SCXT 320 Science and Racial Prejudice
Consequences of Eugenics--The Contested Etiology of Pellagra--6

 

Discovering the Pellagra Preventive (PP) Factor

 

Goldberger spent the rest of his life (he died of cancer in 1929) trying to identify the specific Pellagra Preventive nutritional elemnt. After the stock market crash of 1929, the Great Depression drove many people into unemployment and poverty. Eugenic beliefs in social success as an indicator of hereditary quality were undermined by the national economic catastrophe. Government food relief programs and the manufacture of enriched flour all but eradicated pellagra. The disease is now known to be caused by a deficiency in the Pellagra Preventive elemtn, now known as niacin. As the following table demonstrates, however, deaths from pellagra continued to rise after 1915. It was the widespread poverty of the Depression that led to the policy changes that eradicated pellagra in the United Staes (and other developed countries).

Year
Total
Deaths
White
Deaths
Nonwhite
Deaths
Other Events
1900

2

 

 

Pellagra relatively unknown
1914

847

 

 

Goldberger discovers pellagra is a vitamin deficiency disease
1915

1058

 

 

Mississipi Prison Study
1916

1807

 

 

"Fifteen Men and a Housewife"
1917

2843

 

 

Pellagra II concludes the disease is infectious and affected by hereditary factors
1918

3126

 

 

 

1919

2568

 

 

 

1920

2122

 

 

 

1921

2348

 

 

 

1922

2514

 

 

 

1923

2245

1143

1102

U. S. Public Health Service begins to record deaths by race. Blacks are 10% of U. S. population but 50% of pellagra deaths.
1924

2206

1086

1120

 

1925

3049

1384

1665

 

1926

3501

1724

1777

 

1927

5091

2351

2740

 

1928

6523

2689

3834

 

1929

6623

2781

3842

Stock Market Crashes
1930

6106

2722

3384

 

 

 

 

 

 

1934

3602

1914

1688

 

Federal work programs and food relief start in 1933. TVA starts.
1935

3543

1963

1580

TVA dams provide cheap electric power. New grain mills are built. Price of food is reduced.
1936

3740

2129

1611

 

1937

3258

1804

1454

 

1938

3205

1707

1498

 

1939

2419

1404

1015

World War II begins in Europe.
1940

2123

1270

853

 

1941

1836

1137

699

U. S. enters World War II

 

 

 

 

 

1968

15

12

3

 

U. S. Public Health Service Center for Disease Control, Atlanta, Georgia

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