=Children's diseases.= An exceedingly high mortality exists among infants and young children in the more congested centers, especially during the summer months. In the main, the cause of these troubles is due to intestinal disturbances, and unquestionably, the character of the food enters largely into the problem. As milk constitutes such a large proportion of the diet of the young, and is so susceptible to bacterial invasion, it would appear probable that much of the trouble of this character is due to the condition of this food supply. This is rendered more probable when it is remembered that bottle-fed infants suffer a much higher mortality than breast-fed children, due probably to the fact that the lengthened period between the time the milk is drawn and consumed permits of abundant bacterial growth. Much carelessness also prevails among the poor in cities, relative to the care of utensils used in feeding children. Nursing bottles often serve to infect the milk. Where milk is pasteurized, or properly heated, it has been found that the mortality rate has been greatly reduced, thus indicating that the condition of the milk was directly responsible for the death rate. In fact, the mortality from these indefinite intestinal troubles probably exceeds that from all of the specific infectious diseases combined. Improved care in handling this sensitive food supply will do much to better conditions in this direction. =Ptomaine poisoning.= Acute poisoning affecting adults as well as children, not infrequently occurs from the use of foods of various kinds. Cases of poisoning arising from the use of shell fish, canned meats, ice cream, cheese, and other dairy products, are from time to time reported. These troubles are due to the production of toxic compounds, in the main, probably caused by bacterial decompositions. Often such troubles may affect a number of persons, as at banquets and such gatherings, thereby giving the semblance of an epidemic. While such troubles are doubtless to be ascribed to bacterial activity, they are not transmissible from person to person. In the case of troubles arising from ice cream and such confections, the probable cause is due to the storage of milk or cream under refrigerator conditions, where germ growth can go on in the product, and yet the temperature be sufficiently low to prevent the usual acid fermentations. CHAPTER V. FERMENTATIONS OF MILK.