Abstract
From time to time within the past decade medical publications have appeared describing patients in the Cincinnati General Hospital who were ill because of vitamin deficiency. In 1942 a statistical study revealed an incidence of pellagra in that hospital similar to that reported from New Orleans; Augusta, Ga.; Birmingham, Ala.; Durham, N. C., and from other southern cities where pellagra had been regarded as a common endemic disease. Our report in 1942 1 described an incidence which began in 1935 at 0.3 per cent of all medical admissions and rose each year to 1.5 per cent in 1938. Now it has been determined that since 1939 the incidence has gradually declined so that in 1947 and 1948 there were no cases of pellagra. A personal communication from Dr. Norman Jolliffe has described a similar situation at Bellevue Hospital, New York. It was believed that there had been only an apparent
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