When Rome became the capital of a unified Italian state in 1871, the city lagged behind other European capitals in contemporary architectural expression. Ancient ruins evoked a distant glory, although the area of Rome containing the Imperial Fora was covered over by a dense urban residential quarter called the Alessandrino District. The quarter was labelled a slum district by fascist propaganda, and it was demolished in the early 1930s to make way for a parade avenue, the Via dell’Impero. This article presents a discussion of the cultural and socio-economic nature of the Alessandrino District in the decades before its destruction, combining results from the Danish-Italian excavations at Caesar’s Forum with a selection of archival data and historical accounts. The findings presented here indicate that a newly investigated area of the Alessandrino District was in fact not a slum district but rather a thriving middle-class residential and commercial area.

Excavations in Rome have long focused on the early city; only recently has attention turned to the archaeology of the medieval and later periods. Here, the authors present a rare sixteenth-century context, dating to a time when European cities contended with repeat epidemics and implemented measures to control the spread of disease. A contextual approach to the assemblage leads to its identification as a ‘medical dump’ of clinical equipment, including glass urine flasks and ‘single-serve’ ceramics, many of the latter specifically produced for the Ospedale dei Fornari. Drawing on Renaissance medical treatises, the authors argue that this material represents the disposal of potentially infected objects, shedding light on urban waste-management practices.