Disease in the Years of the War 1917–1918,” Epstein states that in Prague there had been an endemic increase of infantile scurvy since August, 1917. The only information regarding scurvy among the adult civilian population of Germany is that furnished by Morawitz, who states that this disorder occurred sporadically. Here again it is probable that there were many latent or rudimentary cases which were not recognized.

In Great Britain there are reports which show that scurvy manifested itself in institutions caring for the poor. In Glasgow we learn of 50 cases developing in the Poor Law Hospital in the course of fifteen months, and in Newcastle of 16 cases appearing in the Poor Law Infirmary in the course of three months.

It is probable that when more detailed reports are available, it will be found that there was far more scurvy than was appreciated during the course of the war. It will be impossible, however, to gain even an approximate knowledge of the extent to which this disorder prevailed, as in many instances it was inextricably interwoven with other nutritional diseases. The situation which Enright describes in Cairo among the Turkish prisoners suffering from war edema, where there was “evidently a scorbutic factor involved,” probably held true for many other parts of the world. War and scurvy must still be regarded as associated evils, for war is closely linked with famine and food deprivation—the dominant factor in the production of scurvy.