510 MILK 



top should be used for mixing therein 20 ounces of formaldehyd and 10 ounces 

 of permanganate. A cylinder at least 5 feet high is suggested. The contain- 

 ers should be placed about in the rooms and the necessary quantity of per- 

 manganate weighed and placed in them. The formaldehyd solution for each 

 pail should then be measured into a wide-mouthed cup and placed by the pail 

 in which it is to be used. 



Although the reaction takes place quickly, by making preparations as 

 advised all of the pails can be "set off" promptly by one person, since there is 

 nothing to do but pour the formaldehyd solution over the permanganate. 

 The rooms should be kept closed for four hours. As there is a slight danger 

 of fire, the reaction should be watched through a window or the pails placed 

 on a non-inflammable surface. 



97. Following a weekly medical inspection of the employees, a monthly 

 report shall be submitted to the secretary of the medical milk commission, 

 on the same recurring date by the examining visiting physician. 



The following schedule, filled out in writing and signed by himself, is 

 recommended as a suitable form for the attending physician's report: 



This is to certify that, on the dates below indicated, official visits were 

 made to the dairy, owned and conducted by of (indi- 

 cating town and State), where careful inspections of the dairy employees 

 were made. 



(a) Number and dates of visits since last report. . 



(6) Number of men employed on the plant. . 



(c) Has a recent epidemic of contagion occurred near the dairy, and what 



was its nature and extent? . 



(d) Have any cases of contagious or infectious disease occurred among 



the men since the last report? . 



(e) Disposition of such cases. . 



(/) What individual sickness has occurred among the men since the last 

 report? . 



(g) Disposition of such cases. . 



(h) Number of employees now quarantined for sickness. . 



(i) Describe the personal hygiene of the men employed for milking when 

 prepared for and during the process of milking. . 



(j) What facilities are provided for sickness in employees? . 



(fc) General hygienic condition of the dormitories or houses of the em- 

 ployees. . 



(0 Suggestions for improvement. . 



(ra) What is the hygienic condition of the employees and their sur- 

 roundings? . 



(n) How many employees were examined at each of the foregoing 

 visits? . 



(o) Remarks. 



> 



Attending Physician. 

 Date, . 



BIBLIOGRAPHY 



Coit: Kentucky State MedicalJournal, May, 1908. Archives of Pediatrics, 

 1912, vol. 29, No. 8. 



Essex County Medical Milk Commission: 22d Report, May, 1911. 



Heinemann: Hoard's Dairyman, 1910, vol. 41, p. 1223. 



Kelley: Bulletin of the United States Dept. of Agriculture, No. 1, Septem- 

 ber 17, 1913. 



Lane: United States Dept. of Agriculture, B. A. I., Bull. 104, May, 1908. 



Proceedings of the American Association of Medical Milk Commissions: 

 Sixth, Seventh, and Eighth Annual Conferences, 1912, 1913, 1914. 



