“One of the most striking things about children suffering from
malnutrition is their vulnerability. They ‘take’ everything. Catarrhal
processes in the nose (adenoids), pharynx, and bronchi are readily
excited, and, once begun, tend to run a protracted course. There is but
little resistance to any acute infectious disease which the child may
contract. One illness often follows another, so that these children are
frequently sick for almost an entire season. Their muscular development
is poor, they tire readily, are able to take but little exercise, and
their circulation is sluggish. Mentally, they are usually bright, often
precocious. Many would be called nervous children.”—_The Diseases of
Infancy and Childhood_, by L. Emmet Holt, M.D., LL.D., p. 231.
“General malnutrition is the commonest pathological feature of infant
life. Probably 50 per cent of all infants in this country (England)
suffer from a greater or less degree, and this large proportion is
caused undoubtedly by the extremely unsatisfactory methods of substitute
feeding at present in vogue. Illness, in the usually accepted sense of
the word, is not present. No specific disease can be diagnosed, and
unless the indications are realized, the degeneration is allowed to
proceed until marasmus or some acute disorder supervenes....
“Marasmus represents the extreme result of gradual and long-continued
malnutrition. Extreme wasting is the cardinal, and indeed only, specific
symptom. The term is not applicable to those cases where the wasting is
the result of exhaustion due to the incidence of specific disease, such,
for instance, as tuberculosis....
“The most striking and perhaps the commonest result of impaired
nutrition is the disease generally known by the name of rickets. Though
some of its most obvious features are those associated with changes in
the osseous system, those are by no means the only effects of the
disease. Rachitis is the expression of profound pathological changes
occurring in practically all the tissues of the body.
“No other disease illustrates so completely the effects of inadequate
nutrition. An infant nursed by its mother and receiving from her a
sufficient supply of adequate food, never contracts the disease, however
disadvantageous its environment may be in other respects.
“Defect in the diet is the prime and essential cause of rachitis; while,
as might be expected, the most advanced forms of the disease are to be
seen when the effects of inadequate food are intensified by unhygienic
environment....
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