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JAMA. 1907;XLIX(19):1587-1589. doi:10.1001/jama.1907.25320190021001d.
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On a number of occasions I have been asked the causes of failure in the raising of institution children, especially of infants under 1 year of age. At the same time I have been asked the requirements for an institution which is going to engage in the work of receiving foundlings. I have thought, therefore, that it might be interesting to set down the minimal requirements for doing the best work in this line and to hear in return the experience of others.

There are two chief causes of failure in institution work, viz., the lack of funds, and the actual management of the institution through large boards of laymen. The amount of money required to raise a baby in an institution varies within such wide limits, depending on the nature of the place and the location of it, that this point may be omitted from the discussion with the


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