Blood vitamin levels in Aboriginal children and their mothers in Western New South Wales

Hospital morbidity among Aboriginal Australians in New South Wales

This study examines data from 15,172 episodes of hospitalization pertaining to Aboriginal Australians discharged from public and private hospitals in New South Wales during 1978. Morbidity patterns revealed provide quantitative evidence on a whole population basis for the often impressionistic statements of those dealing with limited areas or with specific diseases.

Respiratory diseases are by far the most common and their occurrence seems to be out of proportion in relation to other diagnoses. Gastrointestinal and diarrhoeal diseases are important among young children, alcoholism among men, and diabetes among older people of both sexes. The most common surgical procedures involved abdomen, female genitals and ear, nose and throat.

It was noted that for most disease categories Aborigines were more likely to be hospitalized than non-Aborigines, the major exception being neoplasms. On the other hand, Aborigines were significantly less likely to be hospitalized for surgical operations. Overall, Aborigines were found to suffer higher levels of ill-health primarily due to their depressed economic conditions and social exclusion as well as racial discrimination to which they are commonly subjected in Australia.

A rapid manual method for routine assay of ascorbic acid in serum and plasma

A method is described for the assay of ascorbic acid in either serum or heparinized plasma. 1. The assay is based on the reduction of ferric chloride by ascorbic acid with the resulting ferrous ion quantitated by the addition of 2,4,6-tripyridyl-s-triazine to form a purple colour with a maximum absorbance at 595 nm. 2. Uric acid interference has been eliminated by the use of a high molarity acetate buffer and by optimising the amount of TPTZ and ferric chloride used. 3. Protein was found to cause rapid fading of the final colour; it was therefore necessary to remove the protein, by addition of 10% trichloroacetic acid, from the specimen prior to the final assay. This had the added advantage of assisting to stabilize the ascorbic acid prior to final assay. 4. All reagents used are easily obtained and no special equipment is required.

Human requirements and needs. Vitamin C status: methods and findings

Although vitamin C nutritional status in man may be determined on the basis of dietary intake findings and on clinical signs of a dietary deprivation, biochemical measurements represent the most objective approach. Without the availability of a functional biochemical procedure that relates to vitamin C status, information concerning inadequacies in this nutrient has been derived mainly from measuring ascorbate levels in serum (plasma), leukocytes, blood, and urine. The measurement of serum levels of ascorbic acid is the most commonly used and practical procedure for determining vitamin C nutritional status in individuals or population groups. Although leukocyte ascorbate levels provide information concerning the body stores of the vitamin, the measurement is technically more difficult to perform, and, hence, its use is largely confined to clinical situations as an aid in the diagnosis of scurvy. The clinical diagnosis of scurvy can be aided also by information on the urinary levels of ascorbic acid and the use of vitamin C loading or saturation tests. With recognized limitations, ascorbic acid can be measured in biological samples with the use of automated or manual colorimetric and fluorometric procedures. Nutrition surveys conducted in Canada and the United States have indicated vitamin C deficits among certain population groups.

Bood vitamin levels in children with gastroenteritis

Clinical evaluation and estimation of blood levels of vitamins A, E, C, B1, B2, B6 and of total carotenoids were carried out in 52 consecutive children admitted to the Royal Alexandra Hospital for Children in Sydney during the winter epidemic of diarrhoea. The children included 37 Europeans and 15 Aboriginals, who were previously apparently healthy. Of these, 19 Europeans and ten Abororigines were studied also after recovery. The anthropometric, clinical, microbiological and biochemical data for each child is presented. Vitamin treatment, duration of symptoms, severity of diarrhoea, stool microbiology and the role of secondary malabsorption as a main cause of the depressed plasma vitamin levels found is discussed.

Nutrition in the Australian aborginines--effects of the fortification of white flour

The nutritional status of 66 part Aborginines was re-examined in 1974--with particular reference to blood levels of haemoglobin and vitamins--after white bread fortified with iron and the vitamins B1 and PP (niacin) had been available for six and half months to the population of Bourke, New South Wales. The results found in 1971 and 1974 are compared. A significant improvement from deficient to acceptable blood levels of vitamins B1 and B6 was found in 44% and 52% of the subjects respectively. This attributed to the comsumption of fortified bread since the levels of the other vitamins had remained either unchanged or worsened. The biochemical improvement in vitamin B6 is attributed to the sparing effect of vitamin PP on vitamin B6 requirement because the conversion of tryptophan to niacin is impaired in vitamin B6 deficiency. Iron deficiency anaemia in children had decreased by 50% but this could have been due to many other factors besides the iron which had been added to the bread. Clinically there was a marked decrease in angular stomatitis and skin xerosis which could be related to the biochemical improvement of the two B-vitamins and a decrease in active trachoma and suppurative otitis media probably due to intensive treatment received since 1971. The results of this study and the extent of biochemical vitamin B1 and B6 deficiency found in other groups, indicate that fortification of bread may be of benefit to the community as a whole.