The cemetery of the hospital of St James and St Mary Magdalene, Chichester ? a case study

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Abstract
The cemetery provides the largest British sample of skeletons from a documented leprosarium. The palaeopathological patterning within the cemetery reflects the documented decline in leprosy through the Middle Ages. More specifically the palaeopathological study has shown a significant change in the type of disease with an increase in the number of individuals with the high resistant form in the later period. The potential, through skeletal study, to differentiate lepromatous and tuberculoid leprosy and to observe temporal changing patterns within the immune spectrum may prove to be a valuable contribution to the palaeoepidemiology of leprosy.

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