to the longer vertebral bodies of ungulates.The size, the large vertebral plate, and the relatively short vertebral body of UB 10749 indicates that it belongs to hominoidea. The lordotic wedging and the concavity of the inferior plate further suggests that this is a hominin vertebra20,21.To narrow the taxonomic identification, we compared UB 10749 to a range of extant and extinct hominin species, and to Pan as an outgroup (Supplementary 2: Table 3). The analysis revealed that the best index to which best differentiates between lumbar vertebral bodies of Homo and Pan is ‘superior length to posterior height’ (Fig. 4; Supplementary 2: Table 4). This index also differentiates between Homo and Australopithecus22. Compared to the three presacral vertebrae (PS1–PS3) of hominins and Pan, UB 10749 falls within the range of Homo and outside the range of Pan or Australopithecus. It falls near the position of the vertebrae of KNM-WT-15000, an early Pleistocene sub adult specimen from east Africa. Therefore, we conclude that the vertebra at hand most probably belongs to an early Pleistocene Homo.Figure 4Comparison of UB 10749 to other hominoids. Vertebral body ratio (superior length to posterior height) of each of the lower 3 presacral vertebra in modern humans, neandertals, australopith, chimpanzees, KNM-WT 15000 and UB 10749. Note that UB 10749 is consistently falls within the range of Homo, and beyond the range of chimpanzees and australopith.Full size imageSerial allocation of the vertebral bodyIt is well known, especially in Hominoidea, that there is a vast overlap in the shape of adjacent lumbar vertebral bodies23. We conducted three separate analyses to address this problem: (1) Vertebral wedging i.e., the ratio of posterior height/anterior height which significantly separates the vertebral segments PS1, PS2, and PS3 of modern humans (Supplementary 2: Fig. 1; Supplementary 2: Table 4), (2) A principal component analysis (PCA) of vertebral linear indices (Fig. 5a; Supplementary 2: Table 4), and (3) Geometric morphometrics (GM) shape analysis (Fig. 5b). Vertebral wedging sets UB 10749 as PS2. The vertebral linear indices PCA sets the UB 10749 as either PS2 or PS3, and the GM shape analysis sets the vertebra as either PS1 or PS2. Based on these results, we estimate that the serial allocation of UB 10749 is most likely PS2.Figure 5Serial allocation of UB 10749. (a) PCA of vertebral body ratios of modern humans, KNM-WT 15000, STS 14, and UB 10749 (see Supplementary Table 4). Note the overlap between adults and juvenile in each presacral vertebra. UB 10749 falls within the range of PS2–PS3. Note that KNM-WT 15000 and STS 14 follow the same pattern as modern humans. (b) PCA results for GM shape analysis. UB 10749 falls within the range of PS1, but with proximity to PS2. Note that KNM-WT 15000 and STS 14 follow the same pattern as modern humans. In both analysis: Circles denotes juvenile; Squares denotes adults. Red denotes PS1; Blue denotes PS2; Green denotes PS3.Full size imageAge at deathAge at death is estimated based on level of ossification, relative vertebral size, or vertebral shape. The lack of neural canal ossification in UB 10749 indicates an approximate age of 3–6-years-old compared to modern humans24,25 (Supplementary 2: Fig. 2), although it is important to note that several authors report high variability in pedicle ossification, up to 16-years-old26,27. The absence of vertebral endplate ossification also supports the young age of UB 10749, indicating that the vertebra belongs to an individual that had not reached puberty28.In contrast, based on its size alone, UB 10749 would be assigned an older age, probably between 11 and 15-year-old modern human (Fig. 6a: Supplementary 2: Table 5). However, vertebral size is highly variable with age, and we cannot rule out either a younger or older age. Finally, geometric morphometric principal component shape analysis suggests that UB 10749 falls within the range of 6–10-years-old modern humans (Fig. 6b). This is confirmed by a linear discriminant analysis which also places UB 10749 well within the 6–10 years old group (Supplementary 2: Fig. 4). Considering all the above information, we estimate that the age at death for UB 10749 is between 6 and 12-years-old.Figure 6Age at death of UB 10749. (a) Vertebral body size (combined sample of PS1–PS3) of modern humans, KNM-WT 15000 and UB 10749 (see Supplementary 2: Table 5). UB 10749 falls within the range of 11–15 years or the lower end of adults. (b) PCA results for GM shape analysis of modern human, KNM-WT 15000, STS 14, and UB 10749 vertebral bodies. UB 10749 falls within the range of the 6–10 age group. In both analyses: Red, 0–5 years old; Green, 6–10 years old; Blue, 11–15 years old; Brown, 16-adults.Full size imageHeight and weight estimationHeight (stature) and weight at death is estimated based on a range of equations and growth charts for modern humans (Supplementary 2: Tables 6–8). The estimated average height at death of UB 10749, points to a height of 155 cm. This height is comparable to a 13 years-old boy or a 12.5 years-old girl, based on CDC growth charts. A height of 155 cm is above the 95 percentile of 10 years old and above the 75 percentile for 12 years old modern humans29. As the age estimation for UB 10749 is 6–12 years, it seems that this individual was tall for its age.Weight is estimated based on height or based on chronological age. Based on height, UB 10749 was 45–55 kg, while based on age, the weight of UB 10749 was 20–43 kg (Supplementary 2: Table 7). Since height is a stronger predictor for weight than age30, we estimate the weight at death at about 45–50 kg.A single juvenile vertebral body is not a definitive predictor for adult height and weight. Even more so, the growth pattern of early Pleistocene hominins is unknown. Thus, to cautiously estimate the adult height and weight of UB 10749, calculations were based on several methods: modern American (CDC growth charts), modern Sudanese population31, and chimpanzees32.Assuming UB 10749 was 6–12 years old, based on chimpanzees’ growth charts, it would have reached adult height of 155–192 cm and weighted 50–101 kg. Based on modern American and Sudanese growth charts, UB 10749 displays a range of a height between 168 and 247 cm and a weight between 62 and 173 kg (Supplementary 2: Table 8). The average height and weight predication for adult size of UB 10749 is 198 cm and 100 kg. Although we cannot rule out any of the estimations, based on its size at death and predicated adult size, UB 10749 was most likely a large-bodied hominin33,34,35.TaphonomyVery thin fluviatile deposits are evident on the surface of the vertebra, despite being cleaned during the excavation. Aside from that, there is no apparent taphonomic alteration or post-depositional breakage.PathologyThe completeness of the vertebral body and its bilateral symmetry do not suggest pathological processes or developmental deformities that may have affected the vertebra, such as osteoarthritis, disc herniation, spondylosis, tuberculosis, brucellosis, or scoliosis36. However, in the absence of the vertebral arch, we cannot rule out anterior slippage of the vertebral body, i.e., spondylolisthesis or facet joint deformities. The discrepancy between the size of the vertebral body and the level of ossification is puzzling. The size of UB 10749 is equivalent to an 11–15-year-old modern human, and the level of ossification is equivalent to a 3–6-year-old modern human child. This discrepancy might result from several factors, including developmental or pathological conditions, such as: persistent notochondral canal; hypopituitarism; androgen deficiency; genetic mutation24,37,38 (see Supplementary 2 for discussion regarding possible pathology). While these conditions are rare in modern humans, they cannot be ruled out. Another possibility is that UB 10749 displays a different ossification pattern than observed in modern humans or great apes25,39. More

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    Impact of extractive industries on malaria prevalence in the Democratic Republic of the Congo: a population-based cross-sectional study

    Study designThe primary data source for this study is the cross-sectional 2013–2014 Demographic and Health Surveys for the DRC which is joined with remote-sensed environmental measures and land use data for mining and logging concessions extracted to DHS survey cluster locations. The DHS was administered using a multi-stage cluster survey design to represent the population of the DRC26. Briefly, survey clusters were selected to be representative of all 26 DRC provinces. Within clusters, households were randomly selected proportional to the population size, and within each household, adults ages 15–59 years were consented, interviewed, and asked to provide a dried blood spot (DBS) sample. Only adults who provided a DBS and consented for biospecimen use in future studies were included in this analysis. The outcome of prevalent malaria infections in the DRC was measured through PCR detection of the P. falciparum lactate dehydrogenase gene from DBS samples collected during DHS administration as described previously12.The main exposures were residence within 15 km of a mining concession and residence within 15 km of a logging concession. Additional covariates included individual-level variables for participant age, sex, use of a long-lasting insecticidal net (LLIN), education, and occupation; household variables for wealth, house roofing material, and the ratio of the number of household members using a bed-net to the total number of household members; and cluster variables for elevation, temperature, precipitation, vegetation, percentage of land cover identified as cropland, grassland, forest, and flooded/swamp land. All individual and household variables were obtained through the DHS. Occupation was recoded such that the manual labor and army category included laborers in mining and logging industries. Cluster variables were extracted from various satellite imagery platforms and other spatial datasets; the methods are described in more detail in the “Appendix”. The main exposures were extracted from geographic data sources as described below.Mining and logging concession data were obtained from the Global Forest Watch online repository27. Mining concessions were subset to only include operations that were active or in remediation spanning the DHS study years (2013–2014); logging concessions only included active operations during 2013. Distance to a mining or logging concession was measured from each cluster location to the boundary of a concession. Clusters were considered exposed to mining or logging if they were located within 15 km of a concession. This distance was chosen to account for the estimated 10 km maximum flight distance of a blood-fed mosquito5, with an additional 5 km to compensate for boundaries and non-residential land near the concessions. This range also accounts for the 5–10 km random spatial offset implemented by the DHS. Locations of mining and logging concessions along with cluster locations were mapped across the DRC. All maps were created in ArcGIS version 10.7.1, shapefiles for administrative boundaries were obtained from GADM.org.Data analysisCharacteristics of the study population were evaluated across quantiles of P. falciparum cluster prevalence and grouped by individual, household, and cluster level variables. To further examine distributions of malaria interventions and risk factors such as age, sex, LLIN use, occupation, household wealth, and household roof materials by mining and logging exposure, we compared mining exposed and logging exposed clusters with mining and logging doubly unexposed clusters stratified by urban and rural residence.We then modelled the prevalence odds of malaria across the DRC using hierarchical logistic regression models to account for the nested structure of the DHS data and to allow for inclusion of spatially varying effects. Models were implemented in a Bayesian framework using Integrated Nested Laplace Approximation (INLA) and stochastic partial differential equations for spatial effects28. In all models, we included two separate indicator terms for proximity to a mining concession and to a logging concession; since these areas are non-overlapping, the referent condition for each of these exposures is therefore locations exposed neither to mining nor to logging.The model fitting process followed two approaches. The first approach evaluated population-level effects of mining and logging on malaria prevalence adjusting for covariates and accounting for cluster-level random effects, which were assumed to vary independently across clusters. The second approach retained covariates and the cluster-level random intercept from the first model and additionally incorporated a spatial field to account for confounding due to space. For the spatial approach, two models were constructed. The first included a spatially varying intercept which borrowed information from neighboring cluster locations assuming a Gaussian random field. The second spatial model explored possible residual confounding due to environmental covariates by allowing spatially varying slopes for temperature, precipitation, vegetation, elevation, and land cover classes while including both independently and spatially varying intercepts across clusters. We introduced spatially varying slopes to account for the unobserved vector population across the DRC. Temperature, precipitation, vegetation, elevation, and various land cover classes have been shown to influence vector composition, survival, and competence for P. falciparum5,23,25, and associations with these covariates may vary due to their effects on the unobserved vector population. Using the spatial modelling approach, we also constructed a smoothed predicted prevalence map of malaria across the DRC, additional details are in the “Appendix”.For all models, confounding variables were selected based on a directed acyclic graph analysis and retained for adjustment if the 95% uncertainty interval (UI) of the variable excluded the null. Variables were coded as they were presented in the DHS with the exception of collapsing wealth into moderate or higher versus low wealth and recategorization of occupation as: professional, sales, or services; not working; manual labor or army; and agricultural work. All environmental variables were coded as continuous and scaled. Land cover variables were coded in intervals of 10 percentage points. Model comparison was done using Deviance Information Criterion (DIC), with the best fitting model having the smallest DIC29. All models were run using the ‘INLA’ package in R version 4.0.428, additional details are described in the “Appendix”.Differences in urban and rural residence were considered an important potential source of bias. Urban residence has been associated with lower prevalence of malaria due to many factors including different vector habitats, better access to healthcare, improved housing construction, and overall higher wealth4,12. To address possible bias introduced by urban residence, we stratified all models by urban and rural residence based on the DHS classification of clusters as urban or rural.A discrete set of confounding variables was identified from fixed effect models for mining and logging in rural and urban areas. The final adjustment set included age, sex, LLIN use, household wealth, temperature, precipitation, vegetation, and elevation. These variables had statistical or substantive significance and were adjusted for in all consecutive analyses.Ethical approval for this study was obtained from the University of North Carolina Institutional Review Board (UNC IRB# 20-3175) and the Kinshasa School of Public Health. Informed consent was obtained from all participants and all methods were conducted in accordance with guidelines and regulations set forth by the UNC IRB and the Kinshasa School of Public Health. More