London's Pulse: Medical Officer of Health reports 1848-1972

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Finsbury 1905

Report on the public health of Finsbury 1905 including annual report on factories and workshops

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108
(a) absolute control of the milk, and the avoidance of the serious
fallacy of sterilising unclean milk; (b) medical supervision of the
entire management of the Depot, and of the infants using the
milk; (c) a discriminating and careful distribution of the milk
only to infants who could not be breast-fed; and (71) the systematic
study of the effect of the milk on the children. The Committee
desired to make the method as individual as possible, and in no
way to lessen the responsibility of the mother. It is evident that
these are not easy principles to carry out, and many difficulties
have been encountered.
The Medical Committee, with the assistance of Mr. J. Kear
Colwell, F.I.C., Public Analyst, carefully considered the subject
of standards of modification, and finally decided to commence
with the three following degrees:—
A.—One part separated milk, two parts water + 8 ozs. cream
+ 7 ozs. milk sugar to the gallon.
B.—One part separated milk, one part water + 11 ozs. cream
+ 5 ozs. milk sugar to the gallon.
C.—Two parts separated milk, one part water + 12 ozs. cream
+ 5 ozs. milk sugar to the gallon.

Various degrees of modification were made with the average milk supplied by Mr. Carson's herd, and the above were found on analysis to yield desirable milks, and approximately comparable to human milk: —

Human Milk.Modification A.Modification B.ModificationC.
Total Solids12.509.5311.0512.49
Fat3.702.513.283.86
Proteids2.301.241.912.48
Lactose6.205.495.455.56
Ash0.300.290.410.59

These three modifications are used as follows:—