CHAPTER XVII

MILK

COMPOSITION OF MILK

Milk as a Food

Milk contains all the elements necessary in a balanced diet for the

adult and furnishes an almost perfect food for the suckling. Milk

is lacking in iron and roughage and is therefore not suitable for

the sole diet of adults. This is compensated for in the infant by a

large amount of iron which is contained in the spleen and furnishes

this necessary element during the suckling period. There is no other

single food that will so well promote the growth and development in

young children. Milk is easily digested, is palatable, and forms one

of our best and most important articles of food. It is asserted that

the consumption of milk in the United States will average about 0.6

of a pint per capita per day. In many countries there is practically

no milk used. In the United States about 16% of the dietary consists

of milk and its products.

Milk is an animal secretion produced by the mammary gland and is

exceedingly complex in its composition. It consists chiefly of water

containing various solids in solution. Cow’s milk consists of 87%

water and 13% solids. The solids consist of fats in emulsion, milk

sugar, albumin, casein and mineral matter. Milk also contains such

gases as oxygen, nitrogen and carbon dioxide. It contains enzymes,

phosphatids and vitamins, also antibodies and other substances.

Fresh normal milk is an opaque fluid of white or yellowish-white

color and has a sweetish taste and rather pleasant odor. In reaction

milk is amphoteric, that is, it is acid to litmus and alkaline to

turmeric. The specific gravity of cow’s milk is from 1.027 to 1.035.

Under the microscope it is found to contain fat globules and cells,

also bacteria and other objects. The oxygen and nitrogen that are

found in milk are thought to be carried into it mechanically from

the air during the process of milking. Lecithin, cholestrin, citric

acid, lactosin, orotic acid and ammonia are found in milk in small

quantities.

Proteins

Casein, lactalbumin, and lactoglobulin are the three proteins found

in milk and are usually constant in a given species.

Casein is found nowhere in nature except in the secretion of the

mammary glands. It is highly specialized and, as a nucleoalbumin,

contains a certain amount of phosphorus. Lactalbumin is a protein

found in quantities varying from 0.2% to 0.8%. It is similar to the

serum albumin in blood and coagulates at 70° C. There is a mere trace

of lactoglobulin in milk. It is insoluble in water.

Fat

Milk contains fat in emulsion; that is, the fat is suspended in the

serum of milk in the form of emulsion. The fat is lighter than the

milk serum and therefore rises to the top in the form of cream,

or the fat may be separated from the milk by centrifugal force.

Cream does not consist in fat globules alone but contains the same

constituents as the milk, only it is very much richer in fat. By

agitating the cream, as in a churn, or by means of shaking, the fat

globules will coalesce and form into lumps of butter. It is stated

by some authors that cream contains a larger number of bacteria than

skim milk. The fore milk, or that which is first milked from the

udder, has a small amount of fat; the last that is taken, which is

known as the strippings, may contain as much as 9% or 10% of fat. An

increase in the temperature of the milk will retard the rising of

the fat and if the temperature is kept above 65° C. for any length

of time, cream will not form on top. Therefore, it follows that a

moderately low temperature will increase the rapidity with which fat

rises to the top of the milk.

Parkes says, “Milk should not have less than 12.5% of total solids of

which 3.5% is fat and 0.7% is salts; ... the percentage of cream by

volume not less than 10%.”

Infants placed on a diet of milk that is too rich in fats will

thrive for a while, but in time will lose weight and show other

symptoms, indicating the inability of Innate to digest the food. The

stools become hard and dry, of a pale color and composed largely of

fat soaps. This shows that Innate is unable to furnish sufficient

alkaline bases through the body to saponify the excessive amount

of fat in the intestines. This results in a condition resembling

acidosis.

Vitamins

Milk is found to contain all three vitamins, A, B, and C, known

as the fat-soluble A, water-soluble B, and water-soluble C. Cream

is rich in vitamin A. This vitamin increases growth and promotes

nutrition and is therefore valuable in the diet of the young. Vitamin

A and B are not destroyed by heat, unless it be a very great degree

for a long period of time; they also resist drying and age. For

this latter reason milk may be used in cooking and still retain the

virtues of these two vitamins, as well as do evaporated milk and

dried milk. Vitamin C is impaired and may be completely destroyed by

high temperature and deteriorates with age and with drying. There

is no article of food (diet) that is superior to milk in dietetic

and nutritional value, and especially is this true of butter fat.

The standard by which milk is tested is the amount of butter fat it

contains.

Lactose or Milk Sugar

Milk contains what is known as milk sugar or lactose. It is white

crystalline sugar, has a slightly sweet taste and is soluble in

water. When acted upon by microörganisms it is changed into glucose,

and the glucose is then reduced to lactic acid, the lactic acid being

the cause of the milk souring. Milk sugar is found nowhere else in

Nature.

SANITARY MEASURES IN PRODUCTION

Milk, a Germ Medium

Milk, because of its characteristic qualities, forms a medium in

which all kinds of bacteria and germs, or low forms of life, thrive.

When we consider the processes necessary to obtain the milk and

deliver it to the consumer, even though the most rigid sanitary

methods are observed, it can readily be seen that milk is exposed to

almost all kinds of dirt and to the different forms of organisms.

It is very difficult to obtain milk in a state of purity and if

germs played as important a part in the production of dis-ease as is

thought by some, one of the most important articles of diet would be

lost to mankind. Great quantities of these germs are ingested into

the stomach of individuals who drink milk.

These bacteria are carried into the milk during milking and in the

handling of the milk and the retainers. Bacteriological standards

have been established, but vary a little with different authors.

Usually it is agreed that certified milk should not contain more than

10,000 bacteria per cubic centimeter. Market milk should not have

more than 1,000,000 bacteria per cubic centimeter in the raw state

and not more than 50,000 per cubic centimeter after pasteurization.

It can be seen by this standard that even the relatively pure milk

contains great numbers of bacteria and yet these bacteria are

ingested into the digestive tract and no harm done. As a matter of

fact, this helps to substantiate the contention of Chiropractic that

these germs and the different bacteria are essential to life. There

is no question, however, that poisons may be contained in milk,

and when these are taken into the stomach Innate may not be able

to properly adapt the tissues and thus a toxic condition will be

produced.

Because of the characteristic qualities of milk, the strictest

sanitary measures should be observed in all the processes involved,

from the time the milk is taken from the cow until it is delivered to

the customer.

Milk undergoes certain physical, chemical and biological changes as

soon as it is taken from the cow: the cream rises and thus it is

separated from the milk; there is also a separation of the solids

from the fluids.

Care in the Milking

A sanitary environment should be provided for the cows and special

care should be taken in the process of milking to prevent the milk

from becoming contaminated with dirt and filth. Those who handle this

milk should take proper precautions to prevent dirt from getting into

it. All utensils should be kept clean, sweet and free from sour milk.

Sanitary measures should include: Proper care and feeding, or the

health of the milch cows; (2) proper regulation of the bottling and

transportation of the milk. The cows should by all means be healthy,

inasmuch as milk is an animal secretion. It is certain that if the

animal is suffering from dis-ease, this secretion will not be normal.

Over-exertion and fright will also affect the milk. Care must be

exercised to detect dis-ease and such dis-eased animals should be

separated from the herd and their milk not used.

Care of the Cows

The cows should have plenty of exercise, but care should be taken

that they are not frightened or over-exerted. They should be provided

with proper protection from the weather and should have plenty of

fresh hay, ground whole grain, and, when possible, be allowed to

graze. Spoiled vegetables or fruits, foul or fermented foods are

detrimental to dairy cows. A proper supply of salt is necessary and

plenty of pure, fresh water is absolutely essential for the health of

cows.

Barns and Barnyards

The barns and barnyards where milch cows are kept should be free from

manure, pools of stagnant water, dirt and refuse. The ground should

be well drained so that it will not become water-logged. Such ground

should be located on elevations to assure proper drainage. The habit

of allowing the refuse to accumulate in large quantities before

hauling it away is not only repulsive but very unsanitary and may

become a source of pollution of the milk supply.

[Illustration: barn stalls]

Stable should be constructed to assure proper ventilation and to

provide proper shelter for the animals. The floors should be of

material that is non-absorbent, well drained, and easily cleaned.

Concrete is best. Each cow should have a separate stall furnished

with a stanchion. The walls should be of material that can be

cleaned. There should be 600 cubic feet space for each cow in the

barn.

Bottling

Milk should be strained through gauze placed over the wire strainer.

All the utensils should be thoroughly cleaned after each milking and,

if possible, sterilized in a steam sterilizer. The straining should

not be done in the barns where the cows are, but in special separate

milk houses. The bottling should be done only in establishments

specially fitted for such purpose.

Proper Temperature

Milk should be kept at a temperature not above 50° F. during

transportation. The cans or bottles should be properly covered,

sealed, and the milk protected from too much agitation.

Because milk undergoes a very rapid change, beginning almost as soon

as it is drawn from the cow, it is necessary to either consume it

in a short time or provide some means of preserving it. Milk soon

deteriorates, becomes sour and unfit for use as food.

The best means of preserving milk is to keep it at a low temperature.

Bacteria are not destroyed in low temperature, but the activity

is inhibited and their development retarded. In this way milk is

kept from souring and from undergoing fermentative changes. The

digestibility and character of milk are not changed by cold, and it

will be sweet for a day or even longer if kept at a temperature under

50° F.

An entirely sterile milk may be furnished only by raising the

temperature to 248° F. for at least two hours, but this destroys the

milk ferments. There are certain changes produced by boiling milk

which renders it less desirable for food, making it less digestible.

It is, therefore, especially undesirable for infants.

PREPARATION OF MILK AND MILK PRODUCTS

Pasteurization of Milk

In pasteurizing milk it is heated to a temperature of 60° C. (140°

F.) for a period of twenty minutes. This destroys the so-called

pathogenic germs, yet does not destroy the ordinary milk ferments. It

does not change its digestibility nor alter the taste or appearance.

All of the so-called pathogenic germs, such as tuberculosis, typhoid,

dysentery and diphtheria, for example, are completely destroyed by

pasteurization, but the ferments are not destroyed and the milk is

in no way altered. This process may be accomplished on a large scale

and thus furnish as safe milk for commercial consumption. Pasteurized

milk should be rapidly cooled after heating, and if kept cool

furnishes a clean, healthy milk entirely safe and satisfactory for

infant food as well as for adults.

Pasteurization furnishes a purified milk but not a pure milk. It is

undoubtedly the best means of preservation and may be considered as

bearing the same relation to purification of milk as filtration bears

to purification of water.

The use of formaldehyde, borax and boracic acid is as objectionable

in artificial preservation of milk as in the preservation of meat and

other foods and should not be tolerated.

Condensed Milk

Milk is condensed by removing some of the water. It is made either

from skim or whole milk. It may be unsweetened or sweetened with cane

sugar. Condensed and evaporated milk should contain a label stating

the grade of milk used. Condensed and evaporated milk are poor in

vitamin C.

Dry Milk

It has been found that by certain processes it is possible to dry

milk, taking all the water out and leaving a powder. This may be

accomplished and still retain most of the nutritive value of the

milk. Vitamin fat soluble A and water soluble B remain practically

the same, but water soluble C vitamin is diminished. Babies fed

on dried milk will thrive, but orange juice or some other food

containing antiscorbutic properties must be given to compensate for

the loss of vitamin C. Dried milk provides an adequate supply to many

parts of the country and to the cities, where it is difficult to

obtain fresh milk.

Butter

Butter is produced by placing cream in a proper apparatus and

agitating or churning it until the fat globules coalesce into lumps.

These lumps are then taken out of the serum known as the buttermilk

and the water and milk worked out until it becomes more or less

solid. When butter has had the milk and water worked out of it the

constituents should be in about the following proportions: Fat,

83.5%; curd, 1.0%; ash, 1.5%; milk sugar, 1.0%; water, 13.0%. By

weight butter should never contain more than 16% of water and should

contain at least 80% of fat.

Owing to the conversion of the fat into fatty acids butter will, in

the course of time, become acid, rancid and unfit for table use.

Oleomargarine is a product resembling butter. It is manufactured from

animal fats and vegetable oils. It is not as desirable an article

of diet as butter. It contains margarine fat and only .5% of the

volatile fats, while butter fat contains about 8%.

Oleomargarine may be distinguished from butter by boiling. Butter

boils more quietly and a foam is formed on top, while oleomargarine

sputters much like oil mixed with water and there is little or no

foam produced.

Cheese

Cheese is manufactured from skim milk, whole milk, or milk to which

cream has been added. The more cream the richer is the product.

Coagulation of the milk is accomplished by adding rennet; the curd is

then pressed to expel the whey; next it is placed in molds and kept

in a cool place to ripen. After cheese has been properly ripened it

makes an excellent article of diet. It contains a large proportion of

nitrogenous substances. There are many grades of cheese, the quality

depending not only upon the process involved in the manufacturing,

but also upon the richness of the milk from which it is made.

A text-book on hygiene and pediatrics from a chiropractic standpoint · 第 38 / 55 章