As is well known, the besieged in Paris during the Franco-Prussian War
in the winter of 1870-71 suffered severely from scurvy. The accounts of
their pitiable condition have been portrayed for us by numerous French
writers (Delpech, Hayem, Lasèque and Legroux). The people lived mainly
on rice and bread, with an occasional addition of potatoes or horse
meat. The winter was exceptionally severe, which was supposed to have
intensified the scorbutic condition. Not only were the inmates of the
prisons on the Seine attacked, numbering about one thousand, but even
the patients in the military hospitals developed the disease. It is of
interest to remember that the siege lasted but little over four months,
from September 17th to January 27th, the date of the armistice.
In the Russo-Japanese War, after the siege of Port Arthur, it was found
that one-half of the garrison of 17,000 men had scurvy.
Although there are certain parts of the world where scurvy is of
frequent occurrence, no country has been entirely free from it. As might
be expected, it has been particularly prevalent in the North, where
vegetation is scanty--in Greenland, Alaska, Russia and the Baltic
States. It has likewise prevailed in the tropics when the crops have
failed. India has been conspicuous for its large number of epidemics;
some years ago scurvy occurred in Arabia among the English troops
stationed at Aden, both among the British and the native troops. A
recent communication from Aruba, a small island of Dutch Guiana, lying
north of Venezuela, illustrates how devastating scurvy still is in some
parts of the world. This account tells of 3000 cases of this disease
which occurred in 1915 among a population of less than 10,000, owing to
the fact that the crops had failed almost entirely during the years
1912, 1913 and 1914.
It is important for us to realize that we are still dependent on the
annual crops for our protection from scurvy; in other words, the world
is leading a hand-to-mouth existence in regard to its quota of
antiscorbutic food. The truth of this condition has been realized for
Ireland, sadly illustrated by numerous epidemics, notably the great
epidemic of 1847 reported by Curran. It was demonstrated by the
outbreaks of scurvy in Norway in 1904 and 1912, and was brought to the
attention of many in the United States in the spring of 1916. In this
year our potato crop fell far below the normal, with the result that
scurvy appeared in various parts of the United States, especially in
institutions (Fig. 1).
[Illustration: Fig. 1.--A comparison between the requisitioned quantity
(in thousand pound units) of potatoes and other vegetables, and the
quantity received per month by an institution in which more than 200
cases of scurvy occurred at the beginning of April, 1916. The total
height of column represents the amount needed and requisitioned; the
solid black portion the amount received. The number of inmates in the
institution remained approximately the same.
Public-domain text, read in full here on John Shaqi.
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