Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London, City of ]
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Below is appended a copy of the card on which the particulars are entered:—
| City of London | Week ending | ||||||
|---|---|---|---|---|---|---|---|
| Name | Status | ||||||
| Number Bedrooms occupied by family | No. living rooms | ||||||
| Mother employed | • | If occupy whole house | No. in family | A. | C. | ||
| House clean | House in good repair | ||||||
| Date of Birth | + = Good. 0 = Indifferent. . . Bad. | ||||||
| Yard paved | Yard clean | ||||||
| SURVIVORS. | |||||||
| Date of Visit | feeding for first 6 months. | Date of Visit feeding for second 6 months. | |||||
| How long entirely breast fed | How loner entirely breast fed | ||||||
| Why not | How long breast and hand fed | ||||||
| How long breast and hand fed | How long entirely hand fed | ||||||
| How long entirely hand fed | What food or foods | ||||||
| What food or foods | |||||||
| Kind of bottle | Kind of bottle | ||||||
| Baby's milk supply | Baby's milk supply | ||||||
(Back.)
FATAL CASE.
| Age | Sex | |
|---|---|---|
| Cause | ||
| Class Dr. | How long ill | |
| State exactly what food when taken ill | ||
| If breast fed, did it occasionally have | ||
| Cow's milk | ||
| Condensed milk | ||
| Other food | ||
| Was it having any fresh cow's milk when taken ill | ||
| If so, dairy | ||
| Bottle used when taken ill | ||
| Mother employed | ||
| State of house | ||
| State of yard | ||
| Personal cleanliness | ||