It has become increasingly evident that in the course of pasteurization
milk loses an important measure of antiscorbutic vitamine. The term
pasteurization, when employed in this connection, is not meant to be
synonymous merely with the heating of milk to 140° to 165° F., but
embraces the entire commercial process--the heating, handling,
subsequent cooling, aging and all other factors involved. There can be
no doubt that milk which has undergone this elaborate treatment has
suffered in its antiscorbutic property. In 1914 Hess and Fish reported
mild cases of scurvy occurring among infants who had received milk
heated to a temperature of 165° F. for thirty minutes. This degree of
heat is claimed by many physicians and hygienists, including the
National Commission on Milk Standards, not to destroy its chemical
constituents. Nevertheless typical cases of scurvy supervened after this
diet had been followed for a period of six to nine months. Subsequent
experience, published by Hess in 1917, with milk heated to only 145° F.,
served to confirm the previous observations. That these cases were true
scurvy was proved by the fact that a cure resulted when raw milk was
substituted. A similar experience in Berlin reported by Neumann and
others was convincing, but was not heeded in this country. In 1901 one
of the largest dairies in that city established a pasteurizing plant
where all milk was raised to a temperature of about 60° C. After an
interval of some months infantile scurvy began to be reported from
various sources throughout the city. Neumann depicts the situation as
follows: "Whereas, Heubner, Cassel and myself had seen only thirty-two
cases of scurvy from 1896 to 1900, the number of cases suddenly rose
from the year 1901, so that the same observers--not to mention a great
many others--treated eighty-three cases in 1901 and 1902." At a spirited
meeting held by the Berlin Medical Society in 1903 to discuss this
subject, Heubner was able to report 65 cases. An investigation was made,
and the pasteurization discontinued. The result was almost immediate,
the cases decreasing just as suddenly as they had increased. These
reports and others demonstrate that unless additional antiscorbutic food
is given, a diet of pasteurized milk will lead to the development of
scurvy. As the antiscorbutic vitamine is not entirely destroyed by
pasteurization, the severity of the disorder will be in inverse ratio to
the amount of milk which is consumed.
Public-domain text, read in full here on John Shaqi.
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