ALLEGED PRODUCTION OF BARLOW'S DISEASE 221 



work of Ellenbeck mentioned on pp. 79 and 113 in connection with 

 the keeping of milk in the cold. 



Naish, dealing with the feeding of infants upon dried milk, 

 says : ' With regard to scurvy, I believe the risk is non-existent. 

 I did see one slight case two or three years ago, which was cured 

 within three days, but the mother in this instance had been attending 

 very irregularly, and I was never able to satisfy myself as to what 

 the baby's diet really had been. Besides this I have seen no 

 other, and I am not in the habit of ordering any orange juice or 

 other anti -scorbutic.' 



Morse (i, 2), in 1914, dealt with eighty-seven cases of Barlow's 

 disease which had occurred in the out-patient department of 

 the children's hospital at Boston, Mass. He stated that there 

 had been a marked increase in the number of cases of Barlow's 

 disease which had developed, the percentage having risen from 

 ii per cent, in 1904 to -87 per cent, in 1913 of all the new cases 

 seen at the hospital. The cases had been fed as follows : 



Condensed milk . . A* . . 4 cases. 



Proprietary foods with water i .. . ^ . * 14 >, 



raw milk . . . . * I 



pasteurised milk i 



boiled milk , * . 7 



In seventeen cases no precise data were available. 

 Diluted milk had been given pasteurised in five cases. 



,, ,, boiled or scalded, in twenty-three cases. 



without available details as to heating, in fourteen 



cases. 

 Three cases had been breast-fed. 



In eleven cases which occurred in 1905 one had been breast- 

 fed, two had received modified milk, and the others condensed 

 milk or dried milk foods. 



Following on Morse's paper a discussion took place by the 

 Medical Society upon the occurrence of Barlow's disease. 



Miller, of Atlantic City, believed that scurvy was increasing in 

 this town, as he had himself seen twelve cases in the last two years 

 in his own practice. In five of the cases there had been two 

 pasteurisations carried out on the milk given to the infants. He 

 believed that the production of scurvy might be due to a badly 

 balanced diet. 



Several physicians spoke upon the question, and there appeared 

 to be a general opinion that Barlow's disease was increasing in 

 several cities. The New York physicians, however, thought that 

 scurvy was decreasing in New York City in spite of the commer- 

 cial pasteurisation of the milk supply. One of them believed 

 that scurvy was due to artificial foods. 



Griffith, of Philadelphia, stated that a committee had 



