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

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Southwark 1904

[Report of the Medical Officer of Health for Southwark, Borough of]

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51
modification, which is given to infants between three and six months
old, consists of equal parts of milk and water, with five ounces of cream
and lactose added per gallon. The third consists of two parts milk to
one of water, with three ounces of cream and lactose added per gallon,
and is given to infants over six months old.

The milk having been modified, it is bottled, and the number of bottles and the quantities contained are set out below:-

No. Age.No. of Bottles per day.Amount per Bottle.Amount per day.
1 Below 2 weeks old91½ oZ13½ oz.
2 Between 2 weeks and 2 months old92 ½oz.22½ oz.
3”2 and 3 months old83 oz.24 oz.
4”3and4 „74 oz.28 oz.
5 ”4and5 „ „74½ oz.31½ oz.
6”5 and 6 „75 oz.35 oz.
7 „ 6 and 8 ,, ,,66 oz.36 oz.
8 „ 8 and 12 „ „67 oz.42 oz.

After bottling, the stoppers are closed and the bottled milk is heated
by steam and kept at a temperature of 212 degrees Fahrenheit for from
5 to 10 minutes. It is allowed to cool, and is then supplied to the
consumers. Each mother on first coming to the depot is given a leaflet
of instructions as to the proper method of using the milk. The method
is very simple ; when feeding time arrives, all She has to do is to place
the bottle, unopened, in some warm water till the milk has reached body
temperature. The bottle is then opened, a small teat put on the mouth,
and the baby takes its milk from the sterilised bottle direct. The use of
the long tube feeding-bottle is obviated.018”
It is necessary that the depot should be under medical supervision.
A small shop should be rented with a shed behind to be converted into a
room to contain the steriliser and the engine. There must be a yard.
The rooms required would be the shop for distribution, the scullery and
kitchen fitted with a bottle washing tank and brushes. Here the empty
bottles could be stored. In the shed above-mentioned the bottling and
sterilising of the milk would take place. In one of the best managed
depots a manageress and an assistant are only employed at a salary of
£30 each with free quarters over the shop.
The cost of the appliances requisite to start a milk depot on a
moderate scale would be about £150. Further capital expenditure would
depend upon the required alterations in the house. The total expenditure
should not exceed £350. The annual expenditure will depend upon the