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Social History of Medicine Advance Access originally published online on October 10, 2005
Social History of Medicine 2005 18(3):475-493; doi:10.1093/shm/hki048
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© The Society for the Social History of Medicine 2005, all rights reserved

A Source of Our Wealth, Yet Adverse to Our Health? Butter and the Diet–Heart Link in New Zealand to c.1990

Frances Steel

Gender Relations Centre, Research School of Pacific and Asian Studies, Australian National University, Canberra ACT 0200, Australia. E-mail: frances.steel{at}anu.edu.au

The medical link between dietary saturated fat, serum cholesterol, and arteriosclerosis redefined meanings for butter in New Zealand, from a celebrated dietary staple to a potentially harmful substance to be closely monitored in the diet. The introduction of a nutritionally endorsed butter substitute, polyunsaturated margarine, heightened this shift. This article addresses the ways in which such links are taken up and negotiated outside the medical sphere. It examines the responses of government, nutritional organizations, the dairy industry, commercial interests, women responsible for feeding coronary heart disease sufferers, and everyday butter consumers. The article concludes that rearticulating meanings for butter along medicalized lines was a highly fraught undertaking, particularly in a country in which dairying was of central economic importance and underpinned national iconography.

Keywords: nutritional science; coronary heart disease; butter; saturated fat; polyunsaturated margarine; primary and secondary prevention; dairy industry; New Zealand


1 G. Bowron, ‘Dairy Factories in New Zealand’, Appendices to the Journals of the House of Representatives 1884 (S.2) H.9, 3.

2 ‘An Act to Regulate the Manufacture and Sale of Margarine, 16 October 1895’, Statutes of New Zealand (Wellington, 1895), 98–9.

3 ‘Introduction’, in K. F. Kiple and K. C. Ornelas (eds), The Cambridge World History of Food, 2 vols, vol. I (Cambridge, 2000), p. 1.

4 See, for example, K. J. Carpenter, ‘Nutritional Diseases’, in W. F. Bynum and R. Porter (eds), Companion Encyclopedia of the History of Medicine, 2 vols, vol. I (London, 1993), 464–83; A. Hardy, ‘Beriberi, Vitamin B1 and World Food Policy, 1925–1970’, Medical History, 39 (1995), 61–77; J. Welshman, ‘School Meals and Milk in England and Wales, 1906–45’, Medical History, 41 (1997), 6–29.

5 See, for example, S. Mintz, Sweetness and Power: The Place of Sugar in Modern History (New York, 1985); M. Kurlansky, Salt: A World History (London, 2002); J. Turner, Spice: The History of a Temptation (New York, 2004).

6 M. H. Olken and J. D. Howell, ‘Nutrition and Heart-Related Diseases’, in Kiple and Ornelas (eds), The Cambridge World History of Food, vol. I, 1097–1107.

7 W. G. Rothstein, Public Health and the Risk Factor: A History of an Uneven Medical Revolution (New York, 2003); J. Le Fanu, The Rise and Fall of Modern Medicine (London, 1999).

8 E. Moore, Food and Health (Wellington, 1951), p. 4.

9 A British colony from 1840, New Zealand achieved Dominion status in 1907.

10 See, for example, R. Lange, May the People Live: A History of Maori Health Development 1900–20 (Auckland, 1999), and the various reports under ‘Native Affairs’ in issues of the Appendices to the Journals of the House of Representatives (Wellington, 1880–1920).

11 J. H. Pope, Health for the Maori: A Manual for Use in Native Schools (3rd edn, Wellington, 1901), pp. 73, 146.

12 Department of Health, Hints on Diet (Wellington, 1935), p. 7.

13 Ibid.

14 P. Mein Smith, ‘New Zealand Milk for "Building Britons"’, in M. Sutphen and B. Andrews (eds), Medicine and Colonial Identity (London, 2003), 82.

15 Department of Statistics, Monthly Abstract of Statistics (Wellington, 1983), p. 23.

16 D. Brown, ‘"Stepping Stone to Cretinism": Goitre in New Zealand, 1930–1950’, unpublished BA (Hons) dissertation, University of Otago, Dunedin, 2000.

17 E. Gregory and E. Wilson, Good Nutrition: Principles and Menus (3rd edn, Wellington, 1944), p. 34.

18 Ibid., pp. 40, 46, 49.

19 Moore, Food and Health, p. 3.

20 Gregory and Wilson, p. 5; idem, Good Nutrition: Principles and Menus (rev. edn, Wellington, 1952), pp. 59–60.

21 Rothstein, Public Health, p. 203.

22 S. Brooker, ‘Studying Coronary Heart Disease’, Food Technology in New Zealand, 7 (February 1972), 11.

23 New Zealand Official Yearbook (Wellington, 1963), p. 113. Data refer to mortality rates between 1951 and 1961.

24 Otago Daily Times (hereafter ODT), 31 July 1969.

25 Rothstein, Public Health, p. 221.

26 J. Mann, ‘Cardiovascular Diseases’, in J. Mann and S. A. Truswell (eds), The Essentials of Human Nutrition (2nd edn, Oxford, 2002), 305.

27 Olken and Howell, ‘Nutrition’, pp. 1099–101.

28 D. Roth, ‘America's Fascination with Nutrition’, Food Review, 23 (January–April 2000), 36.

29 ODT, 29 October 1960, 5 September 1961, 3 September 1963, 8 July 1964, 22 August 1969.

30 M. Bell, Normal Nutrition: Notes for Nurses (Dunedin, 1969), pp. 42, 49.

31 National Heart Foundation (hereafter NHF), Progress and Achievements: 1968–1975 (Dunedin, 1975), p. 4.

32 NHF, The First Ten Years: 1968–78 (Auckland, 1978), p. 37.

33 NHF, Coronary Heart Disease: A New Zealand Report (Dunedin, 1971), pp. 176–7.

34 New Zealand Parliamentary Debates (hereafter NZPD), 5 August–9 September 1969, 362, 21 August 1969, 2133.

35 NZPD, 7 June–6 July 1972, 378, 29 June 1972, 589.

36 R. Fitzgerald, J. Wylie, R. Crump, and H. Campbell, ‘Margarine Regulation: A Political Economy of Risk and Safety’, in K. Dew and R. Fitzgerald (eds), Challenging Science: Issues for New Zealand Society in the 21st Century (Palmerston North, 2004), 213 [my emphasis].

37 R. A. Ball and J. R. Lilly, ‘Margarine as a Social Problem’, Social Problems, 29 (June 1982), 489.

38 ODT, 31 January 1973.

39 ‘Those Tubby Husbands’, New Zealand Woman's Weekly (hereafter NZWW), 31 January 1977, 62.

40 ‘Dietary Fats and Heart Disease: What's the Current Thinking on the Problem? Which Spread for your Bread?’, Consumer, 184 (June 1981), 154.

41 ‘The Most Common Mistakes Women Make About Family Health’, NZWW, 18 March 1974, 101.

42 ODT, 28 May 1973.

43 NZWW, 1 March 1976, 75.

44 ‘If Husband's Diet is Low Cholesterol’, NZWW, 28 April 1980, 158.

45 NHF, Your Food and Your Heart (Wellington, 1973), pp. 2–3, 12–16.

46 NHF, Eating for Health: The National Heart Foundation Recipe Book (Dunedin, 1975), pp. 2, 4, 83.

47 NHF, The First Ten Years, pp. 11, 39.

48 NZWW, 11 September 1979, 128.

49 M. Visser, Much Depends on Dinner: The Extraordinary History and Mythology, Allure and Obsessions, Perils and Taboos of an Ordinary Meal (Toronto, 1986), p. 113.

50 J. M. Carrington, ‘The New Zealand Diet is Changing’, New Zealand Medical Journal, 97, 757 (13 June 1984), 365.

51 ODT, 21 May 1969.

52 W. A. McGillivray, ‘Are Polyunsaturates Safe?’, New Zealand Journal of Dairy Science and Technology, 9 (March 1974), 19.

53 ODT, 5 May 1973, 7 May 1973.

54 NHF, The First Ten Years, p. 11.

55 K. R. Burnett, ‘Manufacture of Margarine by a Dairy Company’, New Zealand Journal of Dairy Science and Technology, 9 (March 1974), 65.

56 McGillivray, ‘Easy Spread Butter and Margarine’, Dairyfarming Annual 1974 (Palmerston North, 1974), 32.

57 R. Vine, ‘Tactics and Fats’, The New Zealand Farmer, 94 (24 May 1973), 1.

58 R. Anderson, ‘Margarine’, New Zealand Farmer, 94 (10 May 1973), 8.

59 D. W. Beaven, ‘New Zealand Farmers and Modern Nutritional Ideas: The Urgent Need to Educate Politicians and Advisory Groups’, in Lincoln College Farmers' Conference 1978 (Canterbury, 1978), 93, 100–1.

60 J. A. Birkbeck, ‘The Role of Dairy Products in the New Zealand Diet’, New Zealand Medical Journal, 94 (25 November 1981), 388.

61 M. Williams, ‘Dairy Industry Nutrition Research Needs’, Proceedings of the Nutrition Society of New Zealand (hereafter PNSNZ), 11 (1986), 50.

62 New Zealand Dairy Board (hereafter NZDB), Review (September 1987), p. 6.

63 NZDB, Annual Report and Statement of Accounts (Wellington, 1982), p. 17.

64 M. Kelly, ‘Taste is the Difference in the Yellow Fats Area’, Supermarketing, 5 (September 1990), 34–8.

65 Mann, ‘Cardiovascular Diseases’, p. 316.

66 P. Crotty, Good Nutrition? Fact and Fashion in Dietary Advice (St Leonards, New South Wales, 1995), p. 66.

67 A. Keane, ‘The Palatability of Healthy Eating Advice’, in P. Caplan (ed.), Food, Health and Identity (London, 1997), 187–9.

68 Olken and Howell, ‘Nutrition and Heart-Related Diseases’, p. 1107.

69 Birkbeck, New Zealanders and Their Diet: A Report to the National Heart Foundation of New Zealand on the National Diet Survey 1977 (2nd edn, Auckland, 1983), pp. 14–19.

70 Rothstein, Public Health, p. 335.

71 S. A. Truswell, ‘Nutritional Recommendations for the General Population’, in Mann and Truswell (eds), Essentials of Human Nutrition, 585.

72 ‘National Nutrition Goals for New Zealanders’, Journal of the New Zealand Dietetic Association, 35 (October 1981), 6.

73 NHF, Coronary Heart Disease (Auckland, 1983), p. 162.

74 Advisory Committee to the Minister of Health, The Prevention of Cardiovascular Disease (Wellington, 1986), pp. 34, 36.

75 ‘Annual Report’, PNSNZ, 2 (1977), 176.

76 New Zealand Nutrition Foundation, Newsletter, no. 16 (March 1989), 1.

77 NZDB, Annual Report (Wellington, 1989), p. 24.

78 See letter to editor from Professor J. Mann, Diet Heart Dialogue, no. 2 (August/September 1991), 8.

79 P. J. Scott, ‘Symposium: Food and Nutrition Policies: Introductory Remarks’, PNSNZ, 12 (1987), 11.

80 P. J. Scott, ‘Lifestyles, Nutrition and Chronic Diseases: Are We Meeting Today's Needs?’, PNSNZ, 9 (1984), 149.

81 E. W. Pomare, ‘Nutrition and Health: An Interagency Approach’, PNSNZ, 12 (1987), 14.

82 Food and Health: The Report of the Nutrition Taskforce to the Department of Health (Wellington, 1991), p. vi.

83 NHF, Heart to Heart, no. 27 (May 1991).

84 J. A. Birkbeck, ‘The Muriel Bell Lecture: Nutrition, Nutrition Education and the Health Professions’, PNSNZ, 15 (1990), 67, 79.

85 C. Howarth, W. R. Parnell, J. A. Birkbeck, et al., Life in New Zealand Survey Commission Report: Nutrition, 6 vols, vol. VI (Dunedin, 1991), pp. 8, 92–3.

86 Ibid., pp. 47–8.

87 Ibid., pp. 37–8.

88 M. Laugesen, ‘Fats in the Food Supply, Coronary and All-Cause Mortality in 22 OECD Countries Including New Zealand, 1955–1985’, PNSNZ, 17 (August 1992), pp. 173–93.

89 NHF, ‘Cardiovascular Disease in New Zealand: A Summary of Recent Statistical Information’, Technical Report, no. 52 (November 1990), p. 2.

90 R. Beaglehole, I. Prior, C. Salmond, and E. Eyles, ‘Coronary Heart Disease in Maoris: Incidence and Case Mortality’, New Zealand Medical Journal, 88 (23 August 1978), 138–41.

91 H. Pihema, ‘Food and Nutrition Education for Maori People’, PNSNZ, 14 (1989), pp. 137, 142.


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