Lathyrism in Spain: Lessons from 68 publications following the 1936-39 Civil War

After the end of the Spanish Civil War (1936-1939), an estimated 1,000 patients presented with lathyrism due to their excessive and prolonged consumption of grasspea (Lathyrus sativus L.) against the backdrop of poverty, drought, and famine. Based on 68 scientific communications between 1941 and 1962 by qualified medical professionals, the disease emerged in different geographical locations involving selective populations: (1) farmers from extensive areas of central Spain, traditionally producers and consumers of grasspea; (2) immigrants in the industrial belt of Catalonia and in the Basque Country, areas with little or no production of grasspea, which was imported from producing areas; (3) workers in Galicia, an area where the legume is neither produced nor consumed, who were seasonally displaced to high-production areas of grasspea in Castille; and (4) inmates of overcrowded postwar Spanish prisons. Original reports included failed attempts by Carlos Jiménez Díaz (1898-1967) to induce experimental lathyrism, the neuropathology of lathyrism in early stages of the disease in two patients, as reported by Carlos Oliveras de la Riva (1914-2007), and the special susceptibility of children to develop a severe form of lathyrism after relatively brief periods of consumption of the neurotoxic seed of L. sativus. In the Spanish Basque Country, L. cicera L. (aizkol) was cultivated exclusively as animal fodder. Patients who were forced to feed on this plant developed unusual manifestations of lathyrism, such as axial myoclonus and severe neuropsychiatric disorders, unknown in other regions of the country and previously unreported. The postwar epidemic of lathyrism in Spain represents the most extensively studied outbreak of this self-limiting but crippling upper motor neuron disease.

Autopsy and its role in Franco's dictatorship: a case of the last Republican mayor of the town Calera y Chozas (Toledo, Spain)

In the town of Calera y Chozas (Spain), five mass graves containing the remains of 28 individuals were discovered during a 2012 excavation. The witnesses and historical evidence indicated that the body of the last Republican mayor of the town, Felipe Fernández Varela, who had died in September 1939, was located in the mass grave designated as no. 1. Within this particular grave, only two bodies were found. Anthropological analysis showed that the first individual was significantly younger than 50 years, being the mayor's age at the time of death, while the age of the second individual was closer to 50. This second individual had a fractured skull, with a depression on the left parietal bone, and there were unmistakable signs of autopsy, which consisted of cut marks on the frontal bone and the sternal extremity of the right clavicle. Further historical research revealed documents concerning the autopsy performed on this individual. Although, according to the report, the cause of death was a stroke - the consequence of atherosclerosis and alcoholism - no reference was made to the forceful impact to the skull or intracranial bleeding. Considering the size of the fracture on the skull and the fact that there were no signs of bone healing, we believe that this impact, and not the stroke, was the direct cause of the death of the last Republican mayor. The mayor's case is a clear example of the role forensic medicine performed at the beginning of Franco's dictatorship. The task was not only to conceal the crime but also to tarnish the victim's name.

Timoteo Mendieta Alcalá and the Pact of Forgetting: trauma analysis of execution victims from a Spanish Civil War mass burial site at Guadalajara, Castilla la Mancha

Fascist dictator Francisco Franco was responsible for the torture, murder and covert burial of 150-200,000 civilians both during and after the Spanish Civil War (1936-1939). This comprises one of the largest concentrations of mass graves and victims in the world, yet efforts to exhume them have been strenuously blocked by subsequent governments. This research documents the 2017 exhumation of Timoteo Mendieta Alcalá and 27 other individuals executed between July and November 1939, and interred at the cemetery in Guadalajara, Castilla La Mancha. The analysis includes DNA identifications and an assessment of cultural (possessions) and bioarchaeological variables (age/sex, stature, palaeopathology) in order to contextualise studies of ante/peri-mortem trauma, and thus understand the decedents' lives and the manner in which they were treated before and up to the time of their executions. Of the 24 burials in the main grave, 23 (95.8%) showed gunshot trauma (GSW), 7 (29.2%) showed blunt force trauma (BFT) and 1 (4.2%) showed sharp force trauma (SFT). Five of the main group (20.8%) showed healing lesions indicative of often extensive assault in the weeks leading up to their execution; one individual had sustained 27 fractures. GSW patterns are consistent with an organised firing squad, followed by multiple GSW at close range in the back/side of the head. This research elucidates unrecorded aspects of fascist dominion in 1936-9, adds to extant research on pattern and method in global atrocities, and demonstrates the human cost of the Spanish Civil War to those who aim to trivialise it.

Spanish Civil War: The recovery and identification of combatants

In the context of exhumations of individuals who died during the Spanish Civil War (1936-1939), since the year 2000, over 780 mass graves have been excavated using archaeological methodology and following forensic protocols. Most of the recovered more than 9600 bodies have tended to be from the Republican civil population, the majority having been executed extrajudicially. However, a number of exhumations relate to the remains of soldiers who died in combat. In fact, approximately 100 individual or mass graves have been investigated and exhumed, containing the remains of combatants. These burials tend to be in the same location where they fell, usually in the front line, or close to the field hospitals where they went after being wounded initially. During the recovery of the human remains, a number of artefacts related to the uniform as well as personal effects have been found. An interdisciplinary approach from archaeology, anthropology, genetics, history and other disciplines has enabled the identification of some of these combatants. The aim of this paper is to present the data obtained from these combatants and highlight the work undertaken in Spain, and the efforts by scientists to exhume, identify and return the remains to relatives where possible.

The best of leaders at the worst of times: medical scientist and war premier

Professor Juan Negrín López was Prime Minister of the democratically elected left-wing government of Spain for the latter two-and-a-half years of the three-year Civil War which ravaged the country between 1936 and 1939. The side loyal to the government lost, partly because of the generous aid received by their opponents from Germany and Italy, partly because of the Anglo-French agreement, observed by most countries but ignored by Germany and Italy, to outlaw arms supplies to either side, partly because of internal dissent, and partly because of the greater military capability of the enemy. Negrín led the country with tenacity and wisdom, but is remembered with ambivalence in Spain, and hardly at all elsewhere, although he spent the years of his post-war exile in the UK and France. This paper draws attention to a member of the medical profession who achieved both academic and political distinction, but whose career ended in a disaster which he was powerless to prevent. Among his admirable qualities, he should be remembered for his courage. Like most wars, the Spanish Civil War had its share of psychopaths and villains - but also its share of heroes, and Juan Negrín belongs among their number.

Genetic identification of a war-evacuated child in search of his own identity for more than seventy years

V. M. E. was evacuated when he was a young boy in 1939. He left an aunt and cousins in Spain (G. E. family). He was adopted in Belgium by the D. family and thus his new name became V. D. He has been unable to remember his childhood before his adoption, a symptomatology compatible with amnesia for personal identity, presumably because he may have suffered a head contusion before or during his exodus. Identification tests were performed on blood samples from V. D. and V. G. E., a mitochondrial cousin of the missing boy. V. G. E. and the missing boy have a common mitochondrial ancestor, their maternal grandmother. The mitochondrial profile of both samples turned out to be highly specific, which allowed the genetic identification of V. D. as V. M. E. As a result, V. D. has reclaimed his past and reunited with his former family in Spain after more than seven decades. As far as we know, this is the first report describing the application of mitochondrial DNA in the identification of a person evacuated during the Spanish Civil War suffering from amnesia for personal identity.

Analyzing and Interpreting Lime Burials from the Spanish Civil War (1936-1939): A Case Study from La Carcavilla Cemetery

Over 500 victims of the Spanish Civil War (1936-1939) were buried in the cemetery of La Carcavilla (Palencia, Spain). White material, observed in several burials, was analyzed with Raman spectroscopy and powder XRD, and confirmed to be lime. Archaeological findings at La Carcavilla's cemetery show that the application of lime was used in an organized way, mostly associated with coffinless interments of victims of Francoist repression. In burials with a lime cast, observations made it possible to draw conclusions regarding the presence of soft tissue at the moment of deposition, the sequence of events, and the presence of clothing and other evidence. This study illustrates the importance of analyzing a burial within the depositional environment and taphonomic context.

Moisès Broggi i Vallès (1908-2012): Military surgeon and Catalan humanitarian

Catalan surgeon Moisès Broggi entered medical practice in 1931 as Spain was modernizing rapidly. Five years later, however, an attempted military coup sparked a nationwide civil war. Broggi offered his services to the embattled Republic and joined the Medical Service of the International Brigades. He served alongside colleagues from many countries, helping to develop advances in military medicine and especially trauma surgery. Broggi chose to remain working in Barcelona as Franco's Nationalist forces entered the city, in spite of the risk of reprisal he faced as a former officer of the International Brigades. Although forced from his leading position in the public health service, he developed a distinguished private practice. In the year of Franco's death he became President of Barcelona's Royal Academy of Medicine and he received many other honours. Just months before his death at the remarkable age of 104, Dr Moisès Broggi continued to discuss and write about the concerns that had directed the course of his life--advances in medical science and the intellectual and political repression that had hindered delivery of those advances. In an article titled Exile and Silence he noted the groundbreaking work carried out under the auspices of the prestigious scientific institutions founded during Spain's Second Republic and the subsequent dark decades of exile suffered by many of their prominent scientists, some of them his close friends.

Single-image rectification technique in forensic science

Many researchers have been working in Spain to document the communal graves of those assassinated during the Spanish Civil War. This article shows the results obtained with two low-cost photogrammetric techniques for the basic documentation of forensic studies. These low-cost techniques are based on single-image rectification and the correction of the original photo displacement due to the projection and perspective distortions introduced by the lens of the camera. The capability of image rectification is tested in an excavation in the village of Loma de Montija (Burgos, Spain). The results of both techniques are compared with the more accurate data obtained from a laser scanner system RIEGL LMS-Z390i to evaluate the error in the lengths. The first technique uses a camera situated on a triangle-shaped pole at a height of 5 m and the second positions the camera over the grave using a linearly actuated device. The first technique shows measurement errors less than 6%, whereas the second shows greater errors (between 8% and 14%) owing to the positioning of the carbon-fiber cross on an uneven surface.