Very many families are unable to secure enough “protective foods.” Milk, meat, eggs, fresh vegetables, and fruits are relatively expensive. Whole wheat bread and other whole grain cereals are perishable—a factor which adds to the cost of their distribution. The farmer in most cases can keep a cow and have a garden and an orchard; but on some poor lands, this is impossible. The city dweller is always dependent on the market for the variety of foods available to him and the amounts which his dollar will purchase. Families with incomes below a certain level must have assistance in tangible form if they are to secure the foods which provide an adequate diet. Assistance may take the form of a money dole, or it may involve the direct distribution of food.

A call to action—and a program. An epochal statement.—by the Surgeon General, United States Public Health Service in July 1941.

Article written by R. A. Vonderlehr, M.D., appearing in Survey Graphic, 1940. “A little less than four years ago Surgeon General Thomas Parran launched the present campaign against syphilis…The battle has since been waged continuously with the cooperation of the medical profession, health officers, and voluntary agencies all over the country. It is of interest to pause briefly and take stock.”

The proportion of our children who are found in families without adequate nutrition should be a matter of grave concern to all of us. A Bureau of Labor Statistics’ study of employed wage earners and clerical workers shows that more than 40 percent of the children in this relatively favored group live in families whose incomes are below the level necessary to provide adequate food, as well as suitable housing, clothing, medical care, personal care, union dues, carfare, newspapers, and the other sorts of recreation for which city families must pay in dollars and cents.

In developing an educational program for improving nutrition, it is important to keep in mind the importance of custom in our food habits. The Labor Department’s recent studies of food consumption show the remarkable persistence of the food preferences of earlier generations in the localities studied. The tables of New Orleans still remind one of the fish, the chicken, the salads, and the greens of the French; the Bostonians still eat more beans and drink more tea than families in most other cities. In Cleveland and Milwaukee they eat more rye bread and cheese and apples and coffee. A national nutrition policy should plan to change food consumption habits only insofar as it is absolutely necessary to do so to provide all the nutrients necessary for health, efficiency, and the full enjoyment of life.