Age does not seem to play a definite rôle in regard to the incidence
among adults. Scurvy frequently has been encountered among old men, and
is of common occurrence among the most vigorous of the nation, the young
soldiers and sailors. Some have stated that it takes place less often
among soldiers in the twenties than among those in the thirties, but
this has not been demonstrated. The fewest cases have been reported
among children over two years of age. It was due to the apparent
immunity of this age-group that, until very recently, German writers
doubted the identity of infantile and adult scurvy. The exclusion of
children of this age is merely fortuitous and, moreover, is by no means
absolute. One of the earliest cases of scurvy in children, reported by
Montfalcon, occurred in a child six years old. Bateman in America
described a case in a child of about this age. Barlow, in one of his
first articles, reported scurvy in a small group of older children. The
case so frequently quoted by German authors in this connection is that
of Fraenkel, who described both clinically and pathologically a case of
scurvy in a boy eight years of age. These cases by no means exhaust the
number which are reported. Recently, Tobler has given us an account of
scurvy, occurring during the war, in a Viennese foundling asylum which
harbored children between the ages of two and fourteen.
=Season and Climate.=--Many of the older writers laid great stress on
the influence of season on the occurrence of scurvy, which they believed
broke out particularly in the cold and damp months of the fall, winter
and early spring. It is true that most of the epidemics have occurred at
these seasons of the year. This is merely what should be expected,
considering that the disease depends mainly upon the supply of fresh
fruits and vegetables. Where conditions are abnormal, as in war, there
have been notable exceptions to this seasonal incidence. In the "Report
of the War of the Rebellion" there is an instructive graph illustrating
the occurrence of scurvy in our Civil War and in the Crimean War, which
shows that this disease prevailed to the greatest extent during the
winter months in the former, whereas in Crimea, the season of greatest
frequency was the summer time. One of the severest outbreaks of scurvy
on record is that which occurred at the siege of Thorn in Germany in the
year 1703. During the months of July and August, when the weather was
excessively hot, scurvy ravaged the besieged army. There are,
furthermore, many reports of scurvy in the tropics during the dry
season. In the island of Aruba, in the Dutch West Indies, which has been
visited by scurvy year after year, and which is referred to elsewhere,
the disease is endemic during the dry, hot season. Formerly it broke out
on the men-of-war and vessels of the mercantile marine while they were
in southern waters. As regards infantile scurvy, it has always seemed to
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