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Carl%20Sagan%20-%20The%20Demon%20Haunted%20World

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THE DEMON-HAUNTED WORLD<br />

they had been handed down from Mount Sinai. Our government<br />

book on children's health had been repeatedly taped together as<br />

its pages fell out. The corners were tattered. Key advice was<br />

underlined. It was consulted in every medical crisis. For a while,<br />

my parents gave up smoking - one of the few pleasures available<br />

to them in the Depression years - so that their infant could have<br />

vitamin and mineral supplements. Ann and I were very lucky.<br />

Recent research shows that many children without enough to<br />

eat wind up with diminished capacity to understand and learn<br />

('cognitive impairment'). Children don't have to be starving for<br />

this to happen. Even mild undernourishment, the kind most<br />

common among poor people in America, can do it. This can<br />

happen before the baby is born (if the mother isn't eating<br />

enough), in infancy or in childhood. When there isn't enough<br />

food, the body has to decide how to invest the limited foodstuffs<br />

available. Survival comes first. Growth comes second. In this<br />

nutritional triage, the body seems obliged to rank learning last.<br />

Better to be stupid and alive, it judges, than smart and dead.<br />

Instead of showing an enthusiasm, a zest for learning as most<br />

healthy youngsters do, the undernourished child becomes bored,<br />

apathetic, unresponsive. More severe malnutrition leads to lower<br />

birth weights and, in its most extreme forms, smaller brains.<br />

However, even a child who looks perfectly healthy but has not<br />

enough iron, say, suffers an immediate decline in the ability to<br />

concentrate. Iron-deficiency anaemia may affect as much as a<br />

quarter of all low-income children in America; it attacks the<br />

child's attention span and memory, and may have consequences<br />

reaching well into adulthood.<br />

What once was considered relatively mild undernutrition is now<br />

understood to be potentially associated with lifelong cognitive<br />

impairment. Children who are undernourished even on a shortterm<br />

basis have a diminished capacity to learn. And millions of<br />

American children go hungry every week. Lead poisoning, which<br />

is endemic in inner cities, also causes serious learning deficits. By<br />

many criteria, the prevalence of poverty in America has been<br />

steadily increasing since the early 1980s. Almost a quarter of<br />

American children now live in poverty - the highest rate of<br />

childhood poverty in the industrialized world. According to one<br />

338

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