Strontium isotope ratios (⁸⁷Sr / ⁸⁶Sr) are a key geochemical tracer used in a wide range of fields including archaeology, ecology, food and forensic sciences. These applications are based on the principle that the Sr isotopic ratios of natural materials reflect the sources of strontium available during their formation. A major constraint for current studies is the lack of robust reference maps to evaluate the source of strontium isotope ratios measured in the samples. Here we provide a new data set of bioavailable Sr isotope ratios for the major geologic units of France, based on plant and soil samples (Pangaea data repository doi:10.1594/PANGAEA.819142). The IRHUM (Isotopic Reconstruction of Human Migration) database is a web platform to access, explore and map our data set. The database provides the spatial context and metadata for each sample, allowing the user to evaluate the suitability of the sample for their specific study. In addition, it allows users to upload and share their own data sets and data products, which will enhance collaboration across the different research fields. This article describes the sampling and analytical methods used to generate the data set and how to use and access the data set through the IRHUM database. Any interpretation of the isotope data set is outside the scope of this publication.

Geochemical Perspectives Letters is a new journal of the European Association of Geochemistry.

The prevailing view regarding the evolution of medicine is that the emergence of settled agricultural societies around 10,000 years ago (the Neolithic Revolution) gave rise to a host of health problems that had previously been unknown among non-sedentary foraging populations, stimulating the first major innovations in prehistoric medical practices^1,2. Such changes included the development of more advanced surgical procedures, with the oldest known indication of an ‘operation’ formerly thought to have consisted of the skeletal remains of a European Neolithic farmer (found in Buthiers-Boulancourt, France) whose left forearm had been surgically removed and then partially healed³. Dating to around 7,000 years ago, this accepted case of amputation would have required comprehensive knowledge of human anatomy and considerable technical skill, and has thus been viewed as the earliest evidence of a complex medical act³. Here, however, we report the discovery of skeletal remains of a young individual from Borneo who had the distal third of their left lower leg surgically amputated, probably as a child, at least 31,000 years ago. The individual survived the procedure and lived for another 6–9 years, before their remains were intentionally buried in Liang Tebo cave, which is located in East Kalimantan, Indonesian Borneo, in a limestone karst area that contains some of the world’s earliest dated rock art⁴. This unexpectedly early evidence of a successful limb amputation suggests that at least some modern human foraging groups in tropical Asia had developed sophisticated medical knowledge and skills long before the Neolithic farming transition.