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 St. Marylebone, Metropolitan Borough]
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"uberculin Tested" will replace tlie existing; designations "Certified"
and "Grade A (tuberculin tested) It will be the only designation for raw
milk from tuberculin tested cows. "Tuberculin Tested" milk may, if desired,
be pasteurised subject to the conditions of the Order and, where this is done, it
must be sold as "Tuberculin Tested Milk (Pasteurised)" In regard to raw
milk of this grade it is prescribed that, until 31st December, 1936, it must be so
produced that a sample taken at any time before delivery to the consumer shall
not contain more than 200,000 bacteria per millilitre; after that date it must
satisfy a prescribed methylene blue reduction test for cleanliness. At all dates
it must contain no coliform bacillus in one hundredth of a millilitre. If
pasteurised it must not contain more than 30,000 bacteria per millilitre. If it is
bottled on the farm the word "(Certified)" may be added to its description.
"Accredited" milk will replace the present "Grade A" milk. It will be
raw milk from cows which are regularly inspected by a veterinary surgeon but
which are not tuberculin tested. It will be subject to the same bacteriological test
as "Tuberculin Tested" milk. As will be gathered from the designation, it
will indicate that milk sold as "Accredited" comes from the herds of producers
enrolled under the Accredited Producers Scheme initiated by the Milk Marketing
Board. Where "Accredited" milk is bottled on the farm, the words "Farm
Bottled" may be) added to the description.
"Pasteurised" milk will, as at present, be milk which has been held at a
temperature of 145°—150o F. for thirty minutes. The designation is applicable
both where "Accredited" milk and where ungraded milk is pasteurised in accordance
with the requirements of) the Order.
In drawing attention to the change of designations, it is pointed out that after
the 1st June, 1936, the abolished designations must not be used, except that, in
order that present stocks may be utilised, caps and labels complying with the
Orders of 1923 and 1934 may be used until the 31st December, 1936.
Fresh licences will not be necessary when the new Order comes into force
on the 1st June, 1936. The licence or licences at present held will be regarded
as covering those designations which replace the grades in respect of which the
licence or licences were originally granted. These will continue to operate until
the 31st December, 1936. When licences are granted for the year 1937 the new
designations will, of course, be used."
Milk (Mothers and Children) Scheme.— During 1936 there has been no change
in the methods adopted in relation to the supply of milk to mothers and children.
Up to 31st March, 1937, the amount expended was £784 11s. 10d., as against
£792 14s. 5d. in the year ended 31st March, 1936. The actual number of cases
dealt with was 352, and the number of orders issued 2,190, which were slightly
larger figures than those for 1935, when the cases numbered 340 and the orders
2,080.
The number of instances in which the supply was granted absolutely free,
having regard to the total number of cases and circumstances generally, though
comparatively small, was approximately the same as in 1935. The amount
contributed in individual cases varies considerably, but from the very beginning
what the amount should be has always been very carefully assessed, the size of
the family and the family earnings and circumstances being taken into consideration.
In every case formal application is required to be made by the individual
whether recommended by the Medical Officer of a consultation or seeking assistance
personally.
Following receipt of the application, enquiries are made by the Health Visitors
and on their report and the information provided in the application, assessments
made by the Medical Officer of Health.
The period for which the grant is made varies, but is usually four weeks, and
at the end of this period the case is again considered and alterations made in the
amount ordered, and the contribution charged if necessary.