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June 3, 1899


JAMA. 1899;XXXII(22):1200-1202. doi:10.1001/jama.1899.92450490001002

No apology is necessary for the introduction of the subject of substitute feeding of sucklings. If any one should question the importance we have merely to point to the mortality statistics in bottle- and breastfed babies. The host of substitute foods and preparations on the market is sufficient evidence of their inutility and, even though the clinic evidence were wanting, our knowledge of their composition and the physiologic requirements of infant digestion would lead us to discard a great majority. After experimental excursions along other lines, the tendency in America is to accept the milk of cows, goats and asses as the most available substitute, containing all the elements of infant nutrition in nearly normal proportions. Cow's milk has become more popular since the elaboration of the hygienic dairy system and the aseptic precautions in the care of the milk. Especially is milk popularized in localities where laboratories (such as

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