Fig. 17.—a Tuberculous Animal.
The animal appears perfectly healthy although she has had the disease for five years.

It has also been proven that milk may become infected through the feces. In coughing up material from the lungs and associated glands, the matter is swallowed, instead of expectorated, as in man. The organisms retain their vitality in the intestine, and are voided in the feces. Under ordinary conditions, the flanks and udder become more or less polluted with such filth, and the evidence is conclusive that infection of milk is not infrequently occasioned in this way. The fact that hogs following tuberculous steers in the feeding lots are very likely to acquire the disease is explained by the presence of tubercle organisms in the manure of such animals.

Fig. 18.—a Tuberculous Animal.
The last stages of generalized tuberculosis. Note the emaciated condition.

It must be kept in mind that many animals may be infected with tubercle bacilli and therefore have tuberculosis in the incipient stages, without their being able to disseminate the disease to others. In the early stages, they are bacillus-carriers without being necessarily dangerous at that particular time, but the possibility always exists, as the disease develops in the system, that the trouble may assume a more formidable character, and that slowly developing chronic lesions may become acute, and "open," in which case, the affected animal becomes a positive menace to the herd. As the time when the lesions change from the "closed" to the "open" type and the animal becomes a source of danger cannot be determined, the only safe way to do is to exclude the milk of all tuberculous animals from the general supply, whether for direct consumption, or for manufacture into dairy products and to look upon every diseased animal as a menace to the herd. This is rendered all the more necessary when the milk is used for the feeding of children, who are relatively more susceptible to intestinal infection than the adult. The early stages of the disease in cattle are, however, so insidious that no reliance can be placed upon the detection of the malady by physical means. Fortunately, in the tuberculin test, a method is at hand, which in a simple, but effective manner, enables the disease to be distinguished in even the early stages, long before recognition is possible in any other way.

Tubercle bacilli in dairy products. When infected milk is used for the preparation of butter and cheese, the organisms inevitably are incorporated in them. In the separation of milk a relatively large part of the tubercle organisms in the milk appear in the cream. In the making of cheese even more of the organisms are held in the curd. In butter and cheese, as in milk, no growth of the organism can take place; however, the vitality of the organism is retained for a considerable number of months. It is not believed that these products are of much importance in the spread of tuberculosis in the human family, since they are not consumed by children to any extent. Cream is to be considered as a means of distribution since it is often used by children.

Treatment of tuberculous milk. It is easily possible to treat milk or factory by-products so as to render them positively safe. The process of pasteurization or sterilization is applicable to whole milk, and when effectively done destroys entirely the vitality of any tubercle bacilli. In making such exposure, care should be taken to prevent the formation of the "scalded layer," as the resistance of the organism toward heat is greatly increased under these conditions. In a closed receptacle, 140° F. for 15 to 20 minutes has been found thoroughly effective in destroying this organism. A momentary exposure at 176° F. is likewise sufficient. This is the method that is almost universally used in Denmark in the manufacture of the finest butter.

In the treatment of factory by-products, heat should also be employed. In Denmark, compulsory pasteurization at not less than 176° F. is required. This treatment prevents not only the dissemination of tuberculosis among hogs and young cattle, but is equally efficacious in preventing the spread of foot and mouth disease.