Grade C. Grade C is to be used for cooking and manufacturing purposes only. It includes all raw milk that does not conform to the requirements of any of the subdivisions of grade A or grade B.

1. The caps of all bottles containing milk of grade C shall be white and shall contain in red the words "Grade C" in large type and "for cooking" in plainly visible type.

2. Cans containing milk of grade C shall be painted red on necks and shoulders and shall have in red the words "Grade C" in large type and the words "for cooking" in plainly visible type affixed to each can.

All creameries handling milk of different grades will be required to demonstrate to the Department of Health that they are capable of keeping the grades separate, and must keep records satisfactory to the Department of Health concerning the amount of milk of each grade handled each day.

It is to be noted that the grades of milk are based on the bacterial content of the milk and on the opportunity for the milk to become contaminated with pathogenic organisms. From the statements made in a previous chapter it is evident that the number of bacteria in any sample of milk is dependent upon (1) the original amount of contamination, (2) the age of the milk, and (3) the temperature at which it has been held. A high bacterial content is indicative of poor milk, while a low bacterial content can be obtained, in the case of raw milk, only where due attention is paid to cleanliness and cooling. This relation between the quality of milk and its bacterial content has led many cities to adopt numerical bacterial standards, even when grades of milk have not been established. Boston requires that the milk shall not contain more than 500,000 bacteria per cubic centimeter. Rochester, N. Y., has a standard of 100,000 per cubic centimeter, while Chicago requires that the milk on arrival in the city shall not contain more than 1,000,000 per cubic centimeter from May first to September thirtieth, and not over 500,000 between October first and April thirtieth. The sale of milk containing more than 3,000,000 bacteria per cubic centimeter is prohibited.

It has been urged that bacterial standards are not of value since the healthfulness of milk depends on the kind of bacteria present rather than on the number. It is well recognized that milk containing millions of acid-forming organisms, butter milk, is a healthful food, while that containing many less bacteria may contain some disease-producing organisms. It has been urged that a qualitative standard should supplant the quantitative. The consumer desires milk that has been produced under clean conditions, and which has good keeping qualities. The harmless forms of bacteria exert the greatest influence on the keeping quality. Experience has shown that the quantitative examination of the milk supply as it comes from the farm is the most feasible method of determining, in the laboratory, whether the farmer has obeyed the rules with reference to cleanliness and cooling of the milk. The bacteriological examination also gives an indication as to whether the large number of bacteria is due to gross contamination of the milk with mud and manure, or actual growth of bacteria as in old milk. In the latter case the ordinary acid-forming bacteria will usually predominate in the milk, while in the former, the number of kinds of bacteria and the proportion between the kinds will be changed. It is of course evident that the quantitative standards should be applied with judgment.

It is also claimed that the delay in securing the results in the quantitative examination of milk is an objection to the bacterial standard, since the milk is consumed before the laboratory findings can be obtained. It is true that it does not protect the community as far as the particular sample is concerned, but it is also true that the examination is not made for the purpose of determining the condition of the particular sample, so much as it is to determine the methods that are employed on any particular farm, and these do not vary widely from day to day. Thus, if a number of samples give high results, it is evident that conditions surrounding production need investigation.

If the milk is well cooled on the farm, and kept cold while being shipped, the growth of bacteria will be slow, and the condition of the milk as far as keeping quality is concerned, much better than if less care is used. Some cities have temperature standards; New York requires that the milk shall be cooled to 50° F. on the farm, and shall not be above 50° F. on arrival in the city. Others require that it shall not be above 50° F. on delivery to the consumer.

Certified milk. In many cities the Medical Societies have appointed Milk Commissions, that adopt rules and regulations, concerning the production of milk that shall receive the certificate of the commission. Producers, who desire to have their milk thus certified, must satisfy the commission that they are able to conform to the rules. The commission appoints a physician to examine the personnel of the farm, a veterinarian to make frequent examinations of the herd, a chemist to examine the milk as to its contents in fat and other solids, and a bacteriologist to determine the bacterial content of the milk. The rules are very stringent and cover every point that may influence, in any way, the value of the milk as human food. In order to conform to these requirements, a heavy expenditure must be incurred, and the business must pay for such expert service; hence, certified milk must be sold at high prices, twelve to twenty-five cents per quart. This price makes it a special product and its use is confined mainly to infant feeding.