Health and diet in Elizabethan England upper classes ate fine white bread called manchet while the poor ate coarse bread of barley or rye. Both the rich and the poor had imbalanced diets. The lack of vegetables and fruits in their diets caused a deficiency in vitamin C, sometimes resulting in scurvy. Trade and industry flourished in the 16th century, making England more prosperous and improving the standard of living of the upper and middle classes. However, the lower classes did not benefit much and did not always have enough food. As the English population was fed by its own agricultural produce, a series of bad
Scurvy and laced with spices. In 1764, a new variant appeared. Advocated by Dr David MacBride and Sir John Pringle, Surgeon General of the Army and later President of the Royal Society, this idea was that scurvy was the result of a lack of 'fixed air' in the tissues which could be prevented by drinking infusions of malt and wort whose fermentation within the body would stimulate digestion and restore the missing gases. These ideas received wide and influential backing, when James Cook set off to circumnavigate the world (1768–1771) in , malt and wort were top of the list of