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Myth or fact: raw (unpasteurized) milk is healthier

Updated Well Day Media Editorial Team
The short answerMyth. Pasteurization does not make milk less nutritious, but it kills dangerous bacteria. In the U.S., unpasteurized dairy caused many times more outbreaks per amount consumed than pasteurized dairy. Children, pregnant women, older adults and people with weakened immunity are at greatest risk.

Key points

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

  1. 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
  2. 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
  3. Centers for Disease Control and Prevention. Raw Milk. www.cdc.gov

Prepared according to our evidence methodology and the principles of lifestyle medicine. For education only; it does not replace advice from your doctor.

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