108 REPORT OF THE No. 55 



In the summer of 1909, the work was extended and two more stations were / 

 opened. Milk was secured from the Manor farm and was certified by the Academy 

 of Medicine. Although Mr. Acton and his associates continued to direct the work, a 

 grant of $500 was made by the city towards its support. Altogether about 20,878 

 half-pint bottles of milk were distributed this summer, all but 3,755 being paid for 

 by the consumer at the rate of eight cents a quart; the total cost for the summer 

 was $760. 31, and the League had a balance on hand at the end of the season of 

 $292.48. It will therefore be seen that there is not only scope for extending the 

 work, but the means to do so. 



PASTEURIZATION PLANT INSTALLED. 



Such work, carried on as it is by public-spirited citizens anxious only to lessen 

 suffering and improve their city, is to be heartily commended, and the fact that a 

 new, active and aggressive factor is about to join in this noble work on behalf of 

 Toronto infants is to be heartily welcomed. Mr. J. Boss Eobertson has added to 

 the splendid equipment of the Hospital for Sick Children a modern plant for scien- 

 tifically pasteurizing milk. On a visit to the Hospital we found it to be modelled 

 exactly on the lines adopted by Nathan Straus in the great work he has done in 

 saving infant life in New York, more fully described in another page. The . raw 

 milk, while not secured from a "certified" farm, is secured from a "model" farm. 

 On arriving at the Hospital, it is modified and pasteurized in bottles by being heated 

 to 158 degrees for twenty minutes. The plant was installed in October and it is 

 the intention not only to supply the Hospital with milk pasteurized in accordance 

 with the most scientific regulations, but also to supply infants outside the Hospital 

 as well. It is being used for 1,200 in-patients and nearly 12,000 patients each 

 year in the outdoor department. It is, of course, delivered to the children in the 

 wards, but it is called for by those outside who desire it. Physicians prescribe the 

 pasteurized milk and also use it in the modified milk mixtures, formulae of which 

 will be found in the appendix to this Report. In addition, a start has been made 

 in supplying outside charities by supplying twenty-five or thirty bottles a day to 

 the Evangelia House in the east end of the city. This work will be enlarged 

 and supplies furnished the Infants' Home and other charities and dispensaries 

 where infants are cared for. The pasteurizing plant at the Hospital is sufficiently 

 large to enable them to do this work for very little extra expense, but is not suffi- 

 ciently large to permit any attempt to deliver milk to the public at large. 



HAMILTON ALSO MAKES A START. 



During the past summer an effort has been made to secure a special supply of 

 safe milk for infants at Hamilton. Dr. James Roberts, Health Officer; Frank 

 Quinn and William Farrar, representing the Board of Health, and Dr. Perry, re- 

 presenting the Milk Commission of the Hamilton Medical Society, visited Eoches- 

 ter and examined the Eochester system of infants' milk depots. Eeturning, the 

 plan was urged upon the City Council, but they did not see their way to adopt it, 

 and hence it was undertaken by the Medical Milk Commission in co-operation with 

 the Victorian Order of Nurses, and the necessary funds were secured from private 

 sources. Through the courtesy of Dr. Eoberts and members of the Board, we 

 visited the farm during the month of August. Following the Eochester example, 

 the milk was secured from an ordinary barn which had little to distinguish it ex- 

 cept its cleanliness and the care exercised in the handling of the milk. The in- 



