us that season played a slight rôle; that cases which occurred in the
summer tended to be less severe and to be characterized by periods of
intermission rarely observed in the winter time.
The effect of _climate_ has been accorded a variable place in the
etiology of scurvy. Lind believed that a damp, cold climate, such as
that of the Low Countries, was conducive to scurvy. On the other hand,
since it is realized that diet is the essential element, all other
factors have been regarded as of no moment whatsoever. It is difficult
to pass judgment on this question, since scurvy is now endemic in such a
limited area of the world. It seems quite possible that a damp, cold
climate, which depresses the various functions of the body, may exert an
influence where the quota of antiscorbutic foodstuff is not quite
adequate. Exposure to infection is also greater under such climatic
conditions.
Economic status has to be considered in connection with infantile
scurvy. Numerous writers have drawn attention to the fact that scurvy is
seen relatively more frequently among the infants of the well-to-do and
the rich than among those of the poor. This curious and paradoxical
situation is due to the zealous care which the former receive--the
extreme precautions in sterilizing the milk, the addition to the
formulas of expensive proprietary foods, the watchfulness to avoid the
child's obtaining a chance bit of fruit or vegetable. Since the
popularization of commercially-pasteurized milk in the larger
municipalities, and the advertising propaganda for the sale of "baby
foods" which has extended their use among the masses, this distinction
in the social status has been largely obliterated.
Public-domain text, read in full here on John Shaqi.
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