Episode 91

Pasteurization Saves Lives: Milk Myths vs. Science

Published on: 28th August, 2025

Milk: Life, Death, and the Paradox

Milk has always been central to survival. When mothers died in childbirth—and this happened often before modern medicine—infants survived only if they had access to another nursing mother or wet nurse. When that wasn’t possible, families sometimes turned to the milk of other mammals.

That discovery helped keep our species alive. However, milk’s role in human survival carried a hidden danger. While milk nourished infants, it also became a deadly carrier of disease.

When Raw Milk Killed Thousands

During the 1800s, raw milk was anything but safe. In New York City, dairies kept cows next to distilleries, feeding them whiskey mash. The resulting milk was bluish and watery. To disguise it, producers added chalk and plaster. Parents unknowingly gave this milk to children. According to estimates, 8,000 infants die a year from contaminated milk in New York alone.

Milk also spreads tuberculosis, diphtheria, scarlet fever, and typhoid. A simple glass of raw milk could kill.


Louis Pasteur and the Germ Theory

The turning point came with Louis Pasteur, a French chemist who proved microbes spoiled wine and beer. He developed the process of pasteurization: heating a liquid enough to kill pathogens without ruining flavor.

His discovery revolutionized public health. Pasteur’s germ theory of disease proved that invisible microbes caused illness. Applied to milk, this meant heating could save lives. Pasteur’s work inspired sterilization in surgery, the discovery of TB bacteria, and eventually vaccines.


The American Fight for Safe Milk

In the U.S., pediatrician Abraham Jacobi urged families to boil milk by the 1870s. Philanthropist Nathan Straus built pasteurized milk stations across New York. Mortality rates for children who drank Straus’s milk dropped by nearly 50%.

Pasteurization was not flashy, but transformative. Alongside clean water and vaccines, it became one of the greatest advances in human health.


Tragedy in Residential Schools

Indigenous children in Canada’s residential schools were forced to drink raw milk from cows raised on pasture. The cows looked healthy, but many carried bovine tuberculosis. Children sickened and died. In some schools, mortality reached 30–60% in just five years. Hundreds of unmarked graves discovered in recent decades reveal the human toll.

Even the cleanest farm or happiest cow can carry pathogens. You cannot see tuberculosis or E. coli in a glass of milk. Pasteurization is the only safeguard.


Raw Milk in the Modern Era

Despite history, raw milk has returned as a “wellness” trend. Politicians like RFK Jr. have promoted it, even doing raw milk “shots” with influencer Paul Saladino in the White House.

But nostalgia doesn’t erase microbiology. Just weeks later, Florida saw 21 people sickened—including six children—by E. coli and Campylobacter from raw milk. Seven were hospitalized. Two developed life-threatening complications.

If someone claims to support children, selling raw milk undermines that promise.


Myths vs. Facts

Myth: Raw milk has more nutrients.

Fact: Pasteurization causes <10% vitamin loss. Proteins, calcium, and fats remain intact.


Myth: Raw milk prevents asthma.

Fact: Studies show lower allergy rates in farm kids, but due to the farm environment, not the milk.


Myth: A clean farm means safe milk.

Fact: Even pristine dairies can harbor invisible pathogens like TB, Salmonella, or Listeria.


Myth: Pasteurization “ruins” milk.

Fact: Pasteurized milk is nutritionally the same, only safer.


Beyond Milk: Cheese and Juice

Pasteurization doesn’t stop with milk. Unpasteurized cheeses can carry Listeria, posing risks especially for pregnant women. Apple cider was once a source of E. coli outbreaks. After the FDA required pasteurization in the 1990s, those outbreaks plummeted.

Heat treatment is one of the most powerful—and overlooked—public health tools.


The Numbers That Changed Everything

In 1900, infant mortality in Montreal was 27%. New York saw similar rates. Today, it’s less than 1%. That dramatic drop came from sanitation, vaccines, and pasteurization—not from supplements or nostalgic diets.

So when someone says, “My grandfather drank raw milk his whole life and lived to 90,” the answer is simple. Visit the family graveyard. See how many of his siblings never made it out of childhood. That’s survival bias. Influencers profit from it. And in Saladino’s case, you wonder if he slept through microbiology class in the medical school where I once taught.


The Takeaway

Milk is life-giving, but unpasteurized milk has been deadly. Pasteur’s germ theory, Jacobi’s advocacy, Straus’s milk stations, and modern safety laws turned milk into a food we can trust.

Pasteurization doesn’t diminish milk. It preserves life.


References

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About the Podcast

Fork U with Dr. Terry Simpson
Learn more about what you put in your mouth.
Fork U(niversity)
Not everything you put in your mouth is good for you.

There’s a lot of medical information thrown around out there. How are you to know what information you can trust, and what’s just plain old quackery? You can’t rely on your own “google fu”. You can’t count on quality medical advice from Facebook. You need a doctor in your corner.

On each episode of Your Doctor’s Orders, Dr. Terry Simpson will cut through the clutter and noise that always seems to follow the latest medical news. He has the unique perspective of a surgeon who has spent years doing molecular virology research and as a skeptic with academic credentials. He’ll help you develop the critical thinking skills so you can recognize evidence-based medicine, busting myths along the way.

The most common medical myths are often disguised as seemingly harmless “food as medicine”. By offering their own brand of medicine via foods, These hucksters are trying to practice medicine without a license. And though they’ll claim “nutrition is not taught in medical schools”, it turns out that’s a myth too. In fact, there’s an entire medical subspecialty called Culinary Medicine, and Dr. Simpson is certified as a Culinary Medicine Specialist.

Where today's nutritional advice is the realm of hucksters, Dr. Simpson is taking it back to the realm of science.

About your host

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Terry Simpson

Dr. Terry Simpson received his undergraduate, graduate, and medical degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. Until he found he liked people more than petri dishes. Dr. Simpson, a weight loss surgeon is an advocate of culinary medicine, he believes teaching people to improve their health through their food and in their kitchen. On the other side of the world, he has been a leading advocate of changing health care to make it more "relationship based," and his efforts awarded his team the Malcolm Baldrige award for healthcare in 2018 and 2011 for the NUKA system of care in Alaska and in 2013 Dr Simpson won the National Indian Health Board Area Impact Award. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.”