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 followed up serologically for six months. Recently published experience confirms that prolonged and frequent serological follow-up consumes significant resources without yielding much information, and is burdensome for the affected staff, who often fail to comply. The side effects of the usual recommended regimen of rifampicin and doxycycline for three weeks also reduce treatment adherence. As no evidence shows treatment with two drugs is superior to monotherapy, British guidelines now recommend doxycycline alone for three weeks and a less onerous follow-up protocol. Under the name "Malta fever", the disease now called brucellosis first came to the attention of British medical officers