IODIN DEFICIENCY AND PREVALENCE OF SIMPLE GOITER IN MICHIGAN

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Abstract
That the state of Michigan has an abnormally high percentage of persons affected with goiter has been a matter of common knowledge for years, but of no great concern either to the public or to the medical profession. It was not until 1918 that the matter was given any serious consideration. The selective service regulations brought out the fact that northern Michigan and Wisconsin had a real public health problem to solve. Goiter was so prevalent that in some groups as high as 30 per cent. of the persons were incapacitated for army service, owing to disqualifying toxic goiters.1About this time our attention was focused on the work of Kimball and Marine in Ohio, the compilation of reports of whose work at Akron and Cleveland and other localities has been published.2 In the fall of 1919, instruction was given to all the traveling representatives of the Michigan

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