THE health of Europe today is, with one reservation, too bad; it is by no means desperate or irremediable. The reservation lies in the risks for the future, the potentialities of the immediate liberation and postliberation periods, the possibilities, indeed probabilities, which it will take all our skill, resources and goodwill to resolve. Any picture of the medical state of Europe now must have as its background the sombre shadow of malnutrition and its medical effects. About two years ago an independent Swiss observer, Dr. Gautier, Chief of the Health Section of the League of Nations, estimated that about a hundred million people in Europe needed feeding; that number has since increased. He did not mean, of course, that a hundred million people in Europe were starving; he meant that a hundred million people needed additional food to maintain them in health and efficiency. The countries of Europe can be divided very roughly into the starving, the half-starved, the hungry and those like the British people who have had their choice reduced but are still getting enough to maintain them in efficiency and good health. It is invidious to classify, but into the list of the starving countries I would put Greece, Poland, occupied Russia, parts of Yugoslavia; into the half-starving countries, Belgium, urban France, Norway, Finland, Spain and Portugal, perhaps Italy; into the hungry countries Holland, Denmark, Czechoslovakia, Hungary and the rest of the Balkans. This leaves us with Germany, Great Britain and the neutrals, Sweden, Switzerland and Eire. Even more important is a classification according to the value of the individual to the German war effort. The Germans have by now so organized the feeding of Europe that a man who is contributing directly to the German war effort may be getting perfectly good rations, whereas his neighbour who is not so contributing may be living at starvation level. There are other differences and discrepancies within one country or one area. In war-time rural populations are always, with certain exceptions, better off than urban populations; even the Germans have not succeeded in taking away all the food from those who produce it. There is the difference between the rich and the poor, between those who can take advantage of the Black Market and those who cannot do so. For instance, the official ration of the Polish Jew is said to be 400 calories a day. Since 2,400 calories are required to maintain an adult doing light work, a Polish Jew can exist on his official ration for one-sixth of a day, four hours. Since the Jew is not usually a peasant, and in any case has been herded into ghettos in the town,
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