This disease, like beri-beri has already been fully discussed in what
precedes. One of the striking discoveries of this subject has been the
retreat from favor of the time-honored lime juice which is now found to be
much less potent than oranges, lemons, or even canned tomato juice and
which on preservation loses practically all its potency. In the modern
hospital, cases of scurvy rarely appear outside of occasional infant cases
and it might appear that the problem of scurvy prevention is peculiarly
that of the sailor, the explorer and the army rationer. Nevertheless an
insufficient supply of the "C" vitamine may retard growth and well being
in the individual without manifesting itself in its more acute form of
scurvy. In a recent review Hess states: "It is hardly an exaggeration to
state that in the temperate zones the development or non-development of
scurvy depends largely on the potato crop." "This is attributed in part to
the fact that the potato is an excellent antiscorbutic, but to a greater
extent because it is consumed during the winter in amounts that exceed the
combined total of all other vegetables." To the public and to the food
purveyor there is a definite problem in how to best supply the preventive
and how best to concentrate and preserve the sources of this vitamine
without injury to its potency. The following observation is therefore
appended as bearing on this point. In the absence of fruits or other high
potency sources it is possible to develop this factor in cereal grains by
the simple expediency of sprouting. If seeds are soaked in water for
twenty-four hours and then kept moist for from one to three days with the
free access of air, sprouts will develop whose content of the
antiscorbutic vitamine is comparable to that of many fresh vegetables,
even though the dry seeds themselves have little of this factor. In other
words the germination process is a synthesiser of the vitamine. This
observation may be of value where fruits and vegetables are scarce or
expensive. On account of cooking effects, it cannot be too often
reiterated that raw fruits, vegetables and salads, are of more value than
cooked forms of these same sources and that drying processes are extremely
destructive where heat enters into the drying process. Vacuum drying seems
to be much less destructive and it may be possible to develop the drying
of vegetables to a point where retention of this vitamine factor is
practical. At present all dried vegetables should be regarded with
suspicion as a source of vitamine "C." Expressed juices may often be used
where the whole vegetable is scarce or incompatible and this fact is one
to be borne in mind by the worker in famine districts.
III. RACHITIS (RICKETS)
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