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Urbanization jeopardized infant nutrition in at least 3 ways: (1) mothers accepted paid work far from their homes, undermining breastfeeding; (2) cow's milk was either produced in the cities under questionable circumstances or was transported long distances and sold under likewise suspect conditions, and (3) working class neighborhoods usually lacked sanitation and rarely had access to clean water.The following article identifies actions taken during the second half of the 19th century to improve the quality of cow's milk in the metropoles.Debates on pasteurization remained controversial; legislation varied from country to country.Disposal of the wastewater of millions of inhabitants and the manure of thousands of cows was environmentally hazardous.Milk was contaminated with bacteria or adulterated with water, flour, chalk and other substances.When distilleries proliferated in the metropoles, their waste slop was fed to cows which then produced thin and contaminated swill milk.Milk transport from the allegedly healthier countryside was no real alternative.

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Martiny's monograph on milk of 1871 devoted 51 pages to these devices [6], some of which are depicted in figure 1. Robert Hartley, secretary of the New York Association for Improving the Conditions of the Poor, described the situation in his city in 1842: ‘During the winter season, about two thousand cows are said to be kept on the premises...Figure 1a-d and i shows hydrometers that measured the specific density at a defined temperature. All the cows are most inhumanly condemned to subsist on this most unnatural aliment...The deeper the metered bulbs sink, the lower the specific gravity, which may reveal dilution. At the distilleries, the slop is drawn off hot into tanks, at short intervals through the day, and in this state is distributed and eaten by the cows on the premises, and also by those in the adjacent parts, as before it cools it may be transported to a considerable distance...This was by no means an exceptional case, a great many dairies being in the same condition.



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