Abstract
Introduction During the first few months of 1978, at the height of the rainy season, mourning lamentations hardly ever ceased at the mortuary of Mbala General Hospital. Infants and children were dying. Inadequate food intake, malabsorption of nutrients and malarial infection were the main causes of death. Those who survived the ‘hunger months’ of 1978 lived in overcrowded quarters and were fed a diet consisting mainly of diluted maize meal (‘mealie meal’) porridge. They suffered from poor dietary variation and an unprecedented shortage of basic foodstuffs. The small and isolated township of Mbala could not provide for itself; it relied on maize flour imports from the Copper belt and from Lusaka. The arrival of a truckload of flour–the road to Kasama had not yet been tarred– was sufficient to bring the town community to its feet and cause long queues of despairing people.

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