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.
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.
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.
Feed the Children
There has been some fuss recently around the publication of Charles Murray’s new book, Coming Apart: The State of White America, 1960-2010. Murray, who co-authored The Bell Curve: Intelligence and Class Structure in American Life in 1994, has a reputation for annoying left-leaning academics and public policy makers. His description of the Bell Curve was accused of being blind to cultural and social influences on learning and childhood development, and his most recent polemic has been criticised for its rose-tinted view of the American white working class during the mid-twentieth century.
One of the best criticisms of the book which I’ve come across is Nell Irvin Painter’s article for the New York Times, ‘When Poverty was White.’ Painter, whose History of White People (2010) I urge you to read, makes the point that America has a well-hidden and very recent history of white poverty. She accuses Murray of ‘historical blindness’ caused by his
Her point is that to understand the nature of poverty – why some families seem incapable of escaping it, why certain members of society seem to be particularly susceptible to it – we need to historicise it.
There is a similar argument to be made about white poverty in South Africa. One of the reasons why photographs of poor whites in South Africa draw such attention is because South Africans tend to think of poverty as being black. Poor whites are a strange anomaly in the economic and racial politics of post-1994 South Africa.
But ‘poor whiteism’ as a social and political phenomenon only disappeared during the economic boom of the early 1960s. Since at least the 1920s, South African governments were preoccupied by the ‘poor white problem’ – by the existence of a substantial group of people who, as the popular author Sarah Gertrude Millin wrote in 1926, could not support themselves ‘according to a European standard of civilisation’ and who could not ‘keep clear the line of demarcation between black and white.’
South Africa’s earliest soup kitchens were not for black, but, rather, for white children. The first child welfare organisations aimed their work not at black families, but, rather, at white families who were poor. South Africa’s attempts to introduce compulsory elementary education in the 1910s and 1920s pertained only to white, not to black, children. This isn’t to suggest that black poverty was somehow less acute or widespread than white poverty. Far from it. State concern about poor whiteism was borne out of a eugenicist belief that, as Millin suggested, white poverty signalled a decline in white power.
The first attempts to eradicate white poverty were directed at families and children. Although we tend to associate the poor white problem with the 1920s and 1930s, there had been a large group of impoverished white farmers in the country’s rural interior since at least the middle of the nineteenth century. By the 1880s and 1890s, colonial politicians, and particularly those in the Cape, were increasingly anxious about this class of whites. This was partly because the numbers of impoverished whites – both in rural and urban areas – had increased during the region’s industrialisation after the discovery of diamonds and gold, but it was also the result of decades of poor education which had produced at least two generations of unemployable whites.
Both in South Africa and in the rest of the world, poverty was racialised during the 1880s and 1890s. The existence of unemployed and unemployable poor whites challenged the association of ‘natural’ supremacy and the exercise of power with whiteness. The term ‘poor white’ no longer simply referred to white people who lived in poverty, but, rather, invoked a set of fears around racial mixing and white superiority.
Impoverished white adults were believed to be beyond saving, as one Cape industrialist argued in 1895: ‘the adults are irreclaimable. You must let them die off, and teach the young ones to work.’ The Cape government poured money into schools for poor white children. In 1905, education became compulsory for all white children in the Cape between the ages of seven and fourteen. Politicians also passed legislation to allow these children to be removed from parents deemed to be unable to care for them appropriately. After the declaration of the Union of South Africa in 1910, government spending on education grew from 14 per cent of the national budget to 28 per cent in 1930.
But the problem did not go away. Industrialisation and economic expansion, as well as the effects of the Great War, two depressions, and urbanisation in the 1920s and 1930s increased the numbers of impoverished whites. By the end of the 1920s, it was estimated that out of a total of 1,800,000 whites, 300,000 were ‘very poor’, and nearly all of these were Afrikaans. The Carnegie Commission of Investigation on the Poor White Question (1929-1932) concluded that an inability to adapt to a changing economic climate, outdated farming methods, and poor education were to blame for the existence of such a large population of impoverished whites.
In 1929, the South African government devoted 13 per cent of its budget to the eradication of white poverty. Much of this went to education, social welfare, and housing. The introduction of more stringent segregationist legislation progressively disenfranchised blacks, and reserved skilled work for whites.
There was also a shift in emphasis in how child welfare societies – the numbers of which had mushroomed during the 1920s – dealt with poor white children. No longer did they only work to ensure that white children were sent to school and adequately cared for by their parents, but they began to focus on how these children were fed.
I’m still trying to account for this new concern about the effects of malnutrition on white children. I think that it was due largely to an international scientific debate about the significance of nutrition in raising both physically and intellectually strong children. Louis Leipoldt – Medical Inspector for Schools in the Transvaal, food writer, Buddhist, poet, and Afrikaner culture broker – was particularly aware of this new thinking about childhood development and nutrition, and wrote about it extensively in publications on child health and welfare in South Africa.
In a report of a survey of the health of children in the Cape published in 1922, the province’s Medical Inspector of Schools, Elsie Chubb, argued that malnutrition was widespread in the Cape’s schools for white children. In most schools, around 10% of the pupils were malnourished. In one school in the rural Karoo, 79% of children were found to be severely malnourished.
Chubb recognised that malnutrition was not purely the result of an inadequate supply of food – although it was certainly the case that many poor parents simply couldn’t afford to buy enough food to feed their children – but of poor diet. Some child welfare volunteers wrote of children sent to school on coffee and biltong, and who returned home at the end of the day for a basic supper of maize meal and cheap meat. Chubb wrote that far too many children were fed on a diet heavy in carbohydrates and animal protein. Children did not eat enough fresh fruit and vegetables, and milk. She recommended that feeding schemes be established to supplement children’s diets with these foodstuffs.
Helen Murray, the headmistress of a girls’ school in Graaff Reinet and active member of the town’s child welfare society explained the contemporary understanding of the link between malnutrition and poor whiteism particularly well in 1925:
As a result of the inspection, the child welfare society found a room in the town where between fifty and ninety children could be provided with ‘a good, hot meal’ on every school day:
Murray’s experience in Graaff Reinet was not unique. As child welfare societies were established in the towns and villages of South Africa’s vast interior, their first work was usually to establish soup kitchens, either in schools or in a central locations where schoolchildren could be sent before the school day – for porridge and milk – and at lunchtime, for soup or a more substantial meal, depending on the resources of the local society.
In Pietersburg (now Polokwane), to eliminate the stigma of free meals for poor children, all white children were provided with a mug of soup at lunchtime. Better-off parents paid for the soup, thus subsidising those children whose parents could not contribute. In Reitz, local farmers, butchers, and grocers donated meat and vegetables to the soup kitchen, and in Oudtshoorn children were encouraged to bring a contribution – onions, carrots, or cabbage – to their daily meal.
The National Council for Child Welfare, the umbrella body established in 1924 which oversaw the activities of local child welfare societies, liked to emphasise the fact that it was concerned for the welfare of all children, regardless of class or race. Some welfare societies, and particularly those in areas which had large ‘locations’ for black residents, did establish clinics and crèches for black children. But most of the NCCW’s work was aimed at white children in the 1920s and 1930s, and the same was true of the South African state. By the 1920s, most municipalities in towns and cities made free milk available to poor white mothers with babies and very young children.
Increasing state involvement in child welfare, alongside the work of independent societies, had a significant impact on the health of white children in South Africa during the early twentieth century. But it was only because of the growing prosperity and better education of the majority of white South Africans after World War II that white poverty and malnutrition were gradually eradicated in the 1950s and 1960s.
By historicising poverty – by understanding that white prosperity in South Africa is a relatively recent phenomenon – we can understand it as a phenomenon which is not only eradicable, but which is also the product of a range of social, economic, and political forces. As South African governments and welfare organisations were able to reduce white poverty and malnutrition dramatically during the early twentieth century, so it is possible for contemporary governments to do the same.
But charity and soup kitchens were not the sole cause of the disappearance of white poverty and malnutrition. Jobs, education, and better living conditions were as – if not more – significant in ensuring that white children no longer went hungry.
Texts cited here:
SE Duff, ‘“Education for Every Son and Daughter of South Africa”: Race, Class, and the Compulsory Education Debate in the Cape Colony,’ in Citizenship, Modernisation, and Nationhood: The Cultural Role of Mass Education, 1870-1930, eds. Lawrence Brockliss and Nicola Sheldon (Basingstoke: Palgrave Macmillan, 2011).
E.G. Malherbe, Education in South Africa, vol. I (Cape Town: Juta, 1925).
E.G. Malherbe, Education in South Africa, vol. II (Cape Town: Juta, 1977).
E.G. Malherbe, Report of the Carnegie Commission of Investigation on the Poor White Question in South Africa, vol. III (Stellenbosch: Pro Ecclesia-Drukkery, 1932).
Sarah Gertrude Millin, The South Africans (London: Constable, 1926).
Jennifer Muirhead, ‘“The children of today make the nation of tomorrow”: A Social History of Child Welfare in Twentieth Century South Africa’ (MA thesis, Stellenbosch University, 2012).
Vivian Bickford-Smith, Ethnic Pride and Racial Prejudice in Victorian Cape Town (Johannesburg: Wits University Press, 1995).
Colin Bundy, ‘Vagabond Hollanders and Runaway Englishmen: White Poverty in the Cape Before Poor Whitesim,’ in Putting a Plough to the Ground: Accumulation and Dispossession in Rural South Africa 1880-1930, eds. William Beinart, Peter Delius, and Stanley Trapido (Johannesburg: Ravan Press, 1986).
J.M. Coetzee, White Writing: On the Culture of Letters in South Africa (New Haven: Yale University Press, 1988).
Saul Dubow, A Commonwealth of Knowledge: Science, Sensibility and White South Africa 1820-2000 (Oxford: Oxford University Press, 2006).
Marijke du Toit, ‘Women, Welfare and the Nurturing of Afrikaner Nationalism: A Social History of the Afrikaanse Christelike Vroue Vereniging, c.1870-1939’ (D.Phil. thesis, University of Cape Town, 1996).
Hermann Giliomee, The Afrikaners: Biography of a People (Cape Town: Tafelberg, 2003).
Isabel Hofmeyr, ‘Building a Nation from Words: Afrikaans Language, Literature and Ethnic Identity, 1902-1924,’ in The Politics of Race, Class and Nationalism in Twentieth-Century South Africa, eds. Shula Marks and Stanley Trapido (London: Longman, 1987).
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.