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Social History of Medicine 1994 7(2):229-246; doi:10.1093/shm/7.2.229
© 1994 by Society for the Social History of Medicine
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The Dutch Famine of 1944–45: Mortality and Morbidity in Past and Present Generations

L. H. LUMEY* and F. W. A. VAN POPPEL**

* Academic Medical Centre, University of Amsterdam, and Columbia University New York, currently with American Health Foundation, Division of Epidemiology, New York, Supported in part by grant IR01-H0-26492-02, US Public Health Service
** Netherlands Interdisciplinary Demographic Institute (NIDI) P. O. Box 11650, 2502 AR The Hague, The Netherlands

SUMMARY During the last months of the Second World War the Western Netherlands was affected by an acute famine, known as the Hunger Winter. Food intake from all sources was reduced to extremely low levels. The effect on mortality at all ages was very large and immediate. By making use of unpublished data from the Dutch Central Bureau of Statistics, estimates could be made of the changes in mortality by cause of death and age for both sexes. Mortality due to hunger was most common in the very young and the very old whereas the effects in males were more pronounced than in females. Hunger was a contributing factor to the increased mortality due to infectious diseases and diseases of the digestive system.

In several follow-up studies on selected populations, long-term consequences of the famine could be studied. They related to reproductive outcomes of women who gave birth during the Hunger Winter, to birth weight, malformations, and perinatal mortality of the newborn who were exposed to the famine during gestation, and to the long-term effects of the famine on the medical and psychological situation of infants born during the famine. Several studies on reproductive outcomes in the subsequent generation are also discussed.

Keywords: famine; Netherlands; mortality; long-term health effects; low birth weight

1 This is a revised version of a paper presented at the Society for the Social History of Medicine Conference on Famine and Disease, 5–7 July 1991, Cambridge.


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