The Vitamin A Story


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Intriguing reading for specialists and the interested public alike This book shows how vitamin A deficiency -- before the vitamin was known to scientists -- affected millions of people throughout history. It is a story of sailors and soldiers, penniless mothers, orphaned infants, and young children left susceptible to blindness and fatal infections. We also glimpse the fortunate ones who, with ample vitamin A-rich food, escaped this elusive stalker. Why were people going blind and dying? To unravel this puzzle, scientists around the world competed over the course of a century. Their persistent efforts led to the identification of vitamin A and its essential role in health. As a primary focus of today's international public health efforts, vitamin A has saved hundreds of thousands of lives. But, we discover, they could save many more were it not for obstacles erected by political and ideological zealots who lack a historical perspective of the problem. Although exhaustively researched and documented, this book is written for intellectually curious lay readers as well as for specialists. Public health professionals, nutritionists, and historians of science and medicine have much to learn from this book about the cultural and scientific origins of their disciplines. Likewise, readers interested in military and cultural history will learn about the interaction of health, society, science, and politics. The author's presentation of vitamin A deficiency is likely to become a classic case study of health disparities in the past as well as the present.







Rickets, Race and Reproduction


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This book outlines the history of rickets, a disease commonly associated with childhood, and studies its association with race and its long-reaching effects on childbirth. For centuries, the condition was poorly understood. For females, rickets could pose a double jeopardy: suffering in childhood and severe danger in adulthood when giving birth. The disease could result in a contracted pelvis that obstructs the birth canal. Medical researchers were faced with two distinct challenges: unravelling the etiology of rickets and ensuring the safety of women giving birth--both proved especially difficult. Thought variously to be a disease of industrial cities and children of the poor, grounded in lack of exercise or sunlight, or the of product racial difference, the condition defied analysis until the discovery of vitamin D early in the 20th century. The dangers of rickets radically diminished. Medical intervention in childbirth continued, and childbirth increasingly shifted from the home to the hospital. Medical practitioners justified intervention by emphasizing the dangers of pelvic disproportion, continually enlarging the definition to gain full control of birth. Often conditioned by racial assumptions, surgical experimentation promoted common use of anesthesia and a radical increase in caesarean sections, and birth became a colder, more clinical experience.







Nature


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