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

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Malden and Coombe 1914

[Report of the Medical Officer of Health for Malden and Coombe]

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39
in use. Don't use the same bottle twice running. Do not let baby
suck too quickly; ten to twenty minutes should be allowed for each
feed. Only warm sufficient of the milk for one feed; never keep
what is left over for next feed. Thoroughly wash out and scald the
bottle and teat after every meal and keep them covered in a basin of
cold water with a little bicarbonate of soda. Always taste the milk
to see if it is not too hot. See that the opening in the teat is large
enough, but not too large.
Prepared Foods.—The use of prepared "Infants' Foods" is
expensive. Malted foods are the best; but baked flour, grated
rusks, oat flour, or a crust do equally well. For the first of these
bake a little wheat flour in the oven until it is well browned, and
add this to the milk. The pap must be thin enough to go easily
through the bottle; very little to be given at first. Never give
"Infants' Foods" until the child is seven months old.
Raw meat juice is useful for very delicate or premature babies.
Scrape a small piece of fresh raw meat into shreds, tie up in a clean
piece of muslin, and give it to baby to suck as a teat until the meat
is white.
INFORMATION FOR CONSUMPTIVE PEOPLE AND FOR
THOSE LIVING WITH THEM.
1.—Consumption is a preventable disease which is caused by
minute living germs, called "tubercle bacilli," which usually enter
the body with the air breathed.
2.—The matter which consumptive people cough or spit-up
contains the germs of the disease in great numbers. If this matter
is spat upon the floors, or the walls of any public or private place,
or elsewhere, as soon as it becomes dry the germs of the disease
which it contains are blown about and float in the air, like any
other minute particles of dust, and are inhaled by anybody breathing
that air, or they may fall upon milk or other food, and gain access
to the body with that food. These are the commonest ways in which
the seeds of the disease enter the body of a healthy person.
3.—It is dangerous to sleep with or to live in close relationship
with a consumptive, unless the patient is careful that what he coughs
up is destroyed. A pocket bottle or a cup containing ,a little water