For the British, things were especially bad. Numerous captains and sailors had personally demonstrated and convinced themselves that scurvy could be prevented with fresh citrus, but were unable to convince the "classically trained" physicians who made Naval policy, who were still pushing things like "you need more air in your tissue". One of captain Cook's expeditions had good results with malt and wort preventing scurvy, so that was official practice even as navy admirals demanded lemons.
The connection between citrus and Scurvy was finally proven in an animal model in the early 1920s, before we even understood what "Vitamins" where.
https://www.mentalfloss.com/article/24149/how-scurvy-was-cur...
(Not sure how blackcurrents keep over long distances compared to oranges as well)