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

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Heston and Isleworth 1898

[Report of the Medical Officer of Health for Heston and Isleworth]

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7
"COWS' MILK.
The Medical Officer of Health advises that—
All Cows' Milk should be boiled or sterilised.
Milk is capable of conveying the infection of Scarlet Fever, Diphtheria,
Enteric Fever (Typhoid Fever), and Consumption.
In view of the large number of Deaths that take place every year from
these diseases, and in consideration, especially of the large Annual
Mortality amongst Infants from the disease known as Consumption, it is
highly desirable that all Milk should be boiled before being used, as by this
means all danger of infection from milk is prevented.
If a Infant is unable to digest boiled milk the following method should
be employed:—
The Feeding bottle containing the amount of milk, or diluted milk
required for the meat is to be placed in a clean saucepan half filled with
cold water. This is then placed on the fire and the water in the saucepan is
boiled. The feeding bottle must not be taken out of the saucepan until it
has been in the boiling water from ten to fifteen minutes.
Water used for diluting Cows' Milk should be boiled before being added
to the Milk.
The Milk used should be fresh.
Fresh milk should never be mixed with milk obtained previously.
All jugs and other vessels used for keeping milk in, should be washed
out with boiling water when empty.
Feeding bottles should be scoured out with boiling water every time
after being used.
Feeding bottles should be of the kind known as Boat-shaped or Slippershaped
Bottles.
India-rubber tubing to a feeding bottle is extremely objectionable.
Parents are advised to pay particular attention to these suggestions
during the summer months, as by this means the risk of infants contracting
the disease known as summer diarrhoea is greatly diminished.
By order of the Council,
HUGH R. PEAKE.
Clerk."