APPENDIX K 



The following circular was originally sent to all farms known to be sending 

 milk into Manchester It is now sent to those farms from which tuberculous 

 milk has been found to be coming into Manchester, and to all new farms : — 



Public Health Office, 

 Town Hall, Manchester, z^s^th October 1898. 



Dear Sir, — I am instructed by a resolution of the Sanitary Committee, 

 passed at a meeting held on 31st August of this year, to send to all farmers 

 supplying milk for consumption in the City of Manchester the accompanying 

 memorandum on certain points to which they desire more particularly to 

 draw the attention of farmers. Any matter of difficulty which may be experi- 

 enced in regard to the memorandum, if referred to the Medical Officer of 

 Health, will receive careful attention. It will be understood that the memor- 

 andum is intended not by way of compulsion, but for purposes of guidance. — 

 Yours faithfully, James Niven, 



Medical Officer of Health. 



Suggestions addressed to Farmers supplying Milk for consumption in the 



City of Manchester 



The Committee appointed by the Corporation of Manchester to consider 

 questions relating to the milk supply of the citizens, having had under their con- 

 sideration the milk which is sent into the City from outside districts, have been 

 led, by the investigations which have been made for them, to the conclusion that 

 the milk supply leaves much to be desired, both as regards cleanliness and as 

 regards the transmission of disease. They are advised that where milk is not 

 kept clean it is one of the chief agents in producing fatal diarrhoea amongst 

 children. They are also advised that consumption of the bowels in children and 

 consumption of the brain are largely produced by the use of tuberculous milk, 

 and they are in possession of proof that such milk is being largely imported into 

 the City from surrounding districts. They feel obliged, therefore, to call on all 

 farmers and cowkeepers supplying milk to the inhabitants of their district to 

 take such precautions as will ensure a supply of clean, pure, and wholesome 

 milk to the City. 



With this object in view, they would point out that no milk should be sent 

 into the City during the warm season of the year which has been kept at the 

 farmhouse for more than a few hours, either separately or mixed with other 

 milk, and that previous to despatch such milk should be kept cool. It is 



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