We find accordingly in 1795, at the instance of Sir Gilbert Blaine, that
improvements were introduced in the victualling of the fleet. As the
result of a regular ration of lemon juice, the incidence of scurvy fell
precipitously. It is due largely to this provision that between the
years 1779 and 1813, according to the statistics of Sir Jay Barrow, the
morbidity and the mortality in the British Navy was decreased by 75 per
cent.
It has been shown that it took a generation after the efficacy of
antiscorbutics had been demonstrated in various expeditions, for an
antiscorbutic to be included in the ration of the navy. The merchant
marine of England was far more conservative, and for many years after
scurvy had been eradicated from the navy we still read of its occurrence
on the vessels making voyages to India, China and Ceylon. Gradually,
however, its incidence became less and less. Its toll of death, before
preventive measures were employed, may be appreciated from the fact that
it has been estimated that scurvy destroyed more sailors than all other
causes incidental to sea life, including the great slaughter of naval
warfare. Sir R. Hawkins stated in the latter part of the sixteenth
century that he could give an account of 10,000 mariners who had been
destroyed by scurvy during the twenty years that he had been at sea.
As is well known, scurvy has played an important rôle in Arctic and
Antarctic explorations, and has been the cause of the failure of many of
these expeditions. It is now realized that the development of scurvy is
quite preventable, that if a sufficient quantity of meat (especially raw
meat) is consumed, explorers can be entirely independent of a supply of
fresh vegetables. This fact was brought out by the Arctic Survey
Committee (British), who "were appointed to enquire into the causes of
the outbreak of scurvy in the recent Arctic expedition" (1877), and who
reported that it may result from an absence of fresh meat. That this
conclusion was sound has been proved by the experiences of Nansen and of
Johansen, who wintered safely in Franz-Josefsland on a diet of meat and
bacon. More recently Stefánsson has carried out successful Arctic
explorations, depending entirely on fresh meat as antiscorbutic
foodstuff and making no provision whatsoever for vegetable food.
=Infantile Scurvy.=--Glisson, to whom we owe the first description of
rickets, likewise was the first to recognize scurvy in infants. In his
classic treatise on rickets, written in 1668, he writes as follows:
"The scurvy is sometimes conjoyned with the affect. It is either
hereditary, or perhaps in so tender a constitution contracted by
infection, or lastly, it is produced from the indiscreet and
erroneous Regiment of the infant, and chiefly from the inclemency of
the air and climate where the child is educated."
Public-domain text, read in full here on John Shaqi.
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