It is a horrible fact that many of these children whose diet is so unwholesome cannot eat decent food, even when they are most hungry. It is not merely a question of appetite, but of stomachs too weak by reason of chronic hunger and malnutrition to stand good and nutritious food. This has been frequently observed in connection with Fresh Air Outings for poor children in the tenement districts. I have known scores of instances. Very often these children have to be patiently taught to eat. Sometimes it takes several days to induce them to take milk and eggs. They crave for their accustomed food—coffee and bread, or pickles. The same fact has been observed in connection with adults in the hospitals. When the Salvation Army started its free breakfast stations in New York, the newspapers made a good deal of the fact that the children refused to eat the good soup and milk porridge at first provided. That was regarded as conclusive evidence that they were not hungry, for a hungry child is supposed to eat almost anything. That is true in a measure of children who are merely hungry, but these children are more than hungry. They are weak and unhealthy as the result of chronic underfeeding. I myself saw many children at the Salvation Army free breakfast depots whose hunger was only too apparent try bravely to eat the soup until they actually vomited. They would beg for a piece of bread, and when it was given them eat it ravenously. In an uptown school a little English boy fainted one morning while at his lessons. He had fainted the day before in the school yard, but the teacher thought that it was due to overexertion while at play. When he fainted the second time she took him to the principal’s office, and they discovered that he had not eaten anything that day, and only a piece of bread the day before. The principal sent for some milk, and when it was warmed in the school kitchen she gave it to the lad with a couple of dainty chicken sandwiches from her own lunch, expecting him to enjoy a rare treat. But he didn’t. He took only a bite or two and a sup of milk, then began to vomit. He could not be induced to eat any more nor even to drink the milk. Presently, however, he said to the teacher, “I think I could eat some bread, teacher,” and when they sent out for some rolls and coffee he ate as though he had seen no food for a week. Very few people, it may be added, incidentally, realize how much the teachers and principals of schools in the poorest districts give out of their slender incomes to provide children with food, clothing, and shoes. But how little it all amounts to in the way of solving the problem is best expressed in the words of one principal, “What I can give in that way to the worst cases only lessens the evil in just the same degree as a handful of sands taken from the seashore lessens the number of grains.”
A COSMOPOLITAN GROUP OF “FRESH AIR FUND” CHILDREN
VIII
The physical effects of such underfeeding cannot be easily overestimated. No fact has been more thoroughly established than the physical superiority of the children of the well-to-do classes over their less fortunate fellows. In Moscow, N.V. Zark, a famous Russian authority, found that at all ages the boys attending the Real schools and the Classical Gymnasium are superior in height and weight to peasant boys.[[54]] In Leipzic, children paying 18 marks school fees are superior in height and weight to those paying only 9, and gymnasium boys are superior to those of the lower Real and Burger schools.[[55]] Studies in Stockholm and Turin show the same general results, the poorer children being invariably shorter, lighter, and smaller of chest. The British Anthropometric Committee found that English boys at ten in the Industrial Schools were 3.31 inches shorter and 10.64 pounds lighter than children of the well-to-do classes, while at fourteen years the differences in height and weight were 6.65 inches and 21.85 pounds, respectively.[[56]] Dr. Charles W. Roberts gives some striking results of the examination of 19,846 English boys and men.[[57]] Of these, 5915 belong to the non-laboring classes of the English population, namely, public school boys, naval and military cadets, medical and university students. The remaining 13,931 belong to the artisan class. The difference in height, weight, and chest girth, from thirteen to sixteen years of age, is as follows:—
| Average Height in Inches | ||||
|---|---|---|---|---|
| Age | 13 | 14 | 15 | 16 |
| Non-laboring class | 58.79 | 61.11 | 63.47 | 66.40 |
| Artisan class | 55.93 | 57.76 | 60.58 | 62.93 |
| Difference | 2.66 | 3.35 | 2.89 | 3.47 |
| Average Weight in Pounds | ||||
| Age | 13 | 14 | 15 | 16 |
| Non-laboring class | 88.60 | 99.21 | 110.42 | 128.34 |
| Artisan class | 78.27 | 84.61 | 96.79 | 108.70 |
| Difference | 10.33 | 14.60 | 13.63 | 19.64 |
| Average Chest Girth in Inches | ||||
| Age | 13 | 14 | 15 | 16 |
| Non-laboring class | 28.41 | 29.65 | 30.72 | 33.08 |
| Artisan class | 25.24 | 26.28 | 27.51 | 28.97 |
| Difference | 3.17 | 3.37 | 3.21 | 4.11 |
It will be seen, therefore, that the children of the non-laboring class at thirteen years of age exceed those of the artisan class in height almost three inches, in weight almost ten and a half pounds, and in chest girth almost three and a quarter inches. And these figures by no means represent fully the contrast in physique which exists between the very poorest and well-to-do children. The difference between the children of the best-paid artisans and the poorest-paid of the same class is nearly as great. Mr. Rowntree found that in York, England, the boys of the poorest section of the working-class were on an average three and one-half inches shorter than the boys of the better-paid section of the working-class. As regards weight Mr. Rowntree found the difference to be eleven pounds in favor of the child of the best-paid artisan.[[58]]
Dr. W.W. Keen quotes the figures of Roberts with approval as applying almost equally to this country,[[59]] and all the studies yet made by American investigators seem to justify that opinion. There exists a somewhat voluminous, but scattered, American literature tending to the same general conclusions as the European. The classic studies of Dr. Bowditch,[[60]] in Boston, and Dr. Porter,[[61]] in St. Louis, showed very distinctly that the children of the poorer classes in those cities were decidedly behind those of the well-to-do classes in both height and weight. The more recent investigations of Dr. Hrdlicka[[62]] fully bear out the results of these earlier studies.
The Report on Physical Training (Scotland) calls attention once more to the fact that children in the pauper, reformatory, and industrial schools are superior in physique to the children in the ordinary elementary schools. Says the report: “The contrast between the condition of such children as are seen in the poor day schools and the children of parents who have altogether failed in their duty is both marked and painful.”[[63]] Commenting upon which an English Socialist writer says: “The obvious deduction is that if you are doing your duty ... and your children are brought up in the way they should go, they will not be half as well off as if they were truants or thieves. Therefore, ... the best thing you can do for them ... is to turn your children into little criminals.”[[64]] Without accepting these cynical deductions, the fact remains that in a great many instances those children who, by reason of the criminality of their parents or their complete failure to provide for their offspring, find their way into such institutions, are far better off, physically, than their fellows in the ordinary schools whose parents are careful and industrious. But for the taint of institutional life, and the crushing out of individuality which almost invariably accompanies it, they would be far better equipped for the battle of life.
The real significance of this physical superiority is not so obvious as the writer quoted appears to assume. The fact is that these children are generally below the average even of their own class when they are admitted to these institutions. Their superior physique shows the regeneration which proper food and hygienic conditions produce in the worst cases.