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All About Milk 'BY MILTON J. ROSEN,A.U Professor of Preventive Medicine and Hygiene, Harvard University; Formerly Director of the Hygienic Laboratory U.S. Public ·Health Service, Etc. PRINTED BY THE METROPOLITAN LIFE INSURANCE COMPANY 1921 •. For Distribution Through the Newspapers Represented By FREDERIC J. HASKIN sF -:Lbl P lo~ lO I 0, ~ l Copyright, 1919 BY THE l\l~LROPOLITAN LIFE lNSURANC~ Co . . .. .... All About Milk. Milk is our best all-round food. It is the most perfect food we have. It is also one of the cheapest foods, even at the present SOMETIDNGS ABOUT MILK prices. Milk is the most difficult of all our foodstuffs to collect, handle and transport. It requires the greatest care from pasture to pail, and from pail to palate. Milk spoils quicker than any other food. It spoils even quicker than fresh fruit and berries. ·It must be kept clean, cold, and covered. Milk tastes good; it is easily digested, and is very nourishing, It makes bone, brawn, and blood. In fact, the vigor and success of a nation depend largely upon the amount of milk it uses. In the United States, we use something like forty billion quarts of milk a year. This would make a lake large enough to float all the navies of the world. Yet this is only about half a pint of milk a day for each person. Only one-quarter of this is actually used as milk, the other three-quarters being made into butter, cheese, and other milk products. Like all good things, milk has a few drawbacks, but these are far outweighed by its advantages. Milk is the great factor of safety in our diet, It makes the mtion complete and keeps the body strong. Drink more milk and use it freely in cooking. The Best Food We Have {'I • 4 ALL ABOUT MILK Milk is the best food we have.• There is no substitute. Save on other things if you must, but not on milk. You cannot afford MILK IS THE BEST FOOD to tlo without it-growing childrenespecially need plenty. Buy at least half a pint of milk a day for each person in the household. No other food can take its place. Use it all; do not waste a drop. Milk looks like a simple fluid, but really it is very complex. A glass of milk contains a mixture of all the important things that make up a mixed diet. One can get the same nourishment from milk as from a meal made up of meat and eggs, sugar and cereals, oils and fats, with salt and water. Milk is good fuel, because it contains fat and sugar. The body needs fuel to keep it warm and to make it move and work and play, just as the steam engine needs coal or the automobile needs gasoline. Oue quart of milk is about equal in fuel value to any of the following: 2 pounds salt codfish 3 pounds fresh codfish 4 pounds beets 5 pounds turnips i ponnd butter i pound wheat flour i pound cheese ! pound lean round beef 2 pounds potatoes 6 pounds spinach 7 pounds lettuce 4 pounds cabbage I Quart of Milk Costing 12 or 14 Cents 8 Eggs Costing 36 to 50 Cents 8 eggs One ordinary glass of milk is about equal in fuel value to: 2 large eggs 1 large serving of lean meat 2 moderate-sized potatoes .5 tablespoonfuls of cooked cereal 3 tablespoonfuls of boiled rice, or 2 slices of bread Milk Is the Best AU-round Food ••• MILK IS ••• RFECTFOOD FOR ER MOTHER CHILDREN MILK B~ILDS MUSOl!.ES MILK IS ENERGY FOOD MILK SUPPLI S ESSENTIAL ELEMENTS-Milk Is the Best and Cheapest Single Food • 6 ALL ABOUT MILK Food is more than fuel-for food also repairs waste, helps growth, builds flesh and bone. Milk does all this. That is, milk is a good food, not only because it is a good fuel, but also because it has ijfe-giving properties. Milk is both fuel and food. Milk contains a great de~l of lime. Children need lime and plenty of it, especially for their growing bones and CHILDREN teeth. Milk contains NEED LIME lime in a form that is easily changed in the body into bone. Big boys and girls, and even grown people, need lime, because the bones are always wearing away, little by little, and this wear and tear ... must be · replaced. Lime helps build bones ap.d makes them strong. The following illustration shows how much lime there is in milk compare~ to carrots, eggs, or bread. AMOUNT OF LIME IN , 1 cup of milk ~ cJ! p carrots 1 egg ~lices of~bread Milk is the cheapest food for lime. Buy milk. You ana your children need its lime. Milk is not a beverage. It should not be used to quench thirst. Milk is a food. It should be eaten, not swallowed quickly. Take small sips and roll it about the mouth and enjoy it as it goes down. Think how slowly nature furnishes milk to the suckling. It takes a baby twenty minutes to get a few ounces of milk from the nippJe. Imitate nature-do not gulp down a glassful of 1nilk-drink it slowly; eat it. Chew it. This will prevent hard and indigestible curds forming in the stomach. Don't Drink Milk-Eat It Slowly " ALL ABOUT MILK 1 ONE QU 0 K EQUALS INENERGYFOODVAlUEAN.YOFTHESI MILK IS TI·IE CI·IEAI,EST fC)R~4 OF A~IIMAL fC)C)J) fC)R TI·IE ~tC)tiEY' TI·IAT A I·I()IJSEI·IOJ.,I>ER CA~I BIJY' l...v ... niiGHTED II 181 HENRY DAVIS , OOl:ITON Growing Children Must Have Milk 8 ALL ABOUT MILK Babies should have breast milk. There is no real substitute. Cow's milk is good, but not the best milk for infants. A baby raised on breast milk MILK FOR has a much better BABffiS chance in life than one raised on the bottle. Give your baby a square deal. The baby fed at the breast has just ten times the chance of keeping well and vigorous that a bottle-fed baby has. Nature never intended that milk should be drawn into a pail, emptied into a can, carted to a town, and placed in bottles which are left on the doorstep before dawn next THE LONG vs. morning. Further than this, cow's milk is SHORTHAUL often exposed to dust, flies, and dirt, and frequently it is not ·used until it is two or three days old. Such stale, germ-laden milk may be quite harmful to the baby. In nature's plan, the milk is taken directly at its source while pure, sweet, clean and wholesome. Milk was never intended to see the light of day. Nature's plan keeps out dirt, germs, Hies and fevers. A breast-fed baby need not fear stale and partly decomposed milk, containing dirt and germs. The short haul is God's plan. The long haul is a poor substitute. Ten Bottle-fed Babies Die to One Breast-fed ALL ABOUT MILK 70 per<:ent of city babies 'llettheit food thro1111h a tube 60 miles lonll. It taka llbout 36 hours - ,often 42 houn- for the milk to run from the cow end of the tube to the baby end of the tube. This tube ia open in many places and baby' 1 food is frequently pol. luted. lt ia often wronaJy kept iu overheal(od places, Then there may 1>e a cliseaJed eow at the eotintrY end ef the tnbe. And Yet Some People Wonder Why So Many Babies DieJ On the ether hand the mother .. Eed bahy aeb its milk fresh, pure and healthful- no aerma can: aet into it. To Lessen Baby Deaths let Us Have More Mother-Fed Babies. You ean•t improve on God's Jllan. For Your Babjs Sake- Nurse It! Give Your Baby a Chance 9 8 10 ALL ABOUT MILK • It is not safe to raise the baby on cow's milk alone. '!'he cow is a good foster-mother, but a foster-mother only. Cow's milk I NURSE THE ~ BADY was intended by nature as a food for calves. It has everything in it that a growing calf needs-but these things are not in the right proportion for baby's needs. Breast milk is fresh, clean and pure; cow's milk, by th,~ time the baby gets it, is apt to be stale, dirty and impure. '!'en bottle-fed babies die to one breastfed baby. '!'he chances are, therefore, ten to one against the bottle-fed baby. Mothers should always nurse their babies if possible and keep it np until the baby is six to nine months old. Breast feeding is cheapest, simplest, and safest. It needs no training and is less trouble-some than tending to bottles. It is best for the baby and best for the mother. Bottle feeding requires skilled training to carry out safely; it requires skill and practice to modify the milk to suit the baby; it requires much more time and trouble than breast feeding. At best it is only a poor makeshift. · Modify and prepare cow's milk as we may, it cannot take the place of mother's milk. It may be modified to resemble mother's milk, but is never "just as good." It is REASONS FOR impossible to change cow's milk into MODIFYING mother's milk. By diluting it and adding sugar, we can make a mixture that is something like mother's milk, but always lacking important substances. By giving the baby barley water and orange juice, the defi-cienc! may be partly made· up, but not entirely satisfactorily. • An Ounce of Prevention Is Worth a Pound of Cure ALL ABOUT MILK There is a temptation to add sugar generously to the milk for the bottle-fed baby, for the reason that sugar· is fattening. but a flabby, over-fat baby is not a sign of robust health, Milk should not contain more than seven per cent. of sugar, which is the amount provided by nature in mother's milk, Too much sugar may cause gas and colic and lead to more serious trouble. Again, i£ cow's milk is not diluted, the baby is placed in the positioh of a person living upon a rich meat diet. Milk, not diluted with water, then, may be the cause of indigestion and colic. which in turn lead to summer complaint. Further, •i£ the milk is too rich in fat, it may cause trouble, Too much fat in the baby's milk causes a sort of self-poisoning9 leading to diarrhea and summer complaint, If the -baby must be raised by bottle-feeding, or weaned, select the best milk obtainable. Baby's milk should be" Certified" or Grade "A:' Learn how to prepare the baby's bottle and always do it yourself. Do not trust any one. Every nursing mother knows how careful she must be with her own diet, for everything she eats or drinks affects CAREFUL DIET FORMOT~RS. her milk. Certain drugs taken in through the mouth have been found in the milk of nursing mothers, such as, for example, mercury (calomel), headache powders, opium. purgative salts, rhubarb, arsenic, bromides and patent medicines, Cows are good botanists, but their judgment cannot be relied upon so far as baby is concerned. Cows in pastures sometimes feed upon objectionable or poisonous weeds. Some of these poisons may pass into the milk. A cow that is kept to produce "Certified •• Nursing Mothers Must Have Milk 12 ALL ABOUT MILK milk, which is the best grade of milk for lfabies, is not, under any circumstances, allowed to graze in pasture on account of this danger. Such c.ows are given selected feed in suitable amounts. Milk for<:the baby must be kept cold until just before feeding time; then it should be warmed to blood heat. Test the temperature by dropping a little on your wr-ist. It is dangerous to keep milk warm or tepid for over half an hour. Never keep it warm in a thermos or similar vacuum bottle. Clean and scald the nursing bottle and the nipple just before filling. Do not use rubber tubing. Keep away flies. In case of doubt, the mother should consult a doctor, or go to the nearest milk station, dispensary or infant depot. Do not raise the baby upon the advice of the neighbors. Impure milk is one of the preventable causes of sickness and unnecessary deaths of babies. Many babies can be saved by breast feeding, or by the use of fresh, pure milk; by care and cleanliness and by following the advice of the doctor. Read "The Child," issued by the Metropolitan Life Insurance Company. Milk is an absolute necessity for growing -children. Each child should have a quart of milk a day. Milk should not be the only food for children, of course. They also need vegeMILK FOR CHILDREN tables, fruits, cereals, eggs,· and some meat. The reason that milk is especially good for children is thatithassome vital substance (vitamine) that helps growth. f)~£fl Children can get a little of this vital substance I. "' av "!&-~~ ' ~eSGJfiM,(,_.·: 't· in other foods, but not enough. Give your ,,.~ .. Q~ 110 I boys and girls milk and a chance to 1 1 DHPM~f Mfl};( f - grow. Milk also has other valuable ~J things that build bone, make firm flesh ~ ~~.,...~:J/1-~-~ and put glow in the cheeks. To Go Without Milk Is Poor Economy • , ALL ABOUT MILK 13 Milk also helps your children to keep well. Look at children who do not get milk, but tea and coffee instead. Most of them arc pale and sickly. Tea and coffee are not foods, but drugs. They stimulate, but do not nourish. Childrt!n are better off without stimulants. Give the children fresh clean milk and plenty of it. This will help them to grow up strong and well. Save other things if you must, but do not save on milk. In spite of the shortage of milk in Europe since the war, everything has been done to give milk to the children and hospitals, even though the adult population had to do without it. In a "safety first" health campaign, it must be remembered that it should be "children first." Milk is valuable for grown-ups, especia lly for sick MILK FOR people. It has been GROWN-UPS found in the army hospitals that the -~t:.:~O~~~ wounded recover much quicker when they Wounded Recover Quickly have milk. Milk helps to keep you strong, vigorous and young. A Quart a Day for Children 14 ALL ABOUT MILK Grown-up people can live for m0nths and months on milk alone, hut a hard-working man would have to drink many quarts each day to keep up his vitality and repair the wear and tear of his body. However, if milk is used in combination with other food, one is sure of getting a well-balanced r~tion. One pint of milk will serve this purpose for grown-ups-children need a quart, Children must have milk-adults ought to. The souring and curdling of milk is wrongly called nature's danger signal. Nature has no danger signal for milk. The SOURING AND CURDLING .OF MILK dangers in milk cannot be seen with the naked eye. Our sense of taste and smell are poor sanitary guides. Curdled milk may not be harmful, and is often beneficial. Usually when milk is allowed to stand it turns sour and curdles. This is the usual way for milk to spoil. 'This curdling is a special form of fermentation and is caused by an acid which is formed by lactic acid bacteria. Strong acids like sulphuric acid will curdle milk at once. Weak acids like lemon juice will also curdle milk, When milk curdles, very much· the same thing~ takes place as when an egg is heated-the albuminous matter is made hard, lumpy. Buttermilk Is Nourishing and insoluble. The curd is the thickened albumin of the milk. Rennet also causes milk to curdle. 'fhis is the ferment found iri the gastric juice; hence, the first thing that happens to milk when it reaches the stomach is to become curdled. 'The curd is then acted upon by the pepsin and digested. If the lumps are large and tough, the digestion is slower than if the lumps are soft and smalL 'Therefore, diink milk slowly. There Is No Substitute For Milk • ALL ABOUT MILK 15 Buttermilk is a curdled milk from which the fat has been removed. It may be a sweet curd or a sour curd. Buttermilk is a pleasant, refreshing beverage and a nour- BUTTERMILK IS ishing food. It has practically all the food NOURISHING value.of milk except the fat, most of which is removed by churning to make butter. Prepared buttermilk is usually made from skim milk and is sold under different trade names. It should always be made from clean, safe milk. Sour milk can always be put to use. It can be used in making ll}Uffins, griddle cakes, and cottage cheese. Use the whey in bread making. Do not waste a drop of it. Skim Milk Whole Milk All skim milk should be used-none wasted. It can be used as a drink or a food, in cooking, or to make buttermilk or cottage SKIM MILK AND COTTAGE CHEESE cheese. Skim milk is the cheapest kind of albumin on the market. It contains all the good qualities of milk except the fat. Cottage cheese is made either from whole milk or skim milk. 1 quart thick sour milk 1 quart boiling water 1 tablespoonful top milkj ! teaspoonful salt. Milk Promotes Growth-Buy Milk for Children 16 ALL ABOUT MILK Put milk in a large bowl. Add the boiling water and let stand five minutes. Strain through cheesecloth, squeezing gently, Mash the curd with a fork, moisten, and season with salt. One pound of cottage cheese supplies more albumin than one pound of beef, or one pound of pork, or one pound of lamb, or one pound of veal, or one pound of chicken. · Other milk products, such as cheese, junket, custards, cream sauces, cornstarch and rice puddings, ice-cream, and butter are all good, nourishing and valuable foods. Milk is cheap, even at present prices. . It is too bad that the housewife is inclined to cut down on milk when the price goes up. I · PRICE OF MILK It is poor economy to save on vital foods. It is not how much we pay, but how much we get in return that counts. Thus, tourteen cents' worth of milk does the body more good than fourteen cents spent on steak at forty-eight cents a pound, or fourteen cents' worth of eggs at sixty cents a dozen. At these prices, milk would be worth over forty cents a quart. To go without milk is poor economy. You get more energy (force) from twenty-five cents' worth of milk than you can from A Milk Ca-rt in Belgium Milk Is One of. the Cheapest Foods • , ALL ABOUT MILK 17 twenty-five cents' worth of meat, or eggs, or cod. Hence, it is better to cut down on meat before you do so on milk. The reason for the higher price of milk is the higher cost of everything else including fodder, farm labor and transportation, When the price of milk went up a few cents a quart, many families were found giving their children tea and coffee instead of milk. This is a great mistake for such drinks fail to nourish the child properly. Milk contains " life" because it is rich in vitamines. Vitamines are vital substances of great importance in our diet. .VitaI LIFE IN MILK VITAMINES mines are also found in other foods, but are there in very small amounts. These peculiar substances were recently discovered. They are absolutely necessary for the growth and nourishment of the body. Therefore, vitamines are indispensable to everybody, but particularly to growing children and to persons recovering from illness. The easiest way to get vitamines is in milk. Heating does not hurt the vitamines in milk. Hence pasteurized milk is just as nourishing as raw milk. Milk has everything needed in the diet. It is a' complete mixed diet in itself. It has· sugar and fat!' which give energy (force) to move the body-like coal to the engine; it has mineral salts which build up the bones and keep the body in good shape; and albunaim (protein) which-like meat or white of egg-is important in making brawn and sinew. Of all the different kinds of protein to be found in food, the best is found in milk. Sugar9 mineral salts, fat, and protein are all necessary in a well-balanced diet. But these substances without vitamines will not nourish the body or promote growth. Milk is rich in vitamines. Milk Is Cheap Even at Present Prices 18 ALL A B 0 U T M I L K ASK YOUR • POCKETBOO Milk Repairs the Body-Buy Mnk for the Sick • ALL ABOUT ' MILK 19 Think of the value of having one food which supplies all the necessary elements of a good mixed diet-and which at the same time . can be used without the slightest preparation. Milk is watery. The w;at~ may be evaporated, leaving aH the food value in a dry powder. In other words, milk may be dried just as apples, pears, and beans may DRIED AND CON- be dried. Dried milk loses none of its food DENSED MILK value-it is just as nourishing for family use as fluid milk. Condensed or evaporated milk is partially dried, and is also a good food. Condensed milk is preserved with sugar, and therefore is not sterilized. On the other hand, evaporated milk is not sweetened and must be sterilized by heat, in order to preserve it. It is not wise to raise the baby on dried or partly dried milk, without the advice of the doctor. Dried milk, condensed milk, and evaporated always be prepared from fresh, clean, and safe milk~ Milk may be rich in cream yet of poor sanitary quality. There are only two .kinds of milk-good and bad. There is a growing tendency to classify all milk as either raw milk or KINDS OF pasteurized milk. But there MILK are other classifications: (I) Certified milk; (2) ihspected milk; (3) market milk. A still better way of grading milk is " Grade A," "Grade B," and "Grade C." milk should Be sure that your milk is graded, for it is not .!.6 possible to tell what kind of milk you are buying F a lse Impression by looking at it or by tasting it. The amount of !fec~~~h of'N".; cream does not tell the true story. If your milk row Neck is graded, ask the Health Officer to examine a sample t__o tell you whether the grade is up to standard. Better Be Safe Than Sorry-Pasteurize 20 ALL ABOUT MILK Certified milk is the very best, freshest, cleanest, purest, and safest raw milk that it is possible to produce. It is milk of uniform composition and of high quality obtained by cleanly methods from healthy cows under special sanitary care. It is so certified by a medical milk commission. Certified milk is honor milk. It is intended especially for babies and invalids. Certified milk costs more than ordinary milk, because it requires a veterinary surgeon to test the cows with tuberculin to find out whether they have tuberculosis, and to examine them from time to time; a bacteriologist and chemist must analyze the milk; a physician must look after the hands and wear clean clothes; the milk must be bottled and iced at the dairy; the construction and lighting and ventilation of the cow barnsJUust be extra good and the water supply extra safe. The greatest care and attention must be constantly practiced. Constant watchfulness is the price of safety. INSPE<;TED Inspected milk is a good grade of milk MILK obtained from healthy cows by cleanly methods. Inspected milk is not quite as good as certified mille Inspected milk is family milk. It should always be pasteurized before you buy it. Pasteurization Is Cheaper Than Doctor's Bills ALL ABOUT MILK 21 Washing the Cows Before Milking .. Dirty Milk Clean Milk Pasteurization Means Precaution, Protection, Prevention 22 ALL ABOUT MILK Market milk is milk that is neither certified nor inspected. It is often of a poor quality and not suitable for infant feeding. MARKET MILK, DIP MILK Dip milk is milk dipped from a can. It is also called " bulk milk " and " loose milk." Such milk is often sold at grocery stores and small shops. The best qualities of milk are never sold in bulk, but always in individual bottles. Any milk dipped from a can is therefore pretty sure to be of the poorest grade. If it is advisable to sell crackers and cereals in individual packages, surely milk should be sold in individual bottles to insure cleanliness and protection from dirt, flies, fingers and germs. Clean milk is much better than dirty milk, especially when the health of those who handle the milk is carefully superCLEAN MILK vised. It requires only a little intelligence and rea-sonable care to keep milk clean. With care, cleanliness, and the use of ice, a satisfactory grade of milk may be sent to market by any farmer. Clean and healthy cows, healthy milkers, milk pails sterilized by scalding, sterilized cans and bottles, clean hands-these are the prime essentials. The milk must be chilled promptly and kept cold. ke is the best preservative. Good dairy methods are more important than fancy barns and pedigreed cattle. Clean milk, kept cold, and properly protected, shows very little change in three or even five or ten days. It is not difficult tOJ keep it cold and clean. With special precautions, it is possible to keep milk so that it may be shipped across the ocean and back again and still be in good condition. Sanitarians All Recommend Pasteurization ... ALL ABOUT MILK 23 Frequently milk contains so much dirt that the specks may be seen as a sediment in the bottom of the bottle or glass. Ordinarily, the dirt cannot be seen because the DIRTY MILK dairyman has filtered the milk or taken out the dirt in a special machine called a clarifier. Filtration will take out the specks and clarifiers will make the milk look cleaner, but these processes do not improve the milk except in appearance. The bacteria and germs cannot be ·separated or filtered out. You can see for yourself that milk hides the dirt because milk is opaque-not transparent. Add a teaspoonful of mud to a quart of milk. Mix it up. The milk will look as white and pure as before the mud was added. !J!iG~ll!~¥~ icll[~T 1 1 ilE~M.9 1 q' ~~11 'tWO KINDS 01" MILK PAILS !l !l The Open Pail Admits Much Dirt; the Covered Pail Keeps it Out You will find it equally interesting to make the regulation dirt test. Simply filter a pint or a quart of milk through some clean white cotton or through several layers of white cloth. The brownish or blackish stain proves the presence of dirt. 0 2 3 4 Four grades of milk as indicated by the dirt test. One pint of" milk was poured through each of these discs of absorbent cotton, whicli were perfectly white at first. They show four grades of milk, as folio ;vs: 1, perfectly clean; 2, slightly dirty; 3, dirty; 4, very dirty. Safety First-Use Only Pasteurized Milk 24 . ALL ABOUT MILK Most of the dirt in milk consists of cow dung; also of particles of dust from the air, bits of straw, parts of insects, and trash of all kinds. 'fhe dirt is there because most of the milk d9es not get the care and attention it should have on most farms, especially small farms. Dirty milk spoils much more quickly than clean milk. It is laden with bacteria, and may be harmful, especially to a tender infant. DISEASES AND DANGERS Every rose has its thorns. Milk also has its dangers. It is apt to become contami-nated and convey the genns of disease. 'fhe principal infections transmitted through infected milk are tuberculosis, typhoid fever, scarlet fever, diphtheria, septic sore throat, diarrheas and dysenteries, summer complaints of children, and other serious diseases. Fortunately every portion of milk is not a portion of poison. 'fhe dangers are, however, sufficiently real and frequent to make us careful. Fortunately, too, we possess an easy, cheap, ~d reliable method of preventing these dangers-namely pasteurization Bottle Washed by Hand-Afterward Scalded Bottles Filled and Capped by Machinery Pasteurization Saves Lives and Prevents Sickness ... • ) ALL ABOUT MILK 25 Pasteurized milk simply means heated milk-milk that is par-boiled or scalded. It is not necessary to boil milk to pasteurize PA~TEURIZAI'ION OF MILK it. If you have no thermometer, however, it is advisable to bring it to a boil to make sure that the harmful germs are killed. After the milk is heated it must be suddenly chilled and kept cold. This is a very essential part of the process of pasteurization. The milk should be heated to 148 Fahrenheit for thirty minutes. A lower temperature or shorter time may not kill the bacteria. A higher temperature or longer time is not necessary. Pasteurization has only one object, and that is to destroy the harmful bacteria. The word pasteurization is usec1 in honor of the great scientist Pasteur, who discovered the process. Pasteurization neither improves nor harms the milk itself. Weak and dirty milk is still weak and dirty after it has been pasteurized. It would avoid confusion ii pasteurized milk were simply called heated milk, for that is all it is. Pasteurized milk is just as digestible and just as nutritious as raw milk. Only the harmful and frail varieties of bacteria are destroyed. Many harmless and hardy forms survive, and will continue to grow and multiply. Therefore, pasteurized milk turns sour and curdles in the same way that raw milk spoils. Pasteurized milk must be handled at least as carefully as raw milk. It may become infected after pasteurization. All milk, whether raw or heated, should be kept covered, cold and clean. Pure milk is better than purified milk, but it is so difficult to get pure milk that our only real safety lies in pasteurization. So long as raw milk is apt to be dangerous milk, our only protection lies in heating the milk, thereby killing the germs of tuberculosis, typhoid fever, diphtheria, scarlet fever, septic sore throat and other ills. Pasteurization Is a Public Health Safeguard 26 ALL ABOUT MILK .. For family use, it is advisable to obtain 1 1k !ready pasteur-iized by a trustworthy dairy. It is cheapen, Sa1er, and better to • JIIeat milk by wholesale in a large plant with competent supervision than to depend upon each household heating its daily supply. If drinking water needs purification, it is filtered at a central station, and not left for each individual kitchen. Babies should have mother's milk. There is no adequate substitute. If mother's milk is not available, babies are entitled to the best and freshest cow's milk that can be obtained. Whether such milk is to be modified, pasteurized, or otherwise treated is a question for the doctor to decide in each individual case. U n1ess very sure of the supply, the doctor will usually not take chances. and advise pasteurized milk for baby, especially during summer time. The simplest, cheapest, easiest and best method of making raw milk safe is to pasteurize it. The easiest way to pasteurize milk for family use-is to heat it in a double HOW TO boiler, such as a rice boiler, for three- PASTEURIZE quarters of an hour, and then to chill it quickly. The best and simplest home method of pasteurizing milk for infant feeding is in the Straus pasteurizer. Milk of good quality is placed in individual nursing bottles and heated according to directions given below. The Straus pasteurizer consists of a pail of water and a receptacle for the bottles of milk. It is used as follows: After the bottles have been thoroughly cleaned, they are placed in the tray (A) and :filled with the milk or mixture used for one feeding. Then put oo the corks or patented stoppers without fastening them tightly. The pot (B) is now placed on the wooden surface of the table or floor and filled to the supports (C) with boiling water. You Won't Eat Uncooked Fish; Why Eat Raw Milk? ALL ABOUT MILK 27 Place the tray:(A) with filled bottles into the pot (B) so that the bottom of the tray rests on the supports (C), and put cover (D) on quickly. After the bottles have been warmed up by the steam for five minutes, remove the cover quickly, turn the tray so that it drops into the water; replace the cover immediately. This manipulation is to be made as ra pidly as possible to avoid loss of heat. Thus it remains for twenty-five minutes. Fig. 72-Straus Home Pasteurizer Now take the tray out of the water and fasten the corks or stoppers a i r t i g h t . Cool the bottles with cold water and ice as quickly as possible, and keep them at this low temperature until cold. Use the milk from the bottles and do not pour it into another vessel. The milk should not be used for children later than twenty-four hours aft11r pasteurization. Emphasis is laid on the fact that only fresh, clean milk, which has been kept cold, should be used. It is to the interest of every householder that the milk supply should be carefully supervised. Is your milkman licensed? Are COMMONSENSE PRECAUTIONS his dairies inspected? It is more important to license persons engaged in the milk industry than it is to license plumbers, undertakers, or chauffeurs. New York, Washington, Boston and other cities require all persons who handle milk to obtain an official license or permit from the health authorities. Such a system helps the inspector to compel cleaner dairies and to get rid of sickly cows, and makes it easier to enforce the milk regulations and to improve the $upply. Milk should not be allowed to stand out-of-doors, but should be taken in as soon as delivered. To' prevent th~ dangerous Don't Waste a Drop 28 ALL ABOUT MILK Modem Method Keep Milk Clean, Cold and Covered ALL ABOU T MILK 29 Courtesy of H. P. Hood & Sons Pri,,ate House Safe. Showing Door Open, Milkman has Placed His .1\Iilk in Safe, Preparatory to Locking the Door One of tho Things That May Happen to Milk During the Early Hours of the Morning occurrence pictured here, the milk bottle should be protected in a box until taken into the house, and placed on ice as soon entitled as possible. In the home, milk should be kept cold, clean, and covered. If part of the milk in a bottle is used, do not replace the paper stopper, but invert a clean tumbler over the neck of the bottle and at once replace in the ice-chest. Never let the milk bottle stand around. Have a special place in the coldest part of the ice-chest for the milk bottles. The best way is to ha>e the milk bottle touching the ice. A cheap home-made ice-box for milk can easily be made by following the directions giYen in a pamphlet issued by the Metropolitan Life Insurance Company " The Child," page 20. Milk is readily tainted and absorbs odors and flavors just as charcoal does. It will soon taste of tobacco, onions, fish, or fruit if exposed to these things in an open pitcher or bottle. Turnips, onions, and other strong-tasting substances fed to the cow will also give a flavor to the milk. Milk should have no odor at all, or, at most, only Milk Builds Bone, Brawn a11d·Blood 30 ALL ABOUT MILK a slight characteristic odor. A "cowy'' odor, means smelly barns, poor dairy methods and tainted milk, Milk should never be placed in a bottle that has not been purified and disinfected by scalding with boiling water. Milk bottles should not be taken into the sick-room. They should never be used for any other purpose than to hold milk. I They should always be rinsed I in cold water and then thorough-ly washed and scalded before they ar~ returned to the milkman. Never take milk from a dairyman who does not disinfect his milk bottles with boiling water or steam. Inspection and pasteurization solve the milk problem. We need inspection to keep milk clean, and pasteurization to make SOLUTION TO THE MILK PROBLEM milk safe. Inspection goes to the root of the problem and helps bring us cleaner, better, fresher and safer milk. Inspection, however, has limitations. These limita-tions may be guarded against by pasteurization. It is certain that a milk supply that is both supervised and pasteurized is the only satisfactory solution of the milk problem. Milk Is the Best Food Use MORE Milk Milk Is Not a Beverage, But a Food 13y LORADO TAFT Courtesy Infant Welfare Society of Cbica~o.
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Title | All about milk |
Date | 1921 |
Creator (individual) | Rosenau, M J (Milton Joseph), 1869-1946 |
Subject headings |
Milk Milk in human nutrition Dairy processing |
Description | This item has been aggregated as part of the Association of Southeastern Research Libraries (ASERL)'s "Deeply Rooted: The Agricultural & Rural History of the American South" project. |
Type | Text |
Format | Pamphlets |
Physical description | 30 p. ill. (some col.) 20 cm. |
Publisher | New York : Metropolitan Life Insurance Co. |
Language | en |
Contributing institution | Martha Blakeney Hodges Special Collections and University Archives, UNCG University Libraries |
Source collection | Home Economics Pamphlets Collection [General] |
Rights statement | http://rightsstatements.org/vocab/NoC-US/1.0/ |
Additional rights information | NO COPYRIGHT - UNITED STATES. This item has been determined to be free of copyright restrictions in the United States. The user is responsible for determining actual copyright status for any reuse of the material. |
Call number | SF251 .R670 1921 |
Digital publisher | The University of North Carolina at Greensboro, University Libraries, PO Box 26170, Greensboro NC 27402-6170, 336.334.5316 |
Full-text | All About Milk 'BY MILTON J. ROSEN,A.U Professor of Preventive Medicine and Hygiene, Harvard University; Formerly Director of the Hygienic Laboratory U.S. Public ·Health Service, Etc. PRINTED BY THE METROPOLITAN LIFE INSURANCE COMPANY 1921 •. For Distribution Through the Newspapers Represented By FREDERIC J. HASKIN sF -:Lbl P lo~ lO I 0, ~ l Copyright, 1919 BY THE l\l~LROPOLITAN LIFE lNSURANC~ Co . . .. .... All About Milk. Milk is our best all-round food. It is the most perfect food we have. It is also one of the cheapest foods, even at the present SOMETIDNGS ABOUT MILK prices. Milk is the most difficult of all our foodstuffs to collect, handle and transport. It requires the greatest care from pasture to pail, and from pail to palate. Milk spoils quicker than any other food. It spoils even quicker than fresh fruit and berries. ·It must be kept clean, cold, and covered. Milk tastes good; it is easily digested, and is very nourishing, It makes bone, brawn, and blood. In fact, the vigor and success of a nation depend largely upon the amount of milk it uses. In the United States, we use something like forty billion quarts of milk a year. This would make a lake large enough to float all the navies of the world. Yet this is only about half a pint of milk a day for each person. Only one-quarter of this is actually used as milk, the other three-quarters being made into butter, cheese, and other milk products. Like all good things, milk has a few drawbacks, but these are far outweighed by its advantages. Milk is the great factor of safety in our diet, It makes the mtion complete and keeps the body strong. Drink more milk and use it freely in cooking. The Best Food We Have {'I • 4 ALL ABOUT MILK Milk is the best food we have.• There is no substitute. Save on other things if you must, but not on milk. You cannot afford MILK IS THE BEST FOOD to tlo without it-growing childrenespecially need plenty. Buy at least half a pint of milk a day for each person in the household. No other food can take its place. Use it all; do not waste a drop. Milk looks like a simple fluid, but really it is very complex. A glass of milk contains a mixture of all the important things that make up a mixed diet. One can get the same nourishment from milk as from a meal made up of meat and eggs, sugar and cereals, oils and fats, with salt and water. Milk is good fuel, because it contains fat and sugar. The body needs fuel to keep it warm and to make it move and work and play, just as the steam engine needs coal or the automobile needs gasoline. Oue quart of milk is about equal in fuel value to any of the following: 2 pounds salt codfish 3 pounds fresh codfish 4 pounds beets 5 pounds turnips i ponnd butter i pound wheat flour i pound cheese ! pound lean round beef 2 pounds potatoes 6 pounds spinach 7 pounds lettuce 4 pounds cabbage I Quart of Milk Costing 12 or 14 Cents 8 Eggs Costing 36 to 50 Cents 8 eggs One ordinary glass of milk is about equal in fuel value to: 2 large eggs 1 large serving of lean meat 2 moderate-sized potatoes .5 tablespoonfuls of cooked cereal 3 tablespoonfuls of boiled rice, or 2 slices of bread Milk Is the Best AU-round Food ••• MILK IS ••• RFECTFOOD FOR ER MOTHER CHILDREN MILK B~ILDS MUSOl!.ES MILK IS ENERGY FOOD MILK SUPPLI S ESSENTIAL ELEMENTS-Milk Is the Best and Cheapest Single Food • 6 ALL ABOUT MILK Food is more than fuel-for food also repairs waste, helps growth, builds flesh and bone. Milk does all this. That is, milk is a good food, not only because it is a good fuel, but also because it has ijfe-giving properties. Milk is both fuel and food. Milk contains a great de~l of lime. Children need lime and plenty of it, especially for their growing bones and CHILDREN teeth. Milk contains NEED LIME lime in a form that is easily changed in the body into bone. Big boys and girls, and even grown people, need lime, because the bones are always wearing away, little by little, and this wear and tear ... must be · replaced. Lime helps build bones ap.d makes them strong. The following illustration shows how much lime there is in milk compare~ to carrots, eggs, or bread. AMOUNT OF LIME IN , 1 cup of milk ~ cJ! p carrots 1 egg ~lices of~bread Milk is the cheapest food for lime. Buy milk. You ana your children need its lime. Milk is not a beverage. It should not be used to quench thirst. Milk is a food. It should be eaten, not swallowed quickly. Take small sips and roll it about the mouth and enjoy it as it goes down. Think how slowly nature furnishes milk to the suckling. It takes a baby twenty minutes to get a few ounces of milk from the nippJe. Imitate nature-do not gulp down a glassful of 1nilk-drink it slowly; eat it. Chew it. This will prevent hard and indigestible curds forming in the stomach. Don't Drink Milk-Eat It Slowly " ALL ABOUT MILK 1 ONE QU 0 K EQUALS INENERGYFOODVAlUEAN.YOFTHESI MILK IS TI·IE CI·IEAI,EST fC)R~4 OF A~IIMAL fC)C)J) fC)R TI·IE ~tC)tiEY' TI·IAT A I·I()IJSEI·IOJ.,I>ER CA~I BIJY' l...v ... niiGHTED II 181 HENRY DAVIS , OOl:ITON Growing Children Must Have Milk 8 ALL ABOUT MILK Babies should have breast milk. There is no real substitute. Cow's milk is good, but not the best milk for infants. A baby raised on breast milk MILK FOR has a much better BABffiS chance in life than one raised on the bottle. Give your baby a square deal. The baby fed at the breast has just ten times the chance of keeping well and vigorous that a bottle-fed baby has. Nature never intended that milk should be drawn into a pail, emptied into a can, carted to a town, and placed in bottles which are left on the doorstep before dawn next THE LONG vs. morning. Further than this, cow's milk is SHORTHAUL often exposed to dust, flies, and dirt, and frequently it is not ·used until it is two or three days old. Such stale, germ-laden milk may be quite harmful to the baby. In nature's plan, the milk is taken directly at its source while pure, sweet, clean and wholesome. Milk was never intended to see the light of day. Nature's plan keeps out dirt, germs, Hies and fevers. A breast-fed baby need not fear stale and partly decomposed milk, containing dirt and germs. The short haul is God's plan. The long haul is a poor substitute. Ten Bottle-fed Babies Die to One Breast-fed ALL ABOUT MILK 70 per<:ent of city babies 'llettheit food thro1111h a tube 60 miles lonll. It taka llbout 36 hours - ,often 42 houn- for the milk to run from the cow end of the tube to the baby end of the tube. This tube ia open in many places and baby' 1 food is frequently pol. luted. lt ia often wronaJy kept iu overheal(od places, Then there may 1>e a cliseaJed eow at the eotintrY end ef the tnbe. And Yet Some People Wonder Why So Many Babies DieJ On the ether hand the mother .. Eed bahy aeb its milk fresh, pure and healthful- no aerma can: aet into it. To Lessen Baby Deaths let Us Have More Mother-Fed Babies. You ean•t improve on God's Jllan. For Your Babjs Sake- Nurse It! Give Your Baby a Chance 9 8 10 ALL ABOUT MILK • It is not safe to raise the baby on cow's milk alone. '!'he cow is a good foster-mother, but a foster-mother only. Cow's milk I NURSE THE ~ BADY was intended by nature as a food for calves. It has everything in it that a growing calf needs-but these things are not in the right proportion for baby's needs. Breast milk is fresh, clean and pure; cow's milk, by th,~ time the baby gets it, is apt to be stale, dirty and impure. '!'en bottle-fed babies die to one breastfed baby. '!'he chances are, therefore, ten to one against the bottle-fed baby. Mothers should always nurse their babies if possible and keep it np until the baby is six to nine months old. Breast feeding is cheapest, simplest, and safest. It needs no training and is less trouble-some than tending to bottles. It is best for the baby and best for the mother. Bottle feeding requires skilled training to carry out safely; it requires skill and practice to modify the milk to suit the baby; it requires much more time and trouble than breast feeding. At best it is only a poor makeshift. · Modify and prepare cow's milk as we may, it cannot take the place of mother's milk. It may be modified to resemble mother's milk, but is never "just as good." It is REASONS FOR impossible to change cow's milk into MODIFYING mother's milk. By diluting it and adding sugar, we can make a mixture that is something like mother's milk, but always lacking important substances. By giving the baby barley water and orange juice, the defi-cienc! may be partly made· up, but not entirely satisfactorily. • An Ounce of Prevention Is Worth a Pound of Cure ALL ABOUT MILK There is a temptation to add sugar generously to the milk for the bottle-fed baby, for the reason that sugar· is fattening. but a flabby, over-fat baby is not a sign of robust health, Milk should not contain more than seven per cent. of sugar, which is the amount provided by nature in mother's milk, Too much sugar may cause gas and colic and lead to more serious trouble. Again, i£ cow's milk is not diluted, the baby is placed in the positioh of a person living upon a rich meat diet. Milk, not diluted with water, then, may be the cause of indigestion and colic. which in turn lead to summer complaint. Further, •i£ the milk is too rich in fat, it may cause trouble, Too much fat in the baby's milk causes a sort of self-poisoning9 leading to diarrhea and summer complaint, If the -baby must be raised by bottle-feeding, or weaned, select the best milk obtainable. Baby's milk should be" Certified" or Grade "A:' Learn how to prepare the baby's bottle and always do it yourself. Do not trust any one. Every nursing mother knows how careful she must be with her own diet, for everything she eats or drinks affects CAREFUL DIET FORMOT~RS. her milk. Certain drugs taken in through the mouth have been found in the milk of nursing mothers, such as, for example, mercury (calomel), headache powders, opium. purgative salts, rhubarb, arsenic, bromides and patent medicines, Cows are good botanists, but their judgment cannot be relied upon so far as baby is concerned. Cows in pastures sometimes feed upon objectionable or poisonous weeds. Some of these poisons may pass into the milk. A cow that is kept to produce "Certified •• Nursing Mothers Must Have Milk 12 ALL ABOUT MILK milk, which is the best grade of milk for lfabies, is not, under any circumstances, allowed to graze in pasture on account of this danger. Such c.ows are given selected feed in suitable amounts. Milk for<:the baby must be kept cold until just before feeding time; then it should be warmed to blood heat. Test the temperature by dropping a little on your wr-ist. It is dangerous to keep milk warm or tepid for over half an hour. Never keep it warm in a thermos or similar vacuum bottle. Clean and scald the nursing bottle and the nipple just before filling. Do not use rubber tubing. Keep away flies. In case of doubt, the mother should consult a doctor, or go to the nearest milk station, dispensary or infant depot. Do not raise the baby upon the advice of the neighbors. Impure milk is one of the preventable causes of sickness and unnecessary deaths of babies. Many babies can be saved by breast feeding, or by the use of fresh, pure milk; by care and cleanliness and by following the advice of the doctor. Read "The Child," issued by the Metropolitan Life Insurance Company. Milk is an absolute necessity for growing -children. Each child should have a quart of milk a day. Milk should not be the only food for children, of course. They also need vegeMILK FOR CHILDREN tables, fruits, cereals, eggs,· and some meat. The reason that milk is especially good for children is thatithassome vital substance (vitamine) that helps growth. f)~£fl Children can get a little of this vital substance I. "' av "!&-~~ ' ~eSGJfiM,(,_.·: 't· in other foods, but not enough. Give your ,,.~ .. Q~ 110 I boys and girls milk and a chance to 1 1 DHPM~f Mfl};( f - grow. Milk also has other valuable ~J things that build bone, make firm flesh ~ ~~.,...~:J/1-~-~ and put glow in the cheeks. To Go Without Milk Is Poor Economy • , ALL ABOUT MILK 13 Milk also helps your children to keep well. Look at children who do not get milk, but tea and coffee instead. Most of them arc pale and sickly. Tea and coffee are not foods, but drugs. They stimulate, but do not nourish. Childrt!n are better off without stimulants. Give the children fresh clean milk and plenty of it. This will help them to grow up strong and well. Save other things if you must, but do not save on milk. In spite of the shortage of milk in Europe since the war, everything has been done to give milk to the children and hospitals, even though the adult population had to do without it. In a "safety first" health campaign, it must be remembered that it should be "children first." Milk is valuable for grown-ups, especia lly for sick MILK FOR people. It has been GROWN-UPS found in the army hospitals that the -~t:.:~O~~~ wounded recover much quicker when they Wounded Recover Quickly have milk. Milk helps to keep you strong, vigorous and young. A Quart a Day for Children 14 ALL ABOUT MILK Grown-up people can live for m0nths and months on milk alone, hut a hard-working man would have to drink many quarts each day to keep up his vitality and repair the wear and tear of his body. However, if milk is used in combination with other food, one is sure of getting a well-balanced r~tion. One pint of milk will serve this purpose for grown-ups-children need a quart, Children must have milk-adults ought to. The souring and curdling of milk is wrongly called nature's danger signal. Nature has no danger signal for milk. The SOURING AND CURDLING .OF MILK dangers in milk cannot be seen with the naked eye. Our sense of taste and smell are poor sanitary guides. Curdled milk may not be harmful, and is often beneficial. Usually when milk is allowed to stand it turns sour and curdles. This is the usual way for milk to spoil. 'This curdling is a special form of fermentation and is caused by an acid which is formed by lactic acid bacteria. Strong acids like sulphuric acid will curdle milk at once. Weak acids like lemon juice will also curdle milk, When milk curdles, very much· the same thing~ takes place as when an egg is heated-the albuminous matter is made hard, lumpy. Buttermilk Is Nourishing and insoluble. The curd is the thickened albumin of the milk. Rennet also causes milk to curdle. 'fhis is the ferment found iri the gastric juice; hence, the first thing that happens to milk when it reaches the stomach is to become curdled. 'The curd is then acted upon by the pepsin and digested. If the lumps are large and tough, the digestion is slower than if the lumps are soft and smalL 'Therefore, diink milk slowly. There Is No Substitute For Milk • ALL ABOUT MILK 15 Buttermilk is a curdled milk from which the fat has been removed. It may be a sweet curd or a sour curd. Buttermilk is a pleasant, refreshing beverage and a nour- BUTTERMILK IS ishing food. It has practically all the food NOURISHING value.of milk except the fat, most of which is removed by churning to make butter. Prepared buttermilk is usually made from skim milk and is sold under different trade names. It should always be made from clean, safe milk. Sour milk can always be put to use. It can be used in making ll}Uffins, griddle cakes, and cottage cheese. Use the whey in bread making. Do not waste a drop of it. Skim Milk Whole Milk All skim milk should be used-none wasted. It can be used as a drink or a food, in cooking, or to make buttermilk or cottage SKIM MILK AND COTTAGE CHEESE cheese. Skim milk is the cheapest kind of albumin on the market. It contains all the good qualities of milk except the fat. Cottage cheese is made either from whole milk or skim milk. 1 quart thick sour milk 1 quart boiling water 1 tablespoonful top milkj ! teaspoonful salt. Milk Promotes Growth-Buy Milk for Children 16 ALL ABOUT MILK Put milk in a large bowl. Add the boiling water and let stand five minutes. Strain through cheesecloth, squeezing gently, Mash the curd with a fork, moisten, and season with salt. One pound of cottage cheese supplies more albumin than one pound of beef, or one pound of pork, or one pound of lamb, or one pound of veal, or one pound of chicken. · Other milk products, such as cheese, junket, custards, cream sauces, cornstarch and rice puddings, ice-cream, and butter are all good, nourishing and valuable foods. Milk is cheap, even at present prices. . It is too bad that the housewife is inclined to cut down on milk when the price goes up. I · PRICE OF MILK It is poor economy to save on vital foods. It is not how much we pay, but how much we get in return that counts. Thus, tourteen cents' worth of milk does the body more good than fourteen cents spent on steak at forty-eight cents a pound, or fourteen cents' worth of eggs at sixty cents a dozen. At these prices, milk would be worth over forty cents a quart. To go without milk is poor economy. You get more energy (force) from twenty-five cents' worth of milk than you can from A Milk Ca-rt in Belgium Milk Is One of. the Cheapest Foods • , ALL ABOUT MILK 17 twenty-five cents' worth of meat, or eggs, or cod. Hence, it is better to cut down on meat before you do so on milk. The reason for the higher price of milk is the higher cost of everything else including fodder, farm labor and transportation, When the price of milk went up a few cents a quart, many families were found giving their children tea and coffee instead of milk. This is a great mistake for such drinks fail to nourish the child properly. Milk contains " life" because it is rich in vitamines. Vitamines are vital substances of great importance in our diet. .VitaI LIFE IN MILK VITAMINES mines are also found in other foods, but are there in very small amounts. These peculiar substances were recently discovered. They are absolutely necessary for the growth and nourishment of the body. Therefore, vitamines are indispensable to everybody, but particularly to growing children and to persons recovering from illness. The easiest way to get vitamines is in milk. Heating does not hurt the vitamines in milk. Hence pasteurized milk is just as nourishing as raw milk. Milk has everything needed in the diet. It is a' complete mixed diet in itself. It has· sugar and fat!' which give energy (force) to move the body-like coal to the engine; it has mineral salts which build up the bones and keep the body in good shape; and albunaim (protein) which-like meat or white of egg-is important in making brawn and sinew. Of all the different kinds of protein to be found in food, the best is found in milk. Sugar9 mineral salts, fat, and protein are all necessary in a well-balanced diet. But these substances without vitamines will not nourish the body or promote growth. Milk is rich in vitamines. Milk Is Cheap Even at Present Prices 18 ALL A B 0 U T M I L K ASK YOUR • POCKETBOO Milk Repairs the Body-Buy Mnk for the Sick • ALL ABOUT ' MILK 19 Think of the value of having one food which supplies all the necessary elements of a good mixed diet-and which at the same time . can be used without the slightest preparation. Milk is watery. The w;at~ may be evaporated, leaving aH the food value in a dry powder. In other words, milk may be dried just as apples, pears, and beans may DRIED AND CON- be dried. Dried milk loses none of its food DENSED MILK value-it is just as nourishing for family use as fluid milk. Condensed or evaporated milk is partially dried, and is also a good food. Condensed milk is preserved with sugar, and therefore is not sterilized. On the other hand, evaporated milk is not sweetened and must be sterilized by heat, in order to preserve it. It is not wise to raise the baby on dried or partly dried milk, without the advice of the doctor. Dried milk, condensed milk, and evaporated always be prepared from fresh, clean, and safe milk~ Milk may be rich in cream yet of poor sanitary quality. There are only two .kinds of milk-good and bad. There is a growing tendency to classify all milk as either raw milk or KINDS OF pasteurized milk. But there MILK are other classifications: (I) Certified milk; (2) ihspected milk; (3) market milk. A still better way of grading milk is " Grade A," "Grade B," and "Grade C." milk should Be sure that your milk is graded, for it is not .!.6 possible to tell what kind of milk you are buying F a lse Impression by looking at it or by tasting it. The amount of !fec~~~h of'N".; cream does not tell the true story. If your milk row Neck is graded, ask the Health Officer to examine a sample t__o tell you whether the grade is up to standard. Better Be Safe Than Sorry-Pasteurize 20 ALL ABOUT MILK Certified milk is the very best, freshest, cleanest, purest, and safest raw milk that it is possible to produce. It is milk of uniform composition and of high quality obtained by cleanly methods from healthy cows under special sanitary care. It is so certified by a medical milk commission. Certified milk is honor milk. It is intended especially for babies and invalids. Certified milk costs more than ordinary milk, because it requires a veterinary surgeon to test the cows with tuberculin to find out whether they have tuberculosis, and to examine them from time to time; a bacteriologist and chemist must analyze the milk; a physician must look after the hands and wear clean clothes; the milk must be bottled and iced at the dairy; the construction and lighting and ventilation of the cow barnsJUust be extra good and the water supply extra safe. The greatest care and attention must be constantly practiced. Constant watchfulness is the price of safety. INSPE<;TED Inspected milk is a good grade of milk MILK obtained from healthy cows by cleanly methods. Inspected milk is not quite as good as certified mille Inspected milk is family milk. It should always be pasteurized before you buy it. Pasteurization Is Cheaper Than Doctor's Bills ALL ABOUT MILK 21 Washing the Cows Before Milking .. Dirty Milk Clean Milk Pasteurization Means Precaution, Protection, Prevention 22 ALL ABOUT MILK Market milk is milk that is neither certified nor inspected. It is often of a poor quality and not suitable for infant feeding. MARKET MILK, DIP MILK Dip milk is milk dipped from a can. It is also called " bulk milk " and " loose milk." Such milk is often sold at grocery stores and small shops. The best qualities of milk are never sold in bulk, but always in individual bottles. Any milk dipped from a can is therefore pretty sure to be of the poorest grade. If it is advisable to sell crackers and cereals in individual packages, surely milk should be sold in individual bottles to insure cleanliness and protection from dirt, flies, fingers and germs. Clean milk is much better than dirty milk, especially when the health of those who handle the milk is carefully superCLEAN MILK vised. It requires only a little intelligence and rea-sonable care to keep milk clean. With care, cleanliness, and the use of ice, a satisfactory grade of milk may be sent to market by any farmer. Clean and healthy cows, healthy milkers, milk pails sterilized by scalding, sterilized cans and bottles, clean hands-these are the prime essentials. The milk must be chilled promptly and kept cold. ke is the best preservative. Good dairy methods are more important than fancy barns and pedigreed cattle. Clean milk, kept cold, and properly protected, shows very little change in three or even five or ten days. It is not difficult tOJ keep it cold and clean. With special precautions, it is possible to keep milk so that it may be shipped across the ocean and back again and still be in good condition. Sanitarians All Recommend Pasteurization ... ALL ABOUT MILK 23 Frequently milk contains so much dirt that the specks may be seen as a sediment in the bottom of the bottle or glass. Ordinarily, the dirt cannot be seen because the DIRTY MILK dairyman has filtered the milk or taken out the dirt in a special machine called a clarifier. Filtration will take out the specks and clarifiers will make the milk look cleaner, but these processes do not improve the milk except in appearance. The bacteria and germs cannot be ·separated or filtered out. You can see for yourself that milk hides the dirt because milk is opaque-not transparent. Add a teaspoonful of mud to a quart of milk. Mix it up. The milk will look as white and pure as before the mud was added. !J!iG~ll!~¥~ icll[~T 1 1 ilE~M.9 1 q' ~~11 'tWO KINDS 01" MILK PAILS !l !l The Open Pail Admits Much Dirt; the Covered Pail Keeps it Out You will find it equally interesting to make the regulation dirt test. Simply filter a pint or a quart of milk through some clean white cotton or through several layers of white cloth. The brownish or blackish stain proves the presence of dirt. 0 2 3 4 Four grades of milk as indicated by the dirt test. One pint of" milk was poured through each of these discs of absorbent cotton, whicli were perfectly white at first. They show four grades of milk, as folio ;vs: 1, perfectly clean; 2, slightly dirty; 3, dirty; 4, very dirty. Safety First-Use Only Pasteurized Milk 24 . ALL ABOUT MILK Most of the dirt in milk consists of cow dung; also of particles of dust from the air, bits of straw, parts of insects, and trash of all kinds. 'fhe dirt is there because most of the milk d9es not get the care and attention it should have on most farms, especially small farms. Dirty milk spoils much more quickly than clean milk. It is laden with bacteria, and may be harmful, especially to a tender infant. DISEASES AND DANGERS Every rose has its thorns. Milk also has its dangers. It is apt to become contami-nated and convey the genns of disease. 'fhe principal infections transmitted through infected milk are tuberculosis, typhoid fever, scarlet fever, diphtheria, septic sore throat, diarrheas and dysenteries, summer complaints of children, and other serious diseases. Fortunately every portion of milk is not a portion of poison. 'fhe dangers are, however, sufficiently real and frequent to make us careful. Fortunately, too, we possess an easy, cheap, ~d reliable method of preventing these dangers-namely pasteurization Bottle Washed by Hand-Afterward Scalded Bottles Filled and Capped by Machinery Pasteurization Saves Lives and Prevents Sickness ... • ) ALL ABOUT MILK 25 Pasteurized milk simply means heated milk-milk that is par-boiled or scalded. It is not necessary to boil milk to pasteurize PA~TEURIZAI'ION OF MILK it. If you have no thermometer, however, it is advisable to bring it to a boil to make sure that the harmful germs are killed. After the milk is heated it must be suddenly chilled and kept cold. This is a very essential part of the process of pasteurization. The milk should be heated to 148 Fahrenheit for thirty minutes. A lower temperature or shorter time may not kill the bacteria. A higher temperature or longer time is not necessary. Pasteurization has only one object, and that is to destroy the harmful bacteria. The word pasteurization is usec1 in honor of the great scientist Pasteur, who discovered the process. Pasteurization neither improves nor harms the milk itself. Weak and dirty milk is still weak and dirty after it has been pasteurized. It would avoid confusion ii pasteurized milk were simply called heated milk, for that is all it is. Pasteurized milk is just as digestible and just as nutritious as raw milk. Only the harmful and frail varieties of bacteria are destroyed. Many harmless and hardy forms survive, and will continue to grow and multiply. Therefore, pasteurized milk turns sour and curdles in the same way that raw milk spoils. Pasteurized milk must be handled at least as carefully as raw milk. It may become infected after pasteurization. All milk, whether raw or heated, should be kept covered, cold and clean. Pure milk is better than purified milk, but it is so difficult to get pure milk that our only real safety lies in pasteurization. So long as raw milk is apt to be dangerous milk, our only protection lies in heating the milk, thereby killing the germs of tuberculosis, typhoid fever, diphtheria, scarlet fever, septic sore throat and other ills. Pasteurization Is a Public Health Safeguard 26 ALL ABOUT MILK .. For family use, it is advisable to obtain 1 1k !ready pasteur-iized by a trustworthy dairy. It is cheapen, Sa1er, and better to • JIIeat milk by wholesale in a large plant with competent supervision than to depend upon each household heating its daily supply. If drinking water needs purification, it is filtered at a central station, and not left for each individual kitchen. Babies should have mother's milk. There is no adequate substitute. If mother's milk is not available, babies are entitled to the best and freshest cow's milk that can be obtained. Whether such milk is to be modified, pasteurized, or otherwise treated is a question for the doctor to decide in each individual case. U n1ess very sure of the supply, the doctor will usually not take chances. and advise pasteurized milk for baby, especially during summer time. The simplest, cheapest, easiest and best method of making raw milk safe is to pasteurize it. The easiest way to pasteurize milk for family use-is to heat it in a double HOW TO boiler, such as a rice boiler, for three- PASTEURIZE quarters of an hour, and then to chill it quickly. The best and simplest home method of pasteurizing milk for infant feeding is in the Straus pasteurizer. Milk of good quality is placed in individual nursing bottles and heated according to directions given below. The Straus pasteurizer consists of a pail of water and a receptacle for the bottles of milk. It is used as follows: After the bottles have been thoroughly cleaned, they are placed in the tray (A) and :filled with the milk or mixture used for one feeding. Then put oo the corks or patented stoppers without fastening them tightly. The pot (B) is now placed on the wooden surface of the table or floor and filled to the supports (C) with boiling water. You Won't Eat Uncooked Fish; Why Eat Raw Milk? ALL ABOUT MILK 27 Place the tray:(A) with filled bottles into the pot (B) so that the bottom of the tray rests on the supports (C), and put cover (D) on quickly. After the bottles have been warmed up by the steam for five minutes, remove the cover quickly, turn the tray so that it drops into the water; replace the cover immediately. This manipulation is to be made as ra pidly as possible to avoid loss of heat. Thus it remains for twenty-five minutes. Fig. 72-Straus Home Pasteurizer Now take the tray out of the water and fasten the corks or stoppers a i r t i g h t . Cool the bottles with cold water and ice as quickly as possible, and keep them at this low temperature until cold. Use the milk from the bottles and do not pour it into another vessel. The milk should not be used for children later than twenty-four hours aft11r pasteurization. Emphasis is laid on the fact that only fresh, clean milk, which has been kept cold, should be used. It is to the interest of every householder that the milk supply should be carefully supervised. Is your milkman licensed? Are COMMONSENSE PRECAUTIONS his dairies inspected? It is more important to license persons engaged in the milk industry than it is to license plumbers, undertakers, or chauffeurs. New York, Washington, Boston and other cities require all persons who handle milk to obtain an official license or permit from the health authorities. Such a system helps the inspector to compel cleaner dairies and to get rid of sickly cows, and makes it easier to enforce the milk regulations and to improve the $upply. Milk should not be allowed to stand out-of-doors, but should be taken in as soon as delivered. To' prevent th~ dangerous Don't Waste a Drop 28 ALL ABOUT MILK Modem Method Keep Milk Clean, Cold and Covered ALL ABOU T MILK 29 Courtesy of H. P. Hood & Sons Pri,,ate House Safe. Showing Door Open, Milkman has Placed His .1\Iilk in Safe, Preparatory to Locking the Door One of tho Things That May Happen to Milk During the Early Hours of the Morning occurrence pictured here, the milk bottle should be protected in a box until taken into the house, and placed on ice as soon entitled as possible. In the home, milk should be kept cold, clean, and covered. If part of the milk in a bottle is used, do not replace the paper stopper, but invert a clean tumbler over the neck of the bottle and at once replace in the ice-chest. Never let the milk bottle stand around. Have a special place in the coldest part of the ice-chest for the milk bottles. The best way is to ha>e the milk bottle touching the ice. A cheap home-made ice-box for milk can easily be made by following the directions giYen in a pamphlet issued by the Metropolitan Life Insurance Company " The Child," page 20. Milk is readily tainted and absorbs odors and flavors just as charcoal does. It will soon taste of tobacco, onions, fish, or fruit if exposed to these things in an open pitcher or bottle. Turnips, onions, and other strong-tasting substances fed to the cow will also give a flavor to the milk. Milk should have no odor at all, or, at most, only Milk Builds Bone, Brawn a11d·Blood 30 ALL ABOUT MILK a slight characteristic odor. A "cowy'' odor, means smelly barns, poor dairy methods and tainted milk, Milk should never be placed in a bottle that has not been purified and disinfected by scalding with boiling water. Milk bottles should not be taken into the sick-room. They should never be used for any other purpose than to hold milk. I They should always be rinsed I in cold water and then thorough-ly washed and scalded before they ar~ returned to the milkman. Never take milk from a dairyman who does not disinfect his milk bottles with boiling water or steam. Inspection and pasteurization solve the milk problem. We need inspection to keep milk clean, and pasteurization to make SOLUTION TO THE MILK PROBLEM milk safe. Inspection goes to the root of the problem and helps bring us cleaner, better, fresher and safer milk. Inspection, however, has limitations. These limita-tions may be guarded against by pasteurization. It is certain that a milk supply that is both supervised and pasteurized is the only satisfactory solution of the milk problem. Milk Is the Best Food Use MORE Milk Milk Is Not a Beverage, But a Food 13y LORADO TAFT Courtesy Infant Welfare Society of Cbica~o. |
OCLC number | 888048137 |
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