The results of the Haensch study have since been confirmed and amended. Based on genetic evidence derived from Black Death victims in the East Smithfield burial site in England, Schuenemann et al. in 2011 further conclude "that the Black Death in medieval Europe was caused by a variant of Y. pestis that may no longer exist."[45] A study published in Nature in October 2011 sequenced the genome of Y. pestis from plague victims and indicated that the strain which caused the Black Death is ancestral to most modern strains of the disease.[46]