Is Raw Milk Safe? Which Side Are You On?
The New York Times weighs in on the raw milk controversy more than six months after our coverage began. In January of this year on Serious Eats Nathalie Jordi linked to a fascinating story in Salon that dramatically depicts the starkly different positions of raw milk advocates and opponents. Raw milk proponents claim that not only is it safe to drink, it can cure and reduce the effects of debilitating diseases like eczema, arthritis, and asthma. The subject of the Times story, Nina Planck, is a passionate raw milk advocate. The Centers for Disease Control is equally emphatic about the potential hazards of drinking raw milk, citing evidence that in recent years, children and adults have contracted E. coli and salmonella after drinking raw milk.
And in April of this year we linked to a story in the Brooklyn Eagle describing the raw milk "black market" that allows raw-milk-obsessed New Yorkers the opportunity to buy the illegal cow juice through clandestine "raw milk clubs."
As much as I find the idea of a clandestine raw milk club amusing, the evidence presented in the Salon piece is rather sobering on the one hand (people dying after drinking raw milk) and confounding on the other (raw milk apparently offers people with serious health problems hope and perhaps actual symptomatic relief). And moving to California, where raw milk is legal, doesn't really clarify the issue, though it would mean you wouldn't be arrested or fined for possession of the uncontrollable white substance known as milk.
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11 Comments:
I hadn't read the Salon article till just now, but I have to say that all those anecdotes are just that - they are not *evidence* of anything. People with chronic illnesses often get better on their own, or because of something else going on in their diet or the rest of their life. On the other hand, we know that raw milk consumption increases risk of a variety of bacterial illnesses, some of which can kill you. If you want to test raw milk's miraculous healing properties in a randomized trial, the only way to know for sure, you'd probably have trouble getting a study to pass muster because of the known risks of raw milk. I blogged about the issue just this morning (http://health-counterspin.blogspot.com/2007/08/raw-milk-russian-roulette-is-right.html), and you'll see that the Washington Post wrote about it in yesterday's health section.
emily20008 at 8:54AM on 08/08/07
Emily200008 sounds like a shill for the FDA. "People with chronic illnesses often get better on their own...raw milk...increases risk of...bacterial illnesses...which can kill you."
We've been discussing these issues on my blog (www.thecompletepatient.com) for nearly a year now, and I've been exploring cases of farmers shut down for selling raw milk, and I can tell you that the FDA/Emily stuff is full of holes. The CDC's own statistics suggest that pasteurized milk is equally dangerous in terms of pathogens. As for chronic conditions improving, I suggest you take a look at some of the testimonials posted last February on my blog:
http://www.thecompletepatient.com/journal/2007/2/25/how-would-you-react-to-these-raw-milk-testimonials-if-you-were-a-michigan-county-prosecutor.html
It's a much more involved subject than the government propagandists would have us believe.
davidgumpert at 11:55AM on 08/08/07
In 2005, over 20 million people died from diabetes in the US, yet I don't see the FDA rushing to ban high fructose corn syrup, or banning the sales of soda to kids in schools, yet many studies are conclusive in their link between consumption of these poisons and the development of obesity and type 2 diabetes. Given the choice, I'd rather be allowed to take the chance and purchase raw milk and raw milk products than drink a can of coke.
seyo at 12:13PM on 08/08/07
Unfortunately, I can only provide anecdotal evidence.
Most people drank unpasteurized, unprocessed milk for centuries. I grew up on such milk. I do not recall getting sick from milk, or knowing someone getting sick from fresh milk. (Although, I could have gotten amnesia from it, so then I would not remember it... :D)
In most developed countries, milking cows are inoculated. They are checked, and rechecked in a periodic basis both by the farmer, local government, and sometimes federal regulators drop by.
The milking equipment is sterilized at each use, then further chemically treated. The containers, trucks, and such are repeatedly cleansed. Trucks have to drive through special tire pools, and further inspected.
Milk cows feeds is often includes antibiotics.
The cows' udders and tits are treated with antibiotics.
Most dairy farmers know more about cell counts and how to culture bacteria then your master's biology professor's aide.
libertate at 12:19PM on 08/08/07
Davidgumpert, I am not a shill for anybody, but I am an epidemiologist. I am loyal only to evidence, and what you present in your blog is not evidence but appears to be a highly selected, nonrandomized sample of accumulated anecdotes. Please tell me how you can prove that those folks got better from drinking raw milk? How can you isolate that in each individual from each of the other things they eat, drink, or are otherwise exposed to every day? Please also have a look at *my* blog, linked in my post, above. And I'd be happy to look at CDC's numbers, if you will direct me to them, that pasteurized milk has as many pathogens as raw.
Libertate: does it give you confidence that cows are fed so many antibiotics as a matter of course? I'd worry that that leads to antibiotic resistant bacteria.
emily20008 at 2:40PM on 08/08/07
I live in CA, and it's wonderful to live in one of few states that allows unpasteurized milk to not be treated like heroin. The reason most milk has to be pasteurized today is the treatment of our poor cows in this country. They eat food they are not meant to eat and take hormones they are not meant to take, and therefore a constantly sick and pumped full of antibiotics, which as we all know, kill the good bacteria and leave more room for the bad to grow. Raw milk in CA does not come from cows who are pumped full of antibiotics, regardless of what Liberate says. They come from cows who eat grass and hay (not corn and soy), who are able to roam freely, and who naturally produce a substance called milk that is tested batch by batch for human pathogens.
Because it is legal, the two companies that produce Raw milk have had no reported illnesses in all of their years of production. I would much rather drink raw milk, which most likely never had any bad bacteria in it, as opposed to cooked milk, which has been ultra pasteurized to the point where all of the horrible bacteria that was rampant in the poor cows lives had to be killed.
However, I would not participate in crazy illegal bars - we all know how making a substance illegal greatly increases it's dangers. Shame on the US government for making natural milk something that has to be traded on the black market. But, regardless of whose fault it is, I am not planning on drinking anything that comes off the black market.
I just started reading about the history of milk in this country (all milk was unpasteurized until the 1920s, when cows who were fed brewers waste began producing unfit but cheap milk that was given to the poor). If you think that suddenly, in the 1920s milk became a problem, but for the past 10,000 years of milk consumption it was not a problem, well, maybe this had something to do with the industrial revolution. Just maybe.
I bought my first raw milk just the other week after speaking to a nutritionist to make sure I hadn't just jumped on a band wagon - I have now tried both brands that are legal in CA. Both are delicious, and I haven't had so much as a cough. I do have a chronic disease - IBD. I am not saying that raw milk will cure me, but I do know that i react much better to it than I do to cooked milk, to which I am intolerant. I love the taste, and I think the good bacteria it contains is very beneficial for my digestive tract, which needs all the help it can get. I also love knowing that the cows who gave me this milk were raised on a small family farm with workers who care about their well being. I try to have respect for the animals that give me food - whether through slaughter or not. I prefer they live happy, healthy lives. If they are unhealthy, living in miserable conditions (the way the majority of our cattle live), I find it hard to believe they can give any milk that doesn't need to be heat treated before I can drink it.
I think the answer is, make sure you know where your raw milk is coming from. And, if all cows were treated properly, milk wouldn't need to be pasteurized.
foodette at 3:45PM on 08/08/07
"The Centers for Disease Control...cit[e] evidence that in recent years, children and adults have contracted E. coli and salmonella after drinking raw milk."
Oh, for heaven's sake. They've done the same recently after eating spinach. Are we going to ban spinach?
The American passion for sanitizing everything is just crazy. As libertate notes, people drank raw milk for centuries. There is such a thing as building up antibodies, you know.
In Europe, you can buy dairy products made from unpasteurized milk without any difficulty. I would wager that no more people die from those products than die from any other food-related cause.
I've drunk milk fresh from the goat and fresh from the cow, when as a girl I visited my brother who was working at a school on a farm. I've never tasted anything like it since. It would be nice to have the option.
klg19 at 4:14PM on 08/08/07
I wish I could get raw milk in Florida -- I'd love the chance to use it in making yogurt, ice cream, or cheese. There are very few dairies who will sell to the public, and those that do will only sell the milk as animal feed - and it has to be marked as such!
Dominic
the zen kitchen
dvchurch at 4:24PM on 08/08/07
Actually, that reminds me of when I was a kid. I went to a summer camp called Wyngate Farm in Vermont. One of the activities was learning how to milk cows. We had jugs of freshly milked raw milk every day at our lunch tables. No one got sick from it. And yes, in France, we have raw milk cheese available everywhere.
seyo at 4:44PM on 08/08/07
I grew up drinking raw milk. My grandpa & uncle were dairy farmers, as was our neighbor. We had a number of sources to get milk dipped directly from the bulk tank so for most of my childhood, we didn't get store bought pasteurized milk.
I also worked on these Dairy farms...from feeding & milking the cows to cleaning the milk room. Milk is graded based on a number of factors...among them the health of the herd, the cleanliness of the barn and the sanitary conditions of the milk room & bulk tank. The higher the grade of milk, the more money you get per pound. It is in every farmers interest to keep things as sanitary as possible.
For this reason, I have no problem consuming raw milk if it comes from a dairy farmer who maintains the highest dairy standards. My uncle is maintains a herd & dairy exactly like this, and he keeps me supplied with fresh, unpasteurized, raw milk which I use for cheesemaking.
However, I also understand the realities of our modern food distribution network. Pasteurizing milk is but one practice that has helped secure a safe food supply in the United States. You need to understand that even small dairies rely upon milk from many farmers, all of whom may not maintain the same degree of cleanliness. Once the milk gets comingled, you cannot be assured that a pathogen isn't present. For mass distribution, pasteurizing the milk makes sense.
I think a compromise is in order. A small local dairy ought to be able to sell raw milk to consumers who prefer it or require it for cheesemaking, churning butter, etc....but they should also have to meet a threshold of standards in terms of cleanliness...as well as some liability should they sell contaminated milk because they didn't maintain sanitary conditions.
For the consumer, like eating undercooked eggs or meat at a restaurant, they would need to implicitly agree that they were taking a risk in consuming the unpasteurized milk. But even there, questions could be raised as to whom is responsible if a parent feeds a child raw milk and they die from e. coli?
It is dishonest to say that raw milk inherently is bad & will spread pathogens...in the same way that it is wrong to say that there are not serious risks & potential consequences for consuming it. Like all perishable food products, there is a balance between preserving the food without destroying the ingredient.
btw: In addition to making cheese, I also use raw milk to make a killer vodka sauce for gnocchi....nothing beats it!
2qrs at 5:49PM on 08/08/07
I live in California so I'm fortunate enough to be able to purchase raw milk. I, as well as my 11 year old son, have never had an issue. Both my son & I prefer the raw milk because it tastes fantastic. I don't know if it cures diseases but I do know this...When I drink pasteurized milk I get an headache & become congested within an hour of consuming it. When I drink raw milk I have zero issues so I am certain that there is something to this. The only issue I've had w/ the raw milk is that there are two brand-one of the brand's milk comes in a glass bottle, the other in plastic....the glass bottle raw milk tastes better & keeps longer than the brand in the plastic container. My son & I will continue drinking raw milk.
chicagowren at 3:30PM on 06/24/09