=Prevention.=--In the Temperate Zone, under ordinary conditions, the
adult population consumes sufficient antiscorbutic foodstuff to protect
it from scurvy. Under exceptional circumstances, however--for example,
when the potato crop fails, or, in the case of individuals, when the
diet has been unduly restricted, scurvy will be encountered. This
disorder is still an important problem, however, in relation to the
health of adults in the Tropics, in military expeditions and in Polar
explorations. From what has been stated in the preceding chapter, it is
evident that, at the present time, no reliance can be placed on
dehydrated vegetables as a protective agent. The recent suggestion of
using germinated dried pulses and seeds, under circumstances where fresh
food is not available, is practical and probably will be resorted to in
the future. To this end the pulses (beans, peas, lentils) are soaked in
water for 24 hours, and then kept moist with access of air for about 48
hours at room temperature. During this period they sprout and develop
small radicles. They are cooked in the usual way and have been found to
possess an antiscorbutic value comparable to that of most vegetables. An
individual should receive about four ounces a day of these sprouted
seeds. In the treatment of some Serbian soldiers suffering from scurvy,
Wiltshire found that this amount of germinated beans brought about a
cure. There are, however, two drawbacks to their general use. The
prolonged cooking necessary for their preparation reduces their
antiscorbutic potency, and they have been found indigestible when
consumed in sufficient quantity.
Under similar conditions canned tomatoes can be employed; they have the
disadvantage of greater bulk, but are a more potent antiscorbutic,
require no preparation whatsoever, and are readily digested. They form
part of the present ration of the United States Army, in which they can
be given "in lieu of an equal quantity of potatoes not exceeding twenty
per cent. of the total issue."[50] The necessity of including an
antiscorbutic in the army ration has been recognized only in recent
years; during our Civil War and for thirty years thereafter there was no
such provision. It was stated at that time that a general scorbutic
taint pervaded the troops--a mere euphemism for the widespread existence
of subacute or latent scurvy. Even to-day the ration of the French and
of the Italian armies makes no definite provision in this regard and the
Russians provide merely for a variable quantity of vegetables.
Public-domain text, read in full here on John Shaqi.
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