238 APPENDIX E 



to be unamenable to advice and instruction how to produce cleaner 

 milk. Since 1909 the Statute standards of solids and fats have been 

 enforced, about 1,500 to 2,000 chemical examinations being made 

 yearly. 



2. We have no "milk problem" here that I recognize as such. 

 The one matter in which I would like to see a change is for the 

 public to be more willing to pay a higher price for the cleaner milk. 

 This would be automatically brought into effect by sanitary grading. 



3. From the standpoint of a health official I would say the most 

 important single regulation is the one limiting the bacterial content 

 of milk intended for sale. 



4. As regards pasteurization I believe that the New York system 

 of grading as well as the scheme just proposed by the Massachusetts 

 State Health Department will both serve admirably to induce quite 

 general pasteurization. I believe it should be generally required 

 and that we can hardly err in so doing. 



The retail price of milk in Brockton is nine cents, which 

 implies that sanitary improvements have been brought about 

 without excessive increment of cost. 



For a city with a raw milk supply, Brockton has been 

 unusually free from traceable outbreaks of milk-borne dis- 

 ease. In 1915, however, two such occurred, involving 

 (though promptly checked) some 48 cases; * merely an- 

 other demonstration of the fact that city milk supplies, 

 however clean in the ordinary sense, may carry infection 

 unless efficiently pasteurized. 



PALO ALTO, CAL. 



As an illustration of experience in a small community, 

 Palo Alto, Cal. (population ca. 6,000), may be taken. Mr. 

 Harold F. Gray, the former Health Officer, f has kindly fur- 

 nished some particulars. This community relies upon tuber- 



* Personal communication, Mr. Boiling, 

 t Now Asst. Health Officer, San Jose, Cal. 



