Abstract:
Milk has played a huge role in human diet across the world and has been the most
accessible food product over the years. Necessarily, moves have arisen with the
intention to improve its quality. Some factors that are necessary in improving the quality
of milk are, amongst others; the hygiene of food handlers, transportation of milk, storage
of milk and the possible diseases that can be transmitted. In farms and commercial
outlets, food handlers, transportation, storage and the possible disease that can be
transmitted through milk at a low temperature until it can be transported to outlets, for
further processing or markets; however, at times bulk tanks are used as a point of sale.
In, South Africa, a considerable number of people tend to consume raw milk originating
from cow, sheep and goat that is not pasteurised. Moreover, there have been reports
that some people alter milk by combining pasteurised milk with raw milk or by adding
water to increase the quantity of milk thereby increasing their profit whilst decreasing
the quality of milk. This milk is also consumed mostly by farm families as it is the only
source of calcium that is affordably accessible to them.
The current study was conducted over a period of a year, where fifty four (54) milk
outlets where identified by authorities (Environmental Health Practitioners) from the
Mangaung Metropolitan Municipality for microbial and physicochemical analysis.
However, only 28 outlets were operating during the study when questionnaires were
administered. A case study of five (5) different dairy farms was also conducted to follow up milk quality from the production point to the point of final sale to the public (farm to
fork). All samples were obtained from bulk tank milk by pouring milk directly into the
sterile glass bottles, transported to the laboratory on cold ice to maintain the cold chain
and analysed for both microbiological (indicator microbes) and physicochemical
parameters. These bottles were marked according to the shop names and transported
to the laboratory immediately for analyses. Questionnaires were also distributed and
administered at outlets selling milk to assess food handlers’ attitude, knowledge and
practices, questionnaires were explained to the respondents and responses kept
anonymous for openness of respondents who may be uneasy about the process and
outcomes. The latter was crucial as most outlets were owned or co-owned by foreign
nationals and most felt uncomfortable with the study thinking that the intent was to close
them down and/or report them to the authorities.
The results showed that out of 28 outlets were questionnaire was administered, 63% of
outlets had lack of knowledge about the required cooling temperature of milk, more
especially when milk arrived at the outlets. The survey further indicated that Escherichia
coli were present in 54% of outlets and this was found in all the outlets in Thaba-Nchu
and this area represented 32% of the entire study. Thirteen percent (13%) of outlets
showed adulteration of milk whilst 94% showed non-compliance of coliform counts in
the areas of the study. Total Viable Counts were high in 76% of outlets and these shops
were not complying with the regulation, and this was followed by 41% non-compliance
when focusing on somatic cell count (SCC). These results indicate poor personal hygiene and lack of proper production practices. The identified levels of indicator microorganisms have a potential to cause quick deterioration of milk which will affect
human health, causing possible diseases such as severe infections and gastrointestinal
infections.
The study further revealed that bulk tank milk fat content was high in 6% of outlets and
ethanol content was also found in 17% of outlets. This indicated non-compliance,
possibly from poor hygiene practices and possible milk adulteration. Although inhibitory
substance and protein content complied in all studied areas, only 26% outlets showed
that pasteurisation was not done and this is known to limit the shelf life of milk. The
study further showed that in five dairy farms where the case study was performed,
temperature of the tankers used to transport milk was high and not complying with the
standard (not above 5°C) at two farms (farm 1 and 3). Moreover, it was found that in
one farm (farm 4), the temperature of the milk was not at the correct temperature level
and thus not complying with the standard. Furthermore, the study showed that milk in
one of the farms (farm 1) was not pasteurised. SCC were above the acceptable levels
(500 000cfm-1) at the farm and during transportation in farm 2. This suggested that farm
management practices were neglected and economic loss will be experienced by these
farmers or bulk tank owners if they cannot trace back the source of contamination. On the other hand, the study found out that 64% of food handlers in these outlets were
females and 79% were black workers who mostly did not receive proper training on food
safety issues. Forty six percent (46%) of food handlers had working experience of 5-10
years, with 57% having an education level that ranges between grades 7-12. The study further showed that 93% of food handlers reflected a lack of knowledge and poor
handling of milk on aspects such as the impact of hands on contaminating the milk. The
importance of cleaning bulk tanks properly and the use of effective disinfectant are
crucial in order to have milk that is less contaminated. The study revealed that 80% of
food handlers ignored general hygiene practices. Although 100% reported that they
used hot water to wash the equipment, only 32% used the required sanitizers to wash
the milking equipment. Ninety three percent (93%) of the outlets have never replaced
the bulk tank and this may also contribute to milk not complying with minimum
standards according to Regulation relating to dairy milk and milk products (R1555 of
1997), especially in the light of possible formation of biofilms.
Factors such as ignorance, low morale and attitude of food handlers can greatly affect
and compromise food safety aspects and thus affect the quality of milk. Therefore, it can
be recommended that Environmental Health Practitioners (EHPs) should visit
commercial outlets on a monthly basis to evaluate the hygiene practices and the
conditions of the outlets as well as provide training to all people handling milk a practice
not fully followed. Finally, an awareness programme must be provided to all food
handlers on a quarterly basis; and this must be for the farmers, owners of outlets and
food handlers. It will further be of great interest to investigate other microbial and
physical components of milk to identify possible pathogenic strains concomitant to
analysis done quarterly.