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Journal of Nutrition Vol. 36 No. 5 November 1948, pp. 561-577
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Studies on Beriberi in an Endemic Sub-Tropical Area1

Juan Salcedo, Jr.2, Eufronio O. Carrasco3, Francisco R. Jose3 and Ramon C. Valenzuela3

U. S. Public Health Service and Department of Health of the Republic of the Philippines, Manila

A clinical beriberi survey was undertaken in the Province of Bataan, Philippines, a sub-tropical area with endemic beriberi. The clinical survey included "fasting hour" urinary thiamine analysis. The population surveyed consisted of 11 to 64% of the total population in each of 9 of the 12 municipalities of the Province. A total of 12,384 persons were examined and 1,580 cases of frank or suspected beriberi were found, corresponding to 12.7% of the population. Frank beriberi occurred in 1.99%.

Beriberi is found in descending order of frequency in "expectant mothers," "nursing mothers," "other adults," "infants," and "children." However, the reported mortality from beriberi is highest in infants and then in "other adults," there being no deaths of expectant mothers and only a very small number among nursing mothers.

Discussion is presented of the frequency of signs and symptoms of clinical beriberi, of the limited usefulness of the so-called "fasting hour" urinary thiamine excretion test, and of the dietary practices of rice-eaters in Bataan.


1 This study has been made possible by a grant from the Williams-Waterman Fund of Research Corporation, New York City, to the Department of Health, Republic of the Philippines. Some equipment and supplies were authorized from funds allocated to the U. S. Public Health Service Rehabilitation Program in the Philippines in connection with the Philippine Rehabilitation Act of 1946 of the 79th Congress of the United States.

2 Director of Field Operations, U. S. Public Health Service in the Philippines and concurrently Director, Institute of Nutrition, Republic of the Philippines.

3 Medical officer employed under a grant from the Williams-Waterman Fund.

Manuscript received 18 June 1948.


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Arch Intern MedHome page
G. A. GOLDSMITH and J. GIBBENS
RECENT ADVANCES IN NUTRITION: Review of the Literature, 1949-1950
Arch Intern Med, July 1, 1951; 88(1): 93 - 131.
[Abstract] [PDF]




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