National Archives. Children’s Bureau, Department of Commerce and Labor. Lewis W. Hine, photographer.
	This little girl worked in the Lancaster Cotton Mills – there were many others this young.
	Mill workers frequently suffered from respiratory diseases and other diseases.
	Tuberculosis was widespread. Pellagra was a nutritional deficiency disease that was very common at the turn of the century. A national Pellagra conference was held in Columbia in 1908.  Many South Carolinians suffered debility, madness and death from this disease, whose causes were yet unknown.