is an illness characterized by strange paralysis of the legs, arms, and wrists with little to no recovery in large numbers of people throughout the Midwest, which was traced back to the Jamaica Ginger elixir. But since the typical ingredients (as listed in the U.S. Pharmacopeia) were not known to cause disease, they immediately suspected a contaminant was responsible. The matter was taken up by the Public Health Service’s National Institutes of Health (NIH), and it was there that the adulteration with TOCP was discovered.