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

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Paddington 1932

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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(11) Orders for the supply of milk at less than cost price to be issued only to such dairymen
or milk purveyors as maintain their premises in accordance with the Milk and Dairies
Order, 1926. The names of all purveyors of milk who are warned or prosecuted by order of
the Public Health Committee for breaches of the Milk and Dairies Order, 1926, or for offences
against the law as regards adulteration, etc., shall be reported to the Maternity and Child
Welfare Committee, who will decide whether orders shall be placed with such purveyors of
milk. (Samples will be taken periodically of the milk supplied under any order issued under
this Scheme.)
(12) Stock books showing orders for the disposal of all forms of dried milk and of other
preparations of milk to be kept by the Public Health Department, and stock to be taken
monthly at each Consultation Centre maintained by the Paddington School for Mothers which
acts as the distributing agent for the Borough Council.
(13) No grants of milk or milk substitutes at less than cost price to be made to families
in receipt of Poor Law Relief.
(14) "Pasteurised" milk to be supplied to recipients of milk grants, provided that the
medical officers engaged at the several infant welfare centres of the Paddington School for
Mothers shall be authorised, in special cases, to recommend the supply of "Grade A (Tuberculin
tested) "milk, such supplies of "Pasteurised" and "Grade A (Tuberculin tested)"
milk to be in accordance with the terms and conditions prescribed in the Milk (Special
Designations) Order, 1923.
(15) Grants of oil and malt, etc., to be supplied to necessitous mothers in receipt of
milk grants from the Council.
Schedule.
Scale of Income foe Geants.
Basis.—Total income of family, less rent, divided by number of persons living on said
income.

In determining the number living on income include dependants living at home in addition to man, wife and their children.

Free.Half-Price.
Number of family.Total Income less Rent.Average Per Head.Total Income less Rent.Average Per Head.
s.d.s.d.8.d.s.d.
1150150180180
2200100240120
32568627090
43007634086
53266637676
63606042070

Families of more than six persons to be dealt with according to their circumstances.
(Paragraph 8 of Scheme.)
The arrangements for administering the Scheme are as follows:—
Applications for Grants.—Applicants for grants are referred to the Town Hall by,
amongst others, medical practitioners, the staffs of the welfare centres, the health visitors,
relieving officers, maternity and general hospitals and various public and charitable
institutions.
Procedure.—Before any case is considered the Medical Officer of Health must be satisfied
that the supply is necessary on grounds of health. In the case of an expectant mother the
existence and duration of pregnancy must be verified by the signature of a doctor or midwife.
The quantity of milk authorised varies with the need of the mother or infant concerned.
Usually, one pint per day is granted to an expectant mother and to a nursing mother, unless
she be nursing twins, when one quart is allowed. The bottle-fed baby, also, normally has the
same quantity up to about the sixth month of its age, but thereafter this is increased to 1½ or
2 pints per day when the necessity is certified by the medical officer of a Welfare Centre.
The "Grants" Sub-Committee now make a practice of insisting on the attendance
periodically of the infants on grant at one or other of the welfare centres and the issue of at
least one medical certificate of necessity every three months.