England and Wales
BMJ (Clinical Research Edition)
TION OF INFANT MORTALITY. LAST wveek, at a mneeting of the Society for the Proventioii of Infanit Mortality, lheld in the Mansion House, Dublin, the third annual report of the Dublin Committee was read. It stated that 130 ladies were worliinig as voliuntary healtlh visitors, and had paid 23,000 visits to iimothers and tlleir infants duLtring the last year; £104 lhad been expended on milk and dinner tickets, and 1,800 articles of clotlhing had been distributed. Many of the visitors were occupied
... itors were occupied in various pursuiits during the day and did this work in their spare time. Wlhile tangible results were difficult to show in an educative work of this kind, spread over a large populationl, the Conmmittee was confident that the worlk was of a very beneficial character, and hiiglhly appreciated by the poor. The work was entirely voluntary, there were no paid officials, and every penny subscribed was spent on the poor. Thle secretary, Dr. Cassidy, said lie had no lhesitation in statinig that fully 50 or 60 per cent. of the ilnfant mortality in D)ublin was the result of injudicious feedinlg, 'due to the ignorance of tlle motlher rathier than to starvation, and one of the first conditions of improvement in that directioii was tllat the slums should be swept away, and that the housing coinditions should be improved. MILK AND NATIONAL HEALTH. Last week Mr. T. W. Russell, M.P., Vice-President of the Department of Agriculture, received a deputation ft;om the Womiien's Nationial healtlh Association, wlhicl urged the adoption of thie recommendations of tle Viceregal Commission on tlle Milk Supply. Lady Aberdeen, whlo introduced the deputation, said that the association wvislhed to nirge the inauouration of the educational campaign which the Commission lhad recommi-iiended, anid in which the association was prepared to render every assistance to the department. Its instrtuctors in domIiestic economy already did a great deal in this way. In domestic economy courses special attention slhould be paid to the acttual value of milki as a food, and tlley asked if it might not be possible for the department to issute a pamplhlet of a popular kiind and oni popuLlar lines, embodying the recommendations of the Cominissioll. The second recommendation of the Commission that the depuitation -wishedto lay stress on was that dealing with the 6rganization of the milk supply, and they lhoped that in the Lalnd Bill the Vice-President wotuld be ableto act on the suggestion of the Comnm:ission and seculre the addition of a clause wlichll wotulcd permit of the extension of the powers of the Estates Comn-missioners and the Congested Districts Boarcl to enable them to allocate land for the grazing of milch-cows in coninexion witlh the sale of any estate. It was hoped also that the Clhief Secretary and the Vice-President of the l)epartmient would combine to bring in a slhort bill making the use of the long ttube babies' bottle illegal. The deputation filnally consi(lered that the proposal of the Comm-ission that there should be co-orldinating coimmittees of the Local Governinent Board andel of the departm-ienit for the carrying out of the dairies, cowshieds, and inilkslhops order shiould, if possible, be acted on. Sir Johlii Lentaigine said there was no question that the continuous absorption of tuberculoujs -ilk produceed the diseases wvlicili were termed surgicA,l tuberculosis-that is, tubeieuilosis of the glanids, joints, and bonles. Sir William Tlhoumlpson pointecl ouit that last year, of the deaths of cliildreni under 5 years, 79 per cenit. were due to infection from milk. ln England the proportioni wolorked out at 12 per cent. less. Ubdominal tuberculosis, wlicll was solely due to miiillc, accounted for 23 per cenit. of the deaths in'1913. Mr. Russell said lie wouNl clo all he could to lhelp the association in its efforts. The dairies, cowslihe(s, and inilkslhops orlder was not ftully adminlistered. In Kildare lie was recently tolcd that it was a dead letter. He was afraid there was miluchi trutlh in thie statement, and that in large parts of tIme counltry thle ordler was nlot admlinlistered at all. He coukld not agree wvith the sulggestionl of co-operationl betweenl thle Local Govem-umlent Boardl andl thse Deparlment of A\griculturte. Referrin]g to thle administ ation of the Tuberculosis in Cattle Order, hie said the department lhad miiade a beginniing, and he had b een sucec ssful in obtainina fromii tlhe Cliancellor of tlhe Exclhequer £25,000 for tlle compcpisation of the owners of cattle condemiined anid destroyed. He did not, liowever, hlold out much lhope of legislation in the present Parliamlent, but, as far as admiiinistration wtas concerned, tlle work would be undertaken at once.