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

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Paddington 1933

[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 reoeipt of milk grants
from the Council.
Schedule.
Scale of Income for Grants.
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.s.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 up to 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.