Drawn by Jay Hambidge. Half-tone plate engraved by H. C. Merrill
WEIGHING THE BABIES AT AN INFANTS’ MILK STATION IN NEW YORK
What has accomplished this result? Primarily, two causes: first, the attention of the Board of Health, whose department of child hygiene now receives a larger annual appropriation than any other (in 1913 it will have more than $600,000, a fifth of the entire budget); and, second, the work of the New York Milk Committee, a semi-public organization composed of many of the chief physicians and philanthropists of the city.
Eight years ago there was not one infants’ milk station in New York. The babies of the poor were obliged to live on what milk could be found easily for them. Few could afford and still fewer could find what is known as “Grade A” milk, which sells in the commercial market for from fifteen to twenty-five cents a quart, and which is thoroughly inspected and certified. At the close of 1912 there were seventy-nine such stations in the city. At every one Grade A milk was sold at the nominal price of eight cents a quart, so as to be in easy competition with ordinary commercial milk. Every day thousands of mothers with their babies throng these stations. However, their chief purpose is not the mere selling of pure, rich milk. They serve principally as dispensaries. The milk is used by the city as a lure by means of which ignorant mothers are brought within the reach of the physicians of the Health Department. With the milk, thorough instruction and advice as to the care of infants is given gratis. The old idea that mothers know entirely how best to care for their own children has been proved erroneous. Not all mothers in a large city know how to care for their children. Many of them are virtually as helpless as the children themselves. They have to be taken in hand, trained, and taught in the care of their offspring as completely as the children themselves are taken in hand a few years later in the public schools.
In addition to the seventy-nine dispensaries of milk and medical knowledge, the city maintains a large corps of trained nurses who make visits, especially during the summer, to the homes to complete the instruction. In the poorer districts, every child under a year old is visited by a city nurse at least once in ten days. The average cost is fifty cents a month for each child. At the same time the inspection of the general milk-supply has become thorough. The city’s inspectors now cover all farms within two hundred miles from the city hall, and the sources of supply are thus kept in proper sanitary condition.
The city also gives ice in summer to those families (with children) that are unable to buy it. In the summer of 1912, 900,000 pounds were thus distributed. This is in addition to the accepted efforts to secure better playgrounds, better ventilated schools, etc.
A decade ago the summer death-rate among children in New York was from two to three times as high as the winter death-rate. For the last four years it has been steadily decreasing, and in 1912 it was almost as low as the winter death-rate. Deaths from diarrheal diseases among children have been reduced to a minimum through the concentrated efforts of a few years. The next work to be taken up will be the winter deaths from respiratory diseases. This is a more difficult problem.
Yet the greatest problem in infant mortality has still to be solved. This is the care of the “institution” baby. As in England and in France, the largest number of deaths among New York children occur among the illegitimate and those lacking a mother’s care during the early months of life. In 1911 more than forty per cent. of the deaths of infants under one year in Manhattan occurred in institutions.