Infant’s Milk Depots, advice to mothers, and all the institutions
and measures forming part of the campaign to lower infant mortality,
must invariably have the general aim of promoting the public welfare,
and must never assume the form of Poor-Relief, otherwise many who
need their services will fail to avail themselves of these, for,
as is well known, a great many people are frightened away from
any institution connected with the system of Poor-Relief. It is
sufficiently proved that those Infant’s Milk Depots in which the
milk is given in accordance with individual medical prescriptions,
which are subjected to medical supervision, which are associated
with the giving of advice to mothers, which give milk free or at
a low price only to those whose infants are kept under regular
observation, promote breast-feeding by the mothers, and effect a
notable diminution in infant mortality.
_Other Methods of Artificial Feeding._--Nothing more need be said
here of the other methods of artificial feeding--that is, of those in
which no cow’s milk is used--beyond this, that they are in opposition
to the essential principles of hygiene, and that they are of less
than no value. Everyone who has the interest of society at heart
should do all in his power to secure the complete discontinuance of
such methods.
_Institutional Care of Infants._--The institutional care of infants,
if it is to be carried out in accordance with hygienic principles,
is too costly. Hence it is applicable only in the case of weakly
and sickly infants, and is out of the question for the permanent
care of healthy infants. With regard to the institutional care of
healthy infants, it is asserted that, even in the most modern and
best-managed foundling hospitals and hospitals for infants, epidemic
diseases--such as pneumonia, contagious ophthalmia, and intestinal
catarrh--inevitably appear, and in such circumstances are extremely
difficult to treat with success. It is, however, necessary to
consider the following facts. Unquestionably, the institutional care
of infants was formerly far from satisfactory. Certain diseases,
the seeds of which have been sown in the institution, only develop
in full severity after the child has been boarded out. This depends
upon: (_a_) the primary lack of resisting power of the infants, which
is the disastrous sequel of the unfavourable conditions of life
to which they were exposed before entering the institution; (_b_)
the lack of proper individualisation (for example, the continuous
lying in bed, bad air, lack of sufficient cleanliness)--the
so-called “hospitalism” or “hospital-marasmus” is referable to these
influences; (_c_) a failure to meet the demands of hospital hygiene,
so that the origination and the development of the infectious
diseases are facilitated; (_d_) artificial feeding, by which the
working of these evil influences is powerfully reinforced. But all
these errors are avoidable. Nothing more is requisite for their
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