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PUBLI5AELD BY TMEL. HPR-TM CAf^QLirSA 5TATL, BQA^D g^MEJ^LT^ VoL Xlill APRIL, 1927 No. 4 PELLAGRA In 1926 Pella^a Caused the Death of Four Hundred and Fifty-Eight People in North Carolina Pellagra is a disease of people who eat too mucli bread, grits, rice, gravy and syrup, and too little milk, lean meat, green vegetables and fresh fruits. It is caused by eating a diet which is not balanced by the proper amount of each of these two kinds of foods, and which needs more of the latter to balance it. The disease is prevented, and is also cured, by drinking enough milk and eating enough lean meat, green vegetables and fresh fruits. Four years ago we published the foregoing paragraph together with quite a lot of other information on the subject of pellagra. We called attention to the fact that in that year and the preceding years the mortality fi^om pellagra in North Carolina was high enough to be of grave concern to health officers and physicians as well as all other people in North Carolina at the time. That was in 1923. During that year there were two hundred and twenty-four deaths, which meant a death rate, according to our population then, of eight and three-tenths per one hundred thousand. During the year 1926 there has been reported to date four hundred and fifty-eight deaths in North Carolina, or a death rate, according to our present population, of sixteen per one hundred thousand. It will be seen that the number of deaths have more than doubled during the last four years, and the rate is now almost twice as high as from typhoid fever. Pellagra is a disease to be greatly feared, and certainly a disease to be prevented. In a strict sense of the word it is a preventable disease, regarded for the past several years as one of the "deficiency" diseases. That means a disease caused by a deficiency in diet necessary for human balance and continued over a period of a sufficient number of years to produce vital tissue changes. Physicians and health officers, as well as domestic science teachers and all of us qualified to discuss the matters of diet, should repeatedly and constantly emphasize to sick and well the importance of a varied, common sense diet all the time. Food may be provided, as so often is the case, for children; but unless the children are forced to partake of a variety of food which their system needs, the very fact that the food is there is, of course, useless and means nothing. History According to Garrison, the first written description of pellagra was by Gasper Casal, a Spanish physician, in 1735. His book, however, was not published until 17G2. The disease was called by him ''rose sickness." In 1771, Frapolli, an Italian physician, published a carefully written description of the disease, in which he designated it by the name ''pellagra," by which it has ever since been known. Although first noted in Italy in 1771, within a period of thirteen years the disease had become so widespread and serious in that country that a hospital under royal authority was founded for the study of its nature. Medical opinion then, as since, was divided concerning many phases of the malady. A new era in the study of the disease followed the publication of an exhaustive paper
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 | 1927 |
Identifier | NCHH-04-042 |
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 | 42 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-042.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-042 |
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 3 |
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 | 1927 |
Identifier | NCHH-04-042-0105 |
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 | healthbulletinse42nort_0105.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 | 42 |
Issue Number | 4 |
Page Number | 3 |
Health Discipline | Medicine |
Full Text | PUBLI5AELD BY TMEL. HPR-TM CAf^QLirSA 5TATL, BQA^D g^MEJ^LT^ VoL Xlill APRIL, 1927 No. 4 PELLAGRA In 1926 Pella^a Caused the Death of Four Hundred and Fifty-Eight People in North Carolina Pellagra is a disease of people who eat too mucli bread, grits, rice, gravy and syrup, and too little milk, lean meat, green vegetables and fresh fruits. It is caused by eating a diet which is not balanced by the proper amount of each of these two kinds of foods, and which needs more of the latter to balance it. The disease is prevented, and is also cured, by drinking enough milk and eating enough lean meat, green vegetables and fresh fruits. Four years ago we published the foregoing paragraph together with quite a lot of other information on the subject of pellagra. We called attention to the fact that in that year and the preceding years the mortality fi^om pellagra in North Carolina was high enough to be of grave concern to health officers and physicians as well as all other people in North Carolina at the time. That was in 1923. During that year there were two hundred and twenty-four deaths, which meant a death rate, according to our population then, of eight and three-tenths per one hundred thousand. During the year 1926 there has been reported to date four hundred and fifty-eight deaths in North Carolina, or a death rate, according to our present population, of sixteen per one hundred thousand. It will be seen that the number of deaths have more than doubled during the last four years, and the rate is now almost twice as high as from typhoid fever. Pellagra is a disease to be greatly feared, and certainly a disease to be prevented. In a strict sense of the word it is a preventable disease, regarded for the past several years as one of the "deficiency" diseases. That means a disease caused by a deficiency in diet necessary for human balance and continued over a period of a sufficient number of years to produce vital tissue changes. Physicians and health officers, as well as domestic science teachers and all of us qualified to discuss the matters of diet, should repeatedly and constantly emphasize to sick and well the importance of a varied, common sense diet all the time. Food may be provided, as so often is the case, for children; but unless the children are forced to partake of a variety of food which their system needs, the very fact that the food is there is, of course, useless and means nothing. History According to Garrison, the first written description of pellagra was by Gasper Casal, a Spanish physician, in 1735. His book, however, was not published until 17G2. The disease was called by him ''rose sickness." In 1771, Frapolli, an Italian physician, published a carefully written description of the disease, in which he designated it by the name ''pellagra" by which it has ever since been known. Although first noted in Italy in 1771, within a period of thirteen years the disease had become so widespread and serious in that country that a hospital under royal authority was founded for the study of its nature. Medical opinion then, as since, was divided concerning many phases of the malady. A new era in the study of the disease followed the publication of an exhaustive paper |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-042.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-042 |
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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