OUTLINES OF A POLICY OF EEFORM 285 



gest that the cities should trust too implicitly the 

 state inspectors. 



At the same time, it is evident that the- burden of 

 inspection falls too heavily upon our cities at the 

 present time. I take the case of New York City 

 as an illustration, because I am more familiar with the 

 details of its system of inspection, and because the 

 situation in other large cities is different only in de- 

 gree. A very brief summary of conditions will suffice 

 to show how enormous the problem is in a great city.^ 



The daily milk supply of New York City averages 

 about 1,600,000 quarts. This great ocean of milk is 

 drawn from more than 35,000 farms, shipped through 

 some 700 creameries. These farms and creameries 

 are located in Vermont, Massachusetts, Connecticut, 

 Pennsylvania, New York, New Jersey, and Ohio. 

 It will be Seen at once that the health authorities 

 of the city have no legal powers in other states. As a 

 matter of fact their authority is confined to the geo- 

 graphical limits of the city. But the Sanitary Code 

 of the city of New York provides that "No milk 

 shall be received, held, kept, offered for sale, or 

 delivered in the city of New York without a permit 

 from the Board of Health." 



Herein lies the power of the Board of Health in 

 sending its inspectors outside of the city limits, even 

 into Other states. It can refuse a permit for the 

 toilk to enter the city until satisfied that, it is produced 



