Robert McCarrison
Encyclopedia
Sir Robert McCarrison, MA, MD, DSc, LLD, FRCP (15 March 1878 – 18 May 1960) was a Northern Ireland
Northern Ireland
Northern Ireland is one of the four countries of the United Kingdom. Situated in the north-east of the island of Ireland, it shares a border with the Republic of Ireland to the south and west...

 physician and nutritionist
Nutritionist
A nutritionist is a person who advises on matters of food and nutrition impacts on health. Different professional terms are used in different countries, employment settings and contexts — some examples include: nutrition scientist, public health nutritionist, dietitian-nutritionist, clinical...

, who was made a Companion of the Indian Empire (C.I.E.) in 1923, received a knighthood in July 1933, and was appointed as Honourable Physician to the King in 1935.

McCarrison was born in Portadown
Portadown
Portadown is a town in County Armagh, Northern Ireland. The town sits on the River Bann in the north of the county, about 23 miles south-west of Belfast...

, in County Armagh
County Armagh
-History:Ancient Armagh was the territory of the Ulaid before the fourth century AD. It was ruled by the Red Branch, whose capital was Emain Macha near Armagh. The site, and subsequently the city, were named after the goddess Macha...

, Northern Ireland
Northern Ireland
Northern Ireland is one of the four countries of the United Kingdom. Situated in the north-east of the island of Ireland, it shares a border with the Republic of Ireland to the south and west...

. He qualified in Medicine at Queen's College, Belfast in 1900. He joined the Indian Medical Service
Indian Medical Service
The Indian Medical Service was one of the military medical services, which also had some civilian functions, in British India. It served during the two world wars, and was in existence until the independence of India and Pakistan in 1947...

 and was posted as Medical Officer to Indian troops guarding the mountainous Northern Frontiers. He was promoted to Captain in January 1904, to Major in July 1912, Lieutenant-Colonel in January 1918, Colonel from 1929, and to Major-General in July 1933. He retired from the Indian Medical Service on 19 August 1935. McCarrison's research in India on the cause of goiter won widespread recognition and in 1913 he was promoted to do research. In 1928 he became Director of Nutritional Research in India, where he remained until his retirement from the Indian Medical Service in 1935, when he returned to England, settling at Oxford.

Pioneer in nutrition research

McCarrison carried out the very first experiments to demonstrate the effect of nutrition
Nutrition
Nutrition is the provision, to cells and organisms, of the materials necessary to support life. Many common health problems can be prevented or alleviated with a healthy diet....

 on the epidemiology
Epidemiology
Epidemiology is the study of health-event, health-characteristic, or health-determinant patterns in a population. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based medicine by identifying risk factors for disease and targets for preventive...

 of disease.

McCarrison is credited with being the first to experimentally demonstrate the effect of deficient dietaries upon animal tissues and organs. He also carried out human experiments aimed at identifying the cause of goitre, and included himself as one of the experimental subjects. Much of McCarrison's work was pioneering. His 1921 book Studies in Deficiency Disease was considered notable at the time, being published at a time when knowledge of vitamins and their role in nutrition was crystallizing. McCarrison himself noted that prior to publication of his studies on the pathogenesis of deficiency disease "no systemic post-mortem examination of animals fed on food deficient in vitamin B had ever been made; the histopathological effects of such food on the various systems of the body were wholly unknown; above all, its effects on the gastro-intestinal tract and the organs of digestion and assimilation, and the significance of these effects for clinical medicine, were wholly unsuspected".

At age 23, McCarrison went to India, where he spent 30 years on nutritional problems. He attained the rank of major-general in the Indian Medical Service, and founded the Nutritional Research Laboratories in Coonoor. After retiring from the Indian Medical Service in 1935, he gave a series of Cantor lectures at the Royal Society of Arts, about the influence of diet on health. This comprised three lectures delivered on successive Mondays at the Society. The first lecture focused on the processes of nutrition; the second, on food essentials and their relationship to bodily structure and function; the third on disease prevention and physique improvement by attention to diet. The lectures were subsequently published in book form under the title Nutrition and Health, and at the time of the third edition in 1962, were still not seen as "dated", with the advances of the preceding 25 years largely filling the details of the principles previously recognised by McCarrison.

"McCarrison's work on goitre, cretinism, and the thyroid, begun in the western Himalayas in 1902, generated scores of scientific publications during the following thirty-five years", While McCarrison's work is often considered the start of serious studies of goitre and cretinism in South Asia, it was preceded by that of Commissioner David Scott at Rangur in north-east India around 1825, and was investigated by Mountford Bramley at Kathmandu in 1832.

In 1918, McCarrison founded the Beri-Beri Enquiry Unit in a single room laboratory at the Pasteur Institute in Conoor, India. He was invalided to Britain from 1920–1922, and in 1923 the enquiry was axed on financial grounds. It was restored two years later as the Deficiency Disease Inquiry, which McCarrison headed from 1925-1929. Around 1928-29, this developed further into the Nutrition Research Laboratories (NRL. Renamed the National Institute of Nutrition
National Institute of Nutrition, Hyderabad
The National Institute of Nutrition is an Indian education and research facility located at Osmania University in Hyderabad. The institute operates under the Indian Council of Medical Research for India's Ministry of Health and Family Welfare...

 in 1969), with McCarrison as its first Director, until his retirement in 1935. In 1926, as head of the Deficiency Diseases Inquiry, McCarrison submitted written and oral evidence on malnutrition to the Royal Commission on Agriculture in India. The primary objective of McCarrison's submission was to indicate the significance of malnutrition as a "as a cause of physical inefficiency and ill-health among the massess in India"; the relationship between nutrition and agriculture; and "the necessity for closer co-ordination of nutritional, medical, veterinary and agricultural research" in India. McCarrison's submission had impact. "A decade later, when the Commission's chairman, Lord Linlithgow
Victor Hope, 2nd Marquess of Linlithgow
Victor Alexander John Hope, 2nd Marquess of Linlithgow KG, KT, GCSI, GCIE, OBE, PC was a British statesman who served as Governor-General and Viceroy of India from 1936 to 1943.-Early life and family:...

, became Viceroy of India he showed a personal interest in nutrition, pushing it to the top of the research agenda. In 1936 a Nutrition Advisory Committee was established and roughly a tenth of IRFA's annual grants went to fund nutrition research at Coonoor and Calcutta".

Retirement from India

After the Second World War, from 1945 to 1955, McCarrison served as director of postgraduate medical education
Medical education
Medical education is education related to the practice of being a medical practitioner, either the initial training to become a doctor or additional training thereafter ....

 at Oxford University.

Personal life

In 1906 he married Helen Stella Johnston, to whom he was still married at the time of his death.

Legacy

  • The National Institute of Nutrition in Hyderabad, India, continues to pay tribute to is origins in 1928 under McCarrison.
  • McCarrison is grouped, along with Sir Albert Howard
    Albert Howard
    Sir Albert Howard was an English botanist, an organic farming pioneer, and a principal figure in the early organic movement. He is considered by many in the English-speaking world as the father of modern organic agriculture....

     and Richard St. Barbe Baker
    Richard St. Barbe Baker
    Richard St. Barbe Baker was an English forester, environmental activist and author, who contributed greatly to worldwide reforestation efforts. As a leader, he founded an organization, still active today, whose many chapters carry out reforestation internationally.-Early years:He was born in...

    , as one of three progenitors of the organic agriculture
    Organic farming
    Organic farming is the form of agriculture that relies on techniques such as crop rotation, green manure, compost and biological pest control to maintain soil productivity and control pests on a farm...

     movement.

McCarrison Society

In 1966, a group of doctors, dentists and veterinarians, interested in the promotion of nutrition and health, founded the McCarrison Society in honour of his efforts, with a Scottish group established in 1981 due to both travel logistics and differing needs in the Scottish population.

The Society aims "to assemble scientific knowledge on nutrition and health that is free from economic and political pressures with the object of securing the physical and mental health of future generations". The Society meetings sometimes raise questions with elusive answers, with speakers presenting material based on scanty, often anectdotal data, inviting criticism that it is "a gathering of cranks". However, "one answer to that critism is that speakers at MCarrison meetings tend to be rather well qualified. But the main point is that the society has a way of asking questions about the environment - what are we doing to it and what it is doing to us - that are of profound importance".

The Society's website summarises McCarrison's work thus:

His researches were extensive; they included work on the newly discovered vitamins and on the contrasting disease patterns in the Indian subcontinent
Indian subcontinent
The Indian subcontinent, also Indian Subcontinent, Indo-Pak Subcontinent or South Asian Subcontinent is a region of the Asian continent on the Indian tectonic plate from the Hindu Kush or Hindu Koh, Himalayas and including the Kuen Lun and Karakoram ranges, forming a land mass which extends...

. He demonstrated how many common diseases increasingly prevalent in industrial societies were caused simply by diets made defective by extensive food processing, often with the use of chemical additives. He deplored the universal consumption in Britain and America of refined white flour, instead of halite flour, and the substitution of canned, preserved and artificially sweetened products for fresh natural food.


McCarrison's work was widely published in the medical press. He was honoured for his discoveries, but completely ignored by government and the medical profession at a time when medical thought was absorbed in the study of disease rather than on prevention and the promotion of health.

Publications

The following is a selection of works published by McCarrison. To avoid duplication, this does not include works cited, which are to be found in the References section.
. Retrieved 11 August 2010
download page
. Retrieved 12 August 2010

(Full text at Internet Archive).
(Online registration to view articles is free).
(1945 photo-lithographic reproduction by Lee Foundation for Nutritional Research. Full text at Internet Archive).

(Pay-per-view access).
. Retrieved 12 August 2010
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External links

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