PART IV.

MILK AND MILK PRODUCTS AND
OLEOMARGARINE.

MILK.

Limitation of Name.-By the term "milk," unless qualified in some way, is meant a lacteal secretion of the healthy cow, free of colostrum and of standard quality. If the milk of other mammals is meant the name of the class of animal is used in connection with the term, such as ewe's milk, goat's milk, etc. Milk is one of the most important articles of commerce and, by reason of its composition, high nutritive character, and easy digestibility, it is not only the natural food of infants but a most important food for children and adults. It is also an indispensible food in many, if not most, cases of disease where nutrition is impaired. In some cases life may often be sustained over a critical period by the use of milk as a food where other forms of food would fail of digestion and prove injurious instead of beneficial.

The United States standard for milk is found in Appendix A.

Average Composition of Milk.-Perhaps there is no food substance which has been subjected to so many and such severe analytical tests as milk. Hundreds of thousands of analyses have been made in all civilized countries, not only of the milk of the individual cow but of herds of greater or less size.

There is a great variation in the composition of milk in different breeds of cattle and also in different individuals of the same breed. For instance, the Holstein breed of cattle affords a milk with a very low content of fat, sometimes as low as 3.25 percent, and in individual cases lower. On the other hand the Jersey breed of cattle affords a milk of a very high content of fat, sometimes reaching as high as 6 percent, and in individual cases very much higher. The content of the nitrogenous element in milk is more stable than that of fat and the common content of casein in milk ranges from 2 to 3 percent. The sugar in the milk is usually the complementary substance with the fat, diminishing in relative proportions as the fat increases and vice versa. The average content of sugar in cow's milk is approximately 4 percent. The content of mineral substances in milk is also quite constant, being about 0.70. The ash contains the phosphoric acid which is one of the essential food components of milk. A milk of fair average quality contains 12 percent of solids and 88 percent of water. This is an expression for milk during the

various seasons of the year and from all breeds and kinds of cows. The influence of season has much to do with the quantity of milk produced. It is always greater in the spring and summer months, when the cows are turned out to pasture and the growth on which they feed is unusually succulent. The increase in volume is not attended with a proportionate increase of solids, and thus the percentage of solids in spring and summer milk is less than that in the winter milk unless the cows are particularly well fed during the winter on a generous diet, including large quantities of roots.

The character of the milk is greatly influenced by the environment in

which the cow lives. The stable in which the cow is kept should be clean, well ventilated, and protected against extreme changes in temperature, thus being cooler in the summer than the hot air on the outside and much warmer in the winter. An excellent arrangement of the stables to secure cleanliness and good ventilation is shown in Fig. 13. Cows should be supplied with an abundant quantity of pure water and should not be allowed access to stagnant pools when pasturing in the summer. Every animal giving milk should be examined from time to time by a competent veterinarian to determine, by the injection of, serum or otherwise, whether or not the animal is afflicted with tuberculosis. Every animal infected with tuberculosis should be separated from the herd and destroyed. Tuberculosis is an infectious disease and may

spread from a single cow to every one in the herd. It is still by some authori ties claimed that there is no authentic case of transmission of bovine tuberculosis to the human system. Other authorities hold that such transmission is possible, even if it has not been proven in a particular case. Since experts disagree on this point the same rule is applicable here as in other cases of the same kind, namely, where experts disagree on a point relating to the public health the benefit of the doubt, if any, should be given to the public, and the advice of those experts followed which is the most radical respecting the protection of health from infection of any kind. It would be difficult to prove, for example, in any case of tuberculosis in man that it had been contracted from the sputa of tuberculosed patients, yet because it is possible, in the opinion of many experts, that such infection and transmission of disease can take place, it is the part of wisdom to guard against it.

It is, I think, a statement which will be accepted by all that it is possible in this country to secure and keep a sufficient number of healthy cows to give the milk supply of the nation. Therefore, it is the duty of the state, either by municipal, state, or federal inspection, to eliminate, as far as possible, and, if necessary, at the expense of the state, every diseased animal from the dairy herd. The farmer whose herd becomes infected through no fault of his can justly claim a compensation for the destruction of his animals for the common good. There is, perhaps, no more important point connected with the keeping of sanitary conditions than the proper inspection of the dairy, not only furnishing milk for family use, but especially for sale. It is the plain duty of every municipality and state to prohibit the sale of milk to its citizens from dairies which are not periodically and frequently subjected to the most rigid expert inspection. Such inspection would not only secure the health of the animals but tend directly toward the cleanliness of the dairy. Only by the exercise

of unusual care is it possible to keep milk from becoming contaminated.

Preparation of Milk.-Every part of the animal, especially the udders, should be kept scrupulously clean by proper currying and washing. The milk should be collected in vessels with as small an orifice as possible. As soon as drawn the milk should be strained and artificially cooled to a temperature of at least 50 degrees F., if not lower. A convenient apparatus for cooling the milk is shown in Fig. 14. In this condition, without being exposed to infection and being protected from every point by closed vessels, stoppered when necessary by sterilized cotton, the milk is conducted into sterilized bottles and again stoppered with a sterilized cork of some description. The milk is kept cold until delivered to the consumer and by the consumer should be kept cold until used. By following these precautions it is possible to deliver a pure, wholesome, unpasteurized milk in a condition which keeps practically unchanged for even a longer period than twenty-four hours.

Certified Milk.-Dairies which are inspected either by operation of the

law or, voluntarily, by a competent body of medical and scientific experts duly authorized to make such inspection furnish to the market what is known as certified milk. Each bottle of this milk bears the stamp of certification and this stamp may be used from the time of one inspection until a certain date specified on the stamp when the next inspection takes place. The duty of the inspectors is to see that diseased animals are at once removed from the dairy, that the sanitary conditions of the stable are perfect, that the food is

abundant and wholesome, that the milking process is conducted according to the principles above outlined, and that the proper precautions are taken to prevent infection during the preparation of the milk for the market. The milk should be examined chemically and bacteriologically at each inspection, or oftener, to see that it is of a standard quality, both in respect of the number and character of the organisms which it contains and of its chemical constituents. Certified milk is, of course, more expensive than non-certified,

inasmuch as the dairy is necessarily called upon to bear the expense of inspection. However, the superior quality of such milk and its certain freedom from infection more than offsets the increased price, and makes certified milk the ideal food of a milk character, not only in the family, but especially in the hospitals, orphan asylums and other public institutions. It seems quite certain that in the near future practically all the milk that is sold upon the market of the country will be of a certified quality.

Pasteurized Milk.-When milk is heated to a temperature of about 140 to 160 degrees the greater part of the living organisms contained therein are destroyed. At the same time the temperature is not high enough to give to the milk that peculiar taste which it acquires when boiled. Such pasteurized milk, placed in sterilized bottles, stoppered with sterilized stoppers and kept in a cool place, will keep many days and even weeks without apparent deterioration. Physicians and hygienists are quite agreed that pasteurized milk is not so wholesome, especially for children, as certified milk which has not been subjected to a heat sufficiently high to kill the organisms contained therein. The natural ferments of the milk, namely, the enzymes which produce the lactic fermentations, promote rather than interfere with the digestion of the product. The killing of the beneficial organisms of the milk is only justified when there is danger of pathological germs being present. Hence the pasteurization of milk must in this sense be regarded as a substitute for inspection and certification.

There may arise cases where pasteurizing even of certified milk may be desirable, namely, when from necessity it must be kept for a considerable period before use, as on shipboard, and other places inaccessible to a daily supply of fresh milk. Pasteurizing is also justifiable in miscellaneous milk supplies, the origin of which is unknown. It is safer, by far in this case, to pasteurize than take the chance of consuming pathological germs.

Pasteurizing of Milk.-A convenient method of pasteurizing milk is recommended by the Dairy Division of the Department of Agriculture, which is as follows:

Directions for the Pasteurization of Milk.*—The pasteurization of milk for children, now quite extensively practiced in order to destroy the injurious germs which it may contain, can be satisfactorily accomplished with very simple apparatus. The vessel containing the milk, which may be the bottle from which it is to be used or any other suitable vessel, is placed inside of a larger vessel of metal, which contains water. If a bottle, it is plugged with absorbent cotton, if this is at hand, or in its absence other clean cotton will answer. A small fruit jar loosely covered may be used instead of a bottle. The requirements are simply that the interior vessel shall be raised about half an inch above the bottom of the other, and that the water shall reach nearly *By Dr. De Schweinitz.