Malnutrition and Blindness Noise Can Drive You Crazy How to Avoid Ulcers Children's Train RAVINDER KUMAR PAUL Joy rides to children. Marvellous are the joys of the miniature train! Every child would like to own one, but unfortunately this is not possible. Trains are always fascinating to children. Whenever they travel, it gives them such a thrill! They don't even sleep, for looking at the passing countryside is more fun. Now in Khel Gaon, Delhi, is a train meant for children only. This "play village," which is the meaning of Khel Gaon, is being built up around the miniature Bal Bhavan Railway. Khel Gaon is the first such recreation centre of its type in Asia and will become a permanent playground for children. Its foundation stone was laid by that great favourite of children, "Chacha Nehru." In addition to the children's train, the centre will have a museum, theatre, swimming pool, library, playground, workshop and an arts-andcrafts corner. The circular train goes round Khel Gaon and is provided exclusively to give joy rides to children for a minimum cost per ticket of only fifteen naye paise. The small Lilliput engine is a joint gift to the children of India from a German firm and Tata's, while the tiny coaches have been donated by the Northern Railway. (Continued on outside back cover.) 2 THE HERALD OF HEALTH, MARCH 1960 The Oriental Watchman and Herald of 51st YEAR OF PUBLICATION A Magazine for Home and Happiness EDITOR: T. R. TORKELSON ASSOCIATE EDITORS: I. R. BAZLIEL, EX-MAJ. I. M. S. : ELIZABETH J. HISCOX, M.D. ; P. S. NELSON, M. D.. D. N. B. : 0. B. HAUSER. M.D. ASSISTANT EDITOR: GEORGE C. THOMAS Contents FEATURE ARTICLES Page HOW TO AVOID ULCERS R. ANDERSON, M.D. MALNUTRITION—MAJOR CAUSE OF BLINDNESS IN CHILDREN C. GOPALAN HANDLE WITH CARE B. RICHARDSON, M.D. 14 DIABETES—A DISEAi OF PROSPERITY M.D. 16 WOODBURY 18 CLIFFORD ARTIN NOISE CAN DRIVE YOU CRAZY COLOUR AND HEALTH R. HOEHN, B. F. ALAN P. MAJOR 6 11 22 REGULAR FEATURES OUR THE EDITOR SAYS: COVER Trifling Matters Can Lead to Far-reaching Results 5 MINUTE MEDITATIONS: Playing With Fire 10 HOBBIES FOR HEALTH: Gardening as a Hobby 24 HOMEMAKER'S HELPS: Are We Honest with Them? 26 STUDENTS' GUIDE: Importance of THE Docroa Physical Fitness 28 31 ANSWERS 33 SCIENCE ON THE MARCH Photo: B. Bhansali When Pandit Nehru visited Bangalore on January 13, '60, a ten-year-old girl gave a loving welcome in a short and sweet address. `Ile Prime Minister replied: "You live here in this beautiful city, which has lovely flowers and trees. I want you also to be like these beautiful flowers. We have to make our country a fine garden with plenty of flowers. Every child in India should have opportunities to play in this garden and help maintain it." tal Address: Post Office Box 35, Poona Published monthly by the Oriental Watchman Publishing House. 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Regional offices: Foe Mysore—I-A Wheeler Road, Bangalore 1; for Madras-21-A Williams THE HERALD OF HEALTH, MARCH 1960 Road, Tiruchirapalli Cantt.; for Kerala— Kaudiar P. 0., Trivandrum 3; for Andhra —Bander Road, Box 308, Vijayawada; for Bombay-16 Club Road, Bombay 8; for Uttar Pradesh, East Punjab, Delhi and adjacent states-27 Barakhamba Road, New Delhi; for Bihar, Orissa and West Bengal-36 Park Street, Calcutta 16; for Assam—Nongthymmai, Shillong; for East Pakistan-13U/C Dhanmandi Road, Dacca; for Ceylon-15/2 Alfred House Gardens, Colpetty Colombo 3; for West Pakistan—OrientalWatchman Publishing House, 32 Mozang Road, Lahore; for Burma—Book & Bible House of Seventh-day Adventists, 68 U Wisara Road, Rangoon. Change of Address: Send requests along with wrapper or reference number appearing thereon, India indicating both new and old addresses. Duplicate copies cannot be supplied without extra charge if intimation of change of address has not been given in advance. Non-Receipt and Loss of Copies: Inquire first at your local post office; if you get no satisfaction, then please inform us. When making a complaint about the late receipt of this magazine, please send wrapper along with complaint to enable the post office to fix responsibility for the delay. Expiry notice: When you see an X es the wrapper of your magazine, it means your subscription has expired. *** Articles in this issue thus marked have been reprinted by the courtesy of "Life and Health." 3 -77,1I:77111411C.,-7,151""'":' • This is your Heritage In a picturesque mountainous drive from Mahableshwar to Mahad, you can visit the ancient fort of Pratabgarh. This fortress is 3543 feet above sea level, and was built in 1656 by Shivaji, who at this fort defeated the army of Sultan of Bijapur. From the bastions of Pratabgarh, you have a magnificent view of the Western Ghats, an area which depicts the rugged beauty of India. And wherever you motor in this vast country, your trip will be more pleasant, and free from 'car troubles', when you drive on Caltex petroleum products. X SEE YOUR COUNTRY ON CALTEX PETROLEUM PRODUCTS 4 THE HERALD OF HEALTH, MARCH 1960 Trifling Matters Can Lead to Far-reaching Results NE DAY in the late summer of 1928 there occurred in London an apparently trifling incident that has proved to be one of the great events in human history. A little-known bacteriologist named Alexander Fleming, who had dedicated his life to the task of finding a way to help the body fight infection, had set up a research laboratory in that city and was busy carrying out experiments. "It just happened" that his window was open that day and "it just happened" that a vagrant spore of a tiny mould drifted in through that open window and settled "by chance" on a saucerlike dish. A discriminating student of scientific developments of the past several years points out that that almost unnoticed "happenstance" was in reality one of the great landmarks of medical history, a fact clear enough to all now, though discerned by none at the time. "The errant mould," he states, "was penicillium notatum, and the dish contained a culture of staphylococcus bacilli, the organism responsible for boils and a vast number of other infections." This writer goes on to state that Fleming began a series of tests with the mould which confirmed that it was somehow able to inhibit or destroy a large number of man-killing microbes. How, he did not fully understand, but concluded that it produced an antibiotic substance O Tnr HERALD OF HEALTH, MARCH 1960 as part of its natural biochemical processes. To this substance, the far-reaching results of which he could not then know, he gave the name "penicillin." It took some fifteen years more and at least two other peculiar twists of circumstance before penicillin came into general use as one of man's greatest allies in the conquest of disease. "It just happened" that in 1938, about ten years after the miracle drug drifted in through Fleming's window, that another scientist doing research work at Oxford on the body's defences against disease stumbled onto the published results of Fleming's experiments. There was something in the paper that set his own imagination on fire and started him to work growing penicillin moulds. By 1941 he and his associates had managed to extract from the mould broth only one precious teaspoonful of the brown penicillin powder. The substance had proved beyond any doubt its effectiveness against microbes, but still the formidable problem of quantity production remained unsolved. Then the second twist of circumstance happened. One of the scientists connected with the project "just happened" to notice a mouldy cantaloupe in the market one day and on a hunch bought it and took it to his laboratory. Upon testing the mould, he found it to be a strain of penicillium that was capable of producing penicillin more abundantly than any other, and went on from there to develop large-scale production of penicillin, so that by 1945 this antibiotic became available to everyone everywhere who might need it to combat infection. And what have been the results of these little beginnings that led at last to the discovery and production of penicillin? Man's power over his oldest and deadliest foe, the disease microbe, has been vastly increased. Deaths from infectious diseases between the ages of one and four have been practically wiped out. Fatalities due to eight major infectious diseases have been reduced by more than 60 per cent. All this and more—from an accident! (Continued on p. 29.) Picture shows the Nepal Prime Minister, Shri B. P. Koirala visiting the Penicillin Factory at Pimpri, Poona, a factory which is the only one of its kind in India. Opened in August 1955, this firm has hitherto supplied the country with 175 million mega units of penicillin (equivalent to 45 million vials). Clifford R. Anderson, M.D. O F ALL THE organs in the human body none is more of a problem than the stomach. Day and night it constantly reminds us of its presence ! It never wants to be neglected or to go short in any way. Sometimes it is filled to overflowing with things that are harmful not only to the stomach itself, but also to the rest of the body. With far too many of us our stomachs are our downfall. Without realizing what harm we are doing, we eat and drink the very things that may bring on chronic diseases. Sometimes these harmful things may spoil our appetite for the foods that we really need. There are great differences in the ability of people to digest various kinds of foods. Some can digest almost anything. Others have to be very careful in what they eat. There is nothing unusual in this. No two people are exactly alike. We all have our own individual differences. That is why some of us prefer one thing, and some another. And rightly so. What a dismal world it would be if we all wanted exactly the same things ! It is our individual likes and dislikes that help to make life so interesting and instructive. Eating is a habit in which almost all of us are vitally interested. People who have poor appetites are either sick or depressed. All healthy people get hungry. 6 Some folks eat twice a day, others three times a day, and still others more often. We cannot legislate for one another, because our bodies are not all alike. Some people seem to do better on four or even five small meals a day, while the majority are quite happy with three. Some of those who need more than three meals a day may be suffering from low blood sugar. Nature may demand that they eat more frequently. This will keep the sugar in their blood stream at a more satisfactory level. There is probably little or no harm in this, provided the meals are small and easy to digest. The real problem arises when we take one of those complicated meals, with many mixtures of rich, hardto-digest foods. These are the meals that cause so much trouble in the stomach. What is digestion? Why is it so necessary? Every food that enters the stomach must first be broken down into simple substances before it can be absorbed. All of our foods have to pass through this process before they can be absorbed into the body. We call this "digestion." Each food is subjected to an amazing array of chemical reactions. These break the food down into much simpler forms. This is necessary in order that the food substances may be absorbed. THE HERALD OF HEALTH, MARCH 1960 How to Avoid Ulcers Almost all digestion and absorption take place within the small intestine. It is truly marvellous how much goes on in this long, muscular tube that leads from the stomach to the large bowel. Without the delicate mucous membrane that lines the inside of the small intestine, we could never survive. The ability to absorb nutriment is indispensable to life, and the small bowel is where this takes place. The stomach and the colon are only capable of absorbing water and salts. It takes the small bowel to absorb the proteins, fats, and carbohydrates, and to carry on the complex chemical process known as digestion. WHY DO WE HAVE A STOMACH? Then, why do we have a stomach? Because we need some kind of receptacle or storage place where food can be temporarily stored until it is ready for digestion. The stomach has been designed for this purpose. Its walls are strong and muscular, and it can churn into a variety of shapes and sizes according to the demands made upon it. There are many small glands in the walls of the stomach that produce the powerful digestive juices. These include hydrochloric acid and certain digestive enzymes or ferments such as pepsin and rennin. These enzymes are very important in the earlier stages of digestion. Another important function of the stomach is to allow only small quantities of food to pass into the small bowel at any one time. This keeps the process of digestion running smoothly for several hours after a meal. This is much better than dumping everything into the small bowel at once, and expecting that overloaded organ to try to sort it out and digest it. At the lower end of the stomach there is a strong muscular door called "the pylorus." This opens and closes whenever necessary for the normal emptying of the stomach. Sometimes ulcers form near this muscular door, THE HERALD OP HEALTH, MARCH 1960 With far too many of us our stomachs are our downfall. Without realizing what harm we are doing, we eat and drink the very things that may bring on chronic diseases. The figure above shows a stomach that is well ruined by condiments, hot foods and alcoholic beverages. Avoid family quarrels, either with the baby, or with the wife or husband over a crying baby. Let the mealtimes be the happiest moments of the day. and this interferes with its normal movements. Such an ulcer may be on the stomach side or on the intestinal side. But in any case it is always a hindrance to digestion, as well as dangerous to the person who has it. AVOIDING FAMILY QUARRELS Ulcers usually come from poor living habits. Most of them develop in people who are tense and nervous. Such people may appear calm on the outside, but underneath there may be very strong feelings of frustration or anxiety. Even young children may 7 develop painful ulcers, especially if they are tense and unhappy while eating. It is most important that mealtimes be the happiest moments of the day, for a great deal of poor nutrition stems from unhappiness at the table. Certainly mealtime is a bad time to discuss unpleasant topics, either with children or with anyone else. The normal stomach usually takes several hours to empty. This is true whether the meal is large or small. Of course, the smaller and simpler the meal, the more quickly the stomach is emptied. It is those large meals, with many rich mixtures of food, that cause so much trouble. Then, when we take large quantities of liquids with the meal„ digestion is further delayed. When such liquids are ice cold, the stomach may be still further hindered in its work. It cannot proceed with digestion until these ice-cold liquids are warmed up to the normal temperature of the body. It may take twenty minutes or half an hour before the normal digestive processes can even get started. If we eat our meals in an atmosphere of mental strain, such as a family quarrel or a bitter argument, the process of digestion may stop completely. This may mean that for many hours the stomach may be loaded with food that it cannot digest. It is at times like this that many of us run to the medicine cabinet for some drug, such as bicarbonate of soda, in the hope that this will help. Occasionally it does 'help for a while, but it never does any permanent good. The frequent use of such drugs may be definitely harmful to the stomach and, indeed, to the whole body. Such powerful alkalies are likely to injure the delicate lining of the stomach. And if taken in large quantities, they may throw the whole chemical arrangement of the body out of balance. A man came to a hospital not long ago, complaining of severe stomach pains. He said that the only thing that ever seemed to relieve him was soda. Immediately after eating a small, simple meal he would get a severe burning in his stomach. He was afraid to take anything but milk and water. The X-rays showed that he had a large, deep ulcer near the lower end of his stomach. Because the ulcer was so large, he was advised to have part of his stomach removed by surgery. He went to a first-class hospital for his operation and made a fairly smooth recovery. From thenceforth he was advised to change his habits of living. He gave up the use of tobacco, alcohol, and coffee. He took his meals at regular times and avoided all kinds of family and business worries, especially while eating. He was soon feeling much better. Digestion is delayed when large quantities of fluids are taken with the meal. When liquids are ice-cold the stomach is still further hindered in its work. It may take twenty minutes or half an hour for the stomach to warm up the liquid to normal body temperature before proceeding with its digestive work. Throw out that frying pan! Fatty foods tend to aggravate the pain and discomfort. Primitive peoples do not seem to suffer from ulcers. In most cases ulcers are brought on by the stress and strain of modern living. Most times they are painful and cause considerable distress. But not all ulcers are 8 THE HERALD OF HEALTH, MARCH 1960 painful. Sometimes a person may have a deep ulcer and know nothing about it. A severe haemorrhage may be the first indication that he has a disease of the stomach. Others may complain of occasional gas or bloating. In any condition like this it is always wise to have the stomach X-rayed, in case something more serious may be going on inside. WHEN IS IT CANCER? There is always the possibility of a cancer developing in the stomach. Doctors are not sure what causes cancer in the stomach, but it is thought that constant irritation of the lining of the stomach may play a part. Hence it is wise to avoid indigestion and other forms of irritation as much as possible. The most frequent ulcers usually occur just inside the duodenum, which is the first part of the small bowel. Fortunately, most duodenal ulcers never turn into cancer. But some small stomach ulcers may be cancer from the beginning. For this reason a chronic ulcer of the stomach is usually considered to be more dangerous than an ulcer of the duodenum, although both can cause plenty of trouble. Most modern doctors are now advising that any portion of the stomach that is badly ulcerated be removed by surgery, especially if the ulcer does not heal within a few weeks. Any ulcer that does not heal readily may be due to cancer. The sooner such ulcer is removed, the better for the patient and for all concerned. It is never wise to neglect the stomach, for there is much that can go wrong, especially if the irritation continues for a long time. Ulcers are always more dangerous after a person reaches fifty years of age. In a younger person the ulcer may penetrate a blood vessel and cause severe haemorrhage; but because the vessel walls are more elastic, the haemorrhage is more likely to stop within a short time. In an older person the vessel walls may be hard and stiff, and the bleeding may continue until it is too late to save the patient. There is no time to lose when a massive haemorrhage occurs, especially in a person who is older. The sooner an operation is performed, the better his chances of survival. Anyone who suffers from chronic gastritis should always be under the care of a well-qualified doctor. In severe cases it may be wise to seek the advice of a physician who specializes in treating diseases of the stomach. Such specialists usually advise their patients to eat at regular times and to take only small amounts of bland, easily digested foods. Often it may be necessary for the patient to eat a small meal every two or three hours. During the acute stages he may have to take a mixture of milk and cream every hour for several days. Later he may add small quantities of some well-cooked cereal, and then a soft-boiled egg. THE HERALD OF HEALTH, MARCH 1960 If no further pain develops, he may add a little creamed soup and small quantities of pureed vegetables to his diet. Next he may add a few simple desserts, and after a few weeks he may be able to eat a more or less normal diet. But it is important for him to avoid all kinds of roughage in his diet, especially during the healing of the ulcer. For the remainder of his life he will have to be very careful about his diet. Such a person would be wise to stop smoking, for tobacco has a bad effect upon the digestive system. For the same reason he should avoid coffee, spices, alcohol, and carbonated drinks. Condiments and hot foods are never good for an ulcerated stomach. When the pain comes on,. it is best to take a glass of milk. This will help to neutralize the acidity of the stomach. Milk will also soothe the irritated membranes. By all means avoid fatty foods and foods that have been cooked or fried in fat. Frying breaks the fat down into irritating by-products that aggravate the pain and discomfort. So if you have stomach trouble you would be wise to throw that frying pan away. Finally, avoid all nervous strain and anxiety, both at home and at work. Physical and mental rest are most important. This includes freedom from worry and all unpleasant situations. Try to sleep at least ten hours each night, and take a short rest period during the day if possible. Full relaxation of mind and body are essential. Make every meal a time of joy and happiness, when only the best and most enjoyable things are discussed and everything unpleasant is forgotten. Remember that even young children may suffer from gastric distress. They, too, may need some good treatment for a bad stomach. Therefore plan to make their lives truly happy, and nature will reward your whole family with lasting health and happiness all your days. "When I work, I work real hard; When I sit, I sit real loose-like; When I worry, I go smack off to sleep." 9 so MINUT MEDITATIONS all 16 0 111; ili 11; wV w II; so PLAYING WITH FIRE D. A. Delafield b ill "Can a man take fire in his bosom, and his water, the passions make good servants but poor V clothes not be burned? Can one go upon hot masters. coals, and his feet not be burned?' --Solomon's It is not fair or reasonable to violate the basic Proverbs. principles of chastity simply because others may • Think about these two questions for a mo- be doing it. Do not the will, the reason, and good ✓ ment. Can you take a burning stick of wood and sense have priority over strong feelings? Why V press it close to your body without burning your ruin a life or a home and pull the shadow of • clothing, or can you walk barefoot upon hot night over future years for the pleasure of eating ill coals without blistering your feet? I think not. a few stolen sweets? ii But how many there are today who are not But some people, especially young people, say, V playing a fair game in life's most intimate rela- "It is perfectly all right for us to do as we tions, while breaking hearts and homes and leav- please." Remember you are not married yet, and ing scars upon their own souls. it is not fair nor safe to break the rules of life The word sex is often spelled with red letters, just because you feel you can't wait. True love ✓ primarily because purity is on the wane and is a principle that does not bow to random feelV people's thoughts and actions often run counter ing. It controls all base motives and brings them • to physical and social laws. Charm and glamour, under the control of reason. If you have the ✓ with many people, have come to mean more than genuine article of love, you will act on these •ill character and a good name. Indulgence in illicit realistic issues with a clear mind and a pure sexual acts is all too common. But does this have heart. ✓ to be? Not if people are informed and underBe noble and fair now and live in hope. Do ✓ stand the relationship of sex to the over-all pic- not ii get caught in the murky tide of impurity ture of life. that is swamping all the shores of humanity's so People should not be surprised to feel within social sea. Be different. Be pure. Give yourself il; themselves certain desires. There is a proper the thrill of victory in the moral struggle. Wait sphere for the function of natural physical and be supremely happy later. If you will emphaii powers, but these are to operate under the laws size other features of your friendship, you will ✓ that govern society. What may be legitimate and have enough to keep you happy and to keep w right in the marriage relationship may be illegit- you busy. But do not play with fire. You might imate and wrong outside of it. Like fire and get burned. V I • 4 N ili 10 Tns HERALD OF HEALTH, MARCH 1960 so 11 0: II: 0: OM a 0: II: II: 11:11:0: IP: IKIEIKWO: 10: 11: 0: 0: • : II: 0: II: fb: 0: 41: 41: 1/1: 0: 0: OM 0: a 0:4): ii MALNUTRITION Major Cause of Blindness in Children Dr. C. Gopalan Deputy Director, Nutrition Research Laboratories, Indian Council of Medical Research, Hyderabad 0 F THE MANY factors which endanger the health of poor children in India, malnutrition is probably the most important. Apart from diseases which are directly attributable to malnutrition, it is now widely recognized that malnutrition may aggravate the course of many infectious diseases arising from bad environmental conditions. According to the latest census figures, the infant mortality rate (deaths of infants per 1000 live births) in India is 5 to 6 times the rate in some of the advanced countries of the West. Out of every 1000 infants born in our country, nearly 115 to 120 infants die before they reach the end of their first year. Nearly 25 per cent of these infant deaths take place within the first week after birth and 40 per cent of the infant deaths occur within the first month. This high neonatal mortality (deaths of infants up to 28 days after birth) among the poor sections of the population is a reflection of the high incidence of prematurity in these groups and the low vitality of the new-born. An important factor contributing to THE HERALD OF HEALTH, MARCH 1960 this situation is maternal malnutrition; for extensive epidemiological and experimental investigations have indicated that the nutritional status of the mother at the time of her pregnancy determines to a great extent the viability of her offspring. BEST PERIOD The period between the first and sixth months after birth constitutes probably the best period in the life of the child in a poor family from the nutritional point of view, because during this period the infant gets practically all the nutrients it needs from the mother's milk. The most gratifying feature of the nutritional condition of the poor communities, as revealed by some of our recent studies, is that in spite of their low nutritional status, mothers are able to put forth an adequate quantity of milk and of a fair quality right through the entire period of lactation. It was found in the course of these studies that there was almost an inverse correlation between the status of a 11 mother in the socio-economic structure and her ability to breast-feed her infant. It appears that emotional and psychological factors are more important determinants of lactation than the nutritional factors. However adequate breast milk may be, it fails to meet the full nutritional demands of the infant after the sixth month. After this period, supplementation of foods rich in protein becomes necessary. Since these are not always within the economic reach of the poor, nutritional deficiency diseases of various kinds are frequently encountered in poor children, especially between the ages of 1 and 5 years, which is the most vulnerable period in a child's life from the nutritional point of view. The incidence of malnutrition is particularly heavy during this period of childhood. MALNUTRITION AND BLINDNESS The tragedy of malnutrition in children is not so much that it is responsible for high mortality, but that it cripples and permanently damages the growing generation. Of the many crippling effects, probably the most devastating is on vision. It has been found that the number of blind people in India runs to several thousands. A great majority of these cases are known to be preventable. It is believed that the most common cause of preventable blindness is malnutrition due to deficiency of vitamin A in the diet. Vitamin A deficiency is essentially a problem of children because the requirement of the vitamin is greatest in the period of growth. In mild forms of vitamin A deficiency, the conjunctiva may show a muddy discoloration and instead of being moist and glistening may appear dry and lustreless. SYMPTOMS OF BLINDNESS At this stage, an observant mother may notice that the child finds some difficulty in seeing objects properly with the approach of sunset. A characteristic feature is that at dusk the child gropes about for food on its plate. This condition is described as "night blindness." If the condition is spotted at this stage, it can be easily treated. Unfortunately, in the majority of cases, mothers do not realize the seriousness of the disease and do not seek advice at the early stage. With the advance of the disease, the cornea becomes affected and loses its transparency. Still later, the cornea becomes eroded, softens and bulges out. In the final stages, the cornea is ruptured and destroyed and the lens inside may also be lost. Once the cornea is affected even the most energetic treatment is of no avail, and permanent blindness cannot be prevented. The disease affects both eyes simultaneously. In some fortunate children in whom one eye may be less seriously affected than the other, 12 intensive treatment may result in partial retention of vision in one eye. The problem of blindness resulting from vitamin A deficiency in children is not an isolated clinical one but an important public health problem of considerable magnitude in many parts of the country, especially in South India and Bengal. The number of cases of threatened or actual blindness resulting from vitamin A deficiency in some hospitals in these parts runs to several hundreds. The immense social and economic repercussions of such a high incidence of blindness affecting children between 1 and 5 years of age are obvious. Here is a tragedy which can be very easily prevented. Knowledge as to how the disease is caused and how it can be effectively prevented is already available. All that is necessary is the machinery to put this knowledge to practical use. SOURCES OF VITAMIN A Vitamin A can be obtained in the 'ready made' state from such foods as butter, eggs, liver etc. These sources are, however, beyond the reach of the poor. Fortunately, there are alternative cheap food sources of vitamin A. Many green vegetables and some fruits contain the substance known as carotene, which can be converted into vitamin A in the body. Children between one and three years of age would require about 2,000 I.U. of vitamin A daily. Though the carotene of different samples of green vegetables may vary widely, on an average about 1 to 2 oz. of green vegetables can usually provide this daily requirement of vitamin A. The average cost of the vegetables needed to provide the requisite quantity of vitamin A to a child would work out to a very few naye paise daily in a city and probably would be even less in the countryside. Unlike some other vitamins, vitamin A and carotene are not very easily destroyed by cooking. There should, therefore, be no objection to serving green vegetables properly cooked to a child. Unlike many other nutrients, vitamin A can be stored in the body in large amounts. This is a great advantage because it is possible to build up adequate storage of vitamin A in the liver to tide over periods when the vitamin is deficient in the diet. Thus, if green vegetables and fruits are consumed in proper quantities in the seasons when these are available, it should be possible to prevent the manifestations of vitamin A deficiency in the lean seasons. The rational approach to the problem of vitamin A deficiency in children would be to ensure adequate intake of vitamin A and carotene by the mother when she is pregnant. A pregnant woman needs around 4,000 I.U. of vitamin A daily to ensure adequate storage of vitamin A in the infant's liver at the time of THE HERALD OF HEALTH, MARCH 1960 birth. Women from poor classes will be able to get practically all this vitamin A requirement from 3 to 4 oz. of a mixture of green vegetables. When the mother does not get an adequate supply of carotene, the infants are born with an insufficient reserve of vitamin A, and after a few months on diets deficient in the vitamin, develop severe signs of vitamin A deficiency resulting in blindness. After the sixth month the infant's diet should include green vegetables properly cooked. In the child welfare and health centres, mothers must be taught to look for mild signs of vitamin A deficiency in children, like muddy discoloration of the conjunctiva and night blindness, and to bring the children immediately for treatment on the slightest suspicion of these signs. They should be specifically warned that any neglect would result in the danger of permanent blindness. HEALTH EDUCATION The routine distribution of tablets containing vitamin A to young children visiting the health The problem has to be tackled on the following centres, may also be useful. What is more important and likely to yield permanent results is the inculcalines: Pregnant women who cannot afford eggs or milk tion of the need for the inclusion of green vegetables should be encouraged and educated to include at least and fruits in the dietaries of infants, children and about 3 oz. of green vegetables daily in their diet. pregnant mothers. SOURCES OF CAROTENE IN INDIAN DIET Name of foodstuff Botanical name Name of foodstuff Botanical name GREEN LEAFY VEGETABLES Good Very good Agathi Amaranth Guter dark-green Drumstick Spinach (Palak) Tops of: (a) beet-root (chukandar) (b) Radish (Mooli) (c) Turnip (Shalgum) Chakvat (Bathuva Leaves) Colocasia (black and green varieties) Mayalu Ragira Shapu Sesbania Grandifloria Amaranthus tri-color and gangeticus Grassica obracia capitata Moringa obif era Spinacia oleracca Cabbage (Band-gobi) Fenugreek (Methi) Brassica Obracea capitata Trigonella fcenum graccum Gram leaves Ipomea (Kalmi Sag) Khesari leaves Cicer ariatinum Ipomea raptans Lathyrus sativus Beta vulgaris Raphanus Sativus Brassica rapa Chenopodium album Colocasia antiquorum Parsley Amkat chuka leaves Ghol leaves Kardai leaves Moras leaves Petrosetinum crispum Rumex vesicarius Portulaca Obracia Casthamus tinctorius Sunda nudiflora Besella rubra Amaranthus panciculatus Pencedanum graveobus Green leafy tops of sweet potatoes Ipomea batatas NON LEAFY VEGETABLES Carrot String beans Daucas carota Vigna catiang Ghosala Giant capsicum Lugga cylindrica Capsicum annum RIPE FRUITS Mango Papaya Banana (Yellow pulp) Passion fruit juice Persimmon Mangigera indica Carica Papaya Musa paradisiaca Passiflora edutis Diospyros Kaki Plums (some varieties) (Alucha, Alubhukhara) Chikhoo Apricots (fresh) Sapotas (some varieties) Primus salicina Cucumis sativus Prumus armeniacal Achras sapota Reprinted by special arrangement, The Licentiate, Dee. 1959. THE HERALD OF HEALTH, MARCH 1960 13 The Elementary Matter of Keeping Germs Away From Food Is So Little Understood, Says Dr. B. Richardson, M.D. HANDLE WITH CARE OU MUST have heard the proverb: "One man's meat is another man's poison," but in view of what I am going to say now, you will see how one man's meat can be every man's poison! Foods can carry all kinds of germs that cause food poisoning if they are not handled with care. This is the time of the year when we hear most concerning outbreaks of food poisoning, and it is usually due to germs taken with the food that is eaten. If germs are given the food they fancy, and then warmth, moisture, and time, they prosper and multiply at an alarming rate. Think of it: one germ can turn into 16 million germs in twelve hours. The kinds of food which germs like most, are meat, and meat products such as brawn, sausage, mince, etc. The first and most simple thing to do to avoid contaminating food with germs, is to get into the regular habit of hand washing before eating. If all were trained in this simple custom from childhood, much less would be heard of food poisoning. As a rule, only a few germs are transferred to the food by contaminated hands, but these few soon become many under suitable conditions. But in the case of the serious intestinal infections such as the typhoids, a few germs only are necessary. Food poisoning, with the common symptoms of sickness and diarrhcea, so often happens like this. Food is, perhaps, purchased on a Friday ready for the week-end. Earlier in the week a cut finger becomes septic and discharges. The food is placed in the kitchen cupboard and is soiled, unwittingly, by the septic finger. Perhaps all the food is not consumed until Monday, and a few days later some members of the family become ill with diarrhcea and vomiting. Y 14 The germs from your finger have had the necessary time, sufficient warmth, and moisture to multiply over the week-end and produce the poisons that caused the illness. Food that is likely to be eaten without further cooking should not be kept any length of time in a warm kitchen. The food larder should be a cool room if no refrigerator is available. One needs to be particularly vigilant during the warm summer months. Milk can be a source of danger unless carefully handled. Milk should be kept covered and in a cool place. Germs are nearly as fond of this food as the carefully prepared meat broth which is the usual medium for growing germs in the medical laboratory. Never leave milk exposed on the table after a meal, or add fresh milk to a half empty jug, where germs may already be breeding. In fact, cover all uncooked food and so protect it from the household pest, the germ-ridden fly. Many years ago investigation proved that in young children, cases of summer diarrhcea went up as the flies increased during the hot weather. When the fly population is kept down not nearly so many cases of this illness develop. In avoiding this type of illness, adequate cooking is important; for besides making the food palatable and digestible, it can also make even contaminated foods safe to eat, because heat kills germs. When milk is pasteurized or heated to 160° Fahrenheit for half a minute, it is made safe for children because dangerous germs such as the tubercle bacillus are destroyed. In summer, whenever possible, "left over" foods which may have been exposed to the danger of conTHE HERALD OF HEALTH, MARCH 1960 tamination, should be cooked again. On the other hand, if you prepare a vegetable salad or other cold dish, do not prepare it too long before it is going to be eaten. Given time, warmth, and moisture, germs soon get busy and spoil good food. Most food contains sufficient moisture needed for bacterial growth, the dried foods being the exception. Consequently, germs will not multiply so readily in dried food when it is kept for any length of time. Powdered egg and milk food are considered safe when kept for long periods, but even these have been known to become contaminated, and give rise to outbreaks of food poisoning. Just a few words about the types of germs that cause food poisoning. Generally speaking one can swallow certain germs without any ill effect. One large family of germs, however, called the salmonella group, are mainly responsible for the majority of outbreaks of food poisoning in any country. To a lesser extent other germs which are responsible for boils and septic hands also have an important part in causing food poisoning. It is surprising that the elementary principle of keeping germs away from food is so little understood, especially when it is largely a matter of common sense. In the past it was imagined by some that food poisoning was caused through some mysterious substances, called "ptomaines." They are, of course, the breakdown products of decomposing flesh. It is now known that ptomaines have nothing to do with food poisoning, and there is really no such thing as ptomaine poisoning as a bacterial infection. Toxic substances are produced by decomposing meat and when it is in such a condition, it is so obviously "decomposed" that no one would want to eat it. It is an established fact, that most food poisoning is caused by an infection with any one of a large group of germs that I have already mentioned, namely, salmonella group. Any one of these germs gives rise to a type of enteritis soon after ingestion of noxious food. Some germs of this family are harmless to man, but cause disease in animals. Some cause disease in both animal and man, and it is usually this variety that is responsible for outbreaks in human communities. It is easy to see how foods that are frequently handled, like meat pies, minced meat foods, and even milk, can become contaminated. Salmonella infections are very common in pigs, sheep, cattle, rabbits, rats, and mice. If a cow is infected, the organism may get into the milk and then the consumer contracts the disease. Food can become infected by the excreta of vermin, and therefore it is so important to eliminate any trace of rats or mice from the food kitchen. Ducks are also susceptible to salmonella infection, and the organism even gets into the ducks' eggs and occasionTHE HERALD OF HEALTH, MARCH 1960 ally humans become infected. Last but not least, shellfish in much the same way can be a source of infection. Food can become polluted in other ways besides germs. For example, harmful chemicals get into the food by mistake. I have heard of cockroach killer being used as baking powder, and fungi being eaten by mistake for mushrooms, with very grave results. On the other hand, the ill effects of metal kitchen utensils is really hardly worth considering. Poisoning from tin, aluminium, or copper, if it happens at all, is very rare. As regards chemical poisons, it is a good plan never to store insecticides in the kitchen or the larder. The government lays down certain minimum standards of food purity, but there is always room for improvement by voluntary effort. There are certain codes of practice that have been drawn up by the authorities for the food suppliers to follow, and we, in the same way, should do our part to avoid food contamination by taking an intelligent interest also. If we must handle food let us handle it with care. Remember, germs like food and for this reason it is important to get rid of any food remains on crockery or kitchen utensils. Soap and water is an excellent antiseptic and should be freely used to dissolve away any stale food remains. In conclusion I would give you a few golden rules that you should try to follow: 1. Keep any cooked food in a cool larder or refrigerator. 2. Try to avoid the preparation of cold meals too long before they are eaten. 3. Keep your kitchen free from vermin and flies. 4. See that food and milk utensils are thoroughly cleansed before use. 5. Make sure your hand washing is a regular habit before eating. In this way you will ensure that you handle your food carefully and so avoid unnecessary food poisoning. By MARTIN R. HozHN, M.D. DiabetesA DISEASE OF PROSPERITY IABETES is a rather common disease in our Heredity is important, for twenty-five per cent modern civilization. It affects all races, and is of diabetics give a history of diabetes in the family. more prevalent among prosperous peoples, Infections in other parts of the body are thought by men and women being about equally affected. It is some to be a cause, but usually such infections arc most common in the fifth and sixth decades of life. responsible for a flare-up of a mild diabetes already Damage, by causes unknown, of the insulin-producing existing. In the same way emotional strain or shock cells of the pancreas is responsible for most cases of may cause a mild condition of diabetes to become diabetes. recognized. Disorders of the pituitary gland, the This simple concept of diabetes is by no means a thyroid gland, or the suprarenal glands may play an complete picture of the origin of this complex disease, important part in some cases. These various factors but it serves as a workable framework on which to might cause a case of diabetes to gradually become build our subject. The body tissues are unable to more severe until it is recognized, or they might cause burn up the starches and sugars (carbohydrates) as an abrupt flare-up of symptoms. they should, owing to a shortage of insulin. This We must realize that diabetes is not merely a disshortage results in an increase of sugar in the blood ease of the pancreas but rather a disease of the entire and presence of sugar in the urine, followed by symp- body, which means that it involves the liver, kidneys, toms and signs of the disease as it progresses. heart, eyes, blood vessels, nerves and skin. There is Although the exact cause has not yet been found, seldom difficulty in establishing a diagnosis of diabetes, many contributory factors are known. Excessive con- once it is suspected. As the diabetes progresses, and sumption of sugar and fats has been indicted. "Junior, the level of sugar in the blood rises, a certain level if you eat too much sugar and sweets you'll get dia- called the "renal threshold" is reached. When this is betes," are words often heard, and are not completely exceeded, then sugar begins to appear in the urine. without foundation, though for sake of emphasis arc At this stage the common symptoms of diabetes apno doubt exaggerated. pear. D 16 THE HERALD OF HEALTH, MARCH 1960 The sugar being excreted by the kidneys causes a large output of urine. In fact, it is from this symptom that the name "diabetes mellitus" is obtained, for we are told that it is derived from the Greek words meaning "sweet fountain." This, in turn, produces thirst, so that large quantities of water are taken. The loss of sugar, and hence calories, results in an increase in appetite. In spite of the greater intake of food, however, in more severe cases, so much nourishment is lost in the urine that loss of weight and strength develops. The loss of fluid and the high blood sugar cause a dryness of the skin, and along with the higher sugar content of the skin, may cause severe itching. These symptoms are the warning signs of diabetes and are known well enough that from time to time patients present themselves, asking for a "sugar test" because they are eating and drinking so much, and yet are losing weight and strength. As the disease progresses, the body begins to burn its own reserves of protein and fat, some of which the body is able to convert into carbohydrate. Plenty of sugar: a sign of prosperity! Diabetic patients usually have to go without their normal quota of sugar. This mechanism finally results in loss of alkali from the blood and an excess of acid. These changes can be determined by blood tests that are available. The chart form for diabetics to follow. In this condition excess of acid in the blood, or acidosis, is the most success can be obtained only by full co-operation serious complication of diabetes, and if unchecked between patient and doctor. The intelligent patient progresses to stupor and coma, and eventually death. will study diabetes from literature that is available to Other complications of untreated or poorly controlled the public, or from sources suggested by the doctor. diabetes are the development of hardening of the ar- He should become acquainted with the simple urine teries (arteriosclerosis), gangrene of the feet, neuritis, test for sugar that can be done with one of the pocket cataracts of the eyes, and a poor resistance to infec- analysis sets. Dietary weights and contents must betion, resulting in repeated attacks of boils, and more come so familiar to such a person that it becomes chest infections. natural to sit down to a meal anywhere, and quickly Prevention of diabetes is of greatest interest to appraise his menu for approximate caloric content and those who have relatives with diabetes. Eating a well- proportion of carbohydrates to protein and fat. balanced diet and avoiding excessive fats or sugars is One can readily understand that fever and exworth while. This involves keeping the weight down ercise reduce the amount of insulin required, and that to average figures if there is a tendency to be over- anxiety and worry increase this need. The weight must weight. The connection between diabetes and pros- be increased or decreased to bring it to normal level. perity is no doubt found in the dietary habits of this Periodic examinations and blood tests are essential for group of people. Infection should be promptly checked good control. Frequent adjustments of the diet for by modern medical methods. children will be required. The patient or a member The active treatment of a diagnosed case of dia- of the family soon learns to give the proper insulin betes, though not simple, is definitely worth while. Not dosage. infrequently a case that is severe before treatment Proper rest, hygiene and care of the feet are proves to be mild after treatment. The objective of found to be important. By coming out from under treatment is to make it possible for the body to use the dark cloak of diabetic secrecy and facing the within each twenty-four hour period all the carbo- world frankly, the diabetic can be regulated more hydrate that is ingested. In mild cases this may be easily. It calls, however, for a period of active study, done by a diet that restricts the intake of sugars and social and personal adjustments, and more than starches. In more severe cases, the proper dosage of average personal care. The person who finds he has insulin, in one of its forms, must be given along with diabetes can look forward more hopefully than ever a diet. before, expecting relatively normal occupations and Treatment must be individualized according to activities, and a life that will be longer, more useful the severity and complications of each case; therefore and more pleasant than has been possible in bygone no diet or insulin programme can be set forth in years, THE HERALD OF HEALTH, MARCH 1960 17 CIENCE hasn't discovered what kind of noise annoys an oyster. But the experts know what noises irritate humans—any noise at all, when there's enough of it. Sometimes, of course, we are conscious of the noises that bother us; at other times we are not. But, says the scientist, whether we realize it or not,, noise —most of it preventable—is just plain unhealthful. Medical experiments show that noise where we work, where we live and sleep, and where we travel to and from work can cut down our efficiency, impair our peace of mind, our health, and our comfort. Noise, they reveal, brings sleeplessness, tired nerves, and poor digestion. The scientists have devised ways of determining just how much noise—or how little—is damaging to our welfare. Measuring noise in units called decibels, Dr. E. Lawrence Smith, famous neurologist,, determined that noise at a level of 60 decibels or more has a decided ill effect on the digestion. Decibels are easier to understand by comparison than by definition. For example, an ordinary conversation averages 40 decibels. Normal sounds in a busi- S noise .••••••'. / // ,, ness office will combine to create a noise that measures 50 decibels. A noisy office often hits 70 decibels. The rustle of leaves in a gentle breeze measures 18 decibels. A whisper five feet away amounts to 25 decibels. That loud radio next door probably registers 65 decibels or more. A motor-car horn blasted at you from a distance of ten feet jumps the count to 120 decibels, hurts your ears, and probably makes you angry. Contrary to popular belief, we never completely adjust our physical, mental, or nervous mechanisms to noise. No matter how familiar a repeated sound becomes, it never passes unregistered. Even when asleep we "hear" sounds entering the bedroom, for they register on the mind and cause unnecessary mental activity. Some sounds that experience has taught us require muscular reaction—motor-car horns and the like—actually result in physical activity while we sleep. Impulses transmitted to and through the nerves by these sounds cause jumping, leg or arm movement, and tossing, all adding up to uneven sleep and loss of rest. 18 can drive you crazy THE HERALD OF HEALTH, MARCH 1960 B I re ,000 Occupational deafness is becoming more and more common. As our cities become noisier there is more deafness among road builders, bus and taxi drivers, printers, and traffic policemen. Organizations of employers and insurance groups are analysing this hazard and beginning to develop control techniques. Procedures include study by physicists of the actual and potential noise levels in big industrial plants and a careful analysis of an employee's hearing before he is assigned to a section of plant where noise is loud and continuous. Street noises are under study in many of the larger cities. For instance, the Armour Research Foundation, of the Illinois Institute of Technology, is doing a thorough study of Chicago street noises. Street and traffic noises are for the most part nonrhythmical. They are therefore the most annoying, as the ear cannot readily adjust to them. This gives rise to anger and other disturbing emotions. This is one of the reasons for the dire effect of noise on the delicately attuned nervous system. Not only does the continual pressure of strident sound to which workers are exposed tend to produce impairment in hearing but it also puts a strain on the nervous system, which leads to neurasthenia and other mental ills. It has long been realized that noise in machinery means inefficiency. Automotive engineers particularly seem to understand this. The motor-car manufacturers are quieting the later models. Even the newer auto horns are less raucous, more melodious. Manufacturers of modern tram-cars have used many pounds of rubber and other sound-insulating material to reduce the noise of their vehicles. In city transit the introduction of new, silent electric trolley coaches or trackless trolleys has cut city traffic noises to a great extent. San Francisco's health director, J. C. Geiger, commented: "If a decrease in noise contributes to the cause of public health—and few will argue otherwise—then changes to trolley coaches are a definite contribution. They should serve to diminish the irritations and distractions imposed by noise upon folks working, shopping, walking, or riding along Market Street. dbury "Nor are the benefits confined to the downtown section. Already we have received enthusiastic reports from hospitals where noise formerly created by the old THE HERALD OF HEALTH, MARCH 1960 19 Modern Furniture for Modern Living Space economy Is SteelAge's selling-point today, Specially designed for modern flats by India's frontrank craftsmen, SteelAge furniture in gleaming rustproof steel is also the nation's favourite for modern beauty, durability and exceptional thrift. See SteelAge first. SINOLI-DOCIR ALMIRAN. Size: 72•Hx27•Wx2I'D. Four adjustable shelves. Optional extra fittings. • DRESSING-TRILL Three adjustable mirrors, two drawers. Shelf and pedestal covered with black vitrolite glass bound with stainless steel border. Symbol of Security and Beauty in Steel HEAD OFFICE & WORKS: opp. Post Office, Mazagaon, Bombay-10 'Phone: 41014 'Grams: "STEELAGE" SHOWROOM: Readymoney Manslon,V1rNarlman Rd. Bombay-I. 'Phone:1 253429 {RANCH OFFICE: 71, Ganesh Chandra Avenue, Calcutta-13. 'Phone: 24-1121, 'Grams: "svmsoLIC" 20 THE HERALD OF HEALTH, MARCH 1960 tram-cars has disappeared with the advent of trolley coaches. Moreover, the public should notice a difference in the carbon dioxide content of the air as more and more gasoline buses are replaced." Decibel measures of the noisiest intersections in San Francisco in 1936 averaged 86, with a high of 98 and a low of 70. Today the comparative figure averages 79, with a high of 84 and a low of 73. At the noisiest intersection—Market and Fillmore streets —a tram-car starting boosted the decibel reading by 10; an auto, from 5 to 12; and a trolley coach, from 1 to 4. Buses and motor trucks average a reading of 77 decibels. • the ticking of a clock, to drive prisoners in otherwise quiet cells out of their minds. Police officers recognize the psychological effectiveness of continual questioning and shouting when interrogating criminals and trying to force information or confessions from them. There has been a steadily rising incidence of mental disease in all civilized countries in recent years. It is not an exaggeration to say that quite a few cases of insanity are caused by nervous systems that cannot adjust themselves to the constant bombardment of noise. Persons with emotional imbalances or those who are forced to carry heavier mental loads than they are capable of carrying are pushed more rapidly into Other heartening advances in the battle against insanity by noise. These individuals must be cared for useless noise come from the use of more sound-absorb- in public institutions, and in many instances their ing materials in factories, offices, stores, and homes. treatment is paid for through increased taxation. Thomas Edison once said that city noises must Telephone and radio engineers have developed techniques that can show other engineers how to cope inevitably grow greater, and that the man of the with unwanted sound. Noise probably never will be future will be deaf. It is true that some noises are on eliminated completely, for, paradoxically, absolute the increase, yet there is hope that the anti-noise steps quiet also has an adverse effect on human nerves. of today may prevent the realization of Edison's pesHowever, man-made racket, industrial sounds, and simistic prophecy. especially the roar of traffic can be subdued to a point Surveys of the most annoying noises list motorwhere they no longer constitute a health hazard. car horns, squealing brakes, city buses, cutouts, Dr. Foster Kennedy, a brain specialist, has shown and motor-cycles as the worst offenders. Close to the that noise has a definitely detrimental effect on the top among other objectionable sounds are those from mind. In experiments at Bellevue Hospital in New overloud radios that belong to somebody else, factory York he discovered that bursting a blown-up paper whistles, riveting, pneumatic drills, and noisy games bag raised the pressure on the brain of a nearby pa- and parties. Strangely enough, barking dogs and yowltient higher than morphine and nitro-glycerine, the ing cats are not considered as noisy as cartoonists often two most powerful drugs known for increasing brain depict them. pressure. The paper-bag explosions raised the brain How much do you contribute to the general pressure four times above normal for a second before noise? Do you blow your motor horn only when it is returning to normal. absolutely necessary? Do you speak louder than you Is it any wonder that some people can be driven need to? Do you play your radio at full volume? Do to despair, to insanity, or to death by incessant noise? you put up with needlessly noisy machines in your office, factory, or home? Surely if you do, you don't At a recent anti-noise conference in England Dr. do it purposely. You probably intend to be considerate Dan McKensie, British Army surgeon, revealed that of others. during the late war some men were killed by noise. If other persons create noise, your own personal The shock of sound waves resulting from high exploefforts toward quiet go for nothing. But you can help. sives actually was able to produce death. Scientists In your community one or more groups probably are studying the possibility of using sound waves, both work for noise abatement. They may be the health audible and inaudible, as killing weapons for future department, the police department, the chamber of wars. If the H-bomb doesn't get you, noise may. commerce, or the local newspaper. To a large extent All experts agree that a sudden loud noise causes they depend on you and other citizens to tell them about the same reaction in a person as does a great where there is excessive and useless noise and which fright. If the reaction is severe enough, it may be fol- noises are irritating. Don't be ashamed to complain. lowed by shock—a general feeling of depression and These organizations, with your co-operation, will help loss of vitality. And shock, from a medical standpoint, correct the situation so that you and your neighbours is often more dangerous than the various body injuries can have the peace and quiet to which you are enthat produce it. titled. Don't let noise drive you out of your head. Not only loud noises but continuing noises, even Mother probably isn't speaking lightly when she little ones, can create a great nervous strain in most admonishes: "If you don't stop that racket, you'll **• persons. The ancients used a constant noise, such as drive me crazy." THE HERALD OF HEALTH, MARCH 1960 21 Alan P. Major T IS only recently that the importance of colour in relation to our health was realized. It is now known that it affects us physically and mentally, influencing, adversely or otherwise, our moods and feelings. Hospitals, especially mental hospitals, have recognized how colour can help to calm the disturbed mind, balance the excited emotions, and bring harmony into the sick physical and mental systems. In industry, too, much research has gone into the colour problem in order to assure happier, healthier working conditions. All colour comes from the sun. In the solar spectrum are the seven colours: red, orange, yellow, green, blue, indigo, and violet. Without the sun's aid our food would be colourless and also useless to our bodies. Or the seven spectrum colours there are approximately a million combinations, but our eyes are able to see only 378. Wrong colour combinations can actually cause depression, irritation, ill-health. A right selection, on the other hand, can exhilarate. Red and orange are warm, cheerful colours and have a rousing effect. A careful use of these can greatly enhance the cheerfulness of a home. But there are dangers if one is too free with the use of these exhilarating colours. I once knew of a woman, who up to the time of her moving into a new flat, was enjoying normal health, but only a few weeks had passed when she began to suffer from severe headaches and nervous indigestion. A visit to her flat soon showed the. reason for these. The colour scheme was in almost unrelieved reds and oranges; two colours that, although warm and complementary, being together so glared from the walls and furnishings that anyone, however healthy, would soon suffer from eyestrain and headaches, too. I THE HERALD OF HEALTH, MARCH 1960 Her husband changed the colour scheme in the living- wise dull objects. A dull brown of grey scheme, room to a soothing pale blue and powder grey, with blended with a few objects or decoration of yellow, suitable blue-grey furnishings; the kitchen was re- will become more attractive. painted in shell pink and soft lemon yellow. When she Industry and food-stuff manufacturers have, in became adapted to the new colours her headaches recent years, realized how important colour is to the sale of their products. It has become only too apparent vanished. Another instance of the effect of colour on our that many food-stuffs have been "colour-doctored" nervous system concerns the radio studios of the Na- to make them appear more appetizing than they really tional Broadcasting Company of America. After var- are. Jams that obviously do not look the colour of the ious experiments the walls and ceilings of their studios fruit they are supposed to be; margarine that is too were painted in two shades of blue. It had been dis- "healthily" golden-yellow are examples. This can also covered that this colour scheme was the best for quiet- be said of fish and meat cakes and "kippers" that look ening the nerves of those waiting to broadcast, and unnaturally brown, and peas and beans that are of a "rich" green. also soothed away "stage fright." Green is also relaxing and tranquillizing. It is also Hospitals, clinics, and doctors' waiting rooms, one of the most important colours used in the treat- which once were almost universally a combination of ment of hysteria and shell-shock. Harsh greens, if used browns, greys, off-whites, and creams, are generally in places of work, can be terribly irritating; but soft brighter and more cheerful with schemes of pastel greens, such as lime, will cheer the occupants of the shades, blues, green, blue-grey, pinks, and yellows. room to greater activity. The more cheering atmosphere at least makes one feel I once heard of a good instance of the use of a psychologically fitter, even if one is physically unwell. harsh green. A manufacturing company called in an Some shop-keepers were quick to realize the expert to try to solve the problem of time being wasted psychological value of light and colour in their shops. by the company's workers in the toilet and washroom. Fishmongers found that fluorescent lighting combined The expert suggested changing the colour scheme of with pastel powder blue walls and white tiles, made the toilets and washrooms from a restful pale blue and their fish on the slabs appear fresher and of better cream, to a glaring shade of green. quality. One grocer I knew almost cunningly used a It was found, after a period of six months, that red bulb over his cold meats and bacon counter. The the use of colour psychology had altered the habits of red glow on the bacon and ham enhanced the appearthe workers; and although they grumbled about the ance of the meat, making it look leaner and tastier. "terrible" green, they soon gladly went back to work He said that sales were very good and on the increase. and cut short their "rest," which was precisely what We make no comment on the morality of such a the company wanted. device. An appropriate shade of green was used in the However, it does emphasize the new importance furnishing and interior decorations of the aircraft used of colour in our daily lives. In this fast-moving age, in service by one American passenger airline, because every means of relaxing our over-taut nervous systems the colour had been found to have a calming effect must be encouraged. Colours used sensibly and carewhich helped to avoid sickness. fully can do this. If you are a "bundle of nerves," canYellow is another nerve stimulant. For centuries not relax, feel depressed, why not try a dose of colour? it was regarded by sun-worshippers as the most im- The mere fact of choosing new colours, obtaining the portant colour, and yellow stones and beads were con- paints, etc., required, and doing the job, may do the sidered sacred. It is bright and cheerful, and when trick, and when the room is completed the depression used wisely gives a room or object,, an air of vitality. will likely have vanished and a sense of restful Yellow also has a useful effect of brightening other- harmony be in its place. AND HEALTH 'et THE MOULD OF HEALTH, MARCH 1960 23 GARDENING AS A HOBBY R. L. Rowe HOBBY should help a person to turn his thoughts away from his ordinary workday activities. It should be relatively inexpensive and not require a large expenditure of time and effort. It should bring satisfactions that result from personal achievement. There are few hobbies that can equal gardening, few that can be adjusted more easily to available time and cash. It is not necessary to have a large area in order to have a garden. A garden can be in a window box, or it may cover an acre. It may require an outlay no greater than the cost of a packet of seeds, or perhaps can even be begun with extra plants obtained from a generous neighbour. On the other hand expensive equipment is available to ease garden tasks, but even for a moderate plot a spade or garden fork, a pickaxe, a hoe, a rake, a water hose or can, and a small spray gun or duster is about all the equipment necessary. A large iron spoon or trowel and a small water can may suffice for a window garden. The best advice for beginners is to start small. It is easy when the weather is good and the hopes high A 24 to become too ambitious and to prepare an area larger than a person can later care for. Also, a small area, well cared for, will give greater satisfactions than a larger area that all too easily may become a jungle of weeds. A few wellchosen healthy plants look much better, and will do better than a garden packed too full of plants. Most plants cover at least a foot of ground when mature, so a good general rule to remember is that plants should always be spaced at least six inches apart, and most plants require more than this distance. A Japanese gardener may start with a hundred plants and select perhaps three or only one to grow to maturity. Other good rules: Water only when necessary. Plant seeds no deeper than five times their average diameter. Do not cultivate growing plants deeper than one inch near the plant stem—cultivate only the surface soil. The best satisfactions are gained from an outdoor garden. Sunshine, fresh air, and exercise all contribute to health, but one must be careful not to overdo and develop backaches and sore muscles in so doing. A few minutes in the garden every day or two will accomplish far more than one strenuous effort followed by little or nothing. There is a fascination about growing things that appeals to almost everyone. Even a radish that one has grown seems to taste a little better to most people. I never cease to marvel at the transformation that takes place as a lifelesslooking seed changes into a living thing. Here is real magic—the magic of life itself. As one sees the seed spring into life and growth, the thoughts are drawn toward the great Source of life. The mind is uplifted through contact with nature. The crowning reward is to see plants in flower or fruit. There are many types of gardening, and those who have found success in one may find a new reward in trying some other type. Not even the most ambitious can hope to try all, even to a limited extent. The fruit gardener may suit his space and his tastes by planting an acre or he may take pride in a pot of cumquats. This is a small fruited plant somewhat similar to an orange, of which the whole, including the skin, may be eaten. It makes excellent preserves and is easily grown on a verandah. It is THE HERALD OF HEALTH, MARCH 1960 Even strawberries, and some small is easily grown. It is an excellent fruit trees grow well in large pots. addition to salads; it brings adRaised beds, in which a layer of ditional flavour with tomato dishes. crushed brick or stone an inch or It is very fragrant in bouquets. two thick is covered by at least six Sweet Marjoram is another easily inches of earth, make it possible to grown herb. It is useful in roasts, grow plants on solid rock. Even if cutlets, with dahl or beans. There you have no sunny window, ferns, are many other herbs that can be senseveria, wandering Jew, philo- grown from seed. Mint (pepperdendron, begonias, and many other mint or spearmint) can be started plants will grow in a shady site. in water from cuttings purchased Many of these can be used as house in the market. plants in a sunny window also. If your hobby is vegetable growPhilodendron and senseveria will ing, try a few plants of the unusual. grow inside. There are many kinds of lettuce, Perhaps you may wish to grow carrots, cabbage, sweet corn, potayour own garden herbs. Sweet basil toes. Chinese Cabbage is a new taste treat to many. Broccoli, pur"He who makes a garden ple cauliflower, and Brussels sprouts Works hand-in-hand with God..." are other members of the cabbage —Douglas Malloch family that are unusual and tasty. Chives or shallots arc "everlasting" types of onions, in which the tops are used in salads or cooking. The bulbs multiply and a single plant soon becomes many. Asparagus roots are available from nurseries in Kalimpong. These will provide for many years, if kept watered, a source of an unusual vegetable that is greatly enjoyed by many people. Lima beans will last for months. Soy beans, grown in the cool season, are the richest common source of protein, containing more pure protein by weight that eggs or meat. This vegetable could be a very great help for adding growth and strength factors to the diet. The variety bansei is used as a green shell bean, and is very tasty when served with cream. Gardening can lead to related hobbies, such as flower arranging, landscape gardening, and home decorating. It can result in a more beautiful home and neighbourhood, and can bring new friends, as well as cause the old ones to stop and admire, or to discuss how they, too, can have the enjoyments you will find. This is creative work at its best, for it is co-operating with the great Creator to make this world a lovelier and better place. Try gardening. very decorative and lasts for years. The more ambitious gardener may wish to try larger trees. Some of the varieties available to the home gardener are more tasty than the regular market fruits. The flower gardener has a very wide field. He may specialize in one type of plant, such as rose, chrysanthemum, lily, etc. or he may decide that he wishes to have a mixed garden. Pot gardening is one of the best ways to have a few plants when little ground space is available. Most flowers and vegetables lend themselves well to pot culture. 25 Are We Honest With Them Mae Carberry Bradley ILL IT HURT, Mother?" asks little Alice as I take the merthiolate from the medicine cabinet to decorate the freshly skinned knee. "Yes, it will hurt for a little while, but soon it will stop and feel much better. If we don't put medicine on it to kill the germs, it may get very sore and hurt all the time for many days. We want it to get well soon, don't we? Now you blow it." She bravely endures the pain while she blows fiercely. The blowing probably doesn't actually relieve pain, but little girls can't cry and blow at the same time, so it really helps, after all. Most of all it helps to tell her the truth so she is prepared for the pain. Children appreciate honesty, and surely if we want them to be honest and truthful we must set the example in all our dealings with them. A bit of humour helps too. Often I say, "This is going to hurt. Get your tears out." The result is a laugh, without tears. Seldom does any child cry at ordinary hurts if he is forewarned. The cry of the deceived child often comes, more because he is angry than because of the pain. He resents the falsehood. W 26 THE HERALD OF HEALTH, MARCH 1960 Children like to be brave. One time a well-meaning neighbour was to stay with the children while I went out on an important errand. "Now you slip out while I read them a story. When they find you are gone they won't cry long." "No, Mrs. Fane, they won't cry at all. I have already explained to them where I am going and why. They understand that it is necessary for me to go, and that it is not convenient to take them. I never deceive my children." Mrs. Fane was amazed that not a word of complaint came from any child. She was still more surprised when at eight o'clock they announced they must go to bed now, and prepared at once to do so. "I didn't think modern children could be so obedient," she exclaimed after I returned. If we are honest with children at all times we can depend on them to be honest also. If they are deceived they will practise the same art. What do we do about the promises we make to children? I don't believe we should promise a special gift for the good boy or girl every time we go to town, but a promise is a promise, whether made to child or adult. We may discover that circumstances prevent the keeping of a promise. Then we should explain to the child as carefully as we would to a friend. One of the most common ways of deceiving children is in the answering of their questions, and probably the most common deception is in regard to the secrets of life. Even the four- or five-yearold may ask, "Where did I come from?" or "Where did Mrs. Jones get her baby?" I have been grieved to hear parents say that they have told a child that the stork brought baby brother, or that he was found out in the woods, or the doctor brought him in his little black bag, THE HERALD OF HEALTH, MARCH 1960 or that doctors make them at the hospital. The average child soon learns from other children that his parents have been telling him untruths. Often he already knows and wants to see what Mother or Daddy will say. He loses confidence in a parent he knows is not truthful. For the tiny tot it may be enough to say, "God gave us baby brother. Someday I will tell you all about it." If he is five or six it is easy to explain that God made a lovely little nest right inside Mother's body in which baby can grow until he is large enough and strong enough to come from the little nest and be placed in the bassinet where we can all enjoy him. There are many good books to help those parents who choose to be honest with their children but do not know how to answer their questions. Numerous questions come up even from teen-age youngsters. Some questions are hard to answer, and some we would rather not answer, but we must be honest even if we have to give up some of our cherished ideas. When my five-year-old adopted Delbert came asking, "Mother, did you borned me?" I had to ignore my personal feelings as well as his grammar in order to tell him the truth. He had to be told some time. "No," I answered, "God never did let me give birth to little babies, so I took some whose mammas couldn't take care of them." "Well, who did horned me?" he asked. That was the question I hadn't wanted to answer for some time yet, but I explained that the woman we took him to see sometimes was his first mother, but she couldn't keep him because his own daddy was far away and the new daddy didn't want him. He was satisfied and apparently dismissed the whole affair from his mind. Occasionally he asked questions about his first mother, but during the ten years since that time there has been no change in his attitude toward me. Are we honest in our business dealings with children? Human nature craves ownership. Even children should have things which really belong to them. After we have given something to a child, is it his, or is it sold and the proceeds pocketed with no explanation to the owner? Children find great happiness in showing off their possessions. "This is mine," means so much to a child. They may have books, pets, games, even a tree, a garden, or a flower bed. In the country it is sometimes possible for the children to have a few chickens, or a calf, or a lamb. They may justly be asked to pay something for feed, and if it belongs to them, they should have a voice in the selling of it. If the money must go into some family project they should at least feel they have a share in that. I do not believe they should take a sum of money and spend it without guidance, but they can be led into investing it wisely. One of the principal reasons children want to leave home is that nothing of interest there belongs to them. A book purchased for the family is enjoyed by all, but to Eugene it will never mean a fraction as much as the one purchased for him, with his name written in it for proof of his ownership. I have a little nine-year-old girl with me who is not legally adopted, but she is encouraged to feel that our home is hers. She had previously owned very little, yet we had to make a trip to a home where she had stayed to get two small, unattractive dolls, because they were hers. "Is it mine so I can take it with me if I have to go away?" she asks frequently. "Is this our home?" "Which is our land?" "Does all this furniture belong to us?" She is delighted when her name is written in a book. It 27 was nice to use Eugene's books but so much nicer to have her own. If she should leave our home sometime, she will take her treasured possessions with her. Stealing is very common among children, but too many of them learn it at home. They hear Father boast about the extra change he got, and the clerk didn't know the difference. They see Mother slip money out of Father's billfold with the laughing assurance that he will never know. If a child has treasure of his own, has been trusted by his parents, and has not had a questionable example set before him, he is not likely to be tempted to steal. Do our children always hear us tell the truth? Have they ever heard us remark how ugly Mrs. Mohan's new saree is, and then heard us tell Mrs. Mohan how lovely and becoming it is? Have they known that we had money for shopping, yet heard us tell a solicitor at the door that we hadn't a paisa? Have they heard us tell someone to say we are not at home because an agent, or a talkative neighbour we don't wish to bother with, is coming to the door? One well-known writer has said, "No man who does not utter the real sentiment of his heart can be called a truthful man. Falsehood virtually consists in an intention to deceive; and this may be shown by a look or word. Even facts may be so arranged and stated as to constitute falsehoods. . . . But the record of words and deeds in the books of heaven will tell the sad story of the falsehoods spoken and acted. "The children begin young to deceive, cover up, tell things in a different light from what they are to their mother as well as their father. Exaggeration becomes habit, and blunt falsehoods come to be told with but little conviction or reproof of conscience." We do want our children to be honest. Let us be honest with them. 28 Importance of Physical Fitness L. J. Larson A student from Calcutta wants to know our attitude on the "importance of games." From Uttar Pradesh and Kerala come questions about daily exercise for students. A youth from Andhra suggests a discussion of the "importance of physical fitness for students." Another wants to know how "to take care of the body while studying." The list is long. It includes a question from West Bengal on "the need for health-giving foods," and another from Burma says„ "Does dieting affect scholarship?" A student from the Northwest wants to know about care of health during examination days. We will briefly try to answer some of these questions or at least make some helpful suggestions. Health, during student days, is of vital importance. Whatever you can do to improve your health or to maintain good health during student days is effort wisely expended. Daily exercise is important for everyone. But it is especially important for those who, like most good students, are engaged primarily in mental activity. Such exercise may be obtained through active participation in games and sports, walking, or actual physical labour of some sort. For a student or teacher to spend a regulated amount of time each day in physical exercise is not time lost. The exercise invigorates the entire system. It improves circulation and results in greatly refreshing and strengthening the mind. Games and sports can, however, be a hindrance to the student rather than a help. They may result in a waste of precious time that should be used in study. They may so tire the student as a result of over-exertion that he is unable to concentrate on his studies later on. It is therefore to be desired that the games and exercises or labour engaged in by students be such that the end result is refreshing and energizing rather than weakening and debilitating. Closely allied to exercise is diet. Diet does have its effect upon scholarship. A student or other mental worker does not need the heavy, bulky diet that may be appropriate for the man engaged in strenuous physical activity. The student should be certain that his diet is well-balanced, nourishing, and palatable. He should eat regularly on schedule. He should drink plenty of water and other liquids such as milk and fruit juices. He should not neglect the regular elimination of body wastes, lest they accumulate and not only cause physical discomfort but actually poison the system. Easily digested, nourishing food will help keep the mind clear. THE HERALD OF HEALTH, MARCH 1965 Heavy, rich foods require much of the body's energy for digestion. The digestive processes take blood away from the brain and the student needs a rich supply of freshly oxygenated blood to supply his brain with the strength it needs at all times. Thus the student would do well to refrain from eating quantities of food difficult to digest. Just what these foods are we cannot list here. Good books on nutrition will help you in this regard. Generally they are the rich greasy foods, though sometimes they are simply the foods habitually eaten in large quantity. The student should remember, too, that some foods may be difficult for him to digest though they may be easily digested by someone else. Foods difficult to digest should be avoided during times when the freshness and vigour of the brain are important. If you would be wise you will be sure to obtain plenty of fresh air and you will strive to sit and walk so that your lungs will not be cramped; you should be able, at all times, to take in full, deep breaths. The amount of oxygen in the blood bears a direct relationship to the freshness and vitality of the brain. Sleep is essential for good health. Sleep lost for extra study at examination time accounts for much mental fatigue and a resultant loss bf marks. Better marks are obtained when a student goes to the examination hall fully refreshed both mentally and physically. Systematic review throughout the term is much better than intense cramming just before the examination. If possible have a full night's sleep before the examination. A number of fine students of my acquaintance find it helpful to take a short nap just before the examination is to be given. Of course, this sort of programme requires that the student be awake during the course! The habitual practice of healthTHE HERALD OF HEALTH, MARCH 1960 ful living during student days will not require a change of living habits during examinations. If you will take proper care of your body during school days your body will take care of you later on! EDITORIAL (Continued from p. 5.) And thus has been dramatically demonstrated again how little things have often counted for much in the overall pattern of human events. Recently a school boy's kite was responsible for an unprecedented power breakdown in Western India's industrial complex. A small copper strand which the boy had innocently attached to his kite fell on high tension wires and completely dislocated the power supply for nearly fifty minutes. Electric trains carrying office employees and factory workers came to a halt, immobilized trams caused traffic snarls in Bombay's busy streets, lifts stopped, often between floors. Factories and mills ceased to hum and cinema houses were plunged into darkness—all because of a little boy and his kite. He could not know what a lot of trouble, inconvenience and loss he had caused that day to thousands of people all over the country by an insignificant act in one afternoon of childish play. Similarly, no one can estimate nor fully realize the far-reaching results of apparently trivial matters in life. "For want of a nail the shoe was lost," significantly recounts a well-known poem. But the loss didn't end with the nail and the shoe. The shoe was lost from the hoof of a horse which was carrying a general into battle. And "for want of the shoe the horse was lost, arid for want of the horse, the general was lost, and for want of the general, the battle was lost." It all added up to a loss of tremendous magnitude, simply because someone carelessly shirked his responsibility and failed to fasten the nail firmly in the horse's shoe. In the same way, there is likely to be trouble ahead for any person who blandly ignores or underrates the importance of little things. This is especially true in the sphere of health. "Just this once won't hurt anybody" is a subtle argument often advanced in favour of experimenting with some harmful practice. Only in after years does the unsuspecting victim of such sophistry come to realize the awful cost of such faulty thinking. On the other hand, many have reaped rich rewards in maturity and old age from carefulness and discipline practised in the formative years of youth. Having been mindful in the beginning of the importance of little things in such matters as diet and temperance, they laid well the foundations of health and established habit patterns that contributed strength and durability to the body structure for life. "Little drops of water, tiny grains of sand, make the mighty ocean and the pleasant land"— says a familiar couplet. But these words state more than a mere observation about the natural world. They lay down a principle about the tremendous importance of little things. This is seen in a marked way in the formation of habits. Psychologists declare that every act of life is registered in the tissues of the body and gradually contributes cumulative strength or weakness to a person's overall physical and moral nature. Don't be easily persuaded that little things don't count. They do, and some day you will be stronger, healthier, and happier because you were mindful day by day of the importance and far-reaching results of trifles in life's experience. —T. R. T. 29 1111111111111111111111111111111111111111 1111111111111111111111111111111111111111 The Publishers of this Magazine Insure Their Motor Cars and Property with The National EMPLOYERS' Mutual General Insurance Association Limited Head Office for the East: 23 Nicol Road, Ballard Estate, Bombay 1. Telephone: 26-2823 (2 lines) 26-2824. Telegrams: "EMPLOMUTUA." Chief Office for Northern India: 4 Peareylal Buildings, Queensway, New Delhi. Telephone: 47625. Statement of Ownership and Publication 1. Place of Publication: Poona. 2. Periodicity of its publication: Monthly. 3. Printer's Name: V. Raju; Nationality: Indian; Address: Salisbury Park, Poona. 4. Publisher's Name: V. Raju; Nationality: Indian; Address: Salisbury Park, Poona. 5. Editor's Name: T. R. Torkelson; Nationality: American; Address: Salisbury Park, Poona. 6. Names and addresses of individuals who own the newspaper and partners or shareholders holding more than one per cent of the total capital: The Oriental Watchman Publishing House (an association.) Names and addresses of the Members of the Board of Trustees: 0. 0. Mattison, V. Raju, D. S. Johnson, M. E. Kemmerer, T. R. Torkelson, C. R. Bonney, CI W. Lange, J. W. Nixon, L. R. Shultz, J. S. Damn, R. S. Lowry, Salisbury Park, Poona; M. Amirthan, Ganeshkhind Poona; C. B. Guild, Rangoon; C. H. Hamel, Lahore; G. W. Maywald, Bombay; A. E. Rawson, Ceylon; W. F. Storz, Karmatar, Bihar; E. L. Sorensen, Bangalore; A. G. Johanson, New Delhi. I, V. Raju, hereby declare that the particulars given above are true to the best of my knowledge and belief. Date: February 28, 1960. Signature of publisher: V. Raju. 11111111111111111111111111111111111111111111111 SIS rA'S•SG-76 Just a little \\ makes white clothes—whitest--of all \N / * TINOPAL is the registered trade mark of J. R. Geigy, S. A., Basle, Switzerland Manufactured by: SUHRID GEIGY PRIVATE LIMITED, NA/d, wadi, B a roda —Sole Distributors: SUHRID GEIGY TRADING PRIVATE LIMITED, P. 0. Box 965. PIrnbay- I 30 THE HERALD OF HEALTH, MARCH 1960 GENERAL WEAKNESS: Ques. —I am 19 years old. Sometimes I feel very weak and I cannot do anything like a grown-up man. Please suggest for me some tonic or routine of exercises that will improve my physical condition. Ans.—Often the state of one's mind is responsible for a feeling of weakness, etc. If one is bored or unhappy or worried, the reaction on the body results in a feeling of weariness, tiredness, or even vague aches and pains. Also the body forces can be depleted by insufficient sleep, sexual abuse, lack of fresh air at night, smoking and poor diet. The diet must contain vital elements or vitamins as they are called. These can be obtained in a vegetarian diet. Use an abundance of fruits and fresh vegetables, some nuts and wholegrain cereals. Combinations of dahl and greens make a good source of protein, and milk and curds give an added protection to the body. You should see a doctor to be sure you are not anaemic and do not have intestinal parasites. Vigorous walking and gardening are excellent forms of exercise. COFFEE AND TEA: Ques.— Kindly give me some information regarding the metabolism of coffee and tea. I mean drinks of decoctions and milk in both cases. Answer questions such as: What are the end-products of metabolism, and the systems or organs that are influenced by them? Ans.—Your question in regard to the metabolism of coffee and tea is one to which much study has been given. All the investigators have agreed that when coffee and tea are brewed the resultant liquid contains caffeine unchanged. In case of tea the first brew contains the caffeine and later brew contains more tannic acid. The effect of caffeine on the body is to stimulate the cerebrum and in- crease the capacity for work. In doing this, however, it borrows on future energy, leaving the individual in a low ebb after its effect is gone. Caffeine also stimulates the kidneys with a resultant increase in the flow of urine. Many people come to the doctor with headaches or tachycardia (increased heart rate) and find that the cause of their ailment is often drinking coffee. You are particularly interested in the end-products of metabolism. Coffee is excreted rapidly. As it passes through the body it loses methyl groups which reduce it to mono and demethyl xanthine and finally xanthine and urea. None of these endproducts have as important an effect on the body as caffeine so that it is the real offender. Tannic acid has an astringent and irritating effect on the stomach. It helps to allay nausea in mild cases and is useful as an enema in inflammatory diarrhceas. Caffeol is the source of flavour in coffee and is present as a salt of tannic acid called caffeol tannate. Its effect is to check digestion and retard absorption. CHRONIC HEADACHE: Ques. —I have headaches almost daily. For the past one and a half years I suffer from colds and coughs continuously. The headache starts from sunrise and remains up to sunset. It is not half-sided but full-sided. I have tried many treatments and am now tired of taking medicines. Ans.—Chronic headache may be caused by various conditions. In your case, migraine headache would be ruled out because it is usually on one side. High blood pressure is one of the reasons for headache but it is very seldom found in young persons. Two of the most common conditions causing chronic headache in young people is sinusitis, which is an inflammation of the mucous mem- branes of the physiological sinuses adjoining the nose, and nervous tension. Sinus troubles may be accompanied by chronic colds. The diagnosis has sometimes to resort to Xrays. The treatment may include anti-biotics, nasal decongestants, antihistamines and infra-red light or diathermy. Tension headache is usually accompanied by a good degree of nervous tension, nervousness, sweating and heart palpitation. PAIN CAUSED BY DENTURES: Ques.—On advice from doctors, I had all the teeth of my wife removed and had dentures prepared. Though at first, after a couple of trials, the dentures were found suitable, my wife now cannot exert the necessary pressure for chewing the food without hurting the gums. When she hurts the gums she has to stop chewing practically for a few days. Our dentist says that the gums are spongy and that there is no rapid cure. Will you suggest the best remedy? Ans.—There is one fundamental requirement for anyone who wears dentures and that is that there be a good bony ridge on the lower jaw especially. This ridge has a tendency to disappear especially if a person has gone without dentures and has not applied pressure where teeth have been extracted. I have seen many older people in whom the lower jaw was nothing more than a flat horizontal plate. Obviously it will he impos Bible to fit lower dentures in such condition. If the gums are redundant that is if there is too much soft tissue over the bone, it would be difficult to get a good fitting. It may be necessary for some of this tissue to be removed so that there would be a harder ridge for the plates to rest on. This type of work should be done by a dentist who is skilled in oral surgery. It would be necessary for you to see a well-qualified orthodontist. (See next page for information regarding this service.) THE HER aLD 07 HEALTH, MARCH 1960 31 THE DOCTOR ANSWERS 1. This question and answer service is free only to regular subscribers. the doctor is not available through this service. 2. No attempt will be made to treat disease nor to take the place of a regular physician in caring for individual cases. 4. Questions to which personal answers are desired must be accompanied by ADDRESSED AND STAMPED ENVELOPES. Answers cannot be expected under ONE MONTH. 3. All questions must be addressed to The Doctor Answers. Correspondence personally with 5. Questions sent in on Post Cards will not receive attention. 6. Make questions short and to the point. Type them or write them very clearly. 7. Questions and answers will be published only if they are of such a nature as to be of general interest and without objection, but no names will be published. Address "The Doctor Answers," Oriental Watchman and Herald of Health, P. O. Box 35, Poona 1, India. Healthy ? 06. coG4Me I LIFEBUOY? hiGlitthad4 1 v• a habit with me—as it is, .1 think, with most people who care about health. It gives me such a healthy feeling of freshness after every bath. LIFEBUOY SOAP is And LIFEBUOY washes away germs in dirt. You cannot avoid picking up everyday dirt— however clean your job. Make LIFEBUOY your health habit! LIFEBuoy MA. IN INDIA •V .111010,15,01.1..V. 1.10•17110 —gives you that healthy feeling of freshness! • •ftwkiii sf Illadttstan Lever Ltd. 32 THE HERALD OF HEALTH, MARCH 1960 SaeAce oft rite 1124,rd Portable Electronic Lung A 56 lb. electronic lung that can be easily transported with the patient is demonstrated at Barnet General Hospital, near London. Known as the "Barnet Ventilator", it has been developed by leading British electrical companies and may in time replace the heavy, cumbersome iron lung in the treatment of respiratory conditions such as polio. Patients using the instrument would have considerable freedom, being connected to it by two tubes only. The machine has built-in batteries from which its transistorised circuit will run for up to 20 hours without recharging. It can be used in operating theatres—including the administration of anmsthetics—as well as for chronic bronchitis and asthma and at the scene of an accident. According to a doctor, the machine has never once broken down during the seven years of its development. It has been made available for purchase only this year at a cost of approximately Rs. 5,000. —B.I.S. Lobeline and Smoking Further evidence is adduced by G. W. Rapp and his colleagues (American Journal of Medical Sciences, March 1959, 237, 287.) that lobeline is of value as a smoking deterrent, provided it is suspended in a buffering base. (For their previous report see The Practitioner, 1955, 175, 648). When lobeline is suspended in an inert vehicle, such as corn starch, it is poorly absorbed. In a buffered vehicle consisting of tricalcium phosphate and magnesium carbonate (slow-acting and fast-acting antacid compounds, respectively), however, absorption is rapid and consistent. It is claimed that the blood lobeline level is 'directly related to the effectiveness of this agent in acting as a curb to smoking', and that the effective blood level is 100 to 140 mg. of lobeline per 100 ml. of blood. Such levels they obtained from the use of a preparaTHE HERALD OF HEALTH, MARCH 1960 tion (`bantron') containing 2 mg. of lobeline sulphate, in the buffered vehicle already described, per capsule. The dosage was one capsule thrice daily after meals. They investigated this regime in two groups of smokers: 25 who did not wish to give up smoking, and 28 who wanted to stop smoking or at least to cut down the amount they smoked. In both groups a considerable degree of success was achieved but in different ways. In the case of those who did not want to stop smoking there was no decrease in the number of cigarettes smoked, but a definite decrease in the amount of each cigarette smoked—as assessed by the weight of the cigarette after being stubbed out. Thus, the average weight of tobacco actually smoked per day fell from 11.5 to 4.1 g. In the case of those who wished to stop, or reduce smoking, the average number of cigarettes smoked daily fell from 18.6 to 4.6. —Indian Medical Forum No Toothache for Bushmen "Ribonucleose", fourth kind of Protein Analysed Five American scientists, all members of the Rockefeller Institute, have succeeded, after six laborious years of research, in determining the "chemical nature of ribonucleose, the most complex protein yet analysed." Proteins are the so-called "building blocks" of the body and their contribution to the growth and repair of the tissues is vital. However, there are literally thousands of kinds of proteins and so far only three—insulin, A.C.T.H. and osytocin—had been properly investigated. It is now revealed that ribonucleose is made up of 1,876 atoms. Some idea of the infinite pains that have to be taken in research of this kind can be gained from the fact that the breakdown of the constituent atoms could only be effected after 124 different "pieces" of amino acids (the basic materials of proteins) were assembled and reassembled until they at last fitted together into the one single pattern, out of an "unlimited" number, which made up the chemical formula for ribonucleose. Modern scientists have to be men of infinite patience. —Times of India, Nov. 16, 1959. Regarded as the most backward and primitive of all people, the Bushmen of South Africa's Kalahari Desert until recently have never had toothache or dental decay. Whereas most Europeans have decay in childhood Vacuum Cleaner Collects and the teens, the Bushmen usually Hospital Bacteria go through life with healthy, natural A vacuum cleaner designed speteeth. Dr. J. F. van Reenen of the Oral and Dental Hospital, University of cially for hospital use—it collects Witwatersrand, who conducted a spe- bacteria as well as dust—has been cial research expedition to the Kala- produced by a British firm. The standard type of cleaner colhari Desert, concluded: "The Bushlects dust but tends to blow out man is probably immune from caries because of the natural foods he eats." bacteria and cause cross-infection. It is now reported, however, that un- This is prevented by the new machine, fortunately for the Bushman, his in- which has a filter of finely spun glasscreasing contact with western life is fibre—the"nerve centre" of the bacspoiling his record, by making him teria-collecting pocket. The new subject to dental troubles. Dr. van vacuum cleaner costs about £100, and Reenen blames white sugar for which will be available shortly. —B.I.S. the Bushman is acquiring a taste. (Reported in London Evening News, Printed and published by V. Raju at and for the Oriental Watchman Publishing House, October 2, 1959.) Salisbury Park, Poona I. 4567-60. —Good Health 33 r -.00%• ...OW. • • sy.011••• • V. • r•••. • ...OV. • ..0100% • ..•1•10, • -y•., • --Aft • .,0••. e .••••••. • , Can eating help her to grow lovelier? i i • HERE are an astonishing number of beauty flaws that can't be corrected— unless a woman eats the right food. On this point, dietitians and beauty counsellors speak with a single voice. Every ounce of DALDA provides something else of great importance. Energy — 255 ' calories' of energy. No cooking medium gives more. For DALDA is a wholesome fat and fat is the best source of energy we know. Take a prematurely old face, for example, of that `tired' look. No matter what a woman's skill with cosmetics, these troubles won't really disappear unless she gets at least 55 grams of protein from her food every day. And she could get that, say, from a large glass of buttermilk at every meal and 3 to 4 wheat chapattis. Lovely woman or hard-working man, everybody needs at least 2 oz of fat every day. But fats are often suspect— particularly with women. Don't they balloon the waistline and promote unglamorous weight? When these ladies accuse fats, however, they must remember this : Plumpness is caused when people take in more calories of energy than their daily activity can burn up. Lack-lustre eyes will not sparkle with health unless a woman's daily diet provides 1.4 milligrams of Vitamin B2. This would be more than amply supplied by her daily glasses of buttermilk. What is possibly less well known is that she can also get this most important of ' glamour' vitamins from the medium In which such foods are cooked. VITAMINS AND ENERGY Seven hundred IU of Vitamin A go with each ounce of DALDA Vanaspati, for instance; and very little of it is lost during cooking. Vanaspati keeps its Vitamins better than anything else you could use for preparing the family meal. Into every ounce also go 56 IU of Vitamin D to keep bones healthy and the teeth lovely. DL/P. 14-X52 • '40'1."• 4.0••—••• `080°-- 0 •somm•—•••4g• 0 -000..---* • • • • Now calories come in sugars as well • as in fats. Nutritionists advise some people who want to take off weight I quickly to cut down on sugars rather • than on fats. For, a person who is overweight is made to call on his or her own fat deposits more quickly if • Spinach and green vegetables are other `glamour' foods. They contain vitamins and minerals. Spinach, for instance, is rich in Iron—and so is more important for a woman than for a man. Dull hair and rough skin improve only if the right amount of Vitamin A is present in her diet. This is 5,000 International Units a day, a requirement that is easily met by a variety of well-known foods. • FACTS ABOUT 'FATNESS' BRIGHT EYES, LUSTROUS HAIR 34 '....'"' sugar is kept low and fat is only moderately reduced. • FATS THAT ARE FOODS After all, fats make food more tasty and a very low fat intake causes people to be obsessed with thoughts of food. Which is undesirable, however you look at it. I• • For 30 years, people in India have turned in increasing numbers to DALDA for their cooking fat needs. It gives them the calories they require for energy, the flavour they want in their cooking, the Vitamins they need for health (and, if you like, for Beauty). So when people use DALDA, they meet their needs with something that is a nourishing food— just as much as it is a fat. HINDUSTAN LEVER LIMITED, HOMBAIT. 0 ..00m. • —400, • -Alp., • • II • THE HERALD OF HEALTH, MARCH 1960 NEW ...delightful... delicious ... V ariety Custard POWDERS from Brown & Polson Six flavours and colours — all in one packet! Ready in a minute, you can serve creamy-smooth Brown & Polson Variety Custard with puddings and sweets. Delightful too, with all kinds of fresh and tinned fruit. Fr e . Fill in this coupon for a free, exciting new e """" Recipe Book in English/ Hindi/Gujerati/ Tamil/Telegu/ Malayalam/Bengali (delete the languages not required). r I enclose a 15 nP stamp for postage. Mr./Mrs./Miss Address ORANGE • BANANA STRAWBERRY • LEMON RASPBERRY • VANILLA To Dept. Corn Products Co. (India) Private Ltd., P.O. Box 994, Bomay- 1 t. .CORN PRODUCTS CO. (INDIA) PRIVATE LTD. Agents for India: Parry and Company Ltd. THE HERALD OF HEALTH, MARCH 1960 35 Children's Train (Continued from inside front cover.) The station is a miniature model constructed entirely on modern lines. It has a canteen, waiting hall, retiring room, and a picturesque little platform. The entire building is beautifully designed. The Lilliput locomotive is 25 feet long--a third of the length of a normal engine—and weighs less than nine tons. The 15-inch gauge railway has all the features of a regular railway system such as a tunnel, bridge, signals, level crossing, gradients, carriage shed, turntable and a water column. The train is run by the children themselves. The centre has the appearance of a fairyland, all the miniature things being managed and run by children. And indeed it is only a fairyland of dreams for the thousands of children who live too far away to come and enjoy the pleasures it affords. Run by children themselves. Minimum cost per ticket. Picturesque and beautiful. Registered No. B-1886. Pak. No. L-5668.
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