Friday, December 14, 2018

The Great Starvation Experiment


Historian Todd Tucker uncovered a story of 36 conscientious objectors during World War II who volunteered to undergo a year-long experiment—an experiment to systematically analyze starvation for six months and then systematically analyze the rehabilitation process. He wrote about his findings in the book The Great Starvation Experiment: The Heroic men Who Starved So That Millions Could Live (2006).


During and prior to World War II conscientious objectors were given jail sentences for their lack of “patriotism”, but by World War II they were allowed to participate in Civilian Public Service (CPS) which was the first way to deal with the “troublesome pacifist draftees”. The conscientious objectors under the auspices of the CPS did work in mental asylums, work in forestry camps, and volunteered as human guinea pigs. There weren’t too many other options for them.

Evidently being used as human guinea pigs was a big, and not yet controversial “job” that conscientious objectors filled. With the help of the army and the CPS and their human guinea pigs, Dr. Ancel Keys conducted an array of studies on the effects of various vitamins (some of which had only recently been “discovered”, and his experiments on CPS volunteers were primarily with diets lacking thiamine, riboflavin, and the B complex as a whole), the effects of severe cold and severe heat, excessive moisture, thirst, and the effects of a full month of bed-rest.

As the World War II progressed, Keys became interested in the effects of starvation and how a starved body could be rehabilitated, and so conceived the idea of carefully controlling the process of starvation as well as how to best restore the body. Before the actual experiment, Keys compiled a list of 372 “Notable Famines in History” that documented the brute prevalence of starvation, and the list was broken down “Outside India” and “Inside India” since the frequency of famines raged in that country. Examples follow in chronological order (but it is interesting to note the long list of Biblical famines since Keys was an avowed atheist):
Genesis 12:10
11 Kings 6:26-29
Acts 11:28-30
520 Venice, relief sent by Theodoric the Great
1116 Ireland, cannibalism
1574 Gujarat, plague
The experiment was to be of one-year in duration—a three-month control phase of good eating to establish that everyone had a well-balanced and uniformed diet for his ideal weight, then the six-month starvation diet in which each member would lose 25% of his weight (an amount believed by Keys to conduct the study but not cause serious health risks), and then the three-month rehabilitation. Throughout the study the test subjects would have their biological and psychological health measured … for as the advertisement read when recruiting volunteers: “WILL YOU STARVE SO THAT THEY WILL BE BETTER FED?” referring to staving off starvation or rehabilitating the starved in case of future scenarios of starvation.

As World War II began, 34,506,923 American men were registered for the draft out of a population of 134,000,000. Of these registrants, 72,354 applied for conscientious objector (CO) status, about one-fifth of one percent, but 27,000 of these failed the basic medical exam saving the government the “trouble” of figuring out what to do with them. About 25,000 of the COs who passed agreed to noncombatant service—the 1-A-Os, many of these army medics (Desmond Doss, a devout Seventh-day Adventist and 1-A-O army medic, won the Congressional Medal of Honor for his heroism at Okinawa). Slightly more than 6,000 of the COs refused to perform any kind of national service—most were Jehovah’s Witness who claimed that every JW was entitled ministerial exemption, which the government disagreed, thus imprisonment. What remained were 11,966 men, who opposed any kind of uniformed military service but who were open to perform some kind of alternative work … these were the men for the CPS.

The CPS, as historian Todd Tucker puts it, represented the complete, diverse, befuddling rainbows of American religions—58% represented by the Historic Peace Churches (4,665 Mennonite, 1,353 Brethren, and 951 Friends) but in total over 200 denominations with 673 Methodists, the largest group outside the HPC. There were also 149 Catholics, 17 Seventh-day Adventists, 108 Lutherans, 192 Presbyterians, for example.

THE 36 VOLUNTEERS

Dr Ancel Keys wanted 40 volunteers for the study, but once all volunteers had been evaluated and screened, there were only 36 … 32 completed the year-long study. Among the 32 who completed the study, all said that they would volunteer for such a study again as it gave them a since of accomplishment beyond their service to their country, but a sense of accomplishment for the world. Surprising to Keys at first was that the majority of volunteers were intellectuals, those aimed at bettering the world or with altruistic leanings. These were the men who volunteered to starve so that through the study future medical workers could better know how to administer to the healing of the starved.

Of the four who didn’t complete the study were:

Watkins, a 24-yr-old man who early in the starvation period took to stealing and shoplifting to get food. He unsurprisingly reported dreams of cannibalism, but what he got removed from the study for was this threats to Keys of “I’m going to kill you” and beyond worse “I’m going to kill myself”. After five days in a mental ward with large recuperating meals, he was stabilized and sent home.

Weygandt, a man who worked in a grocery store but took to uncontrolled binging so quit the job. He became morbidly neurotic but when blood appeared in his urine, he had to be dropped from the experiment. Weygandt did stay and help in the kitchen for the remainder of the experiment—kudos to him and his sense of teamwork and continuing to the end in what capacity he could play!

Willoughby and Plaugher, the two jocks in the experiment. To cope with hunger, they were chewing 40 packs of gum a day, which was acceptable, however Plaugher took to snitching sandwiches and routinely raiding the garbage. He was “caught” when his weight numbers failed to decline, and so admitted to his history of cheating. Willoughby, his close friend and fellow jock also didn’t show the decline of numbers that the others showed so was accused of cheating also. He was appalled (1) that he was so accused, and (2) that his friend would lie to him and cheat while telling him all was well. Willoughby finished the experiment but Keys, not wanting to risk Willoughby’s questionable data, didn’t include Willoughby’s data in the final conclusions.

Sam Legg was almost scrapped from the study as well. During the starvation period, Sam suffered the most weight loss and was undergoing painful aberrations of behavior—making weird noises over his food, mangling his finger by dropping a jacked up car on it (originally he tried to mangle his hand but pulled his hand away just in time to only catch a finger … all because of his distorted almost hallucinating concept of a plan to get removed from the study), and then the week following the car incident actually axing three fingers off while chopping wood. He begged to remain in the study, and surprisingly was allowed.

STARVATION STUDY CONCLUSIONS

Of the 32 men who made it to and through the rehabilitation phase—they had dropped on average from 152.7 pounds to 115.6 pounds, an average weight loss of 24.29%. They had lost on average 1/3 of centimeter in height. Their total blood volume had been reduced by almost 500 cubic centimeters. The heart that pumped that blood had shrunk by 17%. They were always cold and body temperatures had dropped from 98.6°F to on average 95.8°F, with the original average heart rate dropping from 55 beats per minute in control to just 35 beats per minute, barely one beat per two seconds. Keys did, surprising himself, corroborate rumors from other starving individuals that hearing ability intensified in starvation, which he concluded might be to the wasting of fat in the ear canal which widened the canal. The starved men all said their hearing was sharpened with hunger, and they could hear the scraping of plates and the clink of silverware as they passed houses in the community or listened to food preparation in the research kitchen.

More significantly and more difficult to measure, the volunteers’ world shrank—the men had come to Minnesota to be a part of a global mission to help all of humanity. Now they didn’t care about starving refugees, or VE day, or self-government inside of CPS Unit 115 (their unit). None had continued dating as the experiment progressed. TV and News was paid little attention. Now their world consisted only of the food line, and they didn’t like dawdling in it at all!

Tips, compiled by Keys, to be offered to future care workers in starvation centers:

Don’t play with food or make individuals stand in long lines to get food. Food is serious business and when offered, should be readily given!

Don’t exhibit unnecessary displays of strength or vitality, or take two stairs at a time—this is annoying behavior to those suffering from hunger weakness.

Dr Ancel Keys - Source
Other data collected by Keys:

In terms of starvation, women consistently across the globe seem more durable than men. In German-occupied Greece, males above the age of 20 died at much higher rates than females of the same age. In the Netherlands, during the famine of 1944-45, the mortality rate of females rose by 73% while the rates for males rose 169%. In internment camps run by Japanese, men made up 89.5% of all deaths deemed “natural” by the captors. Strikingly, 100% of suicides in one Japanese camp were men. Listed as logical reasons for women thriving better under starvation circumstances—men need more food than females, men work longer after onset of starvation, women seek assistance sooner, and Keys speculated that the “traditional woman’s attitude of self-sacrifice and resignation” might be helpful.

ULTIMATE CONCLUSIONS

Despite popular thought at the time that medical aid given to starving populations required IVs to initiate nutrition on rehab, Keys believed that the feeding of men, women and children who had reached a high-level of starvation could in fact take food and that the deterioration of their digestive tract could sustain normal eating and digestion (p193). IVs given to such people would not be well-received anyway as the starved people (as in those in Bergen Belsen and other concentration camps in Europe that were becoming known about) would view such IV and oral feeding measures as further experiments on themselves.

Finally, only high levels of calories could rehabilitate the starved. For the three months of rehabilitation, the 32 volunteers had been divided into four groups—an additional 400, 800, 1200 and 1600 calories per day. This was in addition to their basic 1500 calories per day that induced starvation. Weight hardly changed and so Keys realized that only large infusions of calories could actually and completely rehabilitate starved victims. Once the study was over and the volunteers had access to food, it was quite normal for them at first to seek out as many as 5,000 calories per day, and one individual even ate a whopping 11,000 calories in one meal without negative consequences.

MY REACTION

Rather a bizarre study to make when there were actually so many individuals in the world who had and were starving at the time, so I felt that creating starved humans for this study wasn’t actually necessary. Rehabilitating them should have been the greater focus, which unfortunately wasn’t. Nowadays such a study could never be approved, what with ethics to humanity. The Hippocratic Oath did exist at the time, strange to say, but I guess the study was accepted because the men volunteered, and were unpaid volunteers at that.

It seemed to me, however, that the biggest drawback of this study was the lack of consequences such a diet had on the 36 volunteers—what kind of health struggles occurred, loss of vision (although vitamin A was managed to some degree), how long it took for them to recover their lost weight and did they feel like they lost some of their former vitality? The consequences of the study were in the write-up to get volunteers but I feel like little time was given to long-term effects of the starvation experiment … probably because the experiment actually concluded a few months after World War II was over, and everyone just wanted to forget the war and take up life where life had left off!