We would pure surfaces of the milk dishes. indeed be thankful for even an approach to these

conditions in India where the usual to carry

ditions

on

as

the milk trade under

is

practice filthy

as

con-

is conceivable.

The effects of uncleanliness and structural connection of the dwelling-houses with the cowshed and dairy premises were exemplified by details

epidemics of enteric fever, scarlet fever, and diphtheria that had been caused

illtQ Jmlimr JPtytliipl fctjttc, AUGUST 1890.

LIC HEALTH.

This

Glasgow o

the

West of Scotland

and

Discussion Society. facts which the

It is

numerous

a

Agricultural O

brief summary of the

investigations into outdairy-farm have

breaks of disease traceable to the

elicited,

and of the scientific theories which have

been built up regarding the causation of these epidemics from a bacteriological point of view. The lecturer

put clearly

before the farmers

special defects not uncommon to the business of a dairyman which, simple as they may seem and easily remedied, yet existing, are accountable for a large amount of sickness spread by the

two

The first is the want ofcleauliagency of milk. and the ness, mixing up of the business with the family life of the farmer or milk agent, and the

second,

is the

want of attention to

conditions of the

cows

and the

the health

disposal

of milk

from diseased animals. Dr. Russell

aptly

possible

un-

by a detailed account of the results of Lister's experiments on lactic fermentation, and remarked that the path to what is attainable practice is the same as ideal; only not pursued

that which leads to the so

far,

so

that to avoid

loss from souring and other deteriorations in milk, is to remember the conditions of .Lister's

experiments near to

glasses, and get as possible?the pure fresh air of clean hands of the dairymaid,

with his little

them

as

so

far back

with enteric fever which 1857

as

fully

the

orchard,

the

the

carefully

washed teats of the cow, and the

Dr. Michael

by

the

was

ed in 1881.

Up

Taylor

referred to Mr. Hart's

tabulated record of milk

epidemics

of

care-

collect-

that date there had been 50

to

outbreaks of enteric fever comprising in round uumbers 3,500 cases. In 1889, to this record Professor Davies, the Assistant Professor of

Hygiene

at

added 19

Netley,

with

epidemics

about 400 cases, so that in all 69 epidemics in which enteric fever was conveyed to 3,900 persons by means of milk have been recorded. Of these occurred in

eight

and

around

Glasgow,

and

Dr. Russell describes the circumstances under which these eight epidemics whichhe

investigated

himself occurred.

In all it is

itary conditions existing

in the

farm, well and utensils

or

the

cows

cans

who

were

;

nursing

washed with the

same

dairy, cowshed, people milking

of the

tale of insan-

a

sick,

or

of milk-

dish-cloth which

was

used about the persons of the sick ; or of milkcans exposed iu the same room with the sick or

of soiled linen

dishes.

illustrated the

cleanliness

in

Beginning

first human disease traced to milk contamination

Penrith, Dr. Russell

subject, of an excellent address delivered at the beginning of the year by Dr. Russell, Health Officer of Glasgow, to the was

some

milk.

by

SOME OF THE RELATIONS OF THE BUSINESS OF THE DAIRY FARMER TO PUB-

concering

about among the milk Want of cleanliness and the mixing

lying

up of the business with the family life was traceable in each. Nor was it less so in the 33 recorded

cases

of scarlet fever

affecting over a family of

existence of

persons. The young children where the dwelling-house, the milk house, and the scullery are in structural

1,600

connection

implies

a

constant

threatening

of

possible mischief to the farmer or the milk agent. The practical point to be aimed at is to separate the dwelling-house and family life from all connection with the

dairy

business.

premises relating

to

the

Aug.

DIPHTHERIA.

1890.]

Dr. Russell then dwelt

on

tion of the cowshed and relation

in

pointed

to

quality

of the

He

milk.

recent years competent trained in the investigation of ?

men

epidemic outbreaks, practised modern

cow

that in

out

medical

the

sanitary condi-

the

the health of the

of

methods

in the

research,

use

of

proved

239

this

by experiment.

also have mentioned in

Dr. Russell micrht this connection the

Vaughan in regard to tyrotoxicon. Mr. Smee exposed milk in open vessels to sewer gas from an uutrapped drain and obtained of Dr.

name

from it and

a

distillate which had

au

offensive smell

the distillate

set Tasting bacteriologists headache, vigorous rapid pulse, microscopists had become up convinced that certain obscure conditions in the and was followed by severe diarrhoea. In fact, cow may originate scarlet fever in man, and he found the distillates of milk exposed to that recently diphtheria, tuberculosis, foot and decomposing animal matter were so offensive and mouth disease and actinomycosis had been dangerous to health that he did not continue

accomplished

and

Accounts of these

included in the list.

given,

and the

were

that

practical conclusions drawn,

in the individual

as

in the cow, the

so

these diseases is to

method of

only

put the

cowsheds

preventing and their surroundings

in

sanitary

condition, and

slightest sign

of udder

accepted

disease

as a

sufficient

given

cows was

that the

a

perfectly

other disease should be

or

reasou

animal's milk from the to the

for

common

excluding

the

stock. The food

also commented "

on as

being

"

arisimportance. ing from eating the leaves of the rhus toxicodendron or poison oak was mentioned. The milk produces poisoning sometimes with fatal results a

The

matter of

in children. The

trembles

injurious effect of brewers'grain,

distillery swill, and sewage grass on the milk was also alluded to. The necessity of judgment in

feeding milch cows was exemplified by quoting Mr. Smee's observation on this subject, who gave to a cow such large quantities of oil cake that the milk became useless for the table. The drink

was

also

important. Impure water quality of the milk apart from

deteriorates the

any disease it may cause. Lastly, Dr. Russell drew attention to the fact that if milk is exposed to unwholesome

surroundings,

it

is

not

to be

that

imagined

milk

glaring

epidemic breaks out no harm accrues. organic bodies milk acquires poisonous proby simple decomposition the formation of animal alkaloids, from perties because

no

Like all

vital piocesses of the septic behind all decomposition. bacteria which Many diarrhoeas and simultaneous outbreaks

the result ot the

are

in families of

unpleasant

an

vomiting,

depression originate

in

giddiness, purging this way.

Mr.

and

Srnee

his

taste.

intense

experiments.

Some of the Relations of the Business of the Dairy Farmer to Public Health.

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