The history of outbreaks of scurvy for the last century is practically
confined to the experiences of Arctic Expeditions and the campaigning
of troops in remote or devastated regions. So little had scurvy been
investigated, or any serious study made of the nature of the remedial
and preventive action of lime-juice, that up to the year 1914 it was
regarded as a matter of course that the acid, the citric acid, of
lime-juice was what gave to it its virtue, and samples of lime-juice
supplied by contractors were tested solely as to the percentage of that
acid present. Eminent medical authorities proposed to use crystals of
citric acid in place of the juice; others declared that vinegar would
do just as well; others, in spite of the overwhelming record as to the
value of lime-juice, held that scurvy was due _not_ to the absence of a
food constituent–supplied by fresh vegetables and fruit-juice–but to
a peculiar poison present in the salted and dried meat served out as
rations; others again, without any study of the disease, have expressed
the opinion that it is due to a bacterial micro-organism.
A blow to the easy-going belief of the Admiralty that they had mastered
and made an end of scurvy was struck when scurvy broke out (60 cases
among 122 men) in the expedition to the North Pole which sailed in
May 1875 in the _Alert_ and the _Discovery_, under the command of Sir
George Nares. The expedition had to return prematurely after seventeen
months' absence, and a committee was appointed to inquire into the
cause of the outbreak. The stores of food and of lime-juice were shown
to have been ample; and the action of the leader in equipping his
sledging parties was in accordance with the judgment and experience
of successful explorers who gave evidence. The cause of the outbreak
remained a mystery. The firm belief in the anti-scorbutic powers of
"lime-juice" was shaken, and this unfavourable opinion of its value has
been confirmed by medical officers who, during the recent war, have
been confronted by outbreaks of scurvy. These outbreaks occurred among
troops who, in military circumstances which rendered an adequate supply
of fresh meat and vegetables impossible, were supplied with lime-juice
prepared from the West Indian "sour-lime."
Under these circumstances, an experimental study of scurvy has been
carried out during the last four years by a group of workers at the
Lister Institute, together with a historical inquiry as to the use
of lime-juice. The reports of these investigators have very great
practical value and far-reaching interest, as showing what disastrous
results may arise from inaccurate use of a word, and the neglect to
ascertain the exact nature of the material thing upon which the issue
between life and death may depend.
Public-domain text, read in full here on John Shaqi.
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