260 METHOD OF DETERMINING INFLUENCE OF PHILANTHROPY 



unlocked at this age so that the scoring includes only a possible 

 six children under six years of age. 



Under nourishment, the maximum score is based upon the 

 possibility of normal breast feeding and the classes or kinds 

 of food are scaled down to a minimum in the order of their 

 relative nutritive value as compared with good breast milk. The 

 principle used in fixing these values is our personal estimate of- 

 what the increase in the general infant mortality would be if all 

 babies were deprived of breast milk and were compelled to 

 depend upon mixed feeding, rational bottle feeding, patented 

 food with good milk, patented food with poor milk, dried milk, 

 condensed milk or carbohydrates only. Scoring the mixed diet 

 in the second year is a simple matter of judgment. 



The morbidity score is based upon the integrity of the vari- 

 ous organic and functional systems in the body. An attempt 

 has been made to allow a value for organic integrity when its 

 function only is impaired. Impairment of either the organ or 

 its function at the time of marking the score should eliminate 

 or lower its maximum value. 



The initial scoring of each case is based upon the medical his- 

 tory taken at the hospital or consultation when the child comes 

 under observation and then from month to month the initial 

 record should be checked on the intercurrent excursions from 

 normal organic and functional integrity as indicated by the rec- 

 ords of the visiting nurse, the variations being determined by 

 the physician. 



