_The civilian population_ of the various warring countries was by no
means spared. There are no reports from Russia to indicate the extent of
scurvy, but from what is known of the food conditions prevailing there
toward the end of the war, one can be certain that the number must have
been large. The greatest amount of scurvy has been reported from
Austria, more particularly from Vienna. Previous to the war scurvy was a
rare disease in this city, both among adults and infants. During the
war, however, as the result of a lack of fresh food and the dependence
on dehydrated vegetables, a large number of cases developed. Tobler
reports over 200 cases in children between the ages of two and fifteen
years, which occurred in 1917 in child-caring institutions where the
milk supply was markedly deficient, where fresh vegetables were lacking,
and the supply of potatoes gave out about Christmas, 1916. A conception
of the deficiency of the milk supply may be gained from the statement
that there were but sixteen quarts a day for about 1500 people. Some of
these children were undergoing fresh-air treatment and were out of doors
in the "sun stations" day and night. For the cure of these children a
simple decoction of fir-tops was used, a therapeutic procedure stated by
Lind to have been of value in the Russo-Swedish War of 1708.
That scurvy must have occurred extensively among the infants in Vienna
may be gathered from the report of Erdheim, who records 31 autopsies on
infants under the interesting title of the "Barlow Heart." In Berlin
scurvy occurred also in the foundling asylums, as reported by Eric
Mueller and by Brandt. This was caused by a diet of pasteurized milk and
dehydrated vegetables. In an article bearing the suggestive title of "On
a Marked Increase in Barlow's Disease in the Years of the War
1917-1918," Epstein states that in Prague there had been an endemic
increase of infantile scurvy since August, 1917. The only information
regarding scurvy among the adult civilian population of Germany is that
furnished by Morawitz, who states that this disorder occurred
sporadically. Here again it is probable that there were many latent or
rudimentary cases which were not recognized.
In Great Britain there are reports which show that scurvy manifested
itself in institutions caring for the poor. In Glasgow we learn of 50
cases developing in the Poor Law Hospital in the course of fifteen
months, and in Newcastle of 16 cases appearing in the Poor Law Infirmary
in the course of three months.
Public-domain text, read in full here on John Shaqi.
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