TABLE OF CONTENTS, 



Pago. 



TABLE OF CONTENTS 5 



LIST OF APPENDIXES !.!!!!!!! 



I. INTRODUCTION ........". 9 



II. COMPLAINTS FILED AGAINST HEALTH DEPARTMENT^ DISTRICT "OF 



COLUMBIA 14 



Items of complaint i 14 



Findings of committee 15 



Use of concrete floors 16 



Effect of proposed changes on the price of milk 16 



Authority for health regulations is 



Delay in issuance of permits 18 



Extent of District milk supply 20 



Reasonableness of railway transportation charges 20 



Use of preservatives 20 



Feeding of brewery and distillery by-products 20 



Possible milk famine in District of Columbia 21 



Milk-inspection service 22 



Failure to prosecute consumers returning unrinsed bottles 23 



Laboratory facilities of health department 24 



Reporting of communicable diseases 24 



Score-card system of rating dairy farms and dairies 24 



Proposed investigation of health department, District of Columbia. 26 



Alleged evidences of milk trust 26 



Classification of milk for local market recommended 27 



III. GENERAL CONSIDERATIONS 28 



Importance of milk as an article of food 29 



Definitions of milk and cream 29 



Certified and inspected milk 30 



Sources of contamination of milk 30 



Diseases resulting from contaminated milk 32 



Nutritive value of milk '. 



Improvement in sanitary dairy conditions 34 



Unwholesomeness of city market milk 34 



Federal investigations of sanitary milk production 36 



Flies a potent factor in contamination of milk. 36 



IV. HISTORY OF FEDERAL AND LOCAL REGULATION OF MILK SUPPLY 



Federal surveillance of milk production 37 



National food and drugs act 



Sanitary arrangements for dairy farms 



Necessity for further safeguards 39 



Milk and cream contests 40 



New York milk conference 40 



Milk regulation in District of Columbia. 42 



Investigation of prevalence of typhoid fever 43 



Act of March 2, 1895 43 



Regulations for stabling cows 44 



Installation of filtration plant 44 



Washington milk conference of 1907 46 



Recommendations of Washington milk conference indorsed 49 



Food and drugs act, District of Columbia 49 



Proposed additional legislation 



Detail of board to investigate outbreaks of typhoid fever 



Symposium of causes of typhoid fever in District 



Milk epidemics 



Restriction of milk furnished employees of executive departments. . 

 Regulations concerning milk for District government employees 



and institutions 



Disposal of the Nathan Straus Washington laboratory 



5 



