Pellagra

Pellagra, a disease caused by a dietary deficiency in vitamin B (niacin), was seen in the southern United States after the Civil War (1861-65). In the early 1900s it was thought to be an infectious disease, but studies conducted by public health physician Joseph Goldberger at the Milledgeville State Hospital (later Central State Hospital) in Georgia showed that it was related to diet. Death statistics indicate that pellagra may have been one of the most severe nutritional deficiency diseases ever recorded in the United States. Symptoms include dermatitis, diarrhea, inflammation of the mucous membranes, and even dementia. Pellagra can flare in strong sunlight. Left untreated, the condition results in death.
The incidence of pellagra increased greatly in the early twentieth century, during the Progressive Era. In 1909 more than 1,000 estimated cases were reported from thirteen states. By 1911 pellagra was reported in all but nine states, and the number of cases increased ninefold. From 1906 to 1940 approximately 3 million cases and 100,000 deaths were attributed to this disease. It was most prevalent in the southern states, where income level was low and most of the available land was used for such cash crops as cotton and tobacco rather than food crops. By 1920 pellagra had became a serious illness in Georgia, where 432 deaths were attributed to the disease. During 1928-29, at its peak incidence, pellagra was the eighth or ninth leading cause of death besides accidents in the South.
Economic recovery and the enrichment of flour with niacin improved diet and health in areas where pellagra had been common. This made possible the elimination of pellagra by the end of the 1940s.
close

Loading

Further Reading
Thomas Franklin Abercrombie, History of Public Health in Georgia, 1733-1950 (Atlanta: Georgia Department of Public Health, [195?]).

Youngmee K. Park et al., "Effectiveness of Food Fortification in the United States: The Case of Pellagra," American Journal of Public Health 90 (May 2000): 727-38.
Cite This Article
Tharian, Bindu. "Pellagra." New Georgia Encyclopedia. 16 September 2014. Web. 30 October 2014.
From Our Home Page
Tallulah Falls and Gorge

Located in the mountains of northeast Georgia, Tallulah Falls

Read more...
Georgia Tech Football

With one of college football's dominant programs in the first half of the twentieth century, the Georgia Institute of Techno

Read more...
Georgia Archives

The Georgia Archives, formerly a division of the office of the secretary o

Read more...
The Walking Dead

Set in modern-day Georgia after a zombie apocalypse,The Walking Dead is a comic book and television series.

Read more...
Courtesy of Hargrett Rare Book and Manuscript Library, University of Georgia Libraries