Pellagra: maize exported without its processing knowledge
When maize became the staple of poor peasants in 18th- and 19th-century northern Italy, southern France and Spain, pellagra became epidemic, killing and disabling many who lived on polenta. The cause was that Europeans adopted the grain but not the Mesoamerican practice of nixtamalization, cooking maize with lime or ash, which releases niacin and prevents the disease.
