Diseases due to nutritional deficiencies might well be considered something from the poverty and grime of Victorian times and unknown to the people of this affluent society. It may come as a shock to many people, therefore, to learn that the rising incidence of rickets among the young in some of our big cities is causing grave concern; that iron deficiency anaemia, not altogether uncommon in women and in the undernourished but rarely of any great severity, is being found in a much more severe form in a great many West Indian infants, the hæmoglobin frequently not amounting to 50%; and that among the many skin lesions of coloured children there is at least the suggestion of riboflavin and perhaps other vitamin deficiencies. All this despite the blessings of the welfare state and a half‐century of local authority personal health services. It casts no reflection on these services, however; their work has resulted in vastly improved child health in this country, which speaks for itself.
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