American Revolutionary War British service in addition to 4,888 deserters; of the former, it is estimated 1,800 were killed in combat. Around 171,000 sailors served in the Royal Navy during the war; approximately a quarter of whom had been pressed into service. Around 1,240 were killed in battle, while an estimated 18,500 died from disease (1776–1780). The greatest killer at sea was scurvy, a disease caused by vitamin C deficiency. It was not until 1795 that scurvy was eradicated from the Royal Navy after the Admiralty declared lemon juice and sugar were to be issued among the standard daily rations of sailors. Around
Vitamin deficiency Vitamin deficiency A vitamin deficiency can cause a disease or syndrome known as an avitaminosis or hypovitaminosis. This usually refers to a long-term deficiency of a vitamin. When caused by inadequate nutrition it can be classed as a "primary deficiency", and when due to an underlying disorder such as malabsorption it can be classed as a "secondary deficiency". An underlying disorder may be metabolic as in a defect converting tryptophan to niacin. It can also be the result of lifestyle choices including smoking and alcohol consumption. Examples are vitamin A deficiency, folate deficiency, scurvy, vitamin D deficiency, vitamin E deficiency,