[9] The yearly arrivals of "African blacks" at the port of New York, secured from the Immigration Commissioner, are as follows: 1902-03, 110; 1903-04, 547; 1904-05, 1189; 1905-06, 1757; 1906-07, 2054; 1907-08, 1820; 1908-09, 2119. The year runs from July 1 to June 30.

[CHAPTER III]
The Child of the Tenement

Within the last few years white Americans, many of whom were formerly ignorant of their condition, have been taught that they are possessed of a racial antipathy for human beings whose color is not their own. They have a "natural contrariety," "a dislike that seems constitutional" toward the dark tint that they see on another's face. But however well they may have conned their lesson, it breaks down or is likely to be forgotten in the presence of a Negro baby; for a healthy colored baby is a subject, not for natural contrariety, but for sympathetic cuddling. They are most engaging new-comers, these "delicate bronze statuettes,"[1] only warm with life, and smiling good will upon their world.

Not many colored babies are born in New York, at least not enough to keep pace with the deaths. The year 1908 saw in all the boroughs 1973 births as against 2212 deaths at all ages.[2]

In this same year the colored births for Manhattan and the Bronx were 1459, and the deaths under one year of age 424, an infant mortality rate of 290 to every thousand.[3] That is, two babies in every seven died under one year of age. The white infant mortality rate was 127.7, a little less than half that of the colored.

Why should we have in New York this enormous colored infant death rate? Many physicians believe it indicates a lack of physical stamina in the Negro, an inability to resist disease. This may be so, but before falling back upon race as an explanation of high infant mortality, we need to exhaust other possible causes. We do not question the vitality of the white race when we read that in parts of Russia 500 babies out of every thousand die within the year; nor do we believe the people of Fall River, a factory town in Massachusetts, have an inherent inability to resist disease, though their infant mortality rate in 1900 was 260 in one thousand births. We look in these latter cases, as we should in the former, to see if we find those conditions which careful students of the subject tell us accompany a high infant death rate.

Among the first of the accepted causes of infant mortality is the overcrowding of cities. We have viewed overcrowding as a usual condition among the Negroes of New York, and have seen the small, ill-ventilated bedroom where the baby spends much of its life. Heat, with its accompanying growth of bacteria and swift process of decomposition, is a second cause. New York's high infant mortality comes in the summer months when in the poorest quarters it has been known to reach four hundred in the thousand.[4] In the hot, crowded tenements, and no place can be so hot as New York in one of its July record-breaking weeks, the babies die like flies, and yet not like flies, for the flies buzz in hundreds about the little hot faces. Excitement, late hours, constant restlessness, these, too, cause infant mortality. On a city block tenanted by hundreds of men and women and little children, no hour of the night is free from some disturbance. Children whimper as they wake from the heat, babies cry shrilly, and the brightly-lighted streets are rarely without the sound of human footsteps. The sensitive new-born organism knows nothing of the quiet and restful darkness of nature's night.

But the most important cause of infant mortality[5] is improper infant feeding. And here we meet with a condition that confronts the Negro babies of New York far more than it confronts the white. For a properly fed baby is a breast fed baby, or else one whose food has been prepared with great care, and mothers forced by necessity to go out to work, cannot themselves give their babies this proper food. It is among the infants of mothers at work that mortality is high. Mr. G. Newman, an English authority on this subject, gives an interesting example of this in Lancashire, where, during the American civil war, many of the cotton operatives were out of employment and many more worked only half time. Privation was great. A quarter of the mill hands were in receipt of poor relief, the general death rate increased, but the infant mortality rate decreased. The mothers, forced by circumstances to remain away from the factory, though in a state of semi-starvation, by their nursing and by their care of the home preserved the lives of their infants. Negro mothers, owing to the low wage earned by their husbands, for the general welfare of the family and to avoid semi-starvation, like the Lancashire women, leave their homes, but they thereby sacrifice the lives of many of their babies. The percentage for 1900 of Negro married women in New York engaging in self-supporting work was 31.4 in every hundred; of white married women 4.2 in every hundred, seven times as many in proportion among the Negroes as among the whites.[6] The Negro also shows a large percentage of widows, a quarter of all the female population over ten years of age. Some of these, we have no means of knowing how many, are widows only in name, and have babies for whom they must in some way provide support. The colored mother who has no husband often takes a position in domestic service and boards her baby, paying usually by the month, and finding the opportunity to visit her infant perhaps once a week. Sometimes she secures a "baby tender" who can give kindly, intelligent care; but under the best conditions her child will be bottle fed and in tenement surroundings inimical to health, while sometimes the woman to whom she intrusts her infant will be ignorant of the simplest matters of hygiene.

I remember an old colored woman, she must be dead by this time, who kept a baby farm. Her health was poor, and when I saw her, she had taken to her bed and lay in a dark room with two infants at her side. They were indescribably puny, with sunken cheeks and skinny arms and hands, weighing what a normal child should weigh at birth, and yet six and seven months old. The woman talked to me enthusiastically of salvation and gave filthy bottles to her charges. She was exceptionally incompetent, but there are others doing her work, too old or too ignorant properly to attend to the babies under their care.