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December 22, 1917

Report of the Physical Welfare of Mothers and Children: England and Wales. Volume 1.

JAMA. 1917;LXIX(25):2141. doi:10.1001/jama.1917.02590520063030

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"Save the babies that are born" is the central idea of this report. The object is avowedly to stimulate interest in the task of reducing the amount of illness and mortality among mothers and children of the poor. The authors consider such aspects of the problem as the incidence of infant mortality and its relation to poverty, municipal sanitation, the establishment of antenatal and postnatal centers, special aid for expectant mothers in rural districts, and the training of health officers and midwives.

It is pointed out that bad housing and poverty go hand in hand, and that the economic condition of the parent is largely responsible for congenital weakness in the child, since the struggle for existence among the poor reacts on the fetus. The importance of proper sanitation is recognized for the reason that filthy courts and alleys, bad drainage, and the absence of personal and domestic hygiene are

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