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2994-42500

TREASURY DEPARTMENT.

Public Health and Marine-Hospital Service of the United States.

WALTER WYMAN, Surgeon-General.

HYGIENIC LABORATORY. BULLETIN No. 41.

M. J. ROSENAU, Director.

JANUARY, 1908.

MILK AND ITS RELATION TO THE
PUBLIC HEALTH.

(BY VARIOUS AUTHORS.)

WASHINGTON:

GOVERNMENT PRINTING OFFICE.

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TABLE OF CONTENTS.

Page.

1. INTRODUCTION

11

2. MILK AS A CAUSE OF EPIDEMICS OF TYPHOID FEVER, SCARLET FEVER, AND DIPHTHERIA

19

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Outbreak of diphtheria in Dorchester, Milton, and Hyde Park_

36

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Page.

3. THE MILK SUPPLY OF CITIES IN RELATION TO THE EPIDEMIOLOGY OF TYPHOID FEVER__.

149

Milk and other dairy products as factors in spread of infection__
Ways in which the milk may become infected___

151

152

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Measures to prevent the dissemination of the infection of
typhoid fever___.

158

The prevention of the introduction of infection into milk..
The destruction of infection in milk___

158

159

4. FREQUENCY OF TUBERCLE BACILLI IN THE MARKET MILK OF WASHING

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The number of tubercular cows in the dairies supplying Washing-
ton, D. C‒‒‒

173

Results of tuberculin tests elsewhere than in herds supplying
Washington__.

174

Characteristics of Rabinowitsch's butter bacillus..

175

Collection of samples and technic------

177

Use of tuberculin to eliminate infection with other acid-fast or-
ganisms_____

179

Table of results of autopsies on guinea pigs..

179

Résumé____

191

5. THE RELATION OF GOAT'S MILK TO THE SPREAD OF MALTA FEVER_ Characteristics of Malta fever..

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Methods through which the infection is acquired by the goats..
Clinical indications of infected animals____.

203

203

Outbreak of Malta fever on the Joshua Nicholson.......

204

History of the investigation of the disease at Gibraltar, and pre-
ventive efforts and legislation.----

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7. RELATION OF COW'S MILK TO THE ZOO-PARASITIC DISEASES OF MAN. Remoteness of danger of infection through milk...---

Methods of possible contamination of the milk with preventive

measures

211

212

213

217

218

218

221

223

223

Water-born parasites_.

224

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