The recent editorial on pellagra in The Journal1 is the first expression, in a medical publication of nationwide circulation, of an alarm I have felt and often expressed before local, state and national gatherings.
With the admission that "pellagra therefore becomes one of the most, if not the most, important public health problems of the present," there will follow a freer expression of opinion and a disposition to deal openly with a situation which was either wholly ignored or received attention only in afflicted communities.
Some time ago I submitted statistics officially accounting for 7,000 cases of pellagra in this country, and included a map showing its geographical distribution.2 I was fully convinced at the time that the figures expressed only an infinitesimal fraction of the whole number of cases of pellagra in the United States; but it was realized that, in dealing with a subject about which
ZELLER GA. DIET AND PELLAGRA: A WARNING AGAINST ILL-ADVISED ATTACKS ON FOODSTUFFS. JAMA. 1911;LVII(21):1688–1690. doi:10.1001/jama.1911.04260110188016
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