INTERNATIONAL LABOUR OFFICE STUDIES AND EEPORTS Series B (Social and Economic Conditions) No. 23 WORKERS' NUTRITION AND SOCIAL POLICY \ ) GENEVA 1936 Published in the United Kingdom For the INTEKNATIONAL LABOUB OFFICE (LEAGUE OF NATIONS) By P . S. K I N G & SON, Ltd. Orchard House, 14 Great Smith Street, Westminster, London, S.W. 1 PBXNTED BY IMPRIMERIE POPULAIRE LAUSANNE PREFACE The Nineteenth Session of the International Labour Conference adopted a resolution submitted by Sir Frederick Stewart (Government delegate of Australia), supported by Mr. Verschaffelt and Miss Ada Paterson (Government delegates of New Zealand), which read as follows : " Seeing t h a t nutrition, adequate both in quantity and in quality, is essential to the health and well-being of the workers and their families ; And seeing t h a t in various countries evidence has been brought forward to show t h a t large numbers of persons both in town and country are not sufficiently or suitably nourished ; Seeing, moreover, t h a t an increase in the consumption of agricultural foodstuffs would help to raise standards of life and relieve the existing depression in agriculture : The Conference welcomes the attention drawn by the Director in his Report to the problem of nutrition and requests the Governing Body t o instruct the Office to continue its investigation of the problem, particularly in its social aspects, in collaboration with the health and economic organisations of the League of Nations, the International Institute of Agriculture and other bodies capable of contributing to its solution, with a view t o presenting a report on the subject to the 1936 Session of the Conference. " The Conference requested the Governing Body to instruct the Office to continue its investigation of the problem and to submit a report on the subject to the 1936 Session of the Conference. The Governing Body unanimously decided to give effect to this request, and approved the proposal that a first report by the Office on the problem of workers' nutrition be submitted to the Twentieth Session of the International Labour Conference. The Governing Body further set up a Temporary Committee of Experts on Nutrition Questions (see Appendix I). This Committee met in Geneva, 2-5 December 1935, under the chairmanship of Mr. C. V. Bramsnaes. The following members were present : MM. Yoshisaka, Olivetti and Schüren, as representatives of the Governing Body ; and MM. Cathcart, Durig, Halbwachs, IV PREFACE Jaeggi, and Miss Faith Williams as experts. The Office desires to express its sincerest thanks to the members of this Committee for their valuable assistance in formulating the outline of the Report and at later stages during its preparation. In accordance with the resolution, the International Labour Office has pursued the study of the nutrition problem since the last Session of the International Labour Conference, in collaboration with the Health and Economic Sections of the League of Nations, and with the International Institute of Agriculture. The International Institute of Agriculture kindly agreed to submit memoranda on the evolution of world production of foodstuffs and on the question of pure food legislation, which have been incorporated in the present Report. The Office takes this opportunity to express again its gratitude to the International Institute of Agriculture for the assistance thus rendered. Geneva, May 1936. CONTENTS Page PREFACE CHAPTER I : I. II. III. IV. V. VI. m The Nature and Scope of the Report 1 The Scope of t h e Report Malnutrition, Malnourishment and Under-nourishment . . The London Standards What the Workers E a t Economic and Social Aspects Education and Income CHAPTER I I : Nutrition and Occupation 12 I. T h e Problem of Food Rations The Standard Metabolism The Qualitative and Quantitative Problems of Foods The Organic Nutritional Elements Inorganic Nutritional Elements II. Energy Requirements of t h e Worker The Material Requirement (Foods) Experimental Data Light, Moderate and Heavy Work CHAPTER I I I : Facts on Workers' Diets I. II. III. IV. V. VI. VII. Production and Food Consumption 15 15 17 17 21 22 28 29 33 37 Statistical Evaluation of Nutrition Standards National Differences in Workers' Food Consumption . . . Variations in Food Consumption according to Family Income Nutritive Values of Workers' Food Budgets National Consumption of Various Foods The Question of Malnutrition Special Groups of Workers CHAPTER IV : Agricultural 2 4 5 7 8 10 . 37 45 52 67 72 76 77 81 I. World Food Production 81 Cereals 82 Meat 84 Milk and Dairy Produce 88 Poultry and Eggs 93 Potatoes, Vegetables and Fruit 95 II. Agricultural Production and the Possibility of Improving Standards of Nutrition 100 VI CONTENTS Page CHAPTER V : Social-Economic Aspects of Nutrition 106 I. Food Consumption and Purchasing Power Prices Production Costs Market Organisation and Distribution Costs . . . Commercial Policy Fiscal Policy Lower Prices and Better Nutrition . . . . . . . Incomes II. Nutrition Standards and Consumption Habits I I I . Nutrition and the State CHAPTER V I : Social Legislation and Nutrition I. II. III. IV. V. 122 Wages Social Insurance and Assistance . Working Conditions Special Categories of Workers Conclusions CHAPTER V I I : 107 108 109 110 Ill 113 114 114 118 120 123 128 132 135 140 . . . 141 I. Public and Quasi-Public Agencies Organisation Activities . Food Supplies and Markets Nutritional Aid to Special Groups . Education and Propaganda Recent Developments II. Activities • of Employers III. Activities of Trade Unions IV. T h e Co-operative Movement Distributive Co-operative Societies Agricultural Co-operative Societies Special Features of Co-operative Organisations . •. . The Contribution of the Co-operative Movement to a Policy of Better Nutrition Increased Purchasing Power Inter-co-operative Relations Education of Consumers Inspection of Quality 141 141 142 142 143 145 146 147 151 152 153 155 157 CHAPTER V I I I : I. II. III. IV. V. Agencies and Methods to Improve Nutrition Pro blems of Policy. . . . . . . . . . Summary of Findings Research and Education Social-Economic Policy and Organisation Wider Aspects • • • National and International Action 158 158 159 162 163 . . •--.,... 166 166 167 169 170 171 CONTENTS vn APPENDICES " I. The International Labour Organisation and the Problem of Workers' Nutrition 175 II. The Physiological Bases of Nutrition 183 III. Supplementary Statistics t o Chapter I I : Nutrition Occupation and IV. International Statistics of Food Consumption 195 PART A : Classification of Foodstuffs into Main Groups adopted by the International Labour Office for International Comparisons of Food Consumption 195 PART B : Quantities (kgs.) of Foodstuffs Consumed per Year per Unit of Consumption 197 PART C : Index Numbers of Quantities of Foodstuffs Consumed by Workers' Households in Different Countries 220 PART D : Index Numbers of Food Consumption (per Consumption Unit) b y Households of Salaried Employees and Civil Servants in Different Countries 224 PART E : National per capita Consumption of Selected Foodstuffs PART F : Notes on Sources Used and Methods of Computation Employed . . . .• V. Notes on Nutrition Conditions among Unemployed Workers VI. 186 Laws and Regulations Establishing Minimum Standards of Quality and of Purity for Food Products, Prohibiting Adulteration and Fraud, and Requiring the Use of Standardised Weights, Measures and Descriptions of Quality 225 234 240 244 CHAPTER I THE NATURE AND SCOPE OF THE REPORT At its Nineteenth Session, in June 1935, the International Labour Conference adopted a Resolution which raised the problem of the relation between workers' nutrition and social policy. The Resolution laid down three propositions : (1) that adequate nutrition is a basic factor in the health and well-being of the workers and their families ; (2) that there is widespread evidence that large numbers of workers in town and country are not sufficiently or suitably nourished, even in industrially advanced countries, and (3) that a proper consideration of workers' nutrition would help to solve some of the difficult social-economic problems of to-day *. The general issue raised in the Resolution of the Conference has both old and new aspects. I t is an old problem in so far as it restates the need for abolishing poverty and for raising the standard of living of the workers. In labour legislation, the question of workers' food budgets has figured directly or indirectly in the discussion of wages, public health, social insurance and other workers' problems. But the issue also has new aspects. As raised to-day the question of workers' nutrition and social policy is more direct in its approach and larger in its social-economic significance. I t starts with a new concept of the relation of nutrition to health and points to the possibility of gearing social policy to objectively established scientific standards with beneficial effects upon the economic mechanism as a whole. What is the explanation of these larger and newer aspects of the problem ? The answer lies in two simultaneous developments which have taken place during recent years. On the one hand, science has during the past two decades or so made great progress in elucidating the nutritive basis of health and has disclosed the specific and even minute food elements on which the vitality and energy of the body depend. On the other hand, 1 For a detailed survey of the history of the question see Appendix I. 2 W O E K E E S ' NTJTBITION AND SOCIAL POLICY the enormous progress in the technology of production has impressed upon the public mind everywhere the idea that there is no longer any economic necessity why all members of society should not enjoy the material needs for good health and social well-being. Destructive and painful as it was, the recent industrial depression may have resulted in at least one positive gain to the extent to which it popularised the paradox of poverty amidst plenty. The dramatisation of this paradox gave further impetus to the idea that the two developments referred to above, of nutritive science and of productive technology, present a challenge to modern society, which may be stated as follows : may not the application of the new scientific knowledge on nutrition to the promotion of health supply a principle of social policy which would help to reorient in the proper direction our economic activities ? The present study is an attempt to state as clearly as possible the questions implied in this challenge. I. — T H E SCOPE OF THE REPOET However, the scope and character of the Report presented here have been determined not only by this general idea, but by certain limiting factors which had to be taken into account, such as the shortness of time available, the paucity of existing data, and the general objectives which guide the work of the International Labour Office. It will help to place this Report in its proper setting if these limiting factors are briefly reviewed and the nature of the following chapters indicated. To begin with, it is not the intention to present in this Report a picture either of conditions of famine or of starvation. That many areas and large sections of the world population outside Western Europe and America are still subject to the devastating effects of periodic famines and of chronic starvation is only too vividly realised. That there are also countries in Europe and on the American continents which su fer from a chronic state of under-nourishment is also kept in "mind "here. There is no need either to hide these facts or in any way to minimise the challenge which they present to the civilisation of the twentieth century. It is taken for granted that not until this challenge is met and not until every country of the world has been freed from exposure to the risk of periodic famine and to the intolerable condition of NATURE AKD SCOPE OF THE REPORT 3 chronic starvation of large masses of the people will modern civilisation have deserved the right to be designated as a civilisation and as modern. Neither is any attempt made in this Report to survey the condition of insufficient or incorrect nourishment which exists among the population as a whole, even in advanced industrial countries. Thus, investigations made in recent years in such countries have revealed unsatisfactory conditions of nutrition among large numbers of children, even of the middle classes. That such conditions have an important bearing upon the general problem considered here is clear. The destiny of mankind is moulded in the cradle and in the school. Also, the supply and quality of labour are obviously determined not merely by the numbers of the growing generation, but also by their health and physical development. The children of to-day are the workers of to-morrow upon whom industry must depend for its capacity and efficacy. The question of the kind and type of worker that industry may expect is thus closely related to the question of the nutrition and health of the children. There is no particular need of emphasising here the obligation resting upon modern society in relation to its children whose nutrition falls below standards established by modern science. This obligation has definitely been recognised and is part of the consciousness of the modern world. That the problem continues to persist is merely another illustration of the difficulties which the modern world finds in putting into effect the ideas and principles which it has established in theory and the validity of which it fully admits. A consideration of the nutrition of children would therefore be within the limits and scope of an International Labour Office report on the assumption that the earning capacity and the whole standard of living of adult workers are to a large extent determined by the conditions to which they are subjected in their infancy and childhood. Similarly, an examination of the nutrition of expectant and nursing mothers in workers' families, would logically fall within the province of any extensive and comprehensive Report upon the subject. But the issues which would have been involved in such an extension of the Report are sui generis and call for special methods of investigation. All that can be done here is to indicate that these facts be kept in mind as one of the backgrounds against which this Report must be read. This study is thus largely concerned, as the title indicates, with the nutrition of workers and their families. This limitation, 4 WORKERS' NUTRITION AND SOCIAL POLICY however, is to a large extent nominal for, after all, the workers in most countries constitute a majority of the population. Industrial workers, salaried employees, agricultural labourers, professional workers — all those people who obtain their income primarily from the labour of their hands and brains and not from property, are the bulk of the people for whose benefit social policies are conceived and put into practice. II. — MALNUTRITION, AND MALNOURISHMENT UNDER-NOURISHMENT A great deal of the current discussion on widespread " malnutrition " among the working people and their families in many countries obviously depends upon a definition of terms. It may be conducive to clearness of discussion if we distinguish between three separate concepts — malnutrition, malnourishment and undernourishment. The word malnutrition might best be reserved to indicate the state of ill-health of a population or of any group of a population in so far as that state is caused either by malnourishment or under-nourishment. It is thus to a large extent a medical term or a term for public health purposes. Students of public health are showing a tendency to use that term in such a sense more consistently. The existence of malnutrition is revealed in various morbid states, and it is measurable in terms of indices which are medical, anthropological or biostatistical (such as height, weight, special diseases, etc.). Malnourishment refers to an actual condition of diets in which not the quantity but the quality of foodstuffs is involved. According to present knowledge, a diet must supply some 30 or more nutrients in order to provide the proteins of high quality, as well as energy-yielding food. Fortunately many of these substances are so widely distributed in common foods that there is little danger of shortage in diets freely chosen with adequate incomes, but some are,very unevenly distributed, and unless care is taken in food selection, they will be meagrely supplied. As a result, a population or a group of a population may be malnourished, even if it is able to use and is in the habit of using a sufficient quantity of energy-yielding foodstuffs, but if it is either unable or unaccustomed to maintain a balanced diet including all the proper nutritive elements in correct proportions. NATURE AND SCOPE OF THE REPORT 5 The term under-nourishment, on the other hand, expresses a dietary condition, largely among working people, in which there is an actual insufficiency both in quantity and in quality of the nutritive elements needed for health and well-being. A good deal of the controversy which is going on now with reference to nutrition and health is based upon a lack of discrimination between these three concepts. The facts brought to light so far undoubtedly indicate that there is widespread malnutrition among various sections of the population of different countries. Such malnutrition, however, is not always an indication either of poverty or of ignorance. I t may be the result of carelessness or indifference. I t is also obvious t h a t in some of the more advanced countries a large part of malnutrition is not due to a shortage of food b u t to malnourishment, t h a t is, to the fact t h a t the foods consumed, while adequate in quantity, are inadequate in quality or in vitamin and mineral content. Such inadequacy may be the result either of inability to purchase the protective foodstuffs because of their higher expense, or it may be due to ignorance of food values or to other causes. But it is also a fact, and the most important fact which is to be stressed in this Report, t h a t a large element in the malnutrition of to-day is the result of undernourishment, which is primarily and essentially caused by insufficiency of the means for acquiring the necessary foodstuffs. III. — T H E LONDON STANDARDS However, a study of workers' nutrition carries us even beyond the points indicated above. The worker faces problems which are different from those of any other group of the population. The minute subdivision of labour which characterises modern industry may have more signifiance from the point of view of its effects upon health than has so far been realised. The technical conditions of a modern mine, mill, factory or shop affect physiological processes in a profound way. They influence food habits, the appetite of the worker, his craving for special kinds of food, his need for more calorific energy, the time distribution of his meals, and so on. The rules and regulations by which an average person of the population may be guided in selecting his foods and in organising his daily consumption may be of little value to the different groups and classes of workers in an industrial plant. Had it been possible, this line of approach to the problem would have been followed much farther in this Report. This does 6 WORKERS' NUTRITION AND SOCIAL POLICY not imply any intention to treat workers' nutrition merely as a phase of industrial efficiency. No such "robot" conception is entertained here. The worker does not eat merely in order that he may work. As with every other member of society, the worker's problem of nutrition is one of maintaining a condition of good health not only in order to work, but in order to enjoy life. Nevertheless, the worker's nutrition problem is complicated by the needs of occupational efficiency, and that calls for special consideration. Unfortunately, however, this phase of the subject is still in its very beginnings. While the human requirements in general for the maintenance of perfect health have not yet been clearly defined, the special requirements of various types and groups of workers are still less known. One need not minimise the importance and the extent of the progress of the physiological sciences so far achieved, while being conscious of the gaps in our knowledge and of the problems still to be attacked. It is because of these gaps in our knowledge that no definite or final standards of nutrition for different classes and groups of workers are set up in Chapter I I of this Report. In November 1935, a Technical Commission of the Health Committee of the League of Nations, at a meeting in London, laid down a certain number of nutritive requirements for an adequate diet. These requirements are reproduced in Appendix I I of this Report. The significant items in the London statement are : (1) that a minimum of 2,400 net calories are essential for the maintenance of health of the average person not engaged in manual labour in countries of temperate climate; (2) that additional increments of calories must be supplied for various kinds of labour ranging from 50 calories per hour for light work to 100 or more calories for heavy work ; (3) that the number of calories must be supplied by a variety of foodstuffs, including about 70 grs. of protein a day for persons weighing an average of 70 kgs. and that a part of. such proteins must be of animal origin, and (4) that a sufficient quantity of minerals and vitamins must be contained in the diet, and that, such vitamins and minerals can be obtained most easily and in best form by the consumption of the so-called protective foodstuffs — eggs, milk, vegetables and lean meat. This London statement represents a great advance in the formulation of a physiological basis for dietary budgets, but it has two major limitations. First, it is primarily a Euro-American standard, and second, the London statement leaves the problem NATURE AND SCOPE OE THE REPORT 7 of the relationship between diet and specific kinds of occupations still unsolved. In Chapter I I of this Report, the results of various investigations upon this particular relationship are brought together. They indicate the great difficulties of the problem and the vast need for further studies. All that can be said on the basis of studies so far made is that no definite standards for particular occupations have as yet been set up which may be regarded as having general validity and acceptability. IV. — WHAT THE WORKERS EAT In view of the limitations of our knowledge of nutrition standards, it would be impossible to evaluate the food consumption of workers even if we had complete data on what they eat. As a matter of fact, the gaps also in this field are extremely wide. Few studies have been made of the actual foods consumed by workers in different occupations in different countries. Most of our data are family budget studies which give the foods purchased and presumably consumed by the workers and their families, without separating the amounts allocated to different members of the family. The data on workers' diets are also limited in another way. Had it been possible, Chapter I I I on Workers' Diets would have been extended to the study of workers' nutrition not only in the countries selected, but in a number of other countries. Special consideration was given, in outlining this study, to the possibility of including the workers of the Far East, and of some of the tropical countries of Africa. However, such a widening of the study proved to be impossible in view of the present state of our data. In the first place, the studies of the nutrition sciences have not as yet proceeded far enough with respect to the influence of differences of climate, race and environmental conditions. There is but little information as yet on the basis of which an evaluation of the customary diets of workers in countries of Asia, Africa or South America could be made with regard to their adequacy or inadequacy, either for general health or for productive work. Second, though a number of interesting studies of workers' budgets have been made in some of the countries, e. g. Japan, these studies have been based upon methods which do not make them easily comparable with the studies surveyed in this Report. Most of the studies of Japanese family budgets, for instance, are 8 WORKERS' NUTRITION AND SOCIAL POLICY made in terms of expenditures for various foodstuffs. I t is not entirely impossible to translate some of the data obtained in these studies into indications of the composition of diet by different foodstuffs. Such a study, however, would have required more time than was at the disposal of the Office in the preparation of this Report. However, the data we do have are significant enough. The family budget studies brought together here indicate two important facts. First, t h a t the consumption of protective foodstuffs increases greatly with increasing income, whereas the consumption of cereals remains stationary and t h a t of other products declines. Workers' families with low incomes evidently find the protective foods too expensive and cannot afford them. The question of income is thus at the root of the nutrition problem. Second, an. examination of the diets of the different income groups among workers shows that, on the basis of the London standards, the average diet in the lower income groups is inadequate for good health. The inference is t h a t among such groups especially, there is both malnourishment and undernourishment. I t is also necessary to point out t h a t the data surveyed in thisReport refer to the better situated groups of workers in the more advanced industrial countries. The evidence on workers' nutrition presented in this Report is thus to some extent an under-statement of the situation which cannot but be more serious for the workers as a whole. There would seem to be sufficient reason, therefore, to accept some of the startling statements made within recent months by people in various countries of the wide extent and the serious character of the nutrition problem among the working population. And if the problem is serious with regard to workers at v'orlc, how much more serious must it be for large groups of unemployed workers. V. — ECONOMIC AND SOCIAL ASPECTS, B u t the question may be asked whether such a condition is not t h e inevitable result of technical incapacity to supply "the needs indicated by scientific investigation. That is the question which is raised in the chapter on agricultural production. The answer to the question, as given in t h a t chapter, prepared by the International Institute of Agriculture in Rome, on the basis of the best available materials, is certainly reassuring. Agriculture NATURE AND SCOPE OF THE BEPOBT 9 has not only kept in step with the demand for its products, b u t in some respects has outstripped such demand. True, the information on the subject is far from complete. I t is also clear from available data that many of the protective foodstuffs especially stressed by nutritive science are still produced in quantities deficient to meet even minimum needs. Nevertheless, the outstanding and important fact which emerges from a study of the data is t h a t technically agriculture is in a position to meet the requirements for foodstuffs for an adequate diet. Revolutionary advances in the production, transport, storage and distribution of foodstuffs have made potentially possible a much higher level of nutrition for all of us. The problem thus becomes clearly a n economic one. If we have to-day widespread malnutrition due to under-nourishment, we must trace t h a t fact in large measure to our incapacity to use technical and human resources to the best advantage for the purpose of maintaining all the people in a condition of good health and well-being. The economic and social issues involved are certainly not simple. The problem of nutrition touches upon every phase of economic and social organisation, upon questions of price, standards of living, income, monetary and credit policy, taxation, etc. No attempt is made in this Report to present an answer jto these questions. Obviously, it would lead far beyond the scope of this Report. B u t these questions are formulated in Chapter V in such a way as to indicate their particular relation to the central problem of nutrition. Also some of the effects of economic policy on the condition of workers' nutrition are briefly examined and illustrated. If the automatic working of economic forces produced the desired results with regard to the distribution of income and to the fulfilment of the wants of different groups of the population, there would be no need for special social policies. B u t in view of the failure of the economic system to fulfil this function, social policies must be devised, either for humanitarian or political reasons, to alleviate some of the shortcomings of the economic system. Being merely a subordinate instrument in the hands of Governments for rectifying economic effects, social policies have been guided b y limited conceptions of the needs of the population with regard to health and well-being. However, we do find attempts in modern legislation to consider such needs to some extent either directly or indirectly. These attempts are surveyed in two chapters .'! 0 WORKERS' NUTRITION AND SOCIAL POLICY of this Report. In one of these chapters, present-day social legislation is examined with a view to indicating the attention given to requirements of workers' nutrition in formulating policies of social insurance, minimum wages, family allowances, maternity assistance, etc. In the other chapter, various governmental and private agencies and the measures taken by them to promote higher levels of nutrition are examined. VI. — EDUCATION AND INCOME With regard to the main methods of improving levels of nutrition, the Report considers the relative importance of education and of increasing wage incomes. Objections have been made to a study of workers' nutrition on the ground that it means that experts are proposing to tell the workers what and how to eat. Certainly, such is not the case. But the fact is that a proper, diet cannot be obtained unless one has traditional or scientific knowledge of the nutritive values of different foods. That calls for education and for the application of science to the hygienic needs of the individual. There are those who would object to the concept of applying science to nutrition. Science, it has been said, has already taken much of the romance out of living. Is there not danger that it will take more pleasure out of life by regimenting and regulating our habits of eating ? Despite the desire to enjoy good health, no one wishes to make the process of eating merely a mechanical function of supplying a certain number of calories and nutritive elements to the body. No such prospect need be feared. It is not so long ago that all attempts at giving people the benefits of hygienic studies and of developing programmes of public health were decried as interference with personal liberty. That state of mind has happily passed. The teachings and precepts of the hygienists and of the public health services are now gladly accepted. A similar attitude cannot but develop in relation to nutrition. As a matter of fact, the impact of science on food habits and on national food supplies has already been felt all along the line in "recent' years; In so far as incomes permit, consumers' preferences have swung over with startling rapidity through scientific research and advice from a coarse heavy diet to a more varied and lighter one in which milk, butter, eggs, fruit and vegetables have been playing a larger part. Tastes and preferences will always remain an important NATURE AND SCOPE OE THE REPORT 11 factor in the selection of foods. But they can be guided by the gradual education of the public to an understanding of the teachings of physiological science. While thus stressing the need of education in the selection, use, and preparation of foods, the Report still makes it clear that far more important than education for the improving of nutrition levels is the provision of sufficient income. When purchasing power is provided for the workers through employment and •adequate wages, the workers themselves tend to select the better and more nutritive foodstuffs and are more amenable to the influence of education. I t is, therefore, the persistence of lowincome groups in the population even of the most advanced countries which is the most important factor determining the existence of malnutrition. * * * Such, then, are the character and scope of this Report. The latter, as already indicated, is in the nature of a preliminary or interim report. Its primary purpose is to bring together the data already available on the subject and to elucidate the issues involved. The relative balances of the different chapters is due to the fact that the various subjects of this Report have had to be treated in accordance with the degree to which material was available. Regardless of its limitations, it is believed, this Report will serve a useful purpose. First, it summarises the scientific facts showing the close relation between the kind of food we eat and health in general, and productive efficiency in particular. Second, it brings together the data available on workers' consumption and the materials which may be further studied. It should be noted that the statistical tables in the Appendices are especially important for further analysis and study. Third, the very indication of large gaps in our knowledge of the subject is of great importance in directing further thought and research. It is with the above observations in mind that the chapters which follow should be read. CHAPTER II NUTRITION AND OCCUPATION The human body has long been compared to a machine — a combustion engine would be a better simile — in the sense t h a t it derives from foodstuffs ingested the energy it requires, just as the locomotive derives its energy from the combustion of coal. The analogy, however goes no further, for the human machine must be studied from a physiological and not from a thermodynamic point of vew. I n fact, one may introduce into a machine a n y fuel whatsoever provided it burns. In the human machine, on the other hand, the fuel introduced — namely, foodstuffs — not only liberates heat in the course of combustion ; it must also be assimilated and transformed by the cells. I t is a case, as Claude Bernard has said, " of a-machine in perpetual process of renewal ". T h a t is not all, however. The wear and tear of the human motor is not limited, as in the case of the locomotive, to the motor organs only. I t affects all other functions. Another simile may be drawn from industrial life b y comparing the human system to a large factory receiving power for its numerous machines from a single distributing station, or, better still, from numerous boilers distributed throughout various workrooms, the function of the boilers being to prepare and transmit to the machines a stream of energy with a view to providing them with the requisite temperature or the force necessary for transformation into electrical, mechanical and chemical energy. The machines also possess the highly important faculty of being able to accumulate energy and to regulate its output in accordance with requirements. Hence the complexity of the whole system connecting the different workrooms, the interdependence of the various parts, and t h e solidarity., between ,the. various departments oíL „the . fac -. tory a n d its power stations. 1 The same holds true of the body.' Already Menenius taught us t h a t no organ and no system functions independently, b u t as p a r t of a harmonious whole. I t has been stated, with reason, 1 TREVES, Z. : Fisiologia del Lavoro. Milan, 1908. NUTRITION AND OCCUPATION 13 that this relationship is comparable to that existing between the particles of a bronze bell which propagate throughout the bell every vibration set up at any given point. This simile illustrates the interdependence of "mechanical energy " and of manifestations of organic energy, and shows how even limited or slight functional changes of one part of the locomotor or of the nervous system tend to spread more or less rapidly to the whole body and to influence the functions of the vegetative system. It is true that the body, complex, yet uniform, sensitive to reactions, delicate, unstable in its equilibrium, is capable of reacting and repairing rapidly its energy-reserve with a view to ensuring its preservation. Nevertheless, in order that its energy-balance should be maintained, it is obviously essential that the total quantity of energy expended in various forms of life and activity should correspond to that of the energy introduced, and it is only on the basis of an equilibrium between intake and output that it is possible to formulate concrete recommendations with regard to nutrition and occupation. Man demands from his food the energy requisite to cover his daily needs, to assure generously the requirements of growth (children and young persons), and to maintain his health and working capacity (adults). The foods used by the body as fuel constitute true reservoirs of energy and the phenomena of combustion (oxidation) constitute what is known as " nutrition ". These phenomena seem very simple ; yet the transformation of foodstuffs in the body, subject to a sufficient supply of oxygen, up to the final phase necessary for their utilisation, involves highly complex and still very obscure processes. Yet despite the fact that this transformation of fuel in the machine is a violent occurrence accompanied by the liberation of flames and by intense heat, organic combustion is, on the other hand, slow and occurs at a temperature of only about 37 degrees C. In order to obtain its needed energy, the body has recourse to the supply and transformation of " simple foodstuffs " which may be classified under two heads : (1) foodstuffs of chemical composition, identical with the composition of the tissues which these foodstuffs have as their special task to build up (growth) or to repair (daily wear and tear) : these constitute the plastic or constituent foodstuffs (protein and fat substances) ; (2) the foodstuffs which are best qualified to support the activity of the human machine by the provision of thermal (calorific) and motor 14 WORKERS' NUTRITION AND SOCIAL POLICY (mechanical) energy : these are the so-called energy-producing or " fuel " foodstuffs (fats and carbohydrates). It is to the latter foodstuffs that the body has recourse in order to constitute a reserve and it is from this reserve that the body acquires the energy necessary for heat and work 1. The quantity of potential energy of the foodstuffs consumed is not always completely utilised by the body. In order to find out the exact amount utilised it is necessary to analyse on the one hand samples of the foodstuffs, and, on the other, the " excreta " of the body. The foods ingested by man are usually complex, but each foodstuff presented for analysis has a composition peculiar to itself. Here it is sufficient to recall that the nutritional principles which enter into the composition of complex foodstuffs liberate, when burned (in special apparatus in the scientists' laboratory) a quantity of heat, that is to say, a given number of calories 2 per gramme (combustion heat), practically equal to the number of calories which they give on being oxidised in the body. But the body can only utilise for its nutritional requirements a part of these calories (calorific capacity) regulated by what is known as the " coefficient of digestibility ". This explains why the rate of the calorific capacity of foodstuffs ia in general inferior to the heat of combustion. The combustion values in the body of different nutritional dements and of complex foodstuffs have been determined. The average physiological heat value of the three classes of foodstuffs universally adopted is as follows : 1 grm. protein = 4.1 calories ; 1 grm. fat = 9.3 calories ; 1 grm. carbohydrate = 4.1 calories. In practice it suffices to calculate the gross calorific value of the daily food supply, that is to say, the combustion heat derived from the diet as ingested but not as actually furnished to the body by digestive absorption. If account be taken of the quantity of 1 I t is not what is eaten at the moment that furnishes the energy utilised for the physiological work of the body but the potential amount derived from what has been eaten previously (CHAUVEAU, 1894). 2 As foodstuffs constitute matter when they*are irigestedr and energy when they are digested — assimilated — utilised by the body, the diet may be calculated either as matter (in grammes) or as energy (in calories). This latter value is established by using coefficients corresponding to the simple elements (proteins, fats, carbohydrates) and obtained experimentally. The quantity of heat required to raise one degree C. (from 16-17° C.) one kg. of water is known as the " large calorie " (C). The small calorie is a thousand times smaller since it represents the quantity of heat necessary to raise one grm. of water one degree C. NUTRITION AND OCCUPATION 15 the nutritional element not utilised during the digestive process (about 12 per cent, for proteins and fats and 5 to 6 per cent, for carbohydrates), an idea of the net supply is obtained which is often calculated in net calories at the following rates : proteins = 3.68 calories ; fats = 8.65 calories ; carbohydrates = 3.88 calories. I. — THE PROBLEM OF FOOD RATIONS The Standard Metabolism The energy expenditure of the human body may be studied as " static expenditure at rest " for the functions strictly requisite to support life, or as " dynamic expenditure " or supplementary expenditure requisite for work. The energy required is furnished by foods which, as seen above, undergo transformation in the body : " material metabolism " when it is a case of chemical transformation of matter ; " energy metabolism " when it is a case of the chemical or potential energy of the foods being transformed into mechanical energy 1 and into heat. The minimum energy requisite for the simple maintenance of life of a body completely at rest is known as its standard metabolism (" dépense de fond " or " dépense minimum ") 2 ; this involves, for an adult weighing 70 kgs. a requirement of 1,770 calories 3 per 24 hours (25.3 per kg. and per day.). The standard metabolism of an adult is shown to vary slightly in accordance with weight and build, but these variations are not 1 Mechanical work is measured in kilograrrumetres, 1 kgrm. being the quantity of work represented in raising 1 kg. to a height of 1 metre. Experiment has proved that 425 kgrms. (actually 426.6) correspond to one large calorie, with the result that when the work produced b y a man is known it is easy to express it in calories. Heat is transformed into work and work into heat in accordance with an absolute and constant ratio (Mayer's principle or the principle of equivalence). Mechanical equivalent of the calorie : Work = 425 = E (equivalence ratio). Heat 2 The expression " basal metabolism " is to-day applied to express the quantity of energy expended per hour and per square metre of the surface of the body of a subject completely at rest and having fasted from 12 to 14 hours a t 16 degrees C. and sufficiently clothed to prevent reaction to external cold. 3 According to various authors, the standard metabolism is said to range from 1,450 to 1,721 net calories for an adult of 62.4 to 67.2 kgs. (65 kgs. = 1,450 to 1,500). J. L. BOGABBT in Nutrition and Physical Fitness. Philadelphia and London, 1932, gives 1,700 calories for a man, and 1,400 for a woman. 16 WORKERS' NUTRITION AND SOCIAL POLICY important : they diminish as the weight augments (heavier, taller individuals) and increase in the case of slight individuals of small build (since the smaller the individual the greater is the surface of his body in proportion to its volume and weight). x The sex factor is also negligible and the " constitution " factor slightly less so (the spare muscular man expends more than the stout man). More important, on the other hand, is the influence of age, expenditure being greater per m 2 of surface during adolescence than in the case of adults, and greater again in the case of these than in that of elderly people. Among physical agents, external temperature, which plays a part also in the action of climate, exerts a marked influence when it is above or below 15 to 16 degrees C. (clothed subject). The wearing of adequate clothing obviously modifies very slightly the expenditure of energy, but if the clothing does not answer to the surrounding conditions the standard metabolism increases with a lower temperature and passes to a minimum with a rising external temperature. 2 The same observation has been made in regard to climate and season. Here again to the fairly constant standard metabolism (in summer, in winter, in the temperate climates and in the tropics), highly variable supplements are added. The influence of light and altitude must also be taken into account and especially of posture (seated, standing at rest or standing at attention). 3 To the standard metabolism must be added that required for work, due to the specific dynamic action of the foodstuffs ingested and to the expenditure of muscular activity — the factor which exerts the greatest influence on the expenditure of energy. This chapter is limited to the problem of nutrition and diet in their relation to human labour. 1 According to Lapicque, the metabolism per m 2 remains in spite of considerable differences in weight in the neighbourhood of an average of 1,475 calories per 24 hours : (quoted by B. Lambling : Précis de biochimie. Paris, 1921, p . 602.) Weight (kgs.) Gross calories Calories per m 1 Japanese student (Tsuboi and Murato) . 46 2,355 1,430 Japanese soldier 59 2,578 1,380 Subject studied by Rubner 67 3,094 1,520 .Worker studied ,by Voit and Pettenkofer ,70 .... . _ _ . . _ , .3,054. ._ ____, .1,47.0...,. Subject studied by Lapicque and Marette 73 §,027 1,420 Subject studied by Hirschfeld 73 3,318 1,560 2 Cold and wind stimulate metabolism ; high temperature reduces metabolism, but if the surrounding atmosphere is unduly hot metabolism increases, which proves that the relation between the external temperature a n d 3 the heat regulating mechanism is not as simple as has been imagined. There has been suggested an increase of 5 per cent, for the seated position, of 10 per cent, for standing at ease, and of 14 per cent, for standing a t attention. NUTRITION AND OCCUPATION The Qualitative and Quantitative 17 Problems of Foods The phenomena of nutrition u p to the end of last century were regarded almost exclusively from the point of view of energy, a diet being judged sufficient when capable of providing an adequate calorigenic value. This was the age of calorimetry and isodynamic equivalence of foodstuffs. The phenomena of nutrition of the human machine were studied and calculated mathematically. A t present t h e results furnished by biochemical study have tended to limit greatly these conceptions in the sense t h a t a given ration does not satisfy all physiological requirements of the body, unless it contains a minimum quantity of certain chemical substances. I t has therefore become a problem of quality rather than of quantity based principally on knowledge of chemical processes which take place within the tissues and t h e cells. Diet is constituted b y compound foodstuffs of animal and vegetable origin in which t h e human subject finds t h e simple elements of nutrition indispensable to him. The three large categories of organic foodstuffs are : (1) proteins, fats, carbohydrates ; (2) mineral substances ; and (3) vitamins. * I t is n o t the intention here to enter into a detailed study of t h e question 2 , yet it is necessary to direct attention to certain of its aspects. The Organic Nutritional Elements Proteins represent a first class foodstuff which is quite irreplaceable. They alone are capable of furnishing t h e nitrogen essential to the body. Nevertheless " proteins " and " nitrogenous substances " are n o t synonymous, and whilst man finds nitrogen in various foodstuffs the nutritive value of these substances from multiple sources is very different. On t h e other hand t h e body has a total nitrogen requirement which must be satisfied in the form of perfectly defined substances which biological chemistry to-day identifies with t h e " amino acids " indispensable to growth 1 Proteid substances (proteins, proteids) of different qualities, of animal origin : lean meat, white of egg, casein from milk, cheese, etc., or of vegetable origin : gluten from bread, legumin. Fats (fats, lipids) of different qualities of animal origin : fat meat, bacon fat, lard, yolk of egg, cream from milk, butter, etc., or of vegetable origin : oil, vegetable fat, etc. Carbohydrates (carbohydrates, glucides), starches, amylaceous substances (bread, farinaceous and starchy substances) ; sugars (milk, honey, fruit, sugar), cellulose, acids, etc. 2 For details as t o this important question see BTJBNBT a n d AYKROYD : " Nutrition and Public Health " in the Quarterly Bulletin of the Hygiene Organisation, Volume IV., No. 2., June 1935, 155 pp., League of Nations, Geneva. 2 18 WOBKBKS' NUTBITION AND SOCIAL POLICY and to the renewal of worn out cells. The animal organism is however only capable of producing certain " amino acids " ; others indispensable for the two important functions just referred to must come from special foodstuffs. If the diet is defective in the latter the body is in the position of a typesetter who whilst possessing a great deal of type, lacks one letter : by reason of which fact he will never be able to set a page. 1 The animal proteins are complete in this respect whence arises the necessity that a part of the proteins should be of animal origin. This explains also why certain vegetable proteins, especially those provided by maize, are inadequate : they are deficient in " amino acids ". In the course of digestion the proteins become transformed into more and more simple substances until they reach a soluble, easily absorbed form, which on arriving in the tissues is used (by the tissues) for the construction of the proteid molecules essential to the vital processes. The utilisation of food is incomplete wherever even a minimum part of the " amino acids " is lacking. As this law is fundamental for other essential elements of nutrition (carbohydrates, fats, vitamins, energy ions), it may be said that the body is subject to the law of the minimum and of the limiting factor rather than to that of isodynamic equivalence. The daily minimum requirement öf protein has been fixed at one grm. per kg. of body weight, despite the fact that the nitrogen metabolism of the body may be maintained with smaller quantities 2 provided the calorific value of the total diet is adequate. It is difficult to approach this question ; for while it is true that the body shows great elasticity in adapting itself to the most varied quantities of protein, it must not be imagined that a 1 Bottazzi e Quagliarello : " Quello che attualmente in Italia si fa in materia di ricerche sull'alimentazione dell'uomo", in Documenti per lo studio dell'alimentazione, ecc. Consiglio naz. delle ricerche. Rome 1933. 2 Rubner, Klemperer, Siven, etc., have discovered the following figures as representing the lower limits compatible with maintenance of health in subjects weighing 70 kg., 0.539 = to 0.200 grms. per kg. but it must be remembered that the cases in question represent experiments covering 3-8 days. Other authorities give a protein ration per kg. of 1-1.40 grms. of which a minimum of 20 per cent, must be animal protein with an optimum of 30-40 per cent. I n Japanese diet the protein rate is -very low (according to Grey about 2.25 per kg. of body weight), t h a t of fats 0.45, and that of carbohydrates 13.67 giving about 69.5 calories. The lower protein rate is explained by two facts : the general vegetarian character of the diet, and the very large consumption of rice — the cereal poorest in proteins (in J a p a n , however, current opinion esteems the protein of rice as qualitatively superior to others ; it would be interesting according to Grey to carry out thorough investigation in this connection, prior to acceptance of this opinion). NUTRITION AND OCCUPATION 19 prolonged supply of inadequate quantities will not have disastrous results. It requires months or even years for the development of injuries, but the latter nevertheless evolve in a slow and inexorable manner. It is agreed that the quantity of nitrogen adequate to repair the rate of wear and tear of the body may be estimated at four grms. corresponding to about 25 grms. of first class protein. In practice it is obviously necessary to provide a slightly higher amount to ensure that the daily requirement is really covered. During the last few years, it is true, certain researches are said to have proved that a smaller quantity of protein suffices to maintain constant the nitrogen balance, for in the question of the protein minimum, the composition of the diet and in particular the mineral salts and vitamins play an important part. Yet practice has shown the inadequacy of low protein figures and has likewise demonstrated the physiological and economic necessity of a suitable quantity of proteid substances which are as nearly as possible similar to the substance of the tissues rather than of proteids of vegetable origin. On the other hand, an examination of the statistics covering over five hundred million persons, belonging moreover to different nationalities, has revealed the fact that the average rate of proteins consumed is four to five times higher than the accepted rate for wear and tear, that is to say 16 to 20 grms. of nitrogen, approaching thus the quantity formerly proposed by Voigt (100 to 120 grms. of protein, considered to-day as excessive). It is true that in the discussion of nutrition unduly rigid formulae are to be avoided. Practice does not always readily fit in with the theories of the scientists which to the layman often appear contradictory. It must however be confessed that it is difficult to fix the minimum rate to which proteins may be allowed to fall ; and whilst under normal conditions an insufficient supply of protein is scarcely to be feared, this fear exists nevertheless during abnormal periods and especially in the case of urban workers who are restricted as to the amounts of protein they can buy. Laboratory research has established the fact that during work the muscles yield to the blood groups of protein which are not eliminated in the urine as waste products, but which are taken up by other organs (the liver perhaps) and transformed into substances capable of repairing the loss of nitrogen or of muscle. If therefore the muscles during work yield globulins to the blood in an amount which is greater the more intense the work, it 20 WOKKEBS' NUTRITION AND SOCIAL POLICY follows that unduly heavy or unduly prolonged work causes in the long run wasting of the muscular fibre in the absence of an adequate supply of protein in the diet (Pugliese). Various experts on the subject believe therefore that a rate exceeding the average fixed by physiologists is indispensable to workers as an offset to days with a low protein ration, even when their diet is adequate as regards calories and carbohydrates. In fact under-nourishment in protein, especially in animal protein, constitutes a danger more especially in. the case of young strong workers subjected to muscular work. Fats act as fuel capable of liberating a larger number of calories per grm. than the proteins because they are richer in carbon. Many authorities do not consider it necessary to fix an indispensable minimum for fats as in the case of proteins. On the other hand experience proves that the percentage of fats in the diet of different peoples varies greatly and that the influence of climate, locality, habits', work, is very great so that it is impossible to utilise one particular finding for general application. Nevertheless a deficiency in fats in the diet has been frequently recognised in practice ; it is just such deficiency which was the cause, for instance, of serious digestive derangements amongst the civil population of Germany during the war. Fats also exert a histogenic rôle. Further, the proportion of fats not utilised by the organism is stored and consumed gradually in response to intense or prolonged muscular effort especially in the case of a diminished food supply. Despite the fact that a corresponding quantity of carbohydrates may compensate deficiency in fats — from the calorific point of view only — it is advisable that the daily ration of an average man should comprise 50-80 grnis. of fats per day in order to furnish him with 20-25 per cent, of his total calories. Carbohydrates constitute the largest part of vegetable foodstuffs and represent even more so than fats the combustible material requisite for heat production and for muscular work, being readily transformed and transported, in the body to the point at which energy and vital force are required. From the nutritive point of view the various types of sugar may be compared with glucose ; whether they belong to the monosaccharide group (glucose) or di-saccharide (saccharose, maltose) or the poly-saccharides (dextrin, cellulose, starch) all these sugars, only in so far as they are transformed into glucose, serve as the NUTRITION AND OCCUPATION 21 principal fuel of the human machine, in the mobile form of carbohydrates requisite to the tissues and of which glycogen (the result of transformation of mono-saccharides) represents the fixed form. It is difficult to determine the daily quantity of carbohydrates essential to the body. Here again physiologists do not provide an indispensable minimum weight, though below about 60 grms. of carbohydrates the body becomes a prey to serious injury. In practice, the more difficult the work to be effected, the greater the quantity of carbohydrates and fats which should be included in the diet. Here arises the question of " sugar " considered as the most suitable element for furnishing muscular work and characterised as the " physiological foodstuff " of workers and athletes. It is known that the body can utilise sugar which it obtains from proteins (either those which contain the carbohydrate group already formed in their molecules — or by synthesis of certain disintegration — products — from those which to not contain it) but especially from the carbohydrates. In fact fats require carbohydrates for their complete combustion ; it is to these again that recourse is had for a reserve foodstuff more efficacious than fats and proteins. Experience has taught also that whilst it is impossible to live on sugar, it is likewise impossible to live without sugar. Inorganic Nutritional Elements These elements comprise water and the mineral salts the importance of which in the diet is well known. In general a mixed diet suffices to provide an adequate amount of mineral salts which the body requires. The accessory nutritional elements — or vitamins — are still the subject of numerous and highly interesting researches. They are not, however, true foodstuffs in the sense of those which repair the wear and tear of the tissues. Neither are they an energy-supplying foodstuff. They are rather a dynamic element of nutrition capable of influencing the development and assimilation of foodstuffs in the body. It is for this reason that they are qualitatively more essential during growth than for adults (apart from certain functions of a eugenic character). * * * While laboratory research has proved that muscle at work utilises for its metabolism the three organic nutritional elements 22 WORKERS' NUTRITION AND SOCIAL POLICY referred to above, it has also been demonstrated t h a t none of these elements may be indifferently replaced even as regards quantity. In fact proteins may theoretically satisfy all demands of the body, b u t all the disadvantages and dangers — even leaving aside t h e question of cost — of an excessive meat diet are well known. On the other hand, a deficiency of fats or of carbohydrates gives rise to well-known injury to the body ; finally an exclusively vegetable diet may cause a series of derangements connected with the larger volume of foods ingested and to the consequent liberation of gas in the digestive passages causing in its t u r n discomfort, reduced efficiency and, in the long run, under-nourishment due to an insufficient supply of protein. This is amply proved by popular experience which tends to favour a mixed diet as the only one capable of furnishing, in adequate quantity, the nutritional elements necessary for health and working capacity. Popular instinct is aware t h a t no one of the three nutritional elements may serve exclusively as the source of energy, t h a t carbohydrates constitute t h e best fuel for the muscular machine, and t h a t the body while a t work utilises only the most economical form of energy. II. — E N E R G Y REQUIREMENTS OF THE W O R K E R I t has been said t h a t with the destruction of foodstuffs as effected in the body there is liberated the chemical energy accumulated in them which becomes transformed into heat. Physiology and hygiene demand an understanding of the total energy exchange, t h a t is to say, of the total supply and expenditure of energy under its different forms. The requirements of the adult male or female living an ordinary everyday life in a temperate climate and not engaged in manual work have been estimated a t 2,400 net calories per d a y . 1 Can this figure be said to be universal and invariable ì One would not think so, though the national diets of different peoples using different types of foodstuffs — the outcome of custom and experience and the guarantee of a healthy life — p r e s e n t s as regards composition a n identical value, within moderate limits of variation. 1 Report on the Physiological Bases of Nutrition. Technical Commission of the League of Nations Health Committee. London, November 1935. See Appendix I I . NUTRITION AND OCCUPATION 23 Variations in energy requirements for muscular work and consequently in the supply of the requisite calories provided by foodstuffs are subject to those factors already discussed in regard to standard metabolism. The expenditure of muscular energy increases more especially with the amount of mechanical work done. Once again it is necessary to stress the fact t h a t the muscular capacity of a man is a variable quantity since the methods and duration of human activity are highly variable. For this reason the 2,400 basic calories 1 must be augmented by the following hourly supplements : Light muscular work Moderate „ „ Heavy „ „ Very heavy „ „ Up 50 100 200 to 50 calories per hour to 100 „ „ to 200 calories and over „ By pursuing the study of phenomena which take place during muscular work it has been observed t h a t such work exerts a marked influence on metabolism, on all the reactions of the cells — the intensity of which is increased — and consequently on body heat (body temperature). I t has further been noted t h a t muscular work does not increase the elimination of nitrogenous substances, b u t rather increases the consumption of oxygen and the production of CO2, t h a t is to say, gives rise to increased consumption of substances having no nitrogen in their molecules (i. e. sugars and fats). I t is because of this t h a t the carbohydrates constitute the best foodstuff for workers, while meat is a fuel of poor efficiency. Nevertheless, as has been seen, when work is heavy or when there is a deficiency of carbohydrates, there occurs a greater destruction of the proteid substances in the body, whence the necessity for a minimum of protein. Where work is carried on in the open air a t a low temperature,the energy requirement is naturally higher, and the more so the more difficult the work and the colder the climate. 2 I n hot climates, the energy requirement diminishes (to 2,500 calories), with a supplement, in the case of heavy work, of 400-600 calories. The calculation in Jcgrms. of the work effected by a good worker represents a very difficult problem for which no acceptable and practical general solution has so far been found. Though it may 1 Ibid. Under these conditions, man has recourse to a larger quantity of fats, which, at equal weight, are the most exothermic, and therefore the most economical foodstuffs. 2 24 WORKERS' NUTRITION AND SOCIAL POLICY be agreed that this is a matter of slight importance for the average individual such is not the case when the problem is one affecting masses of workers. It is generally admitted that the average daily output of the average worker amounts to between 80,000 and 100,000 kgrms. which corresponds to 230 large calories.1 If an attempt were made to limit the diet of such a worker to cover only these 230 calories it would involve the assumption of 100 per cent. efficiency, and it is known on the other hand that under satisfactory conditions of work and diet man only utilises 20 to 25 per cent. of the potential energy of the food he eats. Even admitting that this " mechanical " efficiency (if such a term may be applied to the human machine) might be higher for certain forms of activity, it is only prudent to leave a margin of safety in the calculations and to base these on an efficiency of 20 per cent, which means, in other words, furnishing the worker with a diet amounting to five times as much (230 X 5) which will only cover the expenditure necessary for his work. The daily diet however must satisfy the requisite energy requirement in the course of the 24 hours for the ordinary maintenance of life (which has been determined by experiment) and for other forms of activity and work : utilisation of leisure, walking, etc. If the old division of the day into three equal parts be respected (eight hours' rest, eight hours' work and eight hours' leisure—for which one-fifth of the requirement for the eight hours' work is calculated) the amount estimated for the average worker would necessitate a higher supply in the case of trying work, though in this case it may be imagined that expenditure during leisure would be reduced. The calculation, according. to Cathcart 2, will then be as follows : 8 hours' rest 8 „ leisure 544 + (46 x 5) . . 8 „ work 544 + (230 X 5) . . = = = 496 calories (net) 774 1,694 2,964 calories. or approximately 3,000 calories to which it would be necessary to add 10 per cent, to compensate for waste. If the working week is one of 48 hours this would give : -—•»•» 3,472 calories for 56 hours' rest 10,164 •->-,-, '-- ¿ , 4 8 v, work 6,192 „ „ 64 „ leisure •— ----- which with the 10 per cent, for waste would give 3,100 calories per day. 3 1 2 5 See note 1, page 15. See CATHCABT, B. P . : The Human Factor in Industry. See Appendix I I I , tables I-III. London, 1928. NUTRITION AND OCCUPATION 25 The efficiency of the human machine varies considerably in accordance with the conditions under which muscular contraction takes place (duration, frequency, etc.). When a muscle is merely called upon to support a load (supporting a weight at the same height), the contraction is static and the work produced negative. There is no true mechanical work, but physiologically the muscle consumes chemical energy and is therefore subject to fatigue. When the load is to be displaced (lifting a load) the muscular contraction is dynamic and the work produced jjositive. The physiological task is then greater when, for instance, the load must be lowered. In positive work the intra-organic combustion is more active than in the case of negative work. Nor is it necessary to underline the importance of the part played by other external factors : temperature, humidity, the surroundings, technical organisation of the industry, rapid or physical work, monotony, etc. ; reference to which will be made later in this Report. But it is chiefly the problem of muscular fatigue which dominates and governs the activity of the human machine. Similarly, mental fatigue, though invisible in its effects, is nevertheless a definite fact, and is capable of producing on the system the effects of exhaustion. It is true that it has not so far been possible to measure in calories the consumption of energy required for intellectual work, even of the most intense type. Yet certain experts are of the opinion that a small matter of degrees separates the two types of work as regards fatigue. Further, at the present time there are hardly any occupations where muscular exertion is entirely independent of nervous exertion. The quantitative and qualitative production of the worker depends increasingly on attention rather than on the muscular capacity to furnish brute force. Taking the quantity of energy in calorie hours for an average man of 70 kgs. at rest and in a seated position 1 as equal to 100 (65 during sleep, 77 awake and lying down), then the quantity of energy required for very light work is equal to 135 (V-/3 times the standard metabolism) ; for light work to 170 (l 3 / 4 times) ; for moderate work to 290 (3 times) ; for heavy work to 450 (4% times) and for very heavy work to 600 (6 times). It has further been estimated that for the standing position with relaxed 1 If 100 be taken as the energy expenditure of a seated subject t h a t of a standing subject leaning on the hip would be 103, at ease 106 and in the normal position 125. 26 WORKERS' NUTRITION AND SOCIAL POLICY muscles the quantity of energy is equal.to 105, the same amount corresponding to reading aloud, whilst for sewing by hand it is 111 ; for knitting (23 stitches a minute) 116 ; and for singing 122, etc. i Under these conditions the amount of work accomplished — muscular and nervous — while varying from one occupation to another, necessarily affects the energy expenditure and in consequence the food requirement. What is then the total energy expenditure for work ? 2 What variation in the diet does such energy expenditure demand in order that man may preserve his good health and his working capacity ? What finally is the place of each of the organic nutritional elements in the energy expenditure demanded by work ? 3 These are difficult questions to which it is not possible to furnish accurate replies. 1 See Appendix III, table IV. * Further occupational supplements to metabolism in calorie hours : based on experimental studies are given by Atzler and others as follows. •i Atzler, 1930 Becker-Hämalainen Typing — 24 Writing 49.1 — Hand sewing 4—33.4 6 Sewing (professional by machine) 24—49.6 24—57 Drawing (standing) 52.7 — Lithography 73.1 — Bookbinding (man) 81.5 81 Tailoring 45 , — Shoèmaking 77—122 90 Domestic work •. 81—157 — Washing 124—214 124—214 Mechanical work 92.3 — Metal trades 137—145 141 Carpentering — 116—164 Painting 143—146 145 Stone working 286—319 — Timber sawing 370—406 ' 378 I n J a p a n t h e a v e r a g e figures for s t a n d a r d m e t a b o l i s m for various categories of w o r k e r s (policemen, t e a c h e r s , t r a m w a y c o n d u c t o r s , chauffeurs, f a c t o r y w o r k e r s , s t u d e n t s , shopkeepers, office clerks) w e r e found t o v a r y from + 5.84 t o •—• 6.84 a n d w e r e relatively h i g h e r for t a l l e r subjects, y o u n g persons, a n d workers. A s s u m i n g a n e n e r g y r e q u i r e m e n t e q u i v a l e n t t o 100 for t h e a v e r a g e m a n s t a n d i n g , t h e figures of 330 were found for finishing, 400 for furnace w o r k , 469 for b l a c k s m i t h ' s w o r k , a n d 487 for a furnace s t o k e r . F o r w o m e n ' s w o r k (100 c o r r e s p o n d i n g t o t h e r e q u i r e m e n t of t h e a v e r a g e w o m a n s t a n d i n g ) t h e .figures d e r s , _... 156 for s a n..,d ^178 for piecers. . . . . w. e .r e. 110 -.. for w i n.,,,., ..__,, w. e. .a v e r...... 3 The energy expenditure of workers in several industries has been studied in 1935 in the U. S. S. B. I t was found, for example, t h a t during 24 hours calculated for a man weighing 70 kgs. the expenditure was : for turners, milling machinists, winders, planers, from 3,200 to 3,400 calories ; for ironworkers, 3,700 ; in rolling mills, 3,800 to 3,900 ; in a foundry 4,000 t o 4,200 ; in a chemical products factory, for makers of apparatus, 3,250 to 3,400 ; for furnace workers — those working at the top of the NUTRITION AND OCCUPATION 27 The static expenditure of a man at rest with moderate activity (that required for instance for eating, reading, writing, making a bed, changing clothes) may be estimated on an average at 32.56 calories per 24 hours and per kg. x Thus at 20 degrees C. an adult weighing 70 kgs. has a static expenditure of 32.56 x 70 = approximately 2,280 calories per day. As seen above, this expenditure diminishes rapidly (to about 1,500) during sleep when energy is strictly confined to the internal work of the organs of life. It has also been pointed out that energy metabolism grows in proportion to the increase of the mechanical work done. The conclusion to be drawn from this is that when the output of a worker increases, his diet should also be increased. furnace, 3,800, t h o s e w o r k i n g below, 4,100 ; a s s i s t a n t s (loading ore), 4,500 ; i n t h e building i n d u s t r y , c a r p e n t e r s , 4,500 ; workers carrying bricks, 5,300, m a s o n s 4,000 ; electricians, 4,000 ; r a i l w a y s — engine d r i v e r s , locksmiths for carriages, 3,000 ; h a r d p h y s i c a l w o r k , 3,000 t o 4,500 ; similar work effected b y s t o k e r s and m e n r e p a i r i n g t h e p e r m a n e n t w a y a n d u n l o a d i n g coal, 4,000 t o 4,500 ; i n a g r i c u l t u r e , d r i v e r s of t r a c t o r s , 3,000 ; p l o u g h m e n , 5,000 ; m e n p l a n t i n g v e g e t a b l e s , 4,100 t o 4,800 ; r e a p e r s , 7,000 ; b i n d e r s , 5,600 ; t h r e s h i n g m a c h i n e w o r k e r s , 5,300 — 5,900. (See O. P . M O L T C H A NOVA : ,XV I n t e r n a t i o n a l Congress of Physiology, L e n i n g r a d , 1935.) A s t u d y m a d e i n 1935 of t h e e n e r g y r e q u i r e m e n t s of c e r t a i n categories of m i n e r s furnishes t h e following a v e r a g e figures : c o a l g e t t e r 3,189.4 ; t i m b e r m a n , 3,897.6 ; b o r e r a n d m a c h i n e w o r k e r , 3,257. T h e chemical composition of t h e d a i l y d i e t a d e q u a t e for t h e s e t h r e e categories of w o r k e r s w a s said t o b e as follows (diet i n g r m s . of digestible substance) : Borers and Coaigetters Timbermen machine-workers Animal protein 69.03 69.03 69.03 Vegetable protein 70.58 86.54 56.82 Fats 95.17 105.54 94.39 Carbohydrates 603.94 720.78 513.56 Calories 3,934 4,575 3,495 T h e r e p o r t also gives a list of t h e foods c o n t a i n e d in t h e d i e t . M A I S E L S a n d o t h e r collaborators i n Probleme der Ernährung. Moscow, 1935. 1 The amount of muscular or nervous work varies from one occupation to another and this variation necessarily affects the expenditure of energy and the diet. I n a freely chosen diet it has been found that the maintenance ration at rest is 1.57 per kg.-hour (1.60 Gautier, 1.53 Hirn, 1.32 American experts — at 20 degrees C ) . Average under ordinary conditions 1.50. The total expenditure during work varies from one subject to another. Enquiries have revealed very different coefficients. Nevertheless, whilst Atwater finds an energy expenditure (at 20 degrees C.) of 1.36 per kg. for persons of leisure, there has been found 1.50 (at 14-15 degrees C.), (Gautier 1.65, Lapicque in Abyssinia and Malaya 1.60, Mori and Tuhara in Japan 1.65, but here the diet was very rich in rice and vegetables). The difference between 1.65 and 1.50 represents the dynamic expenditure per kg.-hour in ordinary life. For a subject weighing 65 kgs. and for ten hours the expenditure would be 97.5 calories, or in accordance with an average output of 25 per cent., light work of approximately 10,400 kgrms. For work of 70,000 kgrms. Atwater and Amar found 1.90. 28 WORKERS' NUTRITION AND SOCIAL POLICY The Material Requirement (Foods) The fairly important differences in the calorie figures given b y different authors to meet the energy expenditure due to work have already been referred to. The explanation of these differences is to b e sought in several causes : extremely personal appreciation of t h e work done with the result t h a t the same work is at times designated light, very light, average or moderate, tiring or intense, very tiring or very intense, with calorie values for these distinctive designations varying from one author to another ; or again the figures given are based on different methods such a s laboratory experiments, usually of inadequate duration and affecting a very restricted number of subjects — sometimes a single person, more rarely a few persons a t work. The same is true of diet sheets studied under similar conditions or more frequently on the basis of ' statistical enquiries taking account of the total quantity of each foodstuff consumed during a given period either by a few subjects or b y a group of persons under, observation. Diet sheets are essentially particular in character since they are individual and are influenced by the different varieties of foodstuffs which enter into the diet. Attention has been drawn on several occasions to the fact that calculation of the nutritive v a l u e 1 of food products depends on the method of analysis adopted and especially on the quality of the substances themselves which varies from district to district and from year- to year. An examination of Rumanian wheat continued for six years led to the discovery of variations in the rate of protein amounting to 2.5 times the minimum rate, of fats u p to 1.5 times, and of cellulose and ash u p to 2.5 times. The same might be said of other products, such as meat (which depends on methods of fattening the animals) milk and dairy produce. I n Shanghai analysis has revealed very considerable differences in t h e chemical composition of the food products according to whether they came from Northern China, J a p a n or the United States. These differences were found to affect chiefly the proportion of mineral salts. I n Japan, analysis of 25 qualities of rice of different origin (northern provinces, Siam, etc.) showed the 1 Authors do not always state whether it is a case of " gross " or " net " calories, which may involve a difference of about 10 per cent. 29 NUTRITION AND OCCUPATION following quantitative variations : water from 10.8 to 14.9 proteins (N x 6.25), 6.3 to 10.2 (total nitrogen : 0.960 to 1.625) fats from 0.14 to 2.38 ; carbohydrates from 72.7 to 79.9 phosphorus dioxide from 0.316 to 0.886; calories 346 to 367 1 . There must also be taken into account the highly varied results obtained according as to which of the family coefficients is adopted (for estimation of the energy requirements), the consequent variations amounting to from 1 to 23 per cent. It would therefore seem unwise to make generalisations concerning the average values. With this qualification in mind, the distribution of the nutritive elements, obtained from foods consumed per day as found amongst certain peoples is as follows : DISTRIBUTION OF THE NUTRITIONAL ELEMENTS AMONGST CERTAIN PEOPLES CarboProteins Fats hydrates (Grammes) (Grammes) (Grammes) Calories Europeans in B a t a v i a . . . Malayans Javanese 1 Neapolitans Japanese I n h a b i t a n t s of Greenland I n h a b i t a n t s of h o t climates 65 kgs. 50 „ 51 k g s . 51 „ . . . . 100 73 9 70 90 44 100 84 30 8 32 14 48 45 246 472 83 369 456 8 425 2,470 2,512 — 2,098 2,369 3,000 2,500 » • In percentage. Add 400 to 600 for heavy work. 2 Experimental Data In dealing with groups of workers subjected to light or moderate work such as : badly paid dressmakers (London) ; University professors with little physical exercise (Munich) ; adequately fed tailors (England) ; officials or employees (Germany (1920-1930), it is found that the amount of proteins in the diet varied from 53 (dressmakers) to 131 grms. (adequately fed tailors) ; the amount of fats from 33 (dressmakers) to 109 (German officials) ; carbohydrates, from 240 (University professors) 1 See A p p e n d i x I I I , t a b l e V. 30 WORKERS' NUTRITION AND SOCIAL POLICY to 525 grms (adequately fed tailors) ; the total number of calories ranging from 1,820 (dressmakers) to 3,081 (German officials)l. Finally, a survey of statistics collected by various authorities between 1877 and 1914 in different countries (Germany, Russia, Sweden, thè United States, France, Finland, Italy, Belgium, Switzerland and Japan) and comprising workers subjected to moderate or heavy work (in. factories) shows the distribution of nutritional elements (see table opposite.) As may be seen from the above, the energy value of the diet generally diminishes in passing from the category of moderate muscular to heavy muscular work. Here one is faced once again with the paradox that heavy work is mostly the lot of unskilled workers who receive the least wages, yet the diet increases more frequently in passing to very hard work. Similarly the diets studied in the case of subjects employed in different countries at these three types of muscular work show highly varied values for proteins (97 to 184 grms.), fats (70 to 177), or for carbohydrates (344 to 876), the minimum energy supply 1 I n China an enquiry effected in 1935 by the Institute of Medical Research in Shanghai deals with the diet of apprentices of 8 to 17 years of age (age of the maximum energy requirement) under bad working conditions. The British energy standard fixed for an average man of 70 kg. and for average muscular work was calculated on the basis of the average weight of the Shanghai adults (55 kgs.) and in consequence showed a total for calories of 2,360—2,670 (2,043 at rest). The nutritive value of the diet was 2,667 to 2,904 calories. JTGTJBBB? FOR T>TSTTtTBTTTION TNTO THE NUTRITIVE ELEMENTS OF THE D I E T Proteins Average (Grammes) 63.6 British standard (Ministry of Health: 70 kg.) . . . British standard adapted to the weight of 65 kg. 100 78.6 Animal 9.3 37 29.1 Carbohydrates (Grammes) Calories 46.7 498 2,660 100 400 3,000 78.6 314 2,360 Fats (Grammes) Workers engaged in chrome plating (active muscular work) only 'received a ration of 43.8 calories per kg. ; whilst printers working in a seated position received 41.2, which is slightly below standard. These figures would not be of great importance were it not that the diet was defective in other elements : poor in phosphorus, deficient in vitamins B l and C. Foods of animal origin were very rare in the diet of these workers : one sixth only of t h a t received by the American worker. Three quarters of the energy was furnished by rice, and proteins and fats were as far as possible supplied by soya beans. 31 NUTKITION AND OCCUPATION EXPERIMENTAL DATA RELATIVE TO THE DISTRIBUTION OF THE NUTRITIONAL ELEMENTS (ON THE BASIS OF LIGHT, MODERATE, OR HEAVY WORK) AMONGST DIFFERENT P E O P L E S 1 Proteins Fats (Grammes) (Grammes) Carbohydrates (Grammes) Calories Germany : A v e r a g e w o r k . 100—118 50—56 400—500 2,515-3,054 H e a v y w o r k . 135—140 Russia : A v e r a g e w o r k . 131.8 Sweden : A v e r a g e w o r k . 134.4 Heavy work. United States : Average work. H e a v y work. Finland : Average work. 80—100 450—500 3,344-3,347.5 583.8 3,675.2 79.4 522 3,436 K ö n i g , 1904 Voit, 1877 id.(1881) 188.6 110.1 714.4 4,726.2 Erismann, 1889 Hultgren, 1891 id. 150 175 150 250 550 560 4,060 5,705 Atwater id. 124 105 380 3,017 153 584 4,378 Sundstrom, 1907 id. 53.3 450 2,764 Albertoni 105.8 392 3,023 Slosse, 1910 94.2 450 3,157 Gigon, 1914 16 560—600 2,800-3,000 H e a v y w o r k . 167 Italy : Heavy work 72.8 (agricultural) Belgium : A v e r a g e w o r k . 104.6 Switzerland : A v e r a g e w o r k 206.7 Japan : A v e r a g e w o r k . 90—95 ( m a n of 55-60 k g . 79.7 Authors I n a t a , 1912 1 It would be interesting to compare the values given In this table with those of diets voluntarily chosen by workers. There will be found in Appendix III, tables VI-XII a few such values which unfortunately are not of very recent date. In the U. S. S. B. however, the National Nutrition Institute has recently laid down standards of nutritional requirements on the basis of fairly prolonged observation of factory workers choosing their own diet. It may be said that these standards are approximately 15 per cent, higher than those admitted in Western Europe or in the United States. Thus the maximum for very heavy work is 4,300 calories and the average figure for an adult 3,644 (proteins 120 ; fats 108 ; carbohydrates 525). In the country the average for an adult is 3,800 calories (proteins 115 ; fats 96 ; carbohydrates 592). It should be noted that for workers working in very high temperatures the quantity of proteins provided ranges from 130 to 150 gnna. In central Asia, it was found that in the case of workers working in excessive heat the protein requirement increased, and that where the metabolism was experimentally assessed as 3,600 calories, 130 gnns. of digestible protein chiefly of vegetable origin did not cover the requirement ; the nitrogen balance was negative, but became positive with the addition of 25 gnns. of protein from milk to the diet. In the Union of South Africa in 1935 the Gold Producer's Committee recommended to all mines that the Native worker should be given a nutritious morning meal, as a safeguard for his health and to promote efficiency. Recommendations have been made in particular with regard to the composition of this meal, suggestions consisting of meat stew, mealies, beans cooked in fat, sausages and, as a supplement, sweetened coffee or cocoa. An inquiry is in progress (Dec. 1935) comprising an attempt to fix the value of vitamins of certain foodstuffs as well as correlation of Native diet to the work done, to the climatic conditions, seasons and individuals belonging to different Native races. In general the diet of these workers, based mostly on cereals and vegetables, is deficient in food of animal origin. Contrary to the opinion of certain authorities that the quantity of proteins specially of animal origin should be reduced in the diet of workers in hot countries (which is also true of workers in temperate climates working in surroundings with a high temperature), South African authorities consider that such is not the case in regard to the workers in the gold mines. It is true that the almost exclusively vegetable diets of these peoples appear to give good results, but where they are subjected to work which is at times heavy It is open to doubt whether this state of things may be continued without, in the long run, endangering the individual and also the race. 32 WORKERS' NUTRITION AND SOCIAL POLICY from the diet being noted amongst urban workers (2,810) and the maximum (4,696) in t h e case of a German farm labourer. 1 I t is obviously impossible to draw positive conclusions from such data. The diet is influenced especially by motor activity, a s h a s already been seen; it is in proportion to the mass of the body and shows a parallel increase. I t is influenced by external surroundings : since man is continually regulating his temperature in order t h a t it may remain almost constant, with an external atmosphere gradually growing colder the loss will increase and demand therefore a gradual and constant compensating expenditure ; this explains what in practice may be called a winter a,nd a summer diet. Experiments made in the calorimetrie chamber were shown to be always consistent in the calculation of t h e energy expenditure in calories with a mixed diet. ENERGY EXPENDITURE IN CALORIES Static expenditure Body weight 65 kgs. 70 „ / \ Calculated Measured 2,119 2,279 2,305 2,133 2,283 2,337 Dynamic expenditure \ Calculated Measured 3,559 3,544 3^892 3,861 These diets are certainly open to the criticism of the physiologist, who would state t h a t instinct is a very bad guide in the oase of the workers affected, t h a t the diet is luxurious, and even -allege t h a t there is waste and harmful combustion in the body. Yet t h e fact remains t h a t the peoples in the end adopt a diet which exceeds the amount essential for their work and seek to attain, to maintain and even to exceed, the number of daily calories established b y experts. I t might even be said t h a t the peoples .are n o t convinced by the advice of the physiologists and health experts, more especially as regards the protein ration, for not only do they exceed the" amounts recommended as soon as their income permits, but they can only with great difficulty be brought back to a rational average. W h a t 4s of special-importa n c e for all is t h a t there exists a minimum in so far as proteins or fats are concerned, below which the state of health practically ceases to be normal. Ultimately the problem to be faced is not t h a t of ascertaining the energy furnished by a worker with a 1 Tyszka. NUTRITION AND OCCUPATION 33 minimum protein rate but rather of ensuring that such a worker enjoys an adequate diet, containing the quantity and quality indispensable to enable him to furnish a given amount of work. Light, Moderate and Heavy Work As far back as thirty years ago it was stated that, in the absence of accurate data relative to the quantity of work produced by man in the various occupations, it was impossible to determine in each particular case the quantity of energy which should be furnished by the diet. Yet it is a fact that diet varies in accordance with occupation and even varies amongst individuals in the same occupation furnishing the same amount of work. I t would therefore be wrong to seek to draw up rigid rules, even though it is necessary, according to certain experts on the subject, to take into account the force of adaptation, which is astonishing at times. It would therefore appear preferable to fix a limit to the diet below which the body would become exposed — after more or less prolonged delay — to serious injury. Another aspect of the problem not less difficult or complicated is the classification of occupations and processes in accordance with the amount of muscular energy expended. Without doubt, in the absence of objective tests, personal estimation plays a very large part in this task of classification. Results obtained in the laboratory cannot be directly applied to industrial practice and many experts, on the other hand, fear, rightly or wrongly, that classification involves the risk that all processes will be, labelled " heavy ". Attempts have been made — as is shown below — to translate into figures the energy expenditure of factory workers, but obviously such attempts encounter obstacles which must not be overlooked. First of all there are the difficulties involved in the designation of occupational categories : the same name for different operations ; a different name for the same processes ; the same work executed by very different machines or tools. Is it possible, for instance, to compare at the present time the work of the shoemaker or tailor working at home in the traditional manner, with the same work effected in a boot or clothing factory in accordance with modern technique ? Further, how can the effect of fatigue be expressed in figures ? Or again how can there be taken into account : static work which, though it costs but little physiolo^ 3 34 •' WORKERS' NTTTRITIOST AND SOCIAL POLICY gically, is nevertheless trying and tiring, or industrial organisation (duration of the shift, more or less lengthy rest periods, working r h y t h m , monotony, speed, posture, attitude, etc., imposed on the worker by the industrial process, factory conditions such as ventilation, temperature, humidity, dust, etc.) ? How is it possible to estimate finally all those almost imponderable influences of a psychological order, which so often complicate the worker's life a n d weigh heavily in the balance of his energy expenditure, and indirectly diminish his appetite and decrease the amount of food indispensable to cover his expenditure ? There is given below a short account of the most important óf t h e classifications of industrial operations and processes suggested by different experts on the subject. The first —• not in chronological order b u t because it has been established on a physiological basis — is t h a t of Amar, 1 which classifies mechanical work into three groups : (1) work involving a group or several groups of active muscles (arms, legs, fingers) ; (2) total weight of the body ; and (3) complicated occupational processes. On this basis there m a y be distinguished the following three groups of occupational processes : 1. Those in which the weight of the body only is called into play (quarryman working). 2. Those bringing into play the muscles of the arms (work a t a windlass, capstan or with a hammer or file) ; 3. Those bringing into play the action of the legs : (various operations). I n all these occupations, account must be taken of the fact t h a t t h e work in question is often work demanding " strength " or work demanding " speed ". Another classification is t h a t which divides the occupations into 16 occupational groups presented under the three usual headings, the limits of which are fixed by the amounts in kilograms of the mechanical work done in 8 hours : Moderate : Heavy : Very heavy : 100,000 kgrms. of which 50 to 60,000 are effective 220,000 „ „ 80 to 100,000 „ 340,000a : ,, ' ™ 7Í " 1 2 0 to 150,000 — „ • „ Whilst accepting these figures (50—150,000 kgrms), other authorities are of the opinion t h a t " exceptional or prolonged 2 'AMAB, J. : Le Moteur Humain, Paris, 1923. There have even been recorded amounts reaching 400,000 kgrms. 2 35 NUTRITION AND OCCUPATION muscular work " may attain 200,000 kgrms. and consider that the total daily work of a good workman up to the point of exhaustion may be estimated at 270,000 kgrms. ; that a good workman in an eight to ten hours' day subject to constant but not excessive work may furnish a useful quantity of energy amounting to 80,000100,000 kgrms. (about 25 to 65 per cent.) according to the nature of his work and the machine involved. Here there comes into play the influence of training and the specific qualities of a good worker, which explain a lesser expenditure of energy for efficiency which is at times greater. In his investigations affecting workers with an average body weight of 70 kgs. engaged in mechanical work, Wohlpert found an hourly figure of 900 kgrms. in the case of a woman engaged in sewing by hand ; 1,600 in that of a writer ; 1,700 in the case of a tailor ; 2,000 in that of a lithographer ; 2,800 in that of a woman worker sewing by machine ; 4,000 in the case of a draughtsman ; 4,100 in that of a mechanic and 8,000 in that of a shoemaker. Another classification of occupations based on figures expressed in kilograms (for a period of ten hours' work) is given as follows : Mechanical work (kgrms.) Calories Maintenance ration 50,000 118 2,400 80-100,000 190 2,400 900-950 3,300 120-150,000 350-360 2,400 1,400-1,500 3,800-4,000 Occupational supplement 400 Total (calories) 2,800 Occupations Small trades ; tailors ; c o p y ists ; dressmakers. Heavier mechanical w o r k ; shoemaking by hand. Work demanding strength: Excavation ; quarrying ; w o r k i n docks. Above 150,000 kgrms. the diet is proportionately increased. I t is considered that a great number of workers are engaged on work represented by 100,000 to 120,000 kgrms. (on a ten-hour day). Yet another classification distinguishes sedentary work, muscular work seated, moderate muscular work, considerable muscular work, heavy muscular work and very heavy muscular work, which other authorities classify as : sedentary work (3,333), semi-manual work (3,295) and manual (3,095). (See Appendix III, table XIII.) 36 WORKERS' NUTRITION AND SOCIAL POLICY * * * The d a t a just presented involve great difficulties of interpretation, t h e more so since the total number of calories attributed to each occupation varies from one author to another, within limits which are a t times considerable. Thus it is found that work lasting eight hours implies for a stenographer an expenditure of approximately 2,420 calories (occupational requirement : 1,040) or as much as t h a t allowed for machine workers, shoemakers, tailors, bookbinders, lithographers ; or again t h a t moderate work such as filing, hammering, carpenters', locksmiths', weavers' or dyers' work requires about 3,300 calories (occupational requirement : 1,920) ; or t h a t heavy work such as t h a t of a mason, a miner, a docker and in general all occupations requiring physical force demand about 4,600 calories (3,200 for the occupational requirement). W o r k to-day, however, is infinitely more complex ! Moderate work accomplished in an intense fashion (with a chronometer) may in reality be heavy ; heavy work executed a t a limited hourly speed may again a t times be considered moderate. From the point of view of the " calories ", work which demands 3,000 is n o t essentially heavy, yet certain work, on t h e other hand, demanding only 2,000 calories may, under certain conditions, be heavy. I t is thus seen t h a t t h e problem of diet, appropriate to these varying categories of work must be recognised as being in reality a higly complex one, and the calculation of an adequate diet is extremely difficult to determine, on the rigid basis of values found, without taking into consideration the special circumstances attaching to particular cases. CHAPTER III FACTS ON WORKERS' DIETS I. — STATISTICAL EVALUATION OF NUTRITION STANDARDS The preceding chapter surveyed the main facts of the relation of diet to occupation. Its purpose was to examine what the workers should eat, and it was shown that the answer to this question is not simple. It was brought out that specific occupations in a given environment impose special requirements in so far as the need for energy-yielding food elements is concerned. But the need for other nutritive elements such as minerals and vitamins is not influenced in the same way by the character of the occupation. In this chapter, therefore, the actual diets of workers are examined and evaluated, not with regard to the additional requirements imposed by occupation, but from the comprehensive point of view of an optimum diet based on all the nutritive elements necessary to satisfy human requirements. The concept of an optimum diet in itself is necessarily somewhat vague, not only because of the lack of physiological knowledge, but also because it involves to some extent general implications as to the type of human being which we should like to encourage. In the absence of universally valid standards, we must be content with less certain and more relative criteria. The Technical Committee of the Health Section of the League of Nations, meeting in London, laid down standards of adequate nutrition in a rather broad manner. It cannot be said that diets falling below the London standards are necessarily inadequate under all conditions, or that from other points of view higher standards are not desirable, or that such higher standards would involve harmful over-feeding. All that may be said is that diets which do not reach the London standard over a period of time may be regarded in the light of our present knowledge as inadequate for the maintenance of a " desirable " level of " health and efficiency ". These qualifications must be kept in mind in order to avoid hasty or absolute conclusions. 38 WORKERS' NUTRITION AND SOCIAL POLICY The main purpose of the present chapter is to examine what the workers actually do eat. But an evaluation of actual consumption habits is no less difficult a task than that of setting up nutrition standards. The need for food is not a simple one to be satisfied by means of a single foodstuff. Variety is a criterion of any physiologically sound diet, and satisfactory diets should contain a number of different nutritive elements. But foodstuffs — within certain limits — are interchangeable. Diets having essentially the same physiological value may be composed in different ways and it is impossible to say that any given combination of foodstuffs is inherently superior to others. Even assuming that the energy requirements are known (in fact, there exist a number of different calorific scales), the need for other nutritive elements such as animal and vegetable proteins, fats, mineral salts, vitamins, etc., may be filled — within the same calorific framework — by a great many combinations of different foodstuffs. Thus, while it is at least theoretically possible to lay down standard requirements for protein, fats, etc., there is no possibility of determining standard requirements for individual foodstuffs, such as beef, milk, potatoes or oranges. Hence, the important practical conclusion that the study of nutrition should build, on information of consumption in the aggregate, i.e. of groups of related foodstuffs. Strict limitations are thereby imposed on statistical methods of approach. In order to understand what this means, it is necessary to recall that there are, in principle, two methods which can be used to ascertain quantities of food consumed. The first method is that of estimating thé total national consumption of various foodstuffs and dividing these quantities by the number of persons1 in the population. Figures calculated on this basis are hereafter called figures of national consumption. The second method consists in ascertaining the quantities of foodstuffs consumed — or more correctly purchased — by a certain number of selected families during a given period of time. These figures are hereafter referred to as family budget data or, more simply, budget data. It is. difficult in practice to obtain national consumption data for more than a few foods, and it is impossible to decide, on the basis of such data, whether or not nutrition is inadequate. A low consumption of one foodstuff may well bè compensated for by a high consumption of some other foodstuff. Figures of 1 Or by " consumption units " . FACTS ON WORKERS' DIETS 39 national consumption alone cannot be used, therefore, as a basis for conclusions on the state of nutrition of a given population, particularly as these data have other serious limitations. Thus, to take cereals and root crops as an illustration, it is difficult to know how large a part of the quantities available during a period (production + imports — exports + changes in available stocks) are actually used for human consumption and how much for other purposes : feeding of animals, seed, industrial production, etc. I t is also difficult to know how large a part is lost in distribution. Furthermore, the figures obtained are broad averages and relate to the whole of the population. Even if such averages should show a satisfactory condition of nutrition, it would not follow that malnourishment and under-nourishment were not present. Some sections of the population might be well above the standard, while other sections are below. General averages of this nature which cannot be broken down are of comparatively little value in trying to determine the actual standards of consumption of the workers. These figures are therefore used in this chapter merely to supplement and reinforce the data obtained by the budget method and mainly for the purpose of indicating trends of consumption. The method which gives a concrete idea of the actual consumption of social groups is the budget method, and in the following pages data obtained by this method are used as our main source of information. I t is necessary, however, to discuss briefly some of the main characteristics of these data, in order to indicate their limitations and usefulness. For a more detailed review of the general problems connected with family budget enquiries the reader is referred to another study of the Office.1 Family budget enquiries give information on quantities of food purchased, not quantities actually consumed. A certain waste is unavoidable in the preparation of food and a certain amount is left over or spoiled in keeping and is thrown away. The percentage of waste varies from case to case ; it is likely that the percentage is higher in well-to-do families than in poor families. The proportion also depends on the ability and interest of the housewife. I t changes with the composition of the diet ; the waste of root vegetables, for instance, is generally higher than of muscle meat ; higher for fish than for bread, and so on. 1 INTERNATIONAL LABOTJB OFFICE : Methods of Conducting Family Enquiries, Studies and Reports, Series N., No. 9. Geneva, 1926. Budget 40 WORKERS' NUTRITION AND SOCIAL POLICY Generally a flat rate of 5 per cent, is considered sufficient to account for t h e waste among working people ; in view of the approximate nature of the data available, the factor of waste is hardly of great practical importance. I t should also be added t h a t it is often difficult to ascertain the true weights of quantities of food purchased. Poorer people often buy food in small units of currency, pennyworths, sixpennyworths, cents, etc., and the housewife does not always know the weight of the food she buys. Similarly, the weights given b y dealers are not always the correct ones. The quantities given in the enquiries are therefore often approximate and too great importance should not be attached to minor differences in the quantities registered. A further general difficulty should be discussed here. Family budget enquiries give information concerning the quantities of food purchased per family. They give no direct evidence concerning individual consumption. I t is obvious that a large family needs more food than a small family ; also that the composition of the family with respect to sex, age and occupation affects its needs ; hence, as long as the enquiries relate to families which are different in size and composition the quantities consumed per family do not permit of conclusions as to the actual state of nutrition. From the very beginning of family budget studies, attempts have been made t o break down the family into some smaller and more stable unit of consumption. This is not the place for reviewing this question, which is one of the most complicated in social statistics ; and one which so far has not been satisfactorily solved. Generally, however, the various family members are converted into units of an " adult male ", b u t a great number of different scales of conversion is actually used. They are all based on the idea t h a t the need for food is proportionate to the need for calories ; no allowance is made for the fact t h a t calories of a different kind are needed for persons of different sex, age and occupation ; the scales apply t o food requirements as a whole and not to individual foods. Unsatisfactory, therefore, as this procedure m a y be, it is a t the present time used in pratically all family budget enquiries, and if it is wished to undertake a study of food consumption a t all, this procedure has to be accepted. I t should be kept in mind, however, in interpreting the data, t h a t the device of the consumption unit introduces a further element of uncertainty, removing the results a step further away from concrete reality. The use of different scales of consumption units in the various enquiries renders international comparison still more difficult. 41 FACTS ON WOBKEES' DIETS Owing to t h e importance attaching to t h e question of consumption units in international comparisons of food-consumption, i t has been deemed useful to t r y t o give here a n idea of the order of magnitude of the error introduced in t h e comparison b y t h e use of different scales of conversion found in t h e main enquiries analysed below : t h e U. S. scale (U. S. A. (Detroit), Finland, Norway and Sweden) ; t h e combined U. S. and Lusk scales (Germany) ; t h e Quel scale (Belgium and Bulgaria) ; the Peller scale (Austria) ; t h e old German scale (Czechoslovakia) ; Poland applies a scale resembling t h e Atwater scale. As data on t h e age distribution of the families covered are generally not available t h e various scales have been applied to three family types (I-III). I t can be assumed t h a t type I I (husband, wife and three small children) in most cases roughly corresponds to actual conditions, as most enquiries attempt t o cover " n o r m a l " families composed of husband, wife and two or three small children. The figures have been indexed on t h e basis of the U. S. scale = 100, as it is t h e most commonly used. For purposes of comparison t h e League of Nations scale is added. GERMANY CZECHOSLOVAKIA AUSTRIA BELGIUM, BULGARIA POLAND I. 2 y e a r s . 2.05 100 2.40 117 1.90 93 2.10 102 2.2 Index Consumption units Index Consumption units Index Consumption units a Index o •e Consumption units Consumption units Index Husband, wife, plus following children (age) Consumption units NORWAY League of Nations scale Index DETROIT, FINLAND, SWEDEN, Consumption units Family type 107 2.25 110 2.10 102 II. 2, 5 a n d 10 y e a r s . . 3.20 100 3.65 114 2.50 78 3.26 102 3.20 100 3.35 105 3.20 100 III. 2,5,8,10 and 14 y e a r s . 4.85 100 5.15 106 3.30 68 4.66 96 4.40 91 4.80 99 4.80 99 Taking type I I as a predominant type of family, it will be seen that t h e numbers of consumption units (apart from other reservations to which t h e figures are subject) are comparable in U. S. A., Sweden, Norway and Finland ; t h e figures for Austria, Belgium, Bulgaria and Poland do n o t vary considerably from t h e U. S. A. scale and can be compared with relative safety with t h e above countries. On t h e other hand, t h e number of consumption units is considerably higher (10-20 per cent.) according to t h e German than the U.S. scale ; the consumption figures for Germany, therefore, will throughout appear lower t h a n if they had been recalculated on a common scale ; t h e contrary holds true of Czechoslovakia where t h e figures would appear t o be some 20 per cent, higher t h a n if calculated on a common scale. I n conclusion, therefore with the exception of Germany and Czechoslovakia, t h e fact t h a t different scales of conversion are used would not appear to be of great practical importance. What has been said above should be kept in mind, therefore, in particular when interpreting the figures for these countries. 42 WORKERS' NUTRITION AND SOCIAL POLICY I t has further to be borne in mind t h a t the consumption of foods actually recorded in family budgets relates to the family as such and represents the total consumption of the family. I t would have been highly desirable to study the question of nutrition in relation to the special food requirements of the individual worker with respect to his occupation, for, as pointed out in the foregoing chapter, these requirements change considerably with the character of t h e work performed — light, moderate or heavy — t h e climate in which the worker is living, etc. Such a study is impossible on the basis of family consumption, particularly as no technique has been developed for measuring the portions of the common consumption allotted to the various members of the family. 1 This omission, however, is practically less important than 'prima facie appears. The " London standards " are, as pointed out above, in the nature of broad averages, and allowances can be made for the fact t h a t in a given population there are groups of workers having different needs for food according to the character of their occupation. If a homogeneous population reaches a certain energy standard (e.g. 3,000 calories per d a y per consumption unit) a n d in other respects satisfies the London standards it can be assumed t h a t the component parts of the population are on the whole satisfactorily provided for with regard to food. Moreover, if regard is had to the total consumption of a family, the extra allowance called for owing to extra heavy work of the head of the family is relatively small. However, though the question of individual food requirements may be omitted without great practical inconvenience in this first general survey, whose aim is to map out the general problem, the question in itself is of great significance, and should be the subject of special research. I n addition to the difficulties discussed above, further limitations connected with the practical shortcomings of family budget enquiries should be taken into account. I t is shown in the following pages, in connection with the data of national consumption, t h a t although habits of food-consumption are relatively stable 1 As indicated in Chapter I I and in Appendix I I I , certain data exist on t h e subject of the' food consumption of . various professional groups. Broadly speaking, however, "they either relate t o ' s o few workers, ór tó such distant periods, or to special groups of workers, t h a t their representative value is too low to justify their inclusion in a general survey of this character. Moreover, in many cases the information does not relate to actual consumption b u t to regulations laid down by various authorities for the preparation of the food of soldiers, sailors, inmates of institutions, etc. There is no information on points such as whether the quantities prescribed are actually those consumed, and whether the quantities are calculated as purchased or as actually served, etc. FACTS ON WORKERS' DIETS 43 they may be considerably modified over long periods of time. I n any study, therefore, intended to give a picture of the existing habits, material greatly out of date must be excluded. I t would have been desirable to limit the present survey to enquiries undertaken during the last few years, b u t for practical reasons the survey has been extended to cover enquiries undertaken during the last ten years, and those undertaken before, during or immediately after the period of the great war are excluded. Although the number of countries covered is thereby somewhat restricted, the results obtained become less heterogeneous and of greater practical value. I n order to yield significant results, it is also necessary t h a t the enquiries should cover an adequate number of families. Often they cover a small sample only, and frequently do not clearly indicate the principles on which the sample was chosen. Enquiries covering only a few families have been excluded from this chapter. Moreover, in some enquiries greater attention has been paid to expenditure than to quantities consumed. Owing to the great variations in prices (both absolute and relative) of the same foodstuffs in various countries, expenditure figures are of no direct value in judging the nutritive character of various budgets. 1 As a number of enquiries (the successive Japanese enquiries undertaken during the years 1926-1-934 being outstanding examples) do not cover quantities of food consumed, the material a t our disposal is still further restricted. With regard, finally, to the countries which have in fact been covered in this analysis of family budget material, two general reservations should be noted. I n the first place, the majority of these belong to the more highly industrialised countries. Second, in each country the material relates primarily to the better-paid and more educated family-groups. The number of families covered is, with few exceptions, too small, particularly in the lower income groups, to permit definite conclusions to be drawn. I n most cases, the data have value more as illustrations of conditions of certain limited groups of labour rather than as conclusive evidence of the conditions among the working class as a whole. 1 I t should be pointed out that in certain conditions expenditure on various foods may give useful indications on the composition or quantities consumed. An analysis of this character, however, is rather complicated and would in any case give very uncertain and approximate results. I t has not been judged advisable to use material of this nature in the present study. 44 WORKERS' NUTRITION AND SOCIAL POLICY I n view of all these limitations, the existing material on workers' consumption should be interpreted with all necessary care and should be used mainly as illustrating certain broad tendencies. However, in spite of all the shortcomings of the material, conclusions in certain directions can be drawn with a fair degree of safety. As already pointed out, the family budget data relate on the whole to t h e better-paid section of t h e industrial workers of the world and i t may be assumed without risk of undue generalisation t h a t among the rest of the workers conditions are not in any case more satisfactory. If it is shown, therefore, t h a t conditions even among the better-paid workers are in many respects unsatisfactory, this conclusion applies a fortiori to the rest. I n order to facilitate the task of the reader, the basic statistical tables are printed as appendices. Throughout, -the quantities consumed are given in kilograms per unit of consumption. The consumption units are those adopted in each national enquiry ; the necessary data for recalculating them on a common basis are n o t available. The foodstuffs are arranged in major groups such as bread and cereals, etc., 1 in order to minimise a s far as possible the difficulties of comparison arising from minor differences in tastes and habits of consumption. Thus bread and cereals are given together ; so also are meat and fish, fruits and vegetables, etc. So far as possible, the analysis is concerned with these major groups of food, though necessarily also with individual foodstuffs. Attention is centred on six main aspects of the problem : (1) (2) (3) (4) (5) (6) 1 National differences in the workers' food consumption. Variations in food consumption according to family income. Nutritive values of workers' food budgets. National consumption of various foods. The question of malnutrition. Special groups of workers. See Appendix IV, Part A. FACTS ON WORKERS' DIETS 45 II. — NATIONAL DIFFÉRENCES IN WORKERS' FOOD CONSUMPTION The detailed data on food consumption by workers' households in different countries, obtained through recent family budget enquiries, are presented in Appendix IV. 1 As these enquiries were carried out at different periods, international comparisons give rise to many difficulties, the importance of which can hardly be overestimated. Nevertheless, such comparisons are less dangerous than might appear, owing to certain special features of the data. The enquiries relate mostly to the better situated part of the working class,2 and their lack of representativeness with regard to the workers as a whole does not preclude their being used for international comparisons of the sections of the working class concerned. Though the enquiries relate to different dates, fundamental habits of consumption are relatively slow to change. Further, though all the countries covered have been affected by the depression, the enquiries relate to people at work, at any rate during most of the enquiry, and the real incomes of such persons have not been so much affected by the depression as is often assumed. Finally, many of the errors tend to balance each other. In view of all this, it is believed that in spite of all the difficulties, the data give an approximate idea of the main kinds. of differences in workers' consumption from country to country. Particularly as regards the composition of diets the budgets give valuable indications. In table I are reproduced the main results of an international comparison of workers' consumption by main groups of foodstuffs. These results are illustrated in fig. I (a). Table II shows comparative figures for a selected number of individual foodstuffs. The tables contain on the one hand absolute quantities (kgs.) consumed per consumption unit and on the other hand relative figures comparing the quantities 1 For a discussion of the source, scope, methods of compilation, main results, etc., of these enquiries, cf. the International Labour Review, No. 5, Nov. 1933 : "Recent Family Budget Enquiries"; Vol. X X X , No. 1, July 1934 : " The Belgian Family Budget Enquiry of 1928-1929 " ; No. 2, Aug. 1934 : " T h e Finnish Family Budget Enquiry of 1928" ; No. 6, Dec. 1934 : "Expenditure of Working-Class Families of Merseyside, England, 1929-1931 " ; Vol. X X X , No. 3, March 1935 : " The Czechoslovak Family Budget Enquiry of 1929-1930 " ; No. 6, June 1935 : " The Swedish Family Budget Enquiry of 1933 " ; Vol. X X X I I , No. 1, Aug. 1935 : " The Shanghai Family Budget Enquiry of 1929-1930 " ; Vol. X X X I I , No. 5, Nov. 1935 : " Family Budget Enquiries in Japan, 1926 to 1934 " ; Vol. X X X I H , No. 2, Feb. 1936 : " Recent Family Budget Enquiries in Latin America " (Argentina, Brazil and Mexico). 2 Cf. International Labour Review, p. 672, November 1933. TABLE I . QUANTITIES (KGS.) OF THE MAIN GROUPS OF FOODSTUFF - IN DIFFERENT COUNTRIES PER YEAR P E R UNIT Country SWIÏDEN GERMANY BELGIUM Number of families 610 896 809 Cereals a n d .bread Meat, fish, e t c . M a r g a r i n e , fats, ¡etc Milk, m i l k p r o d u c t s a n d eggs . Vegetables a n d .fruits . . . . Sugar . . . . ' • 106.5 64.9 12.3 284.1 160.0 37.5 134.0 52.9 16.3 174.0 227.2 16.6 Cereals a n d b r e a d Meat, fish, e t c . ; M a r g a r i n e , fats, ; e t c Milk, m i l k p r o d u c t s a n d eggs Vegetables a n d fruits . . . . Sugar . . . . Ì 100 100 100 100 100 100 126 82 133 61 142 44 BULGARIA NORW 135 A . — Ab 218.38 290.46 1 144. 60.67 38.68" 87. 4 10.67 24. 9.77 189.06 43.73 225. 295.67 119.65« 123. 15.22 23. 9.60 B . — Indexes 2731 205 60 3 93 4 79 87 15 67 75" 185 41 • 26 ¡Avera 135 135 200 79 77 63 1 Excluding cakes, biscuits, pastries. — • Excluding fish. — ' Excluding poultry. — ' Excludi cabbages, melons, watermelons, pumpkins, lemons, oranges, etc. — ' Data relating to peas and beans potatoes only. • TABLE H . QUANTITIES (KGS.) OF SELECTED FOODSTUFFS CONSUMED BY COUNTRIES PER YEAR PER UNIT OF CONSU Country SWEDEN GERMANY BELGIUM BULGARIA Number of families 610 896 809 93 39.2 56.5 6.7 6.4 14.7 17.1 11.4 249.2 11.4 6.1 12.9 1.8 108.6 31.5 37.5 106.0 14.7 7.1 10.5 11.5 6.6 9.7 154.4 5.9 4.8 8.7 2.7 153.6 27.4 16.6 202.97 7.42 4.53 22.19 17.46 9.20 4.97 154.10 18.13 5.49 11.34 3.15 227.15 13.93 15.22 218.45 52.06 19.95 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 270 26 106 164 78 39 85 62 52 79 67 150 141 87 44 518 13 68 347 119 54 44 62 159 90 88 175 209 44 41 Bef. No. 1, 2 4 5 6 7, 10 13 14 17—19 21 22 23 24 25 27 31 Flour Beef Pork, ham and bacon Fish Milk Cheese 1 Wheat bread and rye bread Beef Fish Margarine Milk Peas and beans (dried) 135 — — 3.95 32.70 0.53 6.39 4.11 11.85 19.65 19.94 ' 9.60 B. 1, 2 4 5 6 7, 10 13 14 17—19 21 22 23 24 25 27 31 NORWA A. A 114.95 18.12 5.17 9.19 7.81 46.66 23.89 201.04 2.56 8.12 7.82 2.24 88.53 16.3 23.65 Indexes (Av 557 92 298 — — 23 — 13 5 105 32 658 18 63» 26 293 32 77 144 53 273 210 81 22 133 61 124 82 52 63 Including preserved meat. — * Excluding melons, water melons, pumpkins, tangerines, lemons, 48 WORKERS' NUTRITION AND SOCIAL POLICY TIG. I. ( « ) . I N B E X E S OF QUANTITIES O ï ÏOODSTOTFS CONSUMED I N D I F F B B E N T COUNTBIES, P E B UNIT OF CONSUMPTION (Sweden = 100) Cereals and bread 2SO 270 260 2 SO 240 2 SO Margarine, fats, etc. 220 200 2IO 200 ICO 190 ISO ISO 2 IO I70 >70 IÓO Meat, fish, etc. ISO 100 150 I40 I40 •«o ISO ISO ISO I20 120 120 IIO HO HO IOO IOO IOO SO 90 CO «0 ÔO 70 60 SO 40 SO 20 a'S 5 À S« lÎffilHîI mimi WM Vegetables and fruits I0O HO Milk, milk products and eggs ISO 120 __ IOO ISO ISO I20 110 00 . 70 60 60 SO "50 40 40 SO O 00 ao 70 " so 20 IO ¡sugar no IOO ICO 90 eo IO 70 - * = 50 49 PACTS ON WORKERS ' DIETS consumed in each country with those consumed in Sweden, which is taken as a basis ( = 100) in view of the fact t h a t t h e Swedish budget (in t h e aggregate) is considered t o be physiologically relatively satisfactory. 1 I n order to facilitate t h e understanding of t h e material, a graph (fig. I (b)) has been added showing t h e percentages of total income spent on food in t h e countries concerned. Although these percentages cannot show a direct or precise correlation t o standard of living, owing to the great number of circumstances influencing them, they are nevertheless useful in suggesting, in a n approximate way, some general relationships between the type of food consumption on the one hand a n d the standards of consumption, etc., on t h e other hand! A full enquiry into t h e p a r t played by international differences in standard of living as a determining factor of food consumption would obviously have to use eleborate methods involving, inter alia, the elimination of t h e influence of differences in tastes, habits, etc. F o r a discussion of these matters, however, the reader is referred to another publication of the Office. 3 Bread and cereals. — As m a y be seen from t h e tables, great differences exist internationally as to t h e quantities of bread and cereals consumed b y workers. I n Sweden the total quantity amounts to a little more than 100 kgs. p e r consumption unit per year, while in Bulgaria i t is almost three times as high. The consumption is relatively low in t h e Scandinavian countries, Germany and the United States, and increases considerably in Czechoslovakia, Belgium, Poland and Bulgaria. Broadly speaking, and allowing for differences in national tastes and habits, t h e quantities of cereals consumed stand in inverse relation to t h e general level of consumption in various countries. The consumption of individual cereals fluctuates more widely under the influence of such factors as individual tastes, habits, etc. Noticeable, for instance, is the relatively large purchase of flour in the Scandinavian countries and the relatively small consumption of baker's bread. 1 Cf. table XrV. 2 INTERNATIONAL LABOUR OFFICE : International Comparisons of Cost of Living. Studies and Reports, Series, N (Statistics), No. 20, Geneva, 1934. i 50 WORKERS' NUTRITION Meat and fish. — T h e quantities of meat and fish consumed are, roughly speaking, in inverse proportion to the quantities of cereals and bread. I t should be noted, however, t h a t the consumption of meat is related to t h e consumption of fats a n d dairy products ; a low consumption of meat . can p a r t l y be compensated for by a high consumption of articles belonging to these other groups and vice versa. Norway, for instance, has a high meat consumption, b u t the consumption of dairy products is low a s compared with Sweden AND SOCIAL POLICY ITC. I (6) E X P E N D I T U E E ON POOD AS PERCENTAGE OF TOTAL E X P E N D I T U R E 60 TV «anumilili and Finland, countries with otherwise similar food habits. With such reservations it is interesting, however, to note t h a t meat consumption is low in Bulgaria, Czechoslovakia, Finland and Poland ; moderately high in Germany, the United States and Belgium ; high in Sweden, Austria and Norway. T h e differences in different countries with regard to the individual foodstuffs in this group are of secondary interest here. I t m a y be pointed out, however, t h a t the consumption of fish is relatively high in the Scandinavian countries, and low in the inland countries of Europe. Margarine and fats. — The absolute quantities of foodstuffs in this group consumed by workers are small, and i t is therefore n a t u r a l t h a t the differences in relative consumption between countries should be considerable ; it is difficult also to discern a definite trend of development. Countries like the United States and Sweden which have a high general level of consumption have a moderate consumption of fats and margarine,„while.high.figures . are found in Germany, Czechoslovakia, Austria and Norway ; low figures are found in Poland, Finland and Bulgari». j.Tj.argariiic is perhaps the most important single item in this group of foods ; it is, however, in direct competition with butter, and low figures for margarine and fats are partially compensated for by the consumption of butter. Thus, t h e low Finnish figure in this group of FACTS ON WORKERS ' DIETS 51 foods is partly explained b y the high consumption of milk and milk products, while the high figure for Germany should be viewed in the light of a relatively lower consumption of butter. Milk, milk products, eggs. — This group is particularly important because of the great physiological value of the foodstuffs it contains. As may be seen from the figure on page 48, the quantities consumed by workers' households differ much from country to country. The consumption is particularly high in Finland and Sweden, moderately high in the Central European countries and in the United States, and low in Poland and Bulgaria. Broadly speaking, the consumption of this group of foods would appear to be positively correlated with the general standard of consumption. The consumption of milk reaches in Sweden 250 litres per year per unit of consumption and in Bulgaria only 30 litres. The consumption of butter is about 11 kgs. in Sweden, 9 kgs. in the United States, 6 kgs. in Germany and is practically nil in Bulgaria. About the same relative condition is shown b y the consumption of eggs. Vegetables and fruit. — This group is quantitatively important owing to the bulky nature of most of the items of which it is composed. The quantities consumed are also influenced by climate and local marketing conditions and it is difficult to trace a more direct relationship between the general standard of consumption and quantities consumed. Consumption figures are low in Finland, Norway and Czechoslovakia, moderately high in Austria, Sweden, Germany and the United States and very high in Poland and Belgium. A glance a t table I I indicating the level of consumption of selected individual foodstuffs, however, is sufficient to show t h a t the composition of the group is different in the different countries. Thus, the consumption of potatoes is absolutely high in Belgium and Poland, while that of fruit is specially high in the United States. Miscellaneous foods. — Owing to the heterogeneous composition of this group, it would have little meaning to cite sums of quantities consumed. B u t to illustrate the tendency of consumption in this group, sugar 1 may be used as typical of the group. Consumption of sugar is particularly high in Sweden and Czechoslovakia and low in Belgium, Bulgaria and Germany. Other countries fall in between. 1 Purchased as such. 52 WOBKEKS' NUTRITION AND SOCIAL POLICY , Summary. — Although incomplete in m a n y respects, the material presented above shows t h a t the various countries exhibit great differences in quantities of foodstuffs consumed and in dietary habits generally. Broadly speaking, the consumption of bread and cereals is high in less prosperous countries and tends to decrease as one proceeds towards countries with higher standards. On t h e other hand, the important groups of meat and fish a n d milk, milk products and eggs show an opposite tendency. The minor group — fats and margarine — shows no definite tendency ; the same applies to fruit and vegetables, although in the latter case the consumption of fresh fruit generally increases in countries with higher standards. III. — VARIATIONS I N F O O D CONSUMPTION ACCORDING TO FAMILY INCOME I n order to evaluate the composition and adequacy of diets a t different income levels of a given population, two sets of data are required. First, the distribution of family incomes, and second, family budget enquiries for each income level. I t would then be possible to estimate, on the one hand (by reference to accepted nutritive standards), the amount of malnourishment and undernourishment, and, on the other hand (accepting the tastes and habits of people as expressed in family budget enquiries), the a m o u n t of the various foodstuffs required to reach the desired nutritive standard. Owing to the lack of relevant data on the distribution of family incomes, as well as of sufficiently representative budget data, this ideal programme is not possible of attainment a t the present time. To the best knowledge of the Office, only in the United Kingdom and in the United States of America have attempts been made to carry out such investigations. 1 I t is highly desirable t h a t other countries should follow suit, as studies of this kind are indispensable as a basis for a n y rational social policy of nutrition. I n t h e meantime, one has to be content with the approximate information supplied by existing family budget enquiries. As it is impossible to decide to what extent the income classification 1 Cf. Sir John OEK : Food, Health and Income. London, 1936 ; and STTEBLIKG and WARD : " Diets a t Four Levels of Nutritive Content and C o s t " , U.S.A. Department of Agriculture Circular' No. 296, Washington, 1933. PACTS ON WOBKEBS' DIETS 53 in these enquiries is representative of the distribution of income within the entire population, quantitative conclusions as to the state of nutrition should be avoided. The enquiries are significant mainly in that they illustrate the condition in different countries of persons living at different income levels, and, as indicated above, the majority of the families studied in existing enquiries belong to the better-paid sections of the working classes, it is reasonable to assume that the figures given in these studies for the lower income groups are more representative of the whole working class than are the figures for the higher income groups. In any case, the general averages are not likely to give an exaggerated idea of the extent of malnourishment and undernourishment. The basic figures of quantities of different foodstuffs consumed at different income levels are given in Appendix IV, Part B, both for individual items and for main groups of foodstuffs. These basic data have been indexed, the quantities consumed in the highest income-group in each case being taken as the base = 100. The indices for the main groups of foodstuffs and for selected foods belonging to these groups are reproduced in tables in this chapter. For further details, as well as for a description of the income groups, the reader is referred to Appendix IV, Part C. x The text here gives a summary only of the main facts, which follow from an analysis of the tables in the appendices. Moreover, owing to the composite character of diets and to the interchangeability of foodstuffs, it is not advisable in this general survey to lay stress on figures for individual foodstuffs. In the following pages, therefore, emphasis is on the fluctuations of the main groups of foodstuffs rather than on fluctuations of individual foods. 1 I t is necessary to sound a note of warning to those who would interpret these figures. The absolute strength of the tendency of consumption to fluctuate as income changes depends not only on the actual conditions in the countries studied, but also on the method of formation of incomegroups. This important question has been neglected in most family budget enquiries ; no uniform or scientifically sound rules of procedure have so far been developed. The number of income-groups chosen, and their range, have been left mainly to chance ; if the enquiry is narrow in scope, the range of the income-groups becomes correspondingly restricted. If the enquiries had been wider in scope, the income-groups adopted would have been different, and consequently the relative figures of consumption. Too much importance should not therefore be attached to the absolute level of the figures ; their main value is in showing general tendencies. 54 WORKERS' NUTRITION AND SOCIAL POLICY Bread and cereals. — This group supplies, as already indicated, in the cheapest way the calories necessary for the maintenance of life. Broadly speaking, the poorer a class or a country, the greater proportion of the total number of calories consumed is supplied by foods belonging to this group. TABLE in. CONSUMPTION OP CEREALS A N D BREAD. PER UNIT OP CONSUMPTION PER YEAR, B Y INCOME-GROUPS Quantity (kgs.) Country Index Income-groups 1 2 3 4 l 5 2 • 3 4 5 Germany . . . 139 137 135 128. 132 105 104 103 Belgium . . . . 226 217 219 204 — 110 106 107 100 — 97 100 Sweden . . . . 113 106 102 — Poland . . . . 199 222 229 213 — — 93 104 107 100 — Norway . . . . 150 143 147 140 — •107 102 105 100 — Czechoslovakia . United Kingdom United States s . 1 198 196 .177 — • 111 104 100 — — 112 111 100 — ' — 96 89 113 113 112 108 100 98 109 — — 100 100 80 — 99 73 90 100 — — 1 Per capita consumption. The lowest income-group excluded for the U. K. in this and the following tables. — * North Atlantic cities. . I n Germany, Czechoslovakia, Belgium and Sweden, the absolute amount of cereals and bread • consumed decreases with advancing income. I n Poland, on the other hand, the quantities consumed first increase as income- advances and then decrease. I t m a y be assumed t h a t the lowest income-groups are so poor t h a t they are not even able to satisfy their needs of cheap calories, and a n increase of income, therefore, brings about an increase in calorific intake by way of cereals. I t is likely, however, t h a t t h e need for and the total human consumption of cereals in most West European countries would on the whole decrease with advancing income. The composition of income, as is shown b y advancing income the whilst t h a t of rye bread is less certain. the cereal group is also influenced by table TV, I t is generally found t h a t with consumption of wheat bread increases falls. The tendency with respect to flour PACTS ON WORKERS 55 DIETS TABLE IV. INDEXES OE CONSUMPTION OP INDIVIDUAL POODS BELONGING TO THE CEREAL AND BREAD GROUP, BY INCOME GROUPS Country Czechoslovakia.... United S t a l e s 1 . . . . (North Atlantic cities) 1 Per capita consumption. Income groups Wheat bread Bye bread Hour Other cereals 135 127 119 105 97 100 103 104 100 1 2 3 4 56 65 75 85 5 100 100 . 95 97 101 95 100 1 2 46 77 93 95 147 124 90 92 3 100 100 100 100 123 116 102 112 135 115 100 100 100 1 2 3 1 2 3 52 48 78 113 127 114 65 72 115 56 80 87 4 100 100 100 100 1 2 3 107 94 115 121 103 105 70 111 92 82 125 114 4 100 100 100 100 1 2 60 76 129 113 92 98 3 100 100 100 56 WORKERS' NUTRITION AND SOCIAL POLICY Meat, fish, etc. — Meat, and particularly fish, are as a rule relatively expensive per calorie. Strict economy in the poorer income groups is therefore as a rule necessary for foods belonging to this group, and the budget figures actually show considerable expansion in the consumption of foodstuffs in this group with advancing income. TABLE V. — CONSUMPTION OF MEAT, FISH, ETC., P E R UNIT OF CONSUMPTION P E R YEAR, BY INCOME GROUPS Quantity (kgs.) Country 3 4 a 1 2 47 52 59 68 57 68 48 '57 75 83 69 64 81 — 63 80 100 . . . . 38 47 55 72 — ' — — — — 58 51 53 65 77 .75 84 93 1 2 . . . 39 Belgium . . . . Sweden. . . . . Poland Norway Germany Index Income . groups 3 i 76 86 5 100 '— — 100 — 100 __ — — 91 100 — . . . . .76 86 95 102 Czechoslovakia . 34 49 55 — 61 88 100 United Kingdom 1 55 67 77 84 93 59 72 83 91 100 46 72 108 — —•. 42 67 100 .— — United States 1 2 . 1 Per cavita consumption. * North Atlantic cities. Table VI gives an analysis of the changes in this group by individual foods. As is to be expected, the increase in consumption is particularly marked for the relatively expensive meats such as veal. PACTS ON WORKERS' DIETS 57 TABLE VI. — INDEXES OP CONSUMPTION OP INDIVIDUAL POODS BELONGING TO THE MEAT GROUP, BY INCOME GROUPS Country Czechoslovakia.... United Kingdom 2 . . United States 2 . . . . (North Atlantic cities) 1 Income groups Beef Pork 1 2 3 4 52 65 78 86 5 Mutton Veal Hah 60 66 78 88 50 50 50 70 19 25 41 63 75 72 77 86 100 100 100 100 100 1 2 87 93 72 92 20 50 50 78 66 87 3 100 100 100 100 100 1 2 78 94 61 88 37 81 41 56 — 3 100 100 100 100 — 1 2 3 31 47 61 36 77 71 14 28 30 4 100 100 11 36 8 100 100 156 122 85 100 1 2 3 56 73 86 31 53 78 51 78 105 24 47 44 96 94 98 4 100 100 100 100 100 1 2 3 53 66 86 46 78 102 — 23 50 80 71 64 91 4 100 100 — 100 100 1 2 3 4 771 911 100 1 103 1 — 41 52 68 83 5 100 1 — 100 1 2 1 75 971 29 43 5 14 3 100 1 100 100 Including veal. — s Per capita consumption. — — - — 41 61 77 90 100 32 67 100 58 WORKERS' NUTRITION AND SOCIAL POLICY Margarine, fats, etc. — This group, which is in close relation to the meat group on the one hand and to the milk group on the other, supplies fats at a relatively cheap price per calorie. The consumption of foodstuffs in this group is relatively high at lower income levels and decreases with income. Poland offers an exception ; the consumption of this group of foodstuffs in that country increases absolutely and relatively. . The explanation of this fact — which probably recurs in most countries having lower standards of food consumption — is evidently the same as that given for the bread and cereal group. At a very low income level consumption is concentrated on bread, etc., and with increasing income, consumption is increased at first by cheap fats and meat; when the standard of living is further improved, more expensive foodstuffs — such as butter — are consumed. TABLE VU. CONSUMPTION OF MARGARINE, FATS, ETC., PER UNIT OE CONSUMPTION PER YEAR, BY INCOME GROUPS Quantity (lfgs.) , Country Index Inco me groups 1 2 3 4 5 1 2 3 . . . 18 18 16 16 14 131 127 119 116 100 Belgium . . . . 13 11 '9 10 107 89 100 . . . . 13 12 11 — 120 115 100 — — — Poland . . . . 2 3 4 — — 4 — 132 Sweden 43 •7.7 96 100 — Norway 100 Germany 105 103 120 — 140 149 100 — — — 9 '7 148 139 132 123 100 — 100 132 100 — — 24 24 27 23 17 19 13 United Kingdom1 11 10 9 5 7 5 United States . 5 — — . . . . Czechoslovakia . 12 , 4 — 1 Per capita consumption. ' North Atlantic cities. Table VIII gives an analysis of changes in consumntion bv individual foods. I t is interesting to observe that the consumption of margarine seems on the whole more sensitive to changes in income than is that of fat or lard. 59 FACTS ON WORKERS' DIETS TABLE VU!. I N D E X E S OF CONSUMPTION OF INDIVIDUAL FOODS BELONGING TO THE MARGARINE, FAT, ETC., GROUP, BY INCOME GROUPS Country Belgium United Stales 1 ( N o r t h A t l a n t i c cities) Income groups Margarine Fat and lard Vegetable 1 2 3 4 166 152 137 137 112 117 110 102 65 73 85 81 5 100 100 100 1 2 122 115 100 112 — 3 100 100 — 1 2 201 168 124 144 — 3 100 100 — 1 2 3 65 100 125 35 69 89 153 194 170 4 100 100 100 1 2 3 106 104 121 59 83 107 — 4 100 100 1 2 3 215 153 96 91 84 85 4 100 100 1 2 3 4 274 195 153 126 102 119 125 121 5 100 100 — — — 1 2 —. — — 137 172 100 73 71 100 3 Per capita consumption. OÜ — — — — — — 60 WORKERS' NUTRITION AND SOCIAL POLICY Milk, milk products and eggs. — This group plays an important part in practically all budgets both from the point of view of quantity and expenditure. It supplies, together with the fruit and vegetable group, the bulk of the protective foodstuffs. The price per calorie of items belonging to this group is relatively high. It is natural to find, therefore, that the quantities consumed show high correlation with income ; also the difference between the higher and lower income groups is greater in relatively poor countries. TABLE IX. — CONSUMPTION OF MILK, MILK PRODUCTS AND EGGS PER CONSUMPTION UNIT, PER YEAR, BY INCOME GROUPS Index Quantity (kgs.) Country Income groups 1 2 S 124 158 Ì77 4 5 194 203 161 192 204 229 243 285 316 • . . . 3 4 61 78 87 95 100 70 84 89 100 77 90 100 42 62 79. 100 188 225 251 265 71 85 95 100 Czechoslovakia . . . 191 224 271 ^llll/CU ii.lllgU.UHl 2 85 109 137 57 U n i t e d S t a t e s 1 2. 1 102 119 137 170 211 105 156 192 71 83 100 48 57 ' 57 65 5 ' 81 100 81 100 1 Per capita consumption. • North Atlantic cities. With regard to the individual foods in this group, it is shown in table X that the increase in almost all countries is particularly marked for eggs, butter and cream. 61 FACTS ON WORKERS' DIETS TABLE X. — INDEXES OF CONSUMPTION OP INDIVIDUAL FOODS BELONGING TO THE MILK, ETC., GROUP, BY INCOME GROUPS Country Czechoslovakia.... Income groups United States 2 . . . . (North Atlantic cities.) 1 2 Milk, unskimmed. Per capita consumption. Butter Cheese Eggs 1 2 3 4 641 821 911 981 17 17 33 50 27 43 52 73 58 69 74 84 34 57 65 75 5 lOOi 100 100 100 100 1 2 1 76 911 29 73 49 73 78 92 59 86 3 lOOi 100 100 100 100 1 2 71 82 — 54 74 — 62 96 3 100 — 100 — 100 1 2 3 38 60 77 38 71 74 36 49 81 82 68 89 22 29 54 4 100 100 100 100 100 28 64 82 18 29 43 59 72 90 34 53 86 1 2 3 United Kingdom 2 . . Cream Milk 1 67 751 891 4 100 100 100 100 100 1 2 3 77 86 87 — 44 78 100 52 72 93 43 72 91 4 100 — 100 100 100 1 2 3 4 38 47 56 76 59 69 77 86 97 121 139 139 46 57 71 80 5 100 — 100 100 100 1 2 58 89 6 176 53 78 19 36 29 53 3 100 100 100 100 100 — 62 WORKERS' NUTRITION AND SOCIAL POLICY Vegetables and fruits. — This group, while containing some of the most important protective foodstuffs — especially fresh fruits and green vegetables — also contains some of the most bulky energy-producing foods like potatoes and certain other rootcrops. The total quantities consumed, therefore, as given in table XI, are of relatively minor importance. I t is of interest, however, to note that the importance of this group of foods in the diet generally increases with income, indicating that, as economic pressure decreases, people prefer to fill their need for energy by foods belonging to this group rather than by cereals. The consumption of potatoes, and of other root crops, is at higher income levels in direct competition with the consumption of cereals. TABLE X I . — CONSUMPTION OF VEGETABLES AND FRUITS, PER CONSUMPTION UNIT P E R YEAR, BY INCOME GROUPS Quantity (kgs.) Country Index Income groups 1 2 3 4 5 1 2 3 4 88 90 91 100 5 . . . . 197 222 228 231 253 78 . . . . . 278 298 302 322 93 75 90 100 70 89 —. —- — 86 100 — Norway — — 214 274 264 307 — 108 117 136 152 -— 86 — 71 77 89 100 Czechoslovakia 122 121 78 87 91 43 62 100 Germany Belgium Sweden 135 160 179 Poland . . United Kingdom 1 . United States 1 2 . •. 94 100 — 70 152 171 178 185 196 154 221 356 — — • 95 100 — — 1 Per capita consumption. ' North Atlantic cities. With regard to individual foods in this group, some interesting ; conclusions .may be drawn from table jXIL. The consumption of dried peas and beans either decreases with an increase in income or remains relatively stable. The reason is that these foods supply cheap vegetable proteins, and with increasing income and increasing meat consumption the need for these products decreases. Notable exceptions are offered by Belgium and Norway. Consumption of potatoes, on the other hand, shows generally 63 FACTS ON WORKERS' DIETS TABLE X n . INDEXES OP CONSUMPTION OF INDIVIDUAL FOODS BELONGING TO THE VEGETABLE AND FRUIT GROUP, BY INCOME GROUPS Income groups Country Czechoslovakia.... United Kingdom l . . United States 1 . . . . . (North Atlantic cities) 1 Peas and beans Potatoes Cabbage (dried) Boot crops (inc. onions) Fresh fruits Marmalade, jam 1 2 3 4 112 119 104 92 99 107 104 99 83 81 94 98 71 83 86 91 28 43 55 68 86 100 114 100 5 100 100 100 100 100 100 1 2 105 95 91 98 28 62 52 73 51 77 — 3 100 100 100 100 100 — 1 2 137 122 175 174 — Z — 130 143 3 100 100 — — — 100 1 2 3 108 103 125 80 98 88 41 67 89 71 79 88 31 47 71 — 4 100 100 100 100 100 — 1 2 3 64 80 79 84 85 92 48 59 79 65 80 89 33 52 86 117 130 126 4 100 100 100 100 100 100 1 2 3 51 75 78 101 100 96 — — 31 62 82 64 86 96 4 100 100 — — 100 100 1 2 3 4 ' 104 107 106 106 55 66 71 78 5 — 100 — — 100 96 95 99 106 100 1 2 — 68 — • 86 100 — —. — — — — — 27 53 100 — — — 3 — — Per capita consumption. the opposite tendency and increases moderately with advancing income ; an exception is Czechoslovakia. The consumption of cabbage, which represents green vegetables in cheap form, shows a marked increase as income advances. The same applies even more markedly to fresh fruits. 64 WORKERS' NUTRITION AND SOCIAL POLICY TABLE XDX — INDEXES OP CONSUMPTION OB" INDIVIDUAL POODS BELONGING TO THE MISCELLANEOUS GROUP, BY INCOME GROUPS Income groups Country Sugar1 Í United Kingdom 3 .. 1 i 0 United States . . . . (North Atlantic cities) Tea Cocoa Condiments Beverages 1 2 3 4 80 96 90 99 27 41 50 77 100 100 100 100 125 125 125 100 69 79 82 90 5 100 100 100 100 100 24 37 57 72 100 80 93 2 63 81 2 60 60 100 125 83 94 60 95 100 1002 100 100 100 100 1 2 3 109 112 81 124 — z 127 134 100 100 — — 100 71 145 100 1 2 3 52 70 83 27 39 67 71 62 67 50 75 15 — 4 100 100 100 100 64 70 75 100 —. 38 32 50 1 2 3 Czechoslovakia.... Coffee (beans) 2 — 1 2 3 4 79 91 98 79 101 2 111 2 50 50 79 — 100 1002 100 — — 100 1 2 3 67 82 84 58 80 92 — — 69 77 84 — 4 100 100 — — 100 — — 100 107 110 107 1 2 3 4 5 1 .2 3 . 76 86 92 97 100 71 86 100 \ — — 100 — —. 36* 55* 100* — 60 60 44 35 — 100 100 — — 420 170 100 " 1 ' 3 4 Purchased as such. Including substitutes. Per capita consumption. Including tea. " - • • " " • FACTS ON WORKERS' DIETS 65 Miscellaneous foods. — Owing to the greatly varying character and value of the items entering into this group, sums of total quantities consumed have no meaning and attention should be given entirely to the consumption of individual foods. The most important single item is sugar. With the exception of Czechoslovakia, the consumption of sugar increases everywhere with increasing income ; the same applies to coffee, tea and cocoa, condiments and beverages. Summary. — Family budget enquiries, as already pointed out, do not permit of the calculation in exact numerical terms of the relation between consumption and income. They suggest, however, broad tendencies in the development of quantities consumed as income increases and even some qualitative changes in consumption (for example, certain foods are consumed in certain income groups which are not consumed in others, etc.). In order to bring out these tendencies more clearly, fig. I I has been prepared. The following important conclusions may be drawn : As income increases, the consumption of bread and cereals tends to decrease ; the tendency with respect to fats is less certain, although, broadly speaking, the consumption of fats, particularly of margarine, appears to fall with increasing income. The consumption of meat and fish, milk and milk products, and fruits and vegetables, on the other hand, increases consistently with an increase in income. A striking feature of these results is their high degree of concordance. In spite of all differences in race, habits and climate of the populations studied, and in spite of all differences in the value and representativeness of the enquiries used, the same main tendencies are found practically in all countries. 1 1 The conclusions reached on the basis of a study of the relations between income and consumption are in the main confirmed b y an analysis of the consumption of different social classes. Available material showing the dietary habits of workers', salaried employees' and "middle-class" households is reproduced in Appendix IV, Parts B and D. In all classes cereal consumption decreases with improving social status. Meat consumption increases while, as a rule, the quantities of margarine and fats decrease. (Finland is a noteworthy exception to this rule, owing to the increased margarine consumption among the middle classes.) The consumption of milk and milk products generally increases with social status ; it should be observed, however, t h a t in Finland and Norway (countries where workers' consumption of these items is high), the figures of consumption decrease in non-workers' families. This is probably connected with the fact t h a t a certain " saturation " of the need for these foods is reached at a relatively low social level. The consumption of fruits and vegetables shows, as is to be expected, a less clear tendency : on the whole, however, the consumption, particularly of fresh fruits, increases, while t h a t of potatoes decreases. Consumption of sugar increases (except in Czechoslovakia) in the higher social groups. 5 66 WORKERS' FIG. I I . NUTRITION AND SOCIAL POLICY QUANTITIES OF FOODS CONSUMED IN D I F F E B E N T INCOME GBOUPS (Consumption in the highest income groups in each case = 100) Meat and fish, etc. Cereals and bread Margarine, fats, etc. Vegetables and fruits ^ ** =.-^—2^7 - ^ »>' O • Milk, milk products and eggs no Sugar ^r^S Sr ^**Zs ^.— y^- "" " "^•*"""" / ,' ...''' > . / • ^ J^f^* && y^ f ***' / y ' o • v n H i i _ Note. — The roman figures indicate income groups. s Germany _ Belgium Sweden _ Poland m i Norway '. Czechoslovak. • TJ.S.A. _ _ _ _ Unit. Kingdom PACTS ON WORKERS' DIETS 67 IV. — NUTRITIVE VALUES OF WORKERS' FOOD BUDGETS It has been emphasised above that to judge the nutritive adequacy of a budget it is necessary to analyse it on the basis of the aggregate groups of foods which it supplies. Few family budget enquiries provide such an analysis ; the data on quantities of foods given in such enquiries cannot be analysed ex post owing to lack of necessary qualitative specifications ; thus, the quality of bread differs widely, which means variations in its calorific value, its content of mineral salts, etc. ; the same applies to meat, vegetables and so on. 1 The present section must therefore be limited to summarising the scanty information on the subject which is contained in the original enquiries. No attempt has been made here to render the data internationally comparable, and the warning issued above against drawing far-reaching conclusions from the budget material in general applies also to the present section. Calorific content. — As already indicated, a main function of diet is to supply the body with the necessary fuel, and the energy value of foods is measured in calories. The Technical Committee of the Health Committee of the League of Nations, to which reference has already been made, considered that an allowance of 2,400 calories net per day is adequate to meet the requirements of an adult male not engaged in manual work and conducting an ordinary everyday life in a temperate climate. Certain allowances, reckoned in calories per hour of work of different kinds, are to be added to this basic need. It follows that it is difficult, or impossible, to say what is the need for food on the average of a heterogeneous group of people living under different conditions and engaged in different kinds of work. Generally speaking, however, about 3,000 calories is considered by many 1 To obtain an idea of the difficulty offered by such an analysis ex post it suffices to consult any standard table of calorie values. While, for instance, the Austrian enquiry for 1925 (see Appendix I) gives a calorific value of 210 for 100 grammes of meat, a further analysis will show t h a t various cuts of meat have a greatly varying value. Thus, in the tables given by the British Medical Association in " Report of Committee on Nutrition " (London 1933) it is shown t h a t corresponding figures for ox liver are 267, mutton 810 and corned beef 581. For fish, the calorific content increases from 125 in codfish to 430 in salted herrings. Cheese made of full milk (hard) contains 914 calories and cheese made of skim milk 573. I t is thus easy to understand t h a t general averages of " m e a t " , " fish ", or " cheese " cannot be converted into calories without the qualities of the items consumed being known in detail. TABLE XIV. ANALYSIS OP NUTRITIVE PROPERTIES OF WORKERS' DIET BY INCOME GROUPS Country } dories 2,530 895 1,635 { 4 5 Average Average 1 2 2; 771 2,888 1,036 1,104 1;735 1,764 2,966 1,219 1,747 3,193 1,313 1,880 2,866 1,118 1,748 3,266 1,379 . 1,887 3,156 3,37 82 43 39 87 49 38 95 51 40 82 43 39 94 53 41 78 34 44 — - — j 129 88 10 — — — — — 402 510 51 2 1 Income groups Ä Protein total ( g r a m m e s ) . . . . 1 69 Animal \ ^„¿„¡J,, / 35 Vegetable) P r o t e l f \ -.38 3 77 38 39 — —- — Carbohydrates (grammes) . . . POLAND Country ji 1 Income groups Total calories (gross) . . . . . vÄ,e}caloriei....,<! k Protein total (grammes). . . . | Ä } ^ Carbohydrates (grammes) . . . Net calories. 2 2,247 2,707 409 566 1,838 2,141 . 3 8 • 4 4 NORWAY ' 4 Ave1 rage 2,990 3,143 887 742 2,248 .2,256 2,785 638 2,147 64 27 37 73 33 40 83 44 39 68 . 30 38 35 49 64 74 59 415 485 510 515 487 53 { ti Fats (grammes) . ¡, 1 UZECH (1929) 1 2 3 2,763 1,280 1,483 3,047 1,471 1,578 3,375 1,733 1,642 4 ' 3,459 1,813 1,646 3 1 1 - * The total number of calories increases with income ; it is 2,366 in the lowes FACTS ON WORKERS' DIETS 69 physiologists as a safe average allowance for an adequate diet. Considerable data on calorie consumption by workers in different countries are brought together in table XIV ; a striking feature of the table is to show the great variations in calorific content of different budgets in different countries and at different income levels. The number of calories consumed per day fer unit of consumption increases on an average from less than 2,500 in Palestine to nearly 3,500 in Sweden. Of other countries for which data are available, figures below 3,000 are found in Germany, Finland, Italy and Poland. It should be recalled, however, that these results, inter alia, are affected by the consumption unit scales adopted. 1 I t is impossible to draw from these averages conclusions as to the physiological adequacy of the budgets with respect to calories ; it should be noted, however that in many countries the average budgets actually allow of a daily supply of more than 3,000 calories, and that in most other countries the supply is still generally well above the 2,400 calories (net) laid down by the London standards as a basic requirement. Considering the development within each country, the calorific content of the budgets increases progressively as one passes from groups with low incomes to groups with higher incomes. Thus, in Poland, the allowance increases from 2,200 in the lowest to 3,140 calories in the highest income group. In the United States the lowest income group has a still lower figure (2,130 calories) and in Germany the calorie intake ranges between 2,530 and 3,190 ; in Sweden the variations take place on a higher level (between 3,120 and 3,480 calories). In general, and disregarding the question of physiological adequacy, it may be concluded that the consumption of calories continues to increase, even in industrially advanced countries, as the workers become better off economically. This, again, indicates that there is a considerable potential quantitative demand for food, which would materialise in effective demand if the necessary purchasing power were put at the command of the groups concerned. In the lowest income groups it even appears that the number of calories is inadequate to satisfy the bare physiological requirements. 1 The German consumption figures appear comparatively too low, as a result of the conversion scale adopted. The Finnish data refer to net calories. 70 WORKERS' NUTRITION AND SOCIAL POLICY Table XIV also reveals that differences between different income groups are greater for calories derived from animal than from vegetable foodstuffs. The percentage of calories of animal origin is less than one-fourth in Poland, about 40 per cent, in Germany and Austria and about half in Norway. With respect to the development within each country, it is interesting to observe that the number of calories of vegetable origin increases slowly with increasing income *; the number of calories of animal origin, on the other hand, increases rapidly. Content in 'proteins, fat, etc. — In practice, as stated in the London resolutions, " t h e protein intake for all adults should not fall below 1 gramme of protein per kilogram of body weight. The protein should be derived from a variety of sources, and it is desirable that a part of the protein should be of animal origin ". For children, pregnant and nursing women the need for proteins per kilogram of body weight is estimated at considerably higher figures. It was said above that the units of consumption employed in family budget enquiries are constructed on the basis of the relative need in calories of persons of different age and sex. As the need for proteins is not proportionate to the need for calories, the adult male, usually taken as a basis of calculations, is a highly unsatisfactory physiological measure of protein needs. The conclusions which may be drawn from available data are entirely approximate ; the usual allowance of 70 grammes per day per adult male is probably too low to serve as a unit of measurement, as too little weight is given to nursing or pregnant women and children ; a " protein " unit of consumption should rightly give greater weight to the latter categories. What has been said, however, may perhaps serve as a rough guide in judging the figures of protein intake reproduced in table XIV, and in fig. III. I t will be seen that variations in total protein intake are relatively small, varying roughly between 70 grammes per day in Poland and 95 grammes in Sweden and in the United States. Particularly in East European countries lower figures may be found. Consumption of first-cläss, or animal protein, fluctuates in general in the same way as total protein consumption. It increases from about 30 grammes in Poland to about 60 grammes in Sweden. The data suggest that the proportion of animal protein increases 1 Although as shown above the composition of the diet changes from energy-bearing cereals to vegetables, fruits, root crops, etc., of higher " protective " value. FACTS ON WORKERS' DIETS 71 as the total protein consumption — and thus the standard of consumption — increases. Within each country consumption of animal proteins stands in a positive correlation to income, whilst intake of vegetable proteins is relatively stable. Intake of protein at least in lower income groups falls below the London standard. Little is known at present about the requirements of the human organism for fats, and figures on fat consumption • are also relatively scarce. Such as exist, however, indicate considerable differences ; the daily intake varies from some 35 grammes in the poorest Polish families to 150 in the highest Swedish income group. The figures show a positive correlation with income. FIG. I I I . QUANTITIES (IN GRAMMES) OF ANIMAL AND VEGETABLE PBOTEINS P E B DAY P E B CONSUMPTION UNIT Shaded staples represent animal proteins. Figures of the consumption of carbohydrates are given in a few budget enquiries. Countries with a high general standard of living, such as Sweden, show a relatively stable consumption of carbohydrates at different income-levels, while in other cases such consumption increases with income. The very low consumption of carbohydrates in the poorest American budgets is noteworthy. An analysis of the content of vitamins or of mineral salts in the diets studied is not available. Nor is it easy to lay down definite standard norms of physiological requirements in this respect. According to our present knowledge, a mixed diet, sufficient in quantity, would with few exceptions, appear to guarantee a sufficient supply also of these elements. In order to arrive at any definite conclusions on this point, however, further studies of the quantities of individual foodstuffs consumed are needed. 72 WOEKERS' NUTRITION AND SOCIAL POLICY V. — NATIONAL CONSUMPTION O P VARIOUS FOODS I t was emphasised in the first section of this chapter t h a t for a number of reasons figures of national consumption cannot be used as a basis for an analysis of the state of nutrition of a population as a whole, and still less of special groups of the population. These figures, however, are of interest, used as supplementary data, to indicate international differences in consumption in a general way. Their main value, however, is in making it possible to follow, in some cases, the trend of consumption over a series of years. The budget material relates, as a rule, to different years in the various countries ; by means of the consumption data, it is possible to some extent to link these d a t a together in time. Figures of national consumption for important foodstuffs and for groups of foods are given in Appendix IV, P a r t E. I t should be emphasised t h a t these data are compiled b y different methods and are of greatly varying value. The figures do not all relate to human consumption, and even the definition of this term differs from case to case ; and the collection of material does not claim t o be in any way complete or exhaustive. I t should also be remarked t h a t the figures are given per capita and not per unit of consumption ; as the age and sex distribution differs from country to country, the comparability of the figures is further decreased. For these reasons, the figures should be regarded as being in the nature of rough approximations, and should be used mainly as indicative of broad tendencies of development. Cereals. — Owing to the difficulty of determining the p a r t of cereals devoted to human consumption and the p a r t used for other purposes, comparisons of the level of human consumption of cereals in different countries are not generally advisable. As far as possible comparisons should be restricted to flour, which is the main item of actual consumption. With these reservations, however, the figures given in the appendix «show- the trend of^development. Table I I of Appendix IV, P a r t È, indicates that in comparison with pre-war standards, consumption of wheat flour has in most of the more industrially advanced countries decreased in a marked degree. To mention a few examples : the figures for Germany fell from 52 kgs. (1909/1910-1913/1914) to 43 kgs. (1932/19331934/1935) ; corresponding figures for Canada are 99 and 76 ; FACTS OK WORKERS' DIETS 73 for the United States 94 and 71 ; for France 149 and 128 ; for Great Britain (including the Irish Free State) 105 and 93. On the other hand, certain other countries show the opposite tendency. The preceding table shows that, broadly speaking, the same tendency appears to have characterised developments during the recent economic depression. Thus, the consumption of wheat flour in Germany decreased from 57 kgs. per head in 1928 to a little over 44 in 1932 ; similarly, the consumption in the United States appears to have decreased slightly during the depression, while in other cases it remained more or less stable. The material, however, is in this case too fragmentary and heterogeneous to permit of definite conclusions. Information for other cereals than wheat is very scarce. To judge from such scattered data as it has been possible to bring together, hardly any changes appear to have taken place during the depression. In conclusion, therefore, it can be said t h a t the figures of cereal consumption do not reveal any striking changes in the quantities consumed during the depression. Meat. — Detailed figures of meat consumption, as far as available, are given in tables I I I - V I of Appendix IV, P a r t E . The tables show t h a t there are great differences in the level of meat consumption in different countries. I n Australia, for instance, meat consumption amounted in 1932 to nearly 100 kgs. per head of the population ; in France, it was less than a third of this figure. Such material as is available indicates t h a t the figures for East European countries are considerably lower ; in the Far East consumption of meat is practically nil. Even with regard to the composition of the meat group, the table indicates interesting differences between the countries. Beef and veal are the main items in Great Britain and the British Dominions ; the use of pork, ham, etc., dominates in Germany and the United States. Mutton is consumed mainly in the British countries. With respect to the total consumption, the figures show surprisingly great stability in time. The decrease during the depression amounts to a small percentage only, and the most important changes have taken place in the sub-group, beef and veal. Margarine. — Figures are available for comparatively few countries ; b u t consumption is particularly high in agricultural Denmark, where in 1929 it amounted to some 23 kgs. per head ; 74 WORKERS' NUTRITION AND SOCIAL POLICY moderately high (6-9 kgs.) in Great Britain, Germany and the Netherlands, and low in the United States. In all casés where figures are available consumption has decreased considerably during the depression. Butter. — I t is difficult to get reliable estimates of the consumption of butter over a series of years, for a considerable number of countries. Estimates for the year 1932, however, show t h a t very great differences exist in the national levels of consumption. For 1932 the highest level is recorded in New Zealand (16-17 kgs. per person per year) ; other countries in the order of consumption are as follows : Canada (13.8), Australia (13.3), Belgium (11.0), Great Britain (9.8), Finland (9.5 in 1935) Sweden (9.2), the Netherlands (8.7), Denmark (8.5), the United States (8.2), Germany (7.3), France (7.1), Switzerland (6.4), Norway (6.0 in 1935), Austria (2.8 in 1935) and Italy (1.2). I t is highly significant to note t h a t the quantities of butter consumed have increased, rather than decreased, during the depression. In Germany, the figure was 6.9 in 1928 and 7.3 in 1934 ; the figures in Great Britain were 8.0 in 1929 and 11.4 in 1934 ; in Denmark 5.9 and 9.0 ; in the Netherlands 5.9 and 7.3, while they remained practically stationary in Australia and in the United States. Müh. — I n view of the very great importance of milk as a food, it is to be deplored t h a t figures of milk consumption are extremely scarce and unsatisfactory. Particular difficulties arise, for instance, in knowing what portion, is consumed in the form of liquid milk and what portion is used for the manufacture of butter or cheese, the feeding of animals, etc. Such material as exists, however, would indicate t h a t consumption is high in the Scandinavian countries, Canada and Austria, moderately high in Germany, France and in the United States, and low in Great Britain and Belgium. Figures for Germany and t h e United States suggest t h a t the consumption of milk has been little, if a t all, reduced during the crisis. Eggs. — F i g u r e s are available for a few countries only ; but -such as exist seem to indicate t h a t the influence of the depression on consumption has been rather negligible. Sugar. — The figures of sugar consumption are fairly reliable, a t least when compared with most other figures of national consumption, although it should be remembered t h a t international comparisons are often difficult owing to the different FACTS ON WOBKERS' DIETS 75 degree of refinement of sugar. High figures of consumption (above 40 kgs. per head per year) are found in Australia, Denmark, Great Britain, Sweden and the United States ; moderately high (between 20 and 40) in Germany, Belgium, Finland, France, the Netherlands, Norway and Czechoslovakia ; low figures (below 20) in Italy, Hungary and Poland. In most cases, the consumption of sugar appears to show a tendency toward contraction during the depression, but examples of the contrary tendency are also found. Definite conclusions are therefore difficult to draw from the material available. Other foods. — Certain data are available for other foods, such as potatoes. Owing to the difficulty of ascertaining the portion going for human consumption and that used for other purposes, they have not. been included here. Likewise, figures for coffee, tea, alcoholic drinks, etc., which are not foods properly speaking, have been left out of account. Summary. — The national consumption figures appear to confirm, as far as they go, the conclusions reached on the basis of the budget material. It should be recalled, however, that the national consumption figures, as a rule, relate to the most advanced countries, and that the picture would certainly be modified if figures were available for other countries. The consumption of meat, butter, eggs and sugar stands in relation to the economic status of the various countries. The consumption of these foods is high in the Scandinavian countries, the United States, Great Britain and the British Dominions, and low in eastern Europe, whilst the central European countries hold an intermediate position. Definite conclusions as to cereals and other mainly energy-producing foods are difficult to draw owing to the lack of data and in view of the uncertainty of the portions of these foods used for human consumption and for other purposes. There is some evidence, however, that the reverse tendency holds true for these foodstuffs. The greatest interest, however, is not offered by international comparisons, but by comparisons in time in the same country. It is unavoidable that variations in national and world crops and economic upheavals such as the recent depression should bring about variations in consumption, both relatively and absolutely. The material available certainly shows traces of such influences. It is striking, however, that in spite of far-reaching economic changes, food consumption shows a high degree of 76 WORKERS' NUTRITION AND SOCIAL POLICY stability. From the material available (different results may, of course, be obtained on the basis of more complete data), national food consumption does not appear to have been affected nearly as much as might have been expected, considering the disturbances in international trade, prices and industrial production. VI. — T H E QUESTION OP MALNUTRITION Lack of statistical material and difficulties of a methodological character make' it impossible to draw here definite conclusions on the state of nutrition of a country. However, as the material presented in the preceding pages, with few exceptions, relates to industrially advanced countries and as the groups covered in each country belong to the better-paid portion of the workingclasses, it can be assumed that the conditions brought to light above are generally more satisfactory than those of the majority of workers,, both in the countries studied and in the world as a whole. The results obtained thus have value in suggesting the scope of the problem, as even the limited privileged stratum of the working population has- generally a considerable distance to go to attain all the London standards. , Although in the countries studied the quantitative aspect of nutrition is not the dominating one, widespread deficiencies must by implication be supposed to exist- even with respect to quantities of food consumed. The lowest income groups — even in the United States and Germany — are insufficiently supplied with calories according to London standards. The same must a fortiori apply to countries which are less advanced industrially and economically, and in the world as a whole the deficiencies must thus be considerable. This conclusion is corroborated by the generally observed tendency that the . number of calories increase as income advances. With respect to the composition of the budgets, still greater deficiencies are obvious. I t can be safely said that in so far as proteins are concerned, only the richest countries and the highest income groups attain the London standards. The majority of the workers of the world can be „ „assumed to • fall-short of •- this ideal."' In"general,"""the' workers' budgets show not only quantitative deficiencies but also and above all a low consumption of protective foods. Even if one accepts the consumption of the more advanced countries as roughly adequate, great increases in consumption, particularly of the "protective" foods, are required to bring the majority of other countries into line. FACTS ON WORKERS' DIETS 77 If one compares conditions within the same country over the period of time covered in the budget enquiries used here, one must note the fact t h a t neither consumption habits nor quantities of individual foodstuffs consumed have been fundamentally affected by the industrial depression. I t even appears in many cases t h a t the consumption of protective foodstuffs has increased, whilst t h a t of energy-producing cereals has decreased, thus indicating on the whole a trend towards better national nutritional standards. An increase or decrease in average national consumption, however, does not mean t h a t the consumption of all population groups has changed in the same way. Thus, in many countries, owing to an increase in real wages, as a result of falling prices, the consumption of families of workers at work may have improved, while the consumption of the unemployed decreased, particularly as regards the protective foodstuffs. Warning must thus be given against drawing conclusions as to the extent of malnourishment and under-nourishment on the basis of general averages, as it is possible t h a t the extent of acute malnutrition of some groups increases at the same time as the average level of food consumption is improving. Last, b u t not least, it is clear that the workers themselves, when economic pressure becomes less, change their consumption from cheap calories supplied by cereals, to more palatable, and from a nutritive standpoint more valuable, calories supplied by meat, milk, milk products, eggs, fruit and vegetables. Such changes are in accordance with the recommendations of modern nutritionists. This suggests t h a t the problem of improving diets is not so much a question of propaganda as of economic conditions. 1 The workers, following their own tastes and instincts, seem to bring about desirable changes in dietary habits, when given the opportunity. VII. — SPECIAL GROUPS OF W O R K E R S The preceding sections have dealt with the conditions of nutrition of industrial workers at work and their families. The material available bearing almost entirely on countries of Western civilisation, while limited, was such as to permit of a more detailed analysis in some respects. Groups of workers, such as agricultural labourers, Native labour, unemployed workers, etc., fall entirely 1 For more detailed discussion see Chapter V. 78 WORKERS' NUTRITION AND SOCIAL POLICY outside the scope of the preceding survey. The importance of these groups, however, is such that some consideration of the nutrition problem as it affects these workers is indispensable. Agricultural workers. — With respect to agricultural workers, the Office disposes of a certain amount of extremely heterogeneous information. Family budget data exist only for a few countries (Sweden, U.S.A., etc.), and are insufficient for the purpose of an international survey. At the present stage of the studies of the International Labour Office on nutrition, it has not been deemed possible to make,use of this scattered material. An analysis of the nutrition of rural workers involves problems not met with in dealing with the dietary standards of urban families. It is essential to find out what part of an agricultural worker's diet is composed of wages received in kind and of homeproduced items. The nature of these foodstuffs again depends on the natural conditions of farming in the region under consideration. The nutrition of a rural population is generally much more limited by the nature of local production than is the case of the urban population in the same region. The fact that it is more economic to consume the products of the farm directly, instead of selling them and purchasing all foodstuffs, as does the urban population, makes the rural population dependent on local production in the composition of its diet, and this dependence becomes still more pronounced in farming areas which tend towards monoculture. In regions where, for example, the production of milk, meat or vegetables is restricted, such products will be used for sale, and the population will depend for consumption mostly on foodstuffs of which there is a relative abundance. The poorer the population, the more this tendency will be pronounced. The result is an insufficient variety in the diet and, as a matter of fact, a standard of nutrition based on cereal crops and lacking in protective foodstuffs. A systematic study of the whole problem has still to be made. Nevertheless there is already sufficient evidence to state that the problem of the nutrition of agricultural-workers is as serious as that of industrial workers. Over wide regions the nutritional standard of rural workers is, even as regards the number of calories, below an adequate level in view of the trying work these workers have to perform, and the composition of the diet is too unilateral to ensure the maintenance of a good standard of health throughout life. In this connection it may be worth while to FACTS ON WORKERS' DIETS 79 recall the fact that students of common diseases due to malnutrition, at least in the more advanced countries, generally choose the rural population as the object of their investigations. Native labour. — Some of the special aspects of the nutrition problem of agricultural workers characterise also the nutrition of Native labour, and in accentuated form. The monotony of the food of Natives is often very pronounced, and this may contribute to explain the fact that the constitution of Native populations is extremely vulnerable to disease. The rapid transport of Native labour to districts differing entirely from their own, and the daily work — at times very trying — are alleged to explain the rapid occurrence among Native workers of incapacity for work or of fatal diseases. Close attention is now being paid to this problem. In 1932 the Academy of Medicine in Paris submitted to a special commission a resolution adopted by the Society of Commercial Geography which requested it to engage in " the study of the problem of the habitual nutrition of Natives in its relation to demographic development of populations in the Colonies ", and to stimulate " the study of the composition in organic substances, such as salt and vitamines, of the principal diets, and notably of certain elements specially resorted to in certain colonies ". With a view to assembling precise date as regards the possibility of under-nourishment among Native workers in South Africa, an enquiry is in progress to fix the value in vitamines of certain foodstuffs, as well as to correlate Native diets to climatic conditions and seasons and to the work done by individuals belonging to different Native races. Legislation in force in most colonies regulating diets of Native workers boarded by the employer is considered in the chapter on " Social Legislation and Nutrition ". Unemployed workers. — It is but reasonable to assume that workers out of work and their families, subjected to a loss of all or a part of their income, would have less to spend on food and would fare worse with regard to proper dietary standards than workers in employment. Such would most likely be the effects of more or less prolonged unemployment even in " normal " times in most countries, but particularly so in times of industrial depression. Of particular interest in current discussion is the question whether, and to what extent, the great depression which began in 1929-1930, and during which workers the world 80 WORKERS' NUTRITION AND SOCIAL POLICY over were thrown out of employment in large members, resulted in lowered diets and impaired nutrition of the unemployed and their families. Unfortunately, the materials at present available upon which a satisfactory answer to this question could be based are meagre, and of unequal quality and reliability. What surveys have been conducted by governmental and private agencies have been limited in scope, and the methods of calculation employed, as well as the degree of statistical validity attained, have differed from enquiry to enquiry. The results of these enquiries are not generally comparable with the data obtained by family budget studies. Nevertheless, in view of the great interest in the subject, the main results of some of these enquiries on the diets of unemployed workers and their families are briefly summarised in Appendix V. These data refer to Germany, Austria, Czechoslovakia, Hungary, the United States, Poland and the United Kingdom, and would seem to indicate that the effect of unemployment is to deteriorate the quantity and" quality of the diet of the workers thrown out of work and of their families. The enquiries, however, also reveal that the effects in some countries have been minimised in greater or less degree as a result of relief policies and of the social services developed. This fact raises a number of related problems of great social importance which are touched upon briefly in the chapter on " Social Legislation and Nutrition ". CHAPTER IV AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION From the two preceding chapters there emerges the fact of a wide discrepancy between scientifically established optimum standards of nutrition and the actual food consumption of large sections of the working population. It would seem clear that any attempt to bring workers' dietaries into conformity with adequate nutrition standards involves questions of the technical capacity of agriculture to meet the increased demand for the necessary foodstuffs and a number of problems of an economic and social character. In the present chapter the first issue, namely, that of the capacity of agriculture to readjust itself to changing demands for foodstuffs, is considered both historically and analytically. In the first part of the chapter prepared by the International Institute of Agriculture the development of the production of various foodstuffs is presented statistically. In the second part of the chapter some of the problems involved in the process of agricultural readjustment to changing demand are considered. I. — WORLD FOOD PRODUCTION 1 The problem of world food production is almost as wide as that of world agricultural production, for although the crops that provide the raw materials of industry vary in importance according to country, together they cover only a comparatively small proportion of the land used for agriculture. Similarly, the supplying of foodstuffs plays a preponderant part in stockraising. Quite apart from the difficulty of obtaining sufficiently complete data for certain, countries, a detailed study aiming at determining the state and movement of food production in the different countries of the world would have to be undertaken on a scale far exceeding the limits and purposes of this report. 1 This section has been prepared by the International Institute of Agriculture. 6 82 WORKERS' NUTRITION AND SOCIAL POLICY For the present, therefore, it would seem to be sufficient to consider the tendencies of the production of the more important foodstuffs in those parts of the world which are of more general interest and have the most uniform conditions as regards nutrition and, as a rule, the fullest statistics, namely, Europe, North America, some South American countries and Australasia. The problems of food production, like those of nutrition, it should be added, are of a special nature in most African and Asiatic countries, and have perhaps a less close connection with the general situation of world economy. This is one more reason to leave them out of account in a necessarily limited study such as the present, which will be confined to the world zones indicated above. Cereals The cultivation of cereals takes up a large proportion, in fact over half, of the cultivable land in all the countries considered here. The area under the principal cereals (wheat, rye, barley, oats, maize and rice) is shown below, an average being given for the periods 1909 to 1913, 1920 to 1924 and 1925 to 1929, and the actual figures for each of the years 1930 to 1934. AREA UNDER CEREALS (In thousand hectares) Europe 1909-1 91 3 1920-1 92 i 1925-1 92 9 1930 1931 1932 1933 1934 • 89,370 80,330 86,240 88,770 88,960 88,390 89,410 89,130 Canada and United States Argentina Australia Total 90.820 104,180 103,110 107,630 106,250 109,710 99,130 85,900 10.900 10,260 12,870 14,020 11,960 12,870 12,940 14,760 3,580 4,610 5,920 8,080 6,660 7,080 6,910 6,030 194,670 199'380 208,140 218,500 213,830 218,050 208,390 195,820 In Europe the cultivation of cereals fell substantially in the years immediately after the.war, and in the period 1925 to 1929 covered an area which was still below that for the period 1909 to 1913. In recent years, however, the pre-war figure has almost been recovered. In the four principal oversea producing countries the cultivation of cereals, which had been encouraged owing to the reduction of European production, continued to increase after the revival of the latter, and the average area under cereals AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 83 in these four countries during the three years 1930 to 1932 was 22 per cent, above that for the period 1909 to 1913. Subsequently, in 1933 and even more in 1934, there was a heavy decline in the cultivation of cereals in Canada and the United States, due largely to unfavourable weather conditions, which hampered sowing and destroyed seed over a widespread area. If instead of considering the totals for all the cereals in question the separate data are taken for the different crops, it will be found that the growth of area relates chiefly to that under wheat. The following figures show the average area under each crop for the periods 1909 to 1913, 1920 to 1924, 1925 to 1929 and 1930 to 1934. AREA (In t h o u s a n d hectares) 1909-1913 1920-1924 1925-1929 1930-1934 . . . . . . . . Wheat Eye Barley Oats Maize Elee Total 63,460 69,010 74,360 76,130 19,500 17,890 18,940 18,640 14,760 14,970 17,510 18,180 40,060 42,590 41,180 39,330 56,400 54,320 55,560 58,050 490 600 590 580 194,670 199,380 208,140 210,910 There was thus an increase of about 20 per cent, in the average area under wheat during the last five-year period as compared with the pre-war figure, whereas for all the other cereals together the increase was insignificant, being under 3 per cent. The expansion in the cultivation of wheat may be observed in all the zones considered here, although it varied in amount. AREA UNDER WHEAT (In t h o u s a n d hectares) 1909-1 91 3 1920-1 92 Í 1925-1 92 9 1930 1931 1932 1933 1934 93 Í 1930-1 Europe Canada and United States Argentina Australia Total 29,340 26,050 28,540 29,800 30,740 30,500 31,530 31,430 30,800 24,540 32,820 32,940 35,430 33,770 34,110 29,920 26,800 32,000 6,500 6,180 7,700 7,900 6,490 7,200 7,300 6,940 7,170 3,080 3,960 5,180 7,350 5,970 6,380 6,030 5,080 6,160 63,460 69,010 74,360 80,480 76,970 78,190 74,780 70,250 76,130 WORKERS' NUTRITION AND SOCIAL POLICY 84 Besides the more widespread cultivation of wheat, there has been a marked increase in output in Europe and Argentina ; probably the total production of wheat in the most recent period would have increased even more rapidly than actually shown by the area under wheat if weather conditions in 1933 and 1934 had not been so unfavourable to the Canadian and United States crops and had not heavily reduced output in these two countries. PRODUCTION OF WHEAT (In million quintals) 1909-1913 1920-1924 1925-1929 Ï930 . . 1931 . . 1932 . . 1933 . . 1934 . . 1930-1934 Europe Canada and United State* Argentina 370.6 300.1 367.8 370.3 390.9. 405.4 475.8 421.4 412.8 241.4 316.1 341.1 356.6 341.2 323.6 220.7 210.3 290.5 40.0 53.4 66.1 63.2 59.8 65;6 77.9 65.5 66.4 Australia Total 24.6 . 676.5 36.7 706.3 37:0 812.0 58.1 848.2 51.9 843.8 58.2 ' 852.8 48.3 822.7 36.3 733.5 50.6 820.3 The final result is that from the period before the war to the period 1930 to 1934 the total annual production of wheat increased on an average in about the same ratio as the area under wheat, or by 20 per cent. Meat The situation of meat production and stock-raising tendencies. with regard to such production can be determined only approximately, since the statistical material is here much less complete and accurate than that available for grain cultivation. Cattle. -— Immediately after the world war the quantity of livestock in Europe had been heavily reduced. A comparison between the pre-war figures and those for more recent years is not possible for every country owing to the territorial changes that have taken place in the interval, and further owing to the fact that in some countries the statistics are compiled onlv at long intervals. The figures for the countries shown in the table helow, which possess nearly nine-tenths of the cattle in Europe, suggest certain conclusions, however, that can probably be applied to the Continent as a whole. AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 85 HEAD OP CATTLE (In thousands) Czechoslovakia . . Denmark . . . . Estonia Great Britain and Northern Ireland. Irish Free State Lithuania Netherlands Switzerland TOTAL . . . . . . . . . . . . . 1913 1922 1926 1930 1934 2,219i 1,849 4,596i 2,254 6 478 6 l,606i 15,338 18,474 2,162= 1,517 4,3913 2,525 527 1,844 13,376 16,316 1,712 4,6914 2,838 599 1,860 14,482 17,221 2,313 1,759 4,458 3,057 627 1,810 15,467 18,470 2,349 1,840 4,305 3,062 676 1,767 14,704 19,198 7,726 2,150' 4,134 912 918 2,097 1,1341 8.664 2,723 1,443' 7,700 1,828 4,326 811 1,021 2,063 8 1,131 s 8,063 s 2,736 3 1,425 8 78,715 73,762 8,117 1,839 3,947 955 1,397 1,200 8,601 2,899» 1,587 78,300" 7,759 1,778 4,038 1,026 1,034 2,366 1,251 9,400 3,060 l,609 l ° 81,282 8,742 1,672 4,086 1,158 1,158 2,830 1,294 9,258 2,893 1,659 83,651 1 1910. — ' 1923. — 3 1920. — « 1925. — ' Pre-war territory : 1909. — • 1914. — ' 1911. — 8 1928. — * 1927. — " 1931. — " Approximate figure calculated with reference to the probable figures for Austria and the Netherlands. The table shows that for all the countries considered the number of cattle in 1922 was still well below the pre-war figure, but that subsequently the reconstitution of livestock went on rapidly, so that by 1926 the 1913 figure had again been reached. Since then the tendency to growth has continued, though more slowly. The final result is that the number of head of cattle in 1934 exceeded that in 1913 by about 6 per cent. The fluctuations in these figures clearly cannot give an exact idea of the fluctuations in the production of meat, which depends not only on the number of head of cattle but also on the composition of the livestock. The production of meat may be considerably affected by changes in the proportion of animals of different ages and in the relative number of animals intended for draught purposes, the production of milk, and fattening respectively. An exact statement of the production of meat could be obtained only by recourse to complete and comparable statistics of slaughtering, showing, in addition to the number of slaughtered animals, the quantity of meat derived from them. Such complete statistics are available only for a few countries, most countries giving only 86 WORKERS' NUTRITION AND SOCIAL POLICY the number of animals slaughtered, and then often in an inadequate manner, while others give no regular information at all. i In spite of the inadequacy of the statistics, the available data concerning slaughtering appear to confirm that, taken as a whole, the production of beef and veal in the European countries has tended to grow side by side with the increase in the number of cattle and even more rapidly. The available figures show that the average number of animals slaughtered per year in some twenty countries during the period 1930 to 1934 exceeded the corresponding figures for 1926 by about 6 per cent, in the case of full-grown animals and about 10 per cent, in the case of calves. In the United States the production of beef and veal grew steadily up to 1927, rising from 30.2 million quintals a year on an average during the period 1910 to 1914 to 35.3 million quintals for the period 1921 to 1927 ; but it fell again to 31.2 million quintals during the period 1928 to 1932. The considerable revival of stockraising which began in 1928, and in particular the difficulties of cattle-feeding due to small harvests in 1933 and 1934, led subse-, quently to a further increase in slaughtering, which was especially marked in 1934. In Canada, too, the production of beef and veal probably increased considerably as compared with the pre-war figures. It remained fairly constant from 1925 to 1929, declined from 1930 to 1933, and rose again markedly in 1934, reaching the highest figure for the last ten years. In South America the figures available for Argentina and Uruguay show that the number of animals slaughtered in 1926 had more than doubled as compared with the pre-war figures. From 1927 onwards there was a gradual decline in the production of meat, in consequence of which production in 1932 was 20 per cent, below the level reached in 1926. In 1933 and 1934 there was again a revival. In Australia the production of beef and veal, which before the war had been growing markedly, reached a maximum in 1924/1925. The number of head of cattle slaughtered in that year exceeded the pre-war average by 50. per cent. After .that and up to 1931/1932 there was a steady fall in the number of animals slaughtered, bringing the production of meat to a level fairly close to that prevailing before the war. Since then there has been a rather rapid increase in the number of animals slaughtered, which in 1933/1934 again exceeded the average of 1909/1913 by 40 per cent. AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 87 The movement in New Zealand was rather similar. The number of animals slaughtered in 1924/1925 was almost double the prewar figure. From 1924/1925 to 1931/1932 the production of meat fell by one-third. An increase began again in 1932/1933, and by 1934/1935 the number of animals slaughtered had more or less reached the 1924/1925 level. Pigs. — In Europe, pig breeding, which declined markedly in the years immediately after the war, subsequently revived considerably, and has developed markedly during the last few years. Taking the countries for which a pre-war comparison is possible, which possess nearly four-fifths of the total number of pigs in Europe, and adding the figures together, the situation in 1913, 1922, 1926, 1930, and 1934 is seen to be as follows : NUMBER OP PIGS (In thousands) Czechoslovakia . . Denmark . . . •. Great Britain and Northern Ireland. Irish Free State . Lithuania . . . . Netherlands . . . Switzerland TOTAL . . . . . . 1913 1922 1926 1.8401 1,412 2.5161 1,468*6 275 422 1 7,529 22,533 1.4732 1,139 2,058» 1,899 272 378 5,196 14,678 2,567 2,473 919 402 1,514 1,519' 237* 5,287' 1,011» 640' 43,662 1,144 2,539" 3,122 333 391 5,777 19,424 2,504 2,520 884 521 1,441 303 6,3298s 1,369 637 52,700" 2,400 3,822« 895 557 1,358 1,350 3341 5,487 978 570 55,746 1930 1,965 1,250 2,776 4,872 290 395 6,329 23,442 2,670 2,362 1,052 523 1,207 2,018 339 6,047 1,761 926 60,224 1934 2,823 1,258 3,032 3,061 282 496 7,044 23,170 3,907 2,502 968 686 1,237 2,082 550 7,091 1,595 62,786 1,002 1 1910. — • 1923. — " 1928. — ' Pre-war territory. — • 1914. — « 1911. — ' 1921. — ' 1927. — • 1920. — " 1931. — " Approximate figure calculated with reference to the probable figures for Austria and the Netherlands. There is reason to believe that the increase in the production of meat from pigs was bigger than that indicated by the growth in the number of pigs, owing to the improved methods of raising and feeding the animals. In any case, this is suggested by the statistics of pigs slaughtered, which are published more or less 88 WORKERS' NUTRITION AND SOCIAL POLICY fully for some twenty countries. They show that the annual average number of pigs slaughtered during the period 1930 to 1934 exceeded the 1926 figures by about one-third. In the United States, too, the production of meat from pigs grew substantially. The annual average quantities for the period 1910 to 1914 were exceeded by 34 per cent, during the period 1921 to 1927 and by 42 per cent, during the next period, from 1928 to 1932. A further very marked increase took place in 1933, and it was only in 1934 that pig-breeding and the production of meat from pigs suffered a heavy fall owing to the combined effect of a small maize harvest and Government action for restoring sound conditions on the market. Sheep. — Although the production of mutton also plays an important part in the agricultural economy of certain European countries and the United States, it is of interest chiefly to South America and Australasia. Output has remained almost at pre-war level in the United Kingdom ; but in most other European countries, especially the industrial countries of Western Europe, the number of sheep and the production of mutton have declined markedly, and the decline bas as a rule continued during the last few years. In the United States the average production for the period 1921 to 1925 was also lower than that for the period 1910to 1914 by nearly 20 per cent. ; but since then there has been á marked revival of sheep-breeding and the average production for the years 1930 to 1933 exceeded the pre-war level by 20 per cent. In South America and Australasia the production of mutton, which in 1924 was still nearly equal to the pre-war figure, increased steadily until 1930, when the figure reached was about 40 per cent, above that for 1924 and before the war. After 1930 there was a decline in South American production, but it has been more or less compensated by a later increase in the production of Australasia, so that from 1930 to 1934 the total production of the two continents underwent no important changes. ..„__,._ Milk- and Dairy-Produce- ---—--~ -- - •-— -•-—Milk production has grown substantially during the last ten years in most European countries. The increase in the number of milch cows has been very general. The following statistics show for a certain number of countries where milk production is an important branch of agricultural AGRICULTURAL PRODUCTION AND POOD CONSUMPTION 89 sconomy the fluctuations in the number of milch cows (or, if these ire not available, in the total number of cows) from 1923 to 1934. NUMBER OF MILCH COWS (In thousands) 1923 821 1,369 2 320 1,278 7,304 8,308 2,911 1,231 580 1,086 3 776 1,607 a 7473 28,338 Finland1 Great Britain and Northern Ireland TOTAL 1 Total number of cows. — ! . . . . 1924. — 3 1921. — 1934 1930 926 1,608 416 1,269 8,288 9,410 2,954 1,225 728 1,299 763 2,033 845 963 1,718 407 1,260 8,653 10,120 3,254 1,309 807 1,434 793 1,931 920 31,764 33,569 « IS 19. Taken altogether, therefore, the number of cows in the countries in question increased by 6 per cent, from 1930 to 1934 and by 18 per cent, from 1923 to 1934. The increase in the production of milk is due not only to this increase in the number of cows but also to the rise in the average output of milk per cow. The figures of the progress made in this respect in certain countries give some idea of the importance of the yield factor. AVERAGE ANNUAL OUTPUT OF MILK PER C O W ( I n hectolitres) Denmark E n g l a n d and Wales . . . 1909-1913 1920-1924 1925-1929 1930-1933 25.95 25.53 — — — 29.27 18.91 1 23.19 24.91 20.84 32.33 30.76 21.OO2 24.98 25.98 23.62 35.11 20.86 4 22.00 — > 1924/25. — * 1930/31. ubject to supervision. s Average 1923/24. 20.15 20.20 3 — 32.13 3 — « 1913. — s Output of cows Unfortunately, regular statistics of the total production of nilk are available only for a small number of countries, and then : or recent years alone in some cases. In Germany the production 90 WORKERS' NUTRITION AND SOCIAL POLICY of cows' milk increased from 1929 to 1934 by 14 per cent., and from 1925 to 1934 by 36 per cent. ; in Belgium, from 1927 to 1934, by 7 per cent. ; in Denmark it almost doubled from 1923 to 1933 ; in England and Wales it increased from 1924/25 to 1933/34 by 23 per cent. ; in Estonia from 1929 to 1933/34 by 23 per cent. ; and in Switzerland from 1929 to 1934 by 7 per cent and from 1923 to 1934 by 17 per cent. An indirect indication of the heavy increase in milk production is given for certain other countries by the figures of butter and cheese production. In the Netherlands from 1923 to 1934 the production of butter increased by 40 per cent, and of cheese by nearly 20 per cent. In Finland the production of butter and cheese in the dairies doubled from 1923 to 1934. In Sweden during the same period the production of butter doubled and that of cheese increased by over 50 per cent. As regards the production of butter and cheese, it may be added that certain of the principal producing countries publish statistical series which, although not exactly comparable, throw light on the great development of the dairy industry. In most exporting countries, in spite of the arrested progress, and sometimes even of the setback, observed since 1930, the available data, reproduced in the following tables, taken together show for butter an increase of 13 per cent, between 1930 and 1934, and about 75 per cent, between 1923 and 1934, and for cheese an increase of about 4 per cent, between 1930 and 1934 and about 40 per cent, between 1923 and 1934. Obviously these percentages cannot be considered to hold for Europe as a whole, but they go to prove that the growth of the dairy produce industry and the production of milk has been very great. PRODUCTION OP BUTTER (In thousand quintals) Belgium Denmark . F i n l a n d 1 . .. Germany . Latvia3 . . Netherlands Norway1 . Sweden . . Switzerland 1 .1923 1930 1934 1,320 -127 2.070 2 70 4 646 5 27 290 6 135 s 608 1,900 = 268 3,450 191 872 39 547 160 674 1,830 244 4,250 165 905 92 620 290 Production of dairies. — * 1924. — » Production subject to supervision. ' 1925. « 1922. AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 91 PRODUCTION OF CHEESE (In thousand quintals) Denmarkl . Finland . Germany . Netherlands Norway 1 . Sweden . . Switzerland 1 Production of dairies. 1924. 1922. 1923 1930 1934 30 2,120 2 977 3 141* 168 265 47 3,000 1,370 146 254 564 275 67 3,450 1,164 160 268 5 502 1925. — 1933. In Canada the number of milch cows rose from 2,740,000 in 1913 to 3,659,000 in 1923, 3,683,000 in 1930, and 3,864,000 in 1934. The total production of milk, which in 1910 was about 44.5 million quintals, reached an annual average of 66 million quintals during the period 1925 to 1929 and 72 million quintals during the period 1930 to 1934. The production of butter increased heavily, rising from 914,000 quintals in 1910 to an annual average of 1,207,000 quintals in 1925 to 1929, and 1,453,000 quintals in 1930, while the figure for 1934 was as high as 1,564,000 quintals. On the other hand, the production of cheese fell steadily from 913,000 quintals in 1910 to an average of 683,000 quintals in 1925 to 1929 and of 516,000 quintals in 1930 to 1934, the figure for 1934 being as low as 455,000 quintals. In the United States the number of milch cows increased from 18,526,000 in 1913 to 22,099,000 in 1923, 23,106,000 in 1930, and 27,059,000 in 1934. At the same time the average production of milk per cow rose from 13.70 hectolitres in 1909 to 16.66 hectolitres in 1924 and 19.80 hectolitres in 1930. The total production of milk, estimated in connection with the censuses, rose by 23 per cent, from 1909 to 1924 and by 20 per cent, from 1924 to 1929. The total production of butter, which was 7,356,300 quintals in 1909, amounted to 9,509,000 quintals in 1924 and 9,787,000 quintals in 1929. The production of dairy butter, for which annual data are available, rose by a further 10 per cent, from 1929 to 1933, and fell slightly in 1934. The production of cheese of all kinds in cheese factories rose from 1,411,000 quintals in 1909 to 2,247,000 quintals in 1926, 2,713,000 quintals in 1930, and 3,095,000 quintals in 1934. 92 WORKERS' NUTRITION AND SOCIAL POLICY I n Argentina, where the number of milch cows rose from 2,500,000 in 1910 to 3,740,000 in 1934, the dairy industry has developed considerably since the pre-war period. The quantity of milk worked up in t h e dairies increased from an average of 2,850,000 hectolitres during the period 1909 to 1912 to 10,600,000 hectolitres during the period 1925 to 1929 and 12,075,000 hectolitres during t h e period 1930 to Ï934. At t h e same time the production of butter and cheese in the dairies increased as follows : AVERAGE ANNUAL PRODUCTION (In thousand quintals) 1909-1913 1925-1929 1930-1934 . . . . . . '. Butter, Cheese 84 311 338 40 158 ,188 I t should be observed, however, t h a t after reaching the máxima for t h e period 1925 to 1934 in 1932 for butter (369,000 quintals) and i n 1933 for cheese (233,000, quintals), production declined, and t h a t in 1934 it amounted to only 293,000 quintals for butter and 222,000 quintals for cheese. T h e continent where the dairy industry has increased most markedly is Australasia. I n New Zealand there was a large increase in t h e number ui rtiiicn u u w i , vvmuii TuSe i r u u i oo*,uuu i n ±»±± to i;z>*»,uuu in 1923, 1,390,000 in 1930, and 1,816,000 in 1934. In Australia the n u m b e r rose from 2,036,000 in 1913 to 2,420,000 in 1923, 2,523,000 in 1931 and 3,226,000 in 1934. At the same time t h e average output per cow increased very markedly. AVERAGE ANNUAL OUTPUT P E R COW .. , „ ._..„ ,._. ..,,,.. .J.-....„ „ . . . „ , . . ; ; :, 1909-1913 1925-1929 1930-1933 . Australia New Zealand Milk in hectolitres Fat content of milk in kilograms 12.38 16.00 17.31 66.70 90.91 94.90 AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 93 The greater part of the milk is intended for the production of butter and cheese, and the following figures give some idea of the enormous increase in dairy production. PRODUCTION (In thousand quintals) Butter Australia 1909/1913 . . . . 1920/1921-1924/1925 1925/1926-1929/1930 1930/1931 . . . . 1931/1932 . . . . 1932/1933 . . . . 1933/1934 . . . . 1934/1935 . . . . 857 1,135 1,265 1,589 1,772 1,904 2,045 2,135 Cheese New Zealand Australia 274 685 953 1,190 1,259 1,511 1,645 1,604 77 125 134 150 142 168 175 New Zealand 272 671 833 944 905 1,052 1,085 973 For the two countries together, the production of 1933/1934 exceeded the average for the period 1925/1926 to 1929/1930 by 60 per cent, in the case of butter and 30 per cent, in that of cheese, while the total had increased three-fold as compared with the pre-war period. Poultry and Eggs Although regular statistics of the number of fowl are lacking in many countries, the available data show that there has been a general and very marked tendency to develop poultry breeding. For seven of the countries shown in the table below, for which figures for 1926 and 1934 are available, the total number of hens in 1934 exceeded the 1926 figure by 40 per cent., and for five of these countries the 1926 total exceeded the 1913 figure by 18 per cent. It seems, however, that in general the increase was retarded in 1932. The figures for 1933 and 1934 are much the same, showing a slight increase, or, more often, a slight decrease. This increase in numbers has naturally led to an increase in the production of poultry meat and eggs. WORKERS' NUTRITION AND SOCIAL POLICY 94 NUMBER OF HENS (In millions) 1913 Austria Belgium Denmark Germany . . . . . . . . Great Britain and Northern Ireland . . . Irish Free State . . . . Netherlands Yugoslavia 1 1910. — ' 1929. — » 1914. 1928 1930 1934 5.7 8.7 18.6 67.8 5.9 18.22 22.P 88.1 26.6* 85.9 38.3 14.2 9.8 1 48.3 16.5 15.0" 13.7 61.9 18.2 24.6 16.3 78.5 16.0 28.0 17.9 1933. 1912. 12.1 1 15.0s 64.05 1924. For Germany it is estimated that the production of poultrymeat rose from 670,000 quintals in 1913 to an annual average of 725,000 quintals for the period 1930 to 1934. For the United Kingdom the total production of poultry and game is said to have risen from an average of 410,000 quintals for the period 1909 to 1913 to 780,000 quintals in 1934. In Switzerland the proportion of poultry meat increased from 17,600 quintals in 1911 to 28,100 quintals in 1926 and 36,700 quintals in 1933. But the heaviest increase took place in the production of eggs, which was all the greater in that as a rule the number of eggs per laying hen has tended to rise. It is estimated that from 1913 to 1934 the average annual output per hen rose from 80 to 90 eggs in Germany, from 80 to 115 in Belgium, from 75 to 120 in England and Wales, and from 100 to 124 in the Irish Free State. For some countries the available figures of the total production of eggs at different dates give an indication of the increase since the war and in recent years. PRODUCTION OF EGGS (In millions) 1913 Belgium England and Wales Northern Ireland 1926 1934 2,070 a 2,354 1 """ "' 9 2 9 " " " 1,356 ""' *796' 6,200 5,000 ! 4,100 3 105 1,527 944 "'414 215 177 528 412 1,136 816 1,159 1 203 440 3 295 960 r AGRICUIiTUBAL PRODUCTION AND FOOD CONSTTMPTION 95 For the Netherlands (where the production of eggs during the last few years is estimated at about 2,000 millions) figures for the preceding years are not available, but an indirect indication of the increase may be obtained from the export figures, which rose from an annual average of 200,000 quintals of eggs for the period 1909 to 1913 to 664,000 quintals in 1925 to 1929, and 745,000 quintals in 1930 to 1934. The North American figures too show a vigorous development of poultry breeding. In the United States the number of hens rose from 280.3 million in 1910 to 424.5 million in 1926, and after reaching the maximum of 470 million in 1930 the figure was 455.2 million in 1934. In Canada the number of hens rose from 29.8 million in 1911 to 46.1 million in 1926, and after reaching a maximum of 61.3 million in 1931, the figure for 1934 was 55.4 million. At the same time the number of eggs produced rose in the united States from 18,900 million in 1909 to 30,148 million in 1926 and 33,529 million in 1930 ; the figure for 1934 was 31,006 million. In Canada production rose from 1,480 million eggs in 1910 to 2,846 million in 1931 ; the figure for 1934 was below this maximum, being 2,677 million. Potatoes, Vegetables and Fruit Potatoes. — In Europe, which is the principal continent for the cultivation of this crop, the production of potatoes in the period 1920 to 1924 was still well below the pre-war level. Afterwards it gradually rose, and the average crops from 1930 to 1934 exceeded the average for the preceding five years by 14 per cent. and the average for 1909 to 1913 by 24 per cent. This increase was due partly to the larger areas under potatoes, but also to the fact that the output per unit of area has risen during the last few years. Production in Canada and the United States, on the contrary, increased in the years after the war and subsequently fell to about the pre-war level in spite of a slight reduction in the area devoted to potato crops. 96 WOBKEKS NUTRITION AND SOCIAL POLICY CULTIVATION OF POTATOES 1909-1913 1920-1924 1925-1929 1930-1934 Area (in thousand hectares) Europe . . . . . . . . Canada and the United States Europe Canada and the United States . 10,350 9,915 . 10,580 11,048 1,457 1,684 1,543 1,809 Production (in million quintals) 1,138 1,055 1,237 1,412 119 140 115 117 Vegetables. — The statistical information on thé production of vegetables is very incomplete. D a t a are available only for a certain number of countries and certain products, and often they refer only to open field cultivation, market gardening crops being left out of account. Yet it is the latter, apparently, that have contributed most to the development of vegetable production. The information t h a t can be given is therefore fragmentary, b u t i t seems to justify the usually accepted view of a general comparatively great increase in the cultivation of vegetables. I n Germany the area under market gardens rose from 116,000 hectares in 1913 to 137,000 hectares in 1927 and 158,000 hectares in 1934. I n England and Wales the area devoted to vegetables rose from 74,540 hectares in 1925 to 92,550 in 1930/1931, an increase of about 25 per cent. I n France market garden crops covered 325,000 hectares in 1927 and 371,000 hectares in 1934. I n t h e Netherlands the total area of family allotments and of m a r k e t gardens producing for sale increased from 49,740 hectares in 1913 to 62,185 hectares in 1926 and 67,620 hectares in 1934. I n the United States the area under vegetable crops for sale doubled from 1919 to 1929, rising from 576,390.hectares to 1,137,870 hectares. , ...,Indirect,J^ormatipn, such as,.the_ figures of the quantities delivered in certain consuming centres, also seems to indicate a considerable increase in the production of vegetables. Progress in t h e means of transport has certainly tended very much to extend the radius of the area from which large urban centres can obtain their supplies and thus to encourage the extension of market gardening. AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 97 Chapes. — In spite of the difficulty of collecting complete statistics on the production of grapes, it is possible to obtain a sufficient amount of information to give a general and fairly exact idea of the amount and growth of world production. The cultivation of grapes for the table has in recent years developed considerably in most vine-growing countries, especially Italy, France, Greece, the Danubian and Central European countries, Turkey, Iran, and the North African countries. The average annual Italian production for the three years 1932 to 1934 exceeded the average for the two years 1929 and 1930 by nearly 1.2 million quintals, or 50 per cent., and this is all the more remarkable in t h a t the increase coincided with unfavourable weather conditions leading to a decline in the production of wine, a marked diminution in exports, and a considerable rise in the quantity of grapes from wine-producing vineyards which were consumed as fruit. The development of French production is undoubted, b u t difficult to estimate, for the statistics relate only to specialised cultivation, and the criterion for defining such cultivation seems somewhat uncertain as well as variable from year to year. However this may be, the official statistics show t h a t the production in 1934 reached an absolute maximum of 1.7 million quintals and that the average for the last five years, 1930 to 1934, exceeded the average for the preceding five years, 1925 to 1929, by nearly 12 per cent. Spanish production has undergone fluctuations in accordance with the general conditions of viticulture, b u t taken as a whole, there has been a fairly marked increase, amounting to 9 per cent. if the five-yearly averages for 1930 to 1934 and 1925 to 1929 are compared. For Greece the increase has been more regular and relatively much greater. The average production for the two years 1933 and 1934 exceeded t h a t for the period 1925 to 1929 by 180 per cent. The Danubian countries, too, have all or nearly all increased their production of grapes for the table. This is particularly evident for Hungary, where the total quantity of grapes consumed as fruit rose from 60,000 quintals in 1927 to 400,000 quintals in 1932. I n spite of t h e marked decline in 1933 and 1934, the average for the last five years is nevertheless 140 per cent, above the average for the three years 1927 to 1929. For Bulgaria data of production are almost completely lacking, apart from an estimate 7 98 WORKERS' NUTRITION AND SOCIAL POLICY of 460,000 quintals for 1932 ; but it is known that this country exports nearly all its high-grade production and that the quantity exported rose from an average of 7,600 quintals for the period 1925 to 1929 to 105,000 quintals in 1933 and 193,000 quintals in 1934. Rumanian and Yugoslav exports have also increased in recent years, especially the former, and although they are not in direct proportion to production, it may similarly be asserted, in spite of the absence of complete statistics, that there has been a considerable increase in production. In Austria the production of grapes for the table has increased more than ten-fold in the last few years ; in Czechoslovakia there has been a substantial rise ; in Germany the national production appears to have increased ; and in the Netherlands the production of hot-house grapes more than doubled between 1929 and 1934. In Asia, Turkish production certainly doubled during the last three years, and that of Iran, Syria and the Lebanon also increased markedly. On the other hand, the United States is almost the only country where there has apparently been a heavy decline in the production of grapes for the table. The decline for California, which comprises three-quarters of the North American vineyards, was 28 per cent. if the five-yearly averages for 1930 to 1934 and 1925 to 1929 are compared. It should be noted that the decline — which, it may be added, was held up in 1934 and 1935 — coincided with a marked increase in the production of grapes for wine during the last three years, 1932 to 1934. Taken altogether, it may be estimated that the world production of grapes for the table increased by about 24 per cent, between the period 1925 to 1934 and the following five-year period, when it averaged 22 million quintals. During this latter period, production rose steadily, amounting in 1934 to 25.5 million quintals or nearly 22 per cent, above the figure for 1930. It should be added that the quantity of grapes grown for wine but consumed as fruit has .also increased heavily. -Comparing the annual averages for the two five-year periods 1930 to 1934 and 1925 to 1929, the increase in Italy and some other countries was 50 per cent. In the United States, on the other hand, there was a decline of over 30 per cent. Raisins. — The production of raisins fell markedly in Spain, Italy, and the United States ; it remained more or less constant AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 99 in Greece, and increased heavily in the Asiatic countries — Turkey and Iran — and slightly in Australia. Taken altogether, the average annual world production in the period 1930 to 1934 remained a t about the same level as the annual average for the preceding five-year period, or 5.4 million quintals. There was, however, a marked decline in 1929, 1930 and 1931, after which a fairly high average, of about 5.9 million quintals, was recorded for the following three years. Other fruit. — For most countries the statistical information is not sufficient to allow of an estimate of the growth of fruit production. I n a general way there appears to have been a tendency to increase production in this branch of agriculture too ; the amount produced a t present is well above the pre-war level and the increase has continued down to the last few years. I n some ten European countries which compile regular statistics of fruit production, the annual average production of pears and apples during the period 1930 to 1934 was about 8 per cent, above that for the period 1925 to 1929. There has also been an increase in the production of peaches, apricots and cherries in the last few years in the few European countries which give information on this point. I n Canada the production of apples for sale increased by 28 per cent, between 1925 to 1929 and 1930 to 1934. I n the United States, on the contrary, the apple harvests of the last five years have been rather less abundant than those of the preceding five years, b u t the production of pears, apricots and cherries has increased substantially. As an example of a new country which has made much progress in the cultivation of fruit, reference may be made to Australia, where the production of apples increased by about 30 per cent. between the periods 1925 to 1929 and 1930 to 1934. For citrous fruits, the great rise in production is shown by the fact t h a t the principal producing countries, while augmenting their home consumption, have also been able to export increasingly large quantities. Their average annual exports of oranges during the periods 1909 to 1913, 1925 to 1929 and 1930 to 1934 were as follows : 100 WORKERS' NUTRITION AND SOCIAL POLICY EXPORTS OF ORANGES (In thousand quintals) Spain Italy Turkey, Palestine, Syria United States . .. . . • Brazil Union of South Africa . TOTAL 1909-1913 1925-1929 1930-1934 5,079 1,201. 501 330 1 7,407 1,215 975 1,162 155 233 11,147 9,366 1,096 1,257 1,198 664 586 7,112 14,167 In the United States the number of orange trees increased from 1920 to 1930 by over 50 per cent. (31,958,000 in 1930 as against 19,667,000 in 1920). There has also been a very large increase in the production òf bananas. The quantity of this fruit recorded in international trade has almost doubled as compared with the pre-war figures, and the quantity exported from the producing countries rose from an annual average of 12,300,000 quintals for the period 1909 to 1913 to about 21 million'quintals for the period 1930 to 1934. II. — AGRICULTURAL PRODUCTION AND THE POSSIBILITY OP IMPROVING STANDARDS OP NUTRITION The insufficiency of national statistics of agricultural production makes it impossible to present a complete statement on the evolution of world agriculture. Nevertheless, a study of the very interesting material at the disposal of the International Institute of Agriculture permits certain general conclusions to be drawn concerning the trend of food production, and also raises certain questions, such as the power of agriculture to adapt itself to changes in consumers' demand for foodstuffs and its capacity to meet the needs of a definitely higher standard of popular nutrition. From the information furnished by the International institute of Agriculture, which forms the first part of this chapter, it seems possible to conclude that the general trend of agricultural production since the war has not differed from that of the pre-war period ; that is to say, the agricultural industry has continued to expand, and all forms of agricultural production have increased steadily and AGRICÜLTUBAI, PBODTJCTIOK AND FOOD CQgrSTTMPTIOJST 101 even more rapidly than before. This increase in production is not only due to an extension of the areas under cultivation and of the quantity of livestock raised, but is also the result of the technical progress of the industry which has made possible a higher output in agriculture proper and in animal husbandry. I n this record of general progress there is perhaps also evidence t h a t the production of certain foodstuffs has recently developed more quickly than that of other products. This would appear to be the case with regard to milk, poultry, eggs, vegetables and fruit. This development has, of course, not always followed the same rhythm throughout the whole post-war period. The progress made in agriculture proper has gone further than t h a t of animal husbandry. A certain oscillation is also to be observed in the general trend of production, which includes also periods of retrogression. The present situation is characterised by a relative overproduction, which made itself felt first as regards cereals and sugar and later also with regard to many other products. This surplus production and the collapse of prices have given an acute character to the question of agricultural surpluses so as even to make this appear to some people as the central problem in the relation of agriculture to nutrition. I n any case, the recent evolution of agricultural production has been fully sufficient to ensure the nutrition of populations in a way hitherto considered normal and customary. This fact, however, furnishes no information on the essential questions from the point of view of an improved standard of nutrition, such as to what extent does the evolution of consumers' demand for foodstuffs exercise through the price system a direct influence on the development of agricultural production ? Have the conditions under which agriculture works allowed it to turn rapidly to raising products for which there is an increased demand, or has such adaptation encountered difficulties due to the complexity of agricultural production and the interdependence of its numerous elements which have finally made adaptation impossible or incomplete ? Is it primarily on the technical development of agricultural production t h a t the changes in the customary diet of populations depend % In other words, what are the relative roles played by economic and by technical factors ? These questions are equally important from the point of view of agriculture and from that of nutrition. 102 WOEKEBS' NUTRITION AND SOCIAL POLICY Of course agriculture is not without power to modify its system of production. I t s history itself furnishes the proof. But no general or precise answer can be given as to the conditions under which such a n adaptation can take place. As the International Institute of Agriculture states in another communication to the Office, " the adaptation of production to consumption is easier in a period of economic expansion than in a period of depression. Thus, the change which took place in European agriculture during the last p a r t of the nineteenth century was greatly facilitated b y the fact t h a t world economy was then in full development and t h a t the demand of the increasing industrial populations was expanding. The increase in the purchasing power of the populations during this period of expansion lasting up to the world war permitted European agriculture to a d a p t itself more easily to the conditions of competition with oversea products. I t was possible to develop the production of foodstuffs of animal origin, vegetables, fruit, etc., a t the expense of the cultivation of cereal crops. I n basing their food supply on a combination of foodstuffs which could not be transported over long distances and were produced in the country itself and of cereals and other easily transported products which were imported from agricultural countries, the industrial States of Europe succeeded not only in solving more or less satisfactorily ' the problem of adapting production to demand, b u t also in improving to a very considerable extent the diet of their populations. " I n fact, in the course of the last pre-war decades, the consumption of dairy produce, meat, vegetables, fruit, etc., t h a t is, of products whose special importance from the health point of view is generally recognised, increased greatly in the industrial countries, and not only among the better-off classes of the population. " To-day, however, in face of an agricultural depression which first appeared in the production of cereals, it may be questioned whether this adaptation to a change in consumption was in fact as real a s it seemed to be a t the time when it took place. Viewed as a whole, agriculture depends on" natural conditions which fix certain limits to the relative proportions for the production of different groups of foods and, above all, to the proportion between vegetable and animal production. This state of affairs is also reflected in each individual farm, for its economic and technical organisation, once established, tends t o make changes in production-planning difficult. I t is AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 103 not always possible to undertake such changes without profound and at the same time expensive modifications in the organisation of the agricultural undertaking. Sometimes such modifications react on the structure of national agriculture itself, the value of which is never measured exclusively by purely economic criteria. Even during the period to which reference was made above it was difficult for certain categories of agricultural undertakings in European countries to adapt themselves to the changes demanded by the new situation, and pre-war agricultural policy showed numerous examples of measures taken by Governments to protect national agriculture in its existing form measures certainly not without repercussions on the improvement of the nutrition standards of the population. During the post-war period, when the stimulation of general economic expansion preceding agricultural progress was lacking, the task of establishing an optimum equilibrium between the consumption and production of foodstuffs became much more difficult. Such a task made necessary the modification of the general lines of agricultural production. The economic and other reasons on account of which Governments felt bound to take steps to maintain the existing agricultural structure of their countries intact became much stronger and more imperative. In cases where an exclusively defensive policy was not possible, measures of economic control and planning set up by the State, contrary to all the traditions of agrarian policy, became essential as the only means of recovery for the agricultural industry. Agriculture was incapable of solving by itself the problem of surpluses and relative over-production. It is in the double light of the continued expansion of agricultural production and of the friction which is encountered when attempts are made to adapt agricultural production to consumption, and not vice versa, that the possibility of realising a genuine improvement in the nutrition standards of the population must be studied. It must also be realised that the problem becomes more complicated when it is decided to intervene by direct means, and not to depend exclusively on the free play of economic forces resulting from an increase in the purchasing power of the masses. In theory, agriculture is certainly able to respond to the increased demand for a real improvement in nutrition standards. 104 WORKERS' NUTRITION AND SOCIAL POLICY Such an improvement would no doubt tend to diminish if not eliminate the present problem of surpluses and over-production, and a considerable increase in production might even become necessary. Calculations made by the United States Bureau of Home Economics show t h a t an average area of 1.9 acres per consumption unit which, from 1927 to 1931, was cultivated in order to provide the nutrition of the population of the United States, was only sufficient to ensure an adequate diet a t moderate cost ; while a liberal diet, corresponding to ' the standard of living of skilled workers and commercial and professional employees, which allowed above all for a much greater consumption of lean meat, fish, eggs, fresh vegetables and fruit, would have necessitated a cultivated area of 2.1 acres per consumption unit, or an increase of 10 per cent, in the area cultivated. The importance of these figures can be understood only when it is remembered t h a t they are averages for the whole population and t h a t , in fact, the majority of families have to be content with a diet considerably below the level of an adequate diet at moderate cost. Again, supposing that, even in the case of improved nutrition standards, the relative proportions between the diets of the different social classes remained the same, the increase in the cultivated area necessary to secure the diet of a skilled worker for the great majority of the American population may be estimated a t about 25 per cent., instead of 10 per cent. F r o m a technical point of view, such increases in production, which would probably have to be even larger in other countries, do n o t present any insurmountable difficulty for agriculture. Reference may again be made to the International Institute of Agriculture, which estimates t h a t " in view of the modern conditions of agricultural knowledge, the possibilities of agricultural production are very great. Taking the world as a whole, the limits of these possibilities may practically be left out of consideration altogether. With regard to individual countries, with the exception of certain regions which are undoubtedly over-populated in relation to their productive capacity, such limits are generally far from being reached. " _ _ . . , . . On the practical side of the problem, it is much more difficult to come to a conclusion. A general movement for raising the nutrition standard of populations has become prominent. There is, however, still inadequate information as to the measures which should be taken to realise this aim or the policy which ought to be followed. The results will not be uniformly satisfactory if, while AGRICULTURAL PRODUCTION AND FOOD CONSUMPTION 105 taking steps to give consumers a clearer notion of appropriate diet and to provide it, assistance is not simultaneously granted to agriculture to facilitate the necessary changes in production. An improvement in nutrition standards cannot be brought about rationally by unilateral measures alone, directed either to the consumer or to the producer of foodstuffs, but only by close collaboration between all the parties concerned and by co-ordinated action treating the problem as a whole. The problem of the relation between the production and consumption of foodstuffs is in its essentiels an economic problem. On the one hand it is a question of increasing, quantitatively and qualitatively the agricultural output of society, and on the other, it is one of organising its distribution in such a way as to secure a proper diet for the largest possible number of persons. Stated in this way, the question forms part of the general social economic problem of nutrition considered in the following chapter. CHAPTER V SOCIAL-ECONOMIC ASPECTS OF NUTRITION The preceding chapters have brought together the main facts on the basis of which the problem of nutrition may be defined in its social-economic aspects. It was shown, first, that in the light of the objective standards of rational nutrition which the science of dietetics lays down, large masses of the population in all countries are inadequately or improperly nourished ; and that while many persons with sufficient incomes to nourish themselves adequately are malnourished, either through ignorance or indifference, the working masses show a clear tendency to improve the quantity and quality of their.diet as income increases, which means that the greater part of under-nourishment is the result of inadequate purchasing power. Second, it was indicated that taking the modern world as a whole there would seem to be enough potential agricultural capacity to produce much larger amounts of both energy-yielding and protective foodstuffs. At the same time, however, it is found that existing capacity is in part unused, in part misapplied, resulting in serious maladjustments not only between the demand for and supply of foodstuffs, but also between the amounts and kinds of foods produced and those that might and could be produced in response to the requirements for a rational diet as determined by scientific research. These facts give rise to three major questions of a socialeconomic character. First, what are the social-economic conditions which account for the discrepancy between ideal dietary requirements and actual consumption on the one hand, and between potential productive capacity and actual output of foodstuffs on the other ? Second, what effects are changes in dietary habits induced by scientific research likely to have on the .production. and distribution of foodstuffs, and consequently on agriculture and on the economic structure of different countries ? And third, taking the standards of rational nutrition established by medical and dietetical experts as given, what are the main economic and social factors involved in the realisation of these standards and what are the various policies which might promote such realisation 1 SOCIAL-ECONOMIC ASPECTS OP NUTRITION 107 Obviously, these three questions are closely interrelated. But for the purposes of this Report it will be more expedient to centre attention on the third question. The present chapter thus aims to indicate in a rather general way, without entering into details, the scope and nature of the social-economic issues raised by the problem of rational nutrition for all the people. I. — FOOD CONSUMPTION AND PURCHASING POWER Consumers' purchases of foodstuffs, as of all other commodities, are governed by two main types of factors, subjective and objective. The subjective factors are those which help to build up the consumer's wants and preferences, his relative valuations of different goods in terms of satisfaction or of social standards. The objective factors are those which determine not the consumer's desire, but his capacity to purchase, and which express themselves through the medium of prices and incomes. Of the two sets of factors, the objective is the more significant. Prices and income constitute the limits within which the consumer can give rein to his subjective preferences and wants. In simple terms, to secure an adequate diet, it is not enough to have a desire for it : the most important thing is to have the means wherewith to obtain it. It cannot be too often repeated that the main ground for inadequate nutrition is not so much an ineffective use of existing incomes, as the insufficiency of the incomes themselves, however wisely spent, to provide food of the kinds and in the quantities prescribed by nutrition experts as essential for the maintenance of health and energy. The objective factors will, therefore, be considered first. Purchasing power in general depends on the relation of money income to the prices of commodities ; purchasing power will be increased if income increases or if prices fall, and will be decreased if income decreases or if prices rise. Thus, in regard to the consumer, prices and incomes are in some respects only two sides of the same phenomenon, that of purchasing power. But there are important differences in the effects which changes in prices and incomes may have on consumption. When the consumer's purchasing power increases either through a rise in income or a fall in prices, he tends to expand his consumption all along the line. If all prices increase or decrease proportionately, the effect on purchasing power will be exactly the same as if incomes decreased or increased in the same ratio. But as general price movements are accompanied by changes in the relative prices 108 WORKEBS' NUTRITION AND SOCIAL POLICY of different commodities, the effect on the distribution of the new purchasing power is likely to be different from the effects which a corresponding change in money incomes would have. Thus, measures taken to reduce the prices of foodstuffs will increase their consumption even if, owing to a simultaneous rise in other prices, purchasing power as a whole is unchanged. Because of this, and also owing to the fact that measures taken to influence purchasing power through prices are quite distinct from those which may affect incomes, these two factors are considered here separately. Prices Relatively low prices of foodstuffs are a basic factor in expanding the capacity of consumers in general and of workers' families in particular to buy the foods which they regard as indispensable and desirable. Any suggestion of lower prices of agricultural commodities may sound ironical when one thinks of the catastrophic collapse in agricultural prices during 1929-1932 and of the havoc it wrought in the economic position of the farming community and in world economy generally. But the problems of price relationships created in such a depression are of a special character. It is clear that agricultural prices may present quite different and even conflicting aspects to consumers and producers respectively. For the consumers, lower food prices mean increased purchasing power and a higher standard of living ; while for the producer lower food prices, if costs are unchanged, mean lower incomes and therefore a reduction in purchasing power and in the standard of living. It is even possible, as during the recent depression, that the reduced purchasing power of agricultural producers may lead to. a cumulative depression of incomes and of the standard of living of the rest of the community. The problem thus is to seek methods of lowering food prices which do not reduce producers' incomes. For this purpose it is necessary to consider what are the main factors determining such prices, on the supply side. 1 These factors may be classed under the main heads of costs of. production and distribution, the organisation of the market and commercial policy, and the effects of government fiscal measures — influences from the side of technicians, entrepreneurs and the State respectively. 1 The influences on the demand side — wants and money incomes — determine consumption more directly and are discussed later in the chapter. SOCIAL-ECONOMIC ASPECTS OF NUTRITION 109 Production Costs Prices of foodstuffs may be reduced by lowering their costs of production through increasing the efficiency of agricultural production. Increased efficiency must be clearly distinguished from a mere increase in output, which may or may not be achieved a t lower costs, and which was dealt with in the preceding chapter. Normally, where technique is unchanged an increase in agricultural output is possible only under increasing costs of production ; b u t in fact technique has n o t remained unchanged, and the steady progress of agricultural science has, during the last generation, stimulated a simultaneous increase in production capacity and efficiency and has also opened up possibilities for the direct reduction of costs of production. I n view of past achievements, the scope for reducing prices through increased efficiency may be considerable. Research and experimental work are likely to continue to p u t still higher yielding seeds a t the disposal of agriculture and to improve the breeding of livestock of all kinds. Agricultural schools and. extension work promise to make farmers more familiar with the conquests of science, and to train them for more rational and economic farming. The agricultural machinery industry is likely to permit of still further mechanisation of farming, etc. Some of the driving factors towards increased efficiency, such as agricultural schools and experimental stations, are generally paid for by public authorities, and in other cases also financial and other forms of assistance may be given to farmers to accelerate the transition to new and improved methods. Such assistance is specially important in order to further permanent improvements t h e cost of which is often beyond t h e means of the farmer. National schemes for such improvements, for closer settlement on extensively cultivated large estates, and for the resettlement of populations now on submarginai land are being undertaken at present in Germany, Italy, the United States and other countries. The adaptation of agricultural production to a changing demand involves many difficulties, which were discussed in the preceding chapter and which complicate the problem of increasing productive efficiency in agriculture. Thus, for instance, although specialised single crop farming may result in lower production costs, it m a y be undesirable for other reasons such a,s the concentration of risk and the instability of market conditions to which it gives rise. The difficulties arising from single •crop production are exemplified particularly in Cuba, Brazil 110 WORKERS' NUTRITION AND SOCIAL POLICY and the " Cotton Belt " of the United States. Another problemi which arises in the case of improvements in efficiency due to mechanisation is that of dealing with the displaced labour. It was| estimated that the technical improvements in agriculture introduced in the United States between 1919 and 1927 were sufficienti to have displaced two and a half million workers, supposing the volume of output had remained unchanged. 1 Other methods of improving efficiency may involve changes in' the scale of farms which could not be introduced without serious upheavals in the legal forms of land ownership, or even in the system of private property itself. Market Organisation and Distribution Costs A second important element in determining the prices of foodstuffs is the organisation "of food markets. In markets characterised by a high degree of. competition, the tendency will be for reduced costs of production to be reflected in lower retail prices. In markets characterised by monopoly or quasi-monopoly, the prices paid by consumers may be far above the costs of production, and a monopoly position of middlemen may be exploited either against farmers in lowering producers' prices, or against consumers in raising selling prices. The organisation of food markets is extremely complex. The production side has traditionally been fairly competitive. On the supply side there is usually a large number of independent and unorganised producers, each having too small a share of the total production to affect prices perceptibly by his individual action. But between these producers and the numerous individual households which constitute the consuming public (a competitive and an unorganised aggregate) are the various groups of middlemen — processors, wholesale merchants, retail distributors — sometimes organised competitively, sometimes organised on a monopolistic basis. Where the middlemen act competitively there is nothing to obstruct retail prices from reflecting primary costs of .production. But where middlemen are organised more or less monopolistically — as in the meat and milk trades in some - countries —-retail foodprices "may be forced to high levels while returns to the farmer may be unreasonably depressed. Apart from potential economies in the process of production itself, there is thus considerable scope for price reduction in the 1 Dr.' Harry JEROME in Mechanisation of Economic Research, 1934. in Industry. National Bureau SOCIAL-ECONOMIC ASPECTS OF NUTRITION 111 later stages of the preparation of foods for consumption. Improvements and economies may be introduced in methods and costs of distribution, in marketing organisation, in grading, labelling, packing, preservation, transportation and retailing of agricultural commodities. An important step in the direction of such economies may be further made by reducing the spread between the prices to producers and consumers through voluntary co-operative or state-assisted schemes of buying and selling. Recently, however, even the independence of agricultural producers and the competitive character of the productive side of agriculture have been considerably diminished. Owing to the disproportionate fall in agricultural prices during the depression and the consequent distress among the farming population, many Governments have taken steps to create a situation in favour of farmers by an organised restriction or stabilisation of output. Measures have been taken by the State to reduce production of basic crops or to destroy surplus stocks. In some cases where national production was not a sufficient proportion of world production to enable a single country to influence substantially the world price, international agreements for the control of output have been attempted, e.g. wheat and sugar. It may be reasonably argued that the worldwide crisis in agriculture justified such emergency measures. A long-range policy, however, which would combine assistance to agriculture with provisions for adequate popular nutrition, has at its disposal other measures, such as direct subsidies, financial encouragement to reduce production costs, elimination of unnecessary middleman spreads, etc. In general, while the methods of State control of output combined with guaranteed prices are understandable in terms of an emergency situation, they tend to " freeze " an unsatisfactory status quo ante by preventing possible cost reductions, both through removing the stimulus to avoid losses as well as through excluding the entry of new and more efficient producers. Commercial Policy Where agricultural production is destined for home consumption and not for export, a price-raising policy has to be reinforced sometimes by means of protection of the home market against imports. This is illustrated by the development of agricultural protection in recent years which has undoubtedly had the effect of raising food prices. The motives for such a policy have been various. In the first place it has been a necessary element in the 1]2 WORKERS' NUTRITION AND SOCIAL POLICY programme for assisting the domestic producers by means of output control. A second motive has been the tendency towards •economic self-sufficiency, mostly with a view to the possibility of war. This implies the deliberate choice of high food prices as a form of insurance premium against the risk of even higher food prices and acute food shortage in the eventuality of a war. The motive for such a policy would of course be much reduced by any improvement in the international political situation which diminished the risk of war. In the third place agricultural protection is sometimes introduced as part of a general protectionist policy for maintaining the stability of the currency. Where the level of internal prices relatively to world prices is such that a chronic import surplus has developed and gold and foreign exchange reserves are becoming depleted, the State may decide to penalise . the import of foodstuffs in order to preserve the gold value of the currency. There are several alternative courses open in such a. situation which would diminish the deleterious effects on nutrition : if imports have to be restricted, the restrictions may be limited to goods of a non-nutritive value, or the internal value of the currency may be raised to its external value by means of a domestic price deflation, or, finally, the policy of maintaining an overvalued currency can be abandoned by means of devaluing the currency. Finally, a further motive for agricultural protection, where it takes the form of tariffs, may be the collection of revenue. Here it is clear that, other methods of collecting revenue, such as progressive direct taxation, can be devised which do not conflict in the same way with the requirements of adequate nutrition. The effects of agricultural protection in raising food prices •occur in two ways. The industrial countries which for practical •or other reasons attempt to foster home agriculture by means of tariffs, quotas and similar measures have to pay higher prices for home produced food than they would have had to pay for food imported from oversea countries producing with lower agricultural costs. At the same time, the export surplus countries themselves, in the attempt to overcome the obstacles created by the policies of their former customers, are often constrained to subsidise exports by imposing higher food prices on domestic •consumers. A striking example of the effects of agricultural protection is shown by the varying price at which butter is sold in the domestic markets of different, countries. The " world price " of butter SOCIAL-ECONOMIC ASPECTS OP NUTRITION 113 in the year 1934 was 1.72 Swiss francs per kilogram. In Italy, the price was 3.03 Swiss francs ; in France, 3.55 Swiss francs ; in Germany, 3.79 Swiss francs ; and in Switzerland, 4.75 Swiss francs. The differences between these national prices and the world price of 1.72 Swiss francs must be attributed to the effects of tariffs, quotas and other restrictions. Not only does agricultural protection reduce the quantities of food consumed (by raising prices), b u t in addition it tends to restrict variety, which is generally an important element in nutritive diets. As stated in the League of Nations Report on Nutrition and Public Health : " I n an era when great benefits might be derived from an unimpeded distribution of foodstuffs, nations are retiring into voluntary isolation and falling back on their own resources. Transport is perfected within countries b u t paralysed between them. " 1 Fiscal Policy Superimposed upon the price-forming influences of the costs of production and the organisation of the market, indirect taxation may have a further effect in raising prices. There is always a certain temptation for the State to raise revenue by indirect taxes on necessities of life, since in the first place indirect taxes attract less attention and thus arouse less opposition than direct taxes, and in the second place the elasticity of demand for such necessities is so slight that a large revenue can be obtained from a proportionately not very high tax. Nevertheless, in spite of possible practical advantages from the point of view of the Exchequer, this policy would be undesirable from the point of view of public health and of social justice. I t would curtail the consumption of those commodities which are particularly necessary for the advancement of the health of the community and weighs unduly heavily on the lower income classes, a larger proportion of whose expenditure is devoted to the purchase of the commodities taxed. Although necessities of life have a low elasticity of demand in general, they probably have a relatively smaller elasticity compared to the demand for other commodities in the case of lower than in that of higher income classes. The objects of expenditure of those with small incomes are nearly all in some degree necessities. Therefore taxes which increase the prices of foodstuffs are likely to have serious repercussions on food consumpX E . B U R N E T a n d W . R . A Y K R O Y D : Nutrition L e a g u e of N a t i o n s . and Public Health, p . 49. 8 114 WORKERS' NUTRITION AND SOCIAL POLICY tion. This point gains additional significance when it is remembered t h a t many of the workers' expenditures, other than for food, a r e usually of a type t h a t cannot be lowered or shelved. P a y m e n t for housing accommodation in particular is a large and often irreducible item. 1 I n many cases, also, customary pleasures or cultural activities (sports, cinema, tobacco, dues to various associations, newspapers, annual excursion) will be continued so long a s actual starvation can be avoided. Taxes raising the prices of commodities of nutritional importance are thus likely to lead, not t o a retrenchment in other- lines of expenditure, but rather to a reduction in quantity or, more often, in quality of the food consumed. Lower Prices and Better Nutrition The possibility of improving nutrition standards by means of price policy thus involves action on one or more of the above factors — to increase technical efficiency, to improve market organisation, to remove trade barriers, or to eliminate indirect taxation, particularly on commodities constituting the prime necessities of life. To determine t h e scope for improving nutrition by means of reducing food prices and t h e social cost involved it would be necessary to ascertain the elasticity of demand for the various foodstuffs in response to price changes a t different income levels. - The difference between t h e lowest actual consumption of the various foodstuffs and t h e standards set b y nutrition experts would give t h e extent t o which consumption required to be expanded, a n d the statistically determined elasticity coefficients would indicate t h e degree of price reduction called for. Incomes Capacity to purchase and to consume is determined not only by prices, b u t a t the same time and equally b y t h e size of money incomes. National consumption and consequently nutrition and health standards are affected both by the size and by the distribution of the total national" income. The size of the national 1 " The effect of high rent in reducing food expenditure has been emphasised b y Crowden, McGonigle and Rogers. This factor operates most strongly in large cities. I t has been suggested t h a t t h e removal of families from slum areas to new housing estates where the rent is high may actually lower health standards, because t h e proportion of income available for food is diminished." Nutrition (B." BTOUSTET and W. R. AYKBOYD : and Public Health, p . 63. League of Nations, Geneva, 1935.) SOCIAL-ECONOMIC ASPECTS OF NUTRITION 115 income depends on various influences : the available supply of productive factors (capital, labour and natural resources), the state of technical knowledge, the degree to which the economic system functions efficiently, in particular the fluctuations of the business cycle. The distribution of the national income depends again on many fundamental factors, on the social and political organisation of the economy, on public finance, on social and health insurance measures, on the state of business activity, and in fact to some extent on every element in the whole economic system. FIG. r v . o% INCOME 5% IO% OF FAMILIES 15% 1ST T H E UNITED 20% 25% STATES, 1 9 2 9 30% 327,000 families $17,914 million income 3,161,000 families $19,964 million income 7,632,000 families mz^mmmmxxiwxxsmmm®', immamt^wmmmtimmmim^ $20,974 million income I^TSTIS^STTTTITTTTO'Ï^TTTÎJ ^3^^iTT^.^3ri3^.T^^^^'*^T'T3'1'^'^'^'T!.'^: 16,354,000 families [TOIfflfMMtmMll C* 5% IO% 1 % of total families 15% 20% 25% $18,264 million income 30% ™ 1 % of total national income going t y to families SotrBCE : THE BKOOKINGS INSTITUTION: America's Capacity to Consume, Washington, 1934. An illustration may be given from the United States to show the distribution of the total national income among families and the movement of total income and labour income during the recent depression. Analogous results might be obtained in other countries, but the United States have been selected here on account of the relative superiority of the statistical data which they furnish. As indicated in fig. IV, the total income in the United States going to families may be divided into four approximately equal parts. In 1929 the first of these parts — some 18 milliard dollars — went to slightly over 1 per cent, of the richest families, 116 WORKERS' NUTRITION AND SOCIAL POLICY viz. those with an income in excess of $15,000 a year. The second p a r t went to the 12 per cent, of families Math incomes ranging between $4,000 and $15,000 a year. The third part was divided among the 27 per cent, of families with a yearly income of $2,000 to $4,000. The fourth part went to the remaining 60 per cent. of the families getting $2,000 a year or less. This poorest section of the population included over 2 million families in receipt of incomes not exceeding $500 a year. FIG, y. — UNITED STATES OF AMERICA lOOt 90 . 80 70 • 60 50 •• « > • • 30 20 10 0 1929 1930 1931 ^ | Payrolls 1932 H 1933 I93<, 1935 Real payrolls SOURCES : Federal Reserve Bulletin; Monthly Bulletin of Statistics (League of Nations). This was in 1929. Figure V indicates the effect upon the wage-earning population of the industrial depression of 19291933. By 1932 total payrolls in terms of money had sunk to some 40 per cent, of the 1929 total ; while " real " payrolls (i.e. with account taken of the accompanying fall in the cost of living) were only 50 per cent, of what they had been. In other words, the total income (expressed in actual commodities) going to the wage-earning population in return for work done was cut in half. I t must be remembered, moreover, t h a t this reduction in income was by no means equally spread over the whole labouring population. The decline in real labour income implied not merely a general reduction in living standards but a vast increase in the number of families with incomes of $500 a year and less. In short, the threat of destitution which was the lot of some two million families even in 1929 was extended to about a quarter of the whole population in 1932. SOCIAL-ECONOMIC ASPECTS OF STUTBITION 117 To influence consumption by increasing the national income involves a stimulation of productive efficiency and a successful general business cycle policy. At the same time great scope for improving nutrition standards even within the limits of the existing national income is offered by policies tending towards its redistribution in favour of lower income classes. Various methods of such redistribution have been used, differing mainly in the sources of the money to be distributed — credit expansion, the printing press, taxation of various kinds, etc. — and in the form in which the distribution may take place — relief, wage subsidies, pensions, bonuses, etc. With regard to the source of the money, it is desirable that it should neither be derived from other income classes lying near or beneath the borderline of under-nourishment (in particular not from indirect or regressive direct taxation) nor act in any way as a deterrent to production or the full use of productive resources. With regard to the form of distribution, those forms might be chosen which react as favourably as possible on the general economic situation and on the total national production (e.g. wage subsidies which increase employment, or useful public works — such as housing — which are directed towards increasing the standard of living). Some of the measures indicated above are in the nature of organised relief, particularly justifiable during a period of industrial depression. These measures are being to a considerable extent supplemented or superseded in the more advanced countries by social insurance. Such contingencies as unemployment, ill-health, old-age and similar causes of destitution are provided against on an actuarial basis with the participation of the State. These measures of relief and social insurance, by doing something towards eliminating the most acute cases of inequality and irregularity of income, are factors of the utmost importance from the point of view of adequate nutrition. 1 Adjustments of income act to some extent less directly on nutrition standards than measures affecting food prices. In order to induce consumers to purchase sufficient food and of the right kind to avoid nutritive deficiencies, incomes would have to be raised by far more than the mere cost of the additional food required, since under a system of free choices every increase in income is likely to be distributed over all types of consumption. 1 The degree to which nutrition standards are taken into account in the legislation dealing with wage regulation, social insurance, and other forms of labour protection are considered in Chapter VI. 118 WORKERS' NUTRITION AND SOCIAL POLICY A consumer may, under the stimulus of increased income, desire to increase his consumption of clothes, travel, house room,"etc. to a considerable degree, before voluntarily purchasing the quantity and quality of food prescribed by dietetical experts as necessary for adequate nutrition. The extent to which income must be increased in order to induce a desired increase in the consumption of any specified food — the elasticity of its consumption in terms of income changes — can be investigated on the basis of family budget data on different income levels. The cost of promoting increased consumption through income adjustments would necessarily vary from country to country. Sir John Orr recently estimated that for England the lowest income at which serious nutrition deficiencies are avoided was £1 per week per head, while £1 5s. Od. was the lowest at which a fully satisfactory diet was consumed. The cost of raising all consumption up to these standard levels was estimated to involve an increased food consumption valued at £100,000,000 and £200,000,000 à year respectively/ Apart from attempts to influence nutrition indirectly by means of acting on prices or incomes, the State may approach the problem more directly by simply providing the required food to those who are found to be under-nourished. Such methods may take the form of the provision of milk to schoolchildren and nursing mothers, the distribution of unemployment relief in kind or by means of food cards, etc. Such policy would doubtless be less expensive than the indirect methods, in that in the first place nutritive diets could be provided at minimum cost (cheaper than those actually selected by consumers), and in the second place efforts could be concentrated on increasing the consumption of the particular articles whose consumption has been found to be inadequate. II. — NUTRITION STANDARDS AND CONSUMPTION HABITS In addition to the objective factors operating through prices and incomes;; consumers' püréhasés of foodstuffs are determined by the subjective factors of wants and preferences which form consumption habits. The part played by food in the " want system. " of the consumer is a complex one. To some extent it is 1 " The Economics of Diet ",. Address by Sir J O H N BOYD O R B , British Association. Meeting, 10 Sept. 1935. SOCIAL-ECONOMIC ASPECTS OF NUTRITION- 119 determined by the primitive instincts of stilling hunger and of self-preservation ; but beyond this, food is desired also for many less primary and more subtle purposes such as pleasing the palate, developing special physical capacities, or establishing certain social standards. The primary demand for food for the purpose of maintaining life is necessarily highly rigid and inelastic ; b u t the difference between merely maintaining life and being adequately nourished is considerable, and the demand for the additional nutrition which makes u p this difference belongs to a more elastic sphere where it begins to compete with other forms of not absolutely essential requirements of a social and aesthetic kind. I t is only these more elastic types of demand which it is possible to influence or change to an appreciable extent, and one of the objects of nutrition policy should be to promote and educate the desire for adequate nutrition so t h a t it takes a prominent part in the objectives which immediately succeed those of mere life preservation. I t has been stated by nutrition experts t h a t members of the lower income groups often fail to obtain as high a nutritive value from their incomes as would be possible b y better directed methods of expenditure. This may arise from two grounds. Consumers may desire to purchase a satisfactory nutritive diet, but may be too ignorant of the essential principles of nutrition to be able to carry out their intentions successfully. They may actually spend more money on food than is necessary to obtain adequate nourishment and yet through purchasing the wrong types of foods still remain under-nourished or malnourished. For such cases, education in the principles of dietetics can, of course, achieve much. On the other hand, there may also be consumers who are not interested in or aware of the importance of adequate nutrition. Their instincts may look after the provision of such food as satisfies the minimum requirements of life, but beyond t h a t they m a y prefer to spend their remaining income either not on food a t all, or else on foods which mainly serve other than nutritive purposes. Here again education can be of some help, especially if it enables consumers to take longer-run views into consideration in the disposal of their incomes. There is abundant evidence in many countries that education, properly applied, can serve to reshape popular dietary habits along the lines of more rational nutrition. The widespread tendency in recent years towards increased consumption of milk, fresh fruits, fresh vegetables and other protective foods is a case in 120 WORKERS' NUTRITION AND SOCIAL POLICY point. In countries where this tendency has developed, it is closely associated with the educational and propaganda work of the various public, semi-public and private agencies for improved / nutrition which are discussed in Chapter VII. That nutritional habits may be improved more generally if public authorities continue to devote energy to education and propaganda on behalf of rational dietaries, seems an unescapable conclusion. Finally, it should be noted that habits of food consumption, as shown in Chapter III, are closely related to general standards of living. Thus educational activities aiming at improved dietary habits cannot successfully be carried on independently of other measures which aim to reorient the concepts of different social groups with regard to economic values and to the improvement of living standards generally. III. — NUTRITION AND THE STATE For the main part, the economic and social factors and policies considered above are such as may be presumed to exist and work through the present economic system, based substantially on free consumers' choices and free enterprise. A considerable degree of government intervention, of the type already widely in force, has been taken for granted, but not such as to involve any fundamental changes in the system itself. However, the present tendency, in all the fields affecting consumption and nutrition, is for the State to play a more positive and controlling part than ever before. The argument in,favour of governmental intervention for the adequate production and distribution of the most essential foodstuffs is that the provision of such commodities is " affected with public importance " and should be dealt with as a public utility. There is also growing support for the proposal that State provision for the adequate nutrition of special groups of the population such as infants, schoolchildren, expectant and nursing mothers, upon whose well-being the future of society depends, should be treated as a social obligation akin to that of public education. An evaluation of the various policies to be pursued in order to provide adequate nutrition for all the people cannot but depend in large measure on the general social-economic views one holds. Those who still believe that all economic problems might best be solved by giving free play to the direct action of the free market will regard with regret the trend towards increased government SOCIAL-ECONOMIC ASPECTS OF NUTRITION 121 intervention in matters of nutrition. They would solve the problem of workers' nutrition by going back to laisser faire and trying to recapture the equilibrium of a bygone day. On the other hand are those who are convinced that, owing to the changes which have taken place in recent years in technology and economic structure, our economic order can no longer be a self-regulating mechanism, but must be consciously and completely directed. They would regard the present State measures for improving nutrition as inadequate and would favour a policy of comprehensive economic planning, on a national and international scale, with a view to increasing income and to raising workers' standards of living. Between the two extremes are those who see that further social control of the processes of profit-seeking enterprise is necessary to achieve adequate nutrition for the people, but who do not think that all forms of social control are equally desirable. In their opinion, the practical problem is what specific social controls may be gradually applied to release forces which will increase economic activity throughout the world so as to provide the workers with employment at adequate wages and thus give the working masses the opportunity to raise their levels of nutrition of their own free will and by their own means. At the present time, the progress in improving workers' nutrition is proceeding with the aid of the State in definite directions. In the following chapters what is already being done by the State to promote higher levels of nutrition through labour legislation and by other methods will be surveyed, and some of the possibilities of further progress will be considered. CHAPTER VI SOCIAL LEGISLATION AND NUTRITION In the preceding chapter some of the major economic issues involved in the problem of workers' nutrition were outlined. It was also pointed out that in no country has any attempt been made to consider general economic policies from the point of view of adequate nutrition. However, separate efforts have been made in many countries to provide for improved workers' nutrition either directly or indirectly. While these efforts may be classified in different ways, it is thought most convenient, for the purposes of this Report, to consider separately all those measures which may be grouped under the heading of Social and Labour Legislation. These measures are considered in the present chapter. All other methods dealing with the improvement of nutrition are considered in Chapter VII. The purpose of present day social legislation is to protect and improve the well-being of the workers in any field where State intervention and organised assistance may be of value. Inevitably, therefore, much of present day social legislation' is concerned, directly or indirectly, with the problem of workers' nutrition. In some cases, the legislative measures may be immediately inspired by the motive of obtaining a minimum standard of nutrition for a particular group of workers. In other cases, the legislative measures may aim at objectives the attainment of which would be materially facilitated by the existence of minimum nutritional standards. At the present stage of the International Labour Office's studies of the problem, it would be of little use to undertake a critical comparison by laying legislative provisions concerned with workers' nutrition side by side with the standards and rules of nutritional science. The present chapter is intended to serve merely as a preliminary and rapid survey of social legislation in its relation to nutrition problems. It will serve its purpose if it brings out the major questions involved and the procedure by which the solution of these questions has been attempted. SOCIAL LEGISLATION AND NUTRITION 123 The problems at issue may be arranged, for convenience of analysis, into four groups. First, the question of the workers' income (on which his standard of nutrition fundamentally depends) as affected b y legislation concerned with regulating the payment of wages. Second, the question of the workers' income during periods of inactivity, so far a s it may be assured b y insurance benefits or relief allowances in case of unemployment, ill health, invalidity, old-age, etc. Third, the question of working conditions proper, as they affect the periods allowed for taking meals during the work day, and the circumstances under which such meals are taken. Fourth, questions raised by arrangements under which the employer is fully or partially responsible for the worker's board. 1 I. — WAGES As already brought out in the present Report, there exists a close and direct relationship between the worker's income and the standard of nutrition he and his family can attain. Thus all labour legislation which aims a t fixing wage rates or income levels for workers and their families bears immediately upon standards of nutrition. Methods for regulating wages and income include such various devices as free collective bargaining between trade unions and employers ; official recognition and support of such bargaining by agencies of conciliation and arbitration ; the compulsory application of the terms of collective agreements to workers and employers n o t parties thereto ; the fixing of minimum rates of pay by public authorities who may or may not receive assistance and advice from representatives of the workers and employers concerned, and so on. All systems for regulating wages of the kind described above aim a t securing to the worker a t least a minimum income sufficient to cover his indispensable needs for food, clothing and shelter. The minimum wage-fixing machinery established in certain industries and trades has aimed a t such a n objective with specific consciousness of purpose. As examples might be cited the wagefixing machinery, in many countries, for home industries where in the absence of trade unions and collective bargaining, wages would be exceptionally low without State intervention. 1 This last question, in fact, forms part of the wage problem as a whole, but there are practical advantages in dealing with it separately. 124 WORKERS' NUTRITION AND SOCIAL POLICY W h a t , then, are the criteria used to establish the indispensable needs of t h e workers concerned, and t h e minimum standard of living which i t is desired that they should be able to maintain ? The Recommendation concerning Minimum Wage-Fixing Machinery adopted b y t h e International Labour Conference in 1928 urged that, for t h e purpose of determining the minimum rates of wages t o be fixed, t h e wage-fixing body should in all cases take into account t h e necessity of enabling the workers concerned t o maintain a suitable standard of living. For this purpose, regard should primarily be had t o wage rates being paid pursuant to collective agreements in effect ; otherwise, t o t h e general level of wages prevailing in t h e country. The text of this Recommendation reflects t h e difficulties of reconciling t h e specific ways of measuring wages which differ from country t o country with a general code of principles on an international basis. I n a number of countries, legislation authorises t h e wagefixing body to fix minimum wages in accordance with any principles or canons i t considers satisfactory under the given circumstances. 1 Other laws, in contrast, specify t h e base t o be used. Among the different bases in use, t h e living wage is the most interesting from t h e nutritional point of view. The idea of t h e living wage has been given its widest and most detailed application by wage-fixing bodies in Australia, New Zealand, t h e United States and Canada. Thus, t h e laws of New South Wales require the Industrial Commission to declare from time t o time what shall be the " living wages " paid to adult male employees and to adult female employees in the State. For adult male workers, t h e living wage must be based on t h e requirements of a m a n with a wife and two children under 14 years of age. The laws of several other Australian States contain similar provisions. Given t h e terms of such laws, t h e problem a t once emerges : what are the requirements of a married man with two dependent children ? I n some cases, t h e laws attempt to give guidance to the wage-fixing body b y defining the requirements in question. Thus, i n Queensland, the minimum wage for an adult male worker must be sufficient to provide a " fair average standard of comfort " havinfir regard tn thf> nnnHitinna of livinsr Drevailinff among employees in t h e occupation. I n South Australia, the minimum 1 Cf. INTERNATIONAL LABOUR OFFICE : Minimum Wage-Fixing Machinery : An International Study of Legislation and Practice. Studies a n d R e p o r t s , Series D ( W a g e s a n d H o u r s of W o r k ) , N o . 17. G e n e v a , 1927. SOCIAL LEGISLATION AND NUTRITION 125 wage must be sufficient for " normal and reasonable needs ". In Western Australia, it should enable the average worker to live in " reasonable comfort " having regard to any domestic obligations to which such worker would ordinarily be subject. Where attempts have been made to give practical effect to the living wage principle, two main methods of procedure have been used. The first method is to draw up a budget of commodities considered necessary, and then to determine the cost of that budget at prevailing prices. This method necessarily entails considerable discussion with regard to the commodities to be included as " necessary ". The discussions are usually resolved by conducting enquiries into the quantities of different commodities actually consumed by a number of representative families. The second method of procedure — ordinarily a variation of the first — bases the living wage on wages actually paid in a number of representative industries. Common to both methods is the hypothesis that existing consumption habits and prevailing standards of living may be taken as norms without bringing in theoretical rules of nutrition laid down by scientists. In the early days of collective bargaining, wage rates were characteristically fixed by trial and error. Where, however, the collective bargaining system has become firmly established and is based on long tradition, wage rates are now fixed more with a view to exact canons and precise standards. From the point of view of nutrition, the most significant achievement would seem to be the raising or lowering of wage scales in accordance with the movements of cost-of-living index figures. Its value, however, for nutrition is open to the same objections that might be raised against the methods of determination employed by minimum wage-fixing bodies. Although the use of a cost-of-living index may enable the worker to maintain a standard of nutrition already achieved, it throws no light on the question of what foodstuffs, and how much of each, ideal standards of nutrition should include. It may be objected, of course, that it would be useless to establish wage rates on the basis of strictly scientific nutritional analysis. There would be no guarantee of the workers' using their wages to buy foodstuffs in accordance with the standard. In the first place, the degree of skill in purchasing and using foodstuffs varies considerably from household to household. Second, the worker must above all be allowed to be free to spend his income as he likes. No direct interference with his rights in this respect is to be assumed. 126 WORKERS' NUTRITION AND SOCIAL POLICY I t is, nevertheless, pertinent to observe t h a t in spite of all individual variations, custom and t h e size of t h e income itself impose actual and substantial • limitations upon the worker's theoretical freedom to spend his money as he likes. Studies of family budgets almost invariably show a high degree of stability in t h e relative expenditures on t h e various items which comprise t h e budgets of workers' families. I n fact, t h e materials gathered in family budget enquiries make it possible to speak of certain laws governing the expenditure of family incomes. Under such circumstances, attempts to fix wage rates in relation to fixed nutritional standards would appear to be of considerable practical value. Family Allowances. — All the proposals and measures dealing with wage regulation mentioned above are based on the hypothesis of a standard family of average size. I t is evident t h a t minimum wages sufficient for standard families must prove insufficient to assure adequate nutrition to families larger t h a n t h e average. To meet this difficulty, t h e family allowance system has been developed. Under the special conditions of the world war, the family allowance system extended rapidly in many countries. The chief cause of its growth was t h e increase in t h e cost of living, reducing real wages, which caused great hardships, especially among workers with large families. Because war-time price conditions were considered temporary in character, t h e practice arose of adding a cost-of-living bonus to the basic wage. I n a number of countries, when determining this bonus, account was taken of the size of the family which the worker had to maintain. W i t h t h e return t o t h e price conditions characteristic of peace, the family allowance system was largely discarded in a number of countries. I n other countries, however, it began to develop anew, particularly where increased birth rates were held to be an essential aim of national policy. Whatever t h e object in view, t h e allowances paid under the family allowance system are ordinarily so small t h a t no calculation is needed-to show t h a t they fall below t h e additional food expenses of a family which exceeds average size, n o t to speak of the cost of providing a rational diet for such a family. 1 1 Cf. INTERNATIONAL LABOUR OFFICE : Family Allowances : The Remuneration of Labour According to Need.- Studies and Reports, Series D (Wages and Hours of Work), No. 13. Geneva, 1924. SOCIAL LEGISLATION AND NUTRITION 127 Safeguarded payment of wages. — That wage earners depend primarily on their wages for their daily bread has induced most countries to strengthen wage claims with special safeguards. Only two examples can be given here : laws providing for periodic payments, and laws prohibiting or regulating payment of wages in kind. In many countries, there are legislative measures which prescribe maximum intervals of a week, a fortnight, or a month between the payment of wages. Such legislation aims at ensuring that wages shall be paid regularly and at reasonably brief intervals. Unless his receipt of income were thus safeguarded, the worker would hardly be in a position to manage his household budget in a rational manner. Prohibitions of the " truck system " are particularly important from the nutritional point of view. According to legislation in force in many countries, the employer is obliged to pay wages in cash, and may not substitute for cash goods supplied to the workers on credit. The worker, for his part, may not be required to accept goods against his will, or to make his purchases in shops operated or specified by the employer. There are even some laws which forbid any and all payments in kind, unless allowed as a specific exception. Experience has shown that where such regulation of the truck system is non-existent, the worker is exposed to the risk of being defrauded of part of the fruits of his labour. Furthermore, the worker may be kept, by the employer in a state of continued dependence which constrains him to purchase his food requirements at exorbitant prices from specified vendors to the detriment of his own nutrition and that of his family. It is not only that prices may be exorbitant and rates of interest for credit extortionate ; provisions of inferior quality may be forced upon the worker without any possibility of refusal. Legislation prohibiting or severely restricting the " truck system. " does not, as a rule, apply to agriculture. On the contrary, there is widespread acceptance of the custom that a large part of the agricultural worker's wages should be paid in kind. Such legislative control as does exist with regard to agricultural workers would seem to be limited to a few countries in Central Europe. Here the control consists exclusively of laws which prescribe that wages in kind must be delivered in crop products of " average quality " or be of " satisfactory " or " unobjection- 128 WORKERS' NUTRITION AND SOCIAL POLICY able " quality. It might also be mentioned that most collective agreements in agriculture seek to define the quality of payments in kind and the rights of control to be exercised by the workers .themselves. II. — SOCIAL INSURANCE AND ASSISTANCE Social insurance touches upon the nutrition problem at many points. Cash benefits under social insurance are intended to assure, or to contribute toward assuring, a certain standard of living in the eventualities of unemployment, sickness, invalidity, old age, etc. In fact, however, empiricism with regard to nutrition requirements characterises also the calculation of the benefits allowed under social insurance plans. Almost invariably, the cash benefits are established at a fixed rate, or at some fixed percentage of the daily or weekly wages (generally one-half, more rarely two-thirds) earned by the insured worker. In case of permanent incapacity, payments are allowed either at fixed rates or on the basis of the number and amount of the contributions paid in. These contributions are ordinarily proportional to the wages earned by the insured worker. Thus, invalidity pensions vary from 15 to 30 per cent, of insured wages under the legislation of most countries, and in some rare cases come to 40 per cent. Nevertheless, most social insurance plans make it clear that the purpose of the cash benefits is to cover the indispensable needs of the insured worker and of his family. Invalidity annuities and sickness allowances are raised or lowered according to the number of dependents in the insured worker's family. Daily family allowances are paid in cases where the insured worker receives free treatment and board in a clinic. As a rule, social insurance cash benefits are very modest. It could hardly be argued that they were fixed, in any countries, by taking genuine account of the costs of a minimum standard of living. The amounts of benefit paid in various countries • represent a compromise between the maximum financial obligations it was not desired to exceed and the actual benefits it would have been desirable to give. Thus it cannot be maintained, as a general proposition, that the cash benefits payable under social insurance plans provide sufficient and rational nutrition for insured workers and their families. At the same time, the fact must be faced that for many workers — e.g. sick persons SOCIAL LEGISLATION AND NUTBITION 129 and invalids — such benefits constitute the principal, or even exclusive source of income. I n fixing the amount of these benefits, it would be desirable to take account of the minimum cost of existence and more particularly the minimum cost of a sufficient and rational dietary. I n fact, in some cases where relief is paid to unemployed workers who have exhausted their rights to insurance benefits (and where it may be assumed t h a t relief payments are the one and only source of family income) a working alliance between medical science and relief administration seems to be in course of establishment. One outstanding example warrants being described in some detail. On 12 April 1933, the British Medical Association appointed a Committee on Nutrition to determine whether or n o t unemployed and low income workers were, in fact, suffering from malnutrition ; and, if so, whether or not their purchasing power was sufficient to procure adequate food for their households. The Committee issued a report on 24 November 1933. In this report it is estimated t h a t the food requirements of a family with three dependent children would cost 20s. O 1 / ^ . weekly (on the basis of data supplied by Medical Officers of Health), and 16s. 5 1 / 4 d. weekly (on the basis of average weekly prices in a North Country town for a two year period). An Advisory Committee of the Ministry of Health subsequently issued a report which declared t h a t the food standards laid down in a previous memorandum wera based on a calory allowance deemed to be sufficient, although lower than the allowance of the British Medical Association's Committee on Nutrition. A Joint Conference of representatives of both committees later established the constituents of a physiologically desirable diet as a proposed basis for estimates of minimum expenditure. The results of these investigations were brought to the attention of the House of Commons a t the time when the new Unemployment Act — which became law on 28 J u n e 1934, was being discussed. The Unemployment Assistance Board set up under the Act, thereafter proposed regulations for the payment of relief allowances which were approved by the House of Commons on 19 December 1934. These proposed allowances gave rise to widespread criticism. A report, issued by the Children's Minimum Campaign Committee, was widely quoted. The report pointed out that, for families with two or more children, the scales would not permit an expenditure sufficient to satisfy the food standards 9 130 WORKERS' NUTRITION AND SOCIAL POLICY laid down by the British Medical Association. The regulations were then temporarily suspended. New scales are still under consideration by the Government. It is not only from the point of view of benefits to be paid that nutritional standards bear upon social insurance. Insufficient or irrational nutrition among the community at large creates part of the problems to overcome which social insurance has been instituted ; thus, the rational nutrition of workers may be thought of as a general preventive measure. As such a measure, it may be expected to diminish the risks of sickness and invalidity and to lighten the financial burden caused thereby. Many social insurance agencies in different countries maintain nursing services and health visitors who call regularly on the sick at their homes. These health visitors not only offer advice on the nourishment of the sick, but also on the rational nourishment of the whole family. In other countries, especially in Central Europe, many larga social insurance agencies carry on propaganda for a rational diet among the insured population by means of films, conferences, pamphlets, fly-sheets, etc. Finally, it may be added that nutrition standards are necessarily taken into account by social insurance systems when benefits in kind as well as medical benefits include treatment and a dietetic regime adapted to the illness treated. Nutrition standards are also necessarily taken into account in cases where social insurance agencies own and operate preventoria, convalescent homes, sanatoria, etc. Maternity Insurance. — At least one form of social insurance or assistance is directly concerned with, nutritional standards on the strictly scientific plane. This form is maternity insurance or assistance in favour of expectant mothers and unborn children. In view of the special importance which attaches to the rational feeding of the new generation, the legislation in point merits more detailed examination. Many Governmental regulations and measures aim at providing infants, from the time of birth, with sufficient nourishment to ensure normal physical, development., These regulations, and measures assume a variety of forms. Some are directly concerned with the infant's nutrition, while others relate to the mother alone. There are, as well, measures which aim at increasing the financial resources available for adequate diet, and measures which provide wage-earning mothers with facilities for nursing their infants. SOCIAL LEGISLATION AND NUTRITION 131 Most Governments include, in the relief accorded to indigent persons, assistance to expectant mothers. In certain countries, however (e.g. Denmark, France and Germany), special legislation provides maternity grants to indigent women, and sometimes also (e.g. France) additional grants to mothers nursing their infants. In a few cases maternity grants are given not only to indigent women, but also to women with limited resources. Such grants are authorised, for example, by the Australian Law of 1912 on Maternity Allowances,1 by the Danish Factory Act of 1913 and the Public Assistance Act of 1933 ; and by the Swedish Order of 26 June 1931 on Maternity Benefits. Still more important are the various allowances granted to mothers through social insurance. 2 There are, first, maternity benefits granted directly to insured persons, that is to say, to women normally employed in an insurable occupation. These allowances, given to a mother in lieu of wages during legally prescribed absences, must, by the terms of the Childbirth Convention adopted by the International Labour Conference in Washington in 1919, s be " sufficient for the full and healthy maintenance of herself and her child ". Second, insurance legislation, frequently stipulates the payment of maternity allowances directly to the wife of an insured worker. Labour legislation, as distinct from social insurance, sometimes requires the employer to pay maternity allowances. Such requirements prevail in the Provinces of Bombay and Madras and in the Central Provinces of India, where Maternity Benefit Acts are in force. Again, in various districts of the Netherlands Indies, where female agricultural workers are lodged by their employers, the latter are obliged to furnish subsistence in kind to mothers and their dependants during confinement. Besides maternity benefits proper, many social insurance laws stipulate that special grants of varying duration shall be paid to nursing mothers. 4 The period is generally twelve weeks, 1 This law went so far as to establish the right of all Australian women to maternity benefits, whatever their income. I t is only since 1934 t h a t a maximum income has been fixed for beneficiaries under the Act. 2 INTEBNATIONAI, LABOUR OFFICE : Women's Work under Labour Law. Studies and Reports, Series I, No. 2. Geneva, 1932. 8 This Convention has now been ratified by sixteen States, i.e. Argentine, Brazil, Bulgaria, Chile, Colombia, Cuba, Germany, Greece, Hungary, Latvia, Luxemburg, Nicaragua, Rumania, Spain, Uruguay and Yugoslavia. 1 Namely, in Austria, Chile, Cuba, Czechoslovakia, France, Germany, Greece, Hungary, Lithuania, Luxemburg, Poland, Rumania, Spain, Switzerland, U. S. S. R. and Yugoslavia. 132 WOKKEBS' NUTRITION AND SOCIAL POLICY sometimes shorter ;, while in certain cases it may extend from twenty to twenty-six weeks, or, even nine months (U. S. S. R..). The amount of the grant, also variable among different countries, usually runs from one-eighth t o , one-half of the basic wage. Unfortunately, the depression has been responsible for frequent reductions in the amount and duration of such grants during recent years. . In principle, cash grants,are payable only to mothers nursing their infants a t the breast. The insurance legislation of certain countries, however (e.g. France and Yugoslavia), provides for allowances of food (in. kind) or for milk vouchers in favour of mothers not able to nurse their infants a t the breast. The .legislation of Denmark, France and Italy, prescribes that, in factories where the number of women employed exceeds t h e exempted minimum, the employer must set aside rooms where mothers can nurse their children. I n fourteen other countries legislation goes even further, demanding the maintenance of crèches proper. I t may be added t h a t the International Convention adopted in .1919, as well as a large number of national laws, oblige the employer to grant a t least two half-hour. rest pauses in the course of the working day to employees nursing their infants a t the breast. III. — WORKING CONDITIONS An important aspect of the nutrition problem are thé provisions to permit workers to take meals during working hours. The most appropriate dietetic arrangements for the main break i n the working d a y m a y conflict with the best arrangement from the point of view of allowing the workers maximum consecutive leisure. Half-an-hour's pause for lunch, a common rule in Government bureaux, commercial enterprises and even many industrial undertakings (Northern Europe, Central Europe, North America), is generally regarded as insufficient by dietetic authorities. Cases might be cited of increased morbidity among workers directly attributable to an excessive shortening of the midday break in an eight-hour working day. Experience has also shown t h a t a break of a t least one hour for lunch tends to increase man-hour output, not only because the worker is refreshed by the pause, b u t also because the pause is long enough to allow the digestion, under favourable conditions,. of the full amount SOCIAL LEGISLATION AND NUTBITION 133 of foodstuffs needed for new energy. Too short a midday rest causes bad digestion, exposes workers to nervous fatigue, a n d thus promotes low productivity and accidents 1 . The problem, of course, takes on a different aspect if the length of the working day is considerably less t h a n eight hours. Most of the laws for regulating the length of the work day also fix rest pauses of specified durations. In many cases, it is specifically enacted t h a t the main pause is intended for the taking of meals by t h e workers. Some individual examples of such general rules are summarised below : Australia (Western Australia), (Factory and Shops Act 1920, paragraph 34) : A rest of three-quarters of an hour for a meal shall be given between the hours of noon and 3 p.m. and also between 5 and 8 p.m. No worker shall be deprived of either of such meal times or be obliged to work more than five hours without such a meal time. Brazil (Hours of Work, Industry, Act 1932, paragraph 8) : The hours of actual work shall be interrupted by a break for rest and a meal of not less than half an hour. Bulgaria (Act respecting Hygiene and Safety in Employment, as amended in 1932, paragraph 19) : The break for dinner shall amount to not less than one hour. Chile (Industrial Act, 1931, paragraph 130), (Salaried Employees) : An interval of not less t h a n two hours must be allowed for the midday meal. Germany (Hours of Work Order, 1934, paragraph 21) : Employees whose working hours exceed six in the day or whose work continues after 4 p . m. shall enjoy a break of not less t h a n one and a half hours if they take their principal meals outside t h e working premises. Great Britain (Factory and Workshops Act, 1901, paragraph 24) : Breaks for meals amounting to one and a half hours shall be provided, the principal break occurring after n o t more t h a n five consecutive hours' work, and before 3 p . m. Greece (Eight-Hour D a y Decree, 1932, paragraph 14) : The break for the midday meal shall not exceed two hours in the winter and three hours in the summer and shall not in any case be less than one hour. Latvia (Hours of Work Act, 1922, paragraph 14) : Time for a meal shall be granted after four consecutive hours' work. New Zealand (Factory and Shops Act, 1922, paragraph 17) : A male worker shall not be employed for more t h a n five hours continuously without an interval of a t least three-quarters of an hour for a meal. 1 I n this connection, t h e following statement of t h e Secretary of t h e Social Insurance Department of the Trade Union Congress of Great Britain may be quoted : " Many accidents occur t o persons returning to work after prolonged unemployment, under-nourished and less alert physically and mentally than they ought to be. " (News Chronicle, 9 Nov. 1935.) In the Annual Reports of the Rumanian Factory Inspectors for 1933, malnutrition of the workers is definitely stated as causing accidents (Buletin Muncii si Asiguarilor Sociale, No. 7-9, July-Sept. 1934, p . 387). 134 WORKERS' NUTRITION AND SOCIAL POLICY Switzerland (Hours of Work and Factories Act, 1919, paragraph 42) : About midday workers shall be granted a break fixed in accordance with local custom and amounting to not less t h a n one hour. Canton of Basle Town (Hours of Work Act, 1920, paragraph 11) : A break of not less than one and a half hours shall be allowed about half way through the working day ; if meals can be taken near the work place, the break may b e reduced to one hour. U. S. S. R. (Labour Code, 1922, paragraph 98) : Employees shall be granted a break for rest and à meal during the normal hours of work. Even when the laws do not expressly state that the purpose of at least one break in the work day is to give workers the opportunity of taking a meal, such an intention is made evident by stipulations that where and when it is not practicable to allow rest pauses, the workers shall nevertheless be permitted to take a meal during working hours. Thus the Estonian Hours of Work Act, 1931, paragraph 6, states that the break may be omitted where work is carried on continuously in three shifts ; but in this case, the employees shall be given an opportunity to take a meal during their work. A similar rule is to be found in the labour legislation of Finland. In Uruguay, the Eight-Hour Day Decree, 1935, paragraph 18, states that in plants where employed persons can replace one another during the time required for a meal, work may go on without a break for eight hours, including each worker's meal interval. In a general sense, considerable attention has been paid in almost all countries to the necessity of allowing workers to take meals during working hours. Nevertheless, the specific rules and regulations vary substantially from country to country. They vary to such an extent that it would appear that the questions of the time needed (a) to take a meal and (b) to digest it under good conditions, have not been studied sufficiently on a strictly scientific plane. The Estonian Act referred to above declares, (in the paragraph cited) that in large-scale undertakings, the employer shall put at the free disposal of the workers taking their meals in the factory, a clean room provided with an adequate • number of tables and chairs. Similar requirements are found in the laws by which many other countries aim to assure labour protection and hygiene in work-places. These laws characteristically provide that employers must put at the disposal of the workers pure drinking water as well as a suitable room where food can be prepared, heated, and eaten. Similar rules are often contained SOCIAL LEGISLATION AND NUTRITION 135 in collective agreements, which sometimes go so far as to contemplate the establishment of canteens. Special regulations are applied to industries handling poisonous substances such as lead, arsenic, phosphorus, etc. ; or in which the work gives rise to a good deal of dust. Workers in such industries are forbidden to take their meals in the work-places and during work. Employers, for their part, must provide special refectories distinctly separated from the place of work. IV. — SPECIAL CATEGORIES OF WORKERS Workers boarded by the employer. — When the employer boards a worker, he is directly responsible for the latter's nutrition. Such boarding is very frequent among agricultural workers, especially on peasant and other small farms. I t is the ordinary rule for all domestic servants and for most of the staff employed in hotels, pensions, restaurants, etc. Finally, seamen and Native labour are largely dependent on the food provided by their employers. Evidently, the question of boarding concerns large numbers of workers in all countries of the world. The question becomes still more important in that a great many of the workers involved are young men and women. All this notwithstanding, most legislation to date has dealt with the standard of board to be required only in very general terms. The Hungarian Farm Servants Act states that farm servants must be given sufficient and wholesome food. When the employer undertakes to board his harvest workers, the cash value of the daily board must be stated in the contract. If the board is inadequate or unsatisfactory, the authorities may compel the employer, at the workers' request, to pay the cash value of the board. The Austrian Agricultural Labour Codes also apply to domestic servants in the countryside and in smaller towns. The Codes for Upper Austria and Salzburg and the Austrian State Employees Act prescribe that the food of workers living in the employer's household must be wholesome and sufficient in quantity. Other Codes add that the food must be palatable and in accordance with local custom. The number of meals and the time when they are to be served are also to be fixed according to local custom. 136 WORKERS' NUTRITION AND SOCIAL POLICY The Danish Master and Servant Act, which applies to domestic as well as to farm servants, declares t h a t the master shall be bound to provide good, wholesome and sufficient food. Every servant, it is further provided, shall have his own knife, fork and spoon. For workers outside agriculture, domestic service and the merchant marine, who receive part of their pay in food, board regulations are to be found only in collective agreements. This is the case in agreements which cover hotel, restaurant, and café staffs. In Italy, for example, the national agreement states t h a t t h e food supplied must be sufficient and of good quality. In certain countries representatives of the staff are authorised to lodge claims in case of non-observance of these rules. Seamen. — Laws relating to the board of seamen are more specific. The data and materials available to the Office indicate t h a t t h e question of seamen's food is regulated by Acts, Orders, ships' regulations, collective agreements, etc., in a t least twenty countries, among them almost all of the important maritime nations. I n Germany, Greece and Norway, the provisions require t h a t a cook, or a man conversant with cooking, be carried on board. In other countries this rule is limited to vessels above a certain tonnage or engaged in certain trades (Australia, France, Great Britain, Italy, New Zealand). The regulations of a number of countries stipulate as to the quality of the provisions supplied to seamen, requiring them to be fresh, sound and of good quality (Chile, France, Norway, Sweden) ; of good nutrition and palatable (Germany) ; or sound and fresh, well-preserved, or as preservable as is possible to obtain in the port of provisioning (Denmark and Italy). Some regulations contain more or less detailed rules fixing the total quantity of provisions required on board. Germany and Rumania require the food supply to be adequate and sufficient for the voyage. Denmark requires t h a t there, shall be an abundant supply of food. Italy and France require t h a t thé food supply shall be equivalent to the n a v y scale ; while the regulations for Chile and Norway require t h a t a supply of food be carried, sufficient not only for the ''immediate*voyage bùi "also for a n additional period beyond. Most of the regulatory measures specify in detail the quantity of each kind of food to which the seamen are entitled. The rations are laid down in lists and scales of provisions which usually have to be posted in a conspicuous place in the crew's quarters. 137 SOCIAL LEGISLATION AND NUTRITION In details, of course, the lists and scales vary considerably. Certain regulations even stipulate the content of each separate meal, suggest sample menus, or both. The scales in force in the merchant marines of Great Britain and the United States specify the rations for each day of the week and for the week as a whole, while in the Swedish merchant marine the weekly rations are laid down for a period of three weeks. As an example, the scale of provisions for British ships is reproduced below. SCALE OF PROVISIONS FOR BRITISH SHIPS ( F i r s t Schedule t o t h e M e r c h a n t S h i p p i n g A c t of 1906) Sunday Monday IWater (qts.) Soft b r e a d (lb.) . . . . ¡Biscuit (lb.) Salt beef (lb.) . . . . Salt p o r k (lb.) . . . . P r e s e r v e d m e a t (lb.) . . F i s h (lb.) P o t a t o e s (lb.) D r i e d or c o m p r e s s e d v e g e t a b l e s (lb.) . . . Peas, split (pt.) . . . . Green p e a s ( p t . ) . . . . Calavances or h a r i c o t beans (pt.) F l o u r (lb.) B i c e (lb.) O a t m e a l (oz.) T e a (oz.) Coffee (oz.) S u g a r (lb.) Milk (condensed) (lb.) . B u t t e r (lb.) M a r m a l a d e or j a m . (lb.) S y r u p or molasses ( l b . ) . S u e t (oz.) P i c k l e s (pt.) D r i e d fruit (oz.) . . . . F i n e s a l t (oz.) M u s t a r d (oz.) P e p p e r (oz.) C u r r y p o w d e r (oz.) . . O n i o n s (oz.) Tues- Wednes- Thurs- ïriday Satur- Weekly day day day day 4 1 4 1 i i 1 /* IV« V. 7« V« 7« 28 3 4 3 2 2 1 /« 74 6 V. 73 V. V. V. 8 IV« 4 IV. V. l/. 1 V. 4 Va 5 2 V« V« V« 3 In a number of countries the regulations provide for cash compensation if, during the voyage, the allowance of provisions is reduced ; except when it is shown that food could not possibly be procured in proper quantities, or for other reasons of force majeure. The Acts and Orders of countries providing scales of 138 WORKERS' NUTRITION AND SOCIAL POLICY provisions generally contain, as well, a number of special rules which regulate the distribution of the provisions throughout the week in case no daily amounts are given, aim at supplying variety to the menu ; which contemplate the special circumstances of vessels sailing in tropical waters or on whaling expeditions, etc. ; recommend the use of vegetables, and other protective foods. and which are concerned with the daily distribution of salt meat, fish, canned food, etc. In Denmark and Norway, particularly, the nutrition of seamen has been much discussed of late, the seamen holding that the present regulations are inadequate in that they do not conform to modern dietetic principles. The Danish regulations date from 1913, since which time standards of living have risen and theories of food values have changed. The seamen therefore maintain that new regulations should be promulgated, providing for a richer diet of potatoes, green vegetables, milk, eggs and fruit. l Native labour. — The nutrition of Native labour constitutes a special case, of peculiar complexity and difficulty, which is dealt with by the labour legislation of almost all colonial countries. In very many cases the worker is employed at considerable distances from his home and the employer has either to board him or to see that food supplies are available. Native workers are rarely, if ever, organised for collective bargaining ; at the same time, the custom of boarding them at the employer's expense or subjecting them to some variety of the truck system is almost universal. Thus in the absence of protective legislation, Native workers are peculiarly exposed to the risk of exploitation by unscrupulous employers. In enacting such protective legislation, however, proper weight must be allowed to a large number of conditioning factors : peculiar local customs of diet, climate, food taboos, the specific nature of the labour upon which the workers are engaged, etc. Many colonial countries have laws which make the employer of Native labour responsible for the feeding of such workers in accordance with specified minimum standards (Belgian Congo, Union of South Africa, Kepya, Tanganyika,. Ceylon,. French Dependencies, Portugese Colonies, etc.). In some colonial countries, competent public authorities are authorised, as the occasion may require, to promulgate scales of rations which shall be binding upon employers of Native labour (Federated Malay States, Netherlands Dependencies, etc.). 1 Cf. Fahlen, March 1935. Copenhagen. SOCIAL LEGISLATION AND NUTRITION 139 As an ordinary rule, the specified standards and scales are fairly detailed. It is quite common to find set forth, not only the quantities of particular foods, but also the amount of calories. Naturally, the variations from colony to colony are considerable. They may best be appreciated by the citation of some specific examples. In the Congo-Kasai Province (Belgian Congo), a Provincial Order of 12 August 1933 provides that the daily ration should contain a minimum of 3,500 calories ; distributed, it is suggested, somewhat as follows : 350 grammes of fresh meat or 180 grammes of dried meat or dried fish ; 300 grammes of rice or 325 grammes of cereal flour or 325 grammes of biscuits or 415 grammes of dried bananas ; 350 grammes of manioc flour or 1,100 grammes of fresh manioc or 1,600 grammes of fresh bananas ; 90 grammes of palm oil and 15 grammes of salt ; plus 1 kilogram weekly of fresh vegetables or fruits. Regulations in the Transvaal provide that Native workers shall be provided with a minimum daily allowance consisting of 24 ounces of meal, 6 ounces of bread, 5 ounces of fresh vegetables, 3 ounces of beans or peas, 2 ounces of peanuts or 1 /2 ounce additional of animal or vegetable fat, and with a minimum weekly allowance consisting of 3 pounds of meat, and 3 /4 of a pound of soup meat, coffee or cocoa, sugar and salt. In Nigeria, when the employer has undertaken to supply food, a minimum weekly ration scale is prescribed of 12 pounds of grain, 2 pounds of beans or ground nuts, and 6 ounces of salt. In Ceylon, under the Indian Labour Ordinances, estates are required to issue monthly, without charge, one-eighth of a bushel of rice to each male Indian, labourer, and to each Indian widow with one or more children under ten years of age resident on the estate. The Ministerial Circular of 22 July 1924 which applies to all French Possessions provides that the required scale of rations shall be the same as that of Native military contingents subject to approved variations in accordance with local conditions. In Senegal, pursuant to French West Africa instructions of 1 August 1930, the prescribed daily scale consists of 1 kilogram of rice, 300 grammes of fresh meat, 20 grammes of salt and 30 grammes of animal fat. Workers on the Brazzaville-Ocean Railway receive, conformably to scales promulgated annually by the LieutenantGovernors of French Equatorial Africa, two loaves of manioc bread weighing from 1 kilogram to 1.200 kilograms each 140 ' WORKERS' NUTRITION AND SOCIAL POLICY (or 700 grammes of rice) ; 150 grammes of salted fish ; 20 grammes of salt, and 40 grammes of palm oil daily, as well as 200 grammes of fresh meat twice a week. In Indo-China, the Order of 25 October 1927 applicable to Native and foreign Asiatic labour calls for a daily ration scale of a t least 3,200 calories, including a proportion of fresh food, and comprising rice, meat or fish, vegetables, salt, tea, etc. ( In the Portuguese African Colonies the Portuguese Native Labour Code of 1928 provides (section 231) t h a t Natives under contract in a place other than their usual place of residence are entitled to receive provisions, of good quality, including a daily ration of 800 to 1,000 grammes of vegetable substances as well as 250 grammes of meat or dried fish and salt, palm oil or ground n u t oil. V. — CONCLUSIONS Three principal conclusions emerge out of the present survey of the extent to which social legislation is concerned with nutrition : First, the problem of workers' nutrition is an integral p a r t of social and labour legislation. Second, except in the special cases of seamen and Native labour, there have been few attempts to a t t a c k the problem directly and in detail. Third, such efforts as have been made to deal with nutrition, are based much more on empirical than on scientific standards. In view of the general and widespread attention now being focussed on workers' nutrition, it m a y be reasonably expected t h a t social and labour législation will deal in the future with the questions a t issue more directly, in greater detail, and in a more scientific way, than hitherto. CHAPTER VII AGENCIES AND METHODS TO IMPROVE NUTRITION In most countries of the civilised world there exists to-day a system of public and quasi-public agencies for the improvement of popular nutrition. The organisation and activities of these agencies are reviewed in the first section of the present chapter. The second section summarises what has been done by workers and employers to promote rational dietaries. Finally, the cooperative movement commands attention for its activity in this field. I. — P U B L I C AND QUASI-PUBLIC AGENCIES The work of public and quasi-public agencies in the field of nutrition is now the subject of a n extended enquiry by the Mixed Committee on Nutrition of the League of Nations. In view of this fact the present Report is restricted to a brief sketch of the organisation and activities of such agencies and of recent tendencies in their work. Organisation In most countries the primary or exclusive public responsibility for promoting rational nutrition is lodged with a particular executive organ of the State ; e. g. the Ministry of Health in Great Britain, the Department of Public Health in Mexico, or the Public Health Service in Denmark. I n some instances, usually with special emphasis upon the nutrition of schoolchildren, the Ministry of Public Education also shares in the responsibility (Great Britain, Uruguay). In other instances, and with a particular view to the nutrition of unemployed persons on relief, specialised agencies of the State are a t work (e.g. The Labour Fund, in Poland ; the Federal Emergency Relief Administration, in the United States of America). Sometimes the promotion of nutritional well-being falls within the competence of the Ministry of the Interior (Italy) or of the Ministry of Agriculture (Finland) or of the Ministry of Social Assistance (Austria). And in a t least one country (United States 142 WORKERS' NUTRITION AND SOCIAL POLICY of America) nutritional problems are handled by a number of federal establishments 1 , which act jointly with State and municipal bodies. Regional, district and municipal authorities are also concerned with nutrition in close alliance with the central organs of the State. These authorities include local boards of health, school health inspection systems, bodies to regulate foodstuff supplies and retail markets, school authorities to the extent to which they are responsible for instruction in domestic economy, etc. Organisations to disseminate information on the consumption of particular foods — milk, butter, fruit, meat — are also active. Institutes of nutrition research join in the work by popularising the results of dietetic science. No sharp line divides the public agencies for promoting rational nutrition from the quasi-public agencies. By quasi-public agencies in the present context are meant medical associations, the Red Cross, missionary societies, social welfare services, organisations to provide the poor with milk, etc. Where officiai public organs exist, the two groups of bodies lend one another mutual aid and support, for they seek the same ends by similar means. Where no official public organs are in the field, the quasi-public agencies carry forward on their own account. Activities Speaking broadly, the public and quasi-public agencies for improving nutrition engage in three main types of activity. First, they try to maintain the purity, soundness and wholesomeness of the public food supplies and exercise supervision over retail food markets. Second, they minister directly to the nutritional needs of special groups of the population, such as expectant and nursing mothers, infants, schoolchildren, and unemployed households. Third, they engage in education and propaganda with a view to reshaping dietary habits along more rational lines. ,1. Food Supplies and Markets There is no civilised^ country „which does.not possess,public agencies charged with the duty, inter alia, of enforcing pure food laws. The functions of these agencies consist in inspection, analysis, condemnation, seizures, etc., and control is exercised over such 1 Bureaux and services attached to the Departments of Agriculture and Labour ; the Federal Emergency Relief Administration ; the U. S. Public Health Service, and others. AGENCIES AND METHODS TO IMPBOVE NUTBITION 143 essential foodstuffs as milk, meat, fruit, vegetables, as well as canned foods of all sorts. The International Institute of Agriculture has, since its creation, followed closely the development and extent of pure food legislation, and has put at the disposal of the Office a survey of the subject which is reproduced in Appendix VI. No attempt is made here to evaluate either the adequacy of these laws or the success with which they are enforced. In a few countries, some efforts have been made toward regulating retail food prices in the interest of consumers as well as producers (e.g. Czechoslovakia, Great Britain). The spread in prices between what the farmer receives and what the consumer pays, has been the subject of innumerable official enquiries. Government organs to bring about lower food prices have been established in a number of countries. Municipal authorities everywhere have regarded it as their duty to regulate outdoor markets, and to subject shops where food is sold to sanitary control. In many communities, public markets have been established. The regulation and establishment of food markets have been in part inspired by the desire to keep prices at reasonable levels, in part by the desire of assuring minimum standards of quality in the public food supplies. 2. Nutritional Aid to Special Groups The protection of mothers and infants constitutes the basis of nutritional hygiene in most countries. In most countries, the nutritional needs of pregnant women, nursing mothers, and infants are the special concern of public and quasi-public agencies. The specific applications of the general principle vary from country to country and from district to district, the emphasis being either on maternity clinics, day nurseries and crèches ; or on maternal canteens and milk dispensaries ; or on actually providing food ; or on dietetic instruction 1 . Whatever the variations in its specific applications, the general principle always remains the same : that economic factors should not be permitted to endanger the health of the coming generation and that during the most critical nutritional period at least, both mothers and children must be rationally nourished. 1 Some of the countries where provision for the nutritional needs of mothers and infants is most highly developed are : Belgium, France, Italy, Great Britain, United States of America, Union of South Africa, Union of Soviet Socialist Republics, Switzerland. 144 WORKERS' NUTRITION AND SOCIAL POLICY B y a natural transition, concern with t h e proper nutrition of infants passes into concern with the proper nutrition of schoolchildren. School age, like infancy, is a critical phase in the nutritional life-history of human beings. If economic factors —, the. income status of parents — were allowed free play during this period, large numbers of the growing generation would suffer in their physical and mental development. I n fact, the system of agencies for ministering to the dietaries of schoolchildren is much more extensive, in most countries, than t h a t for ministering to t h e . dietaries of children of pre-school age. School meals are one of the oldest of public health institutions. I n most countries, it is the State itself, as a rule, which undertakes to meet the charges of providing school meals. Children from very poor families are provided with their meal or meals (breakfast frequently ; lunch almost always ; dinner in a few cases) free of charge. Children from households with more ample resources pay modest or even nominal charges. I n fact, the belief is gradually making headway t h a t all children, irrespective of their parents' economic status, should enjoy free meals a t school. To justify this belief, it is argued t h a t the purpose of free school meals is not to grant charity, but to promote health. The distribution of fresh, pure milk to schoolchildren is the simplest and most usual form of meals a t school (Great Britain, the United States of America and Switzerland, among other countries, are prominent in providing schoolchildren with milk, either free of charge or a t nominal cost). Hot soup, meat, vegetables, bread, sweets, and fruits are also supplied. At schools where the meal is elaborate, it is often served in school canteens or in school kitchens (canteens and kitchens of this sort are highly developed in many Swiss municipalities, and also in the large cities of Belgium). I n all cases, the aim is not merely to provide the children with something to eat, b u t rather to provide them with protective foods (milk, fruit) and with well-balanced diets. I t m a y further be noted that, in Oslo, Norway, experiments have been carried out on a wide scale to find out what is the best type of school meal. I n a certain number of r countries,„homes for apprentices have been set up b y State initiative, with a particular view to t h e welfare of boys spending the time of their apprenticeship far from the homes of their families. I n these homes special attention is.given to the diet of the apprentices accommodated. Public and quasi-public agencies for improving the nutrition of adults in general are not highly developed. Nevertheless it AGENCIES AND METHODS TO IMPROVE NUTRITION 145 may be noted t h a t Governments have been concerned in recent years with improving t h e standards of nutrition of those groups of the population whose feeding is provided collectively and a t State expense. Foremost among such groups are the armed forces. and considerable attention has been given recently to the problem of establishing the dietary of soldiers upon a rational basis in practically all countries. Simple arrangements for furnishing regular or occasional food supplies to the indigent poor are also a custom of long standing in many countries. Thus there are agencies for distributing Christmas baskets, for providing " Winter Aid ", for organising soup kitchens, for maintaining transient shelters, etc. For the most part, the work of such agencies is confined to very special groups : the old, the feeble, t h e ill, the disabled, the homeless. During recent years, however, and in response to the exigencies of the world wide depression, a much more significant practice has emerged. Public and quasi-public agencies have undertaken to safeguard the nutrition of unemployed households on relief. They have undertaken to do so by a variety of means : the regular provision of food grants or of free meals ; the issuance of vouchers good for the purchase of merchandise in grocers' or butchers' stores ; dietary instruction in connection with cash relief, etc. Speaking broadly, every relief payment to an unemployed worker's household may be regarded as a grant in aid of his family's nutrition. Among low income families, it is well known, very high proportions of the total income have to be devoted to the purchase of food. When income diminishes materially or ceases entirely, the quantity, quality and diversity of the diet are likely to suffer a t once. I n many countries, moreover, cash relief has been supplemented b y food grants, or food grants substituted in p a r t for cash. Thus directly and indirectly the relief organisations have functioned as agents for maintaining standards of nutrition among the large masses of working class families who, in all countries, have felt the impact of the depression with particular severity. 3. Education, and Propaganda Education of the public in rational nutrition is the most characteristic activity of the public and quasi-public agencies considered here. From many points of view it is the most important single function t h a t they have to perform. Even the most doctrinaire defenders of laisser faire in economics would not 10 146 WOBKBES' NUTRITION AND SOCIAL POLICY maintain t h a t the Government intervenes improperly when it educates all consumers — workers, salaried employees, civil servants, farmers, small entrepreneurs, and even persons higher u p on t h e income scale — to understand the choice and preparation of foodstuffs, the dietetic values of various nutriments, the most frugal manner of budgeting family resources, the least wasteful and destructive procedures of cooking and serving, the bad effects of monotonous diets, of badly prepared meals, of hastily consumed lunches and dinners, of insufficient quantities of calories, proteins or the essential vitamins. Education in these matters merges into propaganda, for it aims a t the positive reshaping of dietary habits. Propaganda, in its turn, takes on the character of education ; for it disseminates a considerable mass of knowledge. Almost all agencies for improved nutrition engage in education and propaganda ; sometimes as their main task, in other instances as a subsidiary activity. Such educational and propaganda work has assumed a diversity of forms. Books, pamphlets and guides are published. The results of scientific research are popularised. Public lectures and radio broadcasts are given ; conferences and expositions are held. Domestic economy is taught in the primary and secondary schools. Universities and colleges undertake the professional education of dieticians and nutritionists. Nationwide campaigns to popularise the consumption of milk, fresh fruit, or fruit juices are launched. Advisory services are attached to hospitals, clinics and public welfare agencies. I n five countries a t least, the machinery of education and propaganda is particularly elaborate. These countries are the United States of America, Italy, Great Britain, Switzerland and the Union of Soviet Socialist Republics. Belgium, Denmark, France, J a p a n and Czechoslovakia are some of the other countries where education and propaganda are being pursued extensively and in an organised manner. Recent Developments A variety of forces have been at work during recent years to inultiply the number and increase the scope of public and quasi-public agencies for improved nutrition. First, continued unemployment has, in almost all countries, focused public attention sharply on the standards of living and of health which prevail among families a t the bottom of the income scale. AGENCIES AND METHODS TO IMPROVE NUTRITION 147 Second, public attention in popular nutrition has been rendered still more intense by the paradox of abundant food supplies on the one hand and widespread hunger on the other. Third, the efforts of educators and propagandists have gradually stirred up a growing popular interest in the scientific aspects of diet and nutrition. Under the influence of these forces, not only have public and quasi-public agencies for improved nutrition increased in number and expanded in scope ; but there has developed a tendency in some countries toward the evolution of co-ordinated national systems for dealing with nutrition problems (e.g. Great Britain, the United States of America, Italy, Mexico, Uruguay). One of the most interesting manifestations of this tendency is the official statement by the Government of France, on 22 February 1936, announcing the creation of a National Committee for Nutrition Research. This Committee has since delegated the work of preparing its studies to four expert committees : (1) a Scientific Committee ; (2) a Committee on Teaching and Practice ; (3) an Economic Committee ; and (4) a Committee on Food Control. I I . — ACTIVITIES OE EMPLOYERS Although few, if any, employers' organisations have concerned themselves with improved nutrition — except in a general way by supporting welfare schemes — many individual employers have been concerned with the nutrition of their workers. A few examples of such activity by individual employers will serve to illustrate the movement. Most of the examples are drawn from materials already gathered b y the International Labour Office and published in the reports under the title of " Studies in Industrial Relations ". For the rest, the instances cited are contained in the Preparatory Documents of the First Session (10 February 1936) of the Mixed Committee on the Problem of Nutrition of the League of Nations. Canteens and restaurants operated by employers for the benefit of workers are to be found quite frequently ; particularly under circumstances under which it would be inexpedient for workers to take their midday meals, or even their principal meals, at home. Thus, a n enquiry by the International Labour Office ascertained t h a t the London Traffic Combine, a group of transportation enterprises in London and its suburbs, maintains 148 WOBKEBS' NTJTBITION AND SOCIAL POLICY forty-six canteens in as many depots and garages 1 . To rationalise the operation of these canteens, which are not run for profit, a central organisation for purchasing and distributing supplies has been created. In certain instances the canteens or restaurants assume the characteristics of clubs, where considerable stress is laid on comfort. Such seems to be the case with the institutions operated by " Arbed " (United Steel Works of Burbach—Eich— Dudelange) for their enterprises in Luxemburg 2 . In exceptional cases the meals are given free of cost ; in such cases, most frequently, they are obligatory. This is true of the great department stores of the Paris district. Their employees, no matter what rank in the hierarchy they may occupy, are required to take their midday meals at the store, special menus being served to employees who must, for reasons of health, observe regulated diets. As a general rule, the restaurants are operated by the management ; if not, they are operated by employees' cooperatives, which receive subsidies from the management. Of particular interest is the " Schweizerischer Verband für Volksdienst ", which has been functioning in Switzerland since the world war. This organisation, originally established to aid mobilised soldiers, puts itself at the disposal of industrial and commercial enterprises, to assure the functioning of staff restaurants and other services for the well-being of workers. Many important enterprises, among which the best known are the Tobler and Lindt chocolate factories, the Brown-Bo veri and Oerlikon workshops, and the Swiss Viscose Company have made use of the services of this organisation. Without going so far as to assure the nutrition of their workers either in whole or in part, many enterprises are engaged in services which aim at facilitating the purchase of foodstuffs by workers at low prices. In many cases such services assume the form of establishment stores which must be differentiated from the " truck system " under which the worker is obliged to purchase his food supplies from the employer. In France, four of the big railway companies had opened such stores long before the "world war. Legislation "was, however,'introduced for the purpose of abolishing employers' organisations suspected of leading to the abuses of the truck system. Such organisations were prohibited 1 See I N T E R N A T I O N A L È A B O T J B O F F I C E : Studies on Industrial Relations, V o l . I , p . 148 ; S t u d i e s a n d R e p o r t s , Series A, ( I n d u s t r i a l R e l a t i o n s ) N o . 5 3 . 2 See I D E M : Vol. I l l , p. 182. AGENCIES AND METHODS TO IMPROVE NUTRITION 149 under the law of 25 March 1910, b u t the ban was not absolute : the railway companies concerned obtained permission to keep their company stores on certain conditions ; the staff was n o t compelled to buy a t the stores (in fact this had never been the case) ; foodstuffs and other goods were n o t to be sold a t a profit (none of the companies had ever thought of making profits in this way) ; the company stores were to be managed under t h e supervision of a committee consisting, as to a t least one-third, of delegates elected by the company's employees, who were to be consulted every five years as to whether they desired the stores to be continued or abolished. Each of t h e five yearly referendums has shown a big majority in favour of the maintenance of such company stores, where the employees are able to obtain, generally a t lower prices t h a n those current elsewhere, a large variety of goods such as foodstuffs, clothes, footwear, coal, etc. Payment is made either in cash or b y deducting the cost of his purchases from the employee's monthly wage u p to a certain limit, which varies according to the wages of those concerned. To extend the benefits of these stores to the less populated centres, travelling stores have been introduced. The railway companies also grant numerous advantages to a number of consumers' co-operatives set u p b y their employees 1 . Particular interest attaches to t h e study of the International Labour Office, some years ago, of the arrangements in effect at the Bat'a factories, a t Zlin, Czechoslovakia. I n order to diminish the cost of foodstuffs to its employees, the Bat'a enterprise itself undertakes to produce the largest p a r t of the products supplied. Thus the company operates farms which furnish the milk, butter, eggs, and poultry supplies and a substantial amount of the butcher's meat. The remaining essential foodstuffs are purchased a t wholesale and sold to the employees a t purchase cost plus transport and administrative expenses. " I t would appear ", the E e p o r t 2 says, " t h a t in this way Bat'a has increased his workers' purchasing power b y one-tenth, one-fifth, or one fourth, according to the article, a t the same time supplying them with wholesome food and well-chosen goods ". 1 I n this vConnectio.il it may be noted t h a t workers very frequently operate factory canteens as co-operative enterprises. 2 See : INTERNATIONAL LABOUR OFFICE : Studies on Industrial Relations, Vol. I., p . 258. Studies and Reports. Series A. (Industrial Relations) No. 33. 150 WORKERS' NUTRITION AND SOCIAIi POLICY In view of the opposition of small shopkeepers to company stores and commissaries, many employers have turned their attention to providing workers with allotment gardens. In most cases, the question of allotment gardens is tied up with that of model low-cost housing. The development óf allotment gardens has been particularly noteworthy in the North of France. Wherever garden cities have been established, great care has been taken to ensure that the houses shall be surrounded by a certain area of cultivable land, to allow for the raising of vegetables, fruit, poultry, eggs and rabbits, capable' of contributing materially to the family resources. Thus the Lens mines provide each worker's household with a garden covering 370 square metres, which produces annually (1930) the equivalent of 1,200 French francs in vegetables and fruits. The houses and gardens are let to the workers at modest rentals, and the gardening supplies furnished at nominal prices or free of charge. The Philips factories go still further. Their housing programme for the workers includes the purchase, or the construction, of farms near Eindhoven, where the factories are located. At the Fiat factories, which were the object of an enquiry in 1930, the workers- have organised a gardeners' cooperative, which is furnished with the necessary land, free of charge, by the company. It is customary, in the Northern coal districts of France, that the workers' houses should have gardens of two to five ares. The Escarpelle mines have 150 hectares divided up into gardens ; the Dourges mines, 218 hectares ; the Vicoigne-Nceux-Drocourt mines 259.25 hectares ; the Anzin mines, 8,870 gardens and 3,310 " household plots " covering 450 hectares in all ; the Lens mines, 10,018 gardens, with an average area of 370 square metres, plus 5,573 plots of land ; the d'Aniche mines, 12,537 gardens, with an area of 326 hectares, etc. Employers also maintain courses of instruction in domestic economy. Such courses are organised by practically all the mining and railway companies in France. In the Pas de Calais coalfields there are thirteen training centres in domestic economy with 126, pupils. In the .Département du Nord there are fourteen schools with 398 pupils. The Compagnie des Mines d'Anzin has six such schools. The mines at Lens, when visited by representatives of the Office, were laying stress on instructing the daughters of mine workers in domestic economy. Mention should also be made of the courses in cooking (and dressmaking) organised • under the auspices of the Office Familial Ménager of Paris. AGENCIES AND METHODS TO IMPROVE NUTRITION 151 The examples mentioned above are b u t a few out of a large number t h a t might be cited. Two observations are called for in this connection. First, the enterprises described are primarily concerned with supplying foodstuffs to workers a t lower prices. While the foodstuffs supplied may be of better quality, there is no evidence t h a t the composition of diets is in accord with scientific standards or t h a t the money saved b y the workers is applied for purposes of improving their nutrition or t h a t of their families. Second, the employers' policies described above raise the question of " welfare capitalism " which must be kept in mind but which is outside the scope of this Report. III. — ACTIVITIES OF T R A D E U N I O N S Very few trade unions, it would appear from the materials which the International Labour Office has so far been able to gather, concern themselves directly with the problem of nutritional standards among workers. From the trade union point of view, the problem of rational nutrition among workers is essentially a problem of wages : if workers are paid low wages, they will be under-nourished ; if they are paid well, they will feed themselves adequately. Furthermore, the trade union movement is somewhat suspicious of attempts to treat the nutrition problem on the physiological and dietetic plane. In all such attempts, trade unions perceive the danger of conclusions being drawn which would justify pay cuts ; for example, the conclusion t h a t if workers' households budgeted their diet on a rational basis, they could be better fed on less expenditure for foodstuffs. Statements by members of the Workers' Group in the Governing Body illustrate the trade union point of view on the subject (cf. Appendix I). This does not mean t h a t the trade unions are not interested in the problem of workers' nutrition. They are. B u t in so far as the trade unions endeavour to improve workers' nutrition, they tend to rely on the public agencies described above. Thus, in reply to a n enquiry by the Office relating to t h e activities of trade unions in the field of workers' nutrition, the President of the American Federation of Labor stated in p a r t : , " We have attempted to secure higher wages in order that we may have a better standard of living and have used our unions as economic agencies rather t h a n for formal educational work. We have looked to our public schools, public health agencies, and other governmental sources of information to deal with the subject of nutrition. " 152 .' WORKERS' NUTRITION AND SOCIAL POLICY I n response to the same enquiry, the General Secretary of the Trades Union Congress General Council referred to a resolution passed by the Weymouth Congress of the British Trade Unions in 1934, which reads as follows : " T h a t this Congress views with concern the effects of the prolonged depression upon the nutrition of the people, ás evidenced b y the recent report of the Nutrition Committee of the British Medical Association. I n view of the serious effects of malnutrition upon the health and physique of the next generation, this Congress urges t h a t every possible step should be taken to remedy the situation, and particularly t h a t its Worst effects should be mitigated b y : (a) The extended provision of meals for schoolchildren ; (b) the extended provision of meals for expectant and nursing mothers. " Not only in Great Britain, as shown by the Weymouth resolution of 1934, but in other countries workers' organisations have supported efforts to-assure that schoolchildren, on the one hand, and expectant and nursing mothers, on the other, shall be supplied with adequate nourishment. The Dutch trade unions have followed with close interest the publication of rational menus for workers' families in " Het Volk ", daily organ of the Socialist Party of the Netherlands. Before these menus began to appear, " Het Volk " had published a series of articles by the Director of the Public Health Service of the city, of Amsterdam, in which the different aspects of the nutrition problem were explored from the workers' point of view. In Italy, finally, the Fascist Confederation of Agricultural Labourers has instituted a special Section, attached to its National Committee for the Study of. Agricultural Labour, which will enquire into the diet and nutrition of the rural classes. This Section is composed of trade union leaders, physiologists, public health officers, economists, statisticians and other experts." It has already launched a comprehensive programme of research to cover the entire country and to include all groups of the agricultural population. IV. — THE CO-OPERATIVE MOVEMENT A separate account must be given in this Report of the distributive and agricultural co-operative organisations, and this for two reasons. In the first place, they exist in large numbers and are to be found in nearly every country, affect the conditions of life of numbers of people, and sometimes occupy an important position on the market for certain foodstuffs. Secondly, AGENCIES AND METHODS TO IMPROVE NUTRITION 153 their views and qualifications render them peculiarly fitted to deal with problems of food supply, these views and qualifications being the result of their special character as distinct from t h a t of undertakings run for profit or of public bodies. Distributive Co-operative Societies From the point of view of the social categories to which their members belong, their principal economic function, and t h e progress they have made, the distributive co-operative organisations in many countries, and especially in Europe, may be regarded as indeed institutions providing for popular nutrition. Not only in industrial countries, b u t also in countries where they have grown up in rural surroundings, their membership is recruited mainly among the masses of the people, t h a t is to say among workers, persons engaged more or less on their own account in small undertakings in town and country, and lower-paid salaried employees and officials. I n Germany, a t the time when these societies were a t their highest point, 68.7 per cent, of their members were industrial workers. In 1933 in Sweden, a country where the industrial population forms less than one-third of the occupied population, 53 per cent, of the members of these societies were wage-earners of various categories (28.3 per cent, were industrial workers), 14.5 per cent, were small farmers, and 9.5 per cent. low-paid salaried employees. I n 1934 in Buenos Aires the workers represented about 60 per cent, and commercial and municipal employees about 25 per cent, of the great consumers' co-operatives. In Finland, a predominantly agricultural country, the membership of the distributive co-operative societies affiliated to the Kulutusosuuskuntien Keskusliitto is divided almost entirely between urban workers (54.7 per cent.) and farm labourers and small farmers (28.2 per cent.). I n Poland, in 1934, workers, small farmers, salaried employees and civil servants accounted for 32.5 per cent., 35.3 per cent., and 12.8 per cent, respectively of the total membership of consumers' co-operatives. As regards the economic function of the distributive co-operative societies, it was originally, and remains to-day, the supplying of foodstuffs to members. This is true even of the most powerful of the societies : the British, the Swedish, and the Swiss. The example of the British co-operatives is characteristic. I n 1932 foodstuffs represented 75.9 per cent, of the total volume of their sales. 154 WORKERS' NUTRITION AND SOCIAL POLICY According to the last edition of the International Directory of Co-operative Organisations, just published 1 , the number of distributive co-operative societies in the world, or rather of such societies as were affiliated to central organisations, was 63,601 in 1934 2. The number of households they comprised was 90,045,158 and their aggregate sales amounted to 62,731,240,000 Swiss francs 3. If the number of households grouped in distributive co-operative societies is compared with the total number of households in the population and each household is assumed to consist of an average of four persons, it will be found that in Denmark,, for instance, the fraction of the population affected by the activities of the 'societies is 44 per cent, in Switzerland 42 per cent., in Sweden 35 per cent., etc. 4. It follows that the distributive co-operative societies already play a very important part in the food trade of several countries. The following examples may be given. In Great Britain, Sweden, Switzerland, and Czechoslovakia the distributive societies are the principal producers of flour. The societies and their grain mills supply 22.5 per cent, of the national demand for flour in Great Britain, 20 per cent, in Sweden, and 10 per cent, in Switzerland. In Switzerland the distributive 1 B y the International Labour Office. Including for the U. S. S. R. alone 45,764 societies with 72,000,000 members and aggregate sales amounting to 56,149,740,000 Swiss francs. 8 Distributive co-operative societies have naturally made most progress in countries of more or less well established industrial traditions. The figures below refer to 1934. 2 Country. Denmark Italy (a •' (b) (e) (i) . . . . . . . . Population (a) Membership of federations of distributive societies Annual trade (in Swiss francs) 8,092,000 14,729,000 3,550,000 41,229,000 65,336,000 46,037,000 41,177,000 6,142,000 4,077,000 467,873 817,731 (b) 391,860 1,595,000 3,211,800 7,044,743 775,000 550,657 428,116 (d) 121,227,000 211,818,000 (e) 206;850,000 534,000,000 792,120,000 ' 3,148,474,000 318,600,000 301,770,000 327,082,000 (d) • According to the Statistical Tear-Book of the League of Nations 193Ì-35. This figure refers only to societies affiliated to six of the eight central organisations. This figure refers only to societies affiliated to five of the eight central organisations. These figures refer to societies affiliated not only to the Swiss Co-operative Union and the Union of Swiss Co-operative Societies " Concordia " but also to those affiliated to the Union of Co-operative Societies of Eastern Switzerland, which comprises mainly rural distributive and supply societies. 4 I n Great Britain the proportion would be as much as 61 per cent., but it should be noted that in this' country several members of the same family may belong to a distributive society. AGENCIES AND METHODS TO IMPROVE NUTRITION 155 societies handle about 20 per cent, of the total butter consumption of the country. During the last ten years the share of the national milk consumption handled by the British co-operatives has risen from 2.5 per cent, to 25 per cent. In Sweden the distributive societies account for 15 per cent, of the country's supplies of fresh fruit (20 per cent, for dried fruit), etc. Agricultural Co-operative Societies Agricultural co-operative societies were to be found in 55 countries in every part of the world in 1934. According to the 1936 edition of the International Directory of Co-opèrative Organisations their number was 487,850 and their aggregate membership over 44,000,000. Those which include among their activities the marketing of their members' products had total sales in 1934 of over 7,000 million Swiss francs 1 . I t is both possible and interesting to assess the position acquired by agricultural co-operative societies in the production and marketing of such articles as dairy produce, eggs, fruit and vegetables on home and foreign markets. Taking only the federated societies covered b y the International Directory of Co-operative Organisations, there were in 1934 22,034 co-operative dairies in thirty different countries, their known membership aggregating 2,276,447 2, and their sales 2,828 million Swiss francs 3 . They have made great progress in the following countries, for instance, which together represent about 90 per cent. 1 T h e f o l l o w i n g figures m a y b e g i v e n f o r s o m e of t h e p r i n c i p a l c o u n t r i e s c o n c e r n e d . T h e y r e l a t e t o 1934. Federated agricultural co-operative societies Czechoslovakia , Denmark . . Finland . . . , France . . . , Germany . . . Hungary. . . Japan . . . . Netherlands . . Poland . . . . Sweden . . . . Switzerland . United States . . . give in most cases the sales for a (a)Yugoslavia These figures 2 3 Number Membership 11,583 5,261 2,917 27,518 36,768 1,438 13,237 2,231 9,055 2,240 6,661 5,653 7,955 1,945,406 609,996 505,049 1,412,000 3,598,855 448,492 6,229,120 425,973 2,338,038 454,741 362,927 1,844,174 318,806 Annual trade (a) (in Swiss francs) 22,143,000 393,280,000 60,170,000 147,600,000 1,307,632,000 771,000 181,290,000 241,500,000 46,024,000 166,400,000 18,619,000 2,294,000,000 proportion only of the societies 2,750,000 in question F o r t h e societies affiliated t o 39 c e n t r a l o r g a n i s a t i o n s o u t of 59. F o r t h e societies affiliated t o 28 c e n t r a l organisations only. 156 WORKERS' NUTRITION AND SOCIAL POLICY of t h e world's net export trade in butter : Denmark, New Zealand, Australia, Netherlands, Latvia, Irish Free State, Finland, Estonia, Lithuania, Canada, and H u n g a r y 1 . Three of these countries — Denmark, New Zealand, and Australia — account for 62 per cent, of the total net exports of butter. I n each of these countries dairy co-operatives handle from 80 to 90 per cent, of the total national production. The position is the same for the production of cheese in Australia and New Zealand. I n the Netherlands the co-operative dairies account for 60 to 65 per cent, of the total butter production. In Latvia they produce 90 per cent, of the butter exports. I n Finland they are responsible for 92 per cent, of the production and export of b u t t e r and for 70 per cent, of the production and export of cheese. I n Estonia and Lithuania their share in butter production runs from 85 to 90 per cent. I n Hungary the Central Society of Cooperative Dairies accounts for 52 per cent, of the total' butter exports. W i t h regard to eggs, Denmark furnishes about one-seventh of all the eggs which come upon the international market. A quarter of this total is distributed by the Danish agricultural co-operative societies. I n Bulgaria, Estonia, Finland, and the Netherlands the export trade in eggs is handled by co-operative societies in the proportion of 17.3 per cent., 23 per cent., 19 per cent., and 50 per cent, respectively. I n most of the great fruit and vegetable producing countries of t h e world, in particular Australia, Canada, Brazil,. Estonia, France, Hungary, Italy, Jamaica, New Zealand, Palestine, Turkey, the Union of South Africa and the United States a substantial proportion of the marketing of these products is established on a co-operative basis. To take the federated societies only, there were in 1934 1,024 co-operative societies grouping 94,420 producers of fruit and vegetables. I n the United States a total of 504 marketing societies handled 10 per cent, of the national trade in fruit and vegetables, a proportion t h a t was much higher for certain kinds of fruit, e.g. 82 per cent, of the Californian walnut crop, 60 per.cent. of. the almond„crop,,60 to 70_per cent. of.the .California oranges and 35 to 40 per cent, of the Florida oranges, 90 per «/>v>+ „f «n:n;«» T U „ Tn^„: x> „„ T>„^J„ „„> A „„„„¿„^„T. markets 32 per cent, of the island's banana output. " Pardess ", the great co-operative society of Palestine, exports 35 per cent. 1 Arranged in descending order of their net exports of butter in 1931. AGENCIES AND METHODS TO IMPROVE NUTRITION 157 of the country's orange production, while the co-operative wine presses process 80 per cent, of the grapes. In the Union of South Africa from 70 to 75 per cent, of the producers of citrus fruits are grouped in the South African Co-operative Citrus Exchange, which in 1928 handled 45 per cent, of the exports of such fruits. In Bulgaria two central co-operative organisations contributed in 1935 21.5 per cent, of the 1935 total of grape exports. ' Special Features of Co-operative Organisations It is impossible to describe the part played by co-operative organisations in the field of nutrition without giving at least a brief account of the principles and practical rules that govern their activity and constitute their distinctive character. For this purpose it will be sufficient to note that the essential and distinctive feature of co-operative organisations is that they are created and managed by their members in free association. This feature, and its effects for the present purpose, may be more closely indicated by reference to some of the points in an analysis made by the first Director of the International Labour Office1 : " I n agreement with most writers on this subject, and in order to emphasise in turn the social and economic aspect of a co-operative society, a distinction will first be made between (1) the association of persons which constitutes the society, and (2) the undertaking in common by which it carries out its objects. (1) The association of persons. — (a) Persons associate of their own free will in order to satisfy needs of a similar character by means of an undertaking carried on in common, (b) The association is open without restriction to all persons on whom it can confer a benefit, (c) Its constitution is democratic. (The general meeting is sovereign ; members have equal votes.) (d) The needs which can be most effectively satisfied by a common undertaking are those arising from the weakness of the economic position of t h e majority of the members of the association. (e) The association thus constituted, while endeavouring to strengthen the economic independence of its members, also endeavours to establish bonds of moral solidarity between all the members and to create a common social Ufe based on development of personality (self-help) and mutual aid. (2) The undertaking in common. — . . . The conditions of its working and management are not determined with a view to making the highest profit, but to affording t h e best service. In consequence (a) a co-operative undertaking will endeavour to obtain the capital necessary from its members to ensure its working (either in equal shares or in proportion to the services to be rendered to each member) ; while endeavouring to encourage saving and having 1 Albert THOMAS : The Relation between the Different Forma of Co-operation. Report submitted to the Eleventh Congress of the International Labour Co-operative Alliance, 1924. 158 WORKERS' NUTRITION AND SOCIAL POLICY recourse to such saving, such an undertaking will only pay on individual capital a limited interest, independent of the financial results of the undertaking, (b) The annual profits, if such exist, and in so far as they are not allotted to the reserve fund or to capital expenditure of a general interest, will be distributed among members in proportion to their dealings with the undertaking ; that is, according to a practical rule which aims at making up the difference between the payments effected by members in the course of the financial year for services rendered and the cost of rendering these services." These few points make it easier to understand the p a r t played by t h e co-operative movement in ' regard to the three following problems : (a) the problem of prices or purchasing power ; (b) the problem of education ; (c) the problem of quality. The Contribution of the Co-operative Movement to a Policy of Better Nutrition Increased Purchasing Power T h e whole economic activity of co-operative undertakings m a y be held to result in increasing the earnings of their members (agricultural marketing co-operatives) or in increasing the purchasing power of these earnings (distributive co-operatives). In one form on another, the object is always to increase the consuming capacity of the members x . This result is achieved by the co-operative organisations in two different ways. They either t r y to reduce the cost of the economic services they render to a minimum, or they make the price demanded for these services coincide as closely as possible with their actual cost free from ail superfluous charges. To reduce the cost of their services, the federal structure of t h e organisations enables them and the small economic units of which they are composed to benefit by financial, administrative, and technical concentration in the same way as any large undertaking. In addition, they can make use of other methods t h a t are special to the co-operative movement. 2 - , x I n addition, experience has shown that this advantage spreads,, although „• to a smaller extent, to other members of the community ; for the regulating influence t h a t the co-operative organisations can bring to bear on prices tends t o maintain them, whether for producers or for consumers, at a level which in practice is equivalent to an increase in the purchasing power of the population as a whole. 2 Dr. G. FATJQUBT, in his book Le Secteur coopératif. Essai sur la place de Vhomme dans les institutions coopératives et de celles-ci dans l'économie, has used the term " co-operative rent " to describe the diSerential rent or return derived from the co-operative character of the undertaking. AGENCIES AND METHODS TO IMPROVE NUTRITION 159 The most usual, and in any case the most obvious, means by which the price charged for the services rendered is made to coincide with the actual cost is the refund of " surpluses ", in whatever form this may take place. This method, in effect, confers additional purchasing power on the members of distributive societies. x By a process that need not be described here the savings effected by the agricultural co-operative societies in their marketing activities result in higher prices for the products of the farmers belonging to the societies. Thus farmers, who it should be remembered are also consumers, find their earnings increased and are able to get nearer to the best level of nutrition. The method leading to this increase of purchasing power also has certain other advantages to which attention may usefully be drawn : (a) The higher prices received by agricultural producers are not obtained at the cost of buyers ; the lower prices paid by buyers do not diminish the earnings of agricultural producers ; (b) These advantages, which benefit the largest and least well-to-do sections of the population, contribute towards an economically favourable redistribution of the national income ; (c) This additional purchasing power is created without the financial assistance of the public authorities. Inter-co-operative Relations The advantages of co-operation are naturally strengthened whenever direct economic relations are established between distributive co-operative societies and agricultural marketing societies. The requirements of the former with regard to supply and of the latter with regard to marketing are brought into relation with each other, and can be balanced and adjusted to each other wherever possible, both qualitatively and quantitatively, thus eliminating yet other items of overhead expenditure and waste. Inter-co-operative relations of this kind may already be seen in the national field, where they are fairly general, and in the 1 The addition is by no means negligible. I n Great Britain the dividends distributed to members of distributive co-operative societies in 1934 amounted in all to £20,137,345. I t would be interesting to compare this additional purchasing power with the part of the national income devoted to expenditure on the main foodstuffs (groceries, meat, dairy products, fruits, fish) ; in 1932 the total co-operative dividends. amounted to £19,379,668, and the ratio in question was nearly 2 per cent. 160 WORKERS' NUTRITION AND SOCIAL POLICY international field, where, naturally, they meet with the same obstacles as a n y other form of international economic exchange. I n b o t h fields they are active primarily in regard to dairy produce, and then eggs and fruit. (a) National joint action. — I n Austria during recent years the co-operative societies have supplied more than 62 per cent. of the butter distributed b y the consumers' co-operatives. Agreements on points of principle have been concluded for the establishment of relations on a permanent basis. I n Bulgaria the central co-operative distributive organisation " Napred " obtains almost the whole of its supply of dairy products from1 the co-operative •dairies. I n Czechoslovakia the distributive societies have agreed to obtain their butter and other dairy products exclusively from t h e co-operative dairies. I n addition, a very detailed agreement between the Czechoslovak Co-operative Wholesale Society of t h e Distributive Societies and the Purchasing Federation of the Agricultural Co-operative Societies (Co-operativa) provides for joint purchases on behalf of the two organisations, reciprocal •deliveries, and such close collaboration between them as to involve m u t u a l affiliation. I n Finland the butter requirements of the societies affiliated to the central distributive co-operative organisation (K. K.) are covered as to one-fifth by their members and as to most of the remainder b y the co-operative dairies and their «entrai organ " Valio ". I n Hungary the central organisation of t h e distributive co-operative societies " Hangya " obtains its milk and other dairy products from the central society of co-operative dairies. I n Sweden there are similar relations between the agricultural co-operatives and local distributive co-operatives. I n addition, the Stockholm distributive society and the " Västgö ta " co-operative society for exporting eggs are bound by a contract for the delivery of u p to 800,000 kilogrammes of eggs a year. At Malmö a joint enterprise, the " Central Dairy " associates consumers' and producers' co-operatives in providing the city with milk and dairy products. I n Switzerland a similar joint enterprise, the " Dairy Union ", managed jointly by agricultural •associations and the distributive society^ performs -the same -function for the city of Geneva. Further, the Swiss Union of Distributive Co-operative Societies obtains a large and growing proportion of its food supplies from the Swiss farmers' co-operatives. (b) International action. — The statistics of the International Co-operative Wholesale Society show t h a t Danish butter formed AGENCIES AND METHODS TO IMPROVE NUTRITION 161 68.8 per cent. (1930), 63.7 per cent. (1931), and 58 per cent. (1932) of the total value of the butter bought abroad by the central organisations of the distributive co-operative societies, and that three countries alone, where the co-operative dairies provide 90 per cent, of the national production of butter, namely Denmark, New Zealand, and Australia, together supplied 84.2 per cent. (1930), 85.7 per cent. (1931), and 84.9 per cent. (1932) of the total value of the butter imported by these organisations. The central organ of the Hungarian co-operative dairies has established relations for the sale of butter with the distributive co-operatives of Germany and Italy and with the English Cooperative Wholesale Society. In Czechoslovakia the butter imports of the consumers' co-operatives have been furnished exclusively by the central agencies of the co-operative dairies of Denmark, Estonia, Finland, Latvia, and Lithuania. In the international field it is above all the English Co-operative Wholesale Society (together with the Scottish Co-operative Wholesale Society) which is at the centre of a complex network of inter-co-operative trading relationships. The butter purchases of the English Co-operative Wholesale Society represent more than a fifth of Denmark's total butter exports and about 30 per cent, of Denmark's butter exports to Great Britain. Similar relations have been established between the English Co-operative Wholesale Society and the co-operative dairies of Finland. The English Co-operative Wholesale Society and the Co-operative Association for the Marketing of New Zealand Products have created at London, and manage in common, a joint undertaking, the New Zealand Produce Association, by means of which the two organisations buy and sell New Zealand dairy products and a certain quantity of meat ; the total sales of this undertaking exceed £1,000,000 a year. With regard to the fruit trade, the English Co-operative Wholesale Society has established relations with the great export co-operative " Pardess " for Palestine oranges and with the Union of Farmers' Co-operative Marketing Societies of Aydin (Turkey), which has supplied in recent years over 20 per cent, of the dried figs and raisins imported. Similarly, the English and Scottish Co-operative Wholesale Societies are in trading contact with the great fruit marketing co-operatives of California and with the joint agency (Overseas Farmers' Co-operative Federation, Ltd.) set up in London by the majority of the fruit marketing co-operatives of Australia, New Zealand, and the Union of South Africa. il 162 WORKEBS' NUTRITION AND SOCIAL POLICY Education of Consumers I n view of their responsibilities towards the households of which they are composed and by which they are supervised, the distributive co-operative societies are naturally interested in questions of rational nutrition. This interest sometimes takes practical shape in the establishment of specialised research services, 1 and nearly always in a more or less systematic effort to educate consumers. I n this field their action is all the more effective in that i t takes place within an already constituted social group. Quite often this work of education begins with a school of salesmanship. The study of merchandise is of course given an important place and affords an opportunity of giving the pupils an outline of the physiology of nutrition. I n Sweden, for example, the instruction is planned with the object of enabling future sellers to advise housewives how to make their purchases. Apart from periodicals specialising in these subjects, the organs of the co-operative press, and in particular those distributed to the homes of all members, certainly give most attention to discussions on health and the hygiene of nutrition, the composition of menus, advice on the best method of turning the full nutritive value of food to account, etc. Use is also made of a number of separate publications, such as cookery books, popular textbooks, etc. 2 Finally, frequent meetings, cookery courses,," co-operative women's evenings ", etc., are organised, a t which housewives are given instruction concerning the manufacture of various products and theirpreparation for the table. 3 I n Sweden a special handbook on thé physiology of nutrition has even been published, arranged in the form of questions and answers ; the members of t h e societies. form discussion g r o u p s 4 to study the various 1 A single country may be mentioned by way of illustration : In Sweden, since 1925, the Co-operative Union has employeda specialist who, together with a few assistants, researches into vitamin problems. In 1932 it formed a research fund, which on 1 January 1936 amounted to 396,370 kronor and is t o be increased in the near future. The object of this fund is to subsidise scientific researches, especially into the question of nutrition. 2 Examples are : Traité de la Connaissance des Marchandises (treatise on the study of merchandise), published by the Swiss Union of Distributive Co-operative Societies ; Varukännedom för hemmet (the study of merchandise for the home) ; Kost och kultur (diet and culture), and Rokost och räinläggning (uncooked food as a diet and its preservation) published by the Swedish Co-operative Union ; etc. 3 Last year the Stockholm distributive co-operative society, for instance, organised lectures on the physiology of nutrition at all its local meetings, and engaged the most eminent experts in Stockholm as lecturers. 4 There are about 300. __ AGENCIES AND METHODS TO IMPROVE NUTRITION 163 questions put and send in answers to the Co-operative Union, which checks them and gives explanations. For the same reasons as inspire the distributive co-operativè societies, agricultural societies, which are often very strongly organised, may try to influence their own members in their capacity of consumers. Inspection of Quality It is not sufficient to influence the relation between the prices of foodstuffs and the purchasing power of consumers and to give consumers information on what constitutes good nutrition. I t is also essential that housewives should not be exposed to the illusions of advertisements and run the risk of being deceived as to the real quality of the articles they purchase. In their effort to improve, define, control, and guarantee the quality of the goods they market or distribute, the agricultural and distributive co-operative societies, being truly " service undertakings ", have done considerable work, which has generally preceded and often inspired similar action by the public authorities. It will be sufficient here to give two examples, one taken from the Danish co-operative organisations and relating to the production and export of butter, and the other from the Swiss Union of Distributive Societies. (a) The Danish agricultural co-operative organisations. — Beginning with the care and feeding of stock, the upkeep of cattle sheds, etc., the producers assume very strong obligations b y adhering to the rules and regulations of the co-operative dairy to which they belong. B u t this is not enough. The incessant improvement of the best methods must rest on increasingly exact observations, 1 which call for special knowledge and sometimes costly apparatus. Further, such observations must be recorded and examined. All this constitutes a task for which producers were not long in recognising t h a t they h a d neither time nor always the necessary qualifications. They therefore delegated it to " inspection societies " , the first of which was founded in 1895. To-day there are several hundred such societies, all created and financed on co-operative principles b y the producers themselves. I t is thanks to these societies t h a t it has been possible gradually t o eliminate diseased cattle, to select the breeds and animals with the highest yield, to improve feeding stuffs, etc. I n a general way, their activities, often closely combined with those of the stock-breeding co-operative societies, have been and still are decisive for all the technical progress of dairy production. The milk thus produced in such carefully studied conditions is subject, before and after arrival a t t h e co-operative dairy, to a further series of regulations concerning the conditions of milking, treatment 1 E.g., weighing and testing the milk of each eow subject to control, examination (by weight and nutrition value) of the fodder it consumes, variations in its weight, calving, etc. 164 WORKERS' NVTSITION AND SOCIAL POLICY before delivery, etc. I t must, of course, be delivered fresh, pure, and clean. Its fat content is measured, and the measure determines the price t o be paid to the producer. 1 I t should be remembered t h a t all t h e processes of pasteurisation, the utilisation of pure microbe cultures t o initiate fermentation, the refrigeration of milk, etc. were studied, perfected, and voluntarily applied in the Danish co-operative dairies Before any legislative action was taken in this field. T h e efforts of the Danish co-operative societies to produce butter of higher and more uniform quality have also been stimulated by competitions organised in each district and each province by the co-operative dairies themselves and the Association of Co-operative Dairy Managers. Their example has been followed by the public authorities, which now organise similar competitions. Finally, t h e constant quality a n d reliability of the products are guaranteed b y a national mark, Which was made official b y an Act of 1912. The initiative, however, was taken b y the co-operative dairies, which, as far back as 1891, had without success caused a Bill to be introduced in the Rigsdag for this purpose, and in 1900 h a d created a special society for awarding this exclusive mark under certain strictly defined conditions. When the 1912 Act was passed, nearly all the co-operative dairies had for several years been voluntarily using the m a r k , which thus received statutory confirmation. Similarly, the more general of t h e rules and methods mentioned above have since been embodied in a n d made compulsory by legislation. I t is interesting t o note, however, t h a t all of t h e m were first worked out a n d observed spontaneously b y the co-operative organisations, a n d t h a t some of them are so detailed t h a t they would be considered vexatious and intolerable if imposed b y outside authority., (b) The Swiss Union of Distributive Co-operative Societies. — I n its analysing laboratory the Swiss Union undertakes a check of the quality of the goods it distributes. The laboratory was founded in 1905, t h a t is to say, at a time when the Federal Act on food products Was still only in preparation. T h e laboratory examines, analyses, and tastes all the goods bought for supply to the affiliated societies. Special attention is paid to articles sold under t h e m a r k of t h e Swiss Union of Distributive Co-operative Societies itself. These are regularly examined from the point, of view of t h e raw materials used, the methods of manufacture, and the composition and quality of the finished product. T h e examination goes further t h a n t o see t h a t they comply with t h e statutory regulations, for it aims at giving consumers a guarantee t h a t the articles carrying the mark of t h e Union are reliable as to quality and price. Not only articles produced by the Union itself are examined, b u t all those which carry its m a r k and which are manufactured under its supervision. The laboratory also undertakes t h e periodical examination of goods stored b y the societies in order to determine whether, and if so, how far, certain articles deteriorate during storage. The laboratory employs two chemists responsible for the analyses; In-addition, the tasting of, í The importance attached to this method of payment led in 1902 and after to the creation of special " milk analysis " societies. The milk inspector appointed by these societies has the duty- of making unexpected visits to t h e affiliated co-operative dairies aiiä, in collaboration with their managers, to inspect the milk delivered to them. The results of each examination are communicated to the producers concerned, together with any useful advice and instructions. AGENCIES AND METHODS TO IMPBOVE NUTRITION the articles is always effected in branch in question. From 4,000 to and typical results are published in the benefit of members, staffs, and 165 collaboration -with experts for the 5,000 analyses are made each year, the annual reports of the Union for managers of the societies. In considering the position of the co-operative organisations in relation to the nutrition problem^ attention should also be drawn to the activities of the International Committee of Interco-operative Relations. Its aim is to promote the development of moral and economic relations between agricultural and distributive co-operative societies and to form a link between the cooperative movement taken as a whole and international organisations. It has agreed to contribute to the work undertaken for the study of the problem of nutrition. During recent years it has already made enquiries into the part played by agricultural and distributive co-operative societies and their joint institutions in the trade in eggs and butter. At its session in March 1936, it decided to undertake a similar enquiry into the trade in fruit and another enquiry into the methods employed by agricultural and distributive co-operative organisations for improving, inspecting and guaranteeing the quality of the goods they market or distribute. CHAPTER VIII PROBLEMS OF POLICY The facts presented in the preceding chapters give rise to a number of practical problems which can be considered here only briefly. But before sketching these problems, it may be helpful to restate the main findings of this Report. I. — SUMMARY OF FES-DINGS The main findings òf this Report may be summarised as follows : First, large numbers of the working population not only in impoverished or depressed areas but even in the most advanced industrial countries are inadequately nourished. Such malnourishment and under-nourishment are not the result merely of temporary dislocations due to an industrial depression, though a depression usually has an aggravating influence; It is a condition found among many employed workers in times of normal business activity. Second, inadequate and insufficient nourishment among workers is due in some measure to an ineffective use of available income owing to ignorance of nutritive values, inability of the poor housewife to make the best use of her money, etc. But its primary and most important cause is inability to buy the right kinds of foods, especially protective foods, in the necessary quantities. Low income or lack of purchasing power is thus the root cause of the inadequate nutrition of large numbers of workers and their families. Third, the potential productive capacity of agriculture is such as to .enable, producers i o jupply the foodstuffs necessary to improve the dietaries of the working population in most countries. The non-use of potential capacity and the. misuse of some of thè existing capacity have undoubtedly been aggravated by recent economic trends, but they are due essentially to deeper maladjustments created by changes in agriculture and in world economy sketched in Chapters IV and V. PROBLEMS OF POLICY 167 Fourth, the realisation of standards of rational nutrition laid down by medical and dietetical experts depends on social-economic factors which affect the supply of and demand for food materials. The most important factors are those which determine prices and incomes. Relatively low prices for foodstuffs which would not reduce producers' incomes involve measures for the reduction of costs of production and marketing, for the removal of trade barriers, for the elimination of undesirable forms of taxation, etc. On the other hand, an active demand for better foodstuffs is conditioned by the size of the national income and by its distribution and can be influenced by various measures for redistributing income such as relief, social insurance, direct distribution of food to school children, etc. Fifth, protective labour and social legislation has affected workers' nutrition indirectly to the extent to which it has helped to increase or maintain workers' income. But, except in a few cases, such legislation makes no attempt to improve workers' nutrition directly and in a systematic way. Sixth, during the last decade or so, and especially since the recent depression, there has been an increasing interest on the part of public, semi-public and private agencies in improving the nutrition levels of the working people. Much has been doné to safeguard the health of the people, especially of children, mothers and unemployed workers through relief measures, social insurance, milk for school-children and otherwise. Much has also been done to spread information about rational nutrition and to reshape consumers' habits through education. But many effective ways for improving popular nutrition which are open to the modern State as well as to voluntary organisations are still to be fully explored. II. — RESEARCH AND EDUCATION Each of the above generalisations suggests a number of practical problems whose solution calls for special policies. To begin with, there is need for further research and education. Great as has been the progress of the nutritive sciences in recent years, there is still a large amount of work to be done in this field. The research called for branches out in various directions. There is, for instance, the need for further studies of the influence of soils and of soil treatment on the mineral content of the foodstuffs grown. Further studies are necessary for the purpose of investigating the vitamin and mineral content of various foods 168 WORKERS' NTJTRITTON AND SOCIAL POLICY and the physiological effects of such food substances on the h u m a n body. I t is necessary to study further the problems of t h e utilisation and preparation of foods and of the effects which such methods have upon their nutritive value, palatability and utility. There is need for the physiologists and hygienists of t h e different countries to translate the general standards of diet into specific details of food consumption in accordance with the customs and resources of their respective countries. There is further t h e large field indicated in Chapter I I of the relation between food requirements and specific occupations. There are also the problems of statistical research raised in Chapters I I I and V in connection with further studies of family budgets and consumption habits a t different income levels, of the effects of unemployment on nutrition, and of the possible ways in which food habits of the people may be changed in accordance with scientific standards. These problems of research run along independent lines in m a n y respects. Some fall within the field of the physical sciences, others in the field of the biological and medical sciences, still others in the field of economic and social studies. Nevertheless, co-ordination, in the various fields of research with a view to answering some of the basic questions with regard to nutrition is possible and desirable. However, research to-day is tending to outrun the utilisation of its findings. This makes education especially important. While a great deal has been v done in recent years b y public and private agencies to educate the people in general to a n understanding of nutrition values and dietary principles, still more can a n d might be done ; There is still much need for instructing housewives in the choice of foodstuffs, in the composition of wholesome meals on economical lines and in the manner of preparing the food selected. Though as indicated in various parts of this Report consumers' knowledge of nutritive values has increased greatly during the last decade or so, still greater progress is necessary before a satisfactory condition is reached, The various methods described in the preceding chapter, can. be further developed and systematised. One method of education which has been used only in a limited Way — that of demonstration :— would seem to hold out much promise. The effectiveness of education cannot be doubted, especially if it is accompanied by favourable changes in the economic condition of the people who are being educated. PROBLEMS OF POLICY III. — 169 SOCIAL-ECONOMIC POLICY AND ORGANISATION Next, there are the large questions of economic policy examined in Chapter V. Obviously, all countries must advance farther on the road to recovery in order to be able to promote large programmes for improving popular nutrition. But, as pointed out in Chapter V, various methods are available to the Governments of the more advanced countries to influence prices of foods and the level of workers' income now so as to bring better dietaries within the reach of their working populations. A proper nutrition policy promises to have beneficent economic results. An improvement in popular nutrition means an increase in the area of cultivation in order to meet the increased demand for fruits, vegetables, etc. ; it means increasing the number of livestock to supply larger quantities of milk, butter, meat, etc. The possibilities have been indicated in more detail in Chapters IV and V. However, as also indicated in those chapters, changes in agricultural activities in different countries as a result of dietary changes are likely to be accompanied by complicating processes. A readjustment of our economic and social system to higher standards of nutrition must thus be guided so as to reconcile the interests and needs of various elements of the population. This is no easy task in view of the transitional stage in which many countries are to-day and of the general trend towards a reorganisation of world economy as a whole. More could also be done in the near future in the field of social policy. Concern for adequate nutrition offers a new and fruitful approach to all other questions of social policy. In so far as nutrition standards are set by scientific investigation, they have an objectivity which cannot but make a strong appeal to rational thinking. There are possibilities of utilising the results of dietetic science in the determination of minimum wages, in fixing benefits under social insurance systems, in considering the problems of relief and unemployment assistance, etc. Undoubtedly, the application of nutritional standards to problems of social legislation presents many difficulties, and no concrete illustrations of the application of such a method can be offered here. Attention may be drawn again, however, to the Resolutions adopted at the Santiago Conference reproduced 170 WOKKBKS' NUTRITION AND SOCIAL POLICY in Appendix I, which indicate a specific method for utilising the results of nutritional research for legislation on minimum wages and social insurance. Finally, there are the problems connected with perfecting the organisations dealing with nutrition. The list of agencies described briefly in the preceding chapter indicates that the network is complex already. However, these agencies need further development and especially greater co-ordination in all countries. IV. — WIDER ASPECTS As pointed out in Chapter I, the problem of workers' nutrition is closely related to the general problem of nutrition. The nutrition of the individual worker is bound up with the nutrition of the family as a whole. Because of that, adequate nutrition standards for the worker as such depend upon proper nutrition policies for other members of the family. Also, as the health of adult workers is determined to a large extent by environmental conditions in infancy and childhood, measures for the workers' physical well-being are closely linked up with policies for the, provision of adequate nutrition to mothers, infants and children. • This means that specific policies for improving workers' nutrition, to be effective, must be part of a general nutrition policy which aims at improving popular dietaries. The principles on which such a general policy should be based and the methods by which it may be effected are considered in detail in the forthcoming report of the Mixed Committee on Nutrition of the League of Nations. The modern world is guided by the old ideal of a sound mind in a sound body. All institutions to-day, political, economic, charitable and religious, are directly or indirectly interested in the building up of a healthy human race. Whatever the ideal of a people may be, its attainment and promotion require a healthy and vigorous population. It is the recognition of this fact which gives meaning and force to the new crusade for a general nutrition policy not only_ in times of depression but as an element of national policy akin to and on a par with education, housing and similar public policies. From the point of view of labour protection, there is also an advantage in singling out nutrition as a separate factor in social policy, in the same way as social insurance, labour legislation, maternity assistance, etc. For the development of PROBLEMS OF POLICY 171 a special nutrition policy holds out the promise of shaping some economic and social legislation in a more objective way on the basis of standards obtained b y scientific research. And the demand for adequate food for all the people may make clear in a new and striking way the need for economic readjustment and development in order to enable everybody to enjoy health and well-being. V. — NATIONAL AND INTERNATIONAL ACTION The policies outlined above call for action first on a national scale. The various projects of research, of economic policy, of education, of developing new organisations, must become the concern of each country interested in improving the standards of nutrition of its own people. There is, however, need also for international action along three lines. I n the first place, there is need for a n exchange of ideas a n d information between nations on all matters concerning nutrition and nutrition policy. Second, there is need for the co-ordination of research in different countries, so t h a t the data obtained may be comparable. Third, there is need for international co-operation in economic and social policy if some of the measures for better nutrition are to be carried out without further disturbing the economic relations of the different countries. For some of the international activities connected with a general nutrition policy new agencies may be desirable. B u t no special new agencies are needed for the activities involved in the improvement of workers' nutrition on a n international scale. A social nutrition policy is b u t another concrete application of one of the general principles upon which the International Labour Organisation is founded, namely, the need for the special protection of those groups of the population which because of poverty or other reasons fall below socially desirable minimum standards. I n brief, the measures needed to improve workers' dietaries are part of the general programme of the International Labour Organisation for raising living standards in all countries as a condition sine qua non of social justice and peace. APPENDICES APPENDIX I THE INTERNATIONAL LABOUR ORGANISATION AND THE PROBLEM OF WORKERS' NUTRITION HISTORICAL SURVEY 1. I n his Report to the Nineteenth Session of the International Labour Conference (Geneva, June 1935), the Director, when dealing with future questions of general policy to which the Conference would do well to allot a part of its time, referred to the problem of the relationship between adequate consumption and a proper standard of healthy living, including the standard of nutrition. The Report continues : " Though there is still considerable controversy among physiologists as to the miniraum needs for healthy subsistence and as to the rations of calories, proteins, mineral salts and vitamins required in different climatic conditions, it is not open t o dispute t h a t large masses of people are at present underfed or wrongly fed. . . . Every country is faced by a problem of this kind, b u t its exploration is only just beginning. I t may be compared with the problem of medical treatment and maternity care, for which much has already been done wherever a sound system of health insurance has been established. . . . If the cure and prevention of disease is a communal affair, housing and feeding, which are the primary requisites of healthy living, are hardly less so. They were certainly not excluded from the purview of the International Labour Organisation by the Preamble to the Constitution, which lays down the 'provision of an adequate living wage ' as one of its objectives and declares it urgent to improve conditions of labour involving hardship and privation. " Looked at from another angle, it is evident t h a t a higher and more variegated standard of food consumption would go far to solve the problem of agricultural over-production. . . . " This question of consumption is not only national but international in its scope. If it is agreed t h a t the only real solution of the problem of economic balance is not through scaling down production but in levelling up consumption, then it follows t h a t the best hope of finding a way out of the present troubles is to raise the standards of the millions who are now underfed, underclothed and under-equipped. The cares of the American, Argentine, Australian, Canadian or. Eastern European farmer would be conjured away if the urban populations of Europe and America could eat even a little more bread, butter and meat per head. , . . When all other remedies have been clearly seen to fail, it is in this direction t h a t thought will eventually be directed, unless a general regression towards 176 WORKERS' NUTRITION AND SOCIAL POLICY lower standards of living is accepted as the ironical but inevitable outcome of a civilisation condemned to decline through the excess of its own creative ingenuity and technical perfection. " * 2. A t the Seventh Session of the Mixed Advisory Agricultural Committee, a liaison body between the International Labour Office and the International Institute of Agriculture, the President of the latter Institution, Mr. Acerbo, former Italian Minister of Agriculture, mentioned, among new problems deserving special attention from thé Committee, the question of over-production in agriculture as related to a rational dietary standard. Mr. McDougall, Economic Adviser to the Government of Australia, attending the Session as an expert, moved t h a t an invitation be addressed to the two Institutions to study the question of the consumption of agricultural products b o t h from the point of view of the health of the workers arid of the agricultural crisis. This suggestion was supported by various members of the Committee and, in its report, the Committee took cognisance of the communication made by Mr. McDougall and stated t h a t it bebeved it to be of the utmost interest t h a t the two Institutions should continue their researches in this field, each from the point. of view more particularly concerning it. 3. The Nineteenth Session of the International Labour Conference (Geneva, J u n e 1935) had before it a resolution concerning the nutrition of the workers submitted by Sir Frederick Stewart, Government Delegate of Australia, and supported by Mr. Verschaffelt and Miss Ada Paterson, Government Delegates of New Zealand. Sir Frederick Stewart himself introduced the resolution 2 in the plenary session of the Conference, a n d was supported b y Miss Paterson, Government Delegate of New Zealand, and Miss Abbot, Government Delegate of the United States. Short interventions in favour of the resolution were made b y Dr. Riddell, Government Delegate of Canada, Mr. Brenta, Employers' Adviser, Argentine Republic, Miss Hesselgren, Government Delegate, Sweden, Mr. Roman, Government ' Delegate, Rumania, and Mr. Jules Gautier, Government Delegate, France. The resolution, which was adopted unanimously, runs as follows : " Seeing t h a t nutrition adequate both in quantity and in quality is essential.to the health and wellbeing of the workers and their families ; " And seeing t h a t in various countries evidence has been brought forward t o show t h a t large numbers of persons b o t h in town and country are not sufficiently or suitably nourished ; " Seeing, moreover, t h a t an increase in the consumption of agricultural foodstuffs would help to raise standards of life and relieve t h e existing depression in agriculture : " The Conference welcomes the attention drawn by the Director in his Report t o the problem of nutrition and requests the Governing Body t o instruct the Office t o continue its investigation of the pro,. blem, „particularly in its social, aspects,~in collaboration with the health and economic organisations of the League of Nations, the International Institute of Agriculture and .other bodies capable of contributing to its solution, with a view to presenting a report on the subject to the 1936 Session of the Conference. " 1 INTERNATIONAL LABOUR CONFERENCE (XlXth Session, Geneva; 1935) : Report of the Director, pp. 83-84. • * IDEM : Record of Proceedings, pp. 426-438. APPENDIX I 177 4. During the Sixteenth Ordinary Session of the Assembly of the League of Nations, the Delegates of the Argentine Republic, Australia, Austria, the United Kingdom, Canada, Chile, Denmark, France, Italy, New Zealand, Poland and Sweden addressed a letter to the President of the Assembly asking t h a t the question of the relationship of nutrition to the health of the population, which had become a social and economic problem of widely accepted significance and was recognised as having a n important bearing on world agricultural problems, should be placed on the agenda of the current session of the Assembly. In the discussion of the report on the work of the League of Nations since the Fifteenth Assembly, the Right Honourable S. M. Bruce (Australia) spoke a t length on this subject, b u t the main discussion took place in the Second Committee, to which the question was referred. In this Committee Mr. Bruce moved a resolution asking for further study of the question of nutrition in relation to public health and of the agricultural and economic effects of improved nutrition. This suggestion was supported by eighteen States. The Assembly approved of the draft resolution which was submitted to it in the report from the Second Committee, and which runs as follows : " The Assembly, " Having considered the subject of nutrition in relation to public health and of the effects of improved nutrition on the consumption of agricultural products, urges Governments to examine the practical .means of securing better nutrition and requests the Council : " (1) To invite the Health Organisation of the League of Nations to continue and extend its work on nutrition in relation to public health ; " (2) To instruct the technical organisations of the League of Nations, in consultation with the International Labour Office and the International Institute of Agriculture, to collect, summarise and publish information on the measures taken in all countries for securing improved nutrition and, " (3) To appoint a Committee, including agricultural, economic and health experts, instructed to submit a general report on the whole question, in its health and economic aspects, to the next Assembly, after taking into consideration, inter alia, the progress of the work carried out in accordance with paragraphs (1) and (2) above. " As a result of t h a t decision, the Council of the League of Nations, on t h e proposal of the President, agreed at its meeting of 28 September 1935 to the constitution of the Committee referred to in paragraph 3 of the Assembly resolution. The Council authorised the President himself to nominate the persons of whom the Committee Was to be composed. In addition to experts on health and economic questions, representatives of the International Labour Organisation, chosen from experts on the social aspects of the nutrition problem, were to be appointed. 5. On 8 October 1935, the International Committee for InterCo-operative Relations, which is a private liaison body between agricultural co-operatives and consumers' co-operatives and which is presided over b y the Director of the International Labour Office, met in Geneva for its ninth session. The second item on the agenda was : " Contribution •of the Committee to the studies and researches to be made on the problem •of nutrition ". A discussion took place on the practical Ways in which the Committee could contribute to those aspects of the study to be 12 178 WORKERS' NUTRITION AND SOCIAL POLICY undertaken by the Office with which it was specially concerned. The Committee agreed that a certain number of questions bearing on various aspects of the problem of nutrition, and particularly those which are of direct interest to the co-operative movement, should be studied by each of the two organisations, or b y persons agreed upon by the two organisations, and should further be studied b y the Committee itself. 6. When examining, during its Seventy-third Session (October 1935), the effect to be given to the resolutions adopted by the International Labour Conference, the Governing Body had before it the following indications of the Director with regard to the handling of the resolution concerning the nutrition of workers. The Office would have to submit a report on the social aspects of the problem to the next session of the Conference. In view of the short time a t its disposal, the Office felt t h a t the report should only cover the known facts of the case and the data already available. In order to carry out the difficult studies involved, it would be most useful if the Office set up a temporary committee of experts composed of five' to six members and a chairman. The members should be experts on workers' consumption, on the standard of nutrition in relation to the effort required, and on the standard of living and family budgets. The Governing Body decided t o set up a Temporary Committee of Experts on Nutrition Questions, and to include in the Committee three representatives of the Governing Body, one from each Group. During the discussion, members of the Workers' Group made statements regarding the principles involved in the question of workers' nutrition. M. Jouhaux (France) said : The measures to be taken to improve the nutrition of the workers might be considered under two aspects. On the one hand t h e r e were the workers who were referred to as Native workers, who lived in countries where nutrition was obviously quite different from what was generally regarded as normal. On the other hand, if it was proposed to consider conditions of nutrition in other countries, it was not the nature of the food which should be studied, b u t purchasing power. I n France, for instance, it would be quite unnecessary for experts to tell the workers what to eat. If any workers were undernourished, it was merely because they had n o t the means of purchasing proper food. The question was thus really one of consuming capacity, which was closely bound up with Wages. If the Committee's discussions turned in t h a t direction, it would perhaps be well to show t h a t insufficient wages not only impeded the development of national and international economy, but also the physical and physiological development of the person concerned. When the question was p u t in t h a t way, . immediate opposition arose from the representatives of the Governments and employers. When it had been suggested, in connection w i t h Native labour questions, t h a t the question of improving and increasing the nutrition of Native workers should be considered, a large number of Government representatives had said t h a t such a proposal ran counter to the whole spirit of colonisation as it was a t present applied, and t h a t it would give rise to social problems t h e consequences of which could not be foreseen. The Governing Body and the Office must follow a logical course, a n d avoid giving the impression t h a t the principle of increasing consumption and raising the nutrition standards of t h e workers APPENDIX I 179 •was regarded in theory as a condition for the development of civilisation, b u t t h a t in practice the application of the principle was opposed in the case of any particular country. l Mr. Hayday (Great Britain) declared : The question of nutrition was one of t h e most important with which the International Labour Organisation h a d been called upon to deal for many years. He felt t h a t the workers ought to be intimately associated with t h e investigations, and t h a t they should not be carried on exclusively b y scientific experts who h a d no practical experience of the subject. If t h e question were discussed solely from the theoretical point of view of the amount of various kinds of foodstuffs required to maintain a working-class family, it was probable t h a t wrong conclusions would be reached. Most of t h e representatives whom it was proposed t o appoint t o the Committee were scientific men, and it was desirable t h a t the International Labour Organisation should appoint persons who could deal with the effect of nutrition questions on t h e living conditions of t h e workers. H e was not sure t h a t it would be sufficient to a d d one workers' representative and one employers' representative t o t h e Committee. He had himself h a d experience of a case in which a n employer h a d given his workers advice on how t o make a nutritious meal a t a very small cost, and h a d subsequently suggested t h a t this would enable the workers t o agree to a reduction in wages. * 7. In accordance with the decision of the Governing Body, the Committee of Experts on Workers' Nutrition has been constituted as follows : Chairman : Mr. C. V. BBAMSNAES, formerly Chairman of t h e Governing Body of the International Labour Office, Copenhagen. Representatives of the Governing Body : Government Group : Mr. S. YOSHISAKA, Japanese Government representative. Employers' Group : Mr. G. OLIVETTI, Member of Parliament (Italy). Substitute : Mr. D. S. EBTJLKAB, Chairman of the Indian Chamber of Commerce in Great Britain, London. Workers' Group : Mr. A. HAYDAY, J.P., Nottingham. Substitute : Mr. C. SCHÜBCH, Secretary of the Swiss Federation of Trades Unions, Berne. Expert Members : Mr. E . P . CATHCART, Eegius Professor of Physiology, University of Glasgow. Mr. R. DTJKIG, Professor, Physiological Institute, University of Vienna. Mr. M. HALBWACHS, Professor a t the Sorbonne, Paris. Mr. JAEGGI, Chairman of the Supervisory Committee of the Swiss Union of Consumers' Co-operative Societies, Basle. Miss Faith WTT.TTAMS, Chief, Cost of living Division, Department of Labor, Washington, D.C. 1 Cf. INTEBNATIOITAL LABOUR OFITCE : Minutes of the Seventy-third Session of the Governing Body. Geneva, 24-28 October 1935, pp. 70-71. 'Idem, pp. 72-73. 180 WORKERS' NUTRITION AND SOCIAL POLICY The Committee of Experts met in Geneva 2-5 December 1935 and examined carefully the plan drawn up by the Office for the report to be submitted to the next session of the Conference. At the suggestion of the Committee the Officers of the Governing Body appointed Mr. Bramsnaes and Miss F a i t h Williams (with M. Halbwachs as substitute) to represent the International Labour Organisation on the Mixed Committee on the Problem of Nutrition set up b y the Council of the League of Nations (cf. under 4). 8. The Labour Conference of the American States which are members of t h e International Labour Organisation, meeting at Santiago, Chile, in J a n u a r y 1936 passed two resolutions on the question of popular nutrition, the texts of which are reproduced below : " Resolution concerning popular nutrition, submitted b y the Government delegation of Chile. " Considering t h a t , other biological factors apart, nutrition is a factor of-capital importance in determining the physical productive power of the worker ; " Considering that technical bodies such as the technical organisation of the League of Nations, the British Ministry of Health, the Consultative Committee on Nutrition of the Royal Society of Medicine of Great Britain, the Department of Health of the United States of America and the Tokio Institute of Nutrition and experts such as Tizka, von Norden, Starling, Bottazzi, Saiki, Aykroyd, Burnet, etc., are in agreement t h a t the daily nutrition requirements of a working adult amount to about 3,000 calories per day, that is to say foodstuffs productive of 3,000 calories distributed according t o the following principles of nutrition :, " 100 grs. of proteins of which approximately one third should be of animal origin (meat and milk) ; " 70 to 80 grs. of fat chiefly of animal origin in order to ensure t h a t it contains Vitamin D (fat, butter, margarine, etc.), and 500 grs. of hydrorcarbon consisting chiefly of starch (cereals, bread, vegetables, fruit, green vegetables) ; " the ration should also include the following indispensable mineral substances : Calcium, 0.70. grs. ; Phosphorus, 2.10 grs. ; Iron, 0.015 grs., and also Vitamins A, B, C, and D. " Considering t h a t these fundamental requirements, indispensable in the daily ration, are ajl met b y the following ration compiled on biological principles : 125 grs Meat 350 grs Milk 100 grs Cereals 100 grs Vegetables 400 grs Bread 200 . Rrs Potatoes 200 grs GreenVegetablès*and Fruit*~ - " - - - - - - - ••..-• 30 grs to 40 grs. F a t ; " Considering t h a t the cost óf such a ration implies the devotion thereto of an important part of the indispensable wages of the individual and t h a t this part should not amount to more t h a n about 50 per cent, of such wages if other necessary expenses such as housing and clothing are to be covered with the remainder without any encroachment on the part reserved for nutrition ; APPENDIX I 181 " Considering it to be evident t h a t the present world crisis has had a serious repercussion on the nutrition of the working-class families owing to the effects of unemployment and the failure of wages to increase proportionately to the increase in the cost of foodstuffs ; " Considering t h a t the conditions of production, transport and exchange of foodstuffs which are of primary necessity have a manifest influence upon their cost ; " Considering t h a t the problem of popular nutrition, viewed from the social angle, is aggravated by popular ignorance of the fundamental principles of rational nutrition which makes it difficult to secure concentration upon the most necessary foodstuffs and the best use of the part of wages devoted to nutrition ; " The Labour Conference of American States which are Members of the International Labour Organisation ; " Requests the Governing Body of the International Labour Office: " (a) to transmit to the technical organs of the League of Nations its desire t h a t they will continue their scientific work in this branch of social medicine ; and " (b) to include in the agenda of an early session of the International Labour Conference the question of popular nutrition. " The Conference also notes the following as possible bases for a policy intended to bring about an improvement in nutrition ; " (a) The periodical determination in each country of the average cost of a ration of 3,000 calories composed of a variety of products fulfilling the conditions described above ; " (b) The determination within each country and in the light of its economic characteristics of the percentage of the indispensable minimum wage which this ration should represent, it being understood t h a t this percentage be fixed at about 50 per cent, of the wage ; " (c) The fixing by each State of maximum prices for the foodstuffs which are the basis of popular nutrition, it being essential to include among these, on account of their absolute necessity, meat, milk, and bread ; " (d) The establishment of popular restaurants t o supply adequate foodstuffs at moderate prices, under the control of Health Authorities ; " (e) The establishment in each country of organs or Technical Commissions to assist the Government with measures of nutrition policy ; to co-ordinate investigations on the subject and direct the educational campaign which ought to be undertaken in connection with the matter, etc. " (f) The orientation of the economic policy of States in such manner as to take account of the primordial character of biological necessities in the sense of subordinating production, transport and distribution, both national and international, of foodstuffs of primary necessity to the nutrition requirements of the population ; " (g) The adoption in so far as possible of international health legislation on nutrition questions. " 182 WORKERS' NUTRITION AND SOCIAL POLICY " Resolution concerning popular nutrition, drafted on the basis of texts submitted b y Mr. Manuel B. LLOSA, Government Delegate, Peru, and Mr. S o u s , Workers' Delegate, Chile. " T h e Labour Conference of the American States which are Members of the International Labour Organisation, recommends the Governing Body of the International Labour Office : " 1. To instruct the Office : " (a) to take steps, in collaboration with the countries concerned and by methods such as the distribution to them of standard forms or instructions, to achieve the greatest possible measure of uniformity in the methods of investigation into the conditions and costs of the nutrition of workers in the different countries, both in urban and rural areas ; " (b) to consider the desirability of collecting information with a view to subsequent action concerning the provision of food for workers and the utilisation of holiday camps, school meals, popular restaurants, and similar establishments as a basis for the study of nutrition and a means of educating the workers in matters of hygiene. " 2. To invite the Members of the Organisation : " (a) to communicate to the Office the results of their investigations into conditions and costs of nutrition with a view to the formulation of a common policy on the subject ; " (b) to put such a common policy into force, in so far ás possible, by means of commercial treaties under which States with an abundance of certain foodstuffs would place them at the disposal of other States which lack them. " The Conference further recommends : " 1. That the method of investigation employed should be t h a t of enquiries covering a large number of families in various milieux and parts of the country a t different seasons of the year, t h e data being noted daily over a certain period and including the resources of the family and a detailed account of the quantity, quality aüu cost OJL an loou \ similar uata shouid be conecten concerning the nutrition of children in crèches, in other similar institutions and in schools, a comparison being made between scholars in • varying economic situations : special attention should also be given t o t h e study of disease due to malnutrition, such as rickets, etc. ; " 2. That the method adopted in these enquiries should follow as closely as possible t h a t proposed by the Chilean Delegation, and t h a t the collaboration of the technical organisations of the League of Nations be invited ; " 3. That the examination of the results of the enquiries and investigations should,bring put whether the. defects of nutrition are due to insufficient remuneration ; if so, the State should agree to take all necessary steps to ensure t h a t wages are such t h a t the workers can provide healthy and adequate food for themselves and their families. " 184 WORKERS' NUTRITION AND SOCIAL POLICY 2. Protein Requirements I n practice, the protein intake for all adults should not fall below 1 gramme of protein per kilogram of bodyweight. The protein should be derived from a variety of sources, and it is desirable that a part of ifeê'¡îSFOtein should be of animal origin. D u ï i o ë growth, pregnancy and lactation, some animal protein is essentia^! a ° d in t n e growing period it should form a large proportion of the to^al protein. 4. FaV\Re,luirements F a t musri ° e a constituent of the normal diet, b u t the data at present available d o l n o t suffice to permit a precise statement of the quantity required. . 5. The ¡influence of Climate on Dietary Requirements I n cold clf l m a t e s > t n e energy-content of the diet should be increased. PART II M I N E R A L AND VITAMIN : REQUIREMENTS 6. The Kommission recognises the fact t h a t the deficiencies of modern diets are usually in the protective foods (foods rich in minerals and vitamins) rather thanji 0 - more strictly energy-bearing foods (rich in calories). Among '».he f o r m e r / a r e ' &TSt a n ( i most important, milk and milk products, eggs anôî^glanoAl'Iar tissues ; then green-leaf vegetables, fruit, fat fish and meat (musclejk Among the energy-bearing foods of little or no protective power are sugai\r, milled cereals and certain fats. Of energy-skiving foods, unmilled cereals are not rich in protective nutrients and ttfhe more they are refined the less is their protective power. Many fats, especially when refined, possess little or no protective constituents. Refined sugar is of value only as a source of energy ; it is entirely devoid of mimerais and vitamins. The increasing habit of large sugar consumption/tends to lessen the amount of protective foods in the diet and is to be/ regarded with concern. 12. General Recommendations .'&. Although a simplified diet may be so constituted from a few ¡protective foods as to be satisfactory, it is a general principle t h a t variety ¡in diet tends to safety, provided it contains a sufficiency of the protective ' types of food materials. B . White flour in the process of milling is deprived of important nutritive elements. Its use should be decreased and partial substitution b y lightly milled cereals and especially b y potatoes is recommended. The consumption of an excessive amount of sugar is to be condemned, and in this case also partial replacement by potatoes is urged. C. Milk should form a conspicuous element of the diet at all ages. The Commission commends the tendency manifested in some countries to increase the daily intake up to one litre per day for pregnant and nursing women, as well as to provide an abundant supply for infants, children of all ages and adolescents. The practice of providing milk either free or at a reduced price to these is highly recommended. APPENDIX II THE PHYSIOLOGICAL BASES OF NUTRITION Extract from the Report of the Technical Commission /appointed by the Health Committee, League of Nations (Meeting held in London, 25-29 November 1935J) Introduction The Commission is in agreement with the conclusions off the Burnet and Ayfcroyd Report 1 t h a t deficiencies in important nutrients a».e a common feature of modern diets and t h a t these deficiencies usually &Ccur in the protective foods (foods rich in minerals and vitamins) rather ¡than in the energy-giving foods (proteins, fats and carbohydrates). The (Commission has set out its findings in two parts : P a r t I dealing with t h e reWùrernents of energy-giving foods ; Part I I with mineral and vitamin reqj u i reI ruraí,!i¿' PAitT I : ENERGY, PROTEIN AND FAT REQUIREMENTS 1. Calorìe Requirements '(a) An adult, male or female, living an ordinary everyday life in a temperate climate and not engaged in manual work is takeai as the basis on which the needs of other age-groups are reckoned. An allowance of 2,400 calories net per day is considered adequate to meet.the requirements of such an individual. (b) The following supplements for muscular activity should be added to the basic requirements in (a) : Light work : up to 50 calories per hour of work, Moderate work : „ 50-100 i„ „ Hard work : „ 100-200 „ „ Very hard work : „ 200 calories and upwards perjhour of work. (c) . Allowance must also be made for women engaged in household duties, whether pregnant or not ; these have to be reckoned as equivalent t o light work for eight hours daily. 1 BDRNKT and AYKROYD : "Nutrition and Public Health", published to the Quarterly Bulletin of the Health Organisation of the League of Nations, Vol. IV, No. 2, June 1935. APPENDIX III SUPPLEMENTARY STATISTICS TO CHAPTER U : NUTRITION AND OCCUPATION TABLE I . NUMBER OP CALORIES AVAILABLE FOR OCCUPATIONAL WORK I N FOUR DIFFERENT TYPES OF DIETS Types of diet a 6 e d Absorption of calories per day . . . . 2,400 240 3,500 350 4,500 450 5,500 550 2,160 3,150 4,050 4,950 1,680 1,680 1,680 1,680 480 1,470 2,370 3,270 Maintenance expenditure a t rest (70 calories per hour), in 24 hours . Calories available for daily muscular Expenditure during 8 hours' leisure (expenditure required a t rest : Calories available for work : 8 hours . (280) 1 560 560 560 200 25 910 114 1,810 226 2,710 339 1 In the case of the least well nourished subject (diet a), the rate (560) would in this case be higher than the number of calories available (280). The expenditure for leisure may however be reduced to 280 in order to conform with the amount available (280). (LEHMANN, G. : "Physiologie der Arbeit", in GIESE : Handwörterbuch der Arbeitswissenschalt, Vol. II, pp. 3519—3543. Halle (Saale), 1930.) APPENDIX I I 185 The Commission desires to draw attention to the high nutritive value of skimmed and separated milk, which, although deprived of its vitamin A through removal of the fat, retains t h e protein, the B and C vitamins, the calcium and other mineral elements. The Commission deplores the large wastage in many countries of this valuable food. D. Fresh, vegetables and/or fruit should always be constituents of the normal mixed diet. Adequate provision of the vitamins other t h a n vitamin D can be readily accomplished by inclusion in the diet of optimum amounts of protective foods. Where these are not available, only such vitamin preparations as are officially controlled and approved should be permitted. E. The Commission emphasises the need for provision of extra vitamin D, either as cod-liver oil or as irradiated products, wherever and whenever sunshine is not abundant, especially in the period of growth and during pregnancy. APPENDIX TABLE H . — 187 irr ENEEGY EXPENDITTJBE I N N E T AND GEOSS CALOBIES TTNDEB D U T E E E N T LIVING CONDITIONS Expenditure in net calories per kg. of body weight Living conditions Absolute rest (deep s l e e p ) . . . . Fasting, at rest, but awake . . . Awake, with ordinary food . . . With moderate work (50,000 kgrms.) (intellectual work, seated) . . . With work (100,000 kgrms.) (carpenter, peasant, mason) . . per hr. per 24 hrs. 1 2 1.000 1.236 1.429 24.000 30.312 34.296 3 1.786 1,848 2,332 2,640 42.857 2,400 600 3,000 3,300 51.428 2,400 + 1,200 3,600 3,960 60.000 2,400 + 1,800 4,200 4,620 78.571 2,400 + 2,400 4,800 5,280 With work (150,000 kgrms.) 2.500 2.857 4 1,680 2,120 2,400 + 2.142 With heavy or continuous physical work (200,000 kgrms. and over) Expenditure for a m a n of 70 kgs. per 24 hrs. I n gross In net calories calories (BOITAZZI : quoted by MAEOIUESTJ, in Trattalo d'Igiene of D. OTTOLENOHI, Vol. I I , Part I . p. 24. Milan, 1933.) 188 WORKERS' NUTRITION AND SOCIAL POLICY TABLE H I . QUANTITATIVE DAILY EXPENDITURE OF ENERGY OF AN AVERAGE ADULT MAN WEIGHING 7 0 KGS. Work Number of calories required per hour (experimental data) General requirements : 8 h o u r s ' sleep i n b e d . . . . 5 h o u r s ' r e l a t i v e r e s t (seated) 2 hours'relativerest (standing) 1 h o u r cycling (going t o a n d r e t u r n i n g from w o r k ) . Requirements 60 ! 100 113, Light Moderate Heavy Number of calories 480 500 230 170 . 170 (200 for w a l k i n g ' 1,380 a t a slow pacef 480 500 230 170 170 1,380 1,380 for work : 130 8 hours' metal work 1,040 (filing, 240 400 Total 1 480 500 230 energy requirements 1,920 3,200 / . . 2,420 2,400 34 3,300 3,300 47 4,580 4,600 66 Standard metabolism 1,440 calories in 24 hours. (ALQT/IER, J. : " Quelques considérations pratiques et sociales d'une alimentation basée sur des principes scientifiques ", Bull. Soc. Scient. d'Hyg. Aliment., No. 4-5, 1920. Paris.) TABLE IV. ENERGY EXPENDITURE' REQUIRED DI DIFFERENT OCCUPATIONS Number of calories per hour Occupations, According to Kose (subject of 70 kgs.) H a n d sewing . . Tailoring . . . . Rapid stenography Bookbinding . . . Carpentering. . . Metal working . . Industrial painting Stone cutting . . Timber sawing. . 7 ; 33.4 46.5'; 44 Ill 135 ' 140 170 -.*• --"-'—•; 180-1- 240 240 240 400 480 According to Wohlpert, Ilzhofer, etc. J 79 ; 63 ( w o m a n ) ~77î2r-122:2 r - 8 9 — « 93.2 143 164; 3 1 9 ; 406 286; 300 (Quoted by SHERMAN: Chemistry of Food and Nutrition, p. 614. New York, 1933.) 189 APPENDIX in TABLE V. ANALYSES OP THE NUTRITIVE AND CALORIFIC VALUES OP DIFFERENT POODS (Pei • 100 grms.) Nitrogen Proteins (in (in grms.) grms.) Carbo- Number Fats hydrates (in of (in grms.) calories grms.) ' 7.7 8.0 18.3 24.8 36 49 26 20 3 2.8 3 8 3.4 3.7 3.5 4.0 11 11 10.4 9.3 0.5 0.4 0.9 1.3 0.9 0.1 0.1 0.1 0.1 trace 0.16 0.3 FoodstuffB Beef (semi-fat) . . . . Beef (cooked) 3.1 — — . . . < ' 4 — - 1f 3.3 — Veal (lean) — B r e a s t of veal . . . . — 0.5 — — — Cows' milk . . . . < (full m i l k ) 2.1 H e n s ' eggs . . . . . . ' Wheaten bread . . . 1 .— — — 0.2 c . , ( 1 0.25 20 19 13.7 12.5 25 48 23.3 24.8 21 20 5.6 15.3 3.1 3.2 3.3 3.3 13 12 12.3 11.9 7.5 7.0 6.9 9.2 8.4 1.1 2.1 1.3 1.8 1.4 1.6 2.2 0.4 — — — —. — — — — 0.4 — — 4.7 4.8 4.8 4.9 — 0.7 — —. 57 57 52.7 53.1 53.1 21 21 15 14.7 2 1.5 3.5 156 150 219 278 420 316 291 272 111 124 50 139 63 68 64 69 150 165 142 131 240 265 247 261 254 56-62 79 67 67 10 15 25 Analyses of König Rubner Alquier Sherman Rubner König Alquier Sherman Rubner König Alquier Sherman Rubner König Alquier Sherman Rubner König Alquier Sherman Rubner König Alquier Sherman de W e y e r Rubner König Alquier Sherman Rubner König Alquier (Quoted by von TYSZKA in Klinische Wochenschrift, 27 April 1935, p. 597 [tabi. 6].) 190 WORKERS' NUTRITION AND SOCIAL POLICY TABLE VI. — DAILY ENERGY REQUIREMENTS, I N CALORIES, OF YOUNG AND MIDDLE-AGED ADULTS OF AVERAGE HEIGHT AND WEIGHT AT VARIOUS DEGREES OF ACTIVITY Number of calories Sedentary w o r k involving little movement L i g h t , exercise, s i t t i n g a t w o r k . . . M o d e r a t e exercise, s t a n d i n g or w a l k i n g at work Active work involving muscular strength . Very active muscular work V e r y severe m u s c u l a r w o r k . . . . . Men Women 2,100—2,500 2,500—2,800 1,800—2,100 2,100—2,400 2,800—3,100 2,400—2,700 3,100—3,500 3,500^-4,500 4,500—6,000 2,700—3,000 (Quoted by STIBBBMNO and WAED iii Diets at Four Levels of Nutritive Content and Cost, U.S. Dept. of Agr., Circular No. 296, Washington, 1933.) TABLE VII. STANDARDS OF NUTRITION PROPOSED FOR A MAN OF AVERAGE WEIGHT DURING MODERATE WORK Voit British Committee . . Proteins (in grins.) Fats (in grms.) Carbohydrates (in grms.) Number of calories 118 127 125 100 >• 119 80—100 2 56 52 125 100 51, 60^-80 500 509 450 400 531 500 3,055 3,092 3,520 3,000 3,140 3,000 ' 1 Of which 37 grammes "flrst-class proteins" (animal). * Of which 40 grammes "flrst-class proteins" (animal). (Quoted by BÜRNET and AYKKOYD : "Nutrition and Public Health", Quarterly Bulletin of the Health Organisation of the League of Nations, Vol. IV, No. 5.) TABLE V I H . STANDARD DIET FOR A MAN WEIGHING 7 0 KGS. Proteins (in grms.) Fats (in grms.) A. Carbohydrates , (in grms.) Lig ht Number of calories Work Voit 123 -— 100- ---• Voit .' 145 165 150 46 B. Heavy 100 70 i 377 Work 500 565 i 2,445 2 s -7t)0— 3,574 3,362 4,150 Differences to complete the total calories. (Quoted by I r a s : The Elements of Science and Nutrition. Philadelphia and London, 1928.) 191 APPENDIX H I TABLE IX. DAILY REQUIREMENTS, I N CALORIES, OF A CARPENTER WEIGHING ABOUT 7 0 K G S . . Number of calories 520 340 1,920 600 3,380 8 hours' sleep (75 calories per hour) 2 hours' light exercise (170 calories per hour) . . . 6 hours' rest seated (100 calories per hour) Total requirements per 24 hours . . . . (According to ATKKOTD : Vitamine and other Dietary Essentials, pp. 14-16.) TABLE X. DIFFERENCES I N DAILY REQUIREMENTS OF PROTEINS, CARBOHYDRATES AND FATS ACCORDING TO OCCUPATION Proteins Carbohydrates Pats Grammes Percentage Grammes Percentage 60—100 15 60—100 13 400 77 500 79 35—45 8 45—55 8 Grammes Percentage 60—100 10 650 82 60—70 8 Grammes Percentage 60—100 8 800 84 75—85 8 Occupations I. Shopkeepers, office clerks, teachers, tailors, etc. II. Shoemakers,bookbinders, mechanics (light engineering),postmen, conductors, lorrydrivers, chauffeurs, housekeepers. I H . Metal workers in heavy industry, painters, j oiners, carpenters, masons, masons' labourers, agricultural workers. IV. Soldiers in the field, porters, mountaineers, navvies, woodcutters. (According to HESS : Praktische Ernährungslehre. Zürich, 1934.) TABLE X Í . -4- COMPOSITION OF DIETS, FOR WOMEN AND MEN ; MO li li Energy value of the diet in calories 'i Proteins Calories from proteins (in %) Women (moderately active) : Adequate diet; (moderate cost) . . . . . . 2.335 2,634 2,638 2,570 11 12 12 13 3,127 3,469 3,474 3,479 11 12 11 12 Women (very active) : Adequate diet (minimum cost) - '. • Men (moderately active) : Adequate diet (minimum cost) Adequate diet, (moderate cost) . 3,021 3,385 3,428 3,326 . 10 11 10 11 Men (very actiye) :. ! . II 4,286 4,660 4,566 4,528 10 11 9 10 • Pro anim APPENDIX 193 m TABLE X I I . — DAILY REQUIREMENTS IN PROTEINS, FATS AND CARBOHYDRATES ACCORDING TO DEGREE OF ACTIVITY Proteins (in grms.) Sedentary work (ca. 3,000 calories) : E n q u i r y 1931 : A b s o l u t e figures P e r cent E n q u i r y 1928 (men) : A b s o l u t e figures E n q u i r y 1918 : A b s o l u t e figures E n q u i r y 1918 (women) : A b s o l u t e figures Moderate work (ca. 3,500 calories) : E n q u i r y 1931 : A b s o l u t e figures Per cent E n q u i r y 1918 (men) : A b s o l u t e figures E n q u i r y 1931 : A b s o l u t e figures Per cent E n q u i r y 1918 (women) : A b s o l u t e figures Heavy work (ca. 4,000 calories) : E n q u i r y 1928 (men) : A b s o l u t e figures E n q u i r y 1931 : A b s o l u t e figures Per cent E n q u i r y 1918 : A b s o l u t e figures E n q u i r y 1918 (women) : A b s o l u t e figures Very heavy work (5,000 calories a n d over) : E n q u i r y 1928 (men) : A b s o l u t e figures E n q u i r y 1928 (women) : A b s o l u t e figures 89.3 11 CarboFats hydrates Number Deficit in (in (in of calories calories grms.) grms.) 140.4 39.2 407.6 49 3,333 80 55 480 2,800 48.7 61.6 221.3 1,680 1,320 54.5 76 234.1 1,890 1,110 87.7 11 129.8 36.8 420 52.2 3,279 61.7 63.5 306.3 2,099 93.1 11.4 80.3 22.3 543.4 66.3 3,342.5 57.8 76.5 255.4 1,995 1,401 1,505 90 100 660 4,000 83.2 11 111.1 33.4 421 55.6 3,095 66.9 64.3 340.2 2,268 1,732 64.3 77.5 297.9 2,205 1,795 100 160 760 5,000 80 80 570 3,400 (Results of enquiries by the Ministry of Munitions, Great Britain, 1918; Bode, Borinsky, Lampe and Murschhauser, 1928 ; and Cathcart and Murray, 1931.) 13 194 - TABLE X I I I . WORKERS' NUTRITION AND SOCIAL POLICY — CLASSIFICATION OF INDUSTRIES AND OCCUPATIONS 1. According Category to Kestner and Knipping 1 Calories 1 Sedentary work 2,200—2,400 I n t e l l e c t u a l work, clerks, scribi overseers, officials, employees. 2 Muscular w o r k 2,600—2,800 Tailors, m e c h a n i c s i n light enginee ing, l i t h o g r a p h e r s , typesettei teachers, professors, speakei overseers, small t r a d e s , machin workers (shoemakers, t a i l o r s ) : 3 Moderate muscular work A b o u t 3,000 S h o e m a k e r s , b o o k b i n d e r s , doctoi p o s t m e n , t h e m a j o r i t y of facto workers. 4 Considerable m u s cular work 3,400—3,600 M e t a l w o r k e r s , p a i n t e r s , joiners, loc s m i t h s , dyers, weavers. 5 Heavy muscular work 4,000 a n d over Brewers, m a s o n s , b l a c k s m i t h s , s< diers, a g r i c u l t u r a l w o r k e r s , p o r t e a t h l e t e s , t e x t i l e workers, gls workers, clothiers, woodworkei 6 Very heavy muscular w o r k ; 5,000 and over Agricultural w o r k e r s , m i n e r s , que r y m e n , m e t a l w o r k e r s (heavy mei t r a d e s ) , t a n n e r s , p o r t e r s , ston cutters, woodcutters, docke navvies. The groups of families 2. According to CatJicart and Murray 2 studied in this enquiry were divided into the following categoi I. Sedentary group S h o p a s s i s t a n t s , tailors, w a t c h m a k e r s , architect u n i v e r s i t y lecturers, b a n k clerks, c i n e m a operator d o c t o r s , clergymen, e t c . II. Semi-manual group B u t c h e r s , v a n m e n , golf»club m a k e r s , porters, postmen, etc. III. Manual group F a c t o r y w o r k e r s , stokers, b l a c k s m i t h s , bricklayei m a s o n s , slaters, m o t o r m e c h a n i c s , l a b o u r e r s , et 1 s bus-drivei Quoted by Günther LEHMANN and SCHALL. MEDICAL RESEARCH COUNCIL : A Study in Nutrition — An Inquiry into the Diet of 154 families Andrews, by E. P. CATHCART and A. M. T. MURRAY. London, 1931. APPENDIX IV INTERNATIONAL STATISTICS OF FOOD CONSUMPTION* Part A. — Classification of Foodstuffs into Main Groups adopted by the International Labour Office for International Comparisons of Food Consumption I. Cereals 1. 2. 3. 4. 5. and bread : Wheat bread. Rye bread. Cakes, biscuits, pastries. Flour. Cereals. I I . Meat, fish, etc. : 6. Beef. 7. Pork. 8. Mutton. 9. Veal. 10. Ham and bacon. 11. Sausages, charcuteries, etc. 12. Other meat products (including canned meat). 13. Fish. I I I . Margarine, fats, etc. : 14. Margarine. 15. Fat and lard. 16. Vegetable oil. IV. Milk, milk products and eggs : 17. Milk, unskimmed. 18. Milk, skimmed. 19. Other milk. 20. Cream. 21. Butter. 22. Cheese. 23. Eggs. 1 For references and brief notes on methods, see Part F of the present Appendix. 196 WORKERS' NUTRITION AND SOCIAL POLICY V. Vegetables and fruits : 24. Peas and beans, dried. 25. Potatoes. 26. Fresh vegetables : (a) Cabbage. (b) Other fresh vegetables. (c) Root crops (including onions). 27. Fresh fruits. 28. Preserved fruits and vegetables. ' 29. Marmalade, jam. 30. Other. ' . VI. Miscellaneous foods : 31. Sugar. • ' • • 32. Syrup, honey. . 33. Sweets. 34. Coffee :, (a) From coffee beans. (b) Coffee substitutes, etc. (malt, wheat, chicory). 35. Tea. 36. Cocoa. 37. Condiments. 38. Other (excluding beverages). 39. Beverages. APPENDIX 197 IV Part B. — Quantities (Kgs.) of Foodstuffs Consumed per Year per Unit of Consumption ( R e s u l t s of R e c e n t F a m i l y B u d g e t TABLE I. — GEBMANY, (a) TPiorfeers' Enquiries) 1927/28 Households Households having an annual income (in RM.) per consumption unit of : lef io. Less than 800 8001,000 1,0001,200 1,2001,500 1,500 and over Total 102 215 240 214 125 896 14.8 99.3 3.4 14.2 6.8 17.3 93.2 4.6 14.6 7.0 138.5 136.7 7.1 6.0 0.5 0.6 2.5 9.4 6.9 6.2 8.8 6.6 0.5 0.8 3.3 11.9 8.6 6.0 10.6 7.8 0.5 1.3 3.8 13.4 7.9 6.4 11.7 8.8 0.7 2.0 4.3 15.0 9.3 7.1 -13 39.2 46.5 51.7 L4 15 L6 11.8 4.6 1.7 10.8 4.8 1.9 -16 18.1 Number of households : 1 2 3 4 5 —5 6 7 8 9 LO LI Beef Pork L2 L3 Other meat products Fish ¡0 58.9 9.7 4.5 2.2 9.7 4.2 2.1 7.1 4.1 2 fi 9.7 4.5 2.1 17.5 16.4 16.0 13.8 16.3 110.2 2.4 0.1 0.1 2.7 3.6 4.5 140.6 1.2 0.1 0.1 4.3 4.3 7.4 156.9 1.8 0.1 0.2 5.3 4.6 8.4 169.2 1.5 0.2 0.3 7.4 5.2 9.8 171.8 1.1 0.4 0.6 10.1 6.2 13.0 152.7 1.5 0.2 0.2 5.9 4.8 8.7 Milk, Tinillc products and eggs . . . . 123.6 158.0 177.3 193.6 203.2 174.0 Root crops (including onions) 2.9 147.8 14.2 9.4 6.2 13.2 2.4 0.6 0.4 197.1 3.1 160.3 13.9 12.8 7.2 20.1 3.6 0.7 0.5 222.2 2.7 156.7 16.1 14.8 7.5 25.6 3.4 0.8 0.5 228.1 2.4 148.4 16.8 17.4 7.9 32.0 4.6 0.7 0.7 230.9 2.6 150.0 17.2 20.3 8.7 46.9 5.5 0.7 0.9 252.8 2.7 153.6 15.7 15.1 7.5 27.4 3.9 0.7 0.6 227.2 14.1 0.2 0.7 0.6 3.2 0.1 0.5 5.8 0.0 16.2 17.0 0.4 1.1 0.9 3.2 0.1 0.5 . 6.6 0.0 25.1 16.0 0.4 1.2 1.1 3.3 0.1 0.5 6.9 0.1 38.4 17.6 0.4 1.5 1.7 3.3 0.1 0.4 7.6 0.0 48.2 17.7 0.5 2.0 2.2 3.2 0.1 0.4 8.4 0.0 67.3 16.6 0.3 1.3 1.3 3.2 0.1 0.5 7.1 0.1 39.0 Butter ¡2 ¡3 -23 Ì4 !5 ¡7 Ì8 !9 10 Preserved fruits and vegetables. . . . -30 Vegetables and fruits 1 2 3 * 5 6 7 8 9 < 134.0 10.5 7.8 0.6 1.5 3.7 13.4 8.8 6.6 Other milk ' !1 20.2 85.8 6.2 14.7 7.1 13.6 10.0 1.0 3.2 4.3 16.9 11.0 8.3 68.3 17 18 .9 (Kilogran is per year) 22.4 26.5 19.9 77.1 73.3 87.5 7.4 10.0 5.6 14.2 15.0 15.1 7.3 7.0 7.2 128.4 131.8 135.3 „ (substitutes) ïigures converted into kgs. by the International Labour Office. 52.9 198 WORKERS' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE I. — (b) Salaried GERMANY (continued) Employees' Households H o u s e h o l d s h a v i n g a n a n n u a l income (in R M . ) p e r c o n s u m p t i o n u n i t of : Ref. No Less than 1,000 25 N u m b e r of h o u s e h o l d s : 1,0001,200 57 1 1 2 3 • Wheat bread Cakes, b i s c u i t s , p a s t r i e s . . . Flour 4 5 46.5 49.9 55.9 61.0 8.6 4.4 1.8 8.2 3.7 1.9 7.5 3.5 1.7 6.0 3.3 1.8 14.1 14.8 13.8 12.7 11.1 10.3 a 144.2 1.4 0.1 0.3 8.1 5.0 8.1 ' 161.2 2.7 0.3 0.6 8.9 4.8 8.6 154.5 0.9 0.4 0.6 11.5 5.4 9.9 163.1 1.1 0.6 0.9 14.1 . 5.5 11.0 159.6 1.2 1.0 1.1 14.6 6.1 13.5 15( Eggs ' 131.7 1.8 0.9 0.3 5.4 4.3 . 5.9 Milk, milk p r o d u c t s a n d eggs 150.3 167.2 187.1 183.2 196.3 197:i 18t Peas a n d beans, dried. Potatoes 2.2 140.6 13.1 13.4 8.2 19.4 2.6 0.6 0.5 2.7 145.3 14.7 14.0 7.5 27.3 3.7 0.6 0.6 2.1 142.2 16.0 15.5 8.4 30.9 4.3 • 0.9 0.7 2.0 152.2 15.7 17.4 8.0 35.8 5.3 0.9 . 0.8 2.0 139.8 15.9 18.9 8.6 45.4 5.1 1.0 0.9 1.7 135.9 16.2 20.6 9.8 50.1 7.3 1.3 1.3 200.6 216.4 221.0 238.1 237.6' 244.2 23 15.4 0.5 1.0 0.7 2.2 0.1 0.7 5.7 0.0 17.0 15.6 0.5 1.2 1.2 2.6 0.1 0.6 6.1 0.0 18.3 16.1 0.7 1.4 1.4 2.1 0.2 0.5 6.3 0.0 22.5 16.8 0.6 1.8 1.9 2.9 0.1 0.5 6.7 0.0 33.9 17.6 0.4 2.2 2.2 • 2.2 0.1 0.5 .7.3 0.0 43.6 18.1 0.8 2.4. 2.7 1.7 0.2 0.5 7.1 0.1 53.4 1 . . . O t h e r fresh v e g e t a b l e s . . . . R o o t crops (including onions). P r e s e r v e d fruits a n d v e g e t a b l e s Other Vegetables a n d fruits 1 { ?A 71 c V, 37.3 Milk, u n s k i m m e d * Milk, s k i m m e d l O t h e r milk ' . . . . Coffee (beans) ,, (substitutes) Tea Condiments Other (excluding beverages) . Figures converted into kgs. by the International Labour Office. 124.9 29.4 60.3 14.5 ' 13.0 6.8 c 32 33 35 36 37 38 39 22.9 79.6 6.1 11.7 6.0 124 --— 31 ---34 54( > 124.0 14—16 24—30 109 ( K i l o g r a m s p e r year) 25.0 19.8 25.7 76.9 71.1 69.3 9.0 6.8 10.6 13.0 •10.8 12.8 6.4 7.6 6.5 10.7 11.5 8.7 9.0 1.1 1.2 3.1 4.2 4.0 4.0 15.1 . 15.0 10.2 11.6 8.1 8.3 8.3 3.5 . 2.3 27 28 29 30 124 9.8 7.5 0.9 2.4 4.0 13.9 9.2 8.2 14 15 16 / 129 122.3 6—13 <! 102 8.8 7.3 0.8 1.8 3.5 11.9 8.5 7.3 Sausages, c h a r c u t e r i e s , e t c . . . Other meat products . . . . ' Fish 24 25 To ,124.1 Veal 17—23 2,200 and over 8.2 6.8 0.7 1.5 3.0 11.9 7.9 6.5 Beef 17 18 19 20 21 22 23 1,8002,200 126.3 1S7.3 6 7 8 9 10 11 12 13 1,5001,800 • 8.8 5.4 0.8 . 1.0 2.2 8.1 ' 7.3 3.7 1—5 26 17.1 93.4 4.5 ' 14.6' 7.7 1,2001,500 •i \ C ¿ ir £ 64.8 5.2 2.8 '2.'3-- 5C e • { i ] : 1 1 li li 141 It 1' ¡ 3Í . t J ( ( ( • 3 ( APPENDIX IV 199 Part B. — Quantities of Foodstuffs Consumed (continued) TABLE I. — GERMANY (concluded) (e) Citili Servants' Households Households having an annual income (in RM.) per consumption unit of: 1,0001,200 Number of households : Wheat bread Rye bread Cakes, biscuits, pastries . Flour Cereals Cereals and bread. . . . 56 1,2001,500 108 1,5001,800 1,8002,200 2,2002.600 85 91 61 I 2 ñí\c\. I 3,100 an 3100 ° lotai ' over (Kilograms per year) 27.5 25.0 24.6 71.7 75.2 65.8 9.4 7.5 11.7 15.3 14.1 13.4 7.7 6.7 7.1 33 45 23.8 69.7 12.1 14.6 7.5 28.3 59.4 15.0 14.2 8.4 16.9 94.7 4.5 14.1 6.7 21.7 86.5 6.1 16.7 7.2 136.9 138.2 128.5 130.6 123.6 127.7 125.3 0.6 1.1 2.9 12.1 7.6 6.7 10.1 8.1 0.7 2.1 4.6 14.6 8.9 7.2 10.1 7.8 1.0 2.7 3.9 13.8 9.3 7.2 9.3 8.5 1.0 2.7 3.6 14.2 10.3 7.7 8.9 6.9 0.9 3.3 3.7 12.3 9.9 7.5 10.8 9.0 1.2 4.7 5.1 15.1 10.0 10.5 8.2 1.4 5.1 4.1 14.0 12.7 9.8 47.8 56.3 55.8 57.3 53.4 62.7 65.8 7.9 4.4 1.9 8.4 4.0 2.2 7.0 3.6 2.0 5.5 3.3 2.2 5.3 2.4 2.4 4.3 3.2 2.5 6.3 2.3 2.1 14.2 14.( 12.6 11.0 10.1 10.0 10.7 Milk, unskimmed . . . Milk, skimmed ' . . . . Other milk ' Cream 1 Butter Cheese 152.6 1.1 0.2 0.2 7.9 4.2 7.7 152.6 2.0 0.3 0.3 8.9 5.5 173.4 1.9 0.3 0.6 11.4 4.8 10.7 166.8 2.3 0.1 0.6 13.7 5.6 10.2 181.5 1.8 0.3 0.9 14.2 5.8 10.7 180.7 1.3 2.3 1.5 16.9 6.5 13.8 163.6 4.2 0.9 1.9 14.9 6.2 12.9 Milk, milk products and eggs . 173.9 178.5 203.1 199.3 215.2 223.0 204.6 Peas and beans, dried. . . . Potatoes Cabbage Other fresh vegetables. . . . Root crops (including onions). Fresh fruits Preserved fruits and vegetables Marmalade, jam Other Vegetables and fruits . . . . 2.3 167.2 2.4 169.4 16.0 15.2 6.7 30.3 3.7 1.2 0.8 245.7 2.1 163.8 13.6 15.6 7.7 1.8 140.2 15.4 16.4 7.4 48.2 5.2 1.3 1.0 1.9 132.3 16.2 19.0 8.8 56.4 6.2 2.1 1.5 1.7 .143.7 18.4 21.3 9.5 67.4 5.4 1.2 1.2 269.8 2.2 133.2 17.4 22.4 9.7 57.4 8.6 1.7 1.6 254.2 19.6 Sugar 16.5 18.0 18.7 18.5 31 19.5 1.0 0.5 0.6 0.7 1.2 0.6 32 Syrup, honey 1.8 0.8 1.1 1.7 2.2 1.9 33 Sweets 2.5 1.1 1.5 1.8 2.1 1.9 34 Coffee (beans) 2.4 2.9 2.7 2.4 2.1 2.9 ,, (substitutes) 0.1 0.1 0.1 0.1 0.1 0.2 35 0.4 0.4 0.6 0.5 0.6 0.5 36 Tea 7.0 6.8 7.1 7.0 6.5 7.1 37 Cocoa 0.1 0.0 0.0 0.0 0.1 0.0 38 Condiments 39 37.7 17.3 25.9 38.0 37.3 Other (excluding beverages) . Beverages (litres) 1 Figures converted into kgs. by the International Labour Office. ! Including 19 households having incomes of less than 1,000 RM. per consumption unit. 18.0 1.3 2.0 2.4 1.8 0.2 0.6 7.4 0.0 60.8 10 11 12 13 Beef Pork Mutton Veal Ham and bacon . . . . Sausages, charcuteries, etc. Other meat products . . Fish . . . . ' 6—13 Meat, fish, etc 14 15 16 Margarine Fat and lard Vegetable oil -16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Margarine, fats, etc.. . . l 13.9 13.3 7.0 26.1 3.7 1.2 0.5 235.Í 38.2 4.6 1.5 0.9 248.0 244.4 498 200 WOKKEKS' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE II. — AITSTBIA, 1929-33 Workers' Households Workers' households Date of enquiry : Ref. No. Number of households : Number of consumption units per household : Annual income per consumption unit (in sen.) » : Wheat bread Bye bread Cakes, biscuits, pastries . Flour Cereals 1—5 1931 1933 48 67 67 2.40 2.38 2.39 2,206 1,872 35.37 71.91 2.37 25.92 11.00 (Kilograms 29.06 71.54 1.68 27.01 10.25 1,513 per year) 22.71 79.21 1.39 27.38 10.04 146.57 139.54 140.73 Beef Pork 1 Mutton Veal Ham and b a c o n s . . . etc. Sausages, charcuteries *, Other meat products . Fish 13.53 23.29 0.37 4.62 11.32 10.47 2.48 9.36 23.82 0.14 6.05 10.59 11.42 3.03 8.17 21.52 0.19 3.88 9.86 11.44 2.26 6—13 Meat, fish, etc. 66.08 64.41 57.32 14 15 16 Margarine . . Pat and lard. Vegetable oil. 2.34 15.48 1.31 2.34 15.34 1.24 2.63 15.84 1.61 Margarine, fats, etc. 19.13 18.92 20.08 201.70 184.78 175.36 1.45 5.07 3.43 12.51 1.13 4.49 2.77 12.91 1.05 4.56 3.07 12.11 224.16 206.08 196.15 1.79 53.29 2.23 50.74 2.48 52.20 48.18 45.63 46.36 46.72 51.83 51.47 0.80 0.80 0.73 150.78 151.23 153.24 7 8 9 10 11 12 IS 14—16 17 18 19 20 21 22 23 17—23 24 25 26 27 28 29 30 24—30 31 32 33 34 35 36 37 38 Cereals and bread 1929 Milk, unskimmed ' Milk, skimmed ' . Other milk « . . . Cream* Butter Cheese Eggs ' Milk, milk products and eggs Peas and beans, dried. Potatoes Cabbage Other fresh vegetables . . . . Boot crops (including onions) . Fresh fruits Preserved fruits and vegetables Marmalade, jam Other Vegetables and fruits Sugar 27.01 25.19 27.01 Syrup, honey 0.99 1.86 1.50 Sweets 6.13 6.10 6.02 Coffee (beans) „ (substitutes) . . . . 0.15 0.11 0.10 0.30 Tea 0.44 0.44 3.18 3.50 3.18 Cocoa . Condiments 22.59 16.17 26.72 Other (excluding beverages) Beverages (litres) 1 Average income of households for which total income is available : the number of households covered 39 in 1929 ; 55 in 1931 ; 57 households in 1933, 14 households of unemployed workers. — ' Including preservi meat and ham. — ' See reference No. 7. — * Figures converted Into kgs. by the International Labour Offlc — B The enquiry for 1933 gives separate data for the households of unemployed. 201 APPENDIX IV Part B. — Quantities of Foodstuffs Consumed (continued) T A B L E I I I . — BELGIUM, 1928/29 Workers'1 and Salaried Employees'1 Households Workers' households Salaried employees' households Households having an annual income (in francs) per quet of : S*f. So. Less than 1,300 Number of households : 192 Number of " q u e t s " pet household : 13.5 1,3001,950 412 1,9502,600 11.2 9.4 7.9 Total Total 809 224 11.2 9.84 per year per " a d ult male' 201.74 1.23 3.46 204.321 218.62 7.42 4.53 ¡,225.54 217.40 225.54 217.40 218.62 Beef Pork 17.25 5.00 21.17 8.47 Veal 1.26 8.22 3.90 3.53 8.92 5—13 Flour 49 J 156 (Kilograms 1 2 3 4 5 2,600 and over ' ) 158.89 1.61 6.01 8.14 6.64 204.32 218.38 181.29 27.72 11.13 32.20 10.88 22.19 8.29 29.29 8.47 2.76 9.13 3.90 3.85 8.08 4.48 10.36 5.49 4.65 11.48 5.56 9.34 6,61 5.84 12.63 2.90 9.17 4.86 4.06 9.20 5.28 6.61 4.79 4.62 14.00 48.08 57.36 75.31 83.06 60.67 73.06 14 15 16 7.00 5.98 4.97 5.53 3H 5.63 3.25 6.58 4.97 5.70 3.46 5.53 4—16 12.98 10.50 8.74 9.83 10.67 8.99 ;• 139.86 156.06 158.58 181.68 154.10 197.22 10.57 3.92 6.93 18.79 5.42 11.62 23.97 7.03 14.56 23.87 7.56 16.03 18.13 5.49 11.34 19.35 5.74 12.84 161.28 191.89 204.14 229.14 189.06 235.15 2.24 230.19 3.29 228.51 3.43 219.55 J> 33.42 43.78 49.87 7.14 2.55 2.83 14.14 4.76 3.81 18.86 6.19 4.23 4.37 I 3.15 228.44 1 227.15 ( 11.02 54.56 22.12 22.92 I. 9.94 7.66 13.93 4.41 4.69 3.67 3.29 208.11 11.72 28.28 10.50 20.05 6.68 4.65 278.37 298.29 302.13 322.36 295.67 293.28 12.77 15.64 15.96 18.97 15.22 3.57 5.07 5.42 6.19 7.00 5.88 7.52 8.12 5.77 9.90 8.78 7.77 6.05 6.86 5.88 8.54 42.94 9.59 86.16 10.46 113.71 12.42 144.48 9.69 85.75 L—5 6 7 8 9 10 11 12 13 Sausages, charcuteries, etc Other meat products 17 18 19 20 21 22 23 Other milk Cream Cheese 7—23 Milk, milk products and eggs . . . . 24 25 26 \ 27 28 29 30 Other fresh vegetables Root crops (including onions) Preserved fruits and vegetables. . . . Marmalade, jam (including syrup) . . Other 14—30 31 32 33 34 35 36 37 38 39 . . . . { Other• 18.55 a 8.89 7.07 5.53 11.06 106.57 1 See reference number 37. — * See reference number 29. — a Figure calculated by the International Labour ce. — * See reference number 38. — * Including vegetable oil and vinegar. — « Including tea, cocoa, wine, r a n d other beverages, as -well as "pains d'épices" and "biscottes". 202 WORKERS' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) T A B L E IV. — BRAZIL (CITY OF SAO P A U L O ) , 1934 Workers' Households Eef. No. Households having an annual income (in miireis) per consumption unit of : ' Number of households : 600-900 900-1,200 1,200-1,800 19 21 18 Total 75 (Kilograms per year per family) 1 2 3 4 5 > 526.56 0.36 132.12 176.88 511.63 0.24 80.64 254.88 560.88 0.72 113.64 142.08 506.' l.( 94.Í 184.Í 835.92 847.44 817.32 785.Í 151.32 8.76 156.00 18.72 188.64 27.24 159,( 19.Í 3.00 17.52 8.04 19.44 7.32 16.44 15.5 180.60 202.20 239.64 200.E 14 15 16 68.76 19.80 51.60 22.44 74.88 27.48 57.1 21.S 14—16 88.56 74.04 102.36 78.9 172.56 155.52 264.36 203.0 3.12 8.28 6.24 3.60 8.76 7.68 4.32 13.44 12.72 4.0 11.0 8.7 Flour 1—5 6 7 8 9 10 11 12 13 6—13 Beef 17 18 19 20 21 22 23 ¡Cream 6.Í 17—23 190.20 175.56 294.84 226.9 24 25 127.08 100.68 122.40 100.08 143.64 138.96 132.7 116.1 Peas and beans, dried . '. 101.52 115.68 137.40 116.1 197.40 128.64 247.68 172.0 0.84 0.48 1.44 1.20 2.76 2.76 1.8 1.5 24—30 528.00 469.44 673.20 540.4 31 32 33 34 35 36 37 38 39 148.68 176.40 157.32 158.5 33.84 36.12 46.32 37.2 9.48 13.44 35.52 24.4 26 i 27 28 29 30 Other fresh vegetables Boot crops (including onions) Fresh fruits < Other ¡. < Tea Other (excluding beverages) 1 Including 6 households with incomes of less than 600 3 miireis and 11 households with incomes of < 1,800 miireis. — * Data relate to fat meat and sausages. — See reference number 7. — * Including bacon. Including manioc. B APPENDIX IV 203 Part B. — Quantities of Foodstuffs Consumed (continued) TABLE V. — BULGARIA, 1927/28 Workers' Households Households having an annual income (in levas) per consumption unit of : l e s s than 36,000 Number of households : 36,00048,000 39 48,00060,000 60,00072,000 17 (Kilograms per year) Wheat bread Rye bread Cakes, biscuits, pastries ' Flour Cereals 197.75 198.49 261.22 295.55 75.71 14.15 48.56 41.89 36.08 10.31 10.63 Cereals and bread 287.61 288.94 303.98 316.49 25.63 29.93 37.20 18.13 3.57 3.55 4.65 4.59 5.47 3.38 2.18 6.48 Beef Pork Mutton Veal Ham and bacon Sausages, charcuteries,3 etc. Other meat products . . Fish Meat, flsh, etc. 32.75 9.17 46.05 26.79 Margarine . . Fat and lard Vegetable oil * 4.69 4.09 5.77 4.28 8.10 3.11 1.74 5.62 Margarine, fats, etc. 8.78 10.05 11.21 7.36 14.13 4.45 31.85 4.74 36.52 4.66 35.72 6.46 0.67 5.46 2.54 0.29 6.42 4.52 0.44 7.45 5.14 0.81 6.90 4.42 Milk, unskimmed * Milk, skimmed * . Other milk . . . Cream Butter Cheese 17—23 !• Milk, milk products and eggs Peas and beans, dried Potatoes Other fresh vegetables 5 . . . Boot crops (including onions) . Fresh fruits * Preserved fruits and vegetables Marmalade, jam Other Vegetables and fruits . 27.25 47.82 54.21 54.31 13.32 22.56 12.29 16.05 10.03 20.35 9.20 21.86 43.82 12.22 17.46 3.78 0.63 1.31 115.10 44.06 14.39 19.44 3.91 53.23 12.16 21.12 5.95 0.77 2.46 126.07 59.65 11.24 18.37 9.58 1.00 2.15 133.05 0.78 1.72 112.64 10.02 12.35 8.79 6.47 Sugar 0.25 0.33 0.32 0.11 Syrup, honey 1.47 1.91 1.68 0.88 Sweets 0.26 0.33 0.72 0.15 Coffee (beans) 0.64 0.35 0.83 0.50 0.09 0.07 0.01 0.03 ,, (substitutes) Tea .4.84 5.74 5.54 6.06 Cocoa Condiments ' 6.94 14.81 25.17 25.65 Other (excluding beverages) . Beverages (litres) 'Including five households having annual incomes of 72,000 levas and over per consumption unit. — * Data t convertible. — 3 Excluding poultry as data not convertible. — * Figures converted into kgs.- by the [ernational Labour Office. — 6 Excluding leeks as data not convertible. — • Excluding melons, water-melons, mpkins and tangerines, as data not convertible. — 'Excluding vinegar. 204 WORKERS' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE VI. — U N I T E D STATES : A. N O R T H ATLANTIC C I T I E S , D E C E M B E E 1934-FEBBTJARY 1935 Households of White Wage Earners and Lower-salaried Employees Households with an annual food expenditui (in $) per capita of: Kef. No. 62-93 Number of households : 23 124-158 36 Number of persons per household : 4.01 (Kilograms per year per capita) 1—5 Wheat bread Bye bread Cakes, biscuits, pastries Flour Cereals 37.8 10.6 20.2 11.2 Cereals and bread 79.8 1 48.0 20.4 17.7 12.0 Beef Pork Mutton Veal 2 Ham and bacon s . . . . Sausages, charcuteries, etc. Other meat products. . . Fish 22.4 10.2 0.6 2.4 15.0 1.8 6.2 3.7 15.6 7.7 6—13 Meat, fi8h, etc 45.5 14 15 16 Margarine. . . Fat and lard ' . Vegetable oil . 4.4 0.9 5.5 1.5 Margarine, fats, etc. 5.3 7.0 0.1 8.1 1.6 7.3 120.8 4.4 3.0 11.9 3.1 13.1 104.8 156.3 64.4 81.7 48.1 63.3 32.5 63.4 12.2 153.9 220.6 22.1 26.9 6.3 3.4 5.2 0.6 4.2 0.5 4.9 0.6 3.3 2.4 1.7 10 11 12 13 14—16 17 18 19 20 21 22 23 17—23 24 25 26 27 28 29 30 24—30 31 32 33 34 35 36 37 Milk, unskimmed Milk, skimmed . Other milk . . . Cream • Butter Cheese Milk, milk products and eggs Peas and beans, dried Potatoes Cabbage Other fresh vegetables Boot crops (including onions). . Fresh fruits Preserved fruits and vegetables . Marmalade, jam Other Vegetables and fruits Sugar Syrup, honey Sweets* Coffee (beans) „ (substitutes) Tea 7 Cocoa Condiments Other (excluding beverages) Beverages ' Including veal. — * See reference number Including ice-cream. — " Excluding chocolate. - 2.9 — ' Including salt pork and suet. ' Including chocolate. * Including table fats. 205 APPENDIX IV Part B. — Quantities of Foodstuffs Consumed (continued) TABLE VI. — UNITED STATES (continued) B. N E W ENGLAND AND SOUTH-EASTERN CITIES, SPRING Households of Wage Earners and Lower-salaried Workers tef. So. 1935 N E W ENGLAND CITIES SOUTH-EASTERN CITIES Households with annual expenditure (in $) per consumption unit of : Households with annual expenditure (in $) per consumption unit of : Less than 300 300399 400499 500 and over Less than 300 300399 400499 500 and over 41 47 41 52 43 32 22 46 55.0 17.5 14.4 9.7 48.1 20.3 16.0 15.1 49.3 25.5 17.5 13.0 45.3 25.9 17.5 11.1 25.9 7.1 34.4 23.1 28.8 11.3 42.9 21.2 41.5 13.0 29.2 18.6 34.0 14.6 22.2 22.9 96.6 99.5 105.3 99.8 90.5 104.2 102.3 93.7 49.8 60.9 64.9 83.7 28.8 46.7 55.7 53.5 49.8 60.9 64.9 83.7 28.8 46.7 55.7 53.5 a d - 9.7 9.2 10.4 19.3 20.8 17.7 19.8 8.3 9.7 9.2 10.4 19.3 20.8 | 17.7 19.8 • 124.8 162.0 159.7 156.4 105.9 117.7 113.0 133.5 7.5 1.7 19.8 8.5 2.8 21.0 10.1 5.4 22.6 Number of households : (Kilograi ns per y ear per zapita) Wheat bread 1 2 3 4 5 1 • Cakes, biscuits, pastries 1 . Cereals and bread L—5 . . . Beef Pork 6 7 8 9 10 11 12 13 Veal ' Ham and bacon . . . . Sausages, charcuteries, etc. Other meat products . . Fish 5—1.3 14 15 16 Í—16 Margarine 1 Vegetable oil / Margarine, fats, etc. . . . 17 18 19 20 21 22 23 Milk, unskimmed . . . . Other milk Butter» 7—23 Milk, milk products and eggs 24 25 Peas and beans, dried . . 26 f 27 28 Marmalade, jam Other ¡4—30 31 32 33 34 35 36 37 38 39 1 Cabbage Other fresh vegetables \ Boot crops (includ. onions) Preserved fruits and vege- 29 30 . . . . Vegetables and fruits . . Syrup, honey <t Coffee (beans) „ (substitutes) Tea — 10.9 1.9 12.5 13.4 2.6 16.7 13.4 1.4 18.2 14.4 2.8 21.0 7.1 1.4 14.6 150.1 194.7 192.7 194.6 129.0 146.7 145.3 171.6 80.4 88.2 94.3 93.9 37.3 43.9 54.3 49.1 32.6 36.8 59.4 66.5 49.3 52.8 68.9 84.7 31.6 57.3 63.9 81.4 23.6 36.8 50.7 57.3 22.2 23.1 30.2 26.2 17.7 22.6 27.4 28.5 166.8 205.4 247.8 268.0 127.9 156.1 201.3 219.6 30.9 34.0 34.0 34.9 27.8 28.3 27.6 36.6 10.1 15.6 20.5 17.7 10.4 12.3 13.0 16.3 . . . Other (excluding beverages) Beverages (litres) . . . . Data relating to " other baked goods ". — * Including ice-cream. — ' Including butter substitutes. 206 WORKERS NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE VI. — UNITED STATES (concluded) C. DETROIT, 1929 Workers'1 Households (100 Families of Workers Employed by Ford Motor Co.) Ref. Ko. Wheat bread Rye bread Cakes, biscuits, pastries Flour Cereals Cereals and bread 10 11 12 13 6—13 14 15 16 14—16 17 18 19 20 21 22 23 17—23 24 25 26 27 28 29 30 24—30 31 32 33 34 35 36 37 38 39 Beef . . Pork . . Mutton Veal Ham and bacon . . . . Sausages, charcuteries, etc. Other meat products . . Fish Meat, fish, etc. Margarine Fat and lard Vegetable oil Margarine, fats, etc. Milk, unskimmed Milk, skimmed . Other milk . . . Cream Butter Cheese Eggs Milk, milk products and eggs Peas and beans, dried Potatoes '. . . . Cabbage Other fresh vegetables Root crops (including onions) . Fresh fruits Preserved fruits and vegetables. Marmalade, jam Other Vegetables and fruits Sugar Syrup, honey . . . Sweets Coffee (beans) . . ,, (substitutes) Tea Cocoa Condiments . . . . Other Beverages . . . . 207 APPENDIX IV Part B. — Quantities of Foodstuffs Consumed (continued) TABLE VII. — FINLAND, 1928 1 Workers', Salaried Employees' and Civil Servants' Households itef. No. Average yearly income (in Mks.) per consumption unit : Number of households : Workers' households Salaried employees' households 7,362 9,689 581 Civil servants' households 16,055 242 131 (I Cilograms per year) 1 2 3 4 5 38.35 40.87 39.38 75.26 15.53 65.38 16.62 52.41 15.38 129.14 122 87 107 17 Beef Pork 10.58 8.79 12.76 6.94 16.00 6.88 Fish 8.35 5.68 15.38 8.97 7.68 18.65 10.15 10.50 20.59 48.78 55.00 64.12 14 15 16 4.35 1.09 7.03 1.00 11.03 1.00 4—16 5.44 8.03 12.03 328.73 316.75 306.36 3.66 14.12 1.12 3.38 5.84 13.06 1.82 4.49 6.92 11.47 2.44 6.23 351.01 341.96 333.42 110.35 107.17 109.13 Flour 1—5 6 7 8 9 10 11 12 13 6—13 17 18 19 20 21 22 23 Other milk 1 I Eggs * 17—23 24 25 26 i - 27 28 29 30 : Other 24—30 110.35 107.17 31 32 33 34 35 36 37 38 39 28.73 32.53 5.88 5.47 1 . \ Tea Figures converted into kgs. by the International Labour Office. J 109.13 34.76 4.68 208 WORKERS' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE VIII. — ITALY (PROVINCE OF SALERNO), 1929 Households of Different Social Status Workers and lower salaried employees Kef. No. Persons engaged in agriculture Higher middle class Tota Number of households : 244 110 85 4S Number of consumption units per household : 4.85 5.00 4.67 4.Í (Kilograms per year) 1 2 3 4 5 ¡> 177.02 210.24 144.90 179.5 5.84 58.03 17.88 50.73 3.28 53.29 8.3 55.4 240.89 278.85 201.47 243.4 8.28 0.11 2.85 3.83 0.11 3.87 13.76 0.22 5.18 8.1 0.1 3.5 Fish 1.07 12.28 2.62 10.07 1.50 16.35 1.5 12.4 Meat, fish, etc 24.57 20.50 37.01 25.8> 14 15 16 6.09 8.39 6.39 9.74 7.22 9.38 6.3Í 8.9< 14—16 14.48 16.13 16.60 15.3: 28.83 18.98 47.08 29.9Í 0.22 3.65 7.66 0.22 4.01 5.84 0.84 6.93 13.87 0.3; 4.3Í 8.39 40.36 29.05 68.72 43.03 55.11 84.31 61.32 63.87] 7.30 12.41 3.28 20.80 20.44 8.39 8.761 13.87 24—30 74.82 108.39 90.15 86.50 31 32 33 34 35 36 37 38 39 5.11 2.19 9.49 5.11 0.11 0.04 0.36 0.14 59.13 66.43 70.44 63.14 Cakes, biscuits, pastries Flour Cereals 1—5 6 7 8 9 10 11 12 13 6—13 Pork Veal 17 18 19 20 21 22 23 Milk, skimmed Other milk 17—23 > , 24 25 26 I 27 28 29 30 Preserved fruits and vegetables Marmalade, jam •{ 213 APPENDIX IV Part B. — Quantities of Foodstuffs Consumed (continued) TABLE XII. — POLAND, 1929 Workers' Households Households with an annua) expenditure (In Zl.) per consumption unit of : E*f. No. Less than 599 600-899 10 35 Number of households : Number of consumption units per household : 4.62 1 2 3 4 5 15.72 153.61 0.21 21.84 7.25 1—5 198.63 4.01 900-1,199 25 3.77 1,200 and over Total 14 84 3.15 3.87 (Kilt >grams per year) 14.30 23.41 29.96 172.81 154.51 135.82 0.31 0.59 0.52 24.08 38.81 33.59 10.42 11.24 12.94 221.92 228.56 212.83 19.27 159.76 0.39 29.32 10.55 219.29 6 7 8 9 10 11 12 13 9.27 4.01 0.12 0.23 5.77 9.86 2.03 6.42 14.19 8.48 0.40 0.48 8.94 7.07 2.00 5.01 18.35 7.80 0.09 0.51 13.41 8.40 3.21 3.48 30.11 10.98 1.12 1.69 14.78 7.08 1.95 4.10 16.85 7.98 0.37 0.62 10.57 7.85 2.35 4.63 6—13 37.71 46.57 55.25 71.81 51.22 14 15 16 0.26 1.21 0.26 0.40 2.3» 0.33 0.50 3.11 0.29 0.40 3.48 0.17 0.41 2.59 0.29 4—16 1.73 3.12 3.90 4.05 3.29 45.00 6.43 0.71 1.38 1.82 1.55 71.87 6.39 1.31 1.84 1.52 2.12 91.51 6.71 1.37 3.06 1.98 3.90 118.66 2.90 1.84 3.78 2.22 7.17 80.09 6.02 1.31 2.39 1.79 3.24 56.89 85.05 108.53 136.57 94.84 4.49 175.14 13.00 13.36 2.81 3.41 2.22 4.32 213.97 21.06 23.26 3.09 5.21 2.79 5.22 191.46 27.86 25.83 3.48 7.78 2.27 4.17 217.44 31.32 35.42 3.93 10.98 3.92 4.58 202.52 23.27 24.25 3.28 6.48 2.71 ¡4—30 214.43 273.70 263.90 307.18 267.09 31 32 33 34 35 36 37 38 39 14.24 0.01 19.35 0.02 22.96 0.09 27.53 0.13 20.78 0.05 0.13 1.42 0.17 0.04 4.71 0.19 1.26 0.15 0.06 5.20 0.32 1.29 0.16 0.01 5.54 0.48 1.95 0.24 0.08 7.40 17 18 19 20 21 22 23 ¡> Other milk » Milk, milk products and eggs .7—23 . . . . 24 25 26 < , Boot crops (including onions) . . . . 27 28 29 30 1 Preserved fruits and vegetables 3 . . . \ 1 { Including vegetable fats. * Figures converted into kgs. by the International Labour Office. 3 Including " Sauerkraut " . 0.26 1.38 0.17 0.07 5.53 . 214 WOEKBKS' NUTBITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) T A B L E X I I I . — S W E D E N , 1933 (a) Workers' and Lower Salaried Employees' Households Households having an annual income (in Ki per consumption unit of : Kef. No. Number of households : Number of consumption units per household : 1 2 3 4 5 Less than 700 700-1,450 1,450 and over Tota 47 444 119 610 5.44 3.4 32.6 2.8 67.6 6.5 Flour 2.44 3.Í (Kilogram per year) 7.3 5.6 35.2 33.5 6.5 3.8 56.7 45.8 7.2 6.6 5.Í 33.1 4.1 56.E 9.Ì 3.34 112.9 106.2 102.0 106.5 6.0 9.0 0.2 3.2 3.3 6.9 8.9 13.0 6.9 12.5 1.0 6.4 4.0 8.9 21.2 19.8 80.7 6.4 11.4 0.5 5.0 3.3 7.5 13.7 17.1 50.5 6.4 11.5 0.5 5.0 3.2 7.3 13.1 17.3 64.3 64.9 14 15 16 12.2 0.8 11.5 0.9 10.0 0.8 11.4 0.9 14—16 13.0 12.4 10.8 12.3 17 18 19 20 21 22 23 202.7 17.5 • 242.7 6.8 266.5 6.0 241.1 8.1 1.5 7.5 5.2 9.0 4.7 11.3 6.2 13.1 6.4 15.4 6.7 15.3 4.5 11.4 6.1 12.9 17—23 243.4 284.8 316.3 284.1 24 25 2.0 101.1 0.9 2.0 4.8 20.9 3.1 1.8 109.4 2.0 4.1 6.8 31.5 4.8 1.9 111.2 3.2 5.7 9.3 . 40.7 6.8 1.8 108.6 2.0 4.1 7.0 31.5 5.0 134.8 160.4 178.8 160.0 37.7 1.5 1.4 5.5 0.06 0.5 3.4 40.7 1.3 2.7 6.8 0.1 0.4 3.6 37.5 1.5 1.5 34.8 36.5 1—5 6 7 8 9 10 11 12 13 6—13 26 Beef Pork Fish <j Koot crops (including onions) 27 28 29 30 24—30 31 32 33 34 35 36 37 38 39 1 { „ Tea (substitutes) ) 32.5 1.7 0.8 4.3 0.06 0.4 3.0 22.0 Figures converted into kgs. by the International Labour Office. 5.6 O.OS . 0.4 3.4 35.8 215 APPENDIX TV Part B. — Quantities of Foodstuffs Consumed (continued) TABLE XIII. — SWEDEN, 1933 (concluded) (b) Middle Class Households Households having an annual income (in Kr.) per consumption unit of : Ref. No. Number of households : 1,0051,530 1,5302,585 2,585 . and over 13 53 24 3.57 2.79 Number of consumption units per household : Wheat bread Bye bread Cakes, biscuits, pastries Flour Cereals 1—5 9 10 11 12 13 6—13 14 15 16 24 25 26 27 28 29 30 31 32 33 (Kilograms per year) 7.3 6.8 25.6 32.6 4.8 6.8 44.3 41.2 7.5 7.6 101.7 96.0 88.5 Beef Pork Mutton Veal Ham and bacon Sausages, charcuteries, etc. Other meat products . . . Fish Meat, flsh, etc. 5.8 10.4 6.0 10.2 1.1 6.2 2.6 6.5 15.0 18.8 6.2 11.3 1.7 7.6 3.0 7.1 19.3 23.6 Margarine. . Fat and lard Vegetable oil 10.3 1.0 10.2 0.8 9.5 1.0 11.3 11.0 10.5 Milk, unskimmed . Milk, skimmed l . . Other milk . . . Cream Butter Cheese 231.6 240.0 4.7 245.3 1.3 3.0 10.5 11.1 5.0 13.7 6.6 15.0 5.4 17.9 7.6 18.0 Milk, milk products and eggs . 271.4 285.0 295.5 2.5 86.6 3.5 4.0 6.2 29.0 4.8 1.6 90.0 2.3 7.6 8.0 45.3 7.0 1.6 102.6 5.2 12.2 10.3 57.8 10.0 136.6 161.8 199.7 37.8 1.2 2.6 4.4 0.1 0.7 2.7 42.8 2.0 4.7 Cereals and bread Margarine, fats, etc. 17 18 19 20 21 22 23 5.6 24.2 2.5 61.9 7.5 x Peas and beans, dried Potatoes . . . . . . . . . . Cabbage Other fresh vegetables . . . . Boot crops (including onions). Fresh fruits Preserved fruits and vegetables Marmalade, jam Other Vegetables and fruits. 1.0 4.5 1.6 6.7 13.1 18.5 61.6 Sugar 39.1 Syrup, honey 1.1 Sweets 1.4 34 Coffee (beans) 4.1 „ (substitutes) 35 0.1 36 0.8 Tea 37 2.7 Cocoa 38 Condiments 39 30.3 Other (excluding beverages). Beverages (litres) 1 Figures converted into kgs. by the International Labour Office. 33.0 0.3 0.6 3.3 216 WORKERS' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE XIV. — CZECHOSLOVAKIA, 1929/30 (a) Workers' Households Households having an annual income (in Kö.) per consumption unit of: Eef. No. Number of households : Number of consumption unita per household : 2,0006,000 6,001- . 12,000 86 165 2.89 2.48 12,00120,000 11 2.76 Total 262 2.6Í (Kilograms per year) 1 2 3 4 5 \ Cakes, biscuits, pastries Flour 1—5 6 7 8 0 10 11 12 13 6—13 Beef Pork Veal 102.84 18.66 66.57 8.32 88.82 21.55 59.24 7.21 103.92 18.34 63.66 8.73 197.89 196.39 176.82 194.65 11.77 8.11 0.33 1.94 0.99 7.93 2.67 14.22 11.77 0.73 2.66 0.97 13.29 5.05 15.16 13.30 0.90 4.73 0.49 13.75 7.16 13.28 10.44 0.59 2.47 0.95 11.28 4.25 33.74 48.69 55.49 43.26 4.94 12.52 4.13 14.46 2.46 10.05 4.32 13.46 17.46 18.59 12.51 17.78 180.44 '207.78 252.25 198.41 3.75 5.17 6.99 4.70 7.19 11.22 11.66 9.71 191.38 224.17 270.90 212.82 2.35 118.01 2.08 117.05 1.71 67.36 2.14 114.37 Fish Meat, fish, etc 14 15 16 14—16 17 18 19 20 21 22 23 Milk, unskimmed 2 Other milk 2 Eggs' 17—23 Milk, milk products and eggs 24 25 26 109.63 17.79 60.71 9.76 > .j 27 28 29 30 — 1.50 1.65 1.15 1.56 24—30 121.86 120.78 70.22 118.07 31 32 33 34 35 36 37 38 39 34.14 34.89 31.17 34.21 0.76 7.65 1.17 6.98 0.94 6.72 1.01 7.16 Other { „ Tea (substitutes) Other (excluding beverages) 5.13 5.45 4.05 5.23 40.25 82.56 56.94 65 65 1 Excluding tripe. ' Figures converted into kgs. by the International labour Office. ' Excluding spices. 217 APPENDIX IV Part B. — Quantities of FoodstufEs Consumed (continued) TABLE XIV. — CZECHOSLOVAKIA, 1929/30 (continued) (b) Salaried Employees'' Households Households having an annual income (in Kc.) per consumption unit of : 2,0008,000 Number of households : Number of consumption units per household : 6,00112,000 11 67 3.06 2.34 12,00120,000 2.20 (Kilograms per year) Wheat bread Bye bread Cakes, biscuits, pastries Flour Cereals 72.63 13.59 55.15 6.07 80.03 21.56 58.66 8.50 78.64 31.84 52.01 8.03 147.44 168.75 170.52 Beef Pork Mutton Veal Ham and bacon Sausages, charcuteries, etc. Other meat products l . . Fish Meat, fish, eto. 13.82 8.07 0.73 1.83 1.39 6.06 2.06 15.26 13.34 0.84 3.01 0.72 11.11 6.13 17.25 21.51 1.46 5.97 0.95 24.86 13.61 33.96 50.41 85.61 Margarine . . Eat and lard Vegetable oil 2.56 10.71 2.72 13.84 2.41 Margarine, fats, etc. 13.27 16.56 12.29 201.47 229.52 222.37 Cereals and bread Milk, unskimmed • Milk, skimmed s . Other m i l k ' . . . Cream Butter Cheese 3.23 5.07 8.73 9.28 13.18 16.78 213.98 247.77 247.88 1.88 96.93 2.74 93.22 2.66 101.34 1.62 1.30 1.46 100.43 97.26 105.46 Sugar 32.65 Syrup, honey Sweets 0.91 Coffee (beans) 4.93 ,, (substitutes) Tea 4.07 Cocoa Condiments 8 28.77 Other (excluding beverages). Beverages (litres) 1 Excluding tripe. * Figures converted into kgs. by the International Labour Office. s Excluding spices. 35.89 38.76 1.27 6.69 2.20 8.47 Milk, milk products and eggs Peas and beans dried . . . . Potatoes Cabbage Other fresh vegetables . . . . Boot crops (including onions). Fresh fruits Preserved fruits and vegetables Marmalade, jam Other Vegetables and fruits. 4.65 4.71 53.03 119.12 218 WORKERS ' NUTRITION AND SOCIAL POLICY Part B. — Quantities of Foodstuffs Consumed (continued) TABLE XIV. — CZECHOSLOVAKIA, 1929/30 (condvded) (c) Civil Servants' Households Households having an annual income (in Ki.] per consumption unit of: Eef. No. Number of households : Number of consumption units per household : 6,00112,000 12,00120,000 20,00136,000 153 110 23 2.45 2.34 2.70 (Kilograms per year) 1—5 10 11 12 13 6—13 14 15 16 14—16 17 18 19 20 21 22 23 74.70 23.30 52.62 6.81 71.69 28.09 48.50 7.76 69.99 27.90 45.09 6.33 157.43 156.04 149.31 15.41 12.27 1.03 4.51 1.04 15.67 6.45 17.07 12.88 1.20 6.99 1.19 20.06 9.31 15.19 11.90 1.94 7.90 1.36 18.51 9.86 56.38 68.70 Margarine. . Fat and lard Vegetable oil 3.50 10.73 2.69 11.12 3.90 9.38 Margarine, fats, etc. 14.23 13.81 13.28 222.39 230.64 253.88 7.02 11.08 Beef Pork Mutton Veal Ham and bacon Sausages, charcuteries,2 etc. Other meat products . . Fish Meat, fish, etc. Milk, unskimmed ' Milk, skimmed ' . Other milk 3 . . . Cream Butter Cheese 13.65 16.09 17.52 17—23 Milk, milk products and eggs . 243.06 255.72 282.48 24 25 Peas and beans, dried . . . . Potatoes Cabbage Other fresh vegetables . . . . Root crops (including onions). Fresh fruits Preserved fruits and vegetables Marmalade, jam Other Vegetables and fruits. 2.68 75.12 2.54 88.27 2.78 95.68 1.26 1.20 1.39 79.06 92.01 99.85 26 27 28 29 30 24—30 31 32 33 34 35 36 37 38 39 1 Wheat bread Rye bread Cakes, biscuits, pastries Hour Cereals Cereals and bread Sugar 30.75 29.92 35.03 Syrup, honey . . Sweets 1.28 1.75 1.23 Coffee (beans) 5.09 4.39 4.47 ., (substitutes) Tea 4.32 4.72 4.42 Cocoa Condiments* 64.30 66.38 92.11 Other (excluding beverages). Beverages (litres) 1 Including five households having incomes of 6,000 K6 or less per consumption unit. — ! Excluding tripe, Figures converted into kgs. by the International Labour Office. — * Excluding spices. 219 APPENDIX IV Part B. — Quantities of Foodstuffs Consumed (concluded) TABLE XV. — U N I T E D KINGDOM, ABOUT 1934 Quantities of various foods consumed per capita at different income levels Average food expenditure (in shillings) per week per capita : 10 12 Average 14 (Kilograms per year per capita) Wheat bread Eye bread Cakes, biscuits, pastries Flour Cereals Beef Veal Mutton 97.3 100.2 100.2 988 95.8 88.5 97.3 15.5 4.6 6.3 21.4 8.3 9.3 25.4 10.6 10.0 27.9 13.9 10.8 28.7 17.1 11.5 27.9 20.5 13.9 25.1 12.4 10.3 8.7 8.7 10.6 8.6 15.3 2.9 6.5 18.0 2.4 6.3 19.9 1.9 5.2 13.1 3.7 5.7 94.4 15.3 127.9 12.2 168.1 9.2 94.4 15.3 12.5 5.3 9.5 14.0 5.3 10.7 16.2 3.8 13.4 11.5 4.4 8.6 84.0 84.0 79.6 82.6 45.1 47.6 50.1 41.1 45.0 57.9 8.0 —• — 8.1 7.7 42.0 44.2 45.7 39.5 4.4 4.3 4.0 4.1 Ham and bacon . . . 7.7 7.7 8.7 Pork Sausages, charcuterie . 3.9 8.1 12.1 Other meat products . 6.6 5.2 3.7 Fish 4.0 5.3 6.2 Margarine Fat and lard 83.5 63.9 79.2 Vegetable oil 21.3 l 18.2 16.8 Milk, unskimmed . . Milk, skimmed 1 . . . . 4.4 9.6 11.1 Other milk 2.7 3.7 4.6 Cream 4.5 6.2 7.7 Butter 85.4 78.1 82.6 Cheese Eggs1 Otherand fresh vegetables' . . 40.1 23.6 29.5 Peas Root cropsbeans, (inch dried onions) ' . Potatoes 38.0 20.6 Fresh fruits» 32.0 Preserved fruits and vegetables 8 7.7 6.3 7.8 Marmalade, j a m Other 39.1 29.5 34.6 Sugar Syrup, h o n e y ' Sweets Coffee (beans) 3.2 4.0 4.3 „ (substitutes) . . . . Tea Cocoa Condiments Other 1 Beverages into kgs. by the International labour Office. — Figures converted or. — ' Including syrup. — * See reference number 29. } ». 1 39.1 Figure subject to a wide margin of 220 WORKERS' NUTRITION AND SOCIAL POLICY Part C. — Index Numbers of Quantities of Foodstuffs Consumed Workers' Households in Different Countries (The quantities of each foodstuff consumed by the highest income or expenditi group in each country = 100) Eef. No. 27 28 29 30 31 32 33 34 35 36 37 38 39 1 BELGIUM (Consumption by groui earning annually 2,600 ti and over per " quet = 100) Annual income (in EM.) per consumption unit Annual income (in frs.J per quet Item 1 2 3 ' 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 L GERMANT (Consumption by group earning annually 1,500 EM. and over per consumption unit == 100) Cakes, biscuits, pastries . . . Flour Beef Pork Veal Sausages, charcuteries, etc.. . Other meat products . . . . Fish Margarine Other milk Eggs Peas and beans, dried. . . . ( < Other fresh vegetables. . . . 1 Root crops (including onions). Preserved fruits and vegetables Other vegetables or fruits . . { Tea Other Beverages (litres) Cf. footnotes to Part B, table III. Less than 800 8001,000 1,0001,200 1,2001,500 56 135 34 95 97 52 60 50 19 58 56 63 75 166 112 65 64 209 25 17 27 58 ' 34 112 99 83 46 71 28 44 86 44 80 40 35 27 100 100 125 69 65 127 46 97 100 65 66 50 25 77 70 78 72 152 117 73 82 109 25 17 43 69 57 119 107 81 63 83 43 65 100 56 96 80 55 41 100 100 125 79 75 119 56 101 103 78 78 50 41 88 79 72 77 137 110 85 91 155 25 33 52 74 65 104 104 94 73 86 55 62 114 56 90 80 60 50 103 100 125 82 85 105 74 95 104 86 88 70 63 100 89 85 86 137 102 81 98 136 50 50 73 84 75 92 99 98 86 91 68 84 100 78 99 80 75 77 103 100 100 90 — 24 — 37 — 57 — 72 Less than 1,300 1,3001,950 1,95( 2,601 I 110 106 m 53 46 66 78 8f 105 23 88 59 60 71 . 215 91 50 98 59 66 64 153 84 SC 11] 8E 8C 91 9« 85 }• Ì / — — — 77 86 87 44 52 43 51 101 78 72 72 75 100 100 93 91 78 96 61 80 91 31 88 64 62 62 86 82 81 96 — 67 — 36 — 82 — 62 84 — — 69 — — 77 — — 84 30 60 79 58 70 ~ 80 76 — — 76 92 74 APPENDIX IV 221 it C. — Index Numbers of Quantities of Foodstuffs Consumed by Workers' Households in Different Countries (continued) NORWAY (Consumption by group earning annually 1,700-2,099 Kr. per consumption unit = 100) Income (in Kr.) per consumption unit Item 9001,299 1,3001,699 107 121 54 70 82 56 31 51 24 .35 76 32 96 106 59 94 103 72 111 125 73 53 78 47 89 85 59 94 104 83 67 207 83 28 18 59 34 64 84 48 75 283 90 64 29 72 53 80 85 59 65 33 58 117 80 52 79 130 79 182 40 79 50 91 158 61 101 50 115 105 103 92 114 86 78 105 44 110 91 79 98 121 107 89 186 127 82 43 90 86 79 92 79 89 86 85 126 98 118 73 111 38 32 50 Leasthan 900 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 Wheat bread Rye bread Cakes, biscuits, pastries. . Flour Cereals Beef Pork Mutton Veal Ham and bacon Sausages, charcuteries, etc. Other meat products . . . Fish Margarine Fat and lard . . . . . Vegetable oil Milk, unskimmed Milk, skimmed Other milk Cream Peas and beans, dried . . . . Butter Potatoes Cheese Cabbage Other fresh vegetables . . . . Root crops (including onions) . Fresh fruits Preserved fruits and vegetables Marmalade, jam Other vegetables or fruita . . . Sugar Syrup, honey Sweets Coffee (beans) „ . (substitutes) Cocoa Condiments . . . Tea. Other Beverages (litres). 35 36 37 38 39 1 Cf. footnotes to Part B, table XII. } POLAND l (Consumption by group expending annually 1,200 Zl. and over per consumption unit = 100) Annual expenditure (in Zl.) per consumption unit Less than 600-899 599 52 113 40 65 56 31 36 11 14 39 139 104 156 65 35 153 38 222 38 36 82 22 108 80 41 38 71 31 57 52 8 27 73 71 50 64 48 127 60 72 80 47 77 36 28 60 100 102 122 100 69 194 60 220 71 49 68 29 103 98 67 66 79 47 71 70 15 39 65 62 75 70 222 WORKERS' NUTRITION AND SOCIAL POLICY Part C. — Index Numbers of Quantities of Foodstuffs Consumed Workers' Households in Different Countries (continued) Eef. No. Annual income Annual income (in Kr.) per (in Kc\) per consumption unit consumption unit Lessthan 700 26 Veal Sausages, charcuteries, etc Tish Other milk < Boot crops (including onions) 27 28 29 30 31 32 33 34 35 36 37 38 39 . . . . Preserved fruits and vegetables . . . { Tea » Cf. footnotes to Part B, table XIV. « Cf. footnotes to Part B, table VI A. ¡> 7001,450 46 93 43 147 90 87 72 20 50 82 77 42 66 122 100 58 124 92 93 92 50 78 80 82 61 87 115 112 76 292 91 113 29 49 78 59 105 91 28 35 52 51 45 73 73 92 96 95 98 62 72 73 77 70 — — 80 Coffee (beans) (North Atlanti Cities)2 (Consumption by (Consumption by group earning group earning annually 1,450 Kr. annually 12,001and over per 20,000 KiS. per annually for fo( consumption consumption j$ 186-217 per unit = 100) unit = 100) capita = 100) Item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 UNITED STATI CZECHOSLOVAKIA1 SWEDEN 131 30 63 60 100 83 — 60 6,00112,000 62-93 124-1Í 82 102 135 78 61 37 41 202 58 37 116 86 112 115 94 88 81 56 198 97 70 60 59 129 92 75 29 5 76 140 113 98 97 43 14 201 124 168 144 71 82 54 74 62 137 175 96 122 174 2,0006,000 11 } ™ — — 93 115 52 81 60 125 94 — 95 > f Annual expend ture (in $) foi food per capiti — — — -~ 130 — • 109 — — 81 — 55 45 32 112 67 137 43 ¡> 58 172 71 89 133 6 53 19 29 67 176 78 36 53 68 86 38 50 27 53 53 73 1 J. 1 143 • — 66 — 112 — — 71 — 114 — 124 104 \V — — 127 — 71 — 1 — 134 — 145 — — -86 102 36 55 60 44 55 60 35 267 — — 223 APPENDIX IV t C. — Index Numbers of Quantities of Foodstuffs Consumed by Workers' Households in Different Countries (concluded) UNITED KINGDOM * (Consumption by group expending annually for food 14 shillings per capita = 100) Item 1 Wheat bread Bye bread Cakes, biscuits, pastries . Flour Cereals Beef Veal Mutton Ham and bacon Pork Sausages, charcuteries, etc. Other meat products. . . Fish Margarine Fat and lard Vegetable oil Milk, unskimmed . . . . Milk, skimmed Other milk Cream Peas and beans, dried Butter Potatoes Cheese Cabbage Other fresh vegetables Hoot crops (including onions). . Fresh fruits Preserved fruits and vegetables . Marmalade, jam Other vegetables or fruits . . . Sugar Syrup, honey Sweets Coffee (beans) „ (substitutes) Tea Cocoa Condiments . Other Beverages. Cf. footnotes to Part B, table XV. Average food expenditure (in sh.) per week 6 8 10 110 113 113 112 56 22 45 77 41 67 91 52 72 100 68 78 73 73 82 82 20 347 77 41 274 102 61 195 119 77 153 125 20 232 38 198 47 183 56 166 27 71 34 59 97 46 69 121 57 77 139 71 98 104 107 106 47 59 80 90 36 55 66 71 78 96 95 99 65 76 86 92 80 100 107 110 — — — 224 WORKERS' NUTRITION AND SOCIAL POLICY Part D. — Index Numbers of Food Consumption (Per Consumption U: by Households of Salaried Employees and Civil Servants in Different Countries (The consumption by workers' households in each case is taken as the base = 101 BELeir/M GERMAHT Eef. No. 1 2 3 4 5 121 83 153 84 94 117 90 139 103 103 79 131 174 110 146 93 99 Veal H a m and bacon . . . . Sausages, c h a r c u t e r i e s , e t c . Other meat products . . Fish 94 101 150 173 103 101 109 117 91 104 150 180 105 102 109 112 182 72 98 114 152 M e a t a n d Ash, e t c . . . . 106 106 . . . . . 71 78 90 Margarine, fats, etc. . . Cereals a n d b r e a d . . . Beef Pork 6 7 8 9 10 11 12 13 6—13 14 15 16 F a t and lard 14—16 17 18 19 20 21 22 23 Milk, u n s k i m m e d Milk, s k i m m e d Other milk Cream Butter Cheese 17—23 . . . Milk, milk p r o d u c t s , eggs 24 25 P e a s a n d b e a n s , dried Potatoes / 26 11 27 28 24—30 31 32 33 . 122 8 7 • 1» 76 117 108 83 90 112 92 Ci se vai 95 83 90 90 84 8 132 102 121 80 151 78 94 92 240 124 76 89 114 116 114 125 147 123 89 103 142 11 11 19 23 11 15 18 — 103 IS 7 8 135 121 121 185 134 105 127 101 169 111 97 177 70 120 113 131 88 106 117 14: 69 78 105 70 97 162 92 253 92 94 97 88 100 62 97 7' 8( 75 76 84 148 221 94 89 88 7! 102 93 300 350 197 112 117 108 133 200 350 198 112 118 107 60 65 114 122 120 120 99 58 113 114 104 123 111 115 107 112 99 111 106 109 — — — — 107 | } 128 )• ' — 93 i — 189 107 1 104 113 81 218 184 124 97 95 142 127 V e g e t a b l e s a n d fruit . . 102 108 99 102 200 146 146 72 200 100 96 111 267 123 138 81 100 100 98 122 — 87 96 159 92 162 133 128 200 167 — 91 — - — 131 143 150 Condiments Other B e v e r a g e s (litres). . . . Middle Salaried emclass ployees 83 . . . . . . Civil servants 70 99 106 . and Coffee (beans) „ (substitutes). Tea servants DEN 87 107 104 92 106 128 106 144 O t h e r fresh v e g e t a b l e s . R o o t c r o p s (incl. o n i o n s ) . Civil CZECHOSL VAKIA SWE- 48 86 102 144 101 78 100 97 109 104 153 Syrup, honey < Salaried Salaried ememp l o y e e s ployees 78 93 100 116 113 140 P r e s e r v e d fruits vegetables Marmalade, j a m Other 29 30 35 36 37 38 39 Civil servants Cakes, biscuits, p a s t r i e s . 1—5 34 Salaried employees NOBWAY FlNlAND 147 103 94 114 124 97 99 — — —. — — — —. — — — — — — — 113 — — S 121 — — — 119 151 100 114 117 111 85 160 193 117 143 121 82 122 71 113 104 125 79 124 104 93 187 79 90 — — — — 114 78 — — — 97 — — lfif 17C 146 93 — — 132 107 127 93 — — — — 110 \ — 80 <j 222 175 82 — 105 — — — — — 87 — — — — — 79 — — 104 90 — — 127 — — 143 91 66 — — 87 — .82 — — 84 — 114 225 APPENDIX IV Part £. — National per capita Consumption of Selected Foodstuffs The figures given in this part of the Appendix are drawn from many heterogeneous sources. They are compiled by different methods, and the definition of " human consumption " is not uniform. As it has not been possible to examine the methods used, available estimates are reproduced (converted into kilogrammes per capita) in their original form, side by side. The collection of data is wholly documentary and should not be taken as in any way engaging the responsibility of the International Labour Office. TABLE I . — CEREALS National per capita consumption (kgs. per year) Country jermany. Argentina . . . Australia . . . îelgium . . . . Canada Date Wheat flour Bye flour Other cereals Total 1928 1929 1930 1931 1932 1933 1931 57.0 52.3 46.4 44.6 44.3 44.6 45.5 51.1 51.9 50.9 52.4 52.1 53.0 53.1 10.61 9.2 9.2 10.0 9.6 10.6 10.2 118.7 113.4 106.5 107.0 106.0 108.2 108.8 Average 1922-29 103 Average 1928-33 93 Average 1929-34 103 1930 1931 1934 United States 1928/29 1929/30 1930/31 1931/32 1932/33 France Average 1929-34 Great Britain . Italy Netherlands. . New Zealand Switzerland. . 1 The data on " other * The Yearbook gives ;o flour on the basis of 1 ' The data on " other corn starch and malt. * Excluding rice. 1934 Average 1929-33 1933 1933 Average 1929-34 Average 1928-32 1926 1931 1934 Institut für Konjunkturforschung. Official Yearbook of Australia2. Official Yearbook of Australia '2. Market Supply Committee. Average 1922-29 Denmark.... Source Official Yearbook of Australia 2. 50 49 45 80.5 78.5 79.7 76.7 78.7 46 45 43 1.3 1.2 1.2 1.2 1.3 34.7s 32.9 31.0 30.1 32.2 101 99 94 Statistisk Aarbog. 116.5 112.6 111.9 108.0 112.2 Production Planning Section A. A. A. Market Supply Committee. 137 Market Supply Committee. 90 Market Supply Committee. 135.5 135.7 135.2 2.7 2.7 41.44 33.5 32.7 179.6' 171.9 167.9 Annuario statistico italiano. Market Supply Committee. 77 Market Supply Committee. 94 Official Yearbook of Australia 2. 140 171 149 Secrétariat des paysans suisses. Market Supply Committee. cereals *' relate to barley, oats, maize, buckwheat, rice, etc. quantities of wheat ; they have been converted by the International Labour Office kg. of wheat equivalent to 0.7 kg. of wheat flour. cereals " relate to buckwheat flour, maize, cleaned rice, cereal breakfast foods, 15 226 WOBKERS NUTBITION AND SOCIAL POLICY Part E. — Consumption oi Selected Foodstuffs (continued) TABLE n . — WHEAT AND WHEAT FLOUR National per capita consumption per year 1 Wheat flour (to kgB.) 2 Wheat (in bushels) Country 1909/101913/14 1922/231926/27 1927/281931/32 1932/831934/35 1909/101913/14 1922/231926/27 1927/281931/32 Germany. . . . 2.72s 2.36 2.56 2.27 (5.37) 5.22 5.51 5.49 '51.8* (102.3) 45.0 Argentina . . . 99.4 48.8 105.0 Australia. . . . Austria (5.50) 5.12 4.84 4.95 (104.8) 97.5 92.2 (3.4)' 7.04 3.45 3.89 3.30 (64.8)' 65.7 74.1 5.86 5.40 5.15 134.1 111.6 102.9 Belgium Brazil 1.00 0.95 0.94 0.85 19.1 18.1 17.9 Bulgaria . . . . (4.11)' 3.89 5.37 5.87 (78.3)' 74.1 102.3 Canada (5.20) 4.57 4.30 4.01 (99.1) 87.1 81.9 Chile 4.48 5.05 5.47 5.82 85.3 96.2 104.2 Denmark. . . . 2.80 2.50 2.60 2.50 53.3 47.6 49.5 Egypt Spain 3.17 2.95 3.16 2.80 60.4 56.2 60.2 5.40 5.31 5.27 5.35 102.9 101.2 100.4 (1.3)* 1.36 1.84 1.84, (24.8)» 25.9 35.1 United States. 4.95 4.24 4.11 3.71 94.3 80.8 78.3 Finland 1.70 1.45 1.65 1.60 32.4 27.6 31.4 France 7.80* 7.10 6.89 6.71 148.6« 135.3 131.3 Estonia United Kingdom and Irish Free State . . 5.53 6.32 5.01 4.88 105.4 101.4 95.4 Greece (3.0)s 4.S0 4.82 4.77 (57.2)' 81.9 91.8 Hungary (4.4)' 4.37 5.06 5.29 (83.8)« 83.3 96.4 India 0.77 0.80 0.78 0.80 14.7 15.2 14.9 Italy (5.65)' 6.46 6.44 5.86 (107.6)' 123.1 122.7 Japan 0.42 0.70 0.64 0.56 8.0 13.3 12.2 Latvia (1.5)' 1.52 2.19 2.68 (28.6)' 29.0 41.7 Lithuania (1.5)' 1.61 (1.9) 2.58 3.04 (28.6)' 36.2 49.2 2.27 2.53 2.75 30.7 43.2 48.2 New Zealand . . . . 5.16 5.24 5.34 5.53 98.3 99.8 101.7 Netherlands Poland 3.97 3.60 3.80 3.85 75.6 68.6 72.4 (1.5)3 1.62 1.84 1.66 (28.6)' 30.9 35.1 Portugal 1.57 2.33 2.34 2.33 29.9 44.4 44.6 Rumania (4.0)3 2.10 3.69 4.03 3.26 (76.2)' 70.3 76.8 2.30 2.60 2.80 40,0 43.8 49.5 5.61 (3.5)3 4.60 4.96 4.88 106.9 87.6 94.5 Czechoslovakia. . . . 3.56 4.13 3.50 (66.7)3 67.8 78.7 Turkey (4.0)3 (4.25) 4.85 4.89 (76.2)' 81.0 92.4 U. S. S. R 3.26 3.31 3.88 3.94 62.1 63.1 73.9 Uruguay 3.27 3.58 4.01 4.89 62.3 68.2 76.4 1.91 1.52 1.51 1.18 36.4 29.0 28.8. (3.0)3 3.24 4.56 3.93 (57.2)' 61.7 Norway Sweden Switzerland Union o< South Africa Yugoslavia 1 See below, Part F , I I (a), No. 10. — * Figures recalculated by the International Labour Off converting wheat into wheat flour, assuming t h a t one kg. wheat equals 0.7 kg. wheat flour. — ' Post-v boundaries. — 4 Pre-war boundaries. 227 APPENDIX IV Part £. — Consumption of Selected Foodstuffs (continued) TABLE IH. — BEEF AND VEAL National per capita consumption 1928-1934 (kgs. per year) Country 1928 1929 1930 1931 1932 1933 1934 Source Germany : Beef and veal. . . . Beef Veal Argentina : Beef and veal . . . 18.1 14.0 2.8 19.5 15.0 2.9 17.7 13.5 2.7 16.8 12.4 2.7 16.8 12.6 2.8 16.3 12.3 2.7 16.8 1 Imperial Economic Committee. Konjunkturfor13.8 Institut für schung. 3.0 101.2 99.8 96.2 88.5 92.5 — — Imperial Economic Committee. Australia : Beef and veal . . . 68.9 47.6 42.6 42.2 48.5 — — Imperial Economic Committee. Austria : Beef and veal . . . 15.9 15.9 13.6 13.6 13.6 — — Imperial Economic Committee. Belgium : Beef and veal . . . 17.8 18.8 17.7 17.7 17.6 18.5 — Imperial Economic Committee. Canada : Beef and veal . . 30.4 30.4 29.9 26.3 25.4 25.4 — Imperial Economic Committee. Denmark : Beef and veal . . . Beef and veal . . . — 18.1 21.6 22.7 16.8 22.7 — — _^ Statutist; Aarbog. Imperial Economic Committee. — Imperial Economic Committee. Production Planning Section A. A. A. Statistical Abstract of the TJ. S. United Beef Beef Veal Beef France Beef Beef States : and veal . . . and veal . . . : and veal . . . Great Britain : Beef and veal . . . 26.8 20.2 2.6 26.3 20.4 2.5 25.9 19.7 2.6 25.8 25.9 19.5 2.8 25.6 24.5 18.8 2.9 24.6 28.1 1 20.7 3.0 21>8 22.4 22.2 22.3 20.4 20.9 18.6 18.9 19.1 19.1 20.4 20.7 21.3» Imperial Economic Committee. 21.1 Confédération nationale du commerce et des industries de l'alimentation. 31.8 31.3 30.8 30.4 28.6 29.5 — Imperial Economie Committee. — Annuario statistico italiano. Market Supply Committee. Imperial Economic Committee. Italy : Beef Beef and veal . . . Beef and veal . . . 10.4 9.5 8.6 8.2 8.2 Japan : Beef and veal . . . 1.0 1.0 0.9 1.1 1.0 — — Imperial Economic Committee. New Zealand : Beef and veal . . . 70.3 61.7 58.5 56.7 59.0 73.9 — Imperial Economic Committee. Netherlands : Beef and veal . . . 18.0 19.3 17.6 15.8 17.6 19.6 — Jaareijfers TOOT Nederland. Switzerland : Beef and veal . . . — — — 26.7 — — — Secrétariat des paysans suisses. Union of South Africa : Beef and veal . . . 24.9 24.9 24.9 22.7 18.1 18.1 — Imperial Economie Committee. Uruguay : Beef and veal . . . 74.8 77.1 54.4 54.4 49.9 54.9 — Imperial Economic Committee. Czechoslovakia : Beef — — 12.1 11.6 12.0 11.1 — Annuaire statistique de la République tchécoslovaque. U. S. S. R. : Beef and veal . . . 10.4 11.8 15.0 — — — — Imperial Economie Committee- 1 v Market Supply Committee. J 13.15 13.2 228 WORKERS' NUTRITION AND SOCIAL POLICY Part E. — Consumption of Selected Foodstuffs (continued) TABLE IV. — MUTTON AND LAMB National per capita consumption 1928-1934 (kgs. per year) Country Germany . . . . Argentina . . . . 1929 1930 1931 1932 1933 1934 0.7 0.7 0.7 0.6 0.7 0.7 0.7 0.6 0.6 0.6 0.7 0.6 0.5 Imperial Economic Committee. Instit. für Konjunkturforschung. 3.6 3.6 5.9 4.1 4.5 5.4 5.4 Imperial Economic Committee. 38.1 — Imperial Economic Committee. 32.2 35.8 34.9 36.3 41.7 Belgium 0.7 0.7 0.6 0.6 0.4 Canada 2.7 3.2 3.2 3.2 3.2 2.7 2.7 Australia .... Sources 1928 Imperial Economic Committee. Imperial Economic Committee. Chile 5.9 6.4 6.4 6.4 6.4 5.9 5.9 Imperial Economic Committee. United States . 2.7 2.5 2.7 2.5 3.2 2.9 3.2 3.2 3.2 3.2 3.2 3.1 — Imperial Economic Committee. Production Planning Section A. A. A. France 2.7 2.8 2.7 2.7 2.7 2.7 2.7 2.6 2.7 2.6 2.7 2.5 2.3 2.3 Imperial Economic Committee. Confédération nationale du commerce et des industries de l'alimentation. 13.2 13.2 13.2 14.1 14.1 14.9 15.5 14.1 13.8 — Imperial Economie Committee. Officiai Yearbook of Australia. A. E . Feavearyear. Great Britain . . Italy New Zealand . 16.2 33.1 41.3 34.5 - Switzerland. . . Union of South Africa Uruguay U. S. S. R. . . . Yugoslavia. • . . 65.3 0.7 Annuario statìstico italiano. 44.0 28.6 38.6 Imperial Economie Committee. — — — Secrétariat des paysans suisses. -^ — Imperial Economie Committee. 11.8 12.2 13.2 11.1 11.8 10.9 4.1 6.4 12.7 6.8 4.1 3.2 5.4 : Imperial Economie Committee. Imperial Economie Committee. 68 1.1 1.0 0.9 — — Imperial Economic Committee. 229 APPENDIX IV Part E. — Consumption of Selected Foodstuffs (continued) TABLE V. — PIGMEAT National per capita consumption 1928-1934 (kgs. per year) Country Germany : Pigmeat . . . . Pork Ham and bacon Australia : Pork Ham and bacon 1628 1929 1930 1931 1932 1933 1934 Sources 33.1 26.2 2.5 30.8 24.3 2.3 31.3 24.7 2.4 33.1 26.1 2.7 30.8 24.2 2.6 31.8 24.9 2.5 26.8 1 26.6 2.7 Imperial Economic Committee. Instit.für Konjunkturforschung. 3.9 4.6 3.0 4.8 Official Yearbook of Belgium : Pork . 17.8 16.3 19.0 22.2 21.0 Canada : Pigmeat . 37.2 36.3 33.1 37.6 39.0 29.5 30.6 31.8 31.6 29.4 32.7 33.6» 30.2 9.1 30.2 9.1 9.1 9.1 8.6 9.0 Denmark : Pigmeat . Pork, etc. United States : Pigmeat Pork, ham and bacon Pork Bacon and salt pork France : Pigmeat Pork . 33.6 33.1 31.0 9.3 29.9 9.0 31.3 31.3 28.8 8.6 7.7 7.6 7.7 7.7 8.2 8.0 Great Britain : Pigmeat . . 19.5 18.1 18.6 Imperial Economic Committee. 34.0 21.8 — Switzerland : Pork 12.7 Czechoslovakia : Pork 1 Imperial Economic Committee. Statistical Abstract of the U.S.A. Production Planning Section A. A. A. 18.61 Imperial Economie Committee. Market Supply Committee *. 7.23 . . . . New Zealand : Pork Ham and bacon U. S. S. R. : Pork . . Market Supply Committee ' Statutist; Aarbog. Imperial Economic Committee. Confédération nationale du commerce et des industries de l'alimentation. Italy : Pigmeat . Pigmeat Imperial Economic Committee. 31.8 22.2 Australia. 10.0 Market Supply Committee. — 67 Annuario statistico italiano. — Official Yearbook of Australia. 20.1 - Secrétariat des paysans suisses. 13.8 11.8 - — 5.9 5.4 ' Excluding lard. 11.2 Annuaire statistique de la République tchécoslovaque. '. Imperial Economic Committee. 230 WORKERS' NUTRITION AND SOCIAIi POLICY Part E. — Consumption of Selected Foodstuffs (continued) TABLE VI. — SUMMARY TABLE OF MEAT CONSUMPTION N a t i o n a l per capita c o n s u m p t i o n 1928-1933 (kgs. p e r y e a r ) Germany : Total . . . . . . . . Australia : 1928 1929 1930 1931 1932 1933 18.1 33.1 0.7 17.7 31.3 0.7 49.7 16.8 33.1 0.7 50.6 16.8 30.8 0.6 48.2 16.3 31.8 0.7 51.9 19.5 30.8 0.7 51.0 68.9 47.6 42.6 32.2 35.8 34.9 42.2 7.8' 36.3 86.3 48.5 8.6* 41.7 98.8 17.8 17.8 0.7 36.3 '18.8 16.3 0.7 35.8 17.7 19.0 0.6 37.3' 17.7 22.2 0.6 40.5 17.6 21.0 0.4 39.0 18.5 30.4 37.2 2.7 70.3 30.4 36.3 3.2 69.9 29.9 33.1 3.2 66.2 26.3 37.6 3.2 67.1 25.4 39.0 3.2 67.6 25.4 34.0 2.7 62.1 26.8 33.6 2.7 63.1 26.3 33.1 2.7 62.1 25.9 31.3 3.2 60.4 25.9 31.8 3.2 60.9 24.5 32.7 3.2 60.4 3.2 21.8 7.7 2.7 22.2 7.7 2.7 20.4 8.2 2.7 18.6 9.1 2.7 19.1 8.6 2.7 20.4 8.6 2.7 32.2 32.6 31.3 30.4 30.4 31.7 ' 31.8 19.5 13.2 31.3 18.1 12.7 30.8 18.6 13.2 30.4 21.3 14.1 28.6 22.2 14.5 29.5 21.8 15.0 64.5 62.1 62.6 65.8 65.3 66.3 Total Belgium : Total Canada : Total United States : Mutton Total France : Total Great Britain : Total 1 . . . . . . . . Imperial Economic Committee. — x ' Official Yearbook of Australia. 48.8 231 APPENDIX IV Part E. — Consumption of Selected Foodstuffs (continued) TABLE VU. — MARGARINE National per capita consumption 1929-1934 (kgs. per year) 1929 1930 1931 1932 1933 1934 7.4 7.8 7.4 7.9 7.3 7.3 8.0 8.0 6.4 5.9 6.4 5.6 22.6 22.61 22.1 20.5 20.6 19.6 United States. 1.3 12 08 07 0.9 Great Britain and Northern Ireland . 6.0 5.8 4.7 4.2 3.8 3.5 Imperial Economic Committee. Netherlands . 9.2 8.9 8.2 6.1 5.1 5.4 laarditers Country Source Institut für Konjunkturforschung. Imperial Economic Committee. C. M. Wright. Production Planning Section A. A. A. voor Netherland. Statietisk Aarbog. TABLE V m . — MILK National per capita consumption (litres per year) Tear Litres Source Germany. . . . IIII Country Australia. . . . 1935 80 Austria 1935 208 Belgium . . . . 1933 1935 74 95 Canada 1935 241 Market Supply Committee. Federation of Netherlands Milk Industry. Federation of Netherlands Milk Industry. Denmark 1931 1935 159 263 Market Supp y Committee. Federation of Netherlands Milk Industry. United States 1931 1932 1933 1934 162 159 152 149 Production Planning Section A. A.A. France 1934 106 Great Britain . 1934 1935 80 88 Norway 1935 230 Market Supply Committee. Milk Marketing Board. Federation of Netherlands Milk Industry. Federation of Netherlands Milk Industry. Netherlands. . 1935 110—146 Federation of Netherlands Milk Industry. Sweden . . . . 1934/35 1935 187 292 Market Supply Committee. Federation of Netherlands Milk Industry. 104 103 100 103 Institut für Konjunkturforschung. Federation of Netherlands Milk Industry. Federation of Netherlands Milk Industry. 232 WORKERS' NUTRITION AND SOCIAL POLICY Part £. — Consumption of Selected Foodstuffs (continued) TABLE IX. — BUTTER National per capita consumption 1928-1935 (kgs. per year) Country 1928 Germany. 1929 1930 1931 1932 1933 1934 6.9 Australia. 13.4 6.9 13.5 7,3 7.3 7.5 13.1 13.1 7.4 1935 Source Instit. f. Konjunkturforschur 7.3 Official Yearbook of Australia 13.Í Austria. . 2.8 Federation of Netherlands Mi Industry. C. M. Wright. Belgium . 11.0 Canada. . 13.8 Do. 8.5 Do. Denmark. 7.8 United States Great Britain and Northern Ireland 5.9 6.1 ' 7.8 7.8 8,1 8.2 8.1 9.0 7.9 8.0 8.4 9.4 9.8 10.6 11.4 Production A. A. A. France . . . — Italy 7.1 5.9 6.5 Annuario statistico italiano. 7.3 New Zealand 7.6 5.7 laarciììers voor Nederland. Federation of Netherlands Mill Industry. 6.0 Federation of Netherlands Mill Industry. C. M. Wright. 16.8 — — Sweden . . . . Switzerland . . Statutist 8.7 — Norway . . Federation of Netherlands Mil Industry. Market Supply Committee. C. M. Wright. — 1.2 Netherlands Sectic Imperial Economic Committei 9.5 Finland. . . Planning — Do. 9.2 6.7 Secrétariat des paysans suisses C. M. Wright. 6.4 Aar bog. TABLE X. — EGGS National per capita consumption, 1928-34 (kgs. per year) Country 1928 1929 1930 1931 1932 1933 7.8 7.9 8.0 7.7 7.7 6.8 6.4 6.4 12.2 12.8 1934 Sources 6.7 Instit. für Konjunkturforschung. 4.9 Market Supply Committee. Statistisk Aarbog. ili United States .... 12.3 12.3 12.1 11.4 Great Britain and Northern Ireland. • Italy 4.78 4.6 14.1 Market Supply Committee. Production Planning Section A. A. A. 6.6 Market Supply Committee. 8.6 Market Supply Committee. Annuario statistico italiano. Market Supply Committee. APPENDIX IV 233 Part E. — Consumption of Selected Foodstuffs (concluded) TABLE XI. — SUGAR National per capita consumption 1928-1934 (kgs. per year) Country Australia 1928 1929 1930 1931 1932 1933 1934 22.7 23.1 24.0 20.8 19.7 20.0 21.1 - — — — — 46.3 24 .5 29.3 Inited Slates .... Oficial Yearbook of — — — 24.9 24.4 — — 50.1 48.7 — -- 45.0 47.4 45.4 45.0 45.6 43.4 54.1 47.2 46.9 46.9 46.4 43.4 25.4 25.7 26.7 16.4 taly 40.7 40.4 51.3 Market Supply Committee. Statistisk Aarbog. 41.1 Production Planning Section A. A. A. Statistical Abstract of the U.S.A. Annuaire stat. de Finlande. — — - Market Supply Committee. 22.9 40.6 43.6 1 1.8 Statistisk Ârbok for Norge. 41.6 9.6 40.5 9 .0 41.7' 9.5 - 1 29.7 27.9 29.5 28.8 'oland — — — :zecho*lovakia . . . 1 — Market Supply Committee. 29.1 26.8 24.6 26.3 25.1 — — 24 24 Statistisk Ärsbok für Sverige. — 24 Concise Stat. Yearbook of Poland. Market Supply Committee. 44.7 — laarcijfers voor Seierland. Statistisk Ârbok for Norge. — 4C .8 — Market Supply Committee. Annuario statistico italiano. 9.8 39.0 Switzerland Statistical Abstract for the United Kingdom. Annuaire statistique hongrois. — 6.4 7.2 27.3 Australia. Market Supply Committee. Statistisk Arbok for Norge. 20 .0 22.6 »real Britain and Northern Ireland . Instit. f. Konjunkturforschung. Market Supply Committee. 51.7 lelgium Source 52 44.0 — Market Supply Committee. Annuaire statistique de la République tchécoslovaque. 234 WORKERS' NUTRITION AND SOCIAL POLICY Part F. — Notes on Sources Used and Methods of Computation Employed I. FAMILY BUDGET ENQUIRIES 1. Germany : Die Lebenshaltung von 2,000 Arbeiter-, Angestelltenund Beamtenhaushaltungen, Teil I : Gesamtergebnisse. Einzelschriften zur Statistik des Deutschen Reiches, No. 22, I. Berlin, 1932. The enquiry covers the period from March 1927 to February 1928. I t gives data relating to food consumption by families of workers, salaried employees and civil servants living in a great number of towns of different sizes. Quantities of food consumed are reported per family and per consumption unit (the latter term defined as an adult male, aged 15 years or more). 2. Austria : KAMMEB TUB A R B E I T E » UND ANGESTELLTE IN WIEN : Wirtschaftsstatistisches Jahrbuch, 1933-35. Vienna, 1935. The Austrian Chamber for Workers and Salaried Employees in Vienna publishes annually statistics relating to the family budgets of workers' households living in Vienna. The statistics are not, however, classified by income groups. The Yearbook for 1933-35 supplies data which cover the years 1929, 1931 and 1933, and also supplemental data covering unemployed households in 1933. Quantities of food consumed are reported per consumption unit (defined as an adult male aged 20 years or more). 3. Belgium : Armand JDXIN : Résultats principaux d'une enquête, sur les budgets d'ouvriers et d'employés en Belgique. The Hague, 1934. The enquiry covers almost a thousand working class and lower middleclass families living in various industrial districts. Data on food consumption relate to four fortnightly periods taken at the beginning of each season of the year. The unit of consumption in the original enquiry was the " quet " (a child of less than one year of age). I n order to secure figures per consumption unit (adult male) per year, the original figures have been adjusted by the International Labour Office. They have been multiplied first b y 6.5 to obtain yearly figures ; and then by 3.5 (number of " quet " equivalents for an adult male 25 years or more). 4. Brazil : Revista do Arguivo Municipal de Säo Paulo, 2nd Year, Vol. X I I I , Sao Paulo, 1935. The above enquiry on family budgets relates to the households of Sâo Paulo workers for the three-month period April-June 1934. I t gives detailed information on consumption per family. No data are available by consumption unit. 5. Bulgaria : Annuaire statistique du Royaume de Bulgarie, 1931. The enquiry covers the period from June 1927 to May 1928. Owing to the small number of households included, a subdivision by income groups would give erratic results. Accordingly, the higher income groups have been excluded from consideration. The data are reported per family unit and per consumption unit (an adult male, 25 years or more). 6. United States of America : (a) U.S. Bureau of Labor Statistics. A large-scale enquiry (Study of Consumers' Purchases) is being conducted jointly by the U.S. Department of Labor (Bureau of Labor Statistics), the U.S. Department of Agriculture (Bureau of Home Economics) and the National Resources Committee (Industrial Section). For the present study use has been made of two reports publishing provisional results of this enquiry : 235 APPENDIX IV (1) HAZEL K. STIEBLING : Food Consumption of Gity and Village Families in the United States. League of Nations Mixed Committee on the Problem of Nutrition, Geneva, 1936. The report relates to December 1934, and January and February 1935, and covers white wage earners and lower salaried employees in cities of the North Atlantic Region. The consumption figures are given per capita. (2) FAITH M. WILLIAMS : " Food Consumption a t Different Economic Levels." Monthly Labor Review, Vol. 42, No. 4, April 1936. The article contains a summary showing the amounts of food consumed in a. week in the Spring of 1935 by 324 families living in representative cities of the north-eastern and south-eastern United States. The data are given per capita and relate to employed wage earners and lower salaried workers. They are recalculated by the International Labour Office on a yearly basis. (b) " Standard of Living of Employees of Ford Motor Company in Detroit ", Monthly Labor Review, June 1930, Vol. 30, No. 6, pp. 11-54. This study reports in detail the food consumed b y 100 families of Detroit workers employed by the Ford Motor Company in 1929. No subdivision by income groups is given. The statistics are reported per consumption unit {an adult male over 14 years of age). 7. Finland : (a) " Työläis — ja toimenhaltijaperheiden elinkustannukset Helsingissä vuonna 1928 " (Les dépenses dans les ménages ouvriers et dans ceux d'employés subalternes à Helsinki en 1928), Sosialinen Aikakauskirja, 1932, No. 12. (b) " Kaupunkien ja muiden asutuskeskuksien elinkustannukset vuonna 1928 " (Le coût de la vie dans les villes et autres centres d'habitation en Ì928), Sosialinen Aikakauskirja, 1933, No. 12. The enquiry relates to 1928 and covers families of workers, salaried employees and civil servants living in various towns or rural centres. The figures, which are provisional, are given without subdivision by income groups. I n the original enquiry, the statistics related t o a " normal family ". These have been adjusted by the International Labour Office to obtain figures per unit of consumption. The adjustment consists of dividing by 3.4 (number of " consumption units " per " normal family "J. 1 8. Italy : A. NICEFOBO and G. GALEOTTI : " Primi risultati dell' inchiesta alimentare condotta in varie Provincie d'Italia ", Quaderni della nutrizione, Voi. 1, No. 1, May 1934. The above study reports quantities of food consumed daily during the period from 8 April to 7 May 1929. I t covers four Italian provinces : Bolzano, Lecce, Salerno, Sassari. Data for Salerno alone are reproduced here. They are given per consumption unit (an adult male 14 years or more). 9. Mexico : Federico BACH : " Como se alimentan los obreros en la Ciudad de Mexico ", in U. O. B. Revista de cultura moderna, enero de 1936. Mexico, D. F., 1936. The enquiry covers wage earner families employed in various industries in Mexico City and gives data of (a) quantities consumed of 8 principal groups of food according to income (per family per week) and (b) average quantities consumed of 32 different foodstuffs. The figures reproduced here are recalculated by the International Labour Office, and give quantities per consumption unit per year. 1 The final report on the Finnish family budget enquiry has been published while this study was in the press, and the reader ia referred to the report for complete details : See Suomen viraBinen tilasto : ElinkustannustidkimuJS vuodelta, 1928 (Etude sur le coût de la vie en 1928). Helsinki, 1936. 236 WORKERS' NUTRITION AND SOCIAL POLICY 10. Norway : " Husholdningsregnskap ", Norges offisielle Statistikk, VIII, 103. Oslo, 1929. The enquiry covers the period from September 1927 to August 1928, and relates to 135 workers' families and to 35 civil servant households. The unit of consumption is taken as the adult male (aged 15 years or more). 11. Palestine: " A n Inquiry into the Diets of the Urban and Rural Population of Palestine ", published in Palestine and Near East, Vol. VI., Nos. 21-22, Tel-Aviv, 1931. The survey conducted by the Department of Hygiene of the Hebrew University, Jerusalem, gives detailed information on the food habits of various racial and social groups in Palestine. The groups included are : (a) the urban Jewish population, (b) the rural Jewish population, and (c) the rural Arab groups. In the above table data are given for (a) the Ashkenazic community, as representing conditions among the urban Jewish population, (b) Ein Harod (important Jewish collective settlement), and (c) Kabaa (well-to-do Arab village). The quantities consumed are given per day and per consumption unit (an adult male 14 years and over). They are recalculated by the International Labour Office on a yearly basis. 12. Poland : Statistique de la Pologne, Tome XL, fase. 2. Warsaw, 1933. The Polish Statistical Office conducted family budget enquiries in 1927, 1928 and 1929. The source quoted above gives the results of the 1929 enquiry, which covers wage-earning families in the industrial centres of Warsaw, Lodz and the Dabrowa Basin. Quantities consumed are reported per consumption unit (an adult male, aged 18 years or more). 13. Sweden : (a) " Levnadsvillkor och hushállsvanor i städer och industriorter omkring âr 1933 " (Conditions de vie et habitudes ménagères dans les villes et dans les localités industrielles en 1933), Sodala Meddelanden, Series F , Vol. 44, No. 12, Dec. 1934. (b) " Den svenska folkkostens näringsvärde i städer och industriorter ar 1933 " (Valeur nutritive de la nourriture ordinaire suédoise dans les villes et les endroits industriels en 1933), Sodala Meddelanden, Series F , Vol. 45, No. 3, mars 1935. The enquiry covers the year 1933. I t supplies information on the household budgets of two family groups : (a) Workers and lower salaried employees, and (b) lower middle class. The original data are reported per " normal family " (containing 3.3 consumption units). These data have been divided by the International Labour Office by 3.3, in order to obtain figures per consumption unit (an adult male 15 years or more). 14. Czechoslovakia : Mitteilungen des Statistischen Staatsamtes der Tschechoslovakischen Republik, XVth Year, 1934, Nos. 35-38. The enquiry covers the whole country and relates to the twelve months ending 30 June 1930. I t supplies detailed information for the households of workers, salaried employees and civil servants. The food data are reported per consumption unit (an adult male aged 19 years or more). 15. United Kingdom : E. M. H. LLOYD : " Food Supplies and Consumption a t Different Income Levels '•', Journal of the Proceedings of the Agricultural Economics Society, Report of the Conference held at London, 10-11 December 1935. I n this address the author : (a) summarises the results of recent investigations into the food supplies of the United Kingdom, and (b) presents provisional estimates of food consumption a t different income levels. In the original, the data are given per week per capita. They have been recalculated by the International Labour Office on a yearly basis. 237 APPENDIX IV I I . NATIONAL P E R CAPITA CONSUMPTION (a) Special 1. Studies INSTITUT FÜR KONJUNKTURFORSCHUNG : Wochenbericht, 8th Year, No. 30. 31 July 1935. The German Institute for Business Research has published annual estimates of the total amount of foodstuffs consumed in Germany for each year of the period 1924 to 1934. Data are available for 44 groups of foodstuffs, covering almost the whole range of human consumption. In the present study the International Labour Office has derived per capita statistics by dividing total recorded consumption by total recorded population for each year in question. 2. IMPERIAI, ECONOMIC COMMITTEE : (a) Dairy Produce Supplies in 1934. London, 1935. (b) Meat : A. Summary of Figures of Production and Trade relating to Beef, Mutton and Lamb, etc. London, 1935. (c) Cattle and Beef Survey. London, 1934. (d) Mutton and Lamb Survey. London, 1935. These studies present summaries relating to production of and international trade in, groups of allied commodities, with special reference to the countries of the British Commonwealth of Nations. The studies contain, inter alia, estimates of per capita foodstuff consumption for a restricted list of important countries. The estimates are to a great extent provisional and yield only a rough indication of consumption trends. 3. LEAGUE OF NATIONS : Documents of the Mixed Committee on the Problem of Nutrition. In its preparatory documents for the first session (10 February 1936) of the Mixed Committee, the League of Nations published a survey of post-war developments in the field of nutrition. The survey gives general information on consumption habits in France, the United Kingdom, Belgium and Switzerland. Data on the per capita consumption of milk, butter and cheese in 15 countries are also presented. (Cf. Nos. 5 and 6, below.) 4. MARKET SUPPLY COMMITTEE (OVERSEAS INTELLIGENCE) : Food Consumption in Creat Britain and certain Foreign Countries, M. S. C./0. I./316. This summary compares the per capita consumption of important groups of foodstuffs in various important countries. 5. CONFÉDÉRATION NATIONALE B U COMMERCE ET DES INDUSTRIES D E L'ALIMENTATION : — The April 1935 bulletin of the " Confederation " contains data on the trend of total meat consumption in France from 1927 to 1935. These figures are quoted by the League of Nations in the Documents of the Mixed Committee on the Problems of Nutrition (see above). The figures used in the present study represent a recomputation by t h e International Labour Office. Total recorded meat consumption has been divided by total recorded population. 6. FEDERATION o r NETHERLANDS MILK INDUSTRY. — The Documents of the Mixed Committee of the League of Nations (see above) reproduce figures —• computed by the Federation of Netherlands Milk Industry — relating to yearly per capita consumption of milk, butter and cheese in 15 countries. 7. A. E . FEAVEARYEAR : " The National Expenditure 1932 " , Economic Journal, March 1934, Vol. XLIV, No. 173, p p . 33-47. Estimates based on various sources (Census of Production, 1930 ; publications of the Ministry of Agriculture, Empire Marketing Board, etc.). 238 WOBKEES' NUTEITION AND SOCIAL POLICY 8. C. M. WRIGHT : " Butter as a World Staple ", Index (" Svenska Handelsbanken ", Stockholm), Vol. X : 11, No. 119, November 1935. This article brings together official estimates of per capita butter consumption in various countries during 1932. I t also contains a table showing yearly fluctuations in butter a n d margarine consumption for the period 1929-1934 in Denmark, Germany, the Netherlands and the United Kingdom. 9. PRODUCTION PLANNING SECTION, A. A. A. — Information based on statistics compiled by the Agricultural Adjustment Administration. The data given relate to average per capita consumption of principal agricultural products in the United States. 10. W H E A T ADVISORY COMMITTEE : Secretariat's Report on ¡World Wheat Consumption. The Wheat Advisory Committee publishes in its report on the world wheat consumption figures on per capita consumption of wheat in a large number of countries. Wherever possible, t h e data are based on estimates of home-milled flour adjusted for net imports or exports of flour. For many countries the following formula had to be used : total consumption of wheat minus estimates of animal consumption (plus waste). I n view of the methods of computation employed, the figures give a t best a rather inaccurate picture of t h e human consumption of wheat during the 25-year period 1909-1934. 11. SECRÉTARIAT DES PAYSANS SUISSES : Statistiques et évaluations agricoles, IXth. fase. Brugg, 1932. The study presents data on per capita consumption of a restricted list of important foodstuffs in Switzerland. No information is given as to the methods employed in arriving a t the estimates. (b) Statistical 1. Yearbooks STATISTISCHES JAHRBUCH FÜR DAS DEUTSCHE R E I C H , 1933. — The German Statistical Office publishes yearly estimates of the quantities of various commodities available for general consumption. The data on wheat a n d potatoes in the above tables relate t o the quantities available both for human and animal consumption as well as for industrial purposes. 2. OFFICIAL YEARBOOK OF AUSTRALIA, 1933, 1934. — The data on meat consumption have been computed from a variety of official sources, each of which employed somewhat different recording methods in arriving at national totals. The data on wheat uniformly exclude quantities used for seed purposes, as well as quantities fed t o livestock. 3. STATISTISK AARBOG, 1933 (Dennmark). — The 1933 Yearbook gives yearly estimates of total and per capita food consumption in Denmark. The totals were obtained by adding net imports to domestic production. No account would seem to have been taken of changes in the volume of carry-over. 4. ANNUAIRE STATISTIQUE DE FINLANDE, 1934. — published for a small list of staple foods in Finland. given as to the method of compiling the data. 5. ANNUAIRE STATISTIQUE HONGROIS, 1934. — Yearly data are No indication is The [Hungarian Statistical Yearbook contains consumption data for a restricted list of commodities in Hungary. National consumption totals are obtained b y adding net imports to domestic production. 6. ANNUARIO STATISTICO ITALIANO, 1935. — The Italian Statistical Yearbook contains yearly figures on the annual quantities of foods available for human consumption in Italy. The data are in general based on domestic production totals, to which net imports are added. Allowance is made for animal consumption and for grain used for seed. 1 1 The methods adopted are explained in great detail [in Dr. Lorenzo SPINA : / ¡consumi alimentari della popolazione italiana nell'anteguerra (1910-1914) e negli ultimi anni (1926-1930), published by " Istituto centrale di Statistica dei Regno d'Italia ", Roma, 1931. APPENDIX IV 7. 239 STATISTIK ÂRBOK Ï O E NORGE, 1934. — An appendix relating t o international statistics contains data on per capita consumption of sugar, tea and coffee in various countries. 8. JAARCIJFERS VOOR NEDERLAND, 1933. — Most of t h e data are computed b y adding net imports t o domestic production and b y deducting quantities used in agriculture and for industrial purposes. No allowance is made, however, for the consumption of grain by animals. I n general, changes in volume of carry-over are neglected. 9. CONCISE STATISTICAL YEARBOOK OF POLAND, 1935. — The Year- book contains a table exhibiting international differences in the per capita consumption of various commodities. The data have been computed by adding imports to, and deducting exports from, the volume of domestic production. Allowance has been made for the quantity used for seed purposes. 10. ANNUAIRE STATISTIQUE D E LA RÉPUBLIQUE TCHÉCOSLOVAQUE, 1935. 11. STATISTICAL ABSTRACT OF THE U N I T E D STATES, 1934. — The data on wheat consumption include quantities fed t o animals. Allowance is made for seed requirements. 12. 78TH STATISTICAL ABSTRACT FOR THE U N I T E D KINGDOM, 1935. — The abstract gives figures on total consumption and per capita sumption of sugar. con- APPENDIX V NOTES ON NUTRITION CONDITIONS AMONG UNEMPLOYED WORKERS Germany During the winter of 1932/33, Dr. Tyszka studied the food purchasing power of unemployed families receiving municipal assistance. x I t was found t h a t an unemployed household with one child 14 years of age would have available for food only 30 marks a month ; a household with two children, 37 marks ; a household with three children (aged iy2, 4, and 5 years) 44.5 marks. The diets t h a t could have been purchased would not have provided more, per consumption unit, than 2,617 calories daily and 57 grammes of- protein (of which 24 animal) for the family with three children ; or more than 2,615 calories and 54 grammes of protein (21 animal) for the family with two children ; or more t h a n 2,494 calories and 52 grammes of protein (21 animal) for the family with one child. In all three cases, the possible diet fell below the 1927-1928 estimates of the Federal Statistical Office for the families of workers in employment : an average of 2,850 calories and 86 grammes of protein (57 animal) daily per consumption unit. According to Dr. Tyszka, the difference in calorie consumption, and even more in protein consumption, between the diet of unemployed workers in 1932/33 and employed workers in 1927/28, was attributable to the low consumption by the unemployed of such foodstuffs as meat, milk, eggs, vegetables, and fruits. In short, the basic dietary of unemployed workers in Germany tends to be based on margarine and potatoes, especially potatoes. Aside from its low calorific value and shortage in proteins, this diet is also deficient in Vitamins B and C. Austria According to an authoritative statement submitted in December 1935 to a meeting of the International Labour Office's Committee ,of Experts on Workers' Nutrition, enquiries conducted by the Austrian Federal Statistical Office and by the Workers' Chamber disclose a decline in nutritional levels among unemployed households during the course of the depression. 2 I n Vorarlberg, 30 per cent, of the unemployed eat no meat and. 10 per cent, no butter. I n the Tyrol, 40 per cent, of the unemployed eat no meat and 80 per cent, no butter. Per consumption unit, unemployed families in Austria consume diets which yield from 1,750 to 2,520 calories and which provide from 30 to 69.4 grammes of protein. 1 Klinische Wochenschrift, 10 June 1933. Of. Dr. LOPES : " The Economic Depression and Public Health ", International Labour Review, Vol. XXIX, No. 6, June 1934. 8 Nutrition Conditions in Austria, Memorandum presented by Professor R. DURIG, Physiological Institute, University of Vienna, to the International Labour Office's Committee of Experts on Workers' Nutrition, at its first session held in Geneva from 2 to 7 December 1935. C. Exp. A. 1. 2, 1925. 241 APPENDIX V United States of America Local and regional enquiries in the United States in recent years have been largely concerned with the problem of evaluating the success with which the newly created relief agencies have functioned, and with reforms in the system of administering relief to the unemployed. l Directly related to the subject of this report is the study made by the Children's Bureau of the United States Department of Labor, acting in conjunction with the United States Public Health Service in the fall of 1934. The study is a survey of 259 families in four cities — Atlanta (Ga.), Memphis (Tenn.), Racine (Wis.) and Terre Haute (Ind.) — with a view to determining the effects of the depression on the nutrition of children in unemployed households. a Nearly every family suffering from reduced income as a consequence of unemployment reported t h a t the lowering of diet was one of the most severe hardships it had to endure. Less meats were eaten, and of lower grades ; eggs were eliminated from the dietary, and margarine substituted for butter. The consumption of fruits, vegetables, and milk was also materially lowered. I n no less than 61 per cent, of the households, it was found, the diets were deficient in essential vegetables. Green vegetables were almost entirely lacking in the diets of 20 per cent, of the families, whose chief foods were restricted to bread, beans and potatoes, with possibly cabbage once or twice a week. Poland The Institute of Social Economy and the Central Statistical Office have collected data which show a decline of more than 30 per cent, in the average value of the food consumed during unemployment b y workers' families. COMPARISON OF THE NUTRITIVE AND CALORIC VALUE OP FOOD CONSUMED BY UNEMPLOYED AND EMPLOYED FAMILIES A. Nutritive Value in Grammes (Average daily nutritive value per consumption unit for all families investigated) Employed Unemployed Total Protein . . . Vegetable . . . Animal . . . . 63.8 36.6 27.2 45.5 28.8 16.7 Total Fats . . . . Vegetable . . . Animal . . . . 53.0 4.1 48.9 32.7 3.1 29.6 Total Hydro-Carbons Vegetable . . . Animal . . . . 474.2 462.0 12.2 354.8 349.0 5.8 x See Dorothy G. WIEHL : " Health and Depression Studies ", No. 2, In Public Health Reports, Vol. 51, No. 4, 24 January 1936 ; Nutritive Value of Foods Purchased by Dependent Families — A Study of Grocery Orders, prepared by R. OKEY and M. Ct. LUCK, for the Heller Committee for Research in Social Economies of the University of California, July 1934 ; A Study of Emergency Food Relief in Rockford, Illinois, Elizabeth McCormick Memorial Eund, Chicago; Clide V. KISEY and Regine K. STIX : Nutrition and the Depression, pp. 209-307, Milbank Memorial Fund, Oct. 1933; Food and Nutrition Work of F.E.R.A., a Review with numerous State Examples, F.E.R.A. Release No. 1226, 15 July 1935. " Cf. Katherine E. LBssoOT : " Children of the Depression " The Social Service Review, Vol. IX, No. 2, June 1935. 16 242 WORKERS' NUTRITION AND SOCIAL POLICY B. Value in Calories (Average daily caloric value per consumption unit in all families investigated) Total Foodstuffs Vegetable . Animal . . Employed Unemployed 2,704.6 2,087.7 616.9 1,950.9 1,583.4 367.5 United Kingdom A number of enquiries have been made in Great Britain into the diets obtaining among the families of unemployed workers on relief. 1 Some of these studies reached the conclusion t h a t the families observed were subsisting on diets appreciably inferior t o t h e standards held to be necessary to maintain health and working capacity both by t h e British Medical Association Committee and b y the Ministry of Health Committee. 2 Dietary deficiencies were most marked in the consumption of firstclass proteins. I t was also found t h a t unemployed families living in " new housing " areas suffered from larger food deficiencies t h a n did unemployed families living in " slum " areas ; a result attributed to the influence of comparative rentals. 8 There has been much controversy in Great Britain, however, as to the exact effects of unemployment on the state of nutrition. The Chief Medical Officer of the Ministry of Health has maintained that, outside a few depressed areas, unemployment has h a d no noticeable effect in producing malnutrition. On the other hand, various students of the question have challenged this conclusion.. The points a t issue in this controversy would seem to be the following : 1. Is the insufficiency of family income to b u y food in accordance with the B . M. A. scale to be taken as presumptive evidence t h a t some degree of malnutrition exists ? 2. Are present assistance allowances (as distinct from unemployment 1 In 1933, such an enquiry was conducted at Newcastle-on-Tyne. See also Motherhood in the Special Areas of Durham and Tyneside; Report of the Medical Officer of Health, Newcastle, 1934 : G. C. M. MoGoNiaiiB : " Poverty, Nutrition and the Public Health ", in Proceedings of the Boyal Society of Medicine, 24 Feb. 1933 ; C. B. MCNAILY : Public lU-HeaUh, Victor Gollancz, 1935 ; Children, Young People and Unemployment, 1933, Part III, pp. 161-162 ; On the State of the Public Health, Annual Report of the Ministry of Health for 1933. * A Committee appointed on 12 April 1933 by the British Medical Association " to determine the minimum weekly expenditure on foodstuffs which must be incurred by families of varying size if health and working capacity are to be maintained, and to construct specimen diets " issued a report on 24 November 1933, in which it was estimated that the weekly cost of the food requirements of a family of two parents and three children would be 20s. O'/ad. (on the basis of figures furnished by Medical Officers of Health) and 16s. 5Vjd. (on the basis of average weekly prices in a North-country town over a two-year period). At full unemployment benefit rates, such a family would receive (at time of the study) 29s. 3d. weekly. An advisory Committee of the Ministry of Health later issued a report in which the standard laid down in a previous memorandum was stated to be based on an allowance of calories deemed sufficient, although less than the allowance as estimated by the Committee on Nutrition of the B. M. A. (Cf. Industrial and Labour Information, Vol. XIIX, No. 9, 26 February 1934, p. 300). A joint conference of representatives of both committees subsequently established the constituents of a physiologically desirable diet as the basis for estimates of minimum expenditure. (Cf. C. E. MONAILY : Public IU-Heatth, london, Victor Gollancz, 1935.) • In the " New housing " areas, the average amount available for food among the unemployed families came to 3s. lV«d. per man per week ; in the " slum " areasl to 3s. S^jd. An adequate diet, by B. M. A. standards, would have required from 5s. to 5s. 10 /¡d. per man per week. 243 APPENDIX V benefits) sufficient to buy for the unemployed worker's family enough food to preserve health and work capacity intact ? 3. Are the present criteria of malnutrition as established by the Ministry of Health adequate working criteria 1 ? Czechoslovakia The Social Institute of the Czechoslovak Republic made a study of the effects of unemployment on the consumption of a certain number of workers' families in 1932. 2 Inasmuch as the data relate to a relatively small number of unemployed families, and to a limited period of four consecutive weeks in February 1932, they are interesting primarily as illustrations of the way in which the observed unemployed families reduced their physical consumption of foodstuffs between 1931 and 1932. ANNUAL CONSUMPTION PER UNIT OF CONSUMPTION BY THE FAMILIES OBSERVED During em- During unployment employment in 1932 In 1931 Beef Pork Veal Mutton Smoked meat . . . . Poultry Game Pork butcher's wares P o r k fat Butter Lard Bacon Artificial fats . . . . Milk Eggs Flour Bread Meal Rice Potatoes L e g u m i n o u s vegetables Sugar Kg. Litres Number Kg. 11.31 10.66 1.82 0.91 2.99 2.21 1.17 8.58 11.31 4.03 0.52 0.78 4.81 178.23 146.64 67.47 109.33 4.42 5.85 147.68 3.51 29.12 5.72 6.89 0.52 2.34 1.04 6.50 5.89 3.12 1.56 0.26 5.85 170.82 99.97 52.91 113.49 5.07 5.33 181.61 3.38 11.83 Percentage — 49.4 — 35.4 — 100 — 42.9 — 21.7 — 100 — 11.1 — 24.2 — 47.1 — 22.6 + 300 — + — — — + + 66.7 21.6 4.2 31.8 21.6 3.8 14.7 8.9 23.0 3.7 59.4 According to the above table there was an increased consumption among the unemployed of the following commodities : artificial fats, potatoes and, to a slight extent, meal. The consumption of bread also increased a trifle. The consumption of all other foodstuffs decreased. 1 Por a summary of various authoritative estimates of minimum subsistence needs, and of various authoritative nutritional standards, Cf. Memorandum on the Scale of Needs suitable for Adoption by the Unemployment Assistance Board in assessing assistance to applicants under Part II of the Unemployment Act, 1934, submitted on behalf of the Children's Minimum Campaign Committee, by Eleonor F. BATHBONE, July 1934. This memorandum considers the estimates and standards of Dr. A. L. Bowley, those of the Week End Review, those of the Nutrition Advisory Committee of the Ministry of Health, those of the B. M. A. Committee on Nutrition, and finally those of the Joint Conference of the B. M. A. Committee on Nutrition and the Nutrition Advisory Committee of the Ministry of Health. 1 Cf. Note submitted by Dr. FEIERABEND to the Mixed Committee on Nutrition, February 1936. APPENDIX VI LAWS AND REGULATIONS ESTABLISHING MINIMUM STANDARDS OF QUALITY AND OF PURITY FOR FOOD PRODUCTS, PROHIBITING ADULTERATION AND FRAUD, AND REQUIRING THE USE OF STANDARDISED WEIGHTS, MEASURES AND DESCRIPTIONS OF QUALITY Note prepared by the International Institute of Agriculture The first step in the investigation of this problem will be to consider the general measures which apply to all agricultural products and those which, while laying down the principle of a general system for the supervision of such products, leave special provision to be made subsequently for the application of t h a t principle to individual commodities. Among the general legislative measures providing for the sanitary inspection of agricultural products, and for a general guarantee of quality, are those adopted in Switzerland, Norway, Luxemburg, and the Netherlands. In Switzerland special provision is made for the inspection of food products at the frontier. Imported foodstuffs are examined by the customs authorities with respect to quality, good preservation, and accurate labelling. Those which are obviously in bad condition are stopped at the frontier and sent back, while in the case of other articles which seem suspect samples are taken with a view to definitive analysis. In Norway agricultural products are subject to supervision, which is exercised over imports, exports, and home trade. The Crown has poWer to issue measures ensuring t h a t agricultural products which are exported, imported or offered for sale are of good quality and reach the market in a good state of preservation. I t further has power to issue orders forbidding t h e inaccurate labelling of commodities with respect to origin, nature, composition, quality or purity, and regulating the manufacture and packing of such commodities, their content, and the conditions which must be fulfilled before they m a y be exported, imported or offered for sale under any given name. Orders m a y also be issued by the Crown classifying each commodity with reference to the processes b y which it has been treated, or to content, quality, quantity, size, and other properties. They may lay down the conditions to be fulfilled and the marks to be adopted for each class. Legislation in Luxemburg provides for the standardisation of agricultural products and the use of a national mark. The Government has power to classify agricultural and horticultural products. Each class must correspond with a standard product of homogeneous quality, with respect to which the buyer is guaranteed by the seller. The purpose of the national mark is to guarantee the origin, quality and condition of agricultural and horticultural products, but its use is optional. APPENDIX VI 245 The use of official marks for export goods has, since 1929, been compulsory for most agricultural products in the Netherlands. In other countries, such as Italy and Chile, the supervision of export commodities is governed as a rule by regulations of a technical nature. The provisions deal with labelling, grading, quality, containers, marks, and all other factors calculated to establish the reputation of the exported commodities abroad. Some countries have set up standards offices and introduced national marks. In Tunis, for instance, there is a Tunisian Standards Office, while the quality of exported agricultural products is guaranteed b y the mark " Tunisia " . SPECIAL LEGISLATION DEALING WITH INDIVIDUAL PRODUCTS Milk and Dairy Produce Mention must be made of laws and regulations dealing With the following points : (a) (b) (c) (d) (e) (f) the purity of milk placed on sale ; regulations applying to the manufacture of and the home and foreign trade in dairy produce ; the trade in margarine and prepared animal fats ; grading and marking ; commercial frauds and the means of preventing them ; improvements in the production of milk. (a) Purity of Milk placed on Sale Most laws and regulations apply four methods of guaranteeing the purity of milk. These are the following : (1) measures to ensure hygienic milking ; (2) pasteurising ; (3) segregation of diseased animals and destruction of tuberculous cattle ; (4) prohibition of adulteration. The most important measure is t h a t mentioned under (3), since tuberculosis in milch cows is the most frequent and dangerous source of impurity in milk. General measures directed to this end are to be found in many laws and regulations. For instance, the Canadian dairy industry Act provides that no one shall sell milk taken or drawn from a cow t h a t he knows to be diseased at the time the milk is so taken or drawn. The French Act of 2 July 1935 provides t h a t milk intended for consumption or for the manufacture of dairy produce may not be placed on sale unless it is taken from milch cows which are in a perfect state of health. Various methods of eliminating tuberculous cattle are employed in different countries. In England, if it is found by analysis t h a t milk contains tubercle bacilli, investigations are made to discover where the milk came from, and the cow is destroyed, the owner receiving compensation. In Denmark measures are taken to segregate infected cattle. In many countries cattle are tuberculin-tested with a view to detecting infected animals. In the United States and in France tuberculous animals are directly 246 WOEKEBS' KUTRITIOSr AND SOCIAL POLICY destroyed. I n France the Minister of Agriculture is allowed certain credits for the purpose of buying animals which are presumed to be tuberculous and of having them destroyed. Further, prophylactic measures against tuberculosis are subsidised. Owners may apply for inspections to be carried out on their farms by veterinary officers. - The animals found to be tuberculous are destroyed ; the rest of the cattle is tuberculin-tested, and the cowsheds are disinfected. A certificate is issued to the owners of cowsheds which have been disinfected. The State makes a contribution towards the expenses of compensating t h e employer for the destruction of infected animals, disinfecting cowsheds and providing these with sanitary equipment. Further, in France milk taken from animals infected with tuberculosis, and milk containing tubercle bacilli, may not be used as food for human beings or animals either in the form of milk or in t h a t of milk products unless it has been heated so as to destroy the bacilli. Moreover, milk taken from animals severely infected with tuberculosis of the lungs, intestines, udder or uterus, must always be destroyed. (b) Regulations applying to the Manufacture in Milk Products of Home and Foreign Trade The measures described below all deal with the supervision of the conditions under which milk products are manufactured, the exact definition of the products which may be offered for sale, and the requirements to be fulfilled before such products may be imported or exported. I n Luxemburg no one may trade in milk except with a written permit issued b y the Director-General of Trade and Industry. Such permits state the conditions applying to the milk trade. Austrian legislation provides t h a t on premises where food is consumed milk may be offered for sale only if it has been treated in undertakings where milk is centralised, cleaned, refrigerated, or pasteurised and transformed. Such undertakings must hold a permit issued by the administrative authorities of the district. In France the conditions under which milk products may be manufactured and offered for sale as cream, cheese, milk powder, condensed milk, and ice-cream are strictly regulated. Similar regulations apply in Belgium. These define butter, specify the fat content required b y law, and provide t h a t the name and address of the producer, manufacturer, preparer or seller in Belgium must be clearly marked on the product. Special regulations apply to the cheese trade. In Denmark the manufacture of ice-cream is regulated. Special measures prescribe the minimum fat content, and lay down the conditions under which ice-cream may be sold and distributed within the country or exported. As regards measures applying t o imports, butter m a y be imported in Denmark only under a special permit issued by the Minister of Agriculture. In France milk products may not be imported from countries where the manufacture of margarine is not permanently supervised by special inspectors, and where margarine does not have to contain some product which will permit of its being detected in any mixture, even in very small quantities. I n Austria import permits are issued against proof t h a t corresponding products have been exported. The rule applies to milk products, but APPENDIX VI 247 in this trade permits are issued only on production of an inspection certificate to the effect t h a t the commodity is of perfect quality. In Poland butter made from cow's milk and exported under a certificate issued by the Minister of Industry and Trade is exempted from the payment of export duty. Permits are issued only for export butter which has been analysed at special centres. The analysis bears on the content of the butter in regard to water, foreign fats, and other foreign substances, and on the likelihood of mildew setting in. In the Argentine Republic the export of cream is regulated. The industrial establishments which prepare cream, or the exporters, must sign a declaration which facilitates the supervision of sanitary conditions in the undertakings, and of the conditions under which the product has been prepared. (c) Trade in Margarine and Prepared Animal Fats I n Norway special regulations apply to the trade in margarine and margarine cheese. The term " margarine " is taken to mean any product resembling butter (whatever its origin, the nature of the mixture, and its constituents) and containing fats which are not derived from milk. Margarine cheese means a cheese containing substances not derived from milk. Any such products exhibited or offered for sale, imported, or exported must bear the name of the producer and the description " margarine ", " margarine cheese " , etc. I n the Netherlands margarine may not be transported, sold or delivered unless it fulfils the requirements of the Ministry of Agriculture in regard to composition, packing, and Weight per selling unit. In Canada no person may manufacture, import or sell oleomargarine, margarine, butterine or other substitutes for butter manufactured wholly or in part from any fat other than t h a t of milk or cream. In France the words " butter ", " cream " and " milk " may not be used in any verbal or written advertisement of any kind whatsoever for margarine or prepared fats. In Switzerland no edible fat of any kind may be placed on the market unless it is mixed with Swiss butter. Ordinary edible fats such as lard, dripping, cocoanut oil, and peanut oil which are placed on the market as containing butter must have a butter-fat content of at least 5 per cent. In the case of margarine cheese the content must be 15 per cent. In Belgium margarine or prepared fats may not be imported, manufactured or prepared for sale, sold, offered for sale, kept or transported for sale or delivery : (a) unless they are mixed with substances which permit of thendetection ; (b) if they contain dripping which does not conform to the regulations applying to the meat trade ; (c) if they contain foreign edible fats which do not satisfy certain requirements ; (d) if they contain more t h a n 10 per cent, of milk fat ; (e) if they contain dyes which may be extracted b y means of a hydrochloric acid solution. Margarine and prepared fats may not be stored or placed on sale except in cubes weighing 250 grammes, 500 grammes, 1 kilogram or 2 kilograms, and packed in containers or in a wrapper. (d) Grading and Marking The use of official marks for dairy produce which is placed on the market or exported has been adopted in many countries. 248 WORKERS' NUTRITION AND SOCIAL POLICY In the Netherlands butter may not be transported, sold or delivered unless it is marked. Further, all exported cheese must be marked. Dairy produce may not be exported unless both it and its packing meet certain requirements, laid down in administrative regulations. The fact that the commodity satisfies legal requirements must be certified on a form prescribed b y the Minister of Agriculture and the certificate must accompany the commodity. In Lithuania all export butter must be graded by special inspectors. There are three grades. In the first two grades the butter is marked in Lithuanian and in English with the words " Pure Lithuanian Butter " and the date of inspection. In Poland, in order to secure exemption from export duty, butter must be submitted for inspection. Such inspection bears on the nature and quality of the packing and on the marking. The marks used b y export firms are registered by the Minister of Agriculture and communicated by it to the Minister of Industry and Commerce. In Luxemburg a national mark is used for butter. The use of this mark on the wrapper round the butter and on t h e packing affords a guarantee t h a t the butter is of Luxemburg origin, t h a t its manufacture is supervised by the State, t h a t it does not contain any fats other t h a n pure milk fat, t h a t it does not contain more t h a n 16 per cent, of water or any preserving substance other than salt, and further, t h a t it does not contain any aniline dye. In Norway importers are required to have foreign butter marked before it is released by the customs authorities if it has not already been marked in the prescribed manner. Standard grades for butter are laid down in German legislation. Butter is graded with respect to taste, smell, appearance, and density. It must be marked. Special regulations apply to the marking of foreign butter. Butter may not be mixed except with other butter which is of the same quality and is produced in the same area. (e) Commercial Frauds and the Means of Preventing Them This question has a very wide bearing since it concerns not only the economic interests of producers in the export trade, b u t social interests in the field of sanitation and public health both at home and abroad. The measures taken against fraud are designed to prevent abuses which are highly prejudicial to the consumers' health. In Switzerland a general measure deals with the taking of samples. Cowsheds are to be inspected to see t h a t they are clean, properly ventilated, and kept at the right temperature. The inspection also bears on the feeding of cows and the care given to these, the length of the milking period, and the state of the udders. When there is any reason to suspect t h a t the milk is adulterated, skimmed or diluted, a sample is taken at the cowshed. In England it is a rule that if anyone uses a mark or description obviously intending thereby to pass off the article in question as an article of a different kind, taking advantage of the similarity between such mark or description and others, he is liable to be imprisoned or fined. In Belgium cheeses or the containers or wrappers in which they are packed may not bear indications or signs which might be misleading as to the nature or origin of the products in question. Further, it is forbidden : (a) To use in any way for the purpose of describing either margarine or prepared fats or the production and sale of these commodities the APPENDIX VI 249 words " butter " , " cream " , " milk ", " mixture ", or words derived from these or any descriptions, marks, etc., recalling any attribute of the dairy trade ; (b) To inscribe or maintain on the containers or wrappers in which margarine or prepared fats are packed, or on commercial documents relating to these products, any indications concerning the composition of the product other than the word " salted " or a list of all the constituents drawn up in clear terms and in uniform and consecutive type. In France there have been three phases in legislation. In the first phase, the sale under the description of " milk ", " cream ", " cheese " , etc., of products which were not of the same origin and composition and did not have the same properties as those usually attributed to milk, cream, etc., in honest commercial practice was considered fraudulent. Since, however, disputes arose as to what the practice of the trade was, public administrative regulations were issued defining milk and dairy produce. Meanwhile the notion of fraud changed. Whereas in the first phase the seller was not liable to punishment provided the product placed on the market was " natural " and offered for sale under a description which was not calculated to mislead the buyer, and provided there had been no fraud or adulteration, in the second phase it was not enough that the product should be " natural " . The product was also required to be " normal ", t h a t is, its composition might not be defective or present anomalies due to accidental causes. A third phase began in 1934. The trade had introduced artificial products which imitated natural dairy produce. Henceforth the sale of artificial dairy produce was prohibited. No product which was not exclusively derived from milk or cream but looked like dairy produce and was intended for the same uses might be manufactured or sold. Further, the sale of diluted cream was prohibited, even if the fat used was indicated. The sale of natural skimmed milk was also forbidden, while the sale of raw milk was regulated. (f) Improvements in the Production of Milk Among the laws and regulations which are intended to promote the dairy industry and improve the quality of dairy produce, mention should be made of those introduced in Great Britain and Poland. In Great Britain a bonus of Id. per gallon of milk is payable to owners whose cows are registered as free from tuberculosis. Subsidies are granted with a view to ensuring t h a t the supply of milk intended for human consumption shall be pure and free from any disease or infection. In Poland State competitions are organised for butter and cheese. Prizes and rewards are granted to producers when the samples analysed by official experts show t h a t the products are of good quality.