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PART IV.

MILK AND MILK PRODUCTS AND

OLEOMARGARINE.

MILK.

Limitation of Name.-By the term "milk," unless qualified in some way, is meant a lacteal secretion of the healthy cow, free of colostrum and of standard quality. If the milk of other mammals is meant the name of the class of animal is used in connection with the term, such as ewe's milk, goat's milk, etc. Milk is one of the most important articles of commerce and, by reason of its composition, high nutritive character, and easy digestibility, it is not only the natural food of infants but a most important food for children and adults. It is also an indispensible food in many, if not most, cases of disease where nutrition is impaired. In some cases life may often be sustained over a critical period by the use of milk as a food where other forms of food would fail of digestion and prove injurious instead of beneficial.

The United States standard for milk is found in Appendix A.

Average Composition of Milk.-Perhaps there is no food substance which has been subjected to so many and such severe analytical tests as milk. Hundreds of thousands of analyses have been made in all civilized countries, not only of the milk of the individual cow but of herds of greater or less size.

There is a great variation in the composition of milk in different breeds of cattle and also in different individuals of the same breed. For instance, the Holstein breed of cattle affords a milk with a very low content of fat, sometimes as low as 3.25 percent, and in individual cases lower. On the other hand the Jersey breed of cattle affords a milk of a very high content of fat, sometimes reaching as high as 6 percent, and in individual cases very much higher. The content of the nitrogenous element in milk is more stable than that of fat and the common content of casein in milk ranges from 2 to 3 percent. The sugar in the milk is usually the complementary substance with the fat, diminishing in relative proportions as the fat increases and vice versa. The average content of sugar in cow's milk is approximately 4 percent. The content of mineral substances in milk is also quite constant, being about 0.70. The ash contains the phosphoric acid which is one of the essential food components of milk. A milk of fair average quality contains 12 percent of solids and 88 percent of water. This is an expression for milk during the

various seasons of the year and from all breeds and kinds of cows. The influence of season has much to do with the quantity of milk produced. It is always greater in the spring and summer months, when the cows are turned out to pasture and the growth on which they feed is unusually succulent. The increase in volume is not attended with a proportionate increase of solids, and thus the percentage of solids in spring and summer milk is less than that in the winter milk unless the cows are particularly well fed during the winter on a generous diet, including large quantities of roots.

The character of the milk is greatly influenced by the environment in

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FIG. 13.-Cow STABLES, MAPLETOWN FARM, SUMNER, WASHINGTON.

which the cow lives. The stable in which the cow is kept should be clean, well ventilated, and protected against extreme changes in temperature, thus being cooler in the summer than the hot air on the outside and much warmer in the winter. An excellent arrangement of the stables to secure cleanliness and good ventilation is shown in Fig. 13. Cows should be supplied with an abundant quantity of pure water and should not be allowed access to stagnant pools when pasturing in the summer. Every animal giving milk should be examined from time to time by a competent veterinarian to determine, by the injection of serum or otherwise, whether or not the animal is afflicted with tuberculosis. Every animal infected with tuberculosis should be separated from the herd and destroyed. Tuberculosis is an infectious disease and may

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spread from a single cow to every one in the herd. It is still by some authori ties claimed that there is no authentic case of transmission of bovine tuberculosis to the human system. Other authorities hold that such transmission is possible, even if it has not been proven in a particular case. Since experts disagree on this point the same rule is applicable here as in other cases of the same kind, namely, where experts disagree on a point relating to the public health the benefit of the doubt, if any, should be given to the public, and the advice of those experts followed which is the most radical respecting the protection of health from infection of any kind. It would be difficult to prove, for example, in any case of tuberculosis in man that it had been contracted from the sputa of tuberculosed patients, yet because it is possible, in the opinion of many experts, that such infection and transmission of disease can take place, it is the part of wisdom to guard against it.

It is, I think, a statement which will be accepted by all that it is possible in this country to secure and keep a sufficient number of healthy cows to give the milk supply of the nation. Therefore, it is the duty of the state, either by municipal, state, or federal inspection, to eliminate, as far as possible, and, if necessary, at the expense of the state, every diseased animal from the dairy herd. The farmer whose herd becomes infected through no fault of his can justly claim a compensation for the destruction of his animals for the common good. There is, perhaps, no more important point connected with the keeping of sanitary conditions than the proper inspection of the dairy, not only furnishing milk for family use, but especially for sale. It is the plain duty of every municipality and state to prohibit the sale of milk to its citizens from dairies which are not periodically and frequently subjected to the most rigid expert inspection. Such inspection would not only secure the health of the animals but tend directly toward the cleanliness of the dairy. Only by the exercise

of unusual care is it possible to keep milk from becoming contaminated. Preparation of Milk.-Every part of the animal, especially the udders, should be kept scrupulously clean by proper currying and washing. The milk should be collected in vessels with as small an orifice as possible. As soon as drawn the milk should be strained and artificially cooled to a temperature of at least 50 degrees F., if not lower. A convenient apparatus for cooling the milk is shown in Fig. 14. In this condition, without being exposed to infection and being protected from every point by closed vessels, stoppered when necessary by sterilized cotton, the milk is conducted into sterilized bottles and again stoppered with a sterilized cork of some description. The milk is kept cold until delivered to the consumer and by the consumer should be kept cold until used. By following these precautions it is possible to deliver a pure, wholesome, unpasteurized milk in a condition which keeps practically unchanged for even a longer period than twenty-four hours.

Certified Milk.-Dairies which are inspected either by operation of the

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law or, voluntarily, by a competent body of medical and scientific experts duly authorized to make such inspection furnish to the market what is known as certified milk. Each bottle of this milk bears the stamp of certification and this stamp may be used from the time of one inspection until a certain date specified on the stamp when the next inspection takes place. The duty of the inspectors is to see that diseased animals are at once removed from the dairy, that the sanitary conditions of the stable are perfect, that the food is

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abundant and wholesome, that the milking process is conducted according to the principles above outlined, and that the proper precautions are taken to prevent infection during the preparation of the milk for the market. The milk should be examined chemically and bacteriologically at each inspection, or oftener, to see that it is of a standard quality, both in respect of the number and character of the organisms which it contains and of its chemical constituents. Certified milk is, of course, more expensive than non-certified,

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