Diverse smallpox strains were widespread in the Viking Age, new study reveals

Tenth century Viking remains found in a mass grave were part of the study.

(CNN)Smallpox, the only human infectious disease to have been successfully eradicated, ailed people at least 1,000 years earlier than previously thought.

A study of DNA sampled from Viking Age skeletons found the presence of smallpox in 11 individuals living in Northern Europe -- what is now Denmark, Sweden, Norway, Russia, and the UK -- between 600 and 1050 AD.
"The 1400-year-old genetic information extracted from these skeletons is hugely significant because it teaches us about the evolutionary history of the variola virus that caused smallpox," professor Eske Willerslev of the University of Cambridge, and director of the University of Copenhagen's GeoGenetics Center, said in a release.
Prior to this study, the most ancient smallpox viral genomes sequenced were from 17th century Lithuanian mummified remains.
    The findings by an international team of scientists were published on Thursday in Science.
    As Covid-19 continues to rage around the world, learning about ancient epidemics gives us some perspective. Much like us, the Vikings also engaged in long distance travel and commerce.
    "We already knew Vikings were moving around Europe and beyond, and we now know they had smallpox," Willerslev said.
    "People travelling around the world quickly spread Covid-19 and it is likely Vikings spread smallpox. Just back then, they travelled by ship rather than by plane," he added.
    Smallpox killed an estimated 300 million people in the 20th century alone. The disease, caused by the variola virus, covers the body with painful sores. It was declared eradicated in 1980 after a worldwide vaccination campaign launched in 1967 by the World Health Organization.
    In this study, scientists were able to reconstruct four viral genomes from the samples, and found significant differences in the structure of these viruses compared to modern strains. The now-extinct viruses form a group, or clade, of their own.
    "What is really exciting about this is that we can use these reconstructed genomes to trace the steps that these viruses, and other pathogens, took to become the disease that they became," Martin Sikora, study co-author and professor at the Centre for GeoGenetics at the University of Copenhagen, told CNN.

    Pushing the earliest infection record back 1000 years

    While historical accounts suggest that smallpox was around over 3,500 years ago, there is plenty of uncertainty that DNA sequencing might help clarify.
    "Before the rise of sequencing there is a long historical record of disease outbreaks, some of which sound like smallpox," Terry Jones, a co-author of the study and a computational biologist at the University of Cambridge and the Institute of Virology at Charité in Berlin, told CNN.
    "The further back in time you go, the less certain things are," he added.
    In particular, Jones noted, diseases like chickenpox and measles are difficult to distinguish from smallpox, and before 900 AD there was little understanding of these differences, he argued.
    Thanks to the study, "we're now back to about 600 AD in terms of concrete knowledge of the existence of the virus."
    The new evidence lays to rest previous theories that smallpox might have been introduced into Europe through Spain during the Moorish invasion, by returning Crusaders or by way of England by the Normans.
    The study shows that smallpox was already present in Europe during the Viking Age --- and that it was "really widespread," Sikora said.
    The 11 Viking Age individuals who tested positive for smallpox were part of a larger sample of 500, a 2% positivity rate.
    Based on that rate, Sikora explained, "one can assume that smallpox was already endemic across Europe at least by that time if not earlier."
    "That's the kind of direct evidence that really only ancient DNA can give you," he added.

    New viral strains discovered

    Scientists were able to reconstruct four nearly complete genomes for ancient smallpox strains, all of them different. The strains are also significantly different from more modern smallpox genomes.
    These ancient strains belong in a clade of their own in terms of their genetic structure.
    "It is a clade that is ancestral, but it's not the direct ancestor of variola," Barbara Mühlemann told CNN. She is the first author of the study and participated in the research during her PhD at the University of Cambridge. Mühlemann is now based at the Institute of Virology at Charité in Berlin.
    As viruses evolve to better perform in their hosts, whether animals or humans, some of the viral genes go through a process of inactivation -- they get switched off, so to speak. Some inactive genes in Viking Age viruses are still active in modern variola, Mühlemann explained.
    "They can't be the direct ancestors in a straight line. They are more of a side branch," Mühlemann added.
    Humans may have arrived in North America much earlier than believed