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Dr. Sawyer traveled to Europe and England several times during the course of World War II, often with the U.S. Health Commission to Europe, a group of public health experts charged with assessing wartime public health problems and planning for their control. In this letter, he mentioned the food shortages developing in Europe, and commented that none of the babies he saw in Madrid were plump (like the Sawyer's 18-month old granddaughter) because their mothers got too little to eat.