November 10, 1917


Author Affiliations

Aruba, Dutch West Indies.

JAMA. 1917;LXIX(19):1641. doi:10.1001/jama.1917.02590460067021

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To the Editor:  —I have read the editorial on this subject in The Journal (Sept. 1, 1917, p. 728), and think that my experience here may be of interest, as I treated about 3,000 cases in the year 1915.This island lies in the Caribbean Sea close to and north of Venezuela, and the climate is very dry, there being only a few months a year in which it rains. The food of the poorer and laboring people consists chiefly of small or Guinea corn, corn meal, fish, generally salted, and a small amount of goat or sheep meat, fresh or salted and dried. In a normal year between April and November there are practically no green vegetables to be had except the small amount imported, which is hardly sufficient to supply the richer persons in the town. In a year of drought not only do the people suffer from

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