NUTRITIVE VALUE OF RAW AND BOILED MILK 189 



CHAPTER XI 



CLINICAL DATA ON THE NUTRITIVE VALUE OF RAW AND BOILED 

 COWS' MILK AS A FOOD FOR INFANTS 



THE general considerations arising in regard to the value of the 

 clinical data available as a result of the feeding of hospital infants 

 is considered in the summary of this chapter. It is necessary, 

 however, to give a somewhat detailed account of the individual 

 observations which have been made by various investigators. 



The earliest published work appears to be that of Uhlig, who 

 in 1891 quoted thirty-nine cases of children suffering from various 

 degrees of mal-nutrition, who all did well on sterilised milk. No 

 control cases were taken. 



In the same year Leeds and Davis published an account of 

 the results of feeding sick children all apparently suffering from 

 diarrhoea on sterilised milk. The results were stated to be un- 

 satisfactory, some of the children dying from apparent starvation. 

 No improvement followed the peptonising of the milk. Marked 

 improvement occurred in such children as received a few breast- 

 feeds in the day, together with the sterilised milk. No controls 

 seem to have been carried out with either raw or pasteurised milk. 

 The milk used was sterilised for half an hour. 



Much stress cannot be laid upon these results, since there were 

 no controls, although Davis states that he has seen children who 

 were not improving on sterilised milk do well upon raw. 



Variot (1898) at a meeting in Paris quoted thirty cases of 

 atrophic children who had attended his consultation at Belleville, 

 and who had all done very well when fed upon sterilised milk. 

 He gave no control cases. 



Palmer (1900) described the satisfactory results which he had 

 obtained in America with raw milk, and advocated its use. He 

 gives no control cases fed upon boiled milk, and, moreover, had 

 the great advantage of the large ice supply of American cities. 

 No actual data are given. 



Monrad (1902) published six cases of atrophic and dyspeptic 

 children who had improved when fed upon raw milk. He considers 

 that only certain cases need raw milk. No controls fed upon boiled 

 milk are mentioned. 



Czerny (1902) at the Breslauer Klinik fed atrophic children 

 upon both raw and boiled goats' milk, the goats being kept upon 

 the premises. He was unable to detect any appreciable difference 

 between the children fed upon raw and boiled goats' milk , both 

 sets were very constipated, those fed upon raw milk rather more 

 so than those fed upon boiled milk. The improvement in all cases 

 was very inferior to that which usually occurs when similar cases 

 receive mother's milk. 



