EARLY H COX was the 12th and last child born to WILLIAM MARION and SARAH ANN ELIZABETH MILLER GOODWIN COX. Early never married and had no children. He is my Granduncle. In the 1880 Georgia Census he is shown at home with his mother, father and siblings. In the 1900, 1910 and 1920 Georgia census' he is listed as an inmate in the Georgia State Sanitarium, Baldwin County, Georgia. Uncle Earl died 05 Jul 1924 and in my correspondence with the Georgia State Sanitarium their records indicate he was taken to a cemetery off the Sanitarium property (many patients are resting in the Sanitarium cemetery) and is resting in the same cemetery as his mother, Oak Hill Cemetery, Cartersville, Bartow County, Georgia. According to a copy of Uncle Earl's index card from the Georgia Department of Behavioral Health and Developmental Disabilities Uncle Earl was placed in the Sanitarium and later died on 7/5/24 at 5.30 am due to Pellagra. In the United States, pellagra has often been called the disease of the four D's -- dermatitis, diarrhea, dementia, and death. Between 1907 and 1940, approximately three million Americans contracted pellagra and 100,000 of them died. A worried Congress asked the Surgeon General to investigate the disease and in 1914, Joseph Goldberger was asked to head that investigation. During the next decade, Conrad A. Elevjhem learned that a deficiency of nicotinic acid, better known as B vitamin niacin, resulted in canine black tongue disease. In studies conducted in Alabama and Cincinnati, Dr. Tom Spies found that nicotinic acid cured human pellagrins as well. Tulane University scientists discovered that the amino acid tryptophan was a precursor to niacin. When tryptophan was added to commercial foods such as bread to "fortify" them, it prevented the scourge of the South. Today, pellagra has been all but banished, except for infrequent occurrences during times of famine and displacement.In other words the disease is caused from lack of fresh vegetables and the vitamins they provide. Earl has NO TOMBSTONE .