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Article title: two die from pellagra
date published: november 8, 1909
There were reports of the first cases of pellagra in North Carolina. There were two victims who died and they were both female. One of the victims was ill with the disease for three months before she passed away. They were the only cases in Rowen County at the time.
http://query.nytimes.com/mem/archive-free/pdf?res=F60914FC3F5C15738DDDA10894D9415B898CF1D3