The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
_Prolonged Continuation of Faulty Diet Necessary._—It appeared that
a considerable period of continuance of white rice diet was necessary
before the appearance of the disease (eighty-seven days). As against
the infectious nature of the disease they note that contact of
persons on a parboiled rice diet with the beriberi cases was without
result. Substitution of parboiled rice for white rice brought about a
cessation of the outbreak.
The Philippine scouts, numbering about 5000 natives, gave 618 cases
of beriberi in 1908 and 550 cases in 1909. In 1910 undermilled rice
was substituted for polished rice and they were required to eat 1-6
oz. beans daily. No other change in their mode of living was made.
By 1913 beriberi had disappeared among them, although the disease
still prevailed among the native population in contact with them.
_Experiment of Strong and Crowell._—Strong and Crowell stated that
the object of their study was to determine whether beriberi, as it
occurs in the Philippines, is an infectious disease or whether it is
one which has its origin in disturbances of metabolism, due chiefly
to the prolonged use of polished rice as a staple article of diet.
The experiments were carried out in Bilibid prison. Prisoners, who
had been condemned to death, were informed of the nature of the
experiment and were told of the diet on which it was proposed to
place them. They were also told that they might contract beriberi.
Twenty-nine volunteered and each signed a statement in his own
dialect that he undertook the experiment voluntarily.
In general, the groups were fed for the greater part of the time
occupied by the experiments as follows: Group (1) “White rice and
extract of rice polishings and special diet.” Group (2) “White rice
and special diet.” Group (3) “Red rice and special diet.” Group (4)
“White rice and special diet.”
Of 6 men on the Group 1 diet, 2 developed beriberi. The symptoms
however, were not marked, being chiefly loss of weight,
tachycardia, slight oedema of legs and tenderness of muscles of
calves. Four of the 6 men of Group 2 developed beriberi and 6 out
of 11, in Group 4, showed symptoms of beriberi. In Group 3, only 2
in 6 developed symptoms and these consisted in case No. 13 only in
tenderness of epigastrium, paraesthesia, cardiac disturbance and
marked diminution of knee jerk. In case No. 18 there was noted only
slight cardiac disturbance and epigastric pulsation. In none of
the cases was the complete picture of beriberi obtained except in
those in which the white polished rice formed the staple article of
diet, but in one case, fed on red rice, the diagnosis of beriberi
was almost definite.
Public-domain text, read in full here on John Shaqi.
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