Newspapers / Carolina Watchman (Salisbury, N.C.) / Nov. 16, 1909, edition 1 / Page 2
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PELLAGR4. (conoladed from page 1.) and go at first, re-appearing at the tame spots and gradually becom ing fixed. The grand difference in leprosy) at least in the nodular variety of it, is that a new growth of a granulomatous kind arises at these spots in the skin and around the nerves. The occasional deep discoloration of the pellagrous skin in certain spots has suggest ed a resemblance to Addison's disease of the suprarenale, and has even made the diagnosisdiffi oult. But after the cutaneous disorders the course of pellagra is something sui generis ; the mel ancholy, imbecility, or mania, aB well as the mummified state of the body, are peculiar to it. With ergotism the points of resem blance are more perhaps in the causation than in the nosological characters ; both diseases are specifically due to damaged grain, ergotism being caused by the presence of an actual bulky par asitic mould on rye, whereas pel lagra is more probably caused by fermentation and decomposition within the proper substance of the maize-corn. As regards heredity, it iB much less marked in pellagra then in leprosy, but there are good grounds for believing that the disease is in fact inherited some times by the offspring ; infants at the breast may show the symptoms of it, but that fact is not i itself conclusive for heredity, for the reason that infants at the breast are partly fed on the household polenta. As regards contagious ness, there is no more proof of it in pellagra than there is in leprosy . Geographical Distribution ANn History. Pellagra is peculi arly a disease of the peasantry, being hardly aver seen in residents of jthefltown. In Italy thej number of peasants affected byjifc was esti mated in 1879 at 100,000, the distribution being as follows: Lombardy, 40,888; Venetia, 29,886; Piedmont, 1692; Liguria, 148; Emilia, 18,728; Tuscany, 4382; the Marches and Umbria, 2155; Rome, 76. In Lombardy the worst centres are in the pro vinces of Brescia, Pavia, Piacenza, and Ferrara. In Italy the disease has increased very considerably within the last thirty years ; thus; in the province of Vicenza the number of persons known to be pellagrous in 1853 55 was 1880, in 1860 it was 2974, and in 1879 it had risen to 8400. There are no accurate returns from the Asturias and other affected provinces of Spain, but the malady there is said to have deolined very miter ally of late. In Gascony, where it did not begin until about fifty years ago, it is somewhat common, most in the Landes than in the Gironde ; in one district of the latter Petit estimates that there are 200 cases in a population of 6000. In Roumania the total numbei is given at 4500, Moldavia having a larger share than VYal lachia. In Corfu it exists in 27 out of the 117 communes, the proportion of cases for the wholn island being 3.2 per 1000 inhal i tants. Maize was grown in Europe for many years before pellagra show ed itself (see Maize); but the outbreak of the disease corn? - ponds on the whole closely i time (particularly in Gascon i and Roumania) with the introduc tion of an inferior kind of mai? as the staple food of the peasantrj The first accounts of pellagra come from Spain. Gasal in 1762 described the disease in the Asturi as under the name of mal de ;a rosa ; it is said to have been no ticed first in 1735 around Oyiedo, being then confined within very narrow limits. The Asturias are still its headquarters in Spain, but it is prevalent also in Burgos, Navarra, Zaragoza tLow er Aragon, Guadlajara, and Cuenca, and it is met with in other provinces as well. In Italy it was first reported from the vicinity of Lago Maggior, and a few years later (in 1750) it broke out simultaneously in the dis tricts of Milan, Brescia, Bergamo, and Ledi, extending afterwaids to Como, Crempna,JMantua, and Pavia, and to the whole of Lorn bardy before the end of the cen tury. It became endemic also in Venetia on the one Bide aud iu Piedmont on the other, almost contemporaneously with this. Within the present century it has extended its area southward into Emilia and into Tuscany, while i Does No t Sfci m u la te Ayers Sarsaparilla does not stimulate. you feel better one day, then as bad as ever the next. It t does not make you stop using it. is not a sfrnncr drink Tv There is not a drop of alcohol in it. You haVe the steady, I Alton firkin 4-nnt- --- t- J J 1 1j ' 9 -"- wmtj uuiu a Mrung tunic aim diierauve. We wish you would ask your docto about this. He Knows, lrustnim. uoas lie says. r. C. A ver Co. , Lowell, M ass. 1 What areAyer s PiSIs? Liver Pills. How Ion i;:ve thev been sold? Nearly sixty years.. Do doctors recommend them? Ask your doctor sad fir..; -it. it has become more prevalent in itB earlier seats at the same time. There is very little of it in central Italy, while southern Italy with Sicily, is abolutely exempt, not withstanding the common use of Indian corn in the form of bread and macaroni. The first authen tic information of its existence in Gascony came from near Arcachon in 1818, after which it spread along the cost of the Gironde and the Landes. It has extended subsequently along the left bank of the Garonne and towards the Pyrenees; but around Dax it is said to haye decreased consider ably of late. In Roumania, where tha medical profession' is unani mons in traoing it to the use of damaged maize, it dates' from bout 183346. It is only since 1856 that it has become endemic u Corfu, under the circumstances i l ready mentioned. LITERA.TUBE.- La Pellagra in Italy, Rome, 1880 (official report with appendices relating to 'ranee, Spain, and Roumania, and copious bibliography extend ing to fifteen pages). An article u "The Pellagra in Italy," in the Edin. Rev. for April 1881, is based on this report. The author ity for Corfu is Typaldos. The bst inquiries on the toxio pro perties of damaged maize are those of Lombroso, See also give the firm a much larger and better store room and will put them directly in front of their wt rehouse. They carry a very H irsch, Historische geograph iBche Pathologie vol. ii., 2d ed Stuttgart, 1888 (Engl, trans.) Of the peasantry of the As turias, Townsend, a traveller of the last century, says : I'They eat little flesh, they drink little wine; their usual diet j is Indian corn, with beane, peas, uuestnuts, apples, pears, melons, and cucumbers; and even theij. im bread, made of Indian corn, has neither barm nor leaven, but is nnfer merited, and in the state of dough ; their drink is water" (ii. 14.) The following is the most recent account (by Dr. Petit) of thejeon- dition of the peasantry m the pellagrous district of the Gironde : "The cultivation of this disttrict consists of millet, rye, a small quantity of maize, and a few rare vinyards. The soil dr es not suffice for the nourishment oi. the miter able population who cultivate it. They are slovenly, and sleep in their clothes ; their labour is in general of the severest kind, and they are very ill fed. Their f ocd is mostly a porridge of millet; maize israrely part of their diet elsewhere he says, "in all these provinces the flour of maize enters largely into th food of the people", which includes a little rye-bread, sour most of the time, a few sardines, and rancid lard. Meat is almost excluded from their food; sometimes onfete-days one may see a quarter of mutton or veal at the repast. Their usual drink is water, and mostly bad water ; wine is not drunk except in well-to-do families. Their dwellings are deplorable; they are lowrooiea and damp, built of wattle, and constantly enveloped in re k. It often happens that man and beast live together. Pelh&ra rages as an endemic among these populations. IBM gg Some Extra Good Bargains at HURT COMH We have prepared for a Big Fall Business with the Biggest Stock ever. We are prepared to take care of your wants and at prices we don t be lieve you can match anywhere for same material. mm Kills Her Foe Of 20 Years. 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Carolina Watchman (Salisbury, N.C.)
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Nov. 16, 1909, edition 1
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