Handbook of medical treatment . ncidence of the disease in the Orient hasmarkedly increased since the advent of steam rice-mills. Theold hand process of husking and cleaning the rice did not, asa rule, remove the cortical layer of the grain. There have been notably large numbers of deaths due toberiberi in public institutions, in the Japanese Navy, on ships, BERIBERI. 275 jails, insane hospitals, and other places where polished ricehas been the staple article of diet. In 1904 and 1905 it isstated that 24 per cent, of the entire sick and wounded in theJapanese armies were disabled by it. It is
Handbook of medical treatment . ncidence of the disease in the Orient hasmarkedly increased since the advent of steam rice-mills. Theold hand process of husking and cleaning the rice did not, asa rule, remove the cortical layer of the grain. There have been notably large numbers of deaths due toberiberi in public institutions, in the Japanese Navy, on ships, BERIBERI. 275 jails, insane hospitals, and other places where polished ricehas been the staple article of diet. In 1904 and 1905 it isstated that 24 per cent, of the entire sick and wounded in theJapanese armies were disabled by it. It is estimated thatthere are annually at least a hundred thousand deaths and ahalf-million cases of illness due to beriberi throughout theOrient. There is much reason to believe that the disease insome countries is indirectly associated with infant mortalityand morbidity. In Manila, for instance, where over one-halfof the children die before they reach their first birthday, themortality is much greater among breast-fed children than. Fig. 10—Same chicken. Paralysis after being fed exclusively onwhite rice for four weeks. among bottle-fed children. The health of breast-fed infantsof mothers who subsist on polished rice as a staple article ofdiet improves in a remarkable manner when the extract oflice polishings is fed to such infants. Beriberi prevails extensively in Japan, China, PhilippineIslands, Borneo, Indo-China, Straits Settlements, FederatedMalay States, Java, and Sumatra in the Eastern Hemisphere,and in other places where people whose staple article of dietis polished rice have migrated. It is particularly common onvessels which have Asiatic crews. In the Western Hemi-sphere the disease has been frequently reported in Brazil, alsoamong the natives of Iceland, and in these countries is dueto an unbalanced ration. That beriberi is intimately associated with diet cannotlonger be successfully disputed, although there are still a 276 TROPICAL DISEASES. number of observers in va
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