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

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Woolwich 1909

[Report of the Medical Officer of Health for Woolwich]

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43
Feeding of Infants Table IV shows the manner of feeding
of all cases under one year of age 4 had the breast only, 15
breast; milk and other food, and 6 Depot milk 20 had fresh
cow's milk, and 15 Nestles condensed milk
The use of the long-tube bottle is quickly becoming obsolete ;
in 1905, 24 per cent. of the notified cases used tube bottles—in
1909, only 8 per cent. used them
Of the 6 Depot cases, one was a very delicate child which
began with diarrhoea eight days after beginning Depot milk;
the Depot milk was at once discontinued, the child died 13
days later The other Depot cases all recovered, and two were
mild cases which soon passed off; one had been on the Depot
five weeks, and the others over two months when the diarrhoea
began
Depot-fed children were only attacked by diarrhoea to onehalf
the extent of the hand-fed children, proportionately to the
total numbers of each
Source of Infection Out of the 149 cases there were 39 in
which it appeared probable that the patient was infected,
directly or indirectly, by some previous case, either in the same
house or in an adjoining house situated within a radius of about
50 yards In 9 of these cases the suspected source was another
member of the family, or another inhabitant of the same house
In one of these the source was the mother, with an interval of
five days between the commencement of diarrhoea in mother
and child; in one case (a child of seven years) the infecting
case was a baby brother, with an interval of two weeks; in
four cases the source was elder brothers and sisters, with
intervals of one to ten days; and in three cases lodgers'
children with two or three days' interval Five cases occurred