The modern milk problem in sanitation, economics, and agriculture . tmilk of about 8 cents. While some of the excess maybe due to lack of business methods among producers,it is chiefly necessitated by the expense of special equip-ment and methods and by the small scale of is, of course, true that if certified milk were morewidely used, some elements in its cost—such as super-vision and distribution—would be cheapened, but theprice must evidently always be decidedly higher thanthat of a widely used market milk. States. On the part of the medical milk commissions the object issimpl


The modern milk problem in sanitation, economics, and agriculture . tmilk of about 8 cents. While some of the excess maybe due to lack of business methods among producers,it is chiefly necessitated by the expense of special equip-ment and methods and by the small scale of is, of course, true that if certified milk were morewidely used, some elements in its cost—such as super-vision and distribution—would be cheapened, but theprice must evidently always be decidedly higher thanthat of a widely used market milk. States. On the part of the medical milk commissions the object issimply to insure, through special encouragement, a clinically satis-factory class of milk. Over sixty commissions have been established,though nearly one-third of the number have become inactive. Ageneral organization exists in the American Association of MedicalMilk Commissions, which has formulated methods and standards forthe production and distribution of certified milk. The producers havealso organized themselves in an Association. __ 6 tc a ^ a i ^^ O 0 H oo. -M c 0 -^CO 13 o O O THE SANITARY FACTORS 69 The general practical weakness of certified milk isthat it demands multifarious precautions to obtain aresult which, as we shall show later, appears to beobtainable by much simpler and less expensive means. It must also be remarked that medical milk com-missions have undertaken, through practical exigency,a function of supervision which properly pertains tothe public health authorities. While they have served,and continue to serve, a useful purpose, it is a fact that,as official control becomes better and better developed,the value of such unofficial or quasi-official bodiesdiminishes toward the vanishing point. It is simplyan evidence of deficient development in public healthprotection that in many communities certified milkis the only milk distinguished as a standardized classfrom the bulk of the market product, and that in manymore others there is no milk at all of such


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