Treating Beri-beri in Ireland

Guinness factory Dublin 1910
Guinness factory Dublin 1910

Dr Norman thought that as the diet in the Richmond Asylum in Dublin was better than elsewhere, the beri-beri like disease could not have a nutritional basis. However,  evidence for a dietary connection, especially with polished white rice, had emerged, and a precedent for a deficiency disorder – scurvy – was known if not fully understood. It was not until Casimir Funk in 1912 published ‘The etiology of the deficiency diseases’ that this concept began to take hold, and was the start of ‘vitamin theory’.

The deficiency in beriberi is of Vitamin B1, also known as thiamine, which is found more in brown rice and bread than the ‘white’ versions. Beriberi is less common in complete starvation than when extra but refined carbohydrate such as sugar is introduced. White bread may have been used in the asylum, and thiamine’s absorption is impaired with dysentery, in alcoholism, and even by tea drinking. There were no cases among the medical staff.

Unbeknownst to Dr Norman, a remedy akin to Marmite was at hand along the River Liffey at the Guinness Factory. The Brewery’s Chief Chemist, Dr Millar, developed the popular and tasty savoury spread, Guinness Yeast Extract or GYE, from the surplus yeast generated in the fermentation process. It was launched in Ireland in 1936 and was discontinued in 1968.

Garlic is a good source of thiamine too.

 

 

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Preventing Pellagra

In ‘Dracula’ Dr Van Helsing attempts to provide his companions with a number of preventives against the vampires, especially garlic, sacred wafers, and crosses.

Instead, if you are planning to travel to Romania or the Deep South of the USA and eat a very limited diet of mamaliga or cornmeal, I recommend for its Vitamin  B: MARMITE!

2019 marmite 2

‘Dracula’ and Diet: Pellagra

 

Wellcome Collection
Girl with pellagra in the London Asylum

The Vitamin B deficiency disease of pellagra is characterised by ‘The four Ds’ -dermatitis, dementia, diarrhoea and death.

Hampl and Hampl (1997) suggested that pellagra, due to a dietary deficiency of niacin and tryptophan, was a candidate for the basis of vampire literature.

This poor girl does look as if sunlight affects her badly.

Image from Wellcome Collection

‘Dracula’ and Diet: Scurvy

Seymour Taylor’s medical textbook of 1894 describes scurvy  as:

‘a blood disease due to the want of fresh vegetables and characterised by intense debility with anaemia, together with haemorrhages from the gums’.

leedrac 2

Maybe like the Count, then? He was a bit of a seaman, and reluctant to eat his five-a-day of fruit and vegetables. By the end of the nineteenth century scurvy was one of the few dietary deficiencies recognised, but vitamin theory was yet to come.

And today, 27th of May, is the birthday of both Christopher Lee and Vincent Price, while Peter Cushing’s was yesterday (thank you Mr and Mrs Symon).