THE MILK SITUATION IN THE DISTRICT OF COLUMBIA. 205 



To a very great extent. (Dr. R. G. Freeman, New York, N. Y.) 



Can not give estimate, but it is an important factor. (Dr. M. P. Ravenel, 

 Madison, Wis.) 



Infection is reduced by these precautions, but can not be prevented except by 

 pasteurization. (Dr. C. E. A. Winslow, New York, N. Y.) 



Theoretically could be entirely controlled. (Health officer Ann Arbor, Mich.) 



Cleanliness in handling milk and proper cooling of same appears to be a safe- 

 guard against infection. (Health officer Atlanta, Ga.) 



Depends upon whether tuberculosis is present on farm. (Health officer Bal- 

 timore, Md.) 



Largely eliminated. (Health officer Birmingham, Ala.) 



To a great extent. (Health officer Bismarck, N. Dak.) 



To a great degree; perhaps 50 per cent of milk-borne epidemics can be pre- 

 vented by efficient sanitary inspection. (Health officer Cleveland, Ohio.) 



Very great deal. (Health officer Columbus, Ohio.) 



It is barred if the prescribed conditions are enforced. (Health officer Detroit, 

 Mich.) 



The determining factor in the case of tuberculosis is its presence in the herd 

 not the method of management. It comes from the feces, which dry and are 

 blown about by the wind. (State board of health, Florida.) 



To the greatest possible extent. It is a matter of education-; and, secondly, 

 of careful supervision and prosecution. (Health officer Jacksonville, Fla.) 



Absolute cleanliness must be observed. (Health officer Kansas City, Mo.) 



An enormous extent. (Health officer Lynchburg, Va.) 



Greatly diminished. (Health officer Montclair, N. J.) 



The key to the situation rests with the handling. (Health officer Portland, 

 Oreg.) 



It is very expensive to always see that rules are being carried out. (Health 

 officer Providence, R. I.) 



It is almost completely done away with if inspections are thorough. Even. 

 tuberculosis is decidedly affected, as manure (a common component of dirty 

 milk) is the main vehicle by which the bacilli get into milk. (Health officer 

 Richmond, Va.) 



Not very much. (Health officer Rochester, N. Y.) 



We believe that milk contaminated by the urine or fecal matter of the cow 

 is extremely dangerous. The milker himself may infect milk, therefore the 

 conditions of the farm and the handling of milk are of vast importance. 

 (Health officer Seattle, Wash.) 



It should thoroughly control. (Health officer Syracuse, N. Y.) 



Very greatly, if sanitary requirements properly enforced by competent in- 

 spection. (Health officer Topeka, Kans.) 



Very largely, but extremely difficult of enforcement and the danger reap- 

 pears with any slip up. (Straus Laboratory, Washington, D. C.) 



Largely. It is to cleanliness that we must look for better conditions to 

 obtain in the milk supply. (Sharon Dairy, District of Columbia.) 



As it would be impossible for infection to creep in if all the prescribed con- 

 ditions for cleanliness, handling, and distribution were rigidly adhered to, it 

 would seem as if infection was influenced entirely by these points. (Borden's 

 Condensed Milk Co., New York, N. Y.) 



Comparatively little, except indirectly through education. (Walker-Gordon 

 Laboratory, Washington, D. C.) 



Largely. (Dr. V. C. Vaughan, Ann Arbor, Mich.) 



I feel sure that it is greatly influenced in this way. (Dr. S. C. Prescott, 

 Boston, Mass.) 



All eliminated except tuberculosis. (Health officer Los Angeles, Cal.) 



It is influenced almost entirely by conditions of cleanliness and in the 

 handling and the distribution. (J. M. Houston, White Cross Milk Co., Wash- 

 ington, D. C.) 



Cleanliness would eliminate all but tuberculosis. (Health officer San Fran- 

 cisco, Cal.) 



In my judgment, the contagious disease infection would be very much 

 reduced. (Health officer St. Joseph, Mo.) 



Very large extent. (Health officer Wheeling, W. Va.) 



Assuming that you refer to tuberculosis, we would say that there would 

 be no reduction except in so far as it might eliminate tuberculous individuals 

 from the handling of the milk. To some extent also by protecting the milk 



