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

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Poplar 1905

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

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refrigeration, maintained during transport, and by prompt dispatch
so that the number of micro-organisms and the lactic acid in the
milk may be reduced to a minimum at the time of delivery instead
of the hundreds of thousands and millions of organisms and excess
of lactic acid now to be found in so-called fresh milk.
5. That in order to prevent the pollution of infants' milk in
distribution and in the home, it is desirable that it should be
protected iu stoppered bottles ready for feeding, and not be
transferred to other bottles.
6. That on account of the facilities that hand-feeding affords
for the over-feeding and under-feeding of infants, due to want of
knowledge, especially amongst the poor, it is desirable that the
quantity and quality of milk required for each feed at the particular
age should be distributed in a separate stoppered bottle, and that
each basket or crate of bottles for use should be accompanied by
instructions as to the frequency and manner of feeding.
7.—That the provision of cow's milk produced under aseptic
conditions accompanied by extreme cleanliness, refrigeration and
dispatch, so diluted and enriched and put up in stoppered bottles
in such quantities, to be administered at specified intervals suitable
for suckling infants, should be regarded not only as ordinary food,
but in the nature of medical assistance.
8.—That for the special protection of hand-fed infants it is
desirable that Municipal Authorities should not only ascertain the
quality of milk intended for infants by chemical analysis, and
receive from the public analyst a statement of the percentage
composition of each sample of milk submitted, as to fat, solids not
fat, and total solids, and the absence of chemical preservatives,
but also by bacteriological examination, and receive from a
bacteriologist a statement in regard to each sample of milk submitted
as to the number of micro-organisms per cubic centimetre
and the proportion of lactic acid per cent., these being the best
existing teste of cleanliness and freshness of the milk.