In September 1944 most of the southern part of the Netherlands had been liberated, Unfortunately the rest of the country faced a very harsh winter. Extreme cold combined with lack of food resulted in a famine, causing the death of about 20,000 citizens.
Dutch railway workers had gone on strike hoping to help the allied forces to advance. Alas the British led allied campaign called Operation Market Garden failed.The Nazis retaliated by blocking food supplies.
The effects of the famine is still felt more then 7 decades after it ended. One famous example of someone who suffered with the effects of the hunger winter for the rest of her life is Audrey Hepburn.She spent her childhood in the Netherlands during the hunger winter and although she would become a very successful actress who accumulated quite some wealth in her later years, she had lifelong negative medical conditions as a result of the famine . She suffered from anemia, respiratory illnesses, and edema.
Babied born from women who were pregnant during the famine would often be a few pounds heavier then the average.Their death rate would also be be higher then those who had been been in utero before or after the famine.
Below are some impression of the hunger winter 1944/45.
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New York Times