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The Rise and Fall of Pellagra in the American South

  • Karen Clay (a1), Ethan Schmick (a2) and Werner Troesken (a3)
Abstract

Focusing on the first half of the twentieth century, we explore the rise and fall of pellagra (a disease caused by inadequate niacin consumption) in the American South. We first consider the hypothesis that the South’s monoculture in cotton undermined nutrition by displacing local food production. Consistent with this hypothesis, a difference in differences estimation shows that after the arrival of the boll weevil, food production in affected counties rose while cotton production and pellagra rates fell. The results also suggest that after 1937 improved medical understanding and state fortification laws helped eliminate pellagra.

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Footnotes
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We thank seminar participants at the Canadian Network for Economic History Conference 2015, the Stanford Institute for Theoretical Economics (SITE) 2015, the Economic History Association (EHA) Annual Conference 2016, the University of Arizona, the University of Colorado Boulder, and the University of Michigan.

Footnotes
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