"You will not be permitted to starve, but you must hunger," said the mayor.[15]
[15] The mayor's statement contains in German a play on words: _Ihr sollt nicht verhungern, aber hungern müsst Ihr_.
The other privations attendant upon hunger also played a great part in breaking down the spirit of the people. In order to secure even the official food-pittance, it was necessary to stand in queues for hours at a time. The trifling allowance of soap consisted of a substitute made largely of saponaceous clay. Starch was unobtainable, and there is a deep significance in the saying, "to take the starch out of one." The enormous consumption of tobacco at the front caused a serious shortage at home, and this added another straw to the burdens of the male part of the population. The shortage of cereals brought in its wake a dilution of the once famous German beer until it was little but colored and charged water, without any nourishment whatever.
The physical effects of undernutrition and malnutrition made themselves felt in a manner which brought them home to every man. Working-capacity dropped to half the normal, or even less. Mortality increased by leaps and bounds, particularly among the children and the aged. The death rate of children from 1 to 5 years of age increased 50 per cent; that of children from 5 to 15 by 55 per cent. In 1917 alone this increased death rate among children from 1 to 15 years meant an excess of deaths over the normal of more than 50,000 in the whole Empire. In the year 1913, 40,374 deaths from tuberculosis were reported in German municipalities of 15,000 inhabitants or more. The same municipalities reported 41,800 deaths from tuberculosis in the first six months of 1918, an increase of more than 100 per cent. In Berlin alone the death rate for all causes jumped from 13.48 per thousand for the first eight months of 1913 to 20.05 for the first eight months of 1918.
According to a report laid before the United Medical Societies in Berlin on December 18, 1918, the "hunger blockade" was responsible for 763,000 deaths in the Empire. These figures are doubtless largely based on speculation and probably too high, but one need not be a physician to know that years of malnutrition and undernutrition, especially in the case of children and the aged, mean a greatly increased death rate and particularly a great increase of tuberculosis. In addition to the excess deaths alleged by the German authorities to be directly due to the blockade, there were nearly 150,000 deaths from Spanish influenza in 1918. These have not been reckoned among the 763,000, but it must be assumed that many would have withstood the attack had they not been weakened by the privations of the four war-years.
