312 AFFILIATED SOCIETIES 



3. To be registered and licensed by the Board after examination. 



4. To conform to the rules and regulations formulated by the Board, 

 pertaining to the details of their work and equipment so long as they 

 practice. 



These regulations are enforced by Local Supervising Authorities, 

 and in London there are midwife inspectors who devote their entire 

 time to the inspection of these women, their homes, work and equip- 

 ment. 



The purpose of midwifery control in England is to prevent unneces- 

 sary infant blindness, mortality, and physical degeneration, and un- 

 necessary death and invalidism among the mothers. 



DEPARTMENT OF HEALTH, BALTIMORE 



A special effort has been made by the Commissioner of Health to 

 secure better enforcement of the birth registration laws. As a means 

 of insuring prompter and more complete returns, the department has 

 issued a physician's memorandum book, of convenient size, containing 

 blanks for all necessary data for birth or death certificates. 



DEPARTMENT OF HEALTH, ROCHESTER 



The city maintains its own milk stations. The milk dispensed is 

 produced on a farm leased and operated during the summer months 

 under the direction of the Health Bureau. Clean milk, properly 

 modified, is supplied in nursing bottles for babies who are sick 01 

 cannot nurse, at a cost of from one to two cents a bottle. 



Five stations were in operation during July and August, each 

 under the charge of a trained nurse. In addition the Bureau employed 

 five visiting nurses, who instructed the mothers in their homes, or if 

 necessary gave nursing care for sick children. Useful advice and 

 suggestions relating to the care and feeding of infants were given to 

 the mothers by the nurses in charge of the milk stations. Litera- 

 ture on the care of babies in hot weather was distributed. Of the 

 538 children under the care of the nurses, only 12 died. 



HULL HOUSE, 

 Chicago, 111. 



Hull House co-operates with the United Charities and Board of 

 Health of Chicago in their infant welfare work. 



THE INSTRUCTIVE DISTRICT NURSING ASSOCIATION, 

 Columbus, Ohio 



The Babies Dispensary and Milk Station of Columbus was estab- 

 lished in February, 1908. This was the first organized effort along 

 the line for the Study and Prevention of Infant Mortality in this 

 city. In June of 1908 it was merged with The Instructive District 

 Nursing Association and is now entirely under the management of 

 this organization. 



The work being done is along the following lines: 

 Educational: Mothers are visited and instructed by the Visiting 

 Nurses as to the care and feeding of infants. 



