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PROCEEDINGS

OF THE

ELEVENTH, THIRTEENTH, FOURTEENTH,
FIFTEENTH AND SIXTEENTH

ANNUAL CONFERENCES

OF THE

AMERICAN ASSOCIATION
OF MEDICAL MILK

COMMISSIONS

IN CONJUNCTION WITH

THE CERTIFIED MILK PRODUCERS'
ASSOCIATION OF AMERICA

Eleventh Annual Conference held at
BROOKLYN, N. Y., JUNE 1 AND JUNE 3, 1917.
Thirteenth Annual Conference held at

NEW ORLEANS, LA., OCTOBER 27 AND 28, 1919.

Fourteenth Annual Conference held at
LOUISVILLE, KY., NOVEMBER 15 AND 16, 1920.

Fifteenth Annual Conference held at
BOSTON, MASS., JUNE 6 AND 7, 1921.

Sixteenth Annual Conference held at
ST. LOUIS, MO., MAY 22 AND 23, 1922.

(No CONFERENCE IN 1918)

CHICAGO, ILLINOIS

AG

1917-83

Edited under the direct supervision of

R. R. Ferguson, M.D., Secy.-Treas.

American Association of Medical Milk Commissions.

Chicago, Illinois.
November, 1922.

STAR OHO

PREFACE

This volume, containing the proceedings of the Eleventh, Thirteenth, Fourteenth, Fifteenth and Sixteenth annual meetings of the American Association of Medical Milk Commissions, is added as another chapter of the history of the production of clean, safe, raw, cow's milk.

To those of the readers who are familiar with Certified Milk, this volume will be as the welcome visit of an old friend; to the stranger and student of dairy hygiene it comes as the composite picture of several years' activities of the various Medical Milk Commissions and Certified Milk Producers.

The production of Certified Milk is the result of the demand of the medical profession for a clean, safe, raw, cow's milk for the feeding of infants and invalids. This production and marketing of a food stuff of exceptional merit was in the beginning of the life of this organization largely done as a philanthropy rather than as a business, but as the merit and continued excellence of the product became more widely known, Certified Milk became an article of commerce recognized as an integral part of the great dairy industry.

Certified Milk was brought into existence because of the fact that there was no market milk obtainable that would be considered fit for human consumption today, and has been the greatest factor in the improvement in the market milk of the cities and towns of this country. It was the tangible evidence that it was and is possible to produce under practical conditions a milk of low bacterial count.

In the normal competition that exists in all business, it would be passing strange were the distributors of market milk zealous workers in the interests of Certified Milk and the Association of Medical Milk Commissions has no illusions on that score.

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The various municipal health authorities are a cause for considerable anxiety on the part of the organization. This is not because these authorities do not appreciate the value of clean milk but rather because of ease of administration they desire that all milk sold in their communities be pasteurized. However, the greatest menace to the good name and future of Certified Milk lies in the activities of certain scientific men who are propagandists for various manufacturers of dairy utensils and bottling devices. By reason of the standing of these men it is possible for them to have printed articles on the need of pasteurization and they lay very special stress on the need of the pasteurization of Certified Milk.

Milk as a disease carrier has received much attention in both the lay and scientific press and it is this possibility of the transference of disease which constantly overshadows all Commissions and Producers of Certified Milk and it is a possibility from which all milk handlers will never escape, not excepting pasteurized milk. In the argument for the pasteurization of Certified Milk, they do not bring out the enormous epidemics traced to pasteurized milk which have occurred when most efficient pasteurization plants were in daily use, nor do they give Certified Milk credit for elevating the standard of the dairy industry to its present position.

Certified Milk is here to stay just so long as there is need for a high grade of pure raw milk for infant feeding, and so long as the component Milk Commissions of the American Association of Medical Milk Commissions insist on every safeguard which our beloved Dr. Coit laid down as a working basis over thirty years ago.

J. W. Van Derslice, M.D. Oak Park, Illinois, November 15, 1922.

TABLE OF CONTENTS.

Page

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The Public Significance of Bovine Tuberculosis, Annual Review,
by Mazyck P. Ravenel, M. D., Columbia, Mo.......
Welcome from the Certified Milk Producers' Association, by
Mr. Harry B. Winters, Albany, N. Y....
Economy In Dairy Hygiene, by Cassius Way, D. V. S., Brook-
lyn, N. Y.....

Treasurer's Report, by J. P. Sedgwick, M. D., Brooklyn, N. Y..
Secretary's Report, by Otto P. Geier, M. D., Cincinnati, Ohio...
Report of Milk Contest, by Mr. J. H. Gamble, Washington, D. C.
Conclusions and Suggestions from a Questionnaire, by A. F.
Furrer, M. D., Cleveland, Ohio.....

PROCEEDINGS SECOND SESSION...

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