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
Scurvy "Recp.t for the Scurvy" that consisted of extracts from various plants mixed with a plentiful supply of orange juice, white wine or beer. In 1734, the Leiden-based physician Johann Bachstrom published a book on scurvy in which he stated, "scurvy is solely owing to a total abstinence from fresh vegetable food, and greens; which is alone the primary cause of the disease", and urged the use of fresh fruit and vegetables as a cure. However, it was not until 1747 that James Lind formally demonstrated that scurvy could be treated by supplementing the diet with citrus fruit, in one of