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. 23 September 2016.
From Our Home Page
Kolomoki Mounds

The Kolomoki Mounds site is one of the largest prehistoric mound complexes in Georgia.

Read more...
Poultry

The Georgia poultry industry is a highly mechanized production complex that markets chicken and egg products around the globe.

Read more...
Southern Labor Archives

The Southern Labor Archives is committed to "collecting, preserving and making available the documentary heritage of Southern workers and their unions, as well as that of workers and unions having

Read more...
Atlanta Falcons

In 1965 the Atlanta Falcons became the first professional football team in the city of Atlanta and the fifteenth National Football Lea

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