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March, 1926 The Health Bulletin IT Potatoes (Irish or sweet), four or five times a week. Rice, two or three times a week, on days with the meat stew or the beans. Green vegetables (cabbage, col-lards, turnip greens, spinach, snap beans or okra), three or four times a week. Corn bread (one-fifth soybean meal), daily. Buttermilk, daily. Supper Light bread or biscuit (one-fourth soy-bean meal) daily. Butter, daily. Milk (sweet or buttermilk), daily. Stewed fruit (apples, peaches, prunes, apricots), three or four times a week, on days when there is no green vegetable for dinner. Peanut butter, once or twice a week. Syrup, once or twice a week. It will be recognized that this bill of fare is primarily for older children and adults. The intelligent housewife will, of course, make such modifications as the age of her children, the tastes of her family, and her particular circumstances suggest or make necessary. Various additions may be made to give greater variety and attractiveness to the meals. The quantities of some of the foods may be reduced and replaced, in part or in whole, by other similar foods, but so far as possible no reduction should be made in the quantities of milk and lean meats. In case of young children eggs make a very desirable addition and the relative quantity of milk allowed them may advantageously be increased. Conclusions While the above recommendations have in view primarily pellagra prevention, the same diet serves satisfactorily also in the treatment and cure of the average case. For severe cases a more liberal allowance of milk should be made and eggs added. In some instances, in fact, only liquids can be taken. In these, milk, fresh-meat juice, meat broth, bean, pea, or potato puree, and pot liquor should form the diet until more substantial food (milk toast, soft-boiled or coddled eggs) can be added. The food should be given at regular intervals just as is done with medicine. Indeed, for the cure of pellagra the only medicine we have is the diet. The only use that medicines serve in pellagra is the alleviation of painful symptoms and in the treatment of complicating conditions. The sooner this is realized the sooner will the quacks, both within and without the profession, be put out of business. The money that is now being wasted on useless and quack medicines is well-nigh sufficient to procure for the poor, deluded sufferers the food from the lack of which they are suffering. A change of climate is of itself not an essential in the treatment and cure of pellagra. A change from city, village, or "camp" to a farm in the country has not infrequently been found to be beneficial. The benefit derived is to be attributed, however, not to the change of air, as is commonly thought, but rather to the fact that in the country the diet is improved by an abundance of milk, eggs, etc. Practically all the benefits of a "change of climate" may be had at home at the cost of two quarts of milk and half a dozen eggs or half a pound of stew beef a day. The patient should be warned that a proper diet is not to be considered as a temporary thing which can be dispensed with after recovery from the attack. To avoid a recurrence of the disease and permanently to maintain health and vigor a properly selected diet is essential and must be maintained at all times. It is worth while emphasizing that if all people provided themselves and, at all times, ate a well-balanced diet, pellagra would disappear from the face of the earth. The gain to the country from the consequent reduction of sickness, invalidism, and death, and the increased physical vigor and happiness of the people cannot be over-estimated.
Object Description
Rating | |
Fixed Title * | NCHH-04: The Health Bulletin [1914-1973] |
Document Title | The Health Bulletin [1914-1973] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Contributor | North Carolina. State Board of Health. |
Publisher | Raleigh, North Carolina State Board of Health. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1926 |
Identifier | NCHH-04-041 |
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 | 41 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-041.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-041 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-04 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1296443 |
Description
Fixed Title * | Page 17 |
Document Title | The Health Bulletin [1914-1973] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Contributor | North Carolina. State Board of Health. |
Publisher | Raleigh, North Carolina State Board of Health. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1926 |
Identifier | NCHH-04-041-0119 |
Form General | Periodicals |
Page Type | all; report/review |
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 | healthbulletinse41nort_0119.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 | 41 |
Issue Number | 5 |
Page Number | 17 |
Health Discipline | Medicine |
Full Text | March, 1926 The Health Bulletin IT Potatoes (Irish or sweet), four or five times a week. Rice, two or three times a week, on days with the meat stew or the beans. Green vegetables (cabbage, col-lards, turnip greens, spinach, snap beans or okra), three or four times a week. Corn bread (one-fifth soybean meal), daily. Buttermilk, daily. Supper Light bread or biscuit (one-fourth soy-bean meal) daily. Butter, daily. Milk (sweet or buttermilk), daily. Stewed fruit (apples, peaches, prunes, apricots), three or four times a week, on days when there is no green vegetable for dinner. Peanut butter, once or twice a week. Syrup, once or twice a week. It will be recognized that this bill of fare is primarily for older children and adults. The intelligent housewife will, of course, make such modifications as the age of her children, the tastes of her family, and her particular circumstances suggest or make necessary. Various additions may be made to give greater variety and attractiveness to the meals. The quantities of some of the foods may be reduced and replaced, in part or in whole, by other similar foods, but so far as possible no reduction should be made in the quantities of milk and lean meats. In case of young children eggs make a very desirable addition and the relative quantity of milk allowed them may advantageously be increased. Conclusions While the above recommendations have in view primarily pellagra prevention, the same diet serves satisfactorily also in the treatment and cure of the average case. For severe cases a more liberal allowance of milk should be made and eggs added. In some instances, in fact, only liquids can be taken. In these, milk, fresh-meat juice, meat broth, bean, pea, or potato puree, and pot liquor should form the diet until more substantial food (milk toast, soft-boiled or coddled eggs) can be added. The food should be given at regular intervals just as is done with medicine. Indeed, for the cure of pellagra the only medicine we have is the diet. The only use that medicines serve in pellagra is the alleviation of painful symptoms and in the treatment of complicating conditions. The sooner this is realized the sooner will the quacks, both within and without the profession, be put out of business. The money that is now being wasted on useless and quack medicines is well-nigh sufficient to procure for the poor, deluded sufferers the food from the lack of which they are suffering. A change of climate is of itself not an essential in the treatment and cure of pellagra. A change from city, village, or "camp" to a farm in the country has not infrequently been found to be beneficial. The benefit derived is to be attributed, however, not to the change of air, as is commonly thought, but rather to the fact that in the country the diet is improved by an abundance of milk, eggs, etc. Practically all the benefits of a "change of climate" may be had at home at the cost of two quarts of milk and half a dozen eggs or half a pound of stew beef a day. The patient should be warned that a proper diet is not to be considered as a temporary thing which can be dispensed with after recovery from the attack. To avoid a recurrence of the disease and permanently to maintain health and vigor a properly selected diet is essential and must be maintained at all times. It is worth while emphasizing that if all people provided themselves and, at all times, ate a well-balanced diet, pellagra would disappear from the face of the earth. The gain to the country from the consequent reduction of sickness, invalidism, and death, and the increased physical vigor and happiness of the people cannot be over-estimated. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-041.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-041 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-04 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1296443 |
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