California Department of Public Health (2024)

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Main Telephone:

(800) 495-3232

Email:

FDBfood@cdph.ca.gov

Address (Courier Delivery):

California Department of Public Health - Food and Drug Branch

1500 Capitol Ave, MS 7602

Sacramento, CA 95814

Address (Non-Courier Delivery):

California Department of Public Health - Food and Drug Branch

P.O. Box 997435, MS 7602

Sacramento, CA 95899

Risk and Recommendations

In California, although the sale of raw milk and raw dairy products is legal, all such products are required to include this warning on their labels:

"WARNING: Raw (unpasteurized) milk and raw milk dairy products may contain disease-causing microorganisms. Persons at highest risk of disease from these organisms include newborns and infants; the elderly; pregnant women; those taking corticosteroids, antibiotics or antacids; and those having chronic illnesses or other conditions that weaken their immunity."

It is important to have the correct facts on consuming raw milk products so that you can make the best decision for you and your family.

Raw milk and raw dairy products are milk and dairy products (e.g., queso fresco, cheese, cream, etc.) made from milk that have not been pasteurized (heat treated) to kill off bacteria. Raw milk and raw dairy products are not as safe as pasteurized milk and dairy products made from pasteurized milk.
Raw milk and raw dairy products are inherently unsafe to consumers because they may contain one or more types of bacteria that can cause mild to severe illnesses. These bacteria include Brucella, Campylobacter, Shiga toxin-producing E. coli such as E. coli O157:H7, Listeria, Mycobacterium bovis, Salmonella species, and Yersinia.
Infection with one of these bacteria may occur from drinking raw milk or eating dairy products made from raw milk. The symptoms of these infections include diarrhea, stomach cramps, or fever. Rare, yet severe illness may also occur, including a neurological disease called Guillain-Barré syndrome with Campylobacter jejuni infection, acute renal failure in children or the elderly with E. coli O157:H7 infection, and miscarriage or fetal death in pregnant women with Listeria monocytogenes infection.
The risk of severe disease, hospitalization, or death from consuming raw milk or raw dairy products is greater for children, pregnant women and their unborn babies, the elderly, and persons with weakened immune systems.
Outbreaks of infections due to consumption of raw milk or raw dairy products have been documented nationwide. From 1998 to 2008, the U.S. Centers for Disease Control and Prevention (CDC) documented 85 outbreaks of human infections that resulted from consumption of raw milk or cheese made from raw milk. A total of 1,614 reported illnesses, 187 hospitalizations and 2 deaths were reported from these outbreaks. The actual number of illnesses associated with raw milk or raw milk products is likely greater because not all cases of foodborne illness are recognized or reported.
California outbreaks due to raw milk or raw dairy products included:

Cases of Salmonella Dublin infections in the 1970s into early 1980s that were associated with raw milk consumption. One published investigation in 1979 documented 113 patients with 89 hospitalizations and 22 deaths. Several patients had a serious underlying disease such as leukemia or lymphoma that might have predisposed them to a more severe outcome.
Two outbreaks of Campylobacter infection, one in 1984 where several children and adults were ill after drinking raw milk while on a tour of a dairy, and another in 1985 where several people became infected after drinking raw milk on a tour of a bottling plant.
Two outbreaks of multidrug-resistant Salmonella infection associated with eating unpasteurized Mexican-style cheese in 1997 resulting in over 10 culture-confirmed cases.
An outbreak of E. coli O157 infection in September 2006 that affected six children, three of whom were hospitalized including two with kidney failure.
A cluster of diarrheal illness and Campylobacter infections in May-June 2008 that affected some members of a cow-share program who consumed raw milk; one of those affected developed a form of Guillain-Barré syndrome that required prolonged hospitalization.

The California Department of Public Health recommends that:

persons at higher risk for severe foodborne disease (children, pregnant women, the elderly, and persons with weakened immune systems) and those who wish to reduce their risk of foodborne infections should not drink raw milk nor eat raw dairy products.
persons who experience illness after consuming raw milk or a raw dairy product should see their doctor.

Several federal agencies, including the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) have officially recognized the health risks of consuming raw milk and raw dairy products.

For more information about raw milk and raw dairy products:

CDC

FDA

Facts

Raw Milk and Raw Dairy Products: Risk and Recomendations (2014 English) (PDF)

Raw Milk and Raw Dairy Products: Risk and Recommendations (2014 Spanish) (PDF)

New Coliform Standard for Milk Sold Raw to Consumers (PDF)

Organization

Disease Investigations Section

Resources

CDPH Foodborne Diseases and Outbreaks

CDC - Raw Milk General Information

FDA - The Dangers of Raw Milk: Unpastuerized Milk Can Pose a Serious Health Risk

CDFA - Raw Milk Information

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California Department of Public Health (2024)

FAQs

What is the biggest health issue in California? ›

COVID-19. COVID-19 played a major role in public health over the course of 2022 and will continue to do so as we begin 2023. The year started with the Omicron variant surge contributing to rising cases, hospitalizations, and deaths across the state and country.

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What is the role of the California Department of Public Health? ›

CDPH Professionals Provide Many Services:

Preventing the spread of diseases like COVID-19, Ebola, flu, mpox and Zika by monitoring and tracking epidemics. Certifying and licensing various health facilities and professionals to ensure individual and community safety.

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What are the guidelines for returning to work for CDPH? ›

Recognizing the staffing shortages that persist across the state and the need to bring HCP back to work, CDPH is maintaining the routine return-to-work criteria of at least 5 days with at least one negative test on day 5 or later, regardless of vaccination status.

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Is the government responsible for public health? ›

Federal. At present, the main federal unit with responsibility for public health is the United States Public Health Service in the Department of Health and Human Services.

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What is the #1 public health problem in the US today? ›

Heart disease and stroke still the leading causes of death for both U.S. men and women.

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What is California ranked in healthcare? ›

California Rankings

Health Care Access	#25
Health Care Quality	#7
Public Health	#4

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Who oversees the California Department of Public Health? ›

Dr. Tomás Aragón serves as the director of the California Department of Public Health and the State Public Health Officer, since January 4, 2021.

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Who regulates healthcare in California? ›

The California Department of Managed Health Care protects consumers' health care rights and ensures a stable health care delivery system.

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What does the California Department of Health and Human Services do? ›

The Health and Human Services (HHS) Policy Committee has responsibility for the development of policies and proposals relating to the following: aging and long-term care, alcohol and drug programs, mental health, medical care for the indigent, public health, county hospitals, the California Work Opportunity and ...

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Is labor code section 6409.6 in effect? ›

California Assembly Bill (AB) 2693, signed into law on September 29, 2022 and effective January 1, 2023, made changes to COVID-19 notification requirements by amending California Labor Code section 6409.6 (Duties of employer when notified of potential exposure to COVID-19) and extending its provisions until January 1, ...

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What is the meaning of safety in the workplace? ›

DEFINITION: The process of protecting employees from work related illness and injury. It starts by developing a company Environmental, Safety and Health Policy statement and implementation of a work place safety plan and program.

Can I go to work with COVID in California? ›

Employees infected with COVID-19 and have symptoms must be excluded from the workplace as follows: Until 24 hours have passed with no fever, without the use of fever-reducing medications, AND. Their symptoms are mild and improving.