634 
Cities in which are 
located infants’ 
milk depots. 
Source and char- 
acter of milk 
used. 
Whether modified 
and by whom. 
Whether pasteur- 
ized and tempera- 
ture used. 
Amount of milk 
distributed dur- 
ing present sea- 
son. 
Boston, Mass 
“Milk fund” sup- 
ply from Walk- 
er Gordon lab- 
oratory; the 
rest from se- 
lected country 
dairies. 
Modified “ milk 
fund” modifica- 
tions made upon 
p rescriptions 
adapted for each 
case. The rest is 
modified accord- 
ing to 3 selected 
formulae. 
Much of “milk 
fund” supply is 
not heated. All 
milk used by 
other organiza- 
tions is pasteur- 
ized at tempera- 
ture of 155° F. for 
20 minutes. 
“Milk fund” sup- 
plied 300 babies 
in summer of 
1906. Other or- 
ganizations dis- 
tribute about 
1,200 bottles 
daily. 
Newark, N.J 
“ High grade” 
Yes 
Pasteurized by ex- 
posure to temper- 
ature of 155° F. 
258,000 bottles to 
over 500 infants. 
In 6 of the above-mentioned cities the supply of milk used in 
infants’ milk depots was certified by Medical Milk Commissions, and 
in practically all of the others it came from sources of undoubted 
purity. 
In IT of the 22 cities heard from the milk was modified under 
medical supervision to meet the special needs of infants. 
Pasteurization was practiced in 13 cities for a portion or all of 
the milk distributed, the temperature used varying from 150° F. to 
180° F., and the length of exposure being from ten minutes to thirty 
minutes. In the other cities pasteurization was not practiced, al- 
though in Detroit it was done in special cases upon the prescriptions 
of physicians. 
In Rochester the central milk depot, which Avas in charge of a 
trained nurse, Avas located at the farm, and the herd was tuberculin 
tested — conditions which should insure the production of pure raw 
milk. 
The extent of the moA^ement may in a measure be estimated by the 
number of depots in operation and the quantities of milk distributed. 
The latter, if expressed in the number of bottles delivered, would i 
mount Avell into the millions. 
It is the consensus of opinion of those interested in this work that i 
the results liave been exceedingly beneficial, although it is not possi- ? 
ble, except in one or two instances, to demonstrate by accurate sta- i 
tistics the reduction in infant mortality. This lack of demonstration 
is largely due to the fact that the milk was used by a very limited ' 
number of the infant population, and to the impossibility of exclud- i 
ing other factors, such as environment, climatic conditions, etc., re- : 
sponsible for increased morbidity and mortality. Nor is it necessary ; 
to express in numerical terms the value of such institutions. Their i 
educational value alone is sufficient to justify their existence — an i 
influence that has extended both to the consumer and to the sub- 
scriber to the- milk fund. Mothers have been taught the importance ^ 
of nursing their infants, and Avhen this was clearly impossible the i 
