1920] FOODS HUMAN NUTRITION. 863 



inarizing particularly the studies of Goklbergor et al. previously noted (E. S. K., 

 40, p. 69). Attention is called to the fact that these studies dealt with convicts, 

 cotton-mill operatives, and inhahitants of insane as^jlums and orphanages. For 

 the purpose of throwing liglit upon the incidence of pellagra among the well- 

 to-do, case reports are given of 25 patients who had access to an abundance of 

 well-balanced foods aud yet developed the disease. 



These reports indicate that tlie patients of their own selection had l)een living 

 nil an unbalanced and in some cases a qiiantitatively incomplete diet, the items 

 of food in most cases being practically the same as those used by Goldberger in 

 his experimental work. Rapid improvement took place in most cases with 

 improved diet. 



Suggestions are given for the dietary treatment of the disease, including two 

 diet lists, one for the attack and one a preventive diet. 



Pellagra incidence in relation to se\, age, season, occupation, and " dis- 

 abling sickness " in seven cotton-mill villages of South Carolina during 

 11)16, J. Goldberger. G. A. AVheeler, and 10. Sydenstricker {Pub. Health 

 Rljts. [U. S.], 35 {1920), No. 28, pp. 1650-J664, flgs. S).— This paper, in continua- 

 tion of the detailiMi report of the pellagra investigation in South Carolina during 

 1916 previously noted (E. S. R., 43, p. 204), deals with the incidence of the 

 disease in relation to certain social factors. The results of this phase of the 

 investigation are summarized as follows : 



" The data appear to indicate that the disease is rare in children at the age 

 of 2 and under; that among both males and females up to 20 years the incidence 

 is similar, being higher among children between 2 and 10 years than in persons 

 of the ages of 10 to 19, inclusive; and that among adults 20 to 54 years old the 

 incidence is many times higher in females than in males. 



" There was a sharp rise in incidence during April and May, reaching a well- 

 defined peak in June. The season of onset appeared to be confined almost en- 

 tirely to the six months April to September, inclusive. 



" The pellagra rate among both males and females was considerably higher 

 for the nonmillworkers than for the millworkers. While the pellagra rate 

 among nonmillworklng females was approximately four times as high as that 

 among mill working females, the rate for disabling sickness appeared distinctly 

 higher in niillworking than in nonmillworking females. The disability indicated 

 by the higher sickness rate among millworking females appeared not to influence 

 materially the pellagra rate in this group." 



A study of the relation of factors of a sanitary character to pellagra in- 

 cidence in seven cotton-mill villages of South Carolina in 1916, J. Got.d- 

 berger, G. a. Wheeler, and E. Sydenstricker {Puh. Health Rpts. [U. S.], 35 

 (1920), No. 29, pp. 1701-17 l-'f. fig. i).— In this paper are recorded the results of 

 the part of the investigation noted above dealing with the relation of sanitation 

 to the incidence of the disease. 



" This study of the relation of factors of sanitary importance to the incidence 

 of pellagra in seven representative mill villages has failed to reveal any con- 

 sistent correlation between them. Although based on a rather sms^ll mass of 

 data and in itself not warranting any conclusions, it may, nevertheless, be noted 

 ;is not without significance that this result at any rate affords n(» support for 

 the view until recently, at least, quite widely entertained in this country, that 

 pellagra is ' an intestinal infection transmitted in much the same way as 

 typhoid fever'; nor does the evidence adduced in favor of this view by other 

 workers, when rightly considered, afford it any real support." 



The pellagra outbreak in Egypt. — I, Pellagra among Ottoman prisoners 

 of war, A. I). Bigland {Lanect [Loudon], 1920, I, No. 18, pp. 947-953, figs. 6").— 



