Myth or fact: raw (unpasteurized) milk is healthier
NutritionKey points
- Pasteurization preserves milk’s protein, calcium and most vitamins.
- Raw milk can carry Salmonella, Campylobacter, E. coli and Listeria.
- Unpasteurized products cause a disproportionate share of dairy outbreaks.
- Raw milk is especially dangerous for children, pregnant women, older adults and the immunocompromised.
Myth: raw milk is “alive” and pasteurization “kills” it
On social media, raw milk is promoted as a natural food full of enzymes and probiotics that supposedly boosts immunity and cures allergies. Its sale is legal in some U.S. states.
Fact: the benefits are unproven, the risks are proven
Outbreaks. An analysis of U.S. outbreaks found that unpasteurized dairy products caused about 150 times more outbreaks per unit consumed than pasteurized products, and states that allowed raw milk sales had more outbreaks (Langer et al., 2012).
Newer data. A follow-up analysis of 1998 to 2018 recorded more than 200 outbreaks linked to raw milk, with thousands of illnesses and hundreds of hospitalizations. The number of outbreaks rose as state laws relaxed (Koski et al., 2022).
What pasteurization does
Heating milk to a set temperature for a short time kills disease-causing bacteria. Protein and calcium are preserved, and vitamin losses are minor.
Bottom line
Choose pasteurized milk and cheese. For children, pregnant women and older adults, raw milk is not worth the risk.
Frequently asked questions
What if the cows are healthy and the farm is clean?
Even on a well-run farm, bacteria can get into milk during milking, and a healthy-looking animal can carry germs.
What about bird flu in raw milk?
The FDA and CDC have warned that H5N1 avian influenza has been detected in raw milk from infected dairy herds; pasteurization inactivates the virus.
Sources
- Langer et al. (2012). Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006. Emerging Infectious Diseases 18(3):385-391. doi:10.3201/eid1803.111370
- Koski et al. (2022). Foodborne illness outbreaks linked to unpasteurised milk and relationship to changes in state laws – United States, 1998–2018. Epidemiology and Infection 150. doi:10.1017/s0950268822001649
- Centers for Disease Control and Prevention. Raw Milk. www.cdc.gov
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