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60
Feeding.
The result of giving Malted Milk as a temporary measure has been excellent The child's
strength is, in the majority of cases, well maintained, as it receives more nourishment in this
manner than if it were given simply albumin water. Malted Milk has to be given five days or
a week until dyspeptic symptoms have subsided.
Great care is necessary in returning to a normal diet. I have not seen any cases of relapse
this year, nevertheless, it is sometimes impossible to return to ordinary cow's milk.
Examination of Health Visitor's Notes.
The number of cases notified was ninety-seven. Of these cases fifty-eight were under
the age of one year and thirty-nine were one year and over. The number of families in which
the patient was the only case was ninety-three. In two instances two cases occurred in one
family. Two children developed the disease twice in the year and in two cases two patients
were notified from one house but not in the same family.
The number of healthy children attacked Was sixty-two. Children who were under the
average weight for their age and suffering from chronic digestive disturbances numbered
thirty-five.
The majority of the notes were carefully recorded and will form a valuable aid in years to
come in elucidating certain public health problems.
Kensington District Nursing Association.
The number of cases nursed during the year was one hundred and sixteen. The nurses
were asked to attend nineteen cases which had not been notified by the local doctors and this
fact accounts for the larger number of cases seen by them. Only one death occurred amongst
the children visited by the nurses.
During the last three years, only two deaths have occurred amongst one hundred and
eighty-seven cases nursed by the Association's nurses. I think this is a very good result.
The deaths from all forms of enteritis in the Borough were thirty-nine. We must remember
that zymotic enteritis has not appeared in epidemic form since 1921, so that we cannot hope
always to get such brilliant results.
Food on which children were fed.
Mixed diet 39 cases
Breast only 19 „
Cow's milk 18 „
Nestle's Condensed 9 „
Glaxo 2 „
Breast and Nestle's 1 case
Ambrosia 1 „
Almata 1 „
Allenbury's 1 „
Cow and Gate 1 „
Unknown 5 cases
"Mixed diet" means gravy or bread and potatoes with a milk pudding at mid-day meal;
the other meals usually consist of cow's milk. These children are invariably one year old and
over.
No cases were sent by me to hospital during the year I do not intend to give the public
the idea that I have discovered some new cure for zymotic enteritis, I have only applied our
present day knowledge in formulating a scheme which is mainly preventive rather than curative
and which I think can usefully be added to the Public Health Service.
(Signed) Ronald Carter.
The information given will, I think, lead the Council to the conclusion that as a result of close
co-operation all round, their scheme has proved satisfactory.
During the month of July, the Lancaster Road Fathers' Council, in conjunction with the Kensington
Council of Social Service, undertook propaganda work in regard to the prevention of enteritis
by the institution of what was called a "Fly Week." The fathers, accompanied by a cart loaded
with practical exhibits, traversed many streets in North Kensington giving lectures to groups of
people who gathered round on the best way of dealing, from the point of view of health, with the
fly nuisance. They also made a house-to-house distribution of pamphlets dealing with the matter.
Typhus Fever.—One case of this disease was notified during the year. The patient was a boy
aged six years. He was removed to hospital, extensive disinfection was carried out and every