MILK SUPPLY
In the first place, the farmer must furnish pure, clean, unadulterated milk, fresh from the cow and cooled immediately after milking. His cows must be healthy.
Bovine Tuberculosis.—Many milk-cows, for the very reason that they have been bred with the one purpose in view of turning all their food into milk and wasting as little as possible in building up the body, are more or less weak-chested and apt to suffer from tuberculosis. Unless this disease is so far advanced as to affect the general health of the cow, or it has spread to the milk organs, the udder and the teats, it is not so dangerous as has heretofore been supposed. It is now held by the great majority of physicians that bovine tuberculosis is hardly ever transmitted to grown persons and seldom to children. Neither is it hereditary. Nevertheless, wherever it is possible to have the herd tested with tuberculin, segregating, if not killing, the animals which show by reaction that they are somewhat tuberculous, it should be done. Milk from such cows should always be pasteurized.
Milk as a Disease Carrier.—A greater danger lies in the fact that, warm as it comes from the cow, milk is an ideal medium for human disease germs to grow in, and may thus become a great conveyor of such germs. For this reason it is of the greatest importance that the milkers are healthy and clean, that the udders and teats be free from dirt, and the milk pail covered as far as possible; the barn must be clean, and every source of infection excluded. This fact also points to the advisability of pasteurization. On page [23] a chart is shown, published by the Toronto Board of Health and indicating the temperatures at which various germs of disease are made harmless.
Bacterial Count.—The test for clean milk now mostly used is the “Bacterial Count,” the number of bacteria—or rather colonies of bacteria—found in a cubic centimeter of the milk. It would be better if the nature or quality of the bacteria could be taken into consideration as well as the quantity, but that being as yet impracticable, the next best thing is to depend upon the number. Ordinary good milk often contains hundreds of thousands of bacteria in a cubic centimeter, but where the greatest cleanliness is observed the number may be less than 1,000.
Certified Milk is now sold in many cities which, according to varying city ordinances, is guaranteed to have less than 10,000 or 20,000 or 30,000 bacteria, as the case may be.
Counting the bacteria in a cubic centimeter of milk
The cost of producing certified milk places it beyond the reach of the great majority of consumers. But such care and cleanliness as can be observed by the farmer and the milkman without extra expense should be insisted upon, and milk which nevertheless contains a large number of bacteria can be made safe by pasteurization.
The Sanitary Code.—The regulation of the production and delivery of milk in cities and towns as well as at creameries and cheese factories, the “Sanitary Code” established by state and municipal health authorities, has been very effective in improving the quality of the supply. So enormous have been the improvements in caring for and handling the products by the large establishments engaged in the delivery of milk as to make the increase in cost seem trifling compared with the great benefit to the public health secured by these agencies.