The per cent of tuberculous milch cows varies widely in different sections of the country, being greatest in the older dairy sections, and in those supplying milk to the cities, on account of the constant buying and selling of animals, thus giving more frequent opportunity of introducing the disease into the herds. Throughout the country at large, probably less than ten per cent of the cows are tuberculous, and it is estimated that at least one per cent of the diseased animals have tuberculous udders. It has been suggested that the dilution of the milk of such animals with that of healthy cows would remove a great part of the danger from milk. In the case where the milk of a large number of herds is mixed, this may be of some importance, but in no case is it safe to assume that dilution of the milk of tuberculous cows is any guarantee of safety.

It has been shown that milk, perfectly normal in appearance, coming from a tuberculous udder could be diluted a million times and still produce the disease on inoculation into experimental animals. In the case of swine, the susceptibility is so great that a single feeding of infected milk, even in a very dilute condition, causes with certainty the production of the disease.

Some observers maintain that the contamination of the milk with the manure of tuberculous animals is of greater hygienic importance, than that coming from diseased udders, since the number of animals having tuberculosis of the lungs and intestines is far greater than those with diseased udders.

Economic aspects of bovine tuberculosis. Not only is this disease invested with much importance because of its inter-relation with the human, but from an economic point of view alone, it is undoubtedly the greatest scourge that affects the dairyman. Its insidiousness makes it exceedingly difficult to recognize. The consequence is that many fine herds become seriously involved before its presence is recognized. In the main, the disease is introduced into a herd by purchase, often by buying in pure-bred stock to improve the quality of the herd. Where the disease has been established in a region for some time, there is also danger that unheated factory by-products, as skim milk and whey, may function in its spread. Where such conditions prevail, the spread of the disease in the creamery district is exceedingly rapid. When once introduced into a herd, the disease sooner or later spreads from the originally affected animal to others in the herd. Close contact, and close confinement in ill ventilated stables facilitate the spread of the disease, and sooner or later, other animals acquire the trouble. This may all occur while all animals appear in a healthy condition.

The symptoms of the disease in the earlier stages are quite indefinite. As the disease progresses, the nutritive functions appear to be disturbed, and sooner or later, the body weight begins to decline, and finally marked emaciation ensues. Accompanying this condition, especially when the disease is in the lungs, is a cough, which is generally aggravated with active exercise. While the run-down condition permits frequently of the detection of the disease in the advanced stages, it is wholly impossible with any accuracy to diagnose the trouble in the incipient stages. It is at this stage that the tuberculin test comes to the aid of the stockman.

Tuberculin test. This test is made by the injecting beneath the skin of the animal a small quantity (about 2 c. c.) of tuberculin, and noting the temperature of the animal, before and after the injection. Tuberculin, a product of the growth of the tubercle bacillus, when injected into the body causes a marked rise in temperature, in the case of an animal affected with the disease, and no such elevation in the case of a healthy animal. The process of preparing tuberculin makes it absolutely free from danger, so far as liability of producing the disease, or in any way injuring the animal, is concerned. Fig. 19 shows the temperature range of both reacting and non-reacting animals. While the test is not absolutely infallible, it is so far superior to any and all other methods of diagnosis that it should take precedence over them.

Miscellaneous diseases. There are a number of diseases that affect both human beings and cattle, the causal organisms of which may be transmitted through the milk. Foot and mouth disease is one wide spread in European countries but which has not yet gained a permanent foothold in this country. The ingestion of the milk, which always contains the causal organism, produces the disease in both humans and cattle. In the human the disease is very similar to that in cattle; it may end in death. Vesicles are produced in the mouth, on the lips, nose and fingers. The causal organism, which has not yet been demonstrated, may occur in butter or cheese. It is easily destroyed by pasteurizing the milk.

Fig. 19.—Temperature Curves.
1, the temperature curve of a healthy animal after injection with tuberculin; 2 and 3, the temperature curves of tuberculous animals after injection with tuberculin. (After Moore.)