1734 



PELLAGRA 



{d) Cases of pellagra to be reported, and lists to be kept and emended 

 every year. Unfortunately, they are not always very accurate. 



{e) Formation of locande sanitaria — i.e., kitchens where excellent free 

 meals are given to pellagrins, and, it is to be hoped, to other deserving poor 



(/) Free distribution of 17^ pounds of salt to every adult pellagrin and 

 II pounds of salt to every child pellagrin per annum. This distribution is 

 arranged by a ticket system. 



{g) EstabHshment and upkeep of pellagrosaria — i.e., special hospitals for 

 the treatment of pellagrins, 



{h) Establishment of pellagrological commissions in every province affected 

 with pellagra, with powers to work the laws and to investigate the disease. 

 {«■) Financial supply. 



Model central bakehouse, controlled by Government, in which the only 

 bread allowed to be used is baked from good, wholesome wheat-flour. The 

 best model we have seen was in the Tyrol. 



[a) By cattedre amhulanti, or farmers' institutes, designed to teach locally 

 modern methods of agriculture, with the result that the farmers become less 

 poverty-stricken. 



[b) Advising the farmers no longer to plant second crops of inferior qualities 

 of maize, called quaraniino [Zea mais v. prcBCOx) and cinquantino (Z. mais 

 u. subprcecox), which, being gathered in the wet month of October, were 

 often only half -ripe, and soon decayed. 



[c) By organizing agricultural shows, which include the exhibition of maize. 



The most useful reference is Salveraglio (1887), Giornale della Socittd Itc.liai.a 

 d'Igiene, Milano, whose paper of 156 pages, entitled ' Bibhographia della 

 Pellagra/ contains a list of the articles published up to 1887. Lavinder and 

 Babcock's translation of Marie's ' La Pellagra ' brings the literature in English 

 up to 1 910. The most useful journals are the Rivista Pellagrologica, published 

 in Udine ; the Tropical Diseases Bulletin, published in London ; while the Atti 

 dei Congressi Pellagrologici and the Reports of the Triennial Meetings of the 

 American Society for the Study of Pellagra also contain valuable information. 

 A very valuable series of papers is to be found in the publications of the United 

 States Senate, and also in the United States Public Health Reports, and 

 in the Transactions of the Society of Tropical Medicine, London. 



Antonini (1902). La Pellagra. Milano. 



Babcock {1910), Journal of South Caroline Medical Association, Charles- 

 town. (Psychology of Pellagra.) 



BabIss and Sign (1901). Nothnagel's Special Pathol, u. Therap. Die 

 Pellagra, xxiv. ii.; in addition, many publications in Romanisch by 

 Babes up to 191 2. 



BiLLOD, E. (1865). Traite de la Pellagre. Paris. (A most useful work.) 

 Box (191 3). Transactions Society of Tropical Medicine. London. (Pellagra 

 in England.) 



Butler and Hakansson (191 7). U.S. Naval Medical Bulletin, vol. ii.. No. 4. 

 Chevalier (1799). London Medical Review and Magazine, May. London. 



(The first paper on pellagra in English.) 

 Chittenden and Underbill (191 7). Amer. Jour. Phys. 

 Cutting (191 i). Senatorial Paper 706. Washington. (Often called the 



Dunning Report.) 

 Davenport (191 6). Archives of Internal Medicine, July 15. 



2. Formation of Rural Bakeries. 



3. Improvement of Agriculture. 



REFERENCES. 



