From swill milk to certified milk
Industrialization and urbanization jeopardized infant nutrition during the 19th century. Cow’s milk was produced in the cities or transported long distances under suspect conditions. Milk was contaminated with bacteria or adulterated with water, flour, chalk, and other substances. When distilleries proliferated in the metropoles, their waste slop was fed to cows who then produced thin and contaminated swill milk. Following a press campaign in the US, the sale of swill milk was prohibited in 1861. Bacterial counts became available in 1881 and helped to improve the quality of milk. Debates on pasteurization remained controversial. Disposal of the wastewater of millions of inhabitants and the manure of thousands of cows was environmentally hazardous. It was not until 1860 and after several pandemics of Asiatic cholera, that effective sewage systems were built in the metropoles. Milk depots were established in the US by Koplik for sterilized and by Coit for certified milk. In France, consultation services named goutte de lait distributed sterilized milk and educated mothers. Efforts to improve milk quality culminated in the International Congresses for the Prevention of Infantile Mortality.