This was written at a time when the study of bacteria was yet in its
infancy, and before any direct experimental evidence had been obtained
on the behaviour of microbes in milk or concerning the part played by
them in the dissemination of disease. The writer evidently did not
venture to cast further aspersions on the character of milk, or he
might have included diphtheria amongst the diseases which can be
spread by its means; but there is another omission which still more
conclusively indicates the remote age in the history of bacterial
science at which this correspondent to the _Lancet_ wrote, and that is
the absence of all reference to the tubercle bacillus in relation to
milk. At the present day hardly a bacteriological journal is published
which does not contain some reference to the question of tuberculosis
and milk, and the transmissibility of this disease when present in
cattle to man.
As regards the dissemination of various zymotic diseases by milk, the
evidence which has been collected points very conclusively to the
responsible part which may be played by milk in this connection. Many
instances have been cited, also, of the culpability of milk in
distributing typhoid germs. A striking case which occurs to me, and
which may be mentioned in passing, is one which occurred in a city in
America a few years ago, in which an outbreak of this disease was
traced to a dairy in which the vessels had been washed out with
typhoidal-polluted water. No less than 386 cases of typhoid declared
themselves in six weeks, and of this number over 97 per cent. occurred
amongst families obtaining their milk from the same dairy. A careful
inspection revealed the fact that the milk-cans had been rinsed out
with water from a shallow well contaminated with typhoid dejecta.
Diphtheria is also justly associated with infected milk, and if we
take into consideration the now established fact that diphtheria
bacilli thrive and multiply with particular facility in milk, even
more so than in ordinary broth cultures; that they have been found in
air in a vital and virulent condition, and may be scattered far and
wide attached to dust particles; and if we remember the numerous
opportunities offered for the infection of milk by persons handling
it, who either themselves are suffering from this disease or are in
diphtheria surroundings--then indeed we can readily understand how
milk becomes a diphtheria-carrier of the first order.
Tuberculosis in cattle, and how this disease may affect the character
of dairy produce, is, as already pointed out, a subject which is
attracting the attention of a large number of investigators.
The general public is perhaps hardly aware of how widespread this
disease is amongst cattle, and it is only of late years that very
careful inquiries have elicited the fact that it is not only very
extensively distributed, but may be present in animals to all outward
appearance in perfect health.
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