For a number of years one of us (L. J. G.), in his capacity as county health officer, has observed a high incidence of follicular conjunctivitis among the white school children whom he has examined.
This condition has been noted in various sections of the country, Williams,1 in a study of 4,000 school children from the east side of New York city, found many with the disorder. She stated that it occurs primarily among children of elementary school age and is practically unknown among children more than 16 years old. Williams suggested a relation between the occurrence of such trachoma-like conditions and "a lack of proper nourishment and an abnormal amount of sweet stuffs" in the diets of the children affected. A few years later Jervey2 discussed the prevalence of conjunctival folliculosis in South Carolina and stated that whenever large numbers of children are examined the condition will
SANDELS MR, CATE HD, WILKINSON KP, GRAVES LJ. FOLLICULAR CONJUNCTIVITIS IN SCHOOL CHILDREN AS AN EXPRESSION OF VITAMIN A DEFICIENCY. Am J Dis Child. 1941;62(1):101-114. doi:10.1001/archpedi.1941.02000130112008