Parents’ concerns to trigger urgent checks in A&E

Concerns from staff, parents, carers or the child themselves will trigger an immediate escalation of care.

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Could this robot help cut gynae waiting lists?

BBC News NI health correspondent Marie-Louise Connolly watched a new robot perform surgery at Belfast City Hospital.

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‘It took years to get pain-relieving surgery – I hope a robot means others won’t have to wait’

A woman who waited in pain for years for endometriosis surgery praises high-tech bid to end delays.

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Common pesticide linked to 2.5 times the risk of Parkinson’s disease

A pesticide used for decades in agriculture may be linked to a much greater risk of Parkinson’s disease, and scientists have uncovered a possible explanation for how it damages the brain.

Researchers at UCLA Health found that people with long-term residential exposure to chlorpyrifos, a widely used pesticide, had more than 2.5 times the risk of developing Parkinson’s disease compared with those who were not exposed. Laboratory experiments also revealed how the chemical can interfere with the brain’s ability to remove damaged proteins, leading to the loss of nerve cells essential for controlling movement.

The study, published in Molecular Neurodegeneration, goes beyond identifying a connection between pesticide exposure and Parkinson’s. By examining what happens inside affected brain cells, the researchers uncovered a biological mechanism that could eventually provide new ways to protect the brain from damage.

A Common Pesticide With a Troubling Link to Parkinson’s

Parkinson’s disease affects nearly one million Americans. The progressive neurological condition gradually damages brain cells involved in movement, often causing tremors, muscle stiffness, slowed movement, and difficulties with coordination.

One of the defining features of Parkinson’s is the loss of neurons that produce dopamine. This chemical messenger allows nerve cells to communicate and helps the brain coordinate smooth, controlled movements. As dopamine levels decline, the brain becomes less capable of regulating those movements.

Although inherited genetic factors can influence who develops Parkinson’s, researchers have increasingly focused on environmental exposures that may also contribute to the disease. Pesticides are of particular interest because some chemicals used to kill insects or other agricultural pests can also interfere with biological processes in the nervous system.

Chlorpyrifos has been used extensively in agriculture for decades. Its residential use was banned in the United States in 2001, and agricultural applications faced additional restrictions in 2021. However, the pesticide remains in use on many crops in the United States and continues to be widely applied in other countries.

Because exposure may have occurred years before symptoms appeared, understanding the potential long-term effects of chlorpyrifos is particularly important. Identifying specific chemicals associated with Parkinson’s could help researchers develop prevention strategies and determine whether previously exposed individuals might benefit from additional neurological monitoring.

Researchers Find More Than Double the Parkinson’s Risk

To investigate the connection, UCLA scientists examined information from 829 people diagnosed with Parkinson’s disease and 824 people without the condition. All participants were enrolled in the university’s long-running Parkinson’s Environment and Genes study, which investigates how environmental exposures and inherited factors influence Parkinson’s risk.

The researchers combined California’s detailed pesticide application records with participants’ residential and workplace address histories. This allowed them to estimate how much chlorpyrifos individuals may have encountered over time based on where they lived and worked.

The results revealed a striking association. People with prolonged residential exposure to chlorpyrifos had more than 2.5 times the risk of Parkinson’s disease compared with those who had no such exposure.

Although this population analysis could not establish that the pesticide directly caused Parkinson’s, the researchers took an additional step to investigate whether chlorpyrifos could produce the kinds of brain damage seen in people with the disease.

How the Pesticide Damages Brain Cells

The team exposed mice to chlorpyrifos in aerosol form for 11 weeks. The inhalation approach was designed to resemble a common way people may encounter pesticides in the environment.

The exposed mice developed movement difficulties and lost neurons responsible for producing dopamine. This was particularly significant because the degeneration of these same nerve cells is a central feature of Parkinson’s disease.

The researchers also detected inflammation in the animals’ brains, along with abnormal accumulations of a protein called alpha-synuclein.

Under normal conditions, alpha-synuclein is found in nerve cells and plays a role in their functioning. However, the protein can accumulate in abnormal clumps that are closely associated with Parkinson’s disease. These deposits are a major focus of research into why certain brain cells gradually deteriorate.

Together, the findings showed that chlorpyrifos exposure could reproduce several important characteristics of Parkinson’s in laboratory animals, strengthening the biological evidence behind the human population findings.

Scientists Uncover a Breakdown in the Brain’s Cleanup System

The researchers then turned to zebrafish to investigate exactly how chlorpyrifos harms neurons. These small fish are frequently used in neuroscience research because they allow scientists to study biological processes involved in nerve cell development and survival.

Their experiments pointed to a disruption in autophagy, a natural cellular maintenance process that helps remove damaged proteins and other unwanted material.

Autophagy functions much like an internal recycling system. Cells use it to break down worn-out or defective components so that potentially harmful material does not accumulate. This process is especially important for neurons, many of which must remain functional throughout a person’s lifetime.

When chlorpyrifos interfered with this cleanup system, damaged material accumulated inside neurons, contributing to their deterioration.

The researchers also made an encouraging discovery. When they restored the cellular cleanup process or removed synuclein protein in their experiments, the neurons were protected from damage.

This finding suggests that the pesticide’s harmful effects may depend partly on a biological pathway that researchers could potentially target with future treatments.

A Potential New Strategy for Protecting Against Parkinson’s

The discovery raises the possibility of developing therapies that strengthen the brain’s cellular cleanup mechanisms and help protect vulnerable neurons. Such treatments might eventually prove useful for people exposed to chlorpyrifos or other pesticides that disrupt similar processes.

However, the protective effects have so far been demonstrated in laboratory models. Additional research will be needed to determine whether enhancing autophagy can prevent or reduce pesticide-related brain damage in humans.

Scientists also want to investigate whether other commonly used pesticides interfere with the same cellular mechanisms. Although chlorpyrifos use has declined in the United States, many people were exposed before restrictions were introduced, and related agricultural chemicals remain widely used.

The findings could also help identify people with a history of substantial pesticide exposure who may benefit from closer neurological monitoring. Earlier recognition of possible changes in brain function could become increasingly important as researchers work toward treatments that slow or prevent Parkinson’s progression.

Dr. Jeff Bronstein, professor of Neurology at UCLA Health and the study’s senior author, emphasized the importance of identifying a particular chemical rather than treating all pesticides as a single category.

“This study establishes chlorpyrifos as a specific environmental risk factor for Parkinson’s disease, not just pesticides as a general class,” said Dr. Jeff Bronstein.

“By showing the biological mechanism in animal models, we’ve demonstrated that this association is likely causal. The discovery that autophagy dysfunction drives the neurotoxicity also points us toward potential therapeutic strategies to protect vulnerable brain cells.”

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Drinking tea may help protect your heart, but there’s a surprising catch

Drinking tea regularly may offer important benefits for your heart and blood vessels, according to a massive study involving nearly 500,000 adults. Researchers found that people who consumed tea regularly had a lower risk of developing several vascular diseases compared with those who did not drink tea.

However, the findings also revealed some unexpected differences. The type of tea, how strong it was, and even the temperature at which it was consumed were all associated with vascular health. While certain tea drinking habits were linked to a lower risk of disease, drinking tea at extremely high temperatures appeared to have the opposite association.

The research, published in the Journal of Internal Medicine, provides new insights into how an everyday beverage may be connected to long-term cardiovascular health.

Nearly 500,000 Adults Reveal a Link Between Tea and Vascular Health

The study included 485,934 adults in China who were followed for a median of 9.05 years. During that period, researchers recorded 14,863 cases involving several types of vascular disease.

These conditions included cardiovascular disease, which affects the heart and blood vessels, and cerebrovascular disease, which involves blood vessels that supply the brain. The researchers also examined pulmonary heart disease, a condition in which problems involving the lungs or their blood vessels place strain on the heart, and peripheral artery disease, which occurs when arteries carrying blood to areas such as the legs become narrowed or blocked.

Although these conditions affect different parts of the body, they share an important feature: they interfere with the circulation of blood, which delivers oxygen and nutrients to organs and tissues.

When the researchers compared tea drinking habits with the incidence of these diseases, they found that regular tea consumption was associated with an 11% lower risk of the combined vascular outcomes.

The relationship also appeared to vary with the amount consumed. Among people who drank tea at least weekly, the lowest estimated risk occurred at approximately six to eight cups per day.

This does not necessarily mean that drinking more tea directly prevents disease or that everyone should consume that amount. Because the research was observational, it could identify connections between tea drinking and health outcomes but could not establish that tea itself was responsible for the differences.

Black Tea vs. Green Tea: Does the Type Matter?

One particularly interesting finding involved the type of tea participants consumed.

Black tea showed more consistent associations with a reduced risk of vascular disease than green tea. This suggests that different varieties of tea may not have identical relationships with cardiovascular health.

Both black and green tea come from the same plant, Camellia sinensis, but they undergo different processing methods. Black tea is typically allowed to undergo extensive oxidation, a chemical process that changes the composition of compounds in the leaves, while green tea is processed to limit oxidation.

Tea naturally contains plant compounds known as polyphenols, which have attracted scientific interest because of their antioxidant properties and potential effects on blood vessel function. Antioxidants can help limit certain types of cellular damage caused by reactive molecules.

However, the study does not establish whether these compounds explain the observed differences between black and green tea.

Tea strength also appeared to matter. Participants who drank tea of moderate strength had the lowest associated vascular disease risk, suggesting that stronger tea was not necessarily linked to greater benefits.

Drinking Tea Too Hot May Carry Unexpected Risks

Perhaps the most surprising finding concerned tea temperature.

Although regular tea consumption was generally associated with a reduced risk of vascular disease, drinking tea described as “burning hot” was linked to an increased risk.

The result suggests that the temperature of tea may be an important consideration alongside how much people drink and which variety they prefer.

Very hot beverages can expose tissues in the mouth and digestive tract to high temperatures, but the study did not establish the biological mechanism behind the observed vascular risk. It also did not identify a specific temperature at which tea becomes harmful.

The findings therefore should not be interpreted as proof that drinking extremely hot tea directly causes vascular disease. They do, however, raise questions about whether certain drinking habits could offset some of the favorable associations seen with regular tea consumption.

Tea, Exercise, and Smoking Habits May Work Together

The researchers also examined how tea consumption related to other lifestyle factors, including smoking and physical activity.

Their analysis showed that people who regularly drank tea, were not current smokers, and maintained high levels of physical activity had the lowest vascular disease risk.

“Joint analyses showed that tea consumption, smoking status and physical were collectively associated with vascular risk, with the favorable combination of habitual tea consumption, non-current smoking and high physical activity associated with the lowest risk,” the authors wrote.

These results highlight the importance of considering overall lifestyle rather than looking at a single food or beverage in isolation.

Regular physical activity supports cardiovascular health in several ways, including improving circulation, helping regulate blood pressure, and supporting the function of the heart and blood vessels. Avoiding smoking also reduces exposure to substances that can damage blood vessels and increase cardiovascular risk.

Taken together, the findings suggest that tea drinking may be one component of a broader pattern of habits associated with better vascular health.

Although more research is needed to determine whether tea consumption directly influences disease risk, the study offers encouraging evidence that this widely consumed beverage is associated with cardiovascular health. It also highlights an important distinction: when it comes to tea, the amount, variety, strength, and temperature may all be worth considering.

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Hospital admits full responsibility for 24 failures that led to toddler’s death

Eleanor Aldred-Owen died after surgery because an abnormal scan was not flagged.

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Scientists say a forgotten particle may explain why the universe exists

Scientists have proposed a surprising new explanation for why the universe exists, and it centers on a mysterious particle that physicists have largely overlooked for decades. Their theory suggests this forgotten particle may have played a crucial role in shaping the early cosmos and allowing matter to survive after the Big Bang.

The research addresses one of the most fundamental mysteries in physics: why does the universe contain matter instead of nothing at all? Scientists believe matter and antimatter were produced in nearly equal amounts in the early universe. When these opposites encounter one another, they annihilate and release energy. If they had existed in perfectly equal quantities, virtually all matter could have disappeared, leaving no material to form stars, planets, or life.

Now, researchers from the University of Southampton and the Indian Institute of Technology Kanpur believe they may have found an important piece of the puzzle. Their explanation involves a little-understood relative of the neutrino, an extremely lightweight particle that rarely interacts with ordinary matter.

A Forgotten Particle With a Powerful Role in the Early Universe

The team focused on a type of particle known as a ‘decoupled’ heavy neutrino. Unlike ordinary neutrinos, this hypothetical heavier relative has generally been considered too weakly connected to other particles to significantly influence the universe.

However, the researchers found that its unusually long lifetime could have made it far more important than previously thought. According to their calculations, the particle may have survived long enough to temporarily dominate the universe’s energy density as the cosmos cooled after the Big Bang.

That brief period of dominance could have altered how the early universe evolved, influencing the conditions that ultimately allowed matter to outnumber antimatter.

Dr. Rishav Roshan of the University of Southampton, an author of the study, explained:

“This decoupled heavy neutrino has long been dismissed as an irrelevant background detail in particle physics.

“However, it decays incredibly slowly. As the cosmos cooled after the Big Bang, the particle lived long enough that it temporarily took over the energy density of the universe and triggered a matter-dominated period.”

The findings were published in Physical Review Letters, a scientific journal of the American Physical Society.

How a Heavy Neutrino Could Explain Why Matter Survived

Previous attempts to explain why matter prevailed over antimatter generally left out the decoupled heavy neutrino. Because it interacts so weakly with other particles, scientists assumed it would have little influence on the processes responsible for creating the imbalance.

The new research challenges that assumption. The team found that even a particle with extremely weak interactions could indirectly affect the conditions under which matter gained its crucial advantage.

This imbalance, known as matter and antimatter asymmetry, is essential to understanding our existence. For reasons physicists are still trying to explain, the early universe ended up with slightly more matter than antimatter. That small difference allowed some matter to remain after most particles and their antiparticles annihilated one another.

“The fact that we are here at all proves that an asymmetry between matter and antimatter occurred,” added Dr. Roshan.

“The decoupled neutrino shifted the temperature in the early universe at which fundamental particles – like electrons and other leptons – interacted with their anti-particles with the help of Standard Model Higgs boson.

“This temperature acts like a switch that shapes how the matter-antimatter imbalance was built up.”

The Higgs boson is a fundamental particle associated with the mechanism that gives many elementary particles their mass. In the researchers’ proposed scenario, the heavy neutrino changed the temperature conditions governing important particle interactions involving the Higgs boson.

By shifting when these interactions occurred, the particle could have influenced how the imbalance between matter and antimatter developed. In other words, something long considered insignificant may have helped determine why the universe contains matter at all.

Ancient Gravitational Waves Could Reveal the Answer

The theory could also have important implications for understanding how the universe expanded in its earliest stages.

Study co-author Dr. Sudipta Show of the Indian Institute of Technology Kanpur said the findings suggest that the forgotten particle may have dramatically altered the expansion history of the young cosmos.

He added: “It offers us a new explanation for how matter won.

“The dramatic shift in the early expansion of the cosmos leaves distinct but detectable imprints of changes, for example on primordial gravitational waves.

“These gravitational wave signatures open up new avenues for us to unravel the evolution of the early universe after the Big Bang.”

Gravitational waves are ripples in the fabric of space and time. Scientists believe processes in the extremely early universe may have generated primordial gravitational waves that carry information about conditions from that distant era.

According to the new theory, the temporary dominance of the heavy neutrino could have left recognizable signatures in those ancient signals. Detecting such patterns could eventually provide a way to investigate whether the proposed particle really influenced the universe’s earliest evolution.

For now, the explanation remains theoretical. But it offers physicists a new possibility for solving one of cosmology’s deepest mysteries: how matter survived when its encounter with antimatter could have left the universe almost entirely empty.

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Closing urgent care centres would have ‘dire consequences’, objectors say

Plan to close three urgent care centres sparks worry about pressure on GPs and emergency departments.

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Scientists finally discover how a common gut bacterium can trigger colon cancer

For nearly two decades, scientists have known that a common gut bacterium can produce a toxin that damages the colon and helps drive the formation of tumors. What they could not explain was how the toxin first attaches to intestinal cells and begins its attack. Now, researchers have uncovered that missing step, revealing a surprising vulnerability that could lead to new ways of protecting the colon.

The breakthrough comes from a team led by scientists at the Johns Hopkins Kimmel Cancer Center, its Bloomberg~Kimmel Institute for Cancer Immunotherapy, and the Johns Hopkins University School of Medicine. Their findings, published in Nature, identify a protein called claudin-4 as the essential docking point for a bacterial toxin known as BFT.

Even more promising, the researchers have already used this discovery to develop a molecular decoy that intercepts the toxin before it can damage colon cells. The strategy successfully protected mice from the toxin’s harmful effects, suggesting a possible new approach to preventing bacterial damage associated with colorectal cancer. The research received partial support from the National Institutes of Health.

“We’ve made several attempts over time to identify the receptor, so this is an exciting moment,” says senior author Cynthia Sears, M.D., Bloomberg~Kimmel Professor of Cancer Immunotherapy and professor of medicine at Johns Hopkins. “Understanding how bacterial toxins work can open doors to new approaches for detection and therapy for associated diseases, including diarrhea, colorectal cancer and bloodstream infections.”

How a Common Gut Bacterium Can Promote Colon Cancer

The investigation centers on Bacteroides fragilis, a bacterium that can be found in the intestines of up to 20% of healthy people. Although the presence of this bacterium does not automatically mean someone will develop cancer, certain strains produce a powerful toxin capable of disrupting the colon’s protective lining, causing inflammation, and encouraging tumor growth.

The toxin, known as B. fragilis toxin or BFT, has been under investigation for years. In a landmark 2009 study published in Nature Medicine, Sears and her colleagues demonstrated that the toxin could promote the development of colon tumors. Their work helped establish an important connection between toxin-producing gut bacteria, chronic inflammation, and colorectal cancer.

Earlier experiments also revealed that BFT damages a protein called E-cadherin, which helps hold neighboring cells together and maintain the colon’s protective barrier. When this protein is broken apart, the barrier becomes compromised, potentially allowing harmful substances and bacteria to interfere with the surrounding tissue.

However, one critical question remained unanswered. Although BFT could break down E-cadherin, the toxin did not appear to attach directly to that protein. Researchers suspected that another molecule was helping the toxin reach its target, but repeated attempts to identify it had failed.

Scientists Identify the Missing Link Using CRISPR

To solve the mystery, the researchers turned to CRISPR, a powerful gene-editing technology that allows scientists to selectively disable genes and investigate what they do.

Maxwell White, an M.D./Ph.D. candidate working in Sears’ laboratory, led a genome-wide CRISPR screening effort in collaboration with Matthew Waldor’s laboratory at Harvard Medical School. The team systematically switched off genes in colon epithelial cells, the cells that form the inner lining of the colon, to determine which ones were necessary for the toxin to attach and cause damage.

One gene stood out dramatically. It produces claudin-4, a protein that helps neighboring cells form tight junctions, the seals that limit the movement of substances between cells and help maintain the intestinal barrier.

When the researchers disabled the gene responsible for claudin-4, BFT could no longer bind to the colon cells. Without that initial attachment, the toxin was unable to attack E-cadherin.

The finding revealed that claudin-4 acts as a receptor for the bacterial toxin. In effect, the toxin must first latch onto this protein before it can carry out its damaging activity.

“It took a while to get the assay working and validate the approach, but once we were able to do the screen, claudin-4 was a clear, resounding top hit,” says White. “That was an exciting moment.”

An Unexpected Discovery Reveals a New Bacterial Attack Strategy

The identity of the receptor surprised the scientists.

Sears and other researchers had expected BFT to interact with a protein involved in cellular signaling, such as a G protein-coupled receptor. These receptors act somewhat like communication switches, allowing cells to respond to signals from their surroundings.

Claudin-4, however, serves a very different purpose. Rather than functioning primarily as a signaling receptor, it helps maintain the physical connections between neighboring cells.

The discovery also revealed an unusual way for a bacterial toxin to operate. BFT belongs to a class of enzymes called proteases, which cut other proteins. Most proteases act directly on their targets, but BFT appears to require a separate receptor before it can reach and damage E-cadherin.

When the team reviewed previous scientific research, they could not identify another toxin known to use the same mechanism.

To establish that BFT and claudin-4 truly bind to each other, the Johns Hopkins researchers collaborated with structural biologists F. Xavier Gomis-Rüth and Ulrich Eckhard at the Molecular Biology Institute of Barcelona.

Using techniques that measure how molecules interact, White and the Barcelona team showed that BFT and claudin-4 form a tightly bound complex in laboratory experiments. Each toxin molecule paired with one receptor molecule, providing direct physical evidence of the connection.

A Clever Molecular Decoy Blocks the Dangerous Gut Toxin

Identifying the receptor did more than explain how the toxin works. It also gave the scientists an idea for stopping it.

If BFT needs claudin-4 to attach to colon cells, perhaps a substitute could lure the toxin away from its intended target.

To test that possibility, the team developed a molecular decoy. This was a soluble protein carrying sequences from claudin-4, designed to attract BFT without allowing it to attack the colon’s protective lining.

The researchers then worked with Min Dong’s laboratory at Harvard Medical School, including Kang Wang and colleagues, to investigate the approach in mice. These experiments allowed the scientists to examine how the toxin behaves in the more complicated environment of a living intestine.

The results were encouraging. Instead of binding to claudin-4 receptors on colon cells, BFT attached to the decoy proteins. By intercepting the toxin, the decoys successfully protected the mice from BFT-induced damage.

The finding suggests that it may be possible to interfere with the toxin’s first step rather than trying to repair the damage after it occurs.

“This approach could be iterated upon with small molecules or other biologics that have better pharmacological properties,” says White. The team is now exploring which molecular approaches might be most successful to block the toxin.

Small molecules are compounds that can sometimes be developed into medicines, while biologics are treatments made from or involving biological materials, such as proteins. Future versions of the decoy strategy could potentially be designed to work more effectively in the body or be easier to administer.

What This Discovery Could Mean for Colon Cancer Prevention

Although the findings identify a promising new target, important questions remain.

Scientists have established that BFT attaches to claudin-4 and that blocking this interaction can protect mice from toxin-induced damage. However, they have not yet captured the exact experimental three-dimensional structure showing how the two molecules fit together.

Even advanced artificial intelligence tools, including AlphaFold, have been unable to fully resolve the interaction. Understanding its precise structure could help researchers design more effective compounds that prevent the toxin from binding.

Further experiments will also be needed to determine whether the decoy approach can safely and effectively prevent toxin-related disease in humans. The mouse experiments demonstrated protection against tissue damage, but they did not establish that the strategy prevents colorectal cancer.

Nevertheless, the discovery resolves a major question that has persisted since the connection between BFT and colon tumor formation was established in 2009. By identifying the toxin’s previously unknown point of attachment, researchers have uncovered a potential way to interrupt a harmful biological process before it begins.

The findings could ultimately support new strategies for detecting or treating conditions associated with bacterial toxins, including colorectal cancer, diarrhea, and bloodstream infections.

Study Authors, Funding, and Disclosures

Additional researchers who contributed to the study include Jason Chen, Shaoguang Wu, Abby L. Geis, and Jessica Queen of Johns Hopkins, along with Hailong Zhang, Karthik Hullahalli, and Jie Zhang of Harvard Medical School.

Funding was provided by the Bloomberg~Kimmel Institute for Cancer Immunotherapy, Janssen Research and Development, Cancer Research UK, the National Institutes of Health (grant numbers R01 AI042347, R01 NS080833, R01 NS117626, R01 AI170835 and R01 AI189789) and the Howard Hughes Medical Institute.

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A mysterious 4,000-year-old wall is rewriting North Africa’s history

In the hills of north-west Morocco, overlooking the river that gives the site its name, research at Oued Beht is bringing to light a previously unknown chapter of the region’s past. The discovery of a substantial built structure suggests that, during the second millennium BC, communities in north-west Africa were actively shaping their environment. They were also engaging in broader networks of interaction across the Mediterranean world.

Previous research by the Oued Beht Archaeological Project had already brought to light what is likely the earliest and largest agricultural complex ever discovered in Africa outside the Nile Valley. It dates to around 5,400 to 4,900 years ago. New excavations carried out in 2023 – in which we took part – have now deepened our understanding of the site.

Our new study shows how we uncovered the earliest known large-scale construction of a probably defensive nature in north Africa beyond the Nile Valley. It’s about 4,000 to 3,500 years old.

It’s not known exactly what threats these wall-like structures were designed to counter. They likely relate to increasing competition over land, resources, and possibly control of movement through the landscape, rather than to “invaders”. Constructions like these suggest communities felt the need to protect themselves or assert power over strategic locations.

This discovery pushes back the evidence for organized defensive architecture in the Maghreb and suggests that societies in this region at this time were more complex and structured than previously believed.

Our study also reveals how the ridge of Oued Beht would become a focal point again in the medieval period, during the 11th to 13th centuries AD. The same defensive structure was rebuilt, a hamlet or farm was established on a nearby hilltop, and people were buried in a cemetery between the two areas.

Together these findings provide rare archaeological insights into rural communities during both prehistoric and medieval times. They help us understand how societies developed and maintained themselves in a region too often left out of the history books.

A prehistoric hub in the Maghreb

For a long time, the later prehistory of north Africa’s Maghreb region (the Mediterranean countries of Morocco, Algeria, and Tunisia) has been poorly understood. Compared with neighboring areas such as Iberia in south-western Europe or Athens in the eastern Mediterranean, archaeological evidence was often fragmentary. In the last few years this has changed completely.

Excavations at Oued Beht have revealed a large concentration of human activity spread across at least ten hectares. The earliest major phase dates to the mid-fourth and early third millennia BC, or the Final Neolithic period.

Environmental evidence from plant and animal remains in the prehistoric era indicates a farming community cultivating crops such as barley and wheat. They also exploited wild plants and kept livestock.

The site was also an important center of craft production. Thousands of polished stone axes and other tools have been discovered, along with finely made pottery, sometimes decorated with painted patterns.

It’s still uncertain whether prehistoric Oued Beht functioned as a permanent village, a seasonal center, or something less familiar. But it was clearly a major focus in the landscape of north-west Morocco.

The defensive wall

The presence of potentially ancient earthworks and walls had been noted since the 1930s. The French archaeologist Armand Ruhlmann first documented a configuration of three walls, with the fourth side protected by the natural scarp of the ridge, describing a defensive éperon barré (barred spur). Their precise nature and date remained uncertain until now.

New excavations have clarified the existence of a multi-phase ditch, rampart and wall built across a narrow section of the Oued Beht ridge between the river and a ravine. This cut off and protected the ridge’s southern tip.

Radiocarbon dating of deposits associated with these structures gave us the timelines in our study.

They place its original construction at a time equivalent to the Bronze Age of the remaining western Mediterranean. This makes it the earliest confirmed defensive construction in north Africa outside Egypt.

What was this construction for?

This structure raises important questions about the society that built it. Building an embankment and ditch system required planning, coordination and the mobilization of labor. This suggests a community capable of organizing complex construction initiatives.

During the earlier Neolithic phase, activity at Oued Beht focused on the larger and more open northern area of the site. By the period of our new study, focus had shifted to the narrower, more defensible southern ridge. This may reflect a shift in settlement strategies.

Mediterranean connections

The second millennium BC was a dynamic period across the Mediterranean. In southern Iberia, Argaric societies (about 2200-1550 BC) in today’s Europe were developing complex, often hilltop settlements. They were characterized by planned architecture, advanced metallurgy (especially bronze production), and marked social hierarchies visible in burial practices. These communities often constructed fortified sites, and strategically located settlements controlling surrounding territories.

Increasing evidence suggests that communities in north-west Africa were connected to wider Mediterranean networks. This includes today’s Spain and Portugal. The discoveries at Oued Beht indicate that the Maghreb was not isolated. It participated in broader processes shaping the western Mediterranean.

The defensive system at the site may reflect wider transformations in social organization and regional interaction. There may have been growing competition over resources, control of movement, and more formalized leadership structures.

Rewriting history

The discoveries at Oued Beht highlight how much remains to be learned about the deep history of north Africa. The defensive wall shows that communities here were able to coordinate large construction projects and points to social transformations that are only very tentatively beginning to be recognized.

The medieval remains demonstrate that the ridge was used again many centuries after the prehistoric settlement had been abandoned. Oued Beht was not simply a single-period settlement but a landscape repeatedly selected by different communities across millennia.

As research continues, this location may become key to understanding how societies in the Maghreb evolved from early farming communities to the medieval rural world.The Conversation

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