United States raw milk debate cows, and has been found in 100% of bulk milk tanks in dairy operations with over 500 cows. Consuming unpasteurized milk or under cooked meats could be pathways for human exposure to BLV. In November 2017, the US Centers for Disease Control and Prevention recommended medical treatment for anyone who had, within the previous six months, consumed raw milk products from Udder Milk, a New Jersey-based cooperative. An antibiotic resistant strain of Brucella abortus, which can cause the disease Brucellosis, was detected in at least one person who drank raw milk from the co-op. Advocates of drinking raw milk claim
Brucellosis aminoglycosides streptomycin and gentamicin are effective against "Brucella" bacteria. However, the use of more than one antibiotic is needed for several weeks, because the bacteria incubate within cells. Surveillance using serological tests, as well as tests on milk like the milk ring test, can be used for screening and play an important role in campaigns to eliminate the disease. Also, individual animal testing both for trade and for disease-control purposes is practiced. In endemic areas, vaccination is often used to reduce the incidence of infection. An animal vaccine is available that uses modified live bacteria. The World Organisation for Animal