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50.
it is quite impossible to keep fresh milk in good condition,
and there is continuous liability to its being
contaminated by dirt or the germs of disease. The
probability of such contamination is greatly decreased
when dried milk is used. There is a drawback in that
the preparation of dried milk involves a certain loss of
vitamin value, but this loss can be easily and certainly
made good by the addition to the feeding of the child
concerned of a small quantity of raw fruit juice. The
fruit supply in this country has improved remarkably
during recent years, and there is now nothing to prevent
the poorest of our patients from obtaining fresh orange
or tomato juice all the year round.
The mothers are carefully instructed by the Health
Visitors in the use of fruit juice as a necessary adjunct
to the dried milk that we supply or reecomend.
Home Nursing.
Home nursing is provided by the Borough Council
for persons requiring such attention and unable to pay
for it privately. There are three groups of cases included
in the Council's scheme:—certain illnesses in children
under five years of age; certain illnesses in expectant
and nursing mothers; and certain infectious diseases in
persons of five years or more. A fee of 1/- is paid for
each attendance on a case, in the first two groups by
the Maternity and Child Welfare Committee and in the
third group by the Public Health Committee. Payments
under the first two classes are subject to the refund to
the Committee of half the outlay by the Ministry of
Health.
This Home Nursing is done by the nurses of the
Fulham District Nursing Association, 56, Harwood
Road, Fulham, S.W.6, and the most cordial relations
exist between the Maternity and Child Welfare Department
and the Nursing Association. Miss Watson, the
Superintendent of the Nurses, is most careful in keeping
us informed as to the condition of patients referred
to her staff, and I should like to place on record my
deep appreciation of her helpfulness.