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PUBLIC HEALTH AND EDUCATION THE PREVENTIVE TREATMENT OF PELLAGRA Joseph Goldberger, Surgeon, U. S. Public Health Service I want first of all to express my appreciation of the privilege of addressing you on a subject which, in my judgment, is one of the foremost interest and importance to the health of your State and of our country, especially at a time when all the energies of our people are of vital importance in contributing to the winning of the war. To the practitioner of medicine the treatment and cure of the individual case of sickness is naturally of foremost interest. The studies of the IT. S. Public Health Service have shown that we can practically, absolutely prevent the occurrence of pellagra but we cannot in all cases cure an attack once it has developed. Prevention is therefore of first importance and accordingly we will take up its consideration first. Experimental studies and epidemiological observations have failed to produce any evidence that can properly be regarded as supporting the view that pellagra is a communicable disease. No germ that can properly be considered as having a causative relation has ever been found. Attempts to inoculate human subjects with the disease by means of blood, saliva, feces, urine and desquamating skin from severe cases of pellagra have failed completely. On the other hand when we fed eleven convicts on a diet consisting mainly of biscuit, corn bread, grits, rice, gravy, and syrup with only a few vegetables and no milk, lean meat or fruit, at least six developed the disease. In one of our State asylums where many of the inmates developed pellagra year after year it was observed that the doctors, nurses, and helpers wTho lived with them did not develop the disease. The only discoverable reason for the exemption of the nurses and helpers was a better diet. The nurses and helpers had a liberal allowance of lean meat and some milk, while the inmates had very little or none. When this observation was tested by giving the inmates a better diet—that is, by giving them more meat, milk, and fruit, it was found that the inmates stopped having pellagra. Attempts to prevent pellagra by other means have succeeded only when, whether intentionally or not, some change in diet took place at the same time. These facts with others which time will not permit of consideration show that pellagra is caused by eating a faulty or unbalanced diet, and that people who consume a mixed, well-balanced and varied diet do not have the disease. A properly selected or well-balanced diet is one that includes in sufficient quantities and in proper form all the elements needed by the body
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1918 |
Identifier | NCHH-16-065 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 65 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-065.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-065 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 109 |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1918 |
Identifier | NCHH-16-065-0141 |
Form General | Periodicals |
Page Type | all; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactionsofme65medi_0141.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 65 |
Page Number | 109 |
Health Discipline | Medicine |
Full Text | PUBLIC HEALTH AND EDUCATION THE PREVENTIVE TREATMENT OF PELLAGRA Joseph Goldberger, Surgeon, U. S. Public Health Service I want first of all to express my appreciation of the privilege of addressing you on a subject which, in my judgment, is one of the foremost interest and importance to the health of your State and of our country, especially at a time when all the energies of our people are of vital importance in contributing to the winning of the war. To the practitioner of medicine the treatment and cure of the individual case of sickness is naturally of foremost interest. The studies of the IT. S. Public Health Service have shown that we can practically, absolutely prevent the occurrence of pellagra but we cannot in all cases cure an attack once it has developed. Prevention is therefore of first importance and accordingly we will take up its consideration first. Experimental studies and epidemiological observations have failed to produce any evidence that can properly be regarded as supporting the view that pellagra is a communicable disease. No germ that can properly be considered as having a causative relation has ever been found. Attempts to inoculate human subjects with the disease by means of blood, saliva, feces, urine and desquamating skin from severe cases of pellagra have failed completely. On the other hand when we fed eleven convicts on a diet consisting mainly of biscuit, corn bread, grits, rice, gravy, and syrup with only a few vegetables and no milk, lean meat or fruit, at least six developed the disease. In one of our State asylums where many of the inmates developed pellagra year after year it was observed that the doctors, nurses, and helpers wTho lived with them did not develop the disease. The only discoverable reason for the exemption of the nurses and helpers was a better diet. The nurses and helpers had a liberal allowance of lean meat and some milk, while the inmates had very little or none. When this observation was tested by giving the inmates a better diet—that is, by giving them more meat, milk, and fruit, it was found that the inmates stopped having pellagra. Attempts to prevent pellagra by other means have succeeded only when, whether intentionally or not, some change in diet took place at the same time. These facts with others which time will not permit of consideration show that pellagra is caused by eating a faulty or unbalanced diet, and that people who consume a mixed, well-balanced and varied diet do not have the disease. A properly selected or well-balanced diet is one that includes in sufficient quantities and in proper form all the elements needed by the body |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-065.pdf |
Document Sort | all; group-d; nchh-16 |
Article Title | The Preventive Treatment Of Pellagra |
Article Author | Joseph Goldberger |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-065 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
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