HISTORICAL     METHODS,        Summer 2003, Volume 36, Number 3
 >-
 ::::t:
 c..
 <
 a::
 C!S
 O
 :2:
                       Watch Out for the Children!
 W
 C                                         Differential Infant Mortality
 "C
  c:
  ~                                           of Jews and Catholics
 >-
 t-                                       in Nineteenth-Century Venice
 t=
 :z
 W
 C                                                          RENZO DEROSAS
                                                           Department oJ History
                                                       Ca' Foscari University, Venice
Abstract In the past, infant mortality rates in Jewish communities               in fall1861, but soon the group was so disgusted by the filth
throughout the world were dramatically lower than those of their                 and stench everywhere that they decided to return as quick-
host populations. Nineteenth-century      Venice was no exception:
                                                                                 ly as possible to the gondola that had taken them there, as
whereas the Catholic rates were about 25-30 percent, the Jewish
rate was as low as 14 percent or even lesso Several factors have                 to the safe harbor of civilization:
been put forward to explain such differentials, including genetic
makeup, religious prescriptions, personal hygiene, austere habits,                 There was not a touch of anything wholesome, or pleasant,
corntnunity welfare institutions and social cohesion, higher cultur-               or attractive, to re lieve the noisomeness of the Ghetto to its
al level, fertility control, prolonged breastfeeding, and the like. A              visitors; and they applauded, with a common voice, the
comparison between a sample of the Jewish population and two                       neatness which had prompted Andrea the gondolier to roll
parishes with similar social composition shows that, in the Venet-                 up the carpet from the floor of his gondola, and not to spread
ian case at least, most of the factors cannot account for such a                   it again within the limits of that quarter. (Howells [1866]
striking difference. Furthermore, both descriptive and hazard                      2001, 159)
analyses clearly indicate that, although levels were dramatically
different, infant mortality patterns were remarkably similar)illlong                Howells wondered how people could stilI endure living
Venetian Jews and Catholics, who had almost everything in com-                   in such a place.2 Indeed, soon after 1797, when aH anti-
mon but their culture, particularly cultural attitudes toward life,              Jewish discrimination had been abolished by the new rev-
death, health, and well-being. This article advances the hypothesis
                                                                                 olutionary regime,3 the richest members of the Jewish
that such attitudes were reflected in childcare or child neglect, jus-
tifying Catholic overmortality rather than Jewish undermortality. It             community left the Ghetto and moved to magnificent
also argues that the subsequent declining mortality rate might have              palaces located in the city center or along the Grand Canal,
been based on the spread of similar attitudes to the rest of the pop-            rapidly unifying the city elite (Calabi 2001),
ulation, which could represent a key for interpreting mortality
decline on a wider scale.                                                          but many others clung to the spot where their temples still
                                                                                   remain, and which was hallowed by long suffering, and
Keywords: Catholics, event-history       analysis,   infant mortality,
                                                                                   soaked with the blood of innumerable generations of geese.
Jews, nineteenth-century Venice
                                                                                   ... I do not understand why any class of Jews should still
                                                                                   remain in the Ghetto, but it is certain ... that they do remain
Prologue: A Visit to the Venetian Ghetto in 1861                                   there in great numbers. It may be that the impurity of the
                                                                                   pIace and the atmosphere is conducive to purity of race; but
   Among the innumerable reports written by foreign visi-                          I question if the Jews buried on the sandy slope of the Lido,
                                                                                   and blown over by the sweet sea wind-it        must needs blow
tors to Venice, William Dean Howells's Venetian Life
                                                                                   many centuries to cleanse them of the Ghetto-are      not rather
([1866] 2001) is certainly one of the most outstanding, truly                      to be envied by the inhabitants of those high dirty houses and
deserving of its long-lasting success.l Amusing and sympa-                         low dirty lanes .... (Howells [1866] 2001,154-55,159)
thetic at the same time, the lively account of the four years
the American writer spent in the city as U.S. con sul is                            Notwithstanding   his ironic tone, Howells's feelings
enjoyable to this day. A few pages of the book are also                          toward the Venetian Jews were sympathetic. He was well
devoted to the Jewish Ghetto, then as now one of the                             aware of the "long suffering" they had had to endure in past
favorite attractions for tourists and foreigners (Ravid 1997).                   times and pleased by the social and economic success they
Howells went there with some friends, on a bright morning                        had recently enjoyed, "flourishing upon the waste and
                                                                           109
 110
                                                                                                           HISTORICAL METHODS
 wickedness of their oppressors," the Venetian aristocracy,             At the age of 20, life expectancy in the two groups was
 then a prey to a disastrous financial crisis (Derosas              much closer: 45 years for the Jews and 37 for the city. But
 1989/90). He even fancied a kind of retrospective revenge          whereas three-quarters of Jewish newborns could expect to
 for the past:                                                      reach that age, only a half of city residents did the same.5 As
   In the good old times when pestilence avenged the poor and       one would expect, such a gap was almost exclusively due to
   oppressed upon their oppressors, what grim and dismal            differences in infant and childhood mortaIity rates. In the
   plagues may not have stalked by night and noonday out of         years 1850-69, 197 Jewish babies died during their infan-
   those hideous streets, and passed the marble bounds of patri-    cy-14 percent out of 1,409 live births. The corresponding
   cian palaces, and brought to the bedsides of the rich and
                                                                    figure for Venice in 1874-80 was 22.5 percent. Howells
   proud the filthy misery of the Ghetto turned to poison!
   (Howells [1866] 2001,159)                                        would surely have been amazed to find that the children he
                                                                   had seen intent on plucking geese and thus surrounded by
Background: Jewish and Catholic Mortality in Venice                clouds of feathers, had survived a challenging selection
                                                                   process in the early stage of their life, but one that was not
     Indeed, even if true, imagining that the aristocracy          even comparable to that experienced by their Catholic coun-
  should suffer widespread affliction would have been a            terparts, who lived in much cleaner and healthier areas. The
  meager consolation. Whether aware or not, Howells dealt          life prospects of Jews, at least from a demographic point of
  with a very delicate topic. The charge of voluntarily            view, were indeed much rosier.
  spreading epidemics among Christian populations had rep-             I will try to explain the differences in infant mortality
  resented one of the pillars of anti-Semitism since the four-     between Jews and Catholics in mid-nineteenth-century
  teenth century (Ginzburg 1991; Poliakov 1955). Anyway, it        Venice. Because such differentials were common to most
  is also true that such a "scientific" version of the ancient     other locations where Jews and non-Jews lived in close
 accusation was obviously as groundless as the infamous            promixity, the results of this analysis can probably be gener-
 one. As a matter of fact, there is no evidence that in the        alized. I also argue that the peculiarity of the Jewish case has
 great plagues of the past, as well as in the more recent          wider implications for an interpretation of mortality decline
 cholera epidemics, infections had first developed in the          in demographic transition, highlighting the primacy of
 Ghetto. The mortaIity crises caused by such epidemics             behavioral, culturally determined factors in such a processo
 were more prevalent among Catholics than among Jews,                  This article is organized as follows: (1) it presents a
 raising the suspicion that the latter might have enjoyed          review of the literature available on Jewish infant and child-
 some kind of mysterious immunity (Roth [1933] 1991,               hood mortality, (2) it tests some current explanations of the
 109-11). In the disastrous plague of 1630-31, around one-         Jewish advantage with reference to empirical data regarding
 third of the inhabitants of the city died, whereas the pro-       the Venetian Jews, (3) it carries out a comparison of the
 portion for the Venetian Jews was about l out of 7,               mortality patterns in the Jewish sample and in two other
 although one would expect that the population density of          Venetian samples with a similar soci al composition, using
 the Ghetto surely should have increased exposure to conta-        both descriptive and multivariate event-history analysis, and
 gion (Beltrami 1954; Harris 1967; Della Pergola 1987). As         (4) it considers the results obtained in the framework of the
for the cholera epidemic of 1849, when 3,839 persons (3            different cultural backgrounds characterizing Jewish and
percent of the total population) died in less than three           Catholic attitudes toward health and childcare.
 months, the toll paid by the Jews was only 39 deaths,
around 1.7 percent of the community. Similar conclusions
                                                                   Evidence of the Jewish Advantage in Infant and
can be reached about the cholera epidemics of 1855, 1866,
                                                                   Childhood Mortality
and 1867 (Duodo 1874; Namias 1856).
    More important, such differences were not limited to               The gap between Jewish and Catholic mortality rates was
periods of acute demographic crises but rather concerned           not peculiar to the Venetian situation. Wherever such a com-
the mortality regime in ordinary times as well. In the second      parison has been carried out, the Jewish communities have
half of the nineteenth century, life expectancy at birth was       shown similar or even more pronounced differentials from
48 years for the inhabitants of the Ghetto, whereas in the         their host populations, with a remarkable regularity across
whole city it did not pass 30 years. The difference is even        time and space that is quite unprecedented in historical
more striking if one considers that life expectancy for the        demography. Uziel Schmelz's (1971) impressive study pro-
Jews was concerned with only the poorest members of the            vides the most extensive collection of evidence on this
community, as we shall see later, and is computed in a peri-       issue. He gathered some 160 observations, spanning from
od (1850-69) that was marked by several epidemic out-              1819 to 1967, that covered different nations or wide region-
breaks and by two severe economic crises (1854/55 and              al areas, such as Russia, Poland, Prussia, Bavaria, West-
1867). Data on Venice include a wider social range and             phalia, Serbia, Bohemia, Moravia, Italy, Switzerland, the
refer to a much more positive period (1874-80) from both           Netherlands, the United States, and Canada, as well as the
the economic and demographic points of view.4                      cities of Vilna, Lvov, Krakow, Warsaw, Lodz, Budapest,
Summer 2003, Volume 36, Number 3                                                                                              111
Berlin, Hessen, Munich, Vienna, Florence, Trieste, Rome,          Indeed, Toaldo found that whereas "only" one-fifth of the
Turin, Milan, Amsterdam, London, New York, St. Louis,             Jewish newborns died in the first year of life, "notwithstand-
Providence, Detroit, and Montreal. With no more than two          ing the painful operation of circumcision," the proportion for
or three exceptions, Jewish rates were systematically lower       the mountain parishes was more than two-fifths. He found as
by 30 to 80 percent than those of the corresponding host          well that at older ages, life expectancy for Jews was higher
populations. Since then, further confirmation has come            than that of friars and nuns, which he explained by referring
from new research, mainly related to the nineteenth and           to the austerity of the Jewish lifestyle. Toaldo recommended
early twentieth centuries, concerning several samples of the      that his readers seriously consider this aspect when lending or
U.S. urban population (Preston and Haines 1991; Preston,          borrowing money "on the life of a Jew."
Ewbank, and Hereward 1994; Condran and Kramarow
1991); poor immigrants in East London slums (Marks
                                                                  The Jewish Advantage
1994); the working class in Manchester (Johansson 1987,
quoting Ashby 1915); Warsaw (Corrsin 1989); the Nether-               In Livi Bacci's (1978) study on Pitigliano, the author
lands (van Poppe11992; van Poppel, Schellekens, and Lief-         stressed that comparing Jewish and Catholic demographic
broer 2002); Germany (Str6der and Schuster 1982); Gibral-         behavior would highlight the effect of the "very peculiar"
tar (Sawchuk, Herring, and Waks 1985; Sawchuk 1993).              conditions that characterized the life of the Jews in many
Even in eighteenth-century Dutch Guiana (now Suriname)            respects. Although such a consideration is indisputable in
the Jews enjoyed a remarkable advantage in infant mortali-        itself, it also contains an opposite or rather complementary
ty (Cohen 1989).                                                  viewpoint. Because at the same time, and to an increasing
   The above is also true for Italy. For the Jewish commu-        degree-as      long as contacts and integration with other eth-
nity of the Tuscan country town of Pitigliano, Massimo            nic groups grew in frequency and intensity-Jews       and non-
Livi Bacci (1978) found infant mortality rates declining          Jews also shared many fundamental aspects of their daily
from 21 to 17 percent in the nineteenth century, whereas          life. Climatic conditions, economic conjuncture, family
those concerning the Catholic population remained around          structure, as well as socioprofessional composition, were
24 percent. Even lower rates, ranging from 12 to 17 per-          the same. Under certain circumstances, as we have seen for
cent, were found for Florence in the first half of the nine-      the hygienic conditions of the Venetian Ghetto, the situation
teenth century (Sardi Bucci 1976) and for Rome, Florence,         of the Jews could have been even worse than that of their
Turin, and Milan in the second half (Della Pergola 1983;          non-Jewish counterparts. Thus, alI such factors, usually
1997; Bachi and Della Pergola 1984), with an astonishing          considered to affect infant mortality, cannot explain the dif-
minimum as low as 8 percent in Trieste in 1821-25 (Gatti          ferent behavior of the two groups. Indeed, such factors
1991). But similar conclusions had already been reached           could have played a relevant role in determining mortality
about Verona in the pioneering works of Cesare Lombroso           differentials within the Jewish and non-Jewish populations
(1894), about Padua by Corrado Gini (1916), and by Livio          but cannot explain the huge gap observed between the two
Livi (1918-20) in a much wider framework of internation-          mortality levels overall.
al comparisons. Interestingly enough, Lombroso's inquiry             The relevance of such a point of view is more evident if we
was clearly motivated by the fear that the existence of such      consider it in the framework of the debate on the causes of
demographic differentials might encourage new forms of            mortality decline. If a given combination of economic, social,
anti-Semitism.     Therefore,    he tried to demonstrate,         and hygienic conditions were compatible with mortality rates
although not very convincingly, that the lower mortality          so dramaticalIy different, one could reasonably doubt that the
rates of the Jews of Verona were the result of a statistical      decline process was mainly related to a generai improvement
artifact, hiding an alleged systematic recourse to abandon-       in any of such factors, whether in nutrition (McKeown 1976),
ment.                                                             in public health (Szreter 1988), or in pathogenic virulence
   However, the awareness of a Jewish advantage in mor-           (Chambers 1972). Alternatively, or at least in association
tality rates is much older, going at least as far back as the     with such interpretations, one could suggest extending the
eighteenth century. In 1787, the meteorologist Giuseppe           study to include increasingly large strata of non-Jewish pop-
Toaldo (1787), a professor at the University of Padua, pub-       ulations concerning those conditions that allowed Jews to
lished a series of life tables comparing urban, country, and      keep their mortality levels at much lower rates.
mountain populations as well as friars, nuns, and Jews of the        In a famous essay, Livi Bacci (1986) included the Jews
Venetian state to highlight the climatic, hygienic, and social    among the social groups that were "forerunners" of demo-
factors that most influenced demographic behavior. Specifi-       graphic behavior the rest of the population would adopt
cally, Toaldo included the Jews to test the hypothesis that had   only several decades later. Although he referred to fertility
been advanced a few years before by Gianverardo Zeviani           control, the same label could rightly be used for infant
(1775), chief physician in Verona, that neonatal overrnortali-    mortality, as Sergio Della Pergola (1983) has shown by re-
ty in wintertime was due to the custom of exposing newborns       elaborating Schmelz's (1971) data. In the large European
to cold and harsh weather when they were being baptized.          and American sample he analyzed, when Jewish infant
 112
                                                                                                          mSTORICAL     METHODS
 mortality rates were about 16 percent (c. 1860), the corre-      Lifestyle. Other aspects typical of the Jewish lifestyle were
 sponding rates for non-Jews were about 24 percent. The lat-      only indirectly related to religious rules; rather, they reflect-
 ter would have reached the level of the former only around       ed a widespread cultural attitude. For instance, although
 1910; at that time, however, the Jewish rates were already       careful housec1eaning was required only before Passover, it
 below IO percent. As time passed and rates converged             seems that Jewish women usually kept their houses rather
 toward lower levels, the Jewish advance reduced progres-         clean, in sharp contrast with the filthy conditions that pre-
 sively, though never completely disappearing.                    vailed in streets and common areas, which frequently raised
                                                                  the apprehension of local authorities (Condran and Kra-
 Genetic features. What were the reasons for the Jewish          marow 1991,230-32). In addition, as Toaldo (1787) himself
advantage? A large array of factors has been put forward to      had suggested, the Jewish lifestyle was supposed to be more
explain such a phenomenon, including racial and genetic          sober than that of other ethnic groups and host populations.
differences. As Lombroso had somehow foreseen, the pecu-         Alcoholism was almost unknown among Jews, even among
liarities of Jewish demography were used in Nazi Germany         immigrants to the United States (Condran and Karamarow
as an argument in favor of the aberrant pretension of a Jew-      1991, 230). Illegitimacy rates, usually connected with high-
ish racial specificity, as opposed to the Aryan race, whose      er infant mortality, were systematically lower among Jews
tragic outcome was to be the extermination of an entire peo-     (Schmelz 1971, 37), whose strong attachment to domestic
pIe (Della Pergola 1983,149-54, where the genetic features       values and duties was largely acknowledged (Marks 1994,
of different Jewish populations are also discussed). The         67-70). Even sexual practices, forbidding intercourse during
genetic argument, although from a transitional point of          "impure days," not only improved personal hygiene but also
view, was also used to explain a supposed resistance to          made fertility contro l easier, with positive consequences on
infectious diseases, especially to tuberculosis, hypothesiz-     the well-being of mothers and children (Rumyaneck 1933;
ing that both isolation in Ghettos and endogamy had              Della Pergola 1983, 208-15; Livi Bacci 1986; van Poppel
favored a mechanism of hereditary immunization through           1992,244; Watkins and Danzi 1995).
the selection of the most resistant individuals (Fishberg
1902, 1911; Sanarelli 19l3; Livi 1918-20; Bachi 1932;             Childcare. The subject of childcare is especially significant
Rumyaneck 1933). However, recent research has cast seri-          to our study. Even beyond the traditional stereotype of the
ous doubt on the reliability of data demonstrating such an        Jewish mother, which has little to do with the Sephardic
alleged immunity as well as on the scientific foundation of       culture prevailing in the Italian Diaspora, contemporaries
such a theory (Sawchuk and Herring 1984).                         frequently stressed the particular concern of Jewish mothers
                                                                  for their children's health and well-being. Prolonged breast-
 Religious prescriptions. Nonetheless, many scholars prefer to    feeding is certainly the most relevant of such attitudes,
 underline the importance of several aspects connected to the    largely confirmed from a statistical viewpoint by Robert
 peculiarity of the Jewish lifestyle (Della Pergola 1983,        Woodbury's (1926, 75-120) inquiry on eight American
 138-48; Condran and Kramarow 1991,229-35; Dorff 1986).          cities between 1911 and 1915 (Alter 1997, 99-101), and
Most aspects are directly related to religious prescriptions:    repeated by other authors for European communities as
just consider, for instance, the rules about personal hygiene,   well (Sanders 1918, 69-70; Marks 1994, 67-70). Breast-
 such as frequent hand washing especially before and after       feeding itself was just an aspect of a wider solicitude of
meals, nail cutting, and ritual baths for purification that      Jewish mothers for their children. According to Alice Gold-
women were expected to take at least once a month. Indeed,       stein, Susan C. Watkins, and Ann R. Spector (1994), who
the importance of such minimal rules of hygiene should not       interviewed several elderly Jewish and Italian women
be underestimated. Recent research has shown that in devel-      whose families had immigrated to the United States in the
oping countries maternai hand washing reduces episodes of        early twentieth century, the behavior of mothers regarding
childhood diarrhea by up to 90 percent, whereas the avail-       their children's healthcare and prevention of sickness were
ability of running water in itself has no significant effect     radically different, although their soci al and economic con-
(Alam and Wai 1991).6 Furthermore, the body of Jewish            ditions were very similar. Whereas Italians were quite reluc-
dietary law known as Kashrut guaranteed against the inges-       tant to seek the advice of doctors except in cases of extreme
tion of contaminated or unhealthy food. Certain cuts of beef     gravity, preferring to adopt the remedies of traditional med-
that did not receive rabbinical sanction, as well as alI pork    icine, Jewish mothers anxiously called for a doctor at the
and shellfish, were strictly forbidden. The separation of milk   slightest symptom and carefully followed the advice re-
and meat offered children further protection from contami-       ceived (see also O'Connell 1986).
nated food. Because eating insects and worms was prohibit-
ed, Jews were obliged to carefully inspect their food and        Welfare institutions. Several factors were at work here: a
table. As Frans van Poppel (1992, 244) put it, "continuous       higher educational attainment, a culture traditionally more
vigilance was required. A meal could never be prepared           open to medicai science-especially    the availability of Jew-
absent-mindedly."                                                ish physicians who probably offered their services at lower
Summer 2003, Volume 36, Number 3                                                                                              113
prices than Italian doctors if not for free. On the other hand,   tion on the cause of death. The city sanitary officer also
all Jewish communities developed a variety of welfare insti-      kept registers of each death taking pIace in the city, togeth-
tutions and services, providing assistance and help with          er with the length of sickness.
money, clothing, food, education, work, and medicaI care.            As previously mentioned, the Jews of the Ghetto were by
As Rainer Liedtke (1998, 165-84) underlined, such com-            far the poorest members of the community. According to
munity welfare systems were also maintained after Jewish          the census of 1869 (Rilievo degli abitanti di Venezia 1869
emancipation and were a fundamental factor in keeping             1871), of 2,415 Jews living in Venice, one-third lived in the
Jewish identity alive and in preserving social relations with-    centraI parishes of San Marco. Around 1,700 lived in the
in communities,     by making the existing sharp social           sestiere of Cannaregio, which inc1uded the Ghetto. Indeed,
inequalities more acceptable. The role of women was par-          those who could afford to do so preferred to move out,
ticularly important, both as organizers and objects of as-        though they did not go too far from their ancient seat (Calabi
sistance, especially during and after childbirth, when their      2001; Levis Sullam 2001). The sample for this analysis
need for help was greater and physical and psychological          comprises a group of about 700 persons. In the same year,
stress more pronounced. In London's East End, for in-             the parish of Santa Eufemia, covering the whole island of
stance, the Jewish Board of Guardians provided medicai            the Giudecca, had 2,795 inhabitants, while the parish of
care and financial support to pregnant women and young            Angelo Raffaele reached 4,427 inhabitants.
mothers. In 1891, a Home Help Scheme was developed,                  If one considers the urban environment, the three areas
specifically focused on assistance in housekeeping, cook-         were quite dissimilar. The residents of both Angelo Raffaele
ing, shopping, and childcare. It is most interesting that help    and Santa Eufemia lived mainly in small one-story houses;
was provided by other poor women, usually widows, who             however, the population density was much higher in the for-
understood only too well the actual hardships that had to be      mer (around 170 inhabitants per hectare) than in the latter
faced, whereas the Catholic charitable organizations active       (around 30), because a large part of the island was covered
in the same neighborhood were based on the voluntary              by orchards. On the other hand, the Ghetto was character-
activity of middle-class women, inspired by an interclass         ized by big buildings-some        as tall as eight stories-that
soci al ideology that inevitably reduced the effectiveness of     the Jews had been obliged to build so as to house a growing
their intervention (Marks 1994, 108-16).                          population forced to live within a restricted area. Here, the
                                                                  population density was the highest in the city, reaching
The Venetian Case: Poor Jews and Poor Catholics                   1,000 inhabitants per hectare, about four times the average
                                                                  density of the city (Municipio di Venezia 1881, 35; Calabi
   Indeed, all these aspects could have been significant in       1991,235).
lowering Jewish children's mortality, both reducing their            Nevertheless, the overall social composition of the three
exposure and improving their resistance to disease. Howev-        samples was rather similar and equally depressed. The large
er, the generai picture outlined above sounds too idyllic to      majority of the Jews in the Ghetto were day laborers,
appear fully persuasive, as well as too difficult to be rele-     porters, peddlers, small artisans, and shopkeepers. Inhabi-
vant to so many different situations in time and space. To        tants of the two parishes were mainly fishermen, boatmen,
evaluate more precisely the impact on infant and early            porters, and day laborers. In Giudecca, there were also a
childhood mortality of some of the above-mentioned fac-           fairly large number of hemp workers, both male and female.
tors, I will focus here on the concrete historical experience     Women worked as bead stringers, seamstresses, and hat-
of the Jewish community in mid-nineteenth-century Venice.         and glove-makers, and many were employed in a tobacco
In particular, I will refer to those Jews who stilllived in the   factory. In contrast, Jewish women, especially married
Ghetto at that time, although I shall also extend some analy-     ones, did not usually work. In 1869, 82 percent ofthe inhab-
ses to the whole community. For this purpose, I will carry        itants of the parish of Angelo Raffaele were illiterate, by far
out a comparison with two other samples of the Venetian           the highest percentage in the city. In Giudecca, the illiter-
population: the residents of the parishes of Angelo Raffaele      ates accounted for 56 percent of the total population.
and Santa Eufemia.                                                   Although these were the poorest neighborhoods of the
   The data for this analysis will be drawn from the Venet-       city, Venice itself was characterized by widespread poverty.
ian population register, which was established in 1850 and        After the fall of the aristocrati c regime in 1797, Venice had
updated until 1869 (Derosas 1989). Population registers           experienced a prolonged economie and demographic crisis
provide longitudinal information on individuals as well as        (Zalin 1969). In a few years, its population fell from about
on the family, the household and, to some extent, the wider        140,000 to fewer than 100,000 inhabitants, mainly as a con-
community (van de Walle and Blanc 1975; Alter 1988;               sequence of massive outmigration. A slow recovery started
Alter and Gutmann 1999). Furthermore, parish or commu-            in the late 1830s, but it was interrupted by the revolution of
nity registers of births (baptisms), marriages, and deaths         1848, which ended up in the long siege by the Austrian
(burials) are used to integrate or control the data from the      army and the disastrous cholera epidemie of 1849. The
population register. Death registers also provide informa-         1850s were probably the worst period in the whole century,
 114
                                                                                                           HISTORICAL    METHODS
  marked by repeated cholera and measles epidemics and by           wealthiest families with adequately educated servants, it
  the severe economie crisis of 1854/55, when com prices            ended up enabling Jewish women to become considerably
  almost tripled. It was only in the late 1860s, when Venice        more literate than Catholic women.
 joined the Kingdom of Italy, that we can see some evidence             Considering their social organization and institutional
  of generai improvement (Derosas 2002a). Nonetheless, in           welfare, there is little doubt that the Venetian Jews, espe-
  1865, Venice stilI appeared to Howells's ([1866] 2001) eyes       cially the poorest ones, were in a much better position than
  as a "gloomy and dejected city."                                  their Catholic counterparts. This is not at alI surprising,
     Such hardships were directly mirrored by infant mortal-        when one considers a small highly integrated community of
  ity. From 1850 to 1869, the parish registers of Santa             two thousand, striking social inequalities notwithstanding,
  Eufemia recorded         1,923 live births and 607 infant         in a frequently hostile setting and in perpetuaI struggle for
  deaths-31.6     percent. In the same period, Angelo Raffaele      its own survival. However, when it comes to other aspects
 recorded 3,224 live births and 1,030 infant deaths-32              of the Jewish lifestyle, especially demographic behavior,
 percent. The period 1853-1855 was particularly dramatic,           most differences between Jews and Catholics disappear.
 when almost one newborn out of two died in the first year             For example, Jewish and Catholic sexual behavior was
 of life. Overall, infant deaths accounted for about 40 per-        very similar. Illegitimacy rates, for instance, were even
 cent of ali deaths registered in the two parishes. In the         higher among Jews than Catholics: 4.9 percent of the births
 Jewish community, there were 197 infant deaths out of             recorded in the population registers were illegitimate,
  1,409 live births (14 percent), and the former did not reach     whereas the corresponding percentage for Angelo Raffaele
 20 percent of alI deaths.                                         and Santa Eufemia was 3.9. If we extend the count to the
     Some factors that explain the Jewish advantage were also      whole Jewish community, the figure drops to 3.5, as one
 present in the Venetian case. For instance, although the          would expect, but it is not a big change. In both cases, such
 city's welfare institutions were numerous and widespread          proportions appear quite low: according to official statistics,
 (Bembo 1859; Bertoli 1977), in many respects poor Jews            during the same period in Venice 7.3 percent of alI births
 enjoyed a more favorable condition than their Catholic            were illegitimate, but such a figure probably also inc1udes
 counterparts. Periodically, the community board provided          children abandoned at the city foundling hospital (Munici-
 them with money, clothing, blankets, new straw mattresses,        pio di Venezia 1881), a large number of whom were legiti-
 fuel, and medicines. Jews also received free medicaI care         mate (Federigo 1832; Grandi 1991). Indeed, for many rea-
 (Pardo 1965). As Howells ([1866] 2001) stated, in Venice          sons, unmarried Catholic women were probably much more
 "the doctors are very numerous, and a considerable number         inclined to abandon their children than were their Jewish
 of them are Hebrews," including the pioneers of pediatrics        counterparts, but this fact should not significantly bias the
 and public hygiene, such as Cesare Musatti (1876, 1877),          results. On the other hand, illegitimacy itself was related to
 Giacinto Namias (1856), and Raffaele Vivante (1904; see           premarital sexual relations. Also from this point of view, the
 also Somma 1981).                                                 Jewish and Catholic samples give very similar results: 29.4
     After 1844, a poorhouse and retirement home guaranteed        percent of first-born children in the Ghetto were fruit of a
 some earning to the unemployed and offered a shelter to the       premarital conception, whereas the share in the two parishes
 elderly poor: the retirement home is stili a working concept.     was 27.1 percent.
It wasn't until 1886 that specific assistance to women after           Even more unexpected are the results concerning fertility.
childbirth was offered. However, a kindergarten with a large       As mentioned above, the Jews have been included among the
garden was available in the first half of the century, which       "forerunners" of fertility control (Livi Bacci 1986), a behav-
contrasted sharply with the dreary places where Catholic          ior directly connected to lower infant mortality, although pri-
children were kept while their mothers were at work-              ority in the process and direction of causality are still under
indeed, they were "waiting rooms of death," according to a        debate (Taylor, Newman, and Kelly 1976; Scrimshaw 1978;
Jewish doctor who urged the municipality to open and fund         van de Walle 1986; Woods, Watterson, and Woodward 1988,
new and healthier kindergartens (Musatti 1877; Luzzatto            1989; Nault, Desjardins, and Légaré 1990; Langner 1996).
Voghera, Finzi, and Szabados 1999; Filippini 1999).               Anyway, although Jewish fertility was generally lower, this is
    Finally, the scholastic system was particularly well devel-   not the case in Venice. The total maritai fertility rate at 25
oped. Although the Jews had been admitted to public               (TMFR25) is 5.4 children for the Jews, versus 5.2 for the
schools since 1820 (Berengo 1987), they preferred to attend       Catholics (Breschi, Derosas, and Manfredini 2000): a num-
either the community religious school (Beit Midrash) or any       ber that is considerably higher than those computed for the
of the 24 small private schools in the Ghetto, while the rich-    Jewish communities of Pitigliano (Livi Bacci 1978) and Flor-
est families provided tutors for their children (Luzzatto         ence (Sardi Bucci 1976) in the fll'st half of the nineteenth cen-
Voghera 1999; Luzzatto Voghera, Finzi, and Szabados               tury, when an average of 3.7 children was expected from a
1999). Furthermore,        after 1822 the community board         woman marrying at 25. Age at first marriage was also the
financed a school offering free education to poor girls.          same: the average marrying age for women was 25.4 in the
Although the school's explicit purpose was to provi de the        two parishes and 25 in the Ghetto.
Summer 2003, Volume 36, Number 3                                                                                                          115
   Such a similarity between Venetian Jews and Catholics is                      To reach a more satisfying explanation of such differen-
confirmed by the length of birth intervals. U sing births of                  tials, a closer look at mortality patterns is necessary. I will
parity 2 to 5, the median length for both is 23.5 months, a                   first present some descriptive measures and turn later to
relatively short one, typical of a high-pressure demographic                  more complex models.
regime and positively correlated to high infant mortality.
One should also consider that here only live-births spacing                   Age-specific infant and childhood mortality. Table l con-
is taken into account. Because Jewish mothers were appar-                     trasts the probabilities of death (q) by religion and sex at
ently subject to much higher miscarriage rates, as we shall                   different ages, using population register data. The gap
see, the actual frequency of their pregnancies was even                       between the two groups is indeed remarkable, the death
higher than that. It is also worth noting that while for the                  probabilities of the Catholics being twice or more those of
Catholics the death of the previous child sensibly shortened                  the Jews up to age 15, and then dec1ining with age. The num-
such an interval, that was not so for the Jews. In fact, for                  ber of events after age 5 for the Jewish subgroup is so small,
Catholics such an event reduced the median interval from                      however, that any computation should be taken cautiously.
25.3 months to 20.3 months, whereas for Jews the differ-
ence was only one month, from 23.9 to 22.9. The effect of                     Neonatal mortality. Further focusing on the first year of life
the interruption of breastfeeding is quite c1ear, although it                 allows us to highlight both the components of infant mor-
seems difficult to draw evidence about the length of time                     tality and the possible biases introduced by different regis-
spent breastfeeding.                                                          tration procedures. Let us first consider perinatal and
                                                                              neonatal mortality. These should reflect the endogenous
                                                                              component of infant mortality, although, as John Landers
Descriptive Measures of Infant Mortality
                                                                              (1993, 139-41) has shown and as we shall also see later,
   Overall, the Venetian case only partly fits the generai                    their pattern of variability appears too sensitive to environ-
framework suggested to explain the Jewish advantage in                        mental factors to be entirely related to purely endogenous
infant and childhood mortality. Indeed, in comparison with                    causes. Table 2 compares data on the Jewish community as
Catholics, the cultural level of the Jews was higher, espe-                   a whole, the parish of Santa Eufemia from 1859 to 1869,
cially among the poor and the female population. The assis-                   and the entire city of Venice from 1884 to 1893. Such a
tance provided by the community was more effective and                        selection reflects data availability. The population register
widespread, and the respect for hygienic and nutritional                      does not report stillbirths or miscarriages, which are quite
rules was guaranteed by social control. On the other hand,                    carefully recorded in the Jewish community registers-in
as far as demographic behavior is concerned, hardly any                       Santa Eufemia registers since 1859 but none at all for Angelo
difference exists between Jews and Catholics. In particular,                  Raffaele. Communal statistics report such data only since
fertility and possibly the duration of breastfeeding are                       1884. In alI cases, the completeness and reliability of infor-
exactly the same in the two groups. Thus, these factors can-                  mation are rather difficult to evaluate.
not be used to explain mortality differentials as large as                        These results are quite surprising and require cautious
those we have previously noted.                                               interpretation. The number of miscarriages among Jews-
                       TABLE 1. Probabilities or Death (q.) and Survivors to 15th Anniversary by Religion,
                       Sex, and Age: Venice, 1850-69
                                                                      Age (years)                                   Survivors
                       Sex                      O               1-4                  5-9         10-14                to 15
                                                                        Catholics
                       Male                  290.3             247.0                57.0          25.5                491
                       Female                253.8             235.1                50.2          23.0                530
                            Total            272.8             241.2                53.6          24.2                510
                                                                          Jews
                       Male                    94.5            146.5                [22.7]        [8.0]               749
                       Female                 138.7            140.6                [17.3]       [19.0]               714
                            Total             116.6            143.7                [20.2]       [13.1]               731
                       Source. Population register. Va1ues in square brackets computed with fewer than IO events.
116
                                                                                                                                   HISTORICAL   METHODS
 recorded as "fetuses"-is     remarkably high: l out of 10 live              one-third in comparison with that computed for Santa
 births, twice the proportion of Santa Eufemia and nine                      Eufemia.
 times that of the whole city. However, such a result is also                   Such results should suggest some caution in comparing
 very close to that found by Israel Zoller (1924) for the Jews               infant mortality rates. Consider that in the two parishes,
 of Trieste in the late nineteenth century. On the other hand,               deaths on the first day of life represent 10 percent of all
 the number of stillbirths-only      3 cases in 20 years-seems               infant deaths, whereas such deaths make up only 0.7 per-
 too low to be reliable.                                                     cent in the Jewish sample. Nonetheless, the gap is suffi-
    Registration criteri a probably played a much greater role               ciently relevant that it cannot be merely derived from a
 than substantial differences here. It is well known that reli-              registration bias. On the other hand, such cleavage holds
 gious reasons encouraged Catholic parents to pretend that                   even in the days following the first. Also excluding the first
 their children had been baptized, notwithstanding their                     day of life, mortality rates in the first month are 40.7 per
 "dubious" vitality, because baptized children would have                    thousand for the Jews and 96.7 for Santa Eufemia, reach-
 been granted a pIace in heaven.7 As a result, stillbirths and,              ing 135 per thousand in Angelo Raffaele. From the very
 in some cases, even fetal deaths were improperly recorded                   beginning of life, a sharp inequality characterizes the two
in parish registers as infant deaths. On the other hand, for                 samples.
the Jews, the full acknowledgment of a child's individuali-
ty, at least for males, took piace only at circumcision, when                Postneonatal mortality. The same inequality, although
the infant received his Hebrew name. One might wonder                        attenuated, is maintained throughout the first year of life.
therefore whether deaths that took piace before circumci-                    Figure l shows the age-specific mortality rates by complet-
sion could have simply been record ed as "fetal deaths," that                ed month, based on the population register as well as on
is, as miscarriages at a late gestational age. As a matter of                linked vital records data (for the whole Jewish community).
fact, in the Jewish community registers, only 2 deaths took                  To make reading easier, the first month is omitted.
pIace on the very first day of life, whereas for Santa                          As one would expect, the fairly small number of events
Eufemia the ratio was 52 per thousand. If one considers                      for the Ghetto sample makes the rates quite unstable.
mortality only in the first week, ratios appear at least com-                Nonetheless, the three series follow the same pattern. Over-
parable-12.8     per thousand for the Jews and 86.1 for Santa                all, the Jewish advantage is kept at all ages, although it is
Eufemia-though       they are still extremely far apart. Perina-             sensibly reduced after the first month. The gap seems to
tal mortality, including late fetal deaths, stillbirths, and                 shorten from the sixth to the eighth month only. A tentative
deaths in the first week, somehow balances such sources of                   explanation might be that Jewish mothers wean their chil-
bias: the Jewish ratio is nonetheless still lower by about                   dren earlier, which would contradict unanimous witnesses
                     TABLE 2. Perinatal     and Neonatal Mortality:        Jews and Catholics
                                                        Jewish              Santa
                                                     community,            Eufemia,               Jews/                Venice,
                                                       1850-69             1859-69              Catholics              1884-93
                                                                Absolute values
                     Live births                       1,410                1,080                                     41,551
                     Miscarriages                        136                   55                                        474
                     Stillbirths                           3                   30                                      1,812
                     Deaths, 1st day                       2                   56
                     Deaths, 2d-7th day                   16                   37
                     Deaths, 1st week                     18                   93
                                                                    Ratios (%)
                     Miscarriages/live births               96.45              50.93                 1.89                 11.41
                     N atimortali ty                         2.13              27.78                 0.08                 43.61
                     Fetal mortality                        89.74              72.96                 1.23                 52.15
                     Perinatal mortality                   101.36             152.79                 0.66
                     Source. Parish and Jewish community    death registers; Rassegna   statistica   trimestrale   del Comune di
                     Venezia, 1884-93.
Summer 2003, Volume 36, Number 3                                                                                                                                117
                              25
                       'C
                        ; 20
                        VI
                        ::l
                       o
                       ~ 15
                                   \                                                                                           Ali Jews
                        :;;                                                                                                     Ghetto Jews
                        c.
                                       \                A                        I
                       g      10   " "-"                                                                                       Two parishes
                       c
                        :l:
                               5
                                     "
                                           "   --"
                                                    ,       ~               "   I ",.-
                                               "                ~V
                                               2        3         4     5            6    7     8      9    10   11
                                                                       Age in Monlhs
                       FIGURE       1. Age-specific               mortality          rates, by completed   month (first not included).
about a Jewish preference for prolonged breastfeeding.                                                 This is particularly true for the two main causes indicated
Anyway, notwithstanding the differences in levels, the age-                                         in table 3. Convulsions clearly cannot be considered a cause
specific mortality patterns are quite similar in all the sam-                                       of death but rather a symptom of another underlying cause,
ples considered.                                                                                    ranging from trauma to infection. If one considers the
                                                                                                    improper feeding practices then commonly used, frequently
Causes of infant deaths. Jews and Catholics show unex-                                              including opiates, intoxication should not be ruled out.
pected similarities concerning the causes of death. Table 3                                         However, deaths by (or with) convulsions were mainly con-
displays the distribution of the main causes of infant deaths                                       centrated in the first month of life and had a very quick
for the two parishes and the Jewish community as a whole.                                           course, lasting one or two days at most, perhaps indicating
Deaths in the first day of life, for congenital malformations,                                      the outcome of some infection. A large share was undoubt-
difficulties during delivery, prematurity, or immaturity are                                        edly due to tetanus, frequently transmitted when the umbil-
omitted. For the reasons mentioned above, they would have                                           ical cord was cut with dirty tools (Boerma and Stroh 1993;
introduced some bias in the results. Needless to say, such                                          Smucker et al. 1980).
data must be considered cautiously. As George Alter and                                                As for chronic malnutrition, it is indeed a cause of death
Ann Carmichael (1996, 1997) stressed, translating causes                                            and is stili the most important cause of infant death in the
of death drawn from historical sources into contemporary                                            world today. However, it represents the final outcome of a
c1assifications can be highly misleading. The limits of diag-                                       process of progressive organic debilitation and increased
nostic capacity and medicaI knowledge, a mainly sympto-                                             immunodeficiency, caused by a large number of reasons, and
matic approach, and obscure terminology make interpreta-                                            slow degeneration for lack of adequate and effective treat-
tion uncertain and hazardous.                                                                       ment (van Norren and van Vianen 1986). In the Venetian
                                                                                                    case, death by malnutrition carne after a long illness, usual-
                                                                                                    ly lasting a couple of months. It seems that death occurred
   TABLE 3. Causes of Infant Death (%)                                                              almost exclusively during the second semester of life, clear-
                                                                                                    ly showing a relationship with weaning and improper feed-
                                                                                                    ing practices as was the case with gastrointestinal diseases.
                                     Jewish                     Santa Eufemia!
   Malady                          community                    Angelo Raffaele
                                                                                                    Together, these afflictions represented about 40 percent of
                                                                                                    all infant deaths both for the Jews and the Catholics and the
   Convulsions
                                                                                                    large majority of deaths in the second semester.
                                        31.5                           41.5
   Chronic malnutrition                 23.2                           25.5                            In addition to the problems related to the quality of infor-
   Gastrointestinal disease             19.3                           13.6                         mation on causes of death, the substantial overlapping of
   Respiratory disease                   8.3                            3.5                         the two distributions is nonetheless astonishing. Because
   Infectious disease                    6.6                            5.5                         the gap between Jewish and Catholic infant mortality was
   Tuberculosis                          6.1                            4.0
   Others, unidentified
                                                                                                    so dramatic, one might expect that the causes of death were
                                         5.0                            6.4
         Total                         100                            100                           also different. Gretchen Condran (1987) proposed to aban-
                                                                                                    don the idea of a single process of mortality decline taking
   Source. Parish and Jewish community             death registers; death regis-                    pIace in the demographic transition as too simplistic, sug-
   ters of the city sanitary officer.                                                               gesting that, on the contrary, there were several transitions
                                                                                                    in time and space, each connected to specific causes and
118                                                                                                         HISTORICAL   METHODS
factors. Apparently, this was not the case for Venice. The              I estimate the effects of these covariates in three differ-
Venetian Jews were some 40 years in advance in the                   ent phases of infancy: the first month of life; lO from the
process of mortality decline, but their mortality patterns           second to the sixth month, and from the seventh month to
were mostly the same as those of the Catholics. Although             the second year completed. The adoption of such a seg-
Jewish infants died much less frequently than did Catholic           mentation is required by the very different nature of the
infants, the causes of death were the same. Even chronic            risks a child is exposed to in the early phases of life, relat-
malnutrition, typical of social environments characterized           ing, respectively, to those criticai moments immediately
by deprivation, ignorance, and poor hygiene (van Norren              after birth, to the peri od of breastfeeding, and, finally, to
and van Vianen 1986), as well as gastrointestinal disease,           weaning and the introduction to ordinary food when con-
were as significant in the Jewish disease profile as they           tacts with the external environment become more intense.
were for the Catholics.                                             Contemporary physicians witnessed that Venetian mothers
                                                                    tended to wean their children rather early, frequently
Comparing Infant Mortality Patterns:                                before the sixth month, adopting some inappropriate
An Event-History Approach                                           method of mixed feeding (see Valatelli 1803, 140-44; Fed-
                                                                    erigo 1832, 132-34; Musatti 1876,40-41,64-65,           110-11).
   The search for explanations of the Jewish advantage has          Whereas some covariates will keep their effect unchanged
generated poor results thus far. Besides some aspects in the        throughout the whole period, other results will be relevant
welfare system and literacy, for alI other factors, and espe-       only at certain ages. I also expect that some covariates, the
cially for demographic behavior, we hardly found any dif-           current season in particular, will change their effect dra-
ference at alI between Catholics and Jews. We will now take         matically at different ages. Overall, it should emerge that
into account a variety of factors that could affect mortality,      the protection provided by the mother and the family pro-
such as climate, social standing, economie conjuncture,             gressively disappears with a child's growth, whereas the
family composition, and the like.                                   influence of social and economic conditions becomes pro-
   For the following analysis, I will estimate several hazards      gressively more important (see Derosas 2002b for a more
models, adopting the semiparametric approach of the Cox             detailed argument).
regression. In this approach, the instantaneous risk of dying           Two kinds of complementary questions interest us: Did
at any age t is the product of a function of t and a function       the Jews maintain their advantage even after controlling for
of the explanatory variables and unknown parameters. The            all such factors? Did such factors have the same effect for
effect of the covariates is to act multiplicatively on the risk     both ethnic groupS?11 To answer these questions, I will esti-
of dying. Such covariates can be either fixed or time-              mate the three models-one       for each age span-first    omit-
invariant, like sex, or subject to changes through time, or         ting the covariate concerning ethnicity and then including it.
time-varying, such as c1imate, prices, and the like. The           A chi-square test of the difference of the log-likelihood sta-
event-history approach is designed to take such variations         tistic in the nested models allows us to test the null hypoth-
through time into proper account.                                  esis that the coefficient of the ethnicity covariate in the full
   The generai form of the models is the following:                model is zero. Furthermore, a comparison of the two sets of
  r(t, X)   = h(t) * exp(bX)                                       estimates should highlight a possible interaction between
                                                                   ethnicity and any other covariate, suggesting a confounding
where r(t, X) is the instantaneous risk of dying at age t for      effect related to the former.
children with covariate vector X, h(t) is the so-called base-          Table 4 displays the results of the estimations, reporting
line rate at age t, and X is a vector of covariates. A peculiar-   the average value or the percentage distribution for each
ity of Cox models is that the shape of the baseline hazard is      covariate, the exponentiated coefficients, and the p value
left unspecified (hence the semiparametric qualification).         associated with each estimate. The coefficients for each
Furthermore, they require that the effects of the covariates       covariate measure the relative risks of childhood death in a
do not change through time (Cox 1972; Blossfeld and                given category as a proportion of the risk run by the chil-
Rohwer 1995).                                                      dren in the reference category, which is set to 1. A relative
   The first set of models pools together the two parishes         risk of 0.605 for middle-c1ass infants means that their risk
and the population of the Ghetto, using data drawn from            of a neonatal death was 60.5 percent, or 39.5 percent lower
the population register. The covariates included in the            than the risk run by children of day laborers.
models are sex; mother's age at birth; birth spacing and               A detailed discussion of the results has already been
vitality of the previous born at conception of the index           given elsewhere (Derosas 1999; Breschi and Derosas 2000;
child; presence of parents; head's soci al status;8 current        Derosas 2002b; Oris, Derosas, and Breschi 2004) so I shall
season as a proxy of the prevailing climatic conditions;9          limit myself to emphasizing a few points.
the average price of wheat in the three previous months                Conditions at birth have a relevant effect on the risk of
(logged), as a proxy of short-term economic stress; and,           dying, especially, as one would expect, for neonatal mortal-
finally, religion.                                                 ity. Children born to mothers over the age of 35 run a risk
Summer 2003, Volume 36, Number 3                                                                                          119
                       TABLE 4. Hazards Models   or the   Risk   or Dying,   0-730 Days
                                                                 Exp.              p        Exp.                  p
                                                 Avg.            coeff.          value     coeff.               value
                                                                 0-30 days
                       Sex
                         Male                    0.52               l                         l
                         Female                  0.48               0.859        0.090        0.869            0.117
                       Mother's age
                          25-30                  0.22               l                         l
                          < 25                   0.19               0.919        0.587        0.936            0.669
                          30-35                  0.20               1.128        0.408        1.141            0.365
                          > 35                   0.37               1.489        0.001        1.512            0.001
                          Unknown                0.01               1.924        0.084        1.953            0.078
                       Previous birth interval
                       and vitality
                          > 24 mos., alive       0.21               l                         l
                          > 24 mos., dead        0.12               1.000        0.998        0.951            0.775
                          < 24 mos., alive       0.24               1.084        0.585        1.105            0.497
                          < 24 mos., dead        0.22               1.779        0.000        1.687            0.000
                          First birth            0.16               1.536        0.009        1.495            0.015
                          Unknown                0.06               0.731        0.264        0.788            0.397
                       Mother                                       N.I.                      N.I.
                          Present
                          Absent
                       Father
                          Present                0.96               l                          l
                          Absent                 0.04               0.873        0.614         0.889           0.664
                       Head's social status
                          Day laborer            0.40               l                          l
                          Wage earner            0.30               0.848        0.120         0.838           0.096
                          Artisan, shopkeeper    0.24               0.744        0.013         0.803           0.067
                          Middle, upper class    0.06               0.605        0.028         0.636           0.048
                       Season
                          Winter                 0.24               l                          l
                          Spring                 0.26               0.742        0.005         0.744            0.006
                          Summer                 0.27               0.256        0.000         0.253            0.000
                          Fal1                   0.22               0.491        0.000         0.492            0.000
                       Religion                                     N.I.
                          Catholic               0.91                                          l
                          Jew                    0.09                                          0.269            0.000
                       Logged wheat price        2.76               0.971        0.798         0.968            0.777
                       Events                                   504                          504
                       Person-years                             282.37                       282.37
                       Partial MLL                           -4035.16                     -4018.66
                       X
                        2
                                                                177.94           0.000       210.96             0.000
                       df                                        18                           19
                       -2* diff(MLL)                                                          33                0.000
                                                                 31-180 days
                       Sex
                         Male                    0.51               l                          l
                         Female                  0.49               0.892        0.378         0.896            0.395
                       Mother's age
                         25-30                   0.22               l                          l
                         < 25                    0.20               0.632        0.048         0.642            0.056
                                                                                                      (table continues)
120                                                                                     HISTORICAL   METHODS
      TABLE 4. Continued
                                         Exp.           p       Exp.                 p
                                Avg.     coeff.       value    coeff.              value
                                       31-180 days
      Mother's age
        30-35                   0.21        0.924     0.693       0.935            0.736
        > 35                    0.36        1.202     0.274       1.217            0.243
        Unknown                 0.01        0.585     0.455       0.616            0.500
      Previous birth interval
      and vitality
         > 24 mos., alive       0.21        1                     1
         > 24 mos., dead        0.11        1.237     0.362       1.208            0.418
         < 24 mos., alive       0.24        1.118     0.592       1.144            0.517
         < 24 mos., dead        0.20        1.652     0.010       1.612            0.015
         First birth            0.15        1.179     0.508       1.174            0.519
         Unknown                0.08        0.988     0.969       1.023            0.942
      Mother
         Present                0.98        l                     l
         Absent                 0.02        2.162     0.068       2.068            0.086
      Father
         Present                0.97        l                     l
         Absent                 0.03        1.312     0.420       1.333            0.394
      Head's social status
         Day laborer            0.40        1                     1
         Wage earner            0.29        0.918     0.576       0.912            0.543
         Artisan, shopkeeper    0.24        0.758     0.109       0.798            0.195
         Middle, upper class    0.07        0.519     0.059       0.537            0.075
      Season
         Winter                 0.25       l                      l
         Spring                 0.23       0.780      0.187       0.784            0.194
         Summer                 0.26       0.853      0.372       0.853            0.372
         Fall                   0.26       0.777      0.162       0.774            0.156
      Religion                             N.I.
         Catholic               0.90                               1
         Jew                    0.10                               0.508           0.024
      Logged wheat price        2.76        0.992     0.959        0.983           0.914
      Events                              241                    241
      Person-years                       1315.99                1315.99
      Partial MLL                      -1930.29               -1927.2
      X2                                   32.18      0.030       38.36            0.008
      di                                   19                     20
      -2* diff(MLL)                                                6.18            0.013
                                       181-730 days
      Sex
        Male                    0.51        1                      l
        Female                  0.49        0.918     0.276        0.918           0.279
      Mother's age
        25-30                   0.23        l                      1
         < 25                   0.20        0.907     0.430        0.927           0.542
         30-35                  0.21        0.947     0.645        0.957           0.708
         > 35                   0.36        0.908     0.361        0.916           0.407
         Unknown                0.01        1.230     0.666        1.284           0.601
      Previous birth interva1
      and vitality
         > 24 mos., alive       0.20
                                                                          (table continues)
Summer 2003, Volume 36, Number 3                                                                                                      121
                       TABLE 4. Continued
                                                                  Exp.              p            Exp.           p
                                                    Avg.          coeff.          value         coeff.        value
                                                                181-730 days
                       Previous birth interval
                       and vitality
                          > 24 mos., dead           0.11             1.048        0.757            1.025     0.872
                          < 24 mos., alive          0.24             1.148        0.270            1.171     0.209
                          < 24 mos., dead           0.19             1.423        0.005            1.392     0.008
                         First birth                0.15             1.072        0.645            1.059     0.703
                          Unknown                   0.10             1.010        0.954            1.005     0.975
                       Mother
                          Present                   0.98             l                             l
                          Absent                    0.02             1.413        0.225            1.363     0.278
                       Father
                          Present                   0.97             l                             l
                          Absent                    0.03             1.118        0.599            1.144     0.527
                       Head's soci al status
                          Day laborer               0.39             l                             l
                          Wage earner               0.30             0.692        0.000            0.685      0.000
                          Artisan, shopkeeper       0.24             0.690        0.000            0.721      0.002
                          Middle, upper c1ass       0.07             0.634        0.009            0.653      0.015
                       Season
                          Winter                    0.26             l                             l
                          Spring                    0.26             0.942        0.639            0.941      0.633
                          Summer                    0.25             1.923        0.000            1.924      0.000
                          Fall                      0.23             1.324        0.018            1.327      0.017
                       Religion
                          Catholic                  0.89                                           l
                          Jew                       0.11                                           0.591      0.001
                       Logged wheat price           2.76             1.473        0.000            1.474      0.000
                       Events                                      647                           647
                       Person-years                              4165.37                       4165.37
                       Parti al MLL                             -5052.82                      -5046.89
                       X2                                          106.5          0.000          118.37       0.000
                       df                                           19                            20
                       -2* diff(MLL)                                                              11.86       0.000
                       Note. N.I. = not included. MLL = Maximum Log Likelihood.
of dying in their first month 50 percent higher than those                 fact that the mother's absence after the sixth month has no
born to mothers aged 25 to 30. Birth spacing also has a                    negative consequences on the child's well-being indicates
strong impact on survival chances. When the birth interval                 that the mother's care declined abruptly after weaning, leav-
is shorter than two years and the preceding child is dead at               ing such a charge to, or sharing it with, other members of
the conception of the index one, the risk of dying rises by                the family. Indeed, as shown elsewhere (Derosas 1999;
70-80 percent. Interestingly enough, the negative influence                Breschi and Derosas 2000; Derosas 2002c), in the second
of the previous child's death persists throughout late infan-              semester of life, an older sister's presence is more important
cy. As for the f1rstborns, they are also exposed to greater                than that of the mother herself. This finding is consistent
risks of dying but only during the first month of life. Final-             with evidence from contemporary and historical popula-
ly, there is a clear advantage for females in the first semes-             tions in Asia (Skinner 1997) but has not yet received much
ter, although p values are on the borderline.                              attention in the European context. Older sisters were usual-
   The absence of the mother has a strong negative effect,                 ly responsible for the care of their younger siblings, while
which is not at all unexpected. However, the effect is true                their mothers were busy cooking or doing piecework at
only for the breastfeeding peri od. One might argue that the               home. When the first public nurseries were established in
122                                                                                                            HISTORICAL    METHODS
  Venice in 1853, one of the main reasons given by the               member of the Jewish group is clearly protective: the rela-
  municipal authority was the need to relieve young girls of         tive risk is only 27 percent that of Catholic children in the
  the burden of caring for their younger siblings, a situation       first month, 50 percent up to the sixth month, and 59 per-
  that often caused them serious health problems (Filippini          cent in late infancy, confirming the results of descriptive
  1999, 103). As for fathers, their presence is apparently           analysis. On the other hand, none of the other coefficients is
  ineffective. However, the coefficients show an increase in         affected by the introduction of religion as a covariate, clear-
 the probability of death in the hazards models of the risk          ly indicating the absence of interactions between religion
 of dying from 30-180 days and from 180-730 days                     and the other covariates. The Jewish advantage does not
  (although p values are not significant), suggesting that the      result from favorite social conditions, or from better coping
 presence of a breadwinner became more important as the              with climatic harshness, or from better management of
 child grew up. As shown elsewhere (Derosas 2002d), the             intense fertili ty.
 lower the socioeconomic         status of the household, the           A second set of estimations, whose purpose is to test
 more dramatic the consequences of the father's death for           whether the two ethnic groups were affected in the same
 his children.                                                      way by the same factors, provides further confirmation.
     Differential mortality caused by social status is also         Thus, Iran the same models separately for the two ethnic
 quite strong (Derosas 2003). However, estimates are statis-        groups, and to make the analysis more consistent, I also
 tically significant only in the first month and in late infan-     included the Jewish community as a whole, using linked
 cy. The effects of social environment are evident in child-        vital records from the community registers to obtain longi-
 birth as well as during and after weaning, when the                tudinal information at the individuaI level. In this case,
 protection provided by the mother is not yet as, or no more        information at the household level is not reliable and has
 effective than, it is during breastfeeding. Indeed, in the sec-    consequently been dropped from the analysis. The only co-
 ond age bracket only children of middle and upper classes          variates kept were sex, soci al status, current season, and
 enjoy a remarkable advantage, with a relative hazard of            current wheat price. Results are displayed in table 5.
 dying that is about half that of children from the lowest              Most results concerning the Ghetto obviously suffer from
 soci al stratum (p value is very close to .05). The other          the small sample size and should be interpreted very cau-
 social groups also have smaller advantages, although they          tiously. For instance, the disadvantaged position of females
 are statistically nonsignificant. It seems that short-term         in the first semester, confirming descriptive analysis, is con-
 economie stresses, as expressed here by changes in the             tradicted by the corresponding estimate about the Jewish
 logged price of wheat, have a remarkable repercussion on           community, where males and females are on the same level;
child well-being only in late infancy (hazards mode l on the        on the other hand, a clear female advantage is only peculiar
risk of dying from 180-730 days), an increase by one unit           to the Catholic sample.
raising the risk of dying by 47 percent.                                As for the role of social status, it is worth stressing that its
    Climatic conditions-as     proxied here by the current sea-    relative weight in differentiating mortality is even stronger
son-also have a heavy impact on mortality. Furthermore,            among Jews than among Catholics, both in the fll'st month
they change dramatically in the different age groups. As far       and in late infancy. In both cases, the relative hazard of the
as neonatal mortality is concerned, the hazards characteris-       children of the Jewish elite is 40 to 50 percent that of their
tic of children born in the summertime are only 25 percent         poorest counterparts, whereas for the Catholics such a haz-
those of children born in winter.12 The advantage is also          ard is about two-thirds. This difference can be c1early appre-
very strong for those born in the fall (50 percent) and the        ciated in figure 2, which contrasts the relative risks of the
spring (75 percent). Again, during breastfeeding, external         Jewish and Catholic elites.l4 In a way, the gap between the
factors lose their importance; no season appears to clearly        paired histograms is a direct measure of differenti al social
favor infants' survival, although coefficients stili work          inequality in the two groups. On the other hand, it is worth
against winter. In late infancy, the effect of environmental       noting that in the breastfeeding period only the children of
conditions becomes preeminent again, although the season-          the Catholic elite keep their advantage, whereas soci al status
al pattern is now reversed. Winter becomes, in fact, the most      does not make any difference in Jewish mortality.
favorable season, whereas the greatest dangers, related to              When it comes to seasonality, the behavior of the three
exposure to gastroenteric diseases, are concentrated in sum-       samples is again very similar, as long as the first month
mer and fallo The relative hazard for summer is more than          and late infancy are considered, with winter being extreme-
twice that of winter.13                                            ly dangerous at first and then extremely beneficiaI, ac-
    We can now turn to our main questiono Is the Jewish            cording to the pattern shown above (figure 3). Further-
advantage a kind of by-product of any of such factors, or          more, in both Jewish samples, winter is also extremely
does it keep its relevance even after controlling for all of       dangerous during the breastfeeding period, whereas for
them? Indeed, as the likelihood ratio test shows, in all mod-      the Catholics such an effect is much smaller and non-
els the inclusion of the covariate concerning religion signif-     significant. Although it is difficult to give a clear-cut
icantly improves the overall fit. On the one hand, being a         explanation, such a result is consistent with the greater
Summer 2003, Volume 36, Number 3                                                                                                             123
   TABLE 5. Hazards Models of the Risk or Dying, 0-730 Days
                             Santa Eufemia! Angelo Raffaele                 Ghetto Jews                   Jewish community
                                        Exp.            p                      Exp.        p                   Exp.                   p
                              Avg.      coeff.        value     Avg.          coeff.      value   Avg.         coeff.              value
                                                               0-30 days
   Sex
     Male                     0.52         l                     0.51           l                 0.51            l
     Female                   0.48         0.856      0.087      0.49           2.345     0.158   0.49            1.042            0.883
   Head's social status
     Day laborer              0.41         1                    0.38            l                 0.14            l
     Wage earner              0.31         0.819      0.060     0.19            0.326     0.302   0.09            0.496            0.231
     Artisan, shopkeeper      0.22         0.770      0.032     0.43            0.954     0.935   0.54            0.615            0.173
     Middle, upper class      0.06         0.644      0.054     N.I.                              0.23            0.389            0.043
   Season
     Winter                   0.24         1                     0.24           l                 0.25            l
     Spring                   0.26         0.733      0.004      0.27           0.835     0.777   0.23            0.394            0.017
     Summer                   0.27         0.253      0.000      0.26           0.186     0.126   0.26            0.207            0.001
     Fall                     0.22         0.488      0.000      0.23           0.442     0.334   0.26            0.489            0.043
   Logged wheat price         2.76         0.973      0.809      2.76           1.360     0.691   2.76            1.505            0.320
   Events                                491                                    13                               51
   Person-years                          253.98                                 28.39                           113.01
   Partial MLL                        -3906.35                                -72.25                          -358.04
   X2                                    122.62       0.000                      7.62     0.367                  21.38             0.006
   df                                      8                                     7                                8
                                                              31-180 days
   Sex
     Male                     0.51         l                     0.50            1                 0.50           l
     Fema1e                   0.49         0.842      0.194      0.50            3.143    0.089    0.50           1.054            0.842
   Head' s social status
     Day laborer              0.41         l                     0.28            1                 0.14           1
     Wage earner              0.31         0.830      0.230      0.19            3.980    0.104    0.10           1.188            0.776
     Artisan, shopkeeper      0.22         0.765      0.130      0.42            1.606    0.585    0.53           1.410            0.438
     Middle, upper class      0.06         0.487      0.050      0.10            1.388    0.790    0.24           1.046            0.928
   Season
     Winter                   0.25         1                     0.25            1                 0.26           l
     Spring                   0.23         0.881      0.517      0.24            0.195    0.041    0.24           0.303            0.002
     Summer                   0.26         0.982      0.920      0.26            0.091    0.025    0.25           0.360            0.006
     Fall                     0.26         0.879      0.491      0.25            0.091    0.024    0.25           0.256            0.001
   Logged wheat price         2.76         1.035      0.839      2.76            0.737    0.658    2.76           1.406            0.376
   Events                                229                                    12                               57
   Person-years                         1177.42                               138.57                            534.25
   Parti al MLL                       -1819.65                                -60.45                          -397.98
   X2                                      8.75       0.364                     18.9      0.015                  22.73             0.004
    df                                     8                                     8                                8
                                                              181-730 days
    Sex
      Male                   51.00         l                    52.10            l                50.40           l
      Female                 49.00         0.909      0.243     47.90            1.011    0.972   49.60           1.109            0.587
    Head's socia1 status
      Day laborer            38.70         l                    27.80            1                25.50           l
      Wage earner            31.90         0.647      0.000     18.10            1.517    0.308   24.50           1.067            0.848
      Artisan, shopkeeper    22.70         0.717      0.002     43.50            0.785    0.534   25.30           0.630            0.072
      Middle, upper class     6.70         0.688      0.037     10.70            0.425    0.264   24.80           0.504            0.029
                                                                                                                         (table continues)
 124                                                                                                                                HISTORICAL     METHODS
    TABLE S. Continued
                                    Santa Eufemia/Angelo          Raffaele                     Ghetto Jews                      Jewish community
                                                    Exp.                 p                        Exp.          p                     Exp.           p
                                     Avg.          coeff.               value      Avg.          coeff.       value      Avg.        coeff.         value
                                                                                181-730 days
   Season
     Winter                        25.80              l                           26.10             l                   13.30          l
     Spring                        25.10              0.945         0.665         24.30             0.882     0.797      8.80          0.898       0.728
     Summer                        25.10              1.945         0.000         24.80             1.675     0.224     53.40          1.947       0.012
     Fall                          24.00              1.357         0.013         24.80             0.984     0.973     24.50          1.119       0.701
   Logged wheat price               2.76              1.539         0.000          2.76             1.222     0.615      2.76          1.397       0.198
   Events                                           606                                            41                                110
   Person -years                                   3717.82                                        447.55                           1738.96
   Partial MLL                                   -4675.00                                       -232.02                            -774.41
   X2                                                88.15          0.000                           7.52      0.482                   19.77        0.011
   di                                                 8                                             8                                  8
   Note. MLL = Maximum         Log Likelihood.
                                                                                           associated with a Jewish advantage. Indeed, ethnicity itself
                                                                                           is a most powerful factor of differentiation but has no inter-
                                                                                           action with any other covariate included in the models. In
                                                                                           other words, although the scale of Jewish infant mortality
                                                                                           is half that of Catholics, the patterns of mortality are sur-
                                                      Cl Two parishes
                                                                                           prisingly similar. So are the distributions of age-specific
                                                      • Jewish
                                                                                           rates, with the somewhat dubious exception of neonatal
                                                            community                      mortality and of causes of death as well as the effects of
                                                                                           climatic conditions and of social inequality. Whereas a
                                                                                           modern evolution of infant mortality should result in an
                                                                                           attenuation of such factors, it is surprising to find that their
                                                                                           effects were relatively stronger for Jews than for Catholics.
             0-30 days           180-730 days                                              In sum, the reduction in infant mortality achieved by the
                                                                                          Jews was generalized, neither selective nor specialized in
  FIGURE 2. Hazard             ratios: Middle- and upper-c1ass
                                                                                           any particular direction. Thus, from a statistical viewpoint,
  children   (ref.: children     of day laborers = l).
                                                                                          we cannot find a better covariate than "religion" itself to fit
                                                                                          into our models.
                                                                                              Perhaps this conclusion is due to lack of relevant infor-
weight of respiratory diseases among Jewish children (8.3                                 mation. Nevertheless, such an outcome should hardly be
percent of ali infant deaths) than among Catholics (3.5                                   considered unexpected. Although many Venetian Jews lived
percent). Clearly, even though free firewood was distrib-                                 in their old neighborhood or somewhat nearby, they did not
uted (Pardo 1965), it was neither sufficient nor effective in                             live in a world apart. The commonalities they shared with
protecting against the harsh climate.                                                     the rest of the Venetian population were more numerous
                                                                                          than the differences: social structure, economic conditions,
What about Culture? A (Not So) "Residual"                                                 climate, environment, diseases, and medicaI knowledge
Interpretation of the Jewish Advantage                                                    were the same for Jews and Catholics, and their variations
                                                                                          and differences had similar repercussions on both. Sexual
   Event-history analysis confirms in much greater detail                                 behavior and fertility were the same as well. None of these
the results of descriptive analysis. Although the hazards                                 factors can explain the differentials in infant mortality.
models also highlight several interesting features of the                                 Because it is usually argued-though           never empirically
demographic regime and of the factors underlying infant                                   demonstrated-that      the Jewish advantage was due to some
mortality differentials, none of these can be specifically                                specific feature of their social organization or demographic
Summer 2003, Volume 36, Number 3                                                                                                   125
                       2                                                          -+-           Cath.0-30
                                                                                  -e--          Ghetto 0-30
                                                                                  --*-          Jewish comm. 0-30
                                                                                  ---+--        Cath.180-730
                                                                                  __ ..   _ _ Ghetto 180-730
                                                                                  - - ... - -   Jewish comm. 180-730
                       o
                               Spring        Summer             Fall
                       FIGURE 3. Hazard ratios: Season (ref.: winter    = 1).
behavior, the conclusion that the commonalities were more              spared no effort to maXlmlze the welfare of their chil-
numerous than the differences is an important achievement              dren," granting them "high standards of c1eanliness or
of this study. At the same time, the nonspecificity of Jewish          medicai care" (Johansson 1987, 60; citing Ashby 1915).
mortality patterns also makes any satisfying empirical                 On the contrary, no similar behavior could be observed
explanation about the reasons for their advantage quite                among non-Jewish working-c1ass families, whose earn-
awkward. Indeed, such an explanation would need to be so               ings were mostly dissipated in pubs and whose children
generaI to get dangerously cio se to tautology: "Jews                  were generally neglected by their parents.
enjoyed a lower infant mortality because they were Jews.',15              As a matter of fact, such an attitude toward childcare was
   Paraphrasing Marx's sarcastic criticism of Say's Law,               deeply rooted in Jewish culture and often reported in litera-
simply resorting to "Jewish culture" for an answer sounds              ture. But if Jewish women were widely considered to be
pretty much like using "a tautology, if not a residual," a             "model mothers" (Marks 1994), what about Catholic
mere substitution of "culture" for "religion" in the model,            women? Were they wicked mothers, unmindful of the sur-
which is exactly what anthropologists rightly warn demog-              vivaI of their children? Once things are considered from this
raphers to avoid. l7 However, because we have no better                standpoint, the focus necessarily shifts from Jewish under-
alternative, we can at least try to qualify the way Jewish             mortality to Catholic overmortality. The question of pa-
"culture" made possible so dramatic a reduction of infant              rental attitude toward children is a time-honored one. His-
mortality levels.                                                      torians such as P. Ariés (1973), F. Lebrun (1971), E. Le Roy
   My hypothesis is that even though Jewish children were              Ladurie (1975), J. L. Flandrin (1973), E. Shorter (1976),
exposed to the same risks as Catholics, the Jews were less             and many others have widely discussed this issue, general-
vulnerable because they enjoyed a certain careful atte n-              ly adhering to the thesis of a poor affective involvement of
tion, even dedication, to their health and well-being to a             adults in children's fate. Generalizing a concept that was
degree that was unusual in Catholic families. Such a                   originally proposed by Dr. Ashby himself, Sheila Johansson
hypothesis is not new. As early as 1915, Dr. Henry Ashby,              (1987) argued that in the past a large share of children's
an English physician       who practiced in Manchester,                deaths were avoidable, owing to parental indifference.
explained astonishing differences he observed in infant                Accepting Johansson's line of reasoning, we might say, on
mortality between Jewish and non-Jewish working-class                  the basis of the Venetian comparison, that up to 50 percent
families. Using less-sophisticated methods and less infor-             of all infant deaths were due to parental neglect and were
mation, but with the decisive advantage of direct observa-             therefore "technically" avoidable.
tion, he attributed these differences to the full commitment              But were they also "culturally" avoidable? In a recent arti-
of Jewish parents to family welfare, the fathers turning               cle, Katherine Lynch (2000) stressed that no child-rearing
over "their entire income to their wives, who in turn                  practice can be understood without making reference to the
 126
                                                                                                                HISTORICAL    METHODS
    social and institutional framework in which it takes piace           exposed to exceedingly higher risks of death (see Reher and
    and which shapes cultural values themselves.17 As an exam-           Gonzalez-Quifiones 2003, and several chapters in Derosas
   pie, she contrasted the maternal attitudes in a shantytown of         and Oris 2002), but maternal health has also been argued to
   contemporary      Brazil, as revealed by the illuminating             be the key factor explaining differenti al infant mortality in
   inquiry of Nancy Scheper-Hughes (1992), with those pre-               Victorian England and Wales (Millward and Bell 2001):
   sumably prevalent in European historical populations.                 maternal agency has been seen as paramount in preventing
   According to Scheper-Hughes, in Alto do Cruzeiro, in a                diseases and enhancing survival among infants, especially
   context dominated by extreme deprivation, lack of welfare             where overall conditions        and environment      are poor
   institutions, hyperfertility, and no breastfeeding, mothers           (Hobcraft, McDonald, and Rutstein 1984, 220; Das Gupta
   decide by themselves about the destiny of their children.             1990; Reid 200 l, 2002, 2003). As a matter of fact, care pro-
   Adopting a conscious selection, they let die the children            vided by Venetian mothers turned out to be both insufficient
   who are believed to be the weakest, those who are perceived          and ineffective in ensuring their children's           survival.
   to be unable to cope with the hardships of the external              Parental care could span across a wide range of practices
   world. Such behavior is not fatalistic; rather, it is in its own     and attitudes and vary greatly in intensity and quality,
   way a form of human agency, grounded in a peculiar culture           reflecting among other things actual costs and future bene-
   of infancy. By contrast, in the European past, shared cultur-        fits related to child rearing. For instance, such forms of care
  al values and widespread welfare institutions, such as                could include giving babies opiates to make them stop cry-
  foundling hospitals, should have made that behavior                   ing (Federigo 1832; Musatti 1876). It is difficult to say,
  unthinkable.                                                          though, whether sue h practices were a mere consequence of
      Such a point of view seems, however, far too optimistic,          ignorance, or if they actually reflected a lack of concern,
  especially in those Catholic Mediterranean countries where            even by contemporary standards, a partial withdrawal of
  such welfare institutions were widespread. Whether life in            maternal investment.
  nineteenth-century urban centers such as Venice, Milan, and              While stressing the importance of childcare in differenti-
  Florence was as hard as it is in contemporary Brazil is a             ating mortality outcomes, I certainly do not pretend to sub-
  question both difficult to answer and perhaps not really              mit Venetian mothers to any kind of "sacrifice test." On the
  meaningful. Certainly, there are several impressive descrip-          contrary, I suggest that our efforts should be directed to
  tions of the misery and destitution that characterized the            acquiring a much deeper historical awareness of the cultur-
  poorest neighborhoods in nineteenth-century Venice. Peo-             al context in which so many "avoidable" deaths occurred.
 pIe lived together in tiny houses-lO          persons or more         Unfortunately, we have largely neglected this "dark" side of
 crowded into a single room-without          running water and         the popular culture, and it is not possible to undertake such
  sanitation. Excrement was gathered in buckets that were              an inquiry here. However, it is worth stressing the extent to
 periodically emptied on the ground nearby. Clergymen                  which the idea of death dominated the popular culture of
 described their parishioners as the prey of widespread                that time. Death had an overwhelming role, and infant
 immorality, and the police carefully avoided patrolling such          death, especially neonatal death, was of primary impor-
 neighborhoods (Derosas 2002a). Welfare institutions could             tance. For instance, there were proverbs to the effect that if
 seldom afford to provide food and c10thing and care for the           a woman fell during pregnancy, her child would die; if
 sick and the elderly. Maritai fertility was quite high, espe-         childbirth was to take piace on Friday, her child would die;
 cially among the lowest social strata, with a TMFR of day             if the child were to have a small sign (e.g., a jewel) on his
 laborers reaching 10.2 (Breschi et al. 2000). Abandonment             or her head, the child would die; if his or her ears were
 was practiced by legitimate parents at least as much as by            small, the child would die; if a window were left open near
 unwed mothers; as a contemporary observer put it, it was              where a newborn was lying, a witch would come and kill
 the fruit of misery rather than sin (Federigo 1832, 90-91).          the child; and so on (Bernoni 1874).
It seems unrealistic to think that because abandonment was                 Perhaps such beliefs had a consolatory function to offer
easily available couples simply got rid of excess children to         some kind of explanation and make the heavy death toll
better concentrate their love and attentions on those remain-         more bearable. But it is also possible that such convictions
ing. I am rather inclined to doubt that abandoning unwant-            actually encouraged parents to neglect their children. The
ed newborns, whether legitimate or not, ever increased                Catholics believed death to be a liberation from suffering
soli citu de toward infants in generaI. Furthermore, as I have        and a promise of eternai beatitude and reward, especially
argued elsewhere (Derosas 2002c), there is strong evidence            for infants and the poor. For Catholic mothers, death was
to suggest that parents resorted to some kind of overt or             certainly a reason for them to think of their dead children as
covert infanticide of female newborns, depending on the               "angel babies," as do the mothers of Alto do Cruzeiro, who
composition by sex and age of the surviving children.                 also consider the death of their children as a sacrifice, in
     A growing number of studies have stressed the impor-             some religious terms, made for the sake of the surviving
tane e of maternal care as a major determinant of infant              mother and siblings (Scheper-Hughes 1997, 210-12). The
health and survival. Not only were motherless children                Jewish culture certainly does not embrace such concepts.
Summer 2003, Volume 36, Number 3                                                                                                                             127
Jews consider health and the preservation of life to be their                         6. Several studies have cast doubts on the impact of public health expen-
                                                                                 ditures, especially of investment in water supplies, in reducing infant mor-
primary duty, coming before any other religious precepts.                        tality rates in nineteenth-century      cities. See, for instance, George Alter
   Such values and ideas about the primacy of life and                           (1997, 102-3) and Frances Beli and Robert Millward (1998).
health have now become part of our uni versaI culture. It                             7. See, for instance, the entry for "Baptéme" in Dictionnaire (1812
                                                                                 [I]: 1-3).
would be interesting to analyze the kind of cultural changes,                         8. Social status is considered here as a household rather than an individ-
along with those in social and institutional settings, that                      uaI feature and refers to the occupation of the household head. Because there
have accompanied the decline of infant mortality since the                       is no information on the dates of changes of occupation, and hardly any such
                                                                                 change is recorded in the population register, soci a! status is treated here as
end of the nineteenth century. Whereas diffusionist inter-                       a time-invariant covariate. Households are distributed into four groups: (1)
pretations of the fertility transition have raised increasing                    day laborers, who included all persons whose earnings were uncertain and
criticism (Kreager 1998; Friedlander, Okur, and SegaI                            might change dai1y, according to job opportunities, such as fishermen, boat-
                                                                                 men, porters, pedd1ers, and those simply defined as industrianti (unskilled
1999), a similar viewpoint has rarely been advanced to                           laborers); (2) wage earners, who relied upon more regular income or
explain the parallel dec1ine in infant mortality, especially in                  salary-they      included workers employed in hemp, leather, and tobacco fac-
countries where such a process took pIace later.18 If the                        tories; (3) a crowd of artisans and shopkeepers of various kinds, then partic-
                                                                                 ular1y numerous; and (4) the middle c1ass, comprising c1erks, directors,
interpretation of this essay is correct, it might well be that it                teachers, officers, and a few peop1e involved in commerce and banking.
also retlects the wider progress in social and economic con-                          9. The seasons are the following: winter (Dec.-Feb.),         spring (Mar.-
ditions, the dissemination of the practices and attitudes once                   May), summer (June-Aug.) and fall (Sept.-Nov.).
                                                                                     10.It is perhaps worth stressing that in ali mode1s concerning neonatal
peculiar to this social or religious minority, a process in                      mortality, miscarriages and stillbirths are exc1uded, although for Catholics
which Jewish doctors often played a leading role. All con-                       some cases of stillbirths could have been recorded as live births, as men-
sidered, it would have been relatively easy to avoid the                         tioned above. lt seems, however, that differences in the reporting of deaths
                                                                                 can only account for a small part of the neonata! mortality differentials.
waste of so many lives. "Occhio ai bambini!" (Watch out                              11. Indeed, these are just two different ways of considering the same
for the children!): so Cesare Musatti (1876), a famous Jew-                      basic question, that is, the existence of interactions between religion and
ish physician and the first pediatrician in Venice, titled a                     other covariates. For the sake of clarity, I prefer to deve10p both points of
                                                                                  view. Interactions have been tested without resu1ts and are therefore omit-
book of simple recommendations and instructions for moth-                         ted from the following analysis. The only exception regards, as we shall
ers. These included washing the babies frequently and never                       see, the effect of season in the 30-180 days age group.
using cold water; keeping them in warm rooms; avoiding                               12. More precisely, I refer here to the current season, not to the season of
                                                                                  birth. As far as the first month is concerned, however, season of birth and
exposure to harsh weather, especially for baptism; never                          current season are largely overlapping.
giving them opiates; never wrapping them tightly in swad-                            13. For a more thorough discussion, see Breschi, Derosas, and Manfredi-
dling clothes; breastfeeding them for at least six months;                        ni (2000).
                                                                                     14. Note that the reference value refers, respectively, to Jewish and
and always consulting the doctor whenever necessary.
                                                                                  Catholic day laborers and is omitted.
 Watch out for the children! The very title would sound like                         15. Frans van Poppel, Jona Schellekens,          and Aart Liefbroer (2002)
 a warning not to be taken too seriously if it were not for the                   advanced two explanations for the advantage of Jewish infants and chil-
                                                                                  dren in late-nineteenth-century      and early-twentieth-century     The Hague,
fact that approximately one-third of the children born each                       which are generaI enough without falling into tauto10gy. As far as infant
 year-to mothers who were potential readers of the book-                          mortality is concerned, they resort to the time-honored argument of pro-
 died during their first year of life.                                            longed breastfeeding,      which unfortunately     fails to explain the Jewish
                                                                                  advantage in neonatal and postneonatal mortality (roughly the first semes-
                                                                                  ter of life), which c1ustered the largest share of overall infant deaths, and
                                  NOTES                                           when presumably ali chi1dren were breastfed. Prolonged breastfeeding
                                                                                  does not explain 10wer mortality after weaning, either. As far as the latter
 This research is part of the project on "Componenti genetiche, condizioni        is concerned, the authors use simulation models to argue that physical iso-
nelle prime fasi di vita e fattori socio-economici: un'analisi della longevità    1ation preserved Jewish children, as well as other religious minorities, from
in Italia" supported by a grant of the Ministero dell'Istruzione, Università      exposure to infectious diseases: this is a kind of restatement of the argu-
e Ricerca (COFIN 2001). Earlier versions of this article were given at the        ment of genetic selection through isolation, quite popular among early-
Nineteenth International Congress of Historical Sciences, OsIo (August            twentieth-century scholars (see above for references and criticism). Unfor-
2000) and at the Quatorzièmes entretiens du Centre Jacques Cartier, Col-          tunately, the iso1ation argument should a1so invo1ve different mortality
10que "La démographie des minorités-Regard          croisés'," Lyon (December     patterns and distribution in the causes of death, which is not the case, at
2001). I would 1ike to express my appreciation to the participants in these        least for Venice. Furthermore, van Poppel and his colleagues did not pro-
meetings. I am al so grateful to George Alter, Marco Breschi, J. Morgan            vide any empirical evidence of the physical iso1ation of Jewish communi-
Kousser, Frans van Poppel, David Reher, and especially to James Lee for            ties as late as the end of the nineteenth century. As mentioned above, more
their warm encouragement and he1pful suggestions.                                  than two-thirds of the Venetian Jews were scattered throughout the city,
    l. In the 21 years between the originaI publication date and 1887, there       whereas those who still dwelt in the Ghetto certainly did not spend most of
were 13 editions. The most recent is a paperback edition published by              their daily life there, as they notoriously did not centuries earlier, when
Northwestern University Press in 2001.                                             nightly sec1usion was strictly enforced.
   2. Recent research (see Calabi 1991) has confirmed the awfu1 conditions           16. For criticism about the way demographers refer to culture, see Eugene
of the Ghetto at that time.                                                        Hamme1 (1990) and severa1 essays in Susan Greenhalgh (1995a); David
   3. The Austrian regime reintroduced parti al discrimination against Jews        Kertzer and Tom Fricke (1997); Alaka Basu and Peter Aaby (1998); see
after 1816, but it did not affect residentia1 freedom (Berengo 1987).              also Ron Lesthaeghe's (1989, 3-4) remarks.
   4. Data for the life tab1e of the Jews are drawn from the popu1ation reg-          17. By stressing the interplay of culture and socia1 and institutional set-
isters of 1850-69. The life table of the city is based on official statistics,     ting, Lynch's interpretation fits c10sely the approach proposed by anthro-
availab1e since 1874 (Municipio di Venezia 1881).                                  pologists such as Susan Greenhalgh (l995b), Anthony Carter (1995), and
   5. These results are large1y consistent with those found by Sergio              others. In their analysis of reproduction, these scholars argue that people
Della Pergola (1970) in other ltalian Jewish communities in the nine-              do not submit passive1y to dominant cultural values, nor act as conscious
teenth century.                                                                    decision makers, driven by principles of pure maximization and abstract
  128
                                                                                                                                             HISTORICAL       METHODS
  rationality. Rather, human agency can be defined as the outcome of "a
                                                                                       Calabi, D. 1991. Il Ghetto e la città. In La città degli Ebrei. il Ghetto di
  reflexive monitoring and rationalization of a continuous f10w of conduct,
                                                                                           Venezia: Architettura e urbanistica, edited by E. Concina, U. Camerino,
  in which practice is constituted in dialectical relation between persons act-            and D. Calabi, 284-91. Venice: Albrizzi.
  ing and the settings of their activities." Cultural concepts, or values
                                                                                       ---.2001.         Gli Ebrei veneziani dopo l'apertura delle porte del Ghetto: Le
  assigned to behaviors, and political economy, or the forces that create the
                                                                                           dinamiche insediative. In Le metamoifosi di Venezia da capitale di Stato
  setting for action, are the two ingredients of human action. They are not
                                                                                           a città del mondo, edited by G. Benzoni, 147-71. Florence: Olschki.
  external to it, nor can they be considered separately. The quotation is from
                                                                                       Carter, A. T. 1995. Agency and fertility: For an ethnography of practice. In
  Greenhalgh (1995b) summarizing Carter (1995), who himself draws on the
                                                                                           Situating fertility: Anthropology and demographic enquiry, edited by S.
  works of Anthony Giddens and Jean Lave.
                                                                                           Greenhalgh, 55-85. Cambridge: Cambridge University Presso
    18. See some suggestions along this line in Marie-France Morel (1991).
                                                                                       Chambers, J. D. 1972. Population, economy and society in pre-industrial
                                                                                           England. Oxford: Oxford University Presso
                                                                                       Cohen, R. 1989. Health and mortality among the Jews of Surinam in the
                                 REFERENCES                                               eighteenth century. In Papers in Jewish demography 1985, edited by U.
                                                                                          O. Schmelz and S. Della Pergola, 187-98. Jerusalem: Jewish Population
  Alam, N., and L. Wai. 1991. Importance of age in evaluating effects of                  Studies no. 19.
    maternal and domestic hygiene practices     on diarrhoea   in rural                Condran, G. A. 1987. Declining mortality in the United States in the late
    Bangladeshi children. Journal of Diarrhoeal Diseases Research 9:                      nineteenth and early twentieth centuries. Annales de Démographie His-
    104-10.                                                                               torique 54: 119-41.
  Alter, G. 1988. Family and thefemale life course: The women ofVerviers,              Condran, G. A., and E. A. Kramarow. 1991. Child mortality among Jewish
     Belgium, 1849-1880. Madison: University ofWisconsin Presso                           immigrants to the United States. Journal of Interdisciplinary History 22:
 ---o       1997. Infant and child mortality in the United States and Canada. In          223-54.
    Infant and child mortality in the past, edited by A. Bideau, B. Desjardins,          Corrsin, S. D. 1989. Warsaw before the First World War: Poles and Jews in
    and H. Perez-Brignoli, 91-108. Oxford: Oxford University Presso                           the third city of the Russian Empire, 1880-1914. New York: Columbia
 Alter, G., and A. Carmichae!. 1996. Studying causes of death in the past:                    Uni versi ty Presso
    Problems and models. Historical Methods 29: 44-48.                                   Cox, D. R. 1972. Regression mode1s and life-tables. Journal of the Royal
 ---o       1997. C1assification of causes of death. Continuity and Change                    Statistica l Society, Series B 34: 187-202.
     12:161-315.
                                                                                        Das Gupta, M. 1990. Death clustering, mother's education and the deter-
 Alter, G., and M. P. Gutmann. 1999. Casting spells: Database concepts for                    minants of chi1d mortality in rural Punjab, India. Population Studies 44:
     Event-history analysis. Historical Methods 32: 165-76.                                  489-505.
 Ariès, P. 1973. L'enfant et la vie familiale sous l'Ancien Régime, rev. ed.            Della Pergola, S. 1970. Osservazioni sulla longevità degli Ebrei in Italia.
     Paris: Editions du Seui!.
                                                                                             La rassegna mensile di Israel 36: 165-81.
 Ashby, H. 1915. Infant mortality. London: Arnold & Co.
                                                                                                       1983. La trasformazione demografica della diaspora ebraica.
 Bachi, R. 1932. La resistenza degli Ebrei alla tubercolosi. La rassegna                     Turin: Loescher.
    mensile di Israel 6:344-50.
                                                                                        ---o           1987. Demografia degli Ebrei nell'epoca preindustriale. In Gli
 Bachi, R., and S. Della Pergola. 1984. Gli Ebrei italiani nel quadro della                  Ebrei a Venezia: Secoli XIV-XVI/I, edited by G. Cozzi, 201-10. Milan:
    demografia della diaspora. Quaderni storici 55: 155-91.                                  Edizioni di Comunità.
 Basu, A. M., and P. Aaby, eds. 1998. The methods and uses of anthropo-                ---o           1997. La popolazione ebraica in Italia nel contesto ebraico glob-
    logical demography. Oxford: Clarendon Presso
                                                                                             ale. [n Storia d'Italia. Annali l l. Gli Ebrei in Italia. 2. Dall'emanci-
 Bell, E, and R. Millward. 1998. Public health expenditures and mortality                   pazione a oggi, edited by C. Vivanti, 898-936, Turin: Einaudi.
    in England and Wales, 1870-1914. Continuity and Change 13: 221-49.                 Derosas, R. 1989. Un esempio di applicazione dell'informatica            alla ricer-
Beltrami, D. 1954. Storia della popolazion.e di Venezia dalla fine del seco-                 ca storica: Basi di dati e fonti anagrafiche.         Quaderni Storici 70:
   lo XVI alla caduta della Repubblica. Padua: Cedam.                                        297-331.
Bembo, P. 1859. Delle istituzioni di beneficenza nella città e provincia di            ---o           1989/90. Aspetti economici della crisi del patriziato veneziano tra
    Venezia: Studii storico-economica-statistici.    Venice: P. Naratovich.                 fine Settecento e primo Ottocento. Cheiron 7: 11-61.
Berengo, M. 1987. Gli Ebrei dell'Italia asburgica nell'età della Restaura-            ---o            1999. Appesi a un filo: I bambini veneziani davanti alla morte
   tione. Italia: Studi e ricerche sulla storia, la cultura e la letteratura degli          (1850-1900). La scoperta dell'infanzia: Cura, educazione e rappresen-
   Ebrei d'Italia 6: 62-103.
                                                                                            tazione Venezia, 1750-1930, edited by N. M. Filippini and T. Plebani,
Bernoni, D. G. 1874. Credenze popolari veneziane. Venice: Antonelli.                        39-54. Venice: Marsilio.
Bertoli, B. 1977. Assistenza pubblica e riformismo austriaco a Venezia                ---o           2002a. La demografia dei poveri: Pescatori, facchini e industrianti
   durante la Restaurazione: I "luoghi pii." Ricerche di Storia Sociale e                   nella Venezia di metà Ottocento. In Storia di Venezia: L'Ottocento,
   Religiosa 12: 25-69.
                                                                                            1797-1918, voI. 8, edited by S. 1. Woolf, 711-70. Rome: Istituto della
Bideau, A., B. Desjardins, and H. Perez-Brignoli, eds. 1997. 1nfant and                     Enciclopedia Italiana.
   child mortality in the pasto Oxford: Oxford University Presso                      ---o           2002b. Infant mortality broken into pieces: A case study on Venice
Blossfeld, H-P., and G. Rohwer. 1995. Techniques of event history analy-                    in mid-nineteenth century. In Società Italiana di Statistica, Atti della XLI
  sis. Hillsdale, N.J.: Lawrence Erlbaum.                                                  Riunione Scientifica, 65-76. Padua: CLEUP.
Boerma, J. T., and G. Stroh. 1993. Using survey data to assess neonatal
                                                                                     ---o            2002c. Bad brothers, good sisters: Infant neglect and childcare in
  tetanus mortality levels and trends in developing countries. Demography
                                                                                           nineteenth-century Venice. Paper presented at the European Social Sci-
  30: 459-75.
                                                                                           ence History Conference, The Hague. 27 February-2 March.
Breschi, M., and R. Derosas. 2000. The contribution ofthe EurAsian project
                                                                                     ---o            2002d. Fatherless families in nineteenth-century Venice. In When
  to the demographic history of Italy: Results and perspectives on infant
                                                                                           Dad diede Individuals andfamilies coping with distress in past societies,
  and child mortality. In Family structures, demography and population:
                                                                                           edited by R. Derosas and M. Oris, 433-64. Bern: Peter Lang.
  A comparison of societies in Asia and Europe, edited by M. Neven and
                                                                                     ---o           2003. Socioeconomic factors in infant and child mortality: Venice
  C. Capron, 211-34. Liège: Laboratoire de Démographie de l'Université
                                                                                           in mid-nineteenth century. In The determinants ofinfant and child mor-
  de Liège.
                                                                                          tality in past European populations, edited by M. Breschi and L. Pozzi,
Breschi, M., R. Derosas, and M. Manfredini. 2000. Infant mortality in                     95-112. Udine-Sassari: Forum.
  nineteenth-century  Italy: Interactions between ecology and society. In
                                                                                     Dictionnaire des sciences médicales par un société de médecins et de
  Population and economy: From hunger to modern economic growth,                          chirurgiens. J 812. Paris: Panckoucke Editeur.
  edited by T. Bengtsson and O. Saito, 467-89. Oxford: Oxford Universi-
  ty Presso                                                                          Dorff, E. N. 1986. The Jewish tradition. In Caring and curing: Health and
                                                                                          medicine in the Western religious traditions, edited by R. L. Numbers
Breschi, M., R. Derosas, M. Manfredini, and R. Rettaroli. 2000. Family,
                                                                                          and D. W. Amundsen, 5-39. New York: Macmillan.
  economy and reproductive behaviour: Three case-studies from pre-
                                                                                     Duodo, G. 1874. Prospetti dimostranti l'andamento diviso per decadi di
  transitional Italy. Dipartimento di Scienze Statistiche "Paolo Fortunati."
                                                                                          tutte le 9 epidemie choleriche avutesi in Venezia efra di esse confrontate
  Università degli Studi di Bologna.
                                                                                         negli anni 1835, 36, 37, 49, 51, 55, 66, 67, 73. Venice: Antonelli.
Summer 2003, Volume 36, Number 3                                                                                                                                 129
Federigo, G. 1832. Topografiafisico-medica         della città di Venezia delle sue    Livi Bacci, M. 1978. Una comunità israelitica in un ambiente rurale: La
    isole, estuarii e lagune, dei cangiamenti nati e dei mezzi profilattici               demografia degli Ebrei di Pitigliano nel XIX secolo. In Studi in memo-
    d'igiene. VoI 2. Padua: Tipografia del Seminario.                                     ria di Federigo Melis, voI. 5, 99-137. Naples: Giannini Editore.
Filippini, N. M. 1999. "Come tenere pianticelle." L'educazione della prima             ---o        1986. Socia1-group forerunners of fertility contro1 in Europe. In
    infanzia: Asili di carità, giardinetti, asili per lattanti. In La scoperta del-       The decline of fertility in Europe: The revised proceedings of a confer-
    l'infanzia: Cura, educazione e rappresentazione Venezia, 1750-1930,                   ence on the Princeton European Fertility Project, edited by A. J. Coale
    edited by N. M. Filippini and T. Plebani, 91-112. Venice: Marsi1io.                   and S. C. Watkins, 182-200. Princeton, N.J.: Princeton University Presso
Fishberg, M. 1902. Hea1th and sanitation of the immigrant Jewish popula-               Lombroso, C. 1894. L'antisemitismo e le scienze moderne. Turin: Roux.
    tion of New York. Menorah 33: 73-82.                                               Lynch, K. A. 2000. Infant mortality, chi1d neg1ect and child abandonment
---o         1911. The Jews: A study of race and environment. New York:                   in European history: A comparative analysis. In Population and econo-
    Scribner.                                                                             my: From hunger to modern economic growth, edited by T. Bengtsson
Flandrin, J. L. 1973. L'attitude à l'égard du petit enfant et les conduits sex-           and O. Saito, 133-164. Oxford: Oxford University Presso
    uelles dans la civilisation occidentale. Annales de Demographie His-               Luzzatto Voghera, G. 1999. Cenni sulla presenza ebraica a Venezia durante
    torique: 143-205.                                                                     la dominazione austriaca. In Venezia e l'Austria, edited by G. Benzoni,
Friedlander, D., B. S. Okun, and S. SegaI. 1999. The demographic transi-                   195-212. Venice: Marsi1io.
    tion then and now: Processes, perspectives, and analyses. Journal of               Luzzatto Voghera, G., L. Finzi, and S. Szabados. 1999. L'educazione del
    Family History 24: 493-533.                                                           bambino ebreo. In La scoperta dell'infanzia:       Cura, educazione e rap-
Gatti, C. 1991. Gli Ebrei a Trieste tra Settecento e Ottocento: Note                      presentazione Venezia, 1750-1930, edited by N. M. Filippini and T. Ple-
    demografiche. In Il mondo ebraico. Gli Ebrei tra Italia nord-orientale e              bani, 141-150. Venice: Marsilio.
    Impero asburgico dal Medioevo all'Età contemporanea, edited by G.                  Marks, L. V. 1994. Model mothers: Jewish mothers and maternity provi-
    Todeschini and P. C. Io1y Zorattini, 311-326. Pordenone: Studio Tesi.                 sion in East London, 1870-1939. Oxford: Clarendon Presso
Gini, C. 1916. Alcune ricerche demografiche sugli Israeliti in Padova. Atti            McKeown, T. 1976. The modern rise of population. London: Edward
    e memorie della R. Accademia di Scienze Lettere e Arti in Padova 32:                  Arno1d.
    467-85.                                                                            Millward, R., and P. BelI. 2001. Infant mortality in Victorian Britain: The
Ginzburg, C. 1991. Ecstasies: Deciphering the witches' Sabbath. New                       mother as medium. Economic History Review 54: 699-733.
    York: Pantheon Books.                                                              Morel, M-P. 1991. The care of chi1dren: The influence of medicaI innova-
Goldstein, A., S. C. Watkins, and A. R. Spector. 1994. Childhood health-                  tion and medicaI institutions on infant mortality, 1750-1914. In The
    care practices among Italians and Jews in the United Sates, 1910-1940.                decline of mortality in Europe, edited by R. Schofie1d, D. Reher, and A.
    Health Transition Review 4: 45-62.                                                    Bideau, 196-219. Oxford: C1arendon Presso
Grandi, C. ed. 1991. Benedetto chi ti porta maledetto chi ti manda: L'in-              Municipio di Venezia. Giunta comunale di statistica. 1881. Statistica del
   fanzia abbandonata nel Triveneto (secoli XV-XIX). Treviso: Edizioni                    settennio, 1874-80. Venice: Antonelli.
    Fondazione Benetton Studi Ricerche/Canova.                                         Musatti, C. 1876. Occhio ai bambini! Milan: Treves.
Greenhalgh, S., ed. 1995a. Situating fertility: Anthropology and demo-                 ---o         1877. I presepii in Italia. Proposta di nuovamente fondarne
    graphic enquiry. Cambridge: Cambridge University Presso                               almeno uno in Venezia. Discorso letto al Veneto Ateneo il giorno 14
---o        1995b. Anthropo10gy theorizes reproduction: Integrating practice,             giugno 1877. Venice: Naratovich.
    political economie, and feminist perspectives. In Situating fertility:             Namias, G. 1856. Sul colera di Venezia nell'anno 1855: Cenni della Giun-
   Anthropology and demographic enquiry, edited by S. Greenhalgh, 3-28.                    ta centrale di Sanità. Venice: G. Longo.
    Cambridge: Cambridge University Presso                                             Nault, P., B. Desjardins, and J. Légaré. 1990. Effects of reproductive
Hamme1, E. H. 1990. A theory of culture for demography. Population and                    behaviour on infant mortality of French-Canadians         during the seven-
    Development Review 16: 455-85.                                                        teenth and eighteenth centuries. Population Studies 44: 273-85.
Harris, A. C. 1967. La demografia del Ghetto in Italia (1516-1797 circa).              O'Connell, M. R. 1986. The Roman Catholic tradition sin ce 1545. In Car-
    La Rassegna mensile di Israel 33: Appendix.                                            ing and curing: Health and medicine in the Western religious traditions,
Hobcraft, J., J. W. McDonald, and S. O. Rutstein. 1984. Socio-economie                    edited by R. L. Numbers and D. W. Amundsen, 108-45. New York:
    factors in infant and chi Id mortality: A cross-national comparison. Pop-             Macmillan.
    ulation Studies 38: 193-223.                                                       Oris, M., R. Derosas, and M. Breschi. 2004. Infant and child mortality. In
Howells, W. D. [1866] 2001. Venetian life. Reprint of 1885 ed. Evanston,                  Life under pressure: Mortality and living standards in Europe and Asia,
    III.: Northwestern University Presso                                                   1700-1900, edited by T. Bengtsson, C. Campbell, J. Lee, et al. Cam-
Johansson, S. R. 1987. Neglect, abuse, and avoidab1e death: Parental                       bridge: MIT Press, forthcoming.
    investment and the mortality of infants and children in the European tra-          Pardo, E. 1965. Luci ed ombre: Il Ghetto di Venezia alla fine del 1800 ed
    dition. In Child abuse and neglect: Biosocial dimensions, edited by R. J.             al principio del 1900. Venice-Rome: Sabbadini.
    Gelles and J. B. Lancaster, 57-93. New York: Aldine De Gruyter.                    Poliakov, L. 1955. Histoire de l'antisémitisme du Christ au.x Juifs de cour.
Kertzer, D. I., and T. Fricke, eds. 1997. Anthropological             demography:          Paris: Calman-Lévy.
    Toward a new synthesis. Chicago: University of Chicago Presso                      Preston, S. H., D. Ewbank, and M. Hereward. 1994. Child mortality dif-
Kreager, P. 1998. The limits of diffusionism. In The methods and uses of                   ferences by ethnicity and race in the United States: 1900-1910. In After
    anthropological    demography, edited by A. M. Basu and P. Aaby,                       Ellis Island: Newcomers and natives in the 1910 census, edited by S. C.
    298-322. Oxford: Clarendon Presso                                                      Watkins, 35-82. New York: Russell Sage Foundation.
Landers, J. 1993. Death and the metropolis: Studies in the demographic his-            Preston, S. H., and M. R. Haines. 1991. Fatai years: Child mortality in late
    tory of London, 1670-1830. Cambridge: Cambridge University Presso                      nineteenth-century America. Princeton, N.J.: Princeton University Presso
Langner, G. 1996. Fertility of populations as a function of the attained               Ravid, B. 1997. Christian travelers in the Ghetto ofVenice: Some prelimi-
    level of life expectancy in the course of human evolution. Historical                  nary observations. In Ben historyah le sifrut: Sefer yovel le- Yitshak
    Social Research 21: 24-55.                                                             Barzilai. Between history and literature. Studies in honor of Isaac Barzi-
Lebrun, P. 1971. Les hommes et la mort en Anjou, au.x XVI!' et XVIII' siè-                 lay, edited by S. Nash, 111-50. Tel-Aviv: ha-Kibuts ha-me'uhad.
    cles. Paris: Mouton.                                                               Reher, D. S., and P. Gonzalez-Quifìones.      2003. Do parents really matter?
Le Roy Ladurie, E. 1975. Montaillou, village occitan de 1294 à 1324.                       Child health and development in Spain during the demographic transi-
    Paris: Gallimard.                                                                      tion. Population Studies 57: 63-75.
Lesthaege, R., ed. 1989. Reproduction and social organization in Sub-                  Reid, A. 2001. Neonatal mortality and stillbirths in Derbyshire in the early
    Saharan Africa. Berkeley: University of California Presso                              twentieth century. Population Studies 55: 213-32.
Levis Sullam, S. 2001. Una comunità immaginata: Gli Ebrei a Venezia                    ---o        2002. Infant feeding and post-neonatal mortality in Derbyshire,
    (1900-1938). Milan: Unicopli.                                                          England, in the early twentieth century. Population Studies 56: 151-66.
Liedtke, R. 1998. Jewish welfare in Hamburg and Manchester,                       c.   ---o       2003. Child care and maternal health: Intermediaries between socio-
    1850-1914. Oxford: Clarendon Presso                                                    economie and environmenta1 factors and infant and child mortality. In The
 Livi, L. 1918-20. Gli Ebrei alla luce della statistica. 1. Florence: Libreria             determinants of infant and child mortality in past European populations,
    della Voce. 2. Florence: Vallecchi.                                                    edited by M. Breschi and L. Pozzi, 129-42. Udine-Sassari: Forum.
 130
                                                                                                                                                                                                                                                                                                                HISTORICAL           METHODS
 Rilievo degli abitanti di Venezia 1869. 1871. Venice: Antonelli.                                                                                                                Szreter, S. 1988. The importance of social intervention in Britain's mortal-
 Roth, C. [1933] 1991. Gli Ebrei in Venezia. Bologna: Forni.                                                                                                                         ity decline, c.1850-1914: A re-interpretation of the role of public health.
 Rumyaneck,1. 1933. An urbanized community. American Journal of Soci-                                                                                                                Social History of Medicine l: 1-38.
      ology 38: 523-35.
                                                                                                                                                                                 Taylor, C. E., J. S. Newman, and N. U. Kelly. 1976. The child-survival
 Sanarelli, G. 1913. Tubercolosi ed evoluzione sociale. Milan: Treves.                                                                                                               hypothesis. Population Studies 30: 263-78.
 Sanders, J. A. 1918. Ziekte en Sterfte bi} Joden en Niet-Joden te Amster-                                                                                                       Toaldo, G. 1787. Tavole di vitalità composte da D. Giuseppe Toaldo,
     dam. Rotterdam: Van Hengel.
                                                                                                                                                                                     Preposito della SS. Trinità, professore e accademico di Padova. Padua:
 Sardi Bucci, D. 1976. La comunità ebraica di Firenze durante la prima                                                                                                               Stamperia di Gio. Antonio Conzatti.
     metà del XIX secolo: Caratteristiche      demografiche,    economiche e                                                                                                     Valatelli, A 1803. Della topografia fisico-medica          di Venezia. Disser-
     sociali. Genus 32: 75-113.                                                                                                                                                     tazione [. . .]. Venice: Andreola.
 Sawchuk, L. A 1993. Societal and ecological determinants of urban                                                                                                               van de Walle, E., and O. Blanc. 1977. Registre de population et démogra-
     health: A case study of pre-reproductive     mortality in 19th century                                                                                                         phie: La Hulpe. Population et Famille 36: 113-28.
     Gibraltar. Social Science and Medicine 36: 875-92.                                                                                                                          van de Walle, F ] 986. Infant mortality and the European demographic tran-
 Sawchuk, L. A, and D. A Herring. 1984. Respiratory tubercu10sis mor-                                                                                                               sition. In The Decline offertility in Europe: The revised proceedings of a
     tality among the Sephardic Jews of Gibraltar. Human Biology 56:                                                                                                                conference on the Princeton European Fertility Project, edited by A J.
     291-306.
                                                                                                                                                                                    Coale, S. C. Watk:ins, 201-33. Princeton, N.J.: Princeton University Presso
Sawchuk, L. A., D. A Herring, and L. Waks. 1985. Evidence of a Jewish                                                                                                            van Norren, B., and H. A W. van Vianen. 1986. The malnutrition-infections
     advantage: A study of infant mortality in Gibraltar, 1870-1959. Ameri-                                                                                                         syndrome and its demographic outcome in developing countries. The
     can Anthropologist 87: 616-25.
                                                                                                                                                                                    Hague: Programming Committee for Demographic Research.
Scheper-Hughes,       N. 1992. Death without weeping: The violence of every-                                                                                                    van Poppel, F 1992. Re1igion and health: Catholicism and regional mor-
    day life in Brazil. Berkeley: University of California Presso                                                                                                                   tality differences in nineteenth-century    Netherlands. Social History of
---o         1997. Demography without numbers. In Anthropological demog-                                                                                                           Medicine 5: 229-53.
     raphy: Toward a new synthesis, edited by D. I. Kertzer and T. Fricke,                                                                                                      van Poppel, F, J. Schellekens, and A Liefbroer. 2002. Religious differen-
    201-22. Chicago: University of Chicago Presso                                                                                                                                  tials in infant and child mortality in Holland, 1855-1912, Population
Schmelz, U. O. 1971. Infant and early childhood mortality among the Jews                                                                                                           Studies 56(3): 277-89.
    of the Diaspora. Jerusalem: Institute of Contemporary Jewry, Hebrew                                                                                                         Vivante, R. 1904. La tubercolosi polmonare a Venezia, sua diffusione e
    University.
                                                                                                                                                                                   profilassi. Venice: Officine Grafiche Carlo Ferrari.
Scrimshaw, S. C. M. 1978. Infant mortality and behavior in the regulation                                                                                                       Watkins, S. C., and A D. Danzi. 1995. Women's gossip and soci al change:
    of family size. Population and Development Review 4: 383-403.                                                                                                                  Childbirth and fertility control among Italian and Jewish women in the
Shorter, E. 1976. The making of the modern family. London: Collins.                                                                                                                United States, 1920-1940. Gender and Society 9: 469-90.
Skinner, W. 1997. Family systems and demographic processes. In Anthro-                                                                                                          Woodbury, R. M. 1926. Infant mortality and its causes. Baltimore:
   pological demography: Toward a new synthesis, edited by D. I. Kertzer                                                                                                           Williams & Wilkins.
    and T. Fricke, 53-95. Chicago: University of Chicago Presso                                                                                                                 Woods, R. 1., P. A. Watterson, and J. H. Woodward. 1988/89. The causes of
Smucker, C. M., G. B. Simmons, S. Bernstein, and B. D. Misra. 1980.                                                                                                                rapid infant mortality decline in England and Wales, 1861-1921. Popu-
   Neo-natal mortality in South Asia: The special role of tetanus. Popula-                                                                                                         lation Studies 42: 342-66 and 43: 113-32.
    tion Studies 34: 321-35.
                                                                                                                                                                                Zalin, G. 1969. Aspetti e problemi dell'economia veneta dalla caduta della
Somma, P. 1981. L'attività di Raffaele Vivante al comune di Venezia nella                                                                                                          Repubblica all'annessione. Vicenza: Comune di Vicenza.
   prima metà del secolo. Storia urbana 5: 213-31.                                                                                                                              Zeviani, G. 1775. Su le numerose morti dei bambini: Dissertazione acca-
Strader, J., and J. Schuster. 1982. Zur Sterblichkeit jiidischer und nicht                                                                                                         demica del signor dottor G . V. Z. Aletofilo. Verona: Stamperia Moroni.
   jiidischer Sauglingen. Sudhoffs Archiv. Zeitschrift fiir Wissenschafts-                                                                                                      Zoller, I. 1924. La Comunità israelitica di Trieste (Studio di demografia
   geschichte 66: 152-71.                                                                                                                                                          storica). Metron 3: 521-55.
               Un~&dStaI... Postal SefViee
               Statement                       of Ownership,                  Management,     and Circulation                                                              IJ_p~t        .... nle                                                            14,~""Dat8t",CI""""t""'OataB<llow
                                                                                                                                                                           HISTORICAL                MEHIODS                                                             Sprin~ 2003
                                                                                                                                        3.filir>gDalfl
                                                                                                                                              Ckl0~rl.2003                                                                                                                   I ~~i.t~:~'':.~~I;~~gO.I.
                                                                                                                                                                                                                                                                ~~~~~~~1·2~~I~:U'
               4.IU""Fr""lul/Oey
                                                                                                                                        6,Annual$vbscriplionPri<;e
              Quarterly                                                                                                                 lnSliMion,Sl20
                                                                                                                                        Indiv;dua1sSSS
                                                                                                                                        Co!1!3C1Pers""
                                                                                                                                          FredHut>er
              1319 E,ghleenth                S1ree! NW, Washingmn            DC 20036-1802
                                                                                                                                        Tel&phoni
                                                                                                                                         202·2%·6267
                  13J9E'gh,Ct:nlhStreel                  NW,Washingl0n        DC 20036-1802
                                                                                                                                                                       C·TOIaIPaldandforAeq""SledCio::ulal              ....
                                                                                                                                                                             (Sumo/l5b,(I).(2),(J).ar>d(4)}
                                                                                                                                                                       d,~,:ribulion           Il)     OuIsde-COUIIlya.SlatedonFOIm3541
                                                                                                                                                                           byMaiI
              Hel.nDwighl    Re;d Educational Foundalion                                                                                                                   (&mpIes,            (2)     In-County.. Sialed on Form   3541
              1319 Eighlcenth Slre<:l NW, Washinglon DC 20036-1802                                                                                                         ~,~--~~~--~
                                                                                                                                                                           ~r;.::r;::..,) Othe'Classe.M"'IOOTlI«>ughtheUSPS
                                                                                                                                                                                               (3)
              J.MorganKousser                                                                                                                                         ·,Fr .... OòstribulionCJ.Jt.klelheMai
                                                                                                                                                                             (C.m.",,,,O/he,mtNf1>S)
              California         In,lilulC ofTechnology.           Pasadena     CA91125
              B.rbaraKahn                                                                                                                                             II-TotaIDisrrlbuti<>l1(Sumoll5c.andI51)
              1319 Eighleenth               $Irccl NW. Wa,hinglon            DC 20036.1802
                                                                                                                                                                            ToIal(SumolISg,lfndh.)
                                                                                                Ccmplete Iftillng Acldr...                                            J.    P&rt:<ffiIPaidanc1lorFleqUIISledCireutation
                                                                                                                                                                            (!5c.di~by'5g,rim<>$IOQ!
             Helen Dwiglll ReidEducalional                      Found'lion                        lJ 19 Eigilleemh    Slrccl Nw. Washingl<Jn DC 20036-1802
                                                                                                                                                                                                                                                           ~""oItr.i$pOJi>l;calion                    o   PobiicalionnOlrllQUi'e<!
                                                                                                                                                                                                                                                                                                       ~"      Septen'bcr29.2003
                                                                                                                                                                                                                                                        Execul;vc!);reclor
                                                                                                                                                                     ~":=.~~~~~
                                                                                                                                                                     (inclU<lìngcMIp&nallias).
             11    KnownBord\ol<je   ... MM\III~ •• andOtharSecuriiyHoldoorsOwningor
                                                                                                                                                                      Instructlons to Publlshers
                   fioI<jonglPeft8nIOfMor .. otTOIaIArnwnlol_,M""Qa~s,or
                   OtlNlrS,",untiel.lf"""".cn&cI<b<>lc                                                                                                                               Complata and lile OlIa copy 01this lorm will> your poslmaSle' armuaUy on or belo,e Octooor l. Ke8jl a COPY01the completed lo'm
                                                                                                                                                                                     10'you,recordS
                                                                                                                                                                                     Inca ... swherelhaslocknolderorsocuntyl>oklerisalruslee.inck.tdeinilemsl0an<!11Ihenameoltnepa'sonorcorporationlor
                                                                                                                                                                                     whom tha lrustee is acti"9. Arso IndLJde lha names an<! addresSfls 01individ\.lals who are slockholders who own Or hold 1 pa'Cenl
                                                                                                                                                                                     or more ollha lotal amoonl 01 bornls. mOl1gagas. or olhe' securities olll>e publishing corporation. In ~em 11, ij nooo, check tlle
                                                                                                                                                                                     oox.Useblankshoolsilmo,espaCflisrequired
                                                                                                                                                                                     Ba sure IO lumisl> alt circolation Inlormation called lo, in ~em 15. Frea cin:ulation musI 00 shown in it!lms 15d. e, end I
                                                                                                                                                                                    Ilam 15h"Copi!lsnotOislrlb-uled.muSi      irlClud!l (1) newsst8ndcopiesoriginalty   sIa ledonFolm3$4l,endre1urnedtothepublis.l1ar,
                                                                                                                                                                                    (2) estimated "'Ilums Irom news ag{lf\ts. an<! (3). copias lor otIke u.... lehovers, spoiled, and ali olha, copies noI dislnbUled.
                                                                                                                                                                                    Il Iha publ;cation had Periodicals aUlhorization as Il generai Or r"'l0eslar publicalion. Ihis Statement of Owllflrs.hip, Managament
                                                                                                                                                                                    and Cirwlalion musI be published; il muSI be prinled in any iS5"" in October or. il lha publicalion is 11<)1 poblished duling October.
                                                                                                                                                                                    thelirstissuep<inledaflerOctober_
             12,Ta,Slalu5(F(Y~liMbyr>Oflpr<>f4"'P'"niz"'i<>nsaUll!oriz6d1<>""iI~lt!MpIOfilm                 ... )(Ch8cJcone)
                 TheP<J/l>O .. ,I,""""""andl'lOOpfOlilSlatuSoIthisorganlUllionandllNla.amptsta'USfo.-l_ralincometa..putpO⪙
                                                                                                                                                                                     In ilem 16, indicale Ihe date 01lha issue In which tl>is Statemenl of Ownersh,p will be published.
               XOOHasNotChangedDunngPrece<!ong12Monlhs                                                                                                                               Ilam 17 must be signed
                   o    Hascnang&<lO",ingPrecf>dingI2M""tMlPubiW>fJrmusl.ubm1eJ<plaJuriooolc/IMgewithlhi$'UlI""""'I)
                                                                                                                                                                                     Fllllu,." lo file or publi.h a sralemenl        of owne,ship may "'.d lo Jju.f>{Inslon          of p.,lodica/s Ilulhorimlion.
             PSF0Im3S26,OcIob.trl009
                                                                                                                                                                     PS F0Im3526.            Oc1ob&r 1999      (Rmt_J