Skip to content

Posts tagged ‘Nestle’

Sweetness and Light

This weekend some friends and I cooked a Lusophone world-themed dinner. I contributed pudding: an updated version of bebinca – a Goan dessert consisting of layers of coconut pancakes – and brigadeiros, a Brazilian interpretation of chocolate truffles made of condensed milk and cocoa. The recipe for the latter is incredibly easy:

1 tin sweetened condensed milk

½ cup cocoa (not drinking chocolate)

2 Tblsp butter

Silver balls, hundreds and thousands, or more cocoa, for coating

1. Combine the condensed milk, cocoa, and butter in a heavy-based saucepan.

2. Stirring continuously (preferably with a rubber spatula), cook over a low-to-medium heat until the mixture is so thick it’s possible to draw the spatula across the bottom of the pot, leaving a wide gap.

3. Pour the mixture into a well-greased 20cm square cake tin, and allow to cool.

4. Pinch off pieces of the mixture and roll into small balls – about halfway in size between a hazelnut and a walnut. Roll in the extra cocoa or decorations. Allow to set in the fridge.

This is an unbelievably sticky procedure: oil everything (utensils, crockery, yourself) before attempting to roll the mixture because otherwise there may be, frankly, quite a lot of swearing. Also, clean up thoroughly. The ants which attempt periodically to invade my kitchen had a short-lived fiesta on my counter tops before being swiftly washed away.

As I was looking for recipes, I was struck by how frequently particular ingredients and dishes recurred within Brazilian, Mozambican, Goan, and Macauan cuisines: limes, chillies, coconut, spicy chicken (sometimes called piri piri, or similar), and custards. These continuities are not particularly surprising. In the circulation of people and things around the Lusophone world – from Portugal to Brazil, to Angola and Mozambique, to Goa, and parts of southeast Asia – recipes, plants, and animals were exchanged and traded.

Another, more unexpected, similarity between these cuisines is sweetened condensed milk. It appears in beverages, cakes, and other puddings, be they Brazilian or Goan. For cultures unused to cooking with dairy products – in India, for instance, or parts of southeast Asia – condensed milk is more easily incorporated into dishes as a sweetener. Also, tins of milk keep far more easily than bottles of fresh milk in warm climates.

The person who patented the recipe for condensed milk was the American inventor, adventurer, and politician Gail Borden. Having initially devoted himself to coming up with a recipe for ‘meat biscuits’ (high protein bars to be supplied to soldiers), he turned his attention to preserving milk. He was not the only person interested in extending the shelf-life of milk: evaporated and dried milk products were being experimented with at the same time. The process that Borden used – adding sugar and then condensing milk via a vacuum process – created a product which tasted delicious and had a long shelf life. In 1858, he and Jeremiah Milbank founded the New York Condensed Milk Company. Their fortunes were assured when, from 1861, the Company supplied the Union Army with condensed milk throughout the Civil War.

The first overseas condensed milk factory opened in Switzerland in 1866. Owned by two Americans – George and Charles Page, the latter being the US Consul at Zurich – the Anglo-Swiss Condensed Milk Company eventually merged with Nestle, another manufacturer of condensed milk, in 1904. Sweetened condensed milk spread around the world after the First World War. It arrived in Brazil in 1921, and was almost immediately incorporated into the cuisine.

Borden’s interest in milk and meat stemmed partly from anxieties about the cleanliness and purity of processed food. His Eagle Brand of condensed milk was advertised on the grounds that it was produced in hygienic conditions and could safely be fed to the very young and the very old. Indeed, sweetened condensed milk was regarded as having potentially healthy properties. The earliest incarnation of bircher muesli – fed to patients at Maximilian Bircher-Benner’s sanatorium in Switzerland – consisted of condensed milk, fruit, and oats. And it was seen as a decent substitute for breastmilk.

6a00e54fabf0ec88330120a652e4db970b-300wi

The marketing of condensed milk coincided with heightened concerns about high rates of infant mortality in industrialising cities all over the world. Having noticed that exclusively breastfed babies tended to be healthier than those who were not, by the end of the nineteenth century, scientists had established that the leading cause of death in early infancy – diarrhoea – was caused by ingesting dirty and rotting food, mainly milk products. For instance, in 1895 and 1896, Dr EB Fuller, Cape Town’s Medical Officer for Health, conducted a survey into the causes of infant diarrhoea in the city and discovered, as Peter Buirski explains:

Of the 140 deaths examined, the survey revealed that 97 were stated not to have had any breastfeeding, but to have been entirely dependent on the bottle and other sources, whilst 16 were said to have been fed on both breast and bottle. As Fuller noted, ‘we have…very clear evidence of the fact that it is the hand fed children who succumb most extensively to the disease in question.’

Public health officials and infant welfare campaigners not only doubled their attempts to persuade mothers to breastfeed for as long as possible, but also established depots where they could receive clean, pasteurised fresh milk and, importantly, healthy preserved milk products too – mainly dried or evaporated milk.

But some paediatrians had been pointing out since at least the 1890s that even if sweetened condensed milk was a useful dietary supplement for particularly malnourished children, it was hardly health food. The doctor and public health campaigner Cicely Williams – who identified the disease kwashiorkor – had noticed as early as 1933 that adults in parts of West Africa were adding sweetened condensed milk to their diets. Soon she connected widespread malnutrition in babies and young children with the use of sweetened condensed milk in the place of more nutritious products – including, worryingly, breast milk. Writing about Singapore in the early 1940s, she explained:

there is the misguided popularity of sweetened condensed milk. The palatable sweetness of this, when it is once started as a supplementary or as a complementary feed, often results in the baby refusing to take the breast, or taking the breast with no enthusiasm and finally in the drying up of the milk. With wearisome and deadly frequency one hears ‘the baby would not suck,’ ‘the breast milk disappeared in three weeks,’ and in every case it is proved that sweetened condensed milk had been given.

Although recognizing that doctors and clinics could do more to inform mothers about breastfeeding, Williams argued for the better control of milk companies:

The advertisements of the milk firms are responsible for a certain amount of misguided propaganda. The people they employ are not always wise in their methods and it may be found that artificial feeding and infant mortality are higher in those areas where milk firms have their ‘nurses’ working than in those where they do not.

In 1939 she published the pamphlet ‘Milk and Murder’ in which she blamed the advertising strategies of companies like Nestle for causing mothers to give up breastfeeding – contributing, thus, to high rates of infant mortality in regions such as West Africa and South Asia. That pamphlet formed the basis for War on Want’s 1974 report The Baby Killer – the manifesto for the Nestle boycott which resulted, eventually, in the adoption of the 1981 International Code of Marketing of Breast-Milk Substitutes by the World Health Organisation.

Even if its advertising of artificial baby food had been largely constrained, Nestle still seeks out ways of selling its products – including sweetened condensed milk – to new, unsuspecting markets. Four years ago it was particularly sharply criticised for sending ‘floating supermarkets’ down tributaries of the Amazon, aimed specifically at potential shoppers unaccustomed to processed food.

My point is not that we should all abandon sweetened condensed milk. Far from it. What an understanding of the fraught history of sweetened condensed milk demonstrates is a continuity in the ways in which ingredients and foodstuffs are circulated around the world. As chillies and limes and coconuts were carried around the Portuguese empire, shaping and remaking local cuisines, so Nestle has added sweetened condensed milk to an increasing number of Brazilian and Indian kitchens during the twentieth and twenty-first centuries. The difference, obviously, is that Nestle could advertise its products as the healthy, responsible choice for nursing mothers – piggy-backing, effectively, on to public health concerns about infant mortality. The question then, is should we control or limit the sale of sweetened condensed milk and other, less-than-healthy processed foods, in poor areas unaccustomed to the wiles of Big Food?

Sources

Rima D. Apple, Mothers and Medicine: A Social History of Infant Feeding, 1890-1950 (Madison, WI: University of Wisconsin Press, 1987).

PJ Atkins, ‘White Poison? The Social Consequences of Milk Consumption, 1850-1930,’ Social History of Medicine, vol. 5 (1992), pp. 207-227.

Peter Buirski, ‘Mortality Rates in Cape Town 1895-1980: A Broad Outline,’ Studies in the History of Cape Town, vol. 5, ed. Christopher Saunders, Howard Phillips, Elizabeth van Heyningen, and Vivian Bickford-Smith (History Department and the Centre for African Studies, University of Cape Town, 1983).

M. Hickey, ‘Current Legislation on Concentrated and Dried Milk Products,’ in Dairy Powders and Concentrated Products, ed. AY Tamime (Wiley-Blackwell, 2009).

Harvey Levenstein, ‘“Best for Babies” or “Preventable Infanticide”? The Controversy over Artificial Feeding of Infants in America, 1880-1920,’ The Journal of American History, vol. 70, no 1 (June 1983), pp. 75-94.

Cicely D. Williams, ‘A Nutritional Disease of Childhood Associated with a Maize Diet,’ Archives of Diseases in Childhood, vol. 8, no. 48 (1933), pp. 423-433.

—. ‘Rickets in Singapore,’ Archives of Diseases in Childhood, vol. 21, no. 37 (1946), pp. 37-51.

Creative Commons License
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.

The Politics of the Plate

Last week, Michael Pollan argued in the New York Times that this year’s American presidential election may be the first time that the food movement enters mainstream politics. Pollan suggests that the debate around California’s Proposition 37, which would require all products containing genetically modified food to be labelled, is indicative of wider disenchantment with the American food industry:

What is at stake this time around is not just the fate of genetically modified crops but the public’s confidence in the industrial food chain. That system is being challenged on a great many fronts – indeed, seemingly everywhere but in Washington. Around the country, dozens of proposals to tax and regulate soda have put the beverage industry on the defensive, forcing it to play a very expensive (and thus far successful) game of Whac-A-Mole. The meat industry is getting it from all sides: animal rights advocates seeking to expose its brutality; public-health advocates campaigning against antibiotics in animal feed; environmentalists highlighting factory farming’s contribution to climate change.

This disillusionment with Big Food has produced an attempt at transparency by businesses like Monsanto and Nestle, whose recent advertising campaigns have gone out of their way to paint these organisations as purveyors of honest good food.

Pollan wonders, though, if this public scepticism of the industrialised food chain, coupled with the relatively recent interest in ‘whole’ and ‘real’ food sold at farmers’ markets, in vegetable box schemes, and at independent shops, will translate into anti-Big Food votes. In other words, will – largely – middle-class willingness to support small and local producers translate into a political movement?

But this certainly won’t be the first time that food has become a vehicle for political engagement. In fact, it was through food and drink that women all over the world first entered politics at the end of the nineteenth century.

When I went through the photographs I took on a recent trip to Australia, I realised that I’d taken pictures of coffee palaces in nearly every town and city I had visited – these are a couple of them:

Fremantle, Perth

Melbourne

These coffee palaces were established in Australia – and elsewhere – by the temperance movement which swept the globe during the nineteenth century. Coffee palaces, coffee shops, and other, similar, cafes and meeting places were meant to entice men away from pubs, saloons, and ‘canteens’, as they were called in South Africa.

Temperance was one of several causes – from single, working women to abused and neglected animals and children – associated with middle-class philanthropic organisations during the Victorian period. From the 1870s, though, temperance became increasingly associated with women.

The founding of the Women’s Christian Temperance Union (WCTU) in the US in 1874 was a pivotal moment – not only in the history of opposition to public drinking, but in the development of feminism. Jed Dannenbaum describes its origins:

On Sunday, December 23, 1873, Boston-based itinerant lecturer Dio Lewis visited the community of Hillsboro, Ohio. His topic for the evening was temperance reform. Lewis urged the women of the community to band together and pray in the local saloons in an attempt to close them. The next day, Christmas Eve, a group of Hillsboro women enacted Lewis’s plan. The Women’s Crusade had begun.

In the next four months over 32,000 women in more 300 Ohio communities participated in the Crusade. The movement spread throughout the country to several hundred other communities, and in many the crusades succeeded in closing, at least temporarily, all the local retail liquor outlets. The Women’s Crusade severely disrupted the liquor trade and forced out of business manufacturers and wholesalers as well as retailers. Within the year the Crusade had evolved into the Women’s Christian Temperance Union (WCTU), an organisation that was to help shape American history for many decades to come.

Although predated by local temperance organisations, a branch of the WCTU was established in the Cape Colony in 1889 after the visit of an American woman activist to the Huguenot Seminary in Wellington, a small town in the wheat- and wine-producing south-western Cape. Huguenot was modelled on Mount Holyoke Seminary in Connecticut and was staffed by American teachers, who invited representatives of the WCTU to tour the colony.

As in other parts of the world, the Cape WCTU campaigned against the sale of alcohol, promoted temperance by persuading teetotalers to sign pledges never to drink, and organised clubs and societies for children. The Myrtle Branch – run by the Young Women’s Christian Temperance Union in Wellington – taught children about the dangers of tobacco and alcohol, as the secretary noted of a meeting in 1896:

Mrs Fehr spoke to us, she told us that strong drink leads to anger, debt, despair, destruction, and death and showed us how it leads on from one to the other.

Why, then, the appeal of temperance work to so many middle-class women? All over the world, it was a movement to protect the family – specifically women and children – against the violence and erratic behaviour of alcoholic men. Pubs, saloons, and canteens were seen as places where family budgets were squandered on cheap drink, while wives and children waited at home, anxiously, for the return of drunken, and potentially violent, heads of households.

The Cape’s WCTU – like sister unions in Britain and elsewhere – broadened its activities to campaign to protect women and children from ‘vice’, disease, and abuse. It ran a strong campaign against the re-introduction of the Contagious Diseases Act in the Cape in 1891 on the grounds that it was an ‘indignity to women’. In 1893, allied with organisations like the Citizen’s Law and Order League and the Women’s Purity Society, the WCTU campaigned for the raising of the age of consent for girls from twelve to fourteen years, and also for the better control, or eradication, of brothels and prostitution.

It made sense, then, that the WCTU in the Cape established a franchise department in 1895, on the grounds that women’s demands would only be taken more seriously if they could wield power via the ballot box. The collection of Women’s Enfranchisement Leagues established around South Africa between 1902 and 1910 – which were united as the Women’s Enfranchisement Association of the Union in 1911 – owed their origins to the WCTU.

What the campaign against alcohol did was to allow women to enter the male-dominated public sphere. Women and children, they argued, bore the brunt of men’s alcoholism. Theirs was a campaign to maintain the sanctity of family life.

In the United States, a similar movement grew up around concerns about the safety of food processed in factories. A series of scandals drew attention to the ways in which manufacturers added a range of substances – from chalk to arsenic – either to make products go further, or to improve their colour and texture. The women-led campaign for pure food – which culminated in the passing of the Pure Food, Drink, and Drug Act in 1906 under Teddy Roosevelt – was also described as a movement to protect the family.

For all the controversy over the campaign for women’s suffrage around the world during the late nineteenth and early twentieth centuries, it’s worth noting that the food- and drink-based campaigns that gave rise to the franchise movement were often deeply conservative. Writing about the pure food campaigners in the 1880s and 1890s, Lorine Swainston Goodwin explains:

They had formed independent literary clubs, village improvement societies, women’s granges, mother’s circles, and a wide assortment of other groups dedicated to self-improvement and to the well-being of their families and neighbours. The altruistic nature, conservative facade, and vitality of the new organisations appealed to a wide cross-section of discreet women who saw the need to improve and protect their society by employing prudent means, such as circulating petitions, and using personal influence, expose, and court action to achieve effective methods of controlling food, drink, and drugs.

Temperance, too, was often a deeply conservative movement – and this extended to the franchise campaign. The WEAU in South Africa campaigned only for white women’s right to vote; Emmeline Pankhurst was a lifelong Tory; and it’s striking how many British suffragettes went on to be enthusiastic supporters of fascism. Early feminism was not necessarily on the political left.

Pollan’s appeal for the food movement to enter politics is part of a fairly long history of food-based political campaigning. And although it’s clear that he imagines that supporters of the anti-Big Food lobby will vote for Obama (and please do, lovely American readers – and you can donate to his campaign here), there are some lessons to be learned from the temperance and pure food movements of the late nineteenth century: people – women, in particular – became involved in them because they perceived drunkenness and adulterated food to be threats to everyday life. They also meshed with women’s dissatisfaction with being left out of the political process.

Unfortunately, many of the markers of Pollan’s food movement of the early twenty-first century – like farmers’ markets – are perceived as being out-of-reach of the average American. For the food movement to enter politics, it needs to make itself relevant to the lived experiences of ordinary people – and to connect to concerns, like unemployment or welfare, which they feel to be more important. It needs to shed its aura of elitism.

Further Reading

Jack S. Blocker, Jr., ‘Separate Paths: Suffragists and the Women’s Temperance Crusade,’ Signs, vol. 10, no. 3 (Spring, 1985), pp. 460-476.

Jed Dannenbaum, ‘The Origins of Temperance Activism and Militancy among American Women,’ Journal of Social History, vol. 15, no. 2 (Winter, 1981), pp. 235-252.

SE Duff, ‘onschuldig vermaak’: The Dutch Reformed Church and Children’s Leisure Time in the Cape Colony, 1860-1890,’ South African Historical Journal, vol. 63, no. 4 (2011), pp. 495-513.

SE Duff, ‘Saving the Child to Save the Nation: Poverty, Whiteness, and Childhood in the Cape Colony, c.1870-1895,’ Journal of Southern African Studies, vol. 37, no. 2 (June 2011), pp. 229-245.

Lorine Swainston Goodwin, The Pure Food, Drink, and Drug Crusaders, 1879-1914 (Jefferson, NC, and London: McFarland, 1999).

Elizabeth van Heyningen, ‘The Social Evil in the Cape Colony 1868-1902: Prostitution and the Contagious Diseases Acts,’ Journal of Southern African Studies, vol. 10, no. 2 (Apr., 1984), pp. 170-197.

Cherryl Walker, ‘The Women’s Suffrage Movement: The Politics of Gender, Race and Class,’ in Women and Gender in Southern Africa to 1945, ed. Cherryl Walker (Cape Town: David Philip, 1990), pp. 313-345.

Cherryl Walker, The Women’s Suffrage Movement in South Africa (Centre for African Studies, University of Cape Town, 1979).

Creative Commons License
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.

Milking It

This week the committee organising the 2012 Olympics in London caused widespread anger when it announced that breastfeeding mothers would have to buy an extra ticket to bring their babies into sports venues. Some venues have a few discounted tickets for children, but others don’t. One commentator posted on Mumsnet

that while she and her husband were lucky enough to get tickets to an equestrian event in August, organisers had told her there are no children’s tickets so she will have to pay £95 for a three-month old in a sling.

Those who can’t afford an extra ticket, or who lose out in the next round of ticket allocation, are advised to stay away. Unsurprisingly, Britain’s Equality and Human Rights Commission has suggested that this is potentially a case of ‘indirect sex discrimination’ because it will affect considerably more women than men.

This situation is ridiculous in so many ways. What angers me the most is that the Olympic committee took this decision in a country where the National Health Service advises that babies be breastfed exclusively for the first six months of life. The members of the committee seem either to think that women shouldn’t breastfeed in public – an irritating view about which I am going to be extraordinarily rude at some stage – or that mothers with babies have no desire to attend public events.

In the midst of the uproar, The Ecologist tweeted an article which it had published six years ago about the debate over whether women should breast- or bottle-feed their babies. It’s an argument that parents, doctors, and policy makers have been holding since at least the beginning of the twentieth century, and it’s to the credit of Pat Thomas that her piece provides a good overview of shifting attitudes towards infant feeding over the course of the past hundred years or so.

But it’s also a problematic piece of writing, and one which demonstrates particularly well why so many mothers feel bullied about how they decide to feed their babies. Thomas makes no attempt to hide her view that all mothers should breastfeed their children. She begins with a terrifying list of statistics:

The health consequences – twice the risk of dying in the first six weeks of life, five times the risk of gastroenteritis, twice the risk of developing eczema and diabetes and up to eight times the risk of developing lymphatic cancer – are staggering. With UK formula manufacturers spending around £20 per baby promoting this ‘baby junk food’, compared to the paltry 14 pence per baby the government spends promoting breastfeeding, can we ever hope to reverse the trend?

I’d love to know where she found these figures – particularly given her opening statement that women have breastfed for ‘nearly half a million years’. (How does she know this? Why the coy, qualifying ‘nearly’?) Thomas is, though, correct to point to the compelling evidence that breastfed babies tend to be healthier than those who are fed on formula, and that breastfed children may do better at school and have stronger immune systems. Also, there is a direct and proven link between the use of baby formula and high child mortality rates in the developing world.

She blames the slow decline of breastfeeding over the course of the twentieth century on the medicalization of childcare, and on the advertising strategies employed by formula companies – most notoriously Nestle. I have little to add to her second point, other that, broadly, I agree with her. The International Code of Marketing of Breastmilk Substitutes, a response to the Nestle Boycott of the late seventies, needs to be properly implemented. But her argument about the medicalization of women’s experiences of childbirth and childrearing is not entirely correct. She quotes Mary Renfrew from the Mother and Infant Research Unit at the University of York:

‘If you look at medical textbooks from the early part of the 20th century, you’ll find many quotes about making breastfeeding scientific and exact, and it’s out of these that you can see things beginning to fall apart.’ This falling apart, says Renfrew, is largely due to the fear and mistrust that science had of the natural process of breastfeeding.

In particular, the fact that a mother can put a baby on the breast and do something else while breastfeeding, and have the baby naturally come off the breast when it’s had enough, was seen as disorderly and inexact. The medical/scientific model replaced this natural situation with precise measurements – for instance, how many millilitres of milk a baby should ideally have at each sitting – which skewed the natural balance between mother and baby, and established bottlefeeding as a biological norm.

During the early years of twentieth century, global concern about high rates of child mortality animated a child welfare movement which aimed to improve the conditions in which children were raised. In Europe, North America, Australia, New Zealand, and parts of Africa and Latin America, medical professionals held up rational and scientific methods of feeding and caring for babies as the best means of eradicating the ‘ignorant’ practises which, many believed, caused babies to die. This new emphasis on hygiene, speedy medical intervention, and regular monitoring of babies’ development and health at clinics and hospitals did lower rates of morbidity – as did declining fertility rates, the control of infectious disease, economic prosperity, and increased attendance of school.

Doctors and specialists in the relatively new field of paediatrics were particularly interested in how babies were fed. Contrary to what Thomas suggests, the nineteenth-century orthodoxy that breastfeeding was the healthiest and best option for both mothers and babies lasted well into the 1940s. Innovations in artificial formulas provided mothers who couldn’t breastfeed – for whatever reason – with good alternatives, and doctors did recommend them. There were anxieties that malnourished mothers’ milk would not feed babies sufficiently, and doctors recommended ‘top ups’ with formula or other liquid.

The real difference between nineteenth- and twentieth-century attitudes towards breastfeeding was that it was increasingly controlled and patrolled by trained professionals. As Renfrew notes, mothers were told how much milk their babies needed at each feed, and there was a lot of debate in medical journals and in other professional forums about how and when babies should be fed.

The set of guidelines formulated by the incredibly influential, New Zealand-based Dr Truby King emphasised the importance of routine in feeding. King’s mothercraft movement – which established clinics and training centres around the British Empire during the first half of the twentieth century – taught mothers to feed ‘by the clock’. At five months, a baby was to be fed only five times per day – and at the same time every day – while one month-old babies had an extra, sixth feed.

Like many childcare professionals of the period, King believed that feeding on demand was not only unhealthy – it placed babies at risk of under- or overfeeding – but it was morally and intellectually damaging too. Babies who understood that crying would cause them to be fed would become spoilt, lazy children and adults. Indeed, this points to the infant welfare movement’s more general preoccupation with mothers and motherhood. As the interests of the state were seen, increasingly, as being linked to the proper rearing and education of children, the role of the mother grew in importance. King called his centres ‘shrines to motherhood’, for instance.

But the naturally fussy, over-cautious, and credulous mother was not to be trusted to follow her own instincts: authorities and professionals, who tended to be male, were to provide her with rational, scientific advice on raising her baby. It’s difficult to gauge mothers’ response to the information aimed at them. In her study of mothers in the United States in the 1920s and 1930s, Julia Grant concludes that mothers did heed childcare professionals, but modified their advice according to the views and experiences of their peers. Similarly, mothers in New Zealand took what they wanted from King’s pamphlets on childrearing.

Equally, mothercraft clinics and breastfeeding advice days were well attended by mothers and babies. Several mothercraft centres all over the world also included a dietetic wing, where nursing mothers could stay for up to a fortnight, learning how to breastfeed their babies. There, they would be taught how to breastfeed by the clock, and how to cope with mastitis and painful breasts and nipples. Wonderfully, hospital fees were means tested, so poor mothers could attend for free.

Throughout its existence, the Cape Town dietetic hospital never had an empty waiting list, and similar units in Britain, Australia, and New Zealand were as enthusiastically supported by women. Mothercraft seems to have been at its most successful when mothers could choose how and when they wanted to its advice and services.

While it’s true that the medicalization of breastfeeding transformed this act into a ‘science’ which needed to be re-taught to mothers – that it became possible to inform a mother that she was breastfeeding incorrectly – and that this was underpinned by misogynistic and eugenicist ideas around childhood, motherhood, and the nation, it is as true that mothers did respond positively to the advice provided by mothercraft and other organisations. Clearly, mothers wanted more advice about how to feed their babies – and that they altered it to suit their conditions and needs.

It’s for this reason that I think that Thomas is doing mothers a disservice. Encouraging more women to breastfeed needs to respect the fact that women’s choices about how to feed their babies are influenced by a variety of factors and considerations. Thomas – and other breastfeeding evangelicals – seems to buy into the same discourse of maternal irresponsibility as childcare professionals did in the early twentieth century: the belief that women somehow don’t really understand what’s best for their babies, and must be properly educated. Even if her – and others’ – motives are progressive and well-meaning, they still fail to take mothers seriously.

Further Reading

Sources cited here:

Rima D. Apple, Mothers and Medicine: A Social History of Infant Feeding, 1890-1950 (Madison: University of Wisconsin Press, 1987).

Linda Bryder, A Voice for Mothers: The Plunket Society and Infant Welfare 1907-2000 (Auckland: Auckland University Press, 2003).

Julia Grant, Raising Baby by the Book: The Education of American Mothers (New Haven and London: Yale University Press, 1998).

Philippa Mein Smith, Mothers and King Baby: Infant Survival and Welfare in an Imperial World: Australia 1880-1950 (Basingstoke: Macmillan, 1997).

Other sources:

Linda M. Blum, At the Breast: Ideologies of Breastfeeding and Motherhood in the Contemporary United States (Boston: Beacon Press, 1999).

Molly Ladd-Taylor, Mother-Work: Women, Child Welfare, and the State, 1890-1930 (Urbana and Chicago: University of Illinois Press, 1994).

Marilyn Yalom, A History of the Breast (New York: Ballantine Books, 1997).

Creative Commons License
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.

Which Formula?

So this is my blog’s thirty-sixth post. And, wow, what a year it’s been. Thank you, dear readers, for staying the course, and I promise more for 2012. This, though, is going to be the last essay for 2011. I’ll be spending December eating, cooking, researching, and teasing the cat. Really, it’s going to be wild. But before the fun begins, I’ll be in the UK for ten days, to present a seminar paper and to do a little research at the amazing Wellcome Library.

My real, live academic research pertains to the history of childhood in the British Empire. My PhD thesis traces the ways in which ideas around childhood and youth changed in the Cape Colony during the second half of the nineteenth century. It pays particular attention to the role and impact of Dutch Reformed evangelicalism in this process. But my postdoctoral project – which is being funded by the National Research Foundation (peace be upon it) – looks at the work of the Mothercraft movement within the British Empire between 1907 and 1945.

Mothercraft was pioneered in New Zealand in 1907 in response to concerns about the very high child mortality rates among the country’s Pākehā population. Dr Truby King devised a twelve-point programme to teach specially-trained nurses – known as Plunket nurses in New Zealand and Athlone nurses in South Africa – how to encourage mothers raise healthy babies. The success of Mothercraft was such that King was invited to establish a Mothercraft Training Centre in Britain in 1917. First called the Babies of the Empire League, it sent its nurses around the Empire: to Canada, Australia, India, east Africa, the Caribbean, and South Africa. My project focuses on the work the South African Mothercraft Centre and League, which were established in the mid-1920s.

But what, I hear you say, does this have to do with food? Well, a surprising amount. One of the main emphases of Mothercraft was on the proper feeding of babies. King was an enthusiastic promoter of breastfeeding.

We have a misconception that most babies were fed by wet nurses during the nineteenth century. It bolsters the view we have of middle-class Victorian ladies who were so terrified of their own bodies that feeding their babies was simply beyond the pale. This wasn’t strictly true, though. To begin with, wet nurses were expensive to hire and only the very wealthiest families could afford them. Most middle class women fed their own babies, as did many working-class women too.

In fact, the majority of women who relied on others to feed their babies were poor. In a time when working hours were yet to be properly defined by law, long days in factories or shops were the norm for female urban workers. Those without relatives, paid ‘baby farms’ – a house run by a woman who would care for babies and young children – to care for their offspring, often for weeks at a time. The quality of the care in these early crèches was variable: some were good, but many neglected the babies kept there. All over the world, baby farms had astonishingly high mortality rates.

Most of the popular childrearing manuals of the 1800s recommended that women breastfeed their babies. Thomas Bull, the author of the very popular Maternal Management of Children, in Health and Disease (1840) recommended breastfeeding on the grounds that it benefitted both mother and baby.

The period of suckling is generally one of the most healthy of a women’s life. But there are exceptions to this as a general rule; and nursing, instead of being accompanied by health, may be the same cause of its being materially, and even fatally, impaired. This may arise out of one of two causes, – either, a parent continuing to suckle too long; or, from the original powers or strength not being equal to the continued drain on the system.

If the mother could not breastfeed, then the best alternative was to hire a wet nurse. Only if this was an impossibility should the child be raised ‘by hand’:

To accomplish this with success requires the most careful attention on the part of the parent, and at all times is attended with risk to the life of the child; for although some children, thus reared, live and have sound health, these are exceptions to the general rule, artificial feeding being in most instances unsuccessful.

Bull acknowledged that the various concoctions fed to babies tended often to undermine, rather than fortify, their health. Popular recipes for baby formulas usually included corn or rice flour mixed to a paste with water or milk. This had little or no nutritional value, and would have been very difficult for immature digestive systems to process. Other popular substitutes were cows’ or goats’ milk, tea, and thin gruel.

It’s little wonder, then, that the Mothercraft programme placed such emphasis on breastfeeding. Many Mothercraft Centres provided beds for new mothers, who could spend up to a fortnight there, learning how to feed their babies.

At around the same period, infant formulas were beginning to improve in quality and producers, most notably Nestlé, began to promote them as a healthy – even the healthier – and clean alternative to breast feeding. Nestlé is credited – rightly or wrongly – with the invention of formula milk in 1867. The popularity of powdered baby milk only began to grow during the 1940s and 1950s. Nestlé promoted Lactogen through recipe books, pamphlets, and free samples. Problematically, these were usually distributed at hospitals and clinics – at precisely the places where women would be taught how to breastfeed. By the middle of the twentieth century in the west, it was increasingly the norm for babies to be bottle fed.

I don’t particularly want to address the fraught debate over whether women should breastfeed or not. I am, though, interested in the politics of bottle feeding in the developing world, where big companies – like Nestlé – have promoted formula assiduously since the 1950s. Here, the issue with bottle feeding is not so much the quality of the formula, but the fact that it’s mixed with dirty water or fed to babies in unsterilized bottles. Also, many of the women who use formula can’t afford it, so they water it down, meaning that their children don’t receive adequate nutrition.

In 1974, War against Want published a pamphlet accusing Nestlé of profiting from the deaths of millions of children in poor countries. Three years later, an international boycott of Nestlé began, causing the World Health Organisation to proscribe the promotion of Lactogen and other formulas in its 1981 International Code for the Marketing of Breast Milk Substitutes.

But the Code has been poorly policed, and even in developed nations, compliance has been slow. In Australia, for instance, the advertising of baby milk powders only ended in the mid-1990s. There is much evidence to suggest that Nestlé and others continue the practice, albeit under different guises. In the United States, for instance, the Special Supplemental Nutrition Programme for Women, Infants and Children (WIC) distributes more than half the formula sold in the US every year. Companies provide this formula to the WIC at a discount.

All over the world, governments are endorsing breastfeeding in the first six months of life as the best – the healthiest and the cheapest – way of feeding a baby. Companies like Nestlé are actively undermining this, despite the best intentions of the WHO. The implications of the continued use of formula in the developing world are devastating:

According to Save the Children… infant mortality in Bangladesh alone could be cut by almost a third – saving the lives of 314 children every day – if breastfeeding rates were improved. Globally, the organisation believes, 3,800 lives could be saved each day. Given that world leaders are committed to cutting infant mortality by two thirds by 2015 as one of the Millennium Development Goals, protecting and promoting breastfeeding is almost certainly the biggest single thing that could be done to better child survival rates.

A few weeks ago I wrote a post which criticised the World Food Programme’s decision to go into partnership with a range of exceptionally dodgy multinationals – Cargill, Vodafone, Unilever, Yum!Brands – to reduce world hunger. I really don’t have anything against public/private partnerships, and am an enthusiastic supporter of corporate social responsibility (when it’s done well, though). But it’s deeply concerning that the WFP is providing unwitting PR to a group of particularly nasty businesses.

In a recent article for the Guardian, Felicity Lawrence discusses growing concern about big food companies’ decision to shift their focus to developing markets:

As affluent western markets reach saturation point, global food and drink firms have been opening up new frontiers among people living on $2 a day in low- and middle-income countries. The world’s poor have become their vehicle for growth.

SABMiller, Unilever, and Nestlé have developed campaigns to target poorer markets:

The companies say they are finding innovative ways to give isolated people the kind of choices the rich have enjoyed for years and are providing valuable jobs and incomes to some of the most marginalised. But health campaigners are raising the alarm. They fear the arrival of highly processed food and drink is also a vector for the lifestyle diseases, such as obesity, diabetes, heart disease and alcoholism, which are increasing at unprecedented rates in developing countries.

This is Nestlé’s strategy in Brazil:

Nestlé’s floating supermarket took its maiden voyage on the Amazon last year and has been distributing its products to around 800,000 isolated riverside people each month ever since. Christened Nestlé Até Você, Nestlé comes to you, the boat carries around 300 branded processed lines, including ice creams, and infant milk , but no other foods. The products are in smaller pack sizes to make them more affordable. The boat also acts as a collection point for the network of door-to-door saleswomen Nestlé has recruited to promote its brands. Targeting consumers from socioeconomic classes C, D and E is part of the company’s strategic plan for growth, it says. Nestlé has also set up a network of more than 7,500 resellers and 220 microdistributors to reach those at the bottom of the pyramid in the slums of Rio and São Paulo and other major Brazilian cities.

Even if Nestlé does respect the terms of the International Code for the Marketing of Breast Milk Substitutes, and I hope it does, not only is it selling unhealthy processed non-foods, but it also gains legitimacy via its partnership with…the United Nations. Earlier this year, Nestlé supported the UN’s ‘Every Woman Every Child’ initiative, which aims to improve child and maternal health. So an organisation implicated in contributing to the high rate of child mortality in the developing world, and in facilitating a global obesity epidemic, is working with the UN…to improve child health.

Merry Christmas.

Further Reading

Texts quoted here:

Thomas Bull, The Maternal Management of Children, in Health and Disease (London: Longman, Orme, Brown, Green, and Longmans, 1840).

Christina Hardyment, Dream Babies: Childcare Advice from John Locke to Gina Ford. Revised ed. (London: Frances Lincoln, 2007).

Virginia Thorley, ‘Commercial Interests and Advice on Infant Feeding: Marketing to Mothers in Postwar Queensland,’ Health and History, vol. 5, no. 1 (2003), pp. 65-89.

Other sources:

Linda Bryder, ‘Breastfeeding and Health Professionals in Britain, New Zealand and the United States, 1900-1970,’ Medical History. vol. 49, no. 2 (2005), pp. 179-196.

Linda Bryder, ‘From breast to bottle: a history of modern infant feeding.’ Endeavour, vol. 33, issue 2 (June 2009), pp. 54-59.

Linda Bryder, Not Just Weighing Babies: Plunket in Auckland, 1980-1998 (Pyramid Press, Auckland, 1998).

S.E. Duff, ‘What will this child be? Children, Childhood, and the Dutch Reformed Church in the Cape Colony, 1860-1894’ (PhD thesis, Birkbeck, University of London, 2010).

Nancy Rose Hunt, ‘“Le Bebe en Brousse”: European Women, African Birth Spacing and Colonial Intervention in Breast Feeding in the Belgian Congo,’ The International Journal of African Historical Studies, vol. 21, no. 3 (1988), pp. 401-432.

Creative Commons License Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.

Food Links, 19.10.2011

Lifestyle-related diseases are increasingly a problem in the developing world too.

So fast food is always cheaper than home made? Think again.

Bizarre culinary gadgets.

Dinner and derangement (thanks Sarang!).

A Swedish TV cook causes a nationwide shortage of butter.

Why the food movement should Occupy Wall Street.

A quick history of domestic lighting.

Live the cliche: how to be a Brooklyn urban farmer.

An interview with Andrea Illy, CEO of Illycafe – with some interesting insights into the implications of food speculation.

How to set up and run a restaurant in a field.

Kit Kats in Japan.

The art of the menu.

New York ‘beeks’ (bee + geek = beek) celebrate the first year of legal bee-keeping in the city.

Why it’s worth growing your own chillies.

In praise of Vegemite.

Ethiopia plans on becoming one of the world’s top exporters of sugar. Hmm…

On errors in cookbooks.

The world’s biggest onion.

The average American eats forty-two pounds of corn syrup every year.

How to cook scotch eggs.

Follow

Get every new post delivered to your Inbox.

Join 5,254 other followers