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Poverty meant that
few sharecroppers or mill workers could afford to eat a well-balanced diet.
Meager diets that consisted mainly of cornmeal, molasses, and a few
vegetables were the rule. It took several years for Goldberger’s discovery to
be accepted and for effective public health action to be taken. Dietary
supplements of brewer’s yeast, and improvement of diets to include more meat,
milk and vegetables resulted in reducing the prevalence of the condition in
the 1930’s. In 1937, niacin was
identified as the specific nutritional factor related to the disease.
Enrichment of flour, corn meal and other products with the B vitamins began
in the 1940’s.
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