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.
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.
May 6
Good Neighbours
At the beginning of this year Michael Olivier asked me to contribute an article to his online magazine Crush!. It could be on whichever topic I fancied, and because I had recently spent rather a lot of time at food markets both abroad and in South Africa, and had been thinking a great deal about the relationship between these markets and the communities in which they were held, I decided to write about Woodstock.
The point that I wanted to make in the piece is that there is considerably more to Woodstock than the Neighbourgoods Market at the Old Biscuit Mill: that this multiracial inner-city suburb has a long and complicated history, and that its transformation into the embodiment of Capetonian hipster cool is not only a relatively recent phenomenon, but has profound implications for the community who lives there.
Woodstock – originally called Papendorp after the farmer on whose land it was founded – has never been a wealthy suburb. Situated in the teeth of the Cape Doctor – the southeasterly wind which blasts the city during summer – its population has tended to be poor and working class. With its low rents and easy proximity to the city’s industrial and business districts, it drew many of the thousands of immigrants who arrived in Cape Town from southern Africa and the rest of the world during South Africa’s industrial revolution at the end of the nineteenth century.
Cape Town’s first factories – which manufactured jam, matchsticks, artificial feathers and flowers, sweets, and cigars – were established in Woodstock, and employed a large proportion of the people who lived in the suburb’s growing slums. In the 1880s and 1890s, a collection of ministers, city councillors, and philanthropic organisation launched a campaign to clean up the appalling conditions in which people lived in Woodstock – with many calling it Cape Town’s ‘East End’.
Given the racial politics of nineteenth- and twentieth-century South Africa, much of the concern about Woodstock stemmed from the fact that it was racially mixed. As a result of the Group Areas Act (1950), one of the keystones of apartheid legislation, black and coloured (or racially mixed) people were forced to move out of the parts of Woodstock which were declared ‘white’. Those people who, according to the Population Registration Act (1950), were not white, were required to move to areas classified ‘black’ or ‘coloured’.
My mother grew up in Fairview Avenue, which was part of an area zoned as white. During the early 1960s, several families in her street left for other parts of Cape Town, or immigrated to other countries, because they were deemed officially to be black or coloured. But other parts of Woodstock were allowed to remain racially mixed. It’s worth understanding the social make-up of Woodstock geographically: above the Main Road – where Fairview Avenue is located – it is lower-middle- to middle-class with a largely white population which includes many Portuguese and Jewish families.
Below Main Road and above the railway, Woodstock becomes poorer and more racially mixed. And it is lower Woodstock which has experienced the brunt of the recent gentrification of the suburb. The revitalising of the businesses along Sir Lowry Road – developments like the Palms Centre and Buchanan Square, and the cluster of cafes, restaurants, and shops which have emerged between these two business hubs – have drawn relatively little criticism, as far as I can see (although do please let me know if it has).
Most criticism has been levelled at the Biscuit Mill development in Albert Road in lower Woodstock. The consortium responsible for the development, Indigo Properties, has recently come under fire for its revamp of the Woodstock Industrial Centre, which provided cheap rents and space for the small collective of artists who work in the suburb. On the one hand, the restoration of buildings – and Woodstock has some lovely, albeit crumbling, Victorian and Edwardian architecture – and the attraction of business to an otherwise poor area could be seen as a Good Thing. In Sir Lowry Road, for instance, the increase of pedestrian traffic between the Kitchen, the Deli, and the various agencies and offices along the road has made the area feel decidedly safer.
But on the other, it is questionable whether the Biscuit Mill and, now, the Industrial Centre developments benefit the community who lives in lower Woodstock.
On a ferociously hot Saturday towards the end of January, I parked as near to the Neighbourgoods Market at the Biscuit Mill – as near as I could, given its phenomenal popularity on weekends – and then made my way down Albert Road. Cars of eager market-goers zip down Albert Road on Saturdays, making only for the Biscuit Mill and the shops and restaurants which have opened around it. They ignore the large section of lower Woodstock which they pass through to get to the end of Albert Road.
My aim was to talk to the owners of the cafes and corner shops who actually sell to the people who live in lower Woodstock. I asked several what they thought about the Neighbourgoods Market and the response was similar: a shrug, followed by a comment that the people who go to the Market don’t really seem to be all that interested in the rest of the suburb. One or two laughed when I asked if they had benefitted from the opening of the development.
Just as I was nearing Gympie Street – infamous for its association with the gangs which have long blighted life in lower Woodstock – a man standing outside Saleem’s Café beckoned to me. He was Rashied, the brother-in-law of the owner of the café, and seated comfortably indoors on upturned plastic crates, we had a chat about the development on the area. Rashied was deeply critical of the Neighbourgoods Market and the Biscuit Mill, making the point that they had done little to regenerate an extremely poor suburb. What profits they do make – and there is good reason to believe that the development is lucrative – benefit the shopkeepers, stall owners, and, of course, Indigo Properties.
Rashied is involved with I Art Woodstock, a project launched by Ricky Lee Gordon of A Word of Art last year. I Art Woodstock brings artists from around the world to paint murals in lower Woodstock. The project involves the suburb’s children, and it aims partly to encourage more people to visit the area, to look at the murals – and they are truly magnificent. Rashied invited me to take a look at the murals with him: he was due to check up on two artists, one from Sao Paulo, the other from New York, who were at work on a new mural, and he wanted to distribute yogurts to the area’s children.
The state does not exist in lower Woodstock. There are houses owned by gangs where drugs are sold and taken. There are people who live in shacks, with no hope of ever moving into houses with electricity and plumbing. It is unlikely that most of the children playing in the streets are attending school. These streets are dirty and unkempt. When incidences of domestic violence occur, the chances of police being called – or, if they are called, of arriving – are very slim.
As a recent, powerful editorial in the Mail and Guardian argued, South Africa’s policy makers and politicians must recognise the link between the appalling conditions in which people live, and the very high rates of violent crime which characterise so many poor communities:
It is certainly true that there are people in lower Woodstock who are employed, who send their children to school, and who manage to save a little towards their retirement. Their children will go on to tertiary education and to employment. They will move out of lower Woodstock and join South Africa’s growing middle class. But these constitute only one, small group of people within a much larger population, most of whom live in desperate poverty.
And within ten minutes’ walk of lower Woodstock – with its murals, yes, but also with its population of shack dwellers who do not have access to flushing toilets – is the incredible wealth and luxury of the Neighbourgoods Market, and the thousands of wealthy Capetonians who drive past lower Woodstock every Saturday morning to buy ice cream and artisanal, free-range bacon.
I don’t object to gentrification per se. Salon has reported recently on the so-called ‘Whole Foods effect’, where the opening of a new branch of Whole Foods – the US-based chain of organic supermarkets – is an indicator, and also cause, of the revitalisation of suburbs which have become crime-ridden, grimy, and run-down. The business is about to open a Whole Foods store in Midtown Detroit – signalling to many that the city’s long decline is now in reverse.
As Will Doig writes:
The Neighbourgoods Market in Braamfontein – the sister of the market in Woodstock – is doing precisely this in Joburg. Situated in the parking lot of a skyscraper, that Neighbourgoods Market attracts footfall to an inner-city suburb which would usually be deserted – and dangerous – over the weekend. Similarly, the Hope Street Market in Cape Town brings life into an otherwise quiet corner of the CBD on Saturdays.
What angers me about the Biscuit Mill and the Neighbourgoods Market in Woodstock is that they exist within a community which desperately needs investment: which needs housing, plumbing, and, above all, jobs. Of course, it is primarily the function of the state to provide basic services, policing, and social welfare – but where there is so much wealth, there is a moral imperative to improve the lives of so many who have so little.
The Neighbourgoods Market’s success has grown partly as a result of an increased interest in the provenance and production of good, ‘whole’, food among Cape Town’s middle classes. This is excellent. But how do these customers – who desire to live and eat ethically – drive past such incredible poverty every Saturday, without thinking twice about the people who live there?
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.