The two watch words which are of the utmost importance to the milk dealer are cleanliness and cold. If the milk is properly drawn from the animal in a clean manner and is immediately and thoroughly chilled, the dealer has little to fear as to his product. Whenever serious difficulties do arise, attributable to bacterial changes, it is because negligence has been permitted in one or both directions. The influence of cleanliness in diminishing the bacterial life in milk and that of low temperatures in repressing the growth of those forms which inevitably gain access has been fully dealt with in preceding chapters. It is of course not practicable to take all of these precautions to which reference has been made in the securing of large supplies of market milk for city use, but great improvement over existing conditions could be secured if the public would demand a better supervision of this important food article. Boards of health in our larger cities are awakening to the importance of this question and are becoming increasingly active in the matter of better regulations and the enforcement of the same.
New York City Board of Health has taken an advanced position in requiring that all milk sold in the city shall be chilled down to 45° F. immediately after milking and shall be transported to the city in refrigerator cars.
Reference has already been made to the application of the acid test (page 52) in the inspection of city milk supplies, and it is the opinion of the writer that the curd test (see page 76) could also be used with advantage in determining the sanitary character of milk. This test reveals the presence of bacteria usually associated with dirt and permits of the recognition of milks that have been carelessly handled. From personal knowledge of examinations made of the milk supplies in a number of Wisconsin cities it appears that this test could be utilized with evident advantage.
"Sanitary" or "certified" milk supplies. In a number of the larger cities, the attempt has been made to improve the quality of the milk supplies by the installation of dairies in which is produced an especially high grade of milk. Frequently the inspection of the dairy as well as the examination of the milk at stated intervals is under the control of milk commissions or medical societies and as it is customary to distribute the certificate of the examining board with the product, such milks are frequently known as "certified." In such dairies the tuberculin test is used at regular intervals, and the herd inspected frequently by competent veterinarians. The methods of control inaugurated as to clean milking and subsequent handling are such as to insure the diminution of the bacteria to the lowest possible point. The bacterial limit set by the Pediatric Society of Philadelphia is 10,000 organisms per cc. Often it is possible to improve very materially on this standard and not infrequently is the supply produced where it contains only a few thousand organisms per cc. Where such a degree of care is exercised, naturally a considerably higher price must be paid for the product,[126] and it should be remembered that the development of such a system is only possible in relatively large centers where the dealer can cater to a selected high-class trade. Moreover, it should also be borne in mind that such a method of control is only feasible in dairies that are under individual control. The impossibility of exercising adequate control with reference to the milking process and the care which should be given the milk immediately thereafter, when the same is produced on different farms under various auspices is evident.
PRESERVATION OF MILK SUPPLIES.
While much can be done to improve the quality of milk supplies by excluding a large proportion of the bacteria which normally gain access to the milk, and preventing the rapid growth of those that do find their way therein, yet for general municipal purposes, any practical method of preservation[127] that is applicable on a commercial scale must rest largely upon the destruction of bacteria that are present in the milk.
The two possible methods by which bacteria can be destroyed after they have once gained access is (1) by the use of chemical preservatives; (2) by the aid of physical methods.
Chemical preservatives. Numerous attempts have been made to find some chemical substance that could be added to milk which would preserve it without interfering with its nutritive properties, but as a general rule a substance that is toxic enough to destroy or inhibit the growth of bacterial life exerts a prejudicial effect on the tissues of the body. The use of chemicals, such as carbolic acid, mercury salts and mineral acids, that are able to entirely destroy all life, is of course excluded, except when milk is preserved for analytical purposes; but a number of milder substances are more or less extensively employed, although the statutes of practically all states forbid their use.
The substances so used may be grouped in two classes:
1. Those that unite chemically with certain by-products of bacterial growth to form inert substances. Thus bicarbonate of soda neutralizes the acid in souring milk, although it does not destroy the lactic acid bacteria.