An-Najah National University Faculty of Graduate Studies Assessment of Milk Quality and Antibiotic Residues Detection in Milk Samples from Palestinian Market By Dalal Hamdan Supervisor Prof. Ansam Sawalha Dr. Amjad IzzEldein Hussein This Thesis is Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Environmental Science, Faculty of Graduate Studies, An-Najah National University, Nablus, Palestine. 2019 iii Dedication First of all, my greatest gratitude to Allah To my patient and supportive husband Adnan To my lovely sons Mohammed, Ady and Laith To my mother and father To my sisters and brothers, especially lovely Saleem and his family for their encouragement and support during this study. iv ACKNOWLEDGMENT My special praises and thanks to Allah the almighty, most gracious and most merciful who gave me the health, strength, and patient to conduct this thesis. I would like to express my deep thanks to my supervisor Prof. Ansam Sawalha and Dr. Amjad IzzEldein Hussein for their advice and continuous support throughout the study period. Special thanks to all the technical stuff at An-Najah University for their help. Last but not least, I am grateful and indebted to my precious family, my husband and sons, and for all my friends. v اإلقزار الوٌقع أدناه هقذم الزسالة التي تحول عنٌاى:أنا Assessment of Milk Quality and Antibiotic residues Detection in Milk Samples from Palestinian Market ليو شارة إالخاص، باستثناء ها توت اإلنوا ىي نتاج جيذي إ الزسالة، هأقز بأى ها اشتولت عليو ىذ أً بحث علوي أً علوية،جزء هنيا لن يقذم لنيل أي درجة أي أً ككل،ًأى ىذه الزسالة ًرد،حيثوا بحثي لذٍ أي هؤسسة تعليوية أً بحثية أخزٍ. Declaration The work provided in this Thesis, unless otherwise referenced, is the researcher’s own work, and has not been submitted elsewhere for any other degree or qualification. :Student's name اسن الطالب: :Signature الخوقيع: :Date الخاريخ: vi LIST OF ABBREVIATION ADI Acceptable Daily Intake AMRs Antibiotic Maximum Residues AR Antibiotic Residue EMA European Medicines Agency EU European Union FAO Food and Agriculture Organization United Nation FP Freezing Point HPLC High-Performance Liquid Chromatography Kg Kilogram LC Liquid Chromatography LC-MS/MS Liquid chromatography-tandem mass spectrometry Max Maximum Min Minimum MoA Minister of Agriculture MRL Maximum Residue Limit PCBS Palestinian Central Bureau of Statistics (PCBS) pH Hydrogen ion concentrations SCAMAC Standing Committee on Analytical Methods for Additives and Contaminants SNF Solid not Fat TS Total Solids UHT Ultra-Heat Treatment US United State VAPRO Vapor Pressure Osmometer WHO World Health Organization vii TABLE OF CONTENT Dedication ................................................................................................. iii Acknowledgment ...................................................................................... iv Declaration ................................................................................................. v List of abbreviation ................................................................................... vi Table of Content ....................................................................................... vii List of tables .............................................................................................. ix List of figures ............................................................................................. x Abstract ..................................................................................................... xi Chapter One ............................................................................................. 1 1.1. Introduction.................................................................................... 2 1.2. Objectives ...................................................................................... 4 1.3. Research Problem .......................................................................... 4 Chapter Two ............................................................................................. 6 2. Literature Review ........................................................................... 7 2.1. Physiochemical Properties of Milk ........................................... 7 2.2. Milk Production in Palestine ....................................................... 8 2.2.1 Fat ........................................................................................ 9 2.2.2 Protein ...................................................................................... 11 2.2.3 Solids not fat (SNF) .................................................................. 12 2.2.4 Lactose ...................................................................................... 12 2.2.5 Hydrogen ion Concentration (pH) ...................................... 13 2.2.6 Freezing point ........................................................................... 14 2.2.7 Milk Salts (Ash) ........................................................................ 15 2.2.8 Milk Osmolality ........................................................................ 15 2.3. Effect of heat treatment on milk composition ............................ 16 2.4. Antibiotics .............................................................................. 16 2.4.1 Antibiotic Residues in milk ....................................................... 18 2.4.2 Antibiotic resistance ............................................................. 21 2.4.3 Antibiotic resistance mechanism .......................................... 23 2.4.4 Adverse effect of Antibiotic.................................................. 25 2.4.5 Maximum Residue Limits .................................................... 25 2.4.6 Detection of antibiotic residues in milk ................................ 26 2.4.6.1 Classification by detection principle .................................... 27 2.4.6.2 Classification by their degree of quantification ................... 28 Chapter Three ........................................................................................ 31 3 Materials and Methods ................................................................. 32 3.1. Samples ....................................................................................... 32 viii 3.2. Sampling ..................................................................................... 32 3.3. Detection of antibiotic residues ................................................... 32 3.4. Osmolality test ............................................................................ 33 3.5. Milk Composition Test ................................................................ 33 3.6. pH Test ........................................................................................ 34 3.7. Data Analysis .............................................................................. 34 Chapter Four .......................................................................................... 35 4 Results and discussion.................................................................. 36 4.1. Antibiotic residue ........................................................................ 36 4.1.1 Raw Milk Samples. ................................................................... 37 4.1.2. Heat Treated Milk Samples ...................................................... 39 4.2. Osmolality ................................................................................... 41 4.3 Freezing Point .............................................................................. 46 4.4 pH ……………………………………………………………………………………………..47 4.5 Milk components ........................................................................ 49 4.5.1 Fat content ................................................................................. 49 4.5.2 Solid not Fat (SNF) content ....................................................... 51 4.5.3 Protein ....................................................................................... 52 4.5.4 Lactose ...................................................................................... 53 4.5.5 Solids (Ash) ............................................................................... 53 Chapter Five ........................................................................................... 56 5.1. Conclusion ................................................................................... 57 5.2. Recommendations ........................................................................ 57 ix LIST OF TABLES Table (1): Proximate composition of whole bovine milk from different countries. .................................................................................................... 7 Table (2): In 2015, the imported and exported amounts of milk in thousands of dollar. .................................................................................... 9 Table (3): The average quantity of monthly consumed milk in liters by Palestinian household, 2006-2011. ............................................................. 9 Table (4): Antibiotics classification according to chemical structure. ....... 17 Table (5): Maximum residue limits (MRL) for beta-lactams. ................... 26 Table (6): Maximum residue limits (MRLs) for tetracycline. ................... 26 Table (7): Advantages and disadvantages of some screening methods ..... 28 Table (8): Presence of antibiotic residues in function of heat treatment .... 36 Table (9): Percentage of contaminated raw milk samples in function of sampling time. .......................................................................................... 38 Table (10): Percentage of contaminated raw milk samples in function of seasons. .................................................................................................... 38 Table (11): Percentage of contaminated pasteurized milk samples in function of months. .................................................................................. 39 Table (12): Percentage of contaminated pasteurized milk samples in function of seasons ................................................................................... 40 Table (13): Percentage of contaminated pasteurized milk samples according to manufacturers. ..................................................................... 41 Table (14): Milk samples osmolality according to treated method. ........... 44 Table (15): Osmolality t-test of milk samples. .......................................... 44 Table (16): Milk samples osmolality average according to seasons. ......... 46 Table (17): Physiochemical properties of pasteurized milk samples according to seasons. ................................................................................ 54 Table (18): Physiochemical properties of UHT milk samples according to seasons. .................................................................................................... 55 x List of figures Figure (1): Milk composition ..................................................................... 8 Figure (2): Structure of lactose molecule .................................................. 13 xi Assessment of Milk Quality and Antibiotic Residues Detection in Milk Samples from Palestinian Market By Dalal Hamdan Supervisor Prof. Ansam Sawalha Dr. Amjad IzzEldein Hussein Abstract This study was conducted to evaluate the quality of milk in the Palestinian market during a period of 8 months, from June 2017 to January 2018. A total of 118 milk samples, of which 79 pasteurized, 14 raw and 25 (UHT) were collected randomly from the market, using the production date as the collection criteria. The samples were screened for antimicrobial residues using Delvotest SP-NT, and their osmolality was measured using Vapor Pressure Osmometer (VAPRO). In addition, the pasteurized and UHT milk samples were evaluated for physicochemical properties (fat, solids not fat; SNF; protein, lactose, ash, freezing point and pH), using (Ultrasonic Milk Analyzer) and pH meter. The results of the antibiotic screening test SP-NT showed that (36%) raw milk samples contained antibiotic residues above MRL. Meanwhile, the pasteurized milk samples (27%) were contaminated with antibiotic residues above MRL. None of 25 UHT milk samples were contaminated with antibiotic residue. The average content of fat and solids in pasteurized milk samples was higher during winter (3.38%, 0.65%, respectively). The Freezing point and pH average were higher during summer (-0.5048°C, 6.78, respectively). Moreover, the average content of SNF, Protein and lactose xii were higher in autumn (8.04%, 2.96%, and 4.41%, respectively). The average content of (fat, SNF, ash, protein, lactose) and FP of pasteurized milk samples revealed non-significant differences (P>0.05) between seasons. Meanwhile, the average pH showed significant differences (P<0.05) between seasons. The results showed that the average content of fat and protein in UHT milk samples were higher in spring (3.28%, 3.18%, respectively), the average content of solids and freezing point were higher in summer (0.65%, -0.5087°C, respectively). Moreover, the average of SNF and pH were higher in autumn (8.01%, 6.74, respectively). The Physiochemical properties average (fat, solids not fat; SNF; protein, lactose, ash, freezing point and pH) of UHT milk samples revealed non-significant differences (P>0.05) between seasons. The osmolality average of raw milk samples, pasteurized and UHT was (309±37.86, 273±24.08, 271.76±7.46 mOsmol/kg, respectively). Moreover, the osmolality average of milk samples revealed significant differences (P<0.05) between raw and heat-treated milk samples. The present study concluded that physiochemical properties and the osmolality of milk were affected by seasonal variation. Also, the study showed that the percentage of contaminant raw milk samples by antibiotic residue above MRLs is higher compared to that heat-treated milk samples. 1 CHAPTER ONE Introduction 2 Chapter One 1.1. INTRODUCTION Milk contains an optimal balance of proteins, fats, carbohydrates, vitamins (A, B2, B12 and D), calcium, phosphorus, potassium and other minerals providing a range of benefits for growth, immunity, and development for the calves and also to humans (Padol et al., 2015; Mahmoudi et al., 2014). Cow’s milk is one of the most consumed foods by all populations from newborn to the elderly. Thus milk and milk products intended for human consumption must be safe, without microbiological, physical or chemical contaminants like toxic metals, mycotoxins, radionuclides, pesticide and veterinary drug residues. Milk must not be adultered by water addition (Trombete et al, 2014; Zanella et al., 2010). Cow’s milk contains approximately 87% water. All components vary within the same species, and also from one dairy to the other, depending on cows' race, age, the period of lactation, diet and other environmental factors ( Büttel et al., 2008; Guetouache et al., 2014). The osmolality of milk is a significant value owing to its being highly preserved even when collected from a larger population of animals. Therefore, osmolality can be used in milk quality control (Büttel et al., 2008). Antibiotics are widely used in food animal production. They are used for treating the bacterial infections at large dosage, and as feed additive at a low dosage for a long period in order to prevent diseases, promote growth and increase feed efficiency (Abbasi et al., 2011; Aalipour et al., 2013; 3 Darwish et al., 2013). The extensive use of these antimicrobials, insufficient withdrawal period and lack of good veterinary practice cause the presence of residues in milk. Illegal or off-label use of drugs and incorrect dosage levels or dosing schedule enlarge the problem. (Al-Zuhair, 2012; Kebede et al., 2014; Padol et al., 2015). Antibiotic residues in milk are a potential hazard for public health. They may cause allergic reactions (B-Lactams), development of bacterial resistance which can transfer to human through the food chain and environment, making treatment of human infections difficult (Darwish et al., 2013), carcinogenicity (Sulphamethazine, Oxytetracycline, Furazolidone), mutagenicity, immunopathological effects, autoimmunity, nephropathy (Gentamicin), hepatotoxicity, reproductive disorders, bone marrow toxicity (Chloramphenicol), (Nampoothiri et al., 2014; Darwish et al., 2013; Padol et al., 2015; Nisha, 2008; Abdelmoaty, 2015). Antibiotic residues interfere with the balance of intestinal micro-flora and cause delay or failure in dairy fermentation like cheese and yogurt causing economic losses (Aalipour et al., 2013; Kaya et al., 2010; Movassagh, 2011). About 50-80% of antibiotics are excreted through urine and feces. Using manure as fertilizer can contaminate soil, surface, and groundwater which results in contamination of food and drinking water (Rasouli et al., 2015; Gothwal et al., 2014). 4 The degree of milk contamination with antibiotic residues varies from country to another, depending on the level of education, legislation, and food inspection (Kaya, 2010). To ensure human food safety, worldwide regulatory authorities such as world health organization (WHO) (1999) and the food and agriculture organization (FAO) (2008) have set standards for acceptable daily intake (ADI) and maximum residue levels (MRLs) for several veterinary drugs in food. (Mesragi et al., 2011; Oluwafemi et al., 2018). 1.2. OBJECTIVES The objective of the present study is to assess the quality of raw, pasteurized and Ultra Heat Treated (UHT) milk sold in the Palestinian market through: 1- Screening milk samples for antibiotic residues. 2- Determining the osmolality of milk samples. 3- Determining the milk’s physiochemical properties (fat, protein, SNF, solids, lactose, FP and pH). 4- Determining the effect of the season’s variation on the quality of milk. 1.3. RESEARCH PROBLEM Understanding the quality and safety of milk and milk products sold in the local Palestinian market is very crucial. No studies have been done and 5 there is a need to screen marketed milk from different sources. This study will cover the presence of antibiotic residues, the presence of added water and other physiochemical properties of milk in relation to season so as to assess the quality and safety of milk. Milk producers and farmers will be assessed indirectly for understanding the importance of hygiene practices during cows breeding, milking, and processing of milk. In addition, it will help regulatory authorities and milk industry in the formulation of control strategies on the use of antibiotics as a veterinary drug, and also understand the environmental variations and its effect on physicochemical properties of milk. 6 CHAPTER TWO Literature Review 7 Chapter Two 2. LITERATURE REVIEW 2.1. PHYSIOCHEMICAL PROPERTIES OF MILK Milk is the normal mammary secretion of milking animals obtained from one or more animals without either addition to it or extraction from it, intended for consumption as liquid milk or for further processing (FAO Codex, 1999). Milk contains all of the nutrients necessary for survival and the initial growth of mammalian neonates. The nutrients in milk include sources of energy (lipids and carbohydrates), proteins to provide amino acids, vitamins and minerals for electrolytes, and water (Husvéth, 2011). The major cow milk producers worldwide are The European Union (148.1 million kg3), The United States of America (85.9 million kg3), India (45.1 million kg3), and Russia (32.3 million kg3). Table 1 and figure 1 show the proximate composition of whole bovine milk from different countries (Schönfeldt et al., 2010). Table (1): Proximate composition of whole bovine milk from different countries. Whole bovine milk/100g South Africa USA UK Denmark Australia New Zealand Water 88.0 88.3 87.8 87.8 87.5 Energy by KJ 260 252 275 269 278 Protein 3.25 3.22 3.20 3.40 3.30 Lactose 4.80 5.26 4.80 4.64 4.70 Fat 3.43 3.25 3.90 3.50 4.00 8 Figure (1): Milk composition 2.2. MILK PRODUCTION IN PALESTINE Livestock in Palestine is not only an economic or income generation activity but also a distinctive trait, cultural and tradition of the Palestinian people. There were 33,980 cows raised in the Palestinian territory, including 25,612 cows in the West Bank and 8,368 in the Gaza Strip. Of which, 32% were local cows (Baladi and mixed breeds) and 68% other strains (Holstein, Friesian, and hybrid cows) (PCBS, 2013). 87.6% of cows are raised through intensive breeding, 12.2% through semi-intensive breeding, and 0.2% by an unknown type of breeding (PCBS, 2010). Local demand for milk and dairy products was estimated at 204 million litter a year. 89% of local market needs are produced locally and the remaining gap is covered by imports, approximately 17,416 million litter of liquid milk equivalent are imported a year. Table 2 shows the imported and exported amounts of milk in thousands of dollars (PCBS, 2017). 9 Table (2): In 2015, the imported and exported amounts of milk in thousands of dollars. Country Imported Exported Jordan 0 186 Egypt 53 0 France 2 0 Israel 5,772 315 The consumption amount of fresh and pasteurized milk was estimated in 2015 at 33,031,993 liters. Industrial production includes 10 processing plants that process 155,000 tons of raw cow’s milk per year (MoA, 2014). The average quantity of Palestinian household monthly consumption of milk (Table 3) was 4.4 liters, 4.7 liters of yogurt and 1.5 kg of different types of cheese (PCBS, 2010; PCBS, 2017). Table (3): The average quantity of monthly consumed milk in liters by Palestinian household, 2006-2011. Year West-Bank Gaza Average 2006 5.475 2.489 4.478 2007 5.005 1.833 3.982 2009 4.852 1.270 3.730 2010 4.894 1.979 3.977 2011 4.807 0.884 3.527 2.2.1 FAT Most of the lipids in milk are in the form of triglycerides, and these are the primary source of dietary energy in milk. Triglycerides are composed of three fatty acids and glycerol (Husvéth, 2011). Milk fat has 11 the most complex fatty acid composition of the edible fats. Over 400 individual fatty acids have been identified in milk fat (Mansson, 2008). However, approximately 15 to 20 fatty acids make up 90% of the milk fat. Milk fat globules have an average diameter of less than 0.1μm to approximately 18 μm and consist of a triglyceride core surrounded by a natural biological membrane (Ghalib, 2014). Milk fat can be degraded by enzyme action, exposure to light, and oxidation. Enzymes that degrade fat are called lipases, and the process is called lipolysis. Usually, the action of lipase causes undesirable rancid flavors in milk. Pasteurization inactivates lipases and increases the shelf life of milk. Milk fat is fully melted at (40°C). Typical high-temperature short time (HTST) pasteurization conditions do not affect the functional and nutritional properties of milk fat. Higher heat treatments may stimulate oxidation reactions and cause fat deterioration and off-flavors such as Ultra High Temperature (UHT). Milk fat acts as a solvent for the fat-soluble vitamins A, D, E and K and also supplies essential fatty acids (linoleic, linolenic and arachidonic) (Cortes, 2011). Milk fats are the most variable compounds, being under the influence of species, breed, lactation stage, feeding, season, and health condition (Grădinaru, et al., 2015; Linn, 1988). A study conducted by Galib to investigate raw cow milk composition showed that the average fat content was found as 5.03±0.04% during the winter season, and 4.30 ±0.6% during summer season (Ghalib, 2014), In Kenya, Kabui found that the average of fat content was 3.8% (Kabui, 2012). In Iran, Nateghi et al reported that fat content was 3.8% in summer 11 and 3.41% in winter (Nateghi et al., 2014). Abd Elrahman reported that the average fat content was 4.14% in a study conducted in Sudan. 2.2.2 PROTEIN Proteins are chains of amino acid molecules connected by peptide bonds. There are 20 different amino acids in proteins. The content and sequence of amino acids in a protein affect its properties. Some proteins contain substances other than amino acids, e.g. lipoproteins. The dominant class of protein in milk called casein. Bovine milk contains about 3.5% protein, casein constitutes about 80% and it is easily separated from milk, either by acid precipitation or by adding rennin. Whey proteins constitute about 20% and exist as individual units dissolved in the water phase of milk. The major whey proteins are beta-lactoglobulin and alpha- lactalbumin. (Cortes, 2011; Linn, 1988). Mirzadeh found that milk protein was 3.3±0.22% in a study conducted in Iran (Mirzadeh et al., 2010). In another study conducted in Sudan by Elsheikh, milk protein was found as 3.58±0.33% (Elsheikh et al., 2015). In the world, Friesian and Holstein cow milk averagely contains 3.3% protein (Mirzadeh et al., 2010). Abd Elrahman studied the physicochemical properties of bovine milk and showed that milk protein average was 3.47±0.012 (Abd Elrahman, et al., 2009). Kabui found that the average of milk protein was as 3.1% (Kabui, 2012). Natighi found that milk protein amounts in summer and winter were 3.71% and 3.01%, respectively (Nateghi et al., 2014). These variations are 12 results of different animal feeding in summer and winter, age and health, and the environment (Abd Elrahman, et al., 2009; Nateghi et al., 2014). 2.2.3 SOLIDS NOT FAT (SNF) Solid not fat contains the protein, the minerals, and the milk-sugar which collectively make milk such valuable and palatable food. Liquid milk for human consumption must contain at least 8.5 percent, solids-not- fat (Snook, 1960). Kabui, 2012 found the average of SNF in milk was 8.2%. In another study, Thomas found that the solid not fat percentage in milk was 8.3% (Thomas et al., 2015). Galib found that the average content of solids not fat of milk samples was 11.52±2.3% during the winter season. Similarly, the mean value of SNF was 11.21±0.6 % in summer (Galib, 2014). 2.2.4 LACTOSE Lactose (Figure 1) is the major carbohydrate fraction in milk. It is made up of two sugars, glucose, and galactose. The average lactose content of milk varies between 4.7% and 4.9%. Mastitis reduces lactose secretion. Lactose is dissolved in the serum (whey) phase of fluid milk. The lactose content of milk in summer and winter being reported by Nategi as 4.61% and 4.58% respectively (Nateghi et al., 2014). Ghalib showed that the average lactose content in milk samples was 4.62 ±0.2 in winter and 4.72±0.2 in summer. 13 Figure (2): Structure of lactose molecule 2.2.5 HYDROGEN ION CONCENTRATION (PH) The pH or the hydrogen ion concentration of milk gives a measure of the acidity of milk. In normal cow milk, the pH ranges from 6.6 to 6.8. The pH value can be lower than 6.6. The pH of milk is mainly attributed to the phosphates, citrates and carbon dioxide present in milk. The pH value can be greater than 6.8 mainly due to mastitis (Kabui, 2012). The pH of milk is more dependent on temperature than that of buffers, such as phosphate; since milk is a complex buffer system and variation in temperature causes many changes. Differences in pH and buffering between individual lots of fresh milk reflect compositional variation (Gakkhar et al., 2015) Milk pH can be determined directly or indirectly. Direct measurement is through the use of indicator dyes, titratable acidity or use of pH meters. Indirect measurement is done through the clot on boiling and 14 alcohol tests (Kabui, 2012). Kabui found an average milk pH of 6.63 in a study conducted in Kenya. In a study conducted by Abd Elrahman et al the mean of milk pH was 7.02 (Abd Elrahman et al., 2009). 2.2.6 FREEZING POINT The freezing point of milk is the minimum temperature at which the milk flow becomes null, and the milk viscosity becomes maximum. It is a transition point of liquid-solid phases (Bouisf et al., 2018). The freezing point of cow's milk has long been recognized as one of its most constant values (Watrous et al., 1975) and it is an indirect measure of the osmotic pressure. Depression of the milk freezing point was often related to an increase in protein and solids content. The freezing point of milk is slightly lower than that of water, because of the presence of dissolved solids. The maximum limits of the freezing point of both raw and heat-treated drinking milk were ≤ –0.520°C according to EU regulations (Buttel et al., 2008). A total of 295 samples of heat-treated drinking milk was examined by Navratelova over a period of one year, 145 of them were pasteurized milk and 150 UHT. The average freezing point was found as - 0.516°C, -0.514°C, respectively. (Navratelova et al., 2006). Bouisf et al showed that the mean of milk FP was -0,521°C. (Bouisf et al., 2018). Abd Elrahman et al found that the average of raw and pasteurized milk FP was respectively -0.520°C, -0.447°C (Abd Elrahman et al., 2009). 15 2.2.7 MILK SALTS (ASH) Milk salts are mainly chlorides, phosphates, and citrates of sodium, calcium and magnesium. Although salts comprise less than 1 % of the milk, they influence its rate of coagulation and other functional properties. Calcium, magnesium, phosphorous and citrate are distributed between the soluble and colloidal phases. Their equilibria are altered by heating, cooling and by a change in PH, milk also contains trace elements that come to the milk from feeds or milking equipment such as copper, iron, nickel and zinc (Cortes, 2011). The average ash content varied from 0.74% for Holsteins to 0.83% percent for Jerseys. The highest calcium and phosphorus contents in milk were reported for Jerseys (Linn, 1988). Elbagermi et al., 2014 reported that the average content of ash in cow milk was 0.63% in a study conducted in Libya (Elbagermi et al., 2014). 2.2.8 MILK OSMOLALITY Osmolality is the number of solute molecules that are dissolved in 1 kg of solvent (Buttel et al., 2008). Osmolality is the concentration of solute particles in a solution (James, 2018). The osmolality of milk is a significant value owing to its being highly preserved even when collected from a larger population of cows. Osmolality has been used for quality control of milk because the water content is a preserved parameter changed by external factors. When milk processing takes place water may be mixed 16 into the milk. This can occur intentionally by adding water or accidentally through water presence in milking machine pipes. The osmolality value is 277 mOsmol/kg corresponds to -0.515°C as recommended by the German Food Regulations for Milk (Buttel et al., 2008). Milk has an osmolality of 280–290 mosmol/kg (James, 2018). In Germany, the osmolality of 12 heat- treated milk samples was tested by Buttel et al., and the average was found as 271 mOsmol/Kg. 2.3. EFFECT OF HEAT TREATMENT ON MILK COMPOSITION Pasteurization does not reduce the fat content of milk. Pasteurization has little effect on the nutritional value of milk. There is some loss of vitamin C and B group vitamins, but this is insignificant (FOA, 2013). The process kills many fermentative organisms as well as pathogens. Pasteurized and ultra-high treatment milk keeping protein and lactose content similar to raw milk. (Pestana, 2015). 2.4. ANTIBIOTICS Antibiotics are organic chemical compounds that kill (Bactericidal) or inhibit the growth (Bacteriostatic) of microorganisms but cause little or no damage to the host (Albayoumi, 2015; Metzeler, 2018). Antibiotics are medicines used to prevent and treat bacterial infections (WHO, 2018). They are naturally produced by microorganisms such as fungi (e.g. penicillin) and bacteria (e.g. tetracycline) or can be semi-synthetically produced (e.g. amoxicillin) or totally synthetically produced (e.g. 17 sulfonamides) (Albayoumi, 2015). Antibiotic compounds are differentiated as antibacterial, antifungals and antivirals to reflect the group of microorganisms they affect (Etebu, 2016). Table 4 shows the chemical structure of certain antibiotics among β-lactams, Quinolones, Nitroimidazoles, Quinoxalines, Aminoglycosides, Macrolides, Phenicols, Phosphoglycolipids, Lincosamides, Nitrofuran, Ionophores, Sulfonamides, Tetracyclines and Polypeptides (Kebede et al, 2014). Table (4): Antibiotics classification according to chemical structure. Antibiotics have been used in the dairy industry for more than five decades. The main uses of antibiotics in the dairy industry include: 18 1. Therapeutic: For disease treatment. The infected animals receive a course of antibiotics in high doses for a short period of time. 2. Prophylactic: For disease prevention in sub-therapeutic doses of antibiotics for a group of healthy animals via feed or drinking water. 3. Disease control: for a group of animals when some of them are sick. 4. Growth Promoters: To increase growth-rate and productivity (Sahu et al., 2014; Hahn et al., 2016; Barton, 2000). In North America and Europe, it is estimated that about 50% of all antimicrobial production is used in food-producing animals and poultry (WHO, 2001). Van Boeckel et al., 2015 estimated that global consumption of antibiotics in agriculture will increase by 67 percent from 2010 to 2030, and the consumption of antibiotics amongst the BRICS will increase by 99 percent in that same time period (O’Neill, 2015). 2.4.1 ANTIBIOTIC RESIDUES IN MILK Antibiotic residues are small amounts of drugs or their active metabolites, which remain in milk after treating the cows (Aytenfsu et al., 2016). Antibiotic residues in milk are unacceptable for two reasons. Firstly, there is a potential human health hazard and secondly, antibiotic residues can interfere with the manufacturing process inhibiting yogurt and cheese starter cultures (Edmondson, 2002). The occurrence of antibiotic residues in milk is strongly associated with certain variables such as milk production 19 rate at the time of treatment, the type and amount of antibiotic used, the type of vehicle used in antibiotic formulations, and the disease state of the animal (Rasoli et al., 2014). Intermammary infusion of antibiotic for treating mastitis is the most common reason for antibiotic residues in milk (92%) followed by injections (6%), and other causes (2%) (Ghowdhary et al., 2015). A withdrawal period is established to safeguard humans from exposure to antibiotic residues. The withdrawal time is the time required for the residue of toxicological concern to reach safe concentration as defined by tolerance. It is the interval from the time an animal is removed from medication until the permitted time of milking (Nisha, 2008). According to the results of the technical report prepared for milk hygiene, by World Health Organization and Joint Expert Committee on Food Additives (JECFA), the rate of contamination of milk and dairy products with antibiotic residues in developed countries such as USA, Australia, UK, and Scotch land was 7-10% until 1969, after that year, the rate of contamination of the same products decreased to 0.5% in the USA, 2.1% in Australia, 1.5% in the UK and 3.4% in Scotland due to the precautions are taken after the given date. The same report indicates that in underdeveloped and developing countries the contamination for milk and dairy products might be higher (Kaya, 2010). 21 In the USA, a study conducted by the Food and Drug Administration (FDA) found that from 1912 samples, 15 (0.79%) was positive for antibiotic residue (FDA, 2015). In Croatia, from a total of 1259 samples tested for antibiotic residues over three years period, 36 was positive (Bilandzic et al., 2011). In Brazil, a study conducted by Brado et al., to investigate the presence of tetracycline’s in pasteurized milk showed that 3 (3%) of 100 samples were positive (Prado et al., 2015). In another study by Fonseca et al., who reported from 100 UHT milk samples, 4 (4%) was positive (Fonseca et al., 2009). Oleviera et al., showed that none of 50 samples of raw milk and 20 pasteurized milk contain antibiotic residue (Oleviera et al., 2012). Reasons for bulk milk contamination by antibiotic residues: (Edmondson, 2002; Galib, 2014).  Milk from treated cow are accidentally routed into the milking tank  An antibiotic-treated dry cow unintentionally milked.  The same milking unit was used to milk an antibiotic-treated cow before milking untreated cows. The milking unit was not cleaned and sanitized between uses.  Lactating cows were purchased and the new owner was unaware of recent antibiotics prior to sale.  Equipment used to milk treated cows handled carelessly, for example, vacuum from the milk pipeline was used to operate dump milk buckets. 21  All antibiotic-treated dry cows were milk last, but the milk line was not diverted from the bulk tank.  Medicated feed was accidentally mixed into lactating cow feed.  Cows drank from medicated footbath.  One-quarter of a cow was treated for mastitis and withheld from the bulk tank. However, milk from the other three quarters was not withheld and was permitted to enter the pipeline.  Use of dry cow therapy to treat lactating cows. There are many natural medicines that are topical and cause little risk for contamination of milk or meat. A few of these “natural treatments” have the potential to be effective in treating mastitis by intermammary infusion. Natural antimicrobials such as caprylic acid, eugenol, trans- cinnamaldehyde, carvacrol, and thymol have been found to be inhibitory, in vitro, towards an array of pathogenic microorganisms and may be potential candidates for effective on antibiotic treatments for mastitis (O’Donnell, 2011). 2.4.2 ANTIBIOTIC RESISTANCE Antimicrobial resistance is the ability of a microorganism (like bacteria viruses and some parasites) to stop an antimicrobial (such as antibiotics, antivirals, and antimalarial) from working against it. As a result, standard treatment becomes ineffective, infections persist and may 22 spread to others (WHO, 2018). Antibiotic resistance occurs naturally, but overuse and misuse of antibiotics whether in humans or in animals accelerate the process. O’Neill reported that of 139 academic studies affiliated to universities that address the issue of antibiotic in agriculture, only 7 (5%) argued that there was no link between antibiotic consumption in animals and resistance in humans, while 100 (72%) found evidence of a link (O’Neill, 2015). Antibiotic-resistant bacteria have become a major global public health (Hahn et al., 2016; WHO, 2018), food security and development concern today (WHO, 2018). Antimicrobial-resistant infections in food-producing animals may have major financial implications for both farmers and consumers (WHO, 2013). Resistant bacteria could transfer to human potential through direct contact with an animal, from consumption of undercooked or unpasteurized animal products, or via the spread of resistant bacteria into environmental reservoirs, which may then transmit resistance genes to human bacteria, or come into contact with humans directly (O’Neill, 2015). For example, a clone of Salmonella typhimurium DT104 that has become prevalent in many countries including the UK, Germany and the USA, is resistant to commonly used antibiotics including ampicillin, tetracycline, streptomycin, chloramphenicol and Sulphonamides. Multi-drug resistance has been noted in other Salmonella spp (WHO, 2001). The introduction of fluoroquinolone use in poultry has been associated with a dramatic rise in the prevalence of fluoroquinolone-resistant Campylobacter jejuni isolated in live poultry, poultry meat and infected humans (WHO, 2001). 23 Elmanama and Abdelatif, (2012) conducted a study to investigate the antimicrobial resistance for enteric pathogens isolated from acute gastroenteritis patients in the Gaza strip. The study showed that diarrhea was more frequent among peoples living in houses rearing poultry and pigeons. They isolated Salmonella, Campylobacter coli/jejuni, Aeromonas hydrophilia, Shigella boydii and Yersinia enterocolytica. All isolates were resistant for more than one antimicrobials especially Campylobacter coli/jejuni. Liu et al., (2015) examined areas in China where colistin is routinely given to pigs and they found colistin-resistant E. coli in more than 20% of animals and in 15% of raw meat samples, these bacteria all had colistin resistance that could easily be transferred between different bacteria, they also found that about 1% of hospital patients sampled were infected by E. coli or Klebsiella bacteria that had the same piece of DNA, making them resistant to colistin too (O’Neill, 2015). In many studies conducted from 2002 to 2013, among private and government hospitals in India, a high level of resistance against common antibiotics was found in several bacteria known to cause common and severe infections (Sahu et al., 2014). 2.4.3 ANTIBIOTIC RESISTANCE MECHANISM Bacteria have genetic plasticity that allows them to respond to environmental threats, including the presence of antibiotic molecules. 24 Bacteria use two major genetic strategies to adapt to the antibiotic “attack”, first, mutations in gene(s) often associated with the mechanism of action of the compound, and second, acquisition of foreign DNA coding for resistance determinants through horizontal gene transfer. Antibiotic resistance mechanisms can be classified according to the biochemical route involved in resistance, as follows: 1- Modifications of the antimicrobial molecule. 2- Prevention to reach the antibiotic target (by decreasing penetration or actively extruding the antimicrobial compound) 3- Changes and/or bypass of target sites. 4- Resistance due to global cell adaptive processes (Munita et al., 2016). To prevent and control the spread of antibiotic resistance, the WHO recommended the agriculture sector:  Only give antibiotics to animals under veterinary supervision.  Not use antibiotics for growth promotion or to prevent diseases in healthy animals.  Vaccinate animals to reduce the need for antibiotics and use alternatives to antibiotics when available. 25  Promote and apply good practices at all steps of production and processing of foods from animal and plant sources.  Improve biosecurity on farms and prevent infections through improved hygiene and animal welfare (WHO, 2018). 2.4.4 ADVERSE EFFECT OF ANTIBIOTIC Antibiotics have the following adverse effects: 1. Allergic or toxic reactions to residues. 2. Chronic toxic effects occurring with sub dosage of antimicrobials for prophylactic or as growth promotion. 3. Development of antimicrobial-resistant bacteria in treated animals. These bacteria might then cause difficult-to-treat human infections. 4. Disturbance of normal human microflora in the intestine, which acts as a barrier to foreign pathogenic bacteria. Antibiotics might selectively kill some important species and reduce their total number (Etebu et al., 2016; Albayoumi, 2015; Jumaa et al., 2015). 2.4.5 MAXIMUM RESIDUE LIMITS The maximum residue limits (MRL) is the maximum allowed concentration of residue in a food product obtained from an animal that has received a veterinary medicine or that has been exposed to a biocidal product for use in animal husbandry (EMA, 2018). MRLs for Beta-lactams 26 (Table 5) and Tetracycline (Table 6) have been set by the European Union for food producing animals and carry out control programs and monitoring for drug residues in food to protect public health and avoid economic loss (Kebede et al., 2014). Table (5): Maximum residue limits (MRL) for beta-lactams. Antibiotics MRL(ppb) Penicillin G 4 Ampicillin 4 Amoxycillin 4 Cloxacillin 30 Dicloxacillin 30 Oxacillin 30 Table (6): Maximum residue limits (MRLs) for tetracycline. Antibiotics MRL(ppb) Tetracycline 100 Chlorotetracycline 100 Oxytetracycline 100 Doxycycline 100 2.4.6 DETECTION OF ANTIBIOTIC RESIDUES IN MILK Different kinds of analytical methods were developed to determine antibiotic residues in milk such as microbiological, chromatographic, immunochemical, receptor and enzyme-based tests (Trombete et al., 2014; Padol et al., 2015; Kebede et al., 2014). Each screening method has its own advantages and disadvantages as shown in table 7. The Community Reference Laboratory Residues (CRL) classifies screening methods by different means as follows: 27 2.4.6.1 CLASSIFICATION BY DETECTION PRINCIPLE  Biological methods detect cellular responses to analytes (e.g. oestrogenic effect, inhibition of bacterial growth, cellular effect, hormonal effect). These methods are not selective and can cover several chemical classes of active analytes (e.g. hormones, antimicrobials). They do not allow the identification of individual analyte.  Biochemical methods detect molecular interactions (e.g. antigens, proteins) between analytes and antibodies or receptor proteins (ELISA, RIA). Chemical labelling of either the analyte or antibody/receptor allows the interaction to be monitored and measured. These methods are either selective for a family of analytes having related molecular structures or are sometimes analyte specific.  Physicochemical methods distinguish the chemical structure and molecular characteristics of analysts by separation of molecules (e.g. TLC, GC, HPLC) and the detection of signals related to molecular characteristics (e.g. UV- DAD, MS, tandem MS). They are able to distinguish between similar molecular structures and allow the simultaneous analysis of several analysts (CLRs, 2010). 28 Table (7): Advantages and disadvantages of some screening methods Test Advantages Disadvantages Elisa  Easy to use  Availability for a good number of specific compounds.  Availability for families of compounds (e.g. sulfanomides, estilbenes).  Large number of samples (42) per kit for a single analyte.  Reduced time to obtain the results (2-2.5 h for most kits).  High sensitivity and specificity.  Possibility to use within the food processing facility  Increased cost  Limited storage (few months) under refrigeration.  The need for waste disposal.  Interferences giving some false positives.  Only one kit per residue searched. Biochip array biosensors  Easy to use.  Results available in short time.  Multiples residues analyzed in one shot (as many as in an array).  Full automation: higher productivity.  High through-put technique: up to 120 samples per hour and array.  High operative costs, chips and equipment cost.  Analysis restricted to available chips HPLC  Reduced time (few hours) to obtain results.  Sensitive  Automation leading to higher productivity.  Specificity depending on a detector  Expertise required.  Needs sample preparation (Extraction, filtration, addition of internal standards, etc.).  Expensive Microbial methods  Can be used for large surveillance programmers.  Basic laboratory equipment.  Broad spectrum.  Easy to use.  Economical.  Difficult to standardize preparation procedures.  Some test could not insure MRLs compliance.  Sample preparation required to remove false positives due to protein bacterial inhibitors.  Low sensitivity 2.4.6.2 CLASSIFICATION BY THEIR DEGREE OF QUANTIFICATION 1. Qualitative methods give a yes or no response, with no indication of the concentration of the putative analyte. Examples include: 29  bacterial growth inhibition tests which give a result of either no zone or zone of inhibition.  Inhibition tests which give a color change;  Immunochemical ligand binding tests, where a response is considered as above or below a Cut-Off Level.  Chromatographic tests (HPLC, LC-MS/MS), where a peak is considered as present or absent. 2. Semi-quantitative methods give an approximate indication of the concentration of the putative analyte. Examples include:  Microbial growth inhibition tests where an attempt is made to relate the size of the inhibitory zone to the putative analyte concentration;  Biochemical tests which include a calibration curve (e.g. ELISA, but only if the test is specific for a single analyte).  Chromatographic tests, calibrated over a short-range which may not include the sample response.  Physicochemical test (e.g. HPLC, LC-MS/MS) where the measured method precision characteristics do not meet the requirements for quantitative tests. 3. Quantitative methods meet the same requirements for accuracy, dynamic range, and precision as confirmatory tests. And thus, when 31 the quantification is required, these methods shall be validated as confirmatory methods, as detailed in the Commission Decision 2002/657/EC (CRLs, 2010). 31 CHAPTER THREE Materials and Methods 32 Chapter three 3 MATERIALS AND METHODS 3.1. SAMPLES A total of 118 milk samples, of which 79 pasteurized, 14 raw and 25 Ultra Heat Treatment (UHT) were purchased from the market from June 2017 to January 2018 using the production date as the collection criteria. 3.2. SAMPLING The milk samples were collected by random sampling method for a period of 8 months, using the production date as the collection criteria. The volume of the samples was 100 ml, placed in sterile cups, each labeled with a specific code, sampling date, and production date. Samples were transferred in the ice bag and stored in a freezer at -20 °C until analysis. The heat-treated milk samples were of 6 local different brands and three foreign brands available in the Palestinian market. 3.3. DETECTION OF ANTIBIOTIC RESIDUES The Delvotest SP NT kit supplied by DSM Food Specialties B.V., (The Netherlands) containing 96 wells microtiter plate was used to detect the antibiotic residue in milk samples. Detection is based on the microbial activity, Bacillus Stearothemophillus var. calidolactis, in the presence of pH indicator. If there is no AR in milk, the bacteria grow and increases the acidity of the medium, changing its color to yellow, and no color change means the milk sample contaminated with AR residues. 33 The test was conducted as directed by the manufacturer. Milk samples were melted in a water bath at 23 °C and gently shaken. The aluminum foil was removed from the plate, each test well was given a number representing the sample, then filled with a volume of 0.1ml of milk sample using a disposable one-way pipette, one pipette for each sample. The wells were carefully sealed with an adhesive foil and incubated in a preheated water bath at 64 ± 2 °C, for three hours until the negative sample color changed to yellow, and the results recorded. 3.4. OSMOLALITY TEST The osmolality of the milk samples was determined by using Vapor Pressure Osmometer (VAPRO 5520). A 10 microliter specimen is aspirated into a micropipette tip. The specimen is then inoculated into a solute-free paper disc in the sample holder, whereupon the sample holder is pushed into the instrument and the sample chamber is locked. The result appears in 75 seconds on the device screen and then recorded. 3.5. MILK COMPOSITION TEST The chemical analysis of milk samples was determined by using milk analyzer Lactoscan (Ultrasonic Milk Analyzer) according to the manufacturer`s instructions to determine fat, protein, lactose, SNF, solids, freezing point, and pH of the milk samples. 34 A volume of 25 ml of milk was poured in the sample holder of the analyzer after being shaken gently. The sample holder was put in the recess of the analyzer. The analyzer sucked in the milk, made the measurements and returned the milk in the milk holder and the display shows the results, then the results were recorded. 3.6. PH TEST The pH of the milk samples was determined by a pH meter device (JENWAY 3310). 3.7. DATA ANALYSIS The data obtained from laboratory analysis of milk samples for physicochemical properties and osmolality were analyzed by descriptive and analysis of variance (ANOVA) using IBM SPSS Statistics for Windows, version 20. The data obtained from the antibiotic screening test of milk samples were analyzed using Microsoft Excel (2013). 35 CHAPTER FOUR Results and Discussion 36 Chapter four 4 RESULTS AND DISCUSSION 4.1. ANTIBIOTIC RESIDUE Delvotest SPNT test was used in this study to screen milk samples for antibiotic residues. It is a qualitative test that provides an indication of the presence of the antibiotics by inhibiting microbial growth. However, the high sensitivity ensures that even trace amounts of contaminating antibiotic residues are detected (Amoxicillin 2.5ppb Cephapirin 5.8 ppb Ampicillin 3.0ppb Penicillin G 1.5 ppb) (Tech news, 2016). It was reported that the two tests of Delvo and Copan can detect milk contamination to Penicillin, Cloxacillin Sodium, Sulfamethazine, Cephalexin and Gentamicin based on the standards set by the European Union. These two tests are simple and low-error (Foruozan et al., 2014; Moghadam et al., 2016; Mahmoudi et al., 2013). Table (8) shows that 5 (36%) raw milk samples of 14, and 21 of 79 pasteurized milk samples representing (27%) were contaminated with antibiotic residues. None of 25 UHT milk samples were contaminated. Table (8): Presence of antibiotic residues in the function of heat treatment Treatment method NO. Sample Positive (%) Raw 14 5 (36 %) Pasteurized 79 21(27 %) UHT 25 0(0 %) TOTAL 118 27(23 %) 37 The high occurrence of antibiotic residues in milk samples is related to the uncontrolled medicines market, weak monitoring system (smuggling and fraud, medicines abuse), weakness of regulatory for the standards and grades of livestock products, the lack of quality assurance programs (MoA, 2014), insufficient withdrawal period and the costs of analyses (Al- Zuhair,2012). In a study conducted by AL Zuhair in West Bank for the detection of B-lactams in 18 milk samples, and Tetracycline’s residues in 16 milk samples of which 4 (22.2%) were above the MRLs for B-Lactams and 3 (18.7%) were above MRLs for Tetracyclines (Al-Zuhair,2012(. Alipour et al., showed that 19.4% of 187 (154 pasteurized and 33 UHT) milk samples contain residues above the EU-MRLs in Iran (Alipour et al., 2013). A study conducted in Azerbaijan by Forouzan et al., 848 samples of pasteurized milk analyzed for antibiotic residues, results showed that 30.14% were contaminated and 3.19% of these samples suspected (Forouzan et al., 2014). Moghadam et al., reported that 62 (24.8%) of 251 pasteurized milk samples contaminated by antibiotic residues in a study conducted in Iran (Moghadam et al., 2016). In Algeria, a study carried out by Layada et al., reported that out of 154 raw milk samples analyzed 39 were positive forming 25.3% of the total samples (Layada et al., 2016). 4.1.1 RAW MILK SAMPLES. Table (9) shows, the highest percentage of contaminated raw milk samples of antibiotic residues was in October (100% 2 of 2), meanwhile august and September, had no positive samples. 38 Table (9): Percentage of contaminated raw milk samples in the function of sampling time. Table (10) shows, autumn had the highest number of contaminated samples 4 (67%) of 6, and the lowest in summer 1(13%) of 8 raw milk samples. It was determined that the probability of detecting antibiotic in milk during spring and autumn is higher than that in other seasons (Kaya et al., 2010). Moreover, it was noted that in autumn and winter, mastitis occurs more frequently due to climatic changes, and as a result, antibiotic therapy is carried out more often (Grandinaru et al., 2011; Rasoli et al., 2014). Table (10): Percentage of contaminated raw milk samples in the function of seasons. Season NO. of Samples Positive, % Summer 8 1 (13%) Autumn 6 4 (67%) Raw Samples Month No. of Samples Positives (%) July 3 1 (33%) Aug 3 0 (0%) Sep 2 0 (0%) Oct 2 2 (100%) Nov 4 2 (55%) Total 14 5 (36%) 39 4.1.2. HEAT TREATED MILK SAMPLES Table (11) shows, the highest percentage of contaminated samples with antibiotic residues was on November, 4 (50%) of 8, meanwhile, the lowest number was on June 1(9%) of 11. Table (11): Percentage of contaminated pasteurized milk samples in the function of months. Pasteurized Month No.of Samples Positive (%) Jun 12 1 (8%) July 10 2 (20%) Aug 11 2 (18%) Sept 10 3 (30%) Oct 12 4 (33%) Nov 8 4 (50%) Dec 9 3 (33%) Jan 7 2 (29%) TOTAL 79 21 (27%) In the function of season table (12) shows, the highest percentage of positive pasteurized milk samples was in autumn, (37%), followed by winter (31%), and the lowest was in summer (15%). This is in accordance with the results of Alipour who showed that the contamination rate during (April-June) was 18.5%, and 11.6% was observed during (March‑May) (Alipour et al., 2013). In addition Moghadam et al., 2016 found that the percentage of positive pasteurized milk samples in the different seasons of the year, was (26.4%), (25.4%), (24.1%) and (17.1%) in winter, autumn, spring, and summer, respectively in a study conducted in Iran over five years. In another study, 41 evaluation of raw and pasteurized milk samples, Mahmoudi et al., showed that (20.83%) of milk samples taken in spring contaminated with antibiotic residues. Meanwhile, in summer, (37.5%) of samples were positive for antibiotic residue (Mahmoudi et al., 2014). In another study, Mahmoudi et al., found that the winter milk samples (32.50%) had the most contamination with antibiotic residues compared to summer milk samples (25.00%) (Mahmoudi et al., 2013) Table (12): Percentage of contaminated pasteurized milk samples in function of seasons Pasteurized Season No. of Samples Positive (%) Summer 33 5 (15%) Autumn 30 11 (37%) Winter 16 5 (31%) The high rates of contamination in pasteurized milk could be asserted that antibiotic residues in milk would not be inactivated by normal pasteurization procedures (71°C for 15 sec) (Moats, 1987; Alipour et al., 2013; Zorraquino, 2010). Moreover, in dairy factories, usually good quality raw milk without antibiotics and preservatives are used to produce fermented dairy products such as yogurt and cheese. In preparation of sterile milk (UHT), high-quality raw milk is also used. As a result, low quality and contaminated milk are directed toward pasteurized milk production lines, which is highly consumed (Mahmoudi et al., 2013). 41 The highest percentage of contaminated milk samples was from manufacturer (C) as shown in table (13), and this could be asserted that antibiotics may be used as a preservative in order to increase shelf life or to inhibit microbial growth in order to cover poor sanitation (Galib, 2014; Schlemper et al, 2017). The high frequency of positive samples reveals the need to establish regular residue testing programs in Palestine. Table (13): Percentage of contaminated pasteurized milk samples according to manufacturers. Producer Sample No. Positive (%) A 28 2 (7%) B 15 3 (20%) C 17 15 (88%) D 4 0 (0%) E 4 1 (25%) F 8 0 (0%) G 3 1 (33%) Total 79 22 (28%) 4.2. OSMOLALITY The osmolality of milk is a significant value owing to its being highly preserved. Milk containing additional water has a significantly decreased osmolality, corresponding to an increased freezing point. Osmolality has been used for quality control of milk for quite a while. (Buttel et al., 2008). 42 Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing point Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing point Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing point Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing point Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing point Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing point Milk samples that contain additional 43 water have a significantly decreased osmolality, corresponding to an increased freezing p Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing p Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing p Milk samples that contain additional water have a significantly decreased osmolality, corresponding to an increased freezing p Table (14) shows the osmolality average of raw milk samples as 309±37.86 mOsmol/kg, the highest value was 430 mOsmol/kg, and the lowest was 281 mOsmol/kg. Moore reported that the osmolality of whole cows’ milk is less than 300 mOsm per kg (Moore et al., 2016) which is not agreed with the current study results. While the osmolality mean of UHT milk samples was 271.76±7.46 mOsmol/kg, the highest value was 288 mOsmol/kg, and the lowest was 248 mOsmol/kg, and the osmolality average of pasteurized milk samples was 273±24.08 mOsmol/kg, the highest value was 331 mOsmol/kg, and the lowest was 227 mOsmol/kg. 44 Table (14): Milk samples osmolality according to the treated method. N Minimum 14 281 79 227 25 248 7.46UHT 430 331 288 309 273.68 271.76 Treated method Maximum Mean Std. Deviation Raw Pasteurized 37.87 34.09 Table (15) shows milk samples osmolality revealed significant differences (P<0.01) between raw milk samples and heat-treated milk samples (pasteurized and UHT) and non-significant differences (P>0.05) between pasteurized and UHT milk samples. The cleaning water of the pipeline may be polluting milk with cleaning acid or neutralizing agents (residual salts), this cause a depression of the freezing point corresponds to an increase in osmolality. Milk dilution occurs intentionally by adding water or accidentally by water residues in pipelines when milk processing takes place, which causes depression of milk osmolality corresponds to an increase in freezing point (Buttel et al., 2008). Table (15): Osmolality t-test of milk samples. Heat-treated Method Heat-treated Method P-Value Raw Pasteurized 0.00064 Raw UHT 0.000062 Pasteurized UHT 0.26 In Germany, the osmolality of 12 heat-treated milk samples was tested by Buttel et al., and the average was found as 271 mOsmol/Kg, the Min value was 263 mOsmol/kg and the Max was 282 mOsmol/kg. After mixing with 10% water by volume, the average decreased to 242 45 mOsmol/kg, and after mixing with 50% water, the resulting mean osmolality was 129 mOsmol/kg (Buttel et al., 2008). According to seasons, table (14) showed that the osmolality average of raw milk samples in summer and winter was 310 and 309 mOsmol/kg respectively. While the osmolality average of pasteurized milk samples in summer was 280 mOsmol/kg which is higher than that in autumn and winter, with 274, 275 mOsmol/kg respectively. Also, the osmolality average of UHT milk samples in summer and spring was the same (273 mOsmol/kg), in winter it was 272 mOsmol/kg and in autumn it was 266 mOsmol/kg, which is the smallest value. The osmolality of raw milk samples average showed non-significant differences (P>0.05) between seasons and with a confidence interval (289- 329) mOsmol/kg. Similarly, the osmolality average of Pasteurized and UHT milk samples showed non-significant differences between seasons and with confidence intervals (274.1-280.2), (268.8-274.9) mOsmol/kg, respectively. Table (16) shows the summary for different types of milk samples osmolality according to seasons. 46 Table (16): Milk samples osmolality average according to seasons. 4.3 FREEZING POINT The reported results showed that the freezing point of milk is a useful index for detecting added water (Shipe, 1959; Hanus et al., 2011). Depression of the milk freezing point was often related to an increase in protein and solids content as well as to a decrease in the lactose (Bouisf et al., 2018). Also, freezing point affected by the concentration of lactose and pH (Zagorska et al., 2013; Shipe, 1959). In the present study, Table (17) shows freezing point average of pasteurized milk samples was ( -0.5048±0.0186°C), higher during summer (-0.5048±0.097°C), and lower during winter (-0.5120±0.018°C). These results are lower than those reported by Abd Elrahman et al., (-0.447°C) for pasteurized milk samples (Abd Elrahman et al., 2009). Similarly, the freezing point average of UHT milk samples during summer was the lowest value (-0.5087±0.01°C), and the highest was in autumn (-0.4974±0.02°C). The freezing point of pasteurized and UHT milk samples revealed non- Item Measurements Summer Autumn Winter Spring Total P Value CI Mean±Std 309.88 308 309±37.87 0.95 289-329 Min 281 290 Max 430 326 Pasteurized Mean±Std 280.8±15.7 274.54±13.47 275.6±10 277±13 0.19 274.1-280.2 Min 262 227 252 Max 331 303 299 UHT Mean±Std 273.17±2.17 266.2±11.41 272±6.47 273.75±7.25 271.76±7.46 0.32 268.8-274.9 Min 270 248 263 265 248 Max 276 275 280 288 288 Raw 47 significant differences between seasons (P>0.05) and the confidence interval was (-0.4945-0.5223°C), (-0.4994-0.5102°C), respectively. The maximum limits of the freezing point of both raw and heat-treated drinking milk were ≤ –0.520°C according to EU regulations (Buttel, 2009), which is not agreed with the current results. The highest values of the freezing point are found in summer, and in the early autumn, the reason probably lies in higher milk yields and the decrease in milk component and fat-free dry matter contents. Variability may be induced by exposure of dairy cows to heat stress, stage of lactation and, most importantly, dairy cows’ nutrition (Zagorska et al., 2013; Shipe, 1959; Navrátilová et al., 2006). A total of 295 samples of heat-treated drinking milk was examined by Navratelova over a period of one year, 145 of them were pasteurized milk and 150 were UHT milk. The average freezing point was found as - 0.514°C, -0.516°C respectively. (Navratelova et al., 2006). Bouisf et al., showed that the mean of milk FP was -0,521. (Bouisf et al., 2018). Mirzadah et al., reported that the FP average of raw milk samples was - 0.56°C (Mirzadah et al., 2010). Moreover, Hanus et al quantified 72,607 bulk raw cow milk samples. The highest FP was in spring (−0.52097 ± 0.004877 °C), the lowest in autumn (−0.52516 ± 0.005725 °C) (Hanus et al., 2011). 4.4 PH The acidity of milk is due to the amount of casein, phosphate, citrate and carbon dioxide. But then at the end of the bacterial activity the lactic 48 acid was formed and the milk acidity increased (Ozrenk et al., 2008). In normal cow milk, the pH ranges from 6.6 to 6.8 (Kabui, 2012). In the present study, the pH average of pasteurized milk samples was found as 6.78±0.29, the max was 7.69 and the min was 6.24 during summer. In autumn the average was 6.65±0.47, the max was 7.22 and the min was 5.37, while in winter the average was 6.7±0.24, the max was 7.11 and the min was 6.31. pH revealed significant differences between seasons (P<0.05) and the confidence interval was (6.59-6.75), see table (17). The average pH of UHT milk samples was the lowest during summer 6.53±0.13, and the highest in autumn (6.74±0.40). These results revealed non-significant differences between seasons (P>0.05) and the confidence interval was (6.54-6.77), see table (18). Milk is usually slightly acidic, with a pH value between 6.5 and 6.7, but if the pH value of cow milk is measured to be above 6.8, it may point out the mastitis disease or a neutralized substance added in milk. If pH value is smaller than 6.5, it means colostrum may be present or bacterial growth or spoilage may be occurred in milk (Pelvan, 2011). Kabui found that the average milk pH of 6.63 in a study conducted in Kenya. In another study conducted by Abd Elrahman et al., the mean milk PH was 7.02 (Abd Elrahman et al., 2009). Chen et al., found that milk pH was significantly higher in spring than in summer and autumn. (6.73) (Chen et al., 2014). Ozrenk et al., reported that the average milk pH in winter and summer was 6.50±0.205, 6.50±0.472, respectively (Ozrenk et al., 2008). 49 4.5 MILK COMPONENTS Cow's milk is an essential part of most daily diets and is a complex mixture of specific bioactive molecules such as proteins, lipids, saccharides, and biologically active substances including immunoglobulins, enzymes, oligosaccharides, hormones, and cytokines. Cow milk composition differs not only between species but also within species, through genetics, farming practices or environment (temperature, humidity, wind) (El-Hamdani et al., 2017). Cow milk production and composition can be directly influenced by the season as it affects feed availability. The different season of the year is often related to different food regimes for cows (Nateghi et al., 2014; Kabil et al., 2015; El-Hamdani et al., 2017). Heat stress affected both quantity and synthesis of milk components (protein, fat, lactose) (Thomas et al., 2015; Bernabucci et al., 2014). Heat stressed animals may have lower levels of blood protein and energy due to the in-efficiencies of rumination and metabolism during this heat challenge. Both blood protein and energy levels can influence milk and milk fat yields. In addition to eating less and drinking more, feeding patterns change during heat stress (Bernabucci et al., 2014). 4.5.1 FAT CONTENT Table (18) shows, the average of the fat content of pasteurized milk samples was found in summer to be 3.13±0.35%, max was 3.63 and the min was 2.52. In autumn the average was 3.25±0.52%, max was 3.9 and 51 the min was 1.97. During winter the mean was 3.48±0.54, the max was 4.44 and the min was 2.52. Fat variability depends on several factors such as weather conditions, stage of lactation, and feeding (El- Hamdani et al., 2017). In the present study, the fat content average in pasteurized milk samples was higher in winter (3.48±0.54), followed by autumn (3.25±0.52%), the lowest was in summer (3.13±0.35%). These results revealed non-significant differences between seasons (P>0.05), and the confidence interval was (3.14-3.36). Similarly, Kabil et al found fat content in winter (3.6 ±0.055) higher than in summer (3.1 ± 0.058 ) (Kabil et al., 2015). Nateghi et al., found that the amount of fat in summer (3.39% ) was higher than that in winter(3.41 ) which is not agreed with the current results (Nateghi et al., 2014). Additionally, minimum fat (4.3) content was observed in summer, and a maximum (5.4) in winter, in a study conducted by Yasmeen et al., (Yasmeen et al., 2012). Hill reported that fat minimum in August, maximum in October in a study carried out over ten years (1991-2001) in the USA (Hill, 2011). Chin et al reported that the autumn period had significantly higher fat content than in other periods which is broadly in line with the UK national statistics (Chin et al., 2014). The average content of fat in UHT milk samples was higher in spring (3.28±0.23) and the lowest was in summer (2.58±0.66). The current results revealed non-significant differences between seasons (P>0.05), and the 51 confidence interval was (2.83-3.28). Also, Povel showed that the mean fat content was higher in spring morning 3.91±0.23, and the lower in summer morning 3.51±0.31, (Povel et al., 2011). In Sudan, a study conducted by Galib to investigate raw cow milk composition showed that the average of fat content was found as 5.03±0.04% during the winter season, and 4.30 ±0.6% during the summer season (Ghalib, 2014). 4.5.2 SOLID NOT FAT (SNF) CONTENT Table (17) shows the highest average content of solid not fat of pasteurized milk samples was in autumn (8.04±0.47%), and the lowest was in winter (7.91±0.44%). The highest average content of solid not fat of UHT milk samples was in autumn (8.01±0.47%) and the lowest was in winter (7.85±0.51). Solid not fat average of pasteurized and UHT milk samples showed non-significant differences between seasons (P>0.05), and the confidence interval was (7.9-8.1), (7.78-8.14), respectively. Kunda et al., reported that the average SNF content of pasteurized milk was 8.6% (Kunda et al., 2015). Our results were lower than those revealed by Thomas et al which showed that the average SNF in winter was 8.5% and in summer 8.4% (Thomas et al., 2015). Moreover, the results obtained by Abd Elrahman et al., showed the average SNF content of raw milk was 8.58±0.035, and pasteurized 7.93±0.007 which is almost agreed with the current study (Abd Elrahman et al., 2009). 52 4.5.3 PROTEIN Table (17) shows the highest average protein content of pasteurized milk samples was in autumn (2.96±0.17), followed by summer 2.94±0.2, and the lowest was in winter 2.92±0.17. Meanwhile, the protein content average of UHT milk was higher in spring (3.18±0.53), and the lowest during the winter (2.87±0.19) table(18). Protein content average of pasteurized and UHT milk samples revealed no significant differences between seasons (P>0.05), and the confidence interval was (2.91-2.99), (2.87-3.11), respectively. Similarly, El- Hamdani et al., found the average protein was 3.6 and there were no differences between seasons (El- Hamdani et al., 2017). Kabil et al., found that there is a variation between seasons and the highest average value was in winter 3.5 ± 0.046, and the lowest was in spring (3.0. ±0.045) (Kabil et al., 2015) which is not agreed with the current study. In another study Nateghi et al., showed that the amount of protein contained in summer milk was higher than in winter milk as its amounts in summer and winter milk were 3.71% and 3.01%, respectively (Nateghi et al., 2014). Additionally, the highest protein content (3.22) was in winter, and the lowest (2.3) in the summer season (Yasmeen et al., 2012). The milk protein content is affected by seasonal changes and locality and its variability is known to be higher than that of fat content (El- Hamdani et al., 2017). Similarly, Povel et al., showed that the highest protein content was in spring morning 3.41±0.05, and the lowest was in summer morning 53 3.16±0.11 (Povel et al., 2011), and also Chin et al., reported the higher protein content was observed in spring compared to the summer and autumn periods (Chin et al., 2014 4.5.4 LACTOSE Table (17) shows the maximum average content of lactose in pasteurized milk samples was during autumn (4.41± 0.26), and the minimum was during summer (4.33±0.49). Similarly, the highest average content of lactose in UHT milk samples was during autumn, and the lowest was during winter and spring, see table (18). The average content of pasteurized and UHT milk samples revealed non-significant differences between seasons (P>0.05), and the confidence interval was (4.36-4.42), (4.27-4.48) respectively. Yasmeen et al., found that the minimum average lactose was in summer (4.93), and the maximum in winter (6.26) (Yasmeen et al., 2012). The lactose content of milk in summer and winter was reported by Nategi et al., as 4.61% and 4.58% respectively (Nateghi et al., 2014). Ghalib showed that the average lactose content in milk samples was 4.62 ±0.2 in winter and 4.72±0.2 in summer (Galib, 2014). 4.5.5 SOLIDS (ASH) The average content of solids in pasteurized milk samples during summer, autumn and winter did not change and was found as 0.65±0.04. The average content of solids in UHT milk samples was the highest during summer and autumn (0.65±0.04), and the lowest during winter and 54 spring (0.64±0.04). These results revealed non-significant differences between seasons (P>0.05). The confidence interval for pasteurized and UHT milk samples was (0.64-0.66), (0.63-0.66), respectively. Abd Elrahman et al., found that the average solid content in raw and pasteurized milk samples was 0.778±0.003, 0.718±0.001, respectively (Abd Elrahman et al., 2009). Table (17): Physiochemical properties of pasteurized milk samples according to seasons. NO. of Samples 31 30 18 Measurements Summer Autumn Winter Total P-value CI Mean±Std 3.12±0.35 3.25±0.52 3.48±0.54 3.25±0.48 0.32 3.14-3.36 Min 2.52 1.97 2.52 Max 3.64 3.9 4.45 Mean±Std 8.03±0.49 8.04±0.47 7.92±0.44 8±0.47 0.65 7.9-8.1 Min 7.15 7.07 7.07 Max 9.91 9.19 8.89 Mean±Std 0.65±0.04 0.65±0.04 0.65±0.04 0.65±0.04 0.82 0.64-0.66 Min 0.58 0.58 0.57 Max 0.81 0.75 0.72 Mean±Std 4.33±0.27 4.41±0.26 4.35±0.24 4.36±0.26 0.053 4.31-4.42 Min 3.9 3.89 3.9 Max 5.45 5.05 4.89 Mean±Std 2.94±0.2 2.96±0.17 2.92±0.17 2.95±0.19 0.4 2.91-2.99 Min 2.62 2.59 2.59 Max 3.63 3.36 3.25 Mean±Std 0.5048±0.0976 0.51±0.0249 0.512±0.0186 0.5084±0.0631 0.12 0.4945-0.5223 Min 0.42 0.47 Max 0.62 0.56 0.56 Mean±Std 6.78±0.29 6.56±0.47 6.70±0.24 6.67±0.37 0.046 6.59-6.75 Min 6.24 5.37 6.31 Max 7.67 7.22 7.11 Fat % SNF % Ash % Lactose % Protien % FP (-) pH Item 55 Table (18): Physiochemical properties of UHT milk samples according to seasons. No. of Samples 7 7 6 6 Measurements Summer Autumn Winter Spring Total P-Value CI Mean±Std 2.58±0.67 3.2±0.33 3.03±0.7 3.28±0.23 3.06±0.53 0.19 2.84-3.28 Min 1.78 2.67 1.78 2.83 Max 3.37 3.59 3.66 3.47 Mean±Std 7.98±0.57 8.01±0.46 7.85±0.51 7.99±0.26 7.96±0.45 0.92 7.78-8.14 Min 7.07 7.48 6.03 7.72 Max 8.89 8.82 8.36 8.4 Mean±Std 0.65±0.04 0.65±0.04 0.64±0.04 0.64±0.02 0.65±0.04 0.97 0.63-0.66 Min 0.58 0.6 0.56 0.62 Max 0.72 0.72 0.68 0.67 Mean±Std 4.38±0.31 4.41±0.24 4.35±0.34 4.35±0.2 4.38±0.26 0.96 4.27-4.48 Min 3.89 4.1 3.81 4.23 Max 4.89 4.85 4.84 4.51 Mean±Std 2.93±0.20 2.97±0.16 2.87±0.19 3.18±0.53 2.99±0.31 0.32 2.87-3.11 Min 2.59 2.73 2.53 2.86 Max 3.25 3.22 3.05 4.23 Mean±Std 0.5087±0.0059 0.4974±0.02 0.5057±0.0059 0.5080±0.0159 0.5048±0.014 0.61 0.4994-0.5102 Min 0.52 0.52 0.51 0.54 Max 0.5 0.46 0.5 0.49 Mean±Std 6.53±0.13 6.74±0.4 6.68±0.26 6.65±0.35 6.65±0.30 0.61 6.54-6.77 Min 6.36 6.08 6.41 6.32 Max 6.74 7.1 7017 7.15 Fat % SNF % Ash % Item Lactose % Protien % FP (-) pH 56 CHAPTER FIVE CONCLUSION AND RECOMMENDATION 57 5.1. CONCLUSION From the present study, the following conclusion could be drawn:  Physicochemical properties such as fat, solids not fat, acidity, lactose, and protein content showed that the milk samples were of good quality .  Physiochemical properties of milk (fat, protein, lactose, SNF, and total solids, PH, FP) are affected by seasonal variation.  As a result of the antibiotic screening test, the study revealed that 5(36%) of 14 raw milk samples contained antibiotic residues, and 21(27) of 79 pasteurized milk samples were contaminated by antibiotic residues. None of the 25 UHT milk samples was contaminated by antibiotic residues.  The osmolality of milk affected by seasonal variation 5.2. RECOMMENDATIONS The following measures must be put into consideration in order to prevent or reduce the incidence of antibiotic residues in milk: 1- The farmers should not have access to veterinary antibiotics, whose distribution should be regulated. 2- The uses of antibiotics for the treatment of mastitis or any other infection should be under veterinary inspection. 58 3- An established network of scientists and regulators to implement a residue control program. 4- Drug screening tests on-farm should be used. 5- More studies on drug residues in food animal and establishment of suitable regulations and inspection systems are needed to reduce the risks of antibiotic and other drug residues for public health 6- Adequate withdrawal period should be observed in all milking cows following the therapeutic use of antibiotics. 59 References  [CRLs] Community Reference Laboratories Residues. (2010). Guidelines for the validation of screening methods for residues of veterinary medicines (initial validation and transfer). 20/1/2010. Visited September 8 th , 2019 https://ec.europa.eu/food/sites/food/files/safety/docs/cs_vet-med- residues_guideline_validation_screening_en.pdf  Aalipour, F., Mirlohi, M., & Jalali, M. (2013). Prevalence of antibiotic residues in commercial milk and its variation by season and thermal processing methods. International Journal of Environmental Health Engineering, 2 (3), 41-46.  Abbasi, M. M., Babaei, H., & Ansarin, M. (2011). Simultaneous determination of tetracyclines residues in bovine milk samples by solid phase extraction and HPLC-FL method. Advanced Pharmaceutical Bulletin, 1 (1), 34-39.  Abedlmoaty, D. A. (2015). Antibiotic residues in Beef and poultry meat. 10.13140/RG.2.1.5018.8645. Visited September 8 th , 2019 https://www.researchgate.net/publication/280528974_antibiotic_resi dues_in_beef_and_poultry_meat.  Al Zuheir, I. M. (2012). Detection of β-lactams and tetracyclines antimicrobial residues in raw dairy milk for human consumption in Palestine. Walailak Journal of Science and Technology (WJST), 9 (3), 277-279. https://ec.europa.eu/food/sites/food/files/safety/docs/cs_vet-med-residues_guideline_validation_screening_en.pdf https://ec.europa.eu/food/sites/food/files/safety/docs/cs_vet-med-residues_guideline_validation_screening_en.pdf https://www.researchgate.net/publication/280528974_antibiotic_residues_in_beef_and_poultry_meat https://www.researchgate.net/publication/280528974_antibiotic_residues_in_beef_and_poultry_meat 61  Albayoumi, M. A. (2015). Detection of Antibiotic Residues in Broiler Chickens in Gaza Strip. Thesis of master, Islamic University – Gaza.  Aytenfsu, S., Mamo, G., & Kebede, B. (2016). Review on chemical residues in milk and their public health concern in Ethiopia. Journal of Nutrition and Food Sciences, 6 (4), 1-11.  Barton, M. D. (2000). Antibiotic use in animal feed and its impact on human healt. Nutrition research reviews, 13 (2), 279-299.  Bernabucci, U., & Mele, M. (2014). Effect of heat stress on animal production and welfare: the case of dairy cow. Agrochimica, 58 (1), 53-60.  Bilandžić, N., Kolanović, B. S., Varenina, I., Scortichini, G., Annunziata, L., Brstilo, M., & Rudan, N. (2011). Veterinary drug residues determination in raw milk in Croatia. Food control, 22 (12), 1941-1948.  Bouisfi, A., Bouisfi, F., & Chaoui, M. (2018). Variety of physicochemical characteristics of raw milk in elgharb region of morocco: the relation between composition and climatic conditions. International Journal for Quality Research, 12 (4), 785-802 . 61  Büttel, B., Fuchs, M., & Holz, B. (2008). Freezing point osmometry of milk to determine the additional water content–an issue in general quality control and German food regulation. Chemistry Central Journal, 2 (1), 6-12.  Chen, B., Lewis, M. J., & Grandison, A. S. (2014). Effect of seasonal variation on the composition and properties of raw milk destined for processing in the UK. Food Chemistry, 158, 216-223.  Chowdhury, S., Hassan, M. M., Alam, M., Sattar, S., Bari, S., Saifuddin, A. K., & Hoque, A. (2015). Antibiotic residues in milk and eggs of commercial and local farms at Chittagong, Bangladesh. Veterinary World, 8, 467-471.  Cristiano Cortes, C. (2013). Milk composition and microbiology. E-learning course from ESA, ZBO101R11520, 1-12.  Darwish, W. S., Eldaly, E. A., El-Abbasy, M. T., Ikenaka, Y., Nakayama, S., Ishizuka, M. (2013). Antibiotic residues in food: the African scenario. Japanese Journal of Veterinary Research, 61 (Supplement), S13-22.  De Oliveira, L. P., Soares e Barros, L. S., Silva, V. C., & Cirqueira, M. G. (2012). Microbiological quality and detection of antibiotic residue in raw and pasteurized milk consumed in the Reconcavo area of the State of Bahia, Brazil. Journal of Food Processing and Technology, 3 (1), 2-5. 62  Edmondson, P. (2002). Avoiding antibiotic residues in milk. Milkproduction.com.  Elbagermi, M. A., Alajtal, A. I., & Edwards, H. G. M. (2014). A comparative study on the physicochemical parameters and trace elements in raw milk samples collected from Misurata- Libya. SOP transactions on analytical chemistry, 1 (2), 15-23.  El-Hamdani, M., Benali, A., El Antari, A., El Housni, A., Douaik, A., Ounine, K. and Bouksaim, M. (2017). The Season Effect on the Milk Fatty Acid Profile of Oulmes Breed Cattle in Moroccan Oulmes Zone. SR Journal of Biotechnology and Biochemistry. 3 (2), 13-17.  Elsheikh, N. A., Rahamtalla, S. A., & Abdalla, M. O. (2015). Chemical composition of raw milk produced and distributed in Khartoum State, Sudan. Asian Journal of Agriculture and Food Sciences, 3 (01), 34-39.  Etebu, E., & Arikekpar, I. (2016). Antibiotics: Classification and mechanisms of action with emphasis on molecular perspectives. Int. J. Appl. Microbiol. Biotechnol. Res, 4, 90-101.  Fonseca, G. P., Cruz, A. G., Faria, J. A. F., Silva, R., Moura, M. R. L., & Carvalho, L. M. J. (2009). Antibiotic residues in Brazilian UHT milk: a screening study. Food Science and Technology, 29 (2), 451-453. 63  Food and Drug Administration. (2015). Milk drug residue sampling survey. Visited September 8 th , 2019. https://www.fda.gov/media/91217/download  Forouzan, S., Rahimirad, A., Seyedkhoei, R., Asadzadeh, J., & Bahmani, M. (2014). Determination of antibiotic residues in the pasteurized milk produced in. Journal of Coastal Life Medicine, 2 (4), 297-301.  Gakkhar, N., Bhatia, A., & Bhojak, N. (2015). Comparative study on physiochemical properties of various milk samples. International Journal of Recent Scientific Research, 6 (6), 4436-4439.  Ghalib, L. M. W. (2014). Assessment of Milk Quality Status in Khartoum State and Validation of New Antibiotic Residues Screening Test (Doctoral dissertation, University of Khartoum).  Gothwal, R., & Shashidhar, T. (2015). Antibiotic pollution in the environment: a review. Clean–Soil, Air, Water, 43 (4), 479-489.  Grădinaru, A. C., Popescu, O., & Solcan, G. (2011). Antibiotic residues in milk from Moldavia, Romania. Human and Veterinary Medicine, 3 (2), 133-141. https://www.fda.gov/media/91217/download 64  Guetouache, M., Guessas, B., & Medjekal, S. (2014). Composition and nutritional value of raw milk. Issues in Biological Sciences and Pharmaceutical Research, 2 (10), 115-122.  Hanuš, O., Zhang, Y., Bjelka, M., Kučera, J., Roubal, P., & Jedelská, R. (2014). Chosen biotic factors influencing raw cow milk freezing point. Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, 59 (5), 65-82.  Hill, A. (2011). Milk composition and properties. Visited September 8 th , 2019, https://www.cheesesociety.org/wp-content/uploads/2011/02/2011- Milk-Composition-Hill.pdf.  Huang, R., Ding, P., Huang, D., & Yang, F. (2015). Antibiotic pollution threatens public health in China. The Lancet, 385 (9970), 773-774.  Husvéth, F. (2011). Physiological and reproductional aspects of animal production, [Book]. Debrecen University, University of West Hungary, Pannon University. Book.  Jum'a, S., Karaman, R. (2015). Commonly Used Drugs-Uses, Side Effects, Bioavailability and Approaches to Improve It, [ebook] New York. https://www.cheesesociety.org/wp-content/uploads/2011/02/2011-Milk-Composition-Hill.pdf https://www.cheesesociety.org/wp-content/uploads/2011/02/2011-Milk-Composition-Hill.pdf 65  Kabil, O., Ibrahim, E. M. A., El Barbary, H. A., Ali, M. A. (2015). Effect of seasonal variation on chemical composition of Cow's milk. Benha veterinary medical journal, 28 (1), 150‑154.  Kabui, K. K. (2012). Assessment of milk quality and the potential of a quality based payment system in smallholder farms in Limuru and Eldoret, Kenya (Doctoral dissertation, University of Nairobi).  Kaya, S. E., & Filazi, A. (2010). Determination of antibiotic residues in milk samples. Kafkas Univ Vet Fak Derg, 16 (Suppl-A), S31-35.  Kebede, G., Zenebe, T., Disassa, H., & Tolosa, T. (2014). Review on detection of antimicrobial residues in raw bulk milk in dairy farms. Afr J Basic Appl Sci, 6, 87-97.  Knoblock-Hahn, A., Brown, K., & Medrow, L. (2016). A balanced approach to understanding the science of antibiotics in animal agriculture. Journal of the Academy of Nutrition and Dietetics, 116 (8), 1332-1335.  Kunda, B., Pandey, G. S., Mubita, C., Muma, J. B., & Mumba, C. (2015). MC. Compositional and microbial quality of heat-treated milk brands marketed in Lusaka, Zambia. Livestock Research for Rural Development, 27 (7), Article #143. 66  Layada, S., Benouareth, D. E., Coucke, W., & Andjelkovic, M. (2016). Assessment of antibiotic residues in commercial and farm milk collected in the region of Guelma (Algeria). International Journal of Food Contamination, 3 (19), 1-16.  Lindmark Månsson, H. (2008). Fatty acids in bovine milk fat. Food & nutrition research, 52 (1), Article #1821.  Mahmoudi, R., Amini, K., Vahabzade, M., Mir, H., & Vagef, R. (2014). Antibiotic residues in raw and pasteurized milk, Iran. Journal of Research & Health, 4 (4), 884-889.  Mahmoudi, R., Asadpour, R., Alamoti, M. P., Golchin, A., Kiyani, R., Pour, R. M., & Altafy, K. (2013). Raw cow milk quality: Relationship between antibiotic residue and somatic cell count. International Food Research Journal, 20 (6), 3347-3350.  Metzeler, K. (2018). Types of Antibiotics: Bactericidal vs. Bacteriostatic & Narrow Spectrum vs. Broad Spectrum. Visited September 8 th , 2019, https://study.com/academy/lesson/types-of- antibiotics-bacteriocidal-vsbacteriostatic-narrow-spectrum-vs-broad- spectrum.html  Meurant, G. (1995). Handbook of milk composition [Book]. Academic press. https://study.com/academy/lesson/types-of-antibiotics-bacteriocidal-vsbacteriostatic-narrow-spectrum-vs-broad-spectrum.html https://study.com/academy/lesson/types-of-antibiotics-bacteriocidal-vsbacteriostatic-narrow-spectrum-vs-broad-spectrum.html https://study.com/academy/lesson/types-of-antibiotics-bacteriocidal-vsbacteriostatic-narrow-spectrum-vs-broad-spectrum.html 67  Ministry of Agriculture (MoA), 2014, Livestock Sector Strategy 2015-2019. Ministry of Agriculture. Visited September 8 th , 2019, http://extwprlegs1.fao.org/docs/pdf/leb149670.pdf  Mirzadeh, K. H., Masoudi, A., Chaji, M., & Bojarpour, M. (2010). The composition of raw milk produced by some dairy farms in Lordegan region of Iran. Journal of animal and veterinary advances, 9 (11), 1582-1583.  Moats, W. A. (1987). Inactivation of Antibiotics by Heating in Foods and other Substrates - A Review. Journal of Food Protection, 51 (6), 491-497.  Moghadam, M. M., Amiri, M., Riabi, H. R. A., & Riabi, H. R. A. (2016). Evaluation of antibiotic residues in pasteurized and raw milk distributed in the South of Khorasan-e Razavi Province, Iran. Journal of clinical and diagnostic research, 10 (12), 31-35.  Moore, D., Floren, H., & Sischo, W. (2016). If a little’s good, is more better? Mixing milk replacers for winter feeding of dairy calves. Neogen’s corporation, 2, 49-50.  Movassagh, M. H. (2011). Detection of Antibiotic Residues in the Water Buffalo Milk in Meshkinshahr, Ardabil Province, Iran. Global Veterinaria, 7 (2), 199-200.  Munita, J. M., & Arias, C. A. (2016). Mechanisms of antibiotic resistance. Microbiology spectrum, 4 (2), 1-37. http://extwprlegs1.fao.org/docs/pdf/leb149670.pdf 68  Nampoothiri, V. M., George Dominique, G. (2014). Drug residues in milk. Research News For U, 14, 158-164.  Nateghi, L., Yousefi, M., Zamani, E., Gholamian, M., & Mohammadzadeh, M. (2014). The effect of different seasons on the milk quality. Eur J Exp Biol, 4 (1), 550-552.  National Research Council. (1988). Factors affecting the composition of milk from dairy cows. In Designing foods: animal product options in the marketplace [Book] National Academies Press (US).  Navratilova, P., Janstova, B., Glossova, P., & Vorlova, L. (2006). Freezing point of heat-treated drinking milk in the Czech Republic. Czech journal of food sciences, 24 (4), 156-163.  Nisha, A. R. (2008). Antibiotic residues-a global health hazard. Veterinary world, 1 (12), 375-377.  Novaes, S. F. D., Schreiner, L. L., Silva, I. P., & Franco, R. M. (2017). Residues of veterinary drugs in milk in Brazil. Ciência Rural, 47 (8), 1-7.  O’Neill, J. (2015). Antimicrobials in agriculture and the environment: reducing unnecessary use and waste. Review on antimicrobial resistance, 1-44. Visited September 8 th , 2019, https://ec.europa.eu/health/amr/sites/amr/files/amr_studies_2015_am -in-agri-and-env.pdf https://ec.europa.eu/health/amr/sites/amr/files/amr_studies_2015_am-in-agri-and-env.pdf https://ec.europa.eu/health/amr/sites/amr/files/amr_studies_2015_am-in-agri-and-env.pdf 69  O'Donnell, S. L. (2011). The efficacy of antibiotic residue screening tests for the detection of natural antimicrobials in milk. Masters of thesis, University of Connicticut  Oluwafemi, F., Oluwabamiwo, B. F., Oluwatosin, O. O., Akinrinade, O. R., & Kolapo, A. L. (2018). Assessment of microbiological and residual antibiotics status in milk sold in Abeokuta, Ogun State. Nigeria. Turkish Journal of Agriculture-Food Science and Technology, 6 (6), 642-651.  Ozrenk, E., & Inci, S. S. (2008). The effect of seasonal variation on the composition of cow milk in Van Province. Pakistan Journal of nutrition, 7 (1), 161-164.  Padol, A. R., Malapure, C. D., Domple, V. D., & Kamdi, B. P. (2015). Occurrence, public health implications and detection of antibacterial drug residues in cow milk. Environ. We Int. J. Sci. Tech, 10, 7-28.  Pavel, E. R., & Gavan, C. (2011). Seasonal and milking-to-milking variations in cow milk fat, protein and somatic cell counts. Notulae Scientia Biologicae, 3 (2), 20-23.  Pecou, A., & Diserens, J. (2011). Strategies for detecting antibiotic residue in milk. Guidance on the Application of Screening and Confirmatory Methods in Integrated Dairy Chain Management. Bulletin of the IDF No. 474/2014, 1-40. 71  Pelvan, M. (2011). Determination of antibiotics in raw and UHT milk samples by the image forming method of biocrystallization (Master's thesis, Izmir Institute of Technology).  Prado, C. K., Ferreira, F. D., Bando, E., & Machinski Jr, M. (2015). Oxytetracycline, tetracycline, chlortetracycline and doxycycline in pasteurised cow’s milk commercialised in Brazil. Food Additives & Contaminants: Part B, 8 (2), 81-84.  Rassouli, A., Zamani, Z., Bahonar, A., Shams, G., & Abdolmaleki, Z. (2014). A trace analysis of oxytetracycline and tetracycline residues in pasteurized milk supplied in tehran: a one-year study (april 2011-march 2012). IJVM, 8 (2), 119-123.  Sahu, R., Saxena, P. (2014). CSE Study: Antibiotics in Chicken Meat. Center for Science and environment, PML/PR-48/2014, 1-36.  Samia, M. A. A., Said Ahmad, A. M. M., El Zubeir, I. E., El Owni, O. A. O., & Ahmed, M. K. A. (2009). Microbiological and physicochemical properties of raw milk used for processing pasteurized milk in blue nile dairy company (Sudan). Australian Journal of Basic and Applied Sciences, 3, 3433-3437.  Schlemper, V., & Sachet, A. P. (2017). Antibiotic residues in pasteurized and unpasteurized milk marketed in southwest of Paraná, Brazil. Ciência Rural, 47 (12), 1-5. 71  Schönfeldt, H. C., Hall, N. G., & Smit, L. E. (2012). The need for country specific composition data on milk. Food Research International, 47 (2), 207-209.  Tallini, R. A. (2015). Effects of pasteurization and ultra-high temperature processes on proximate composition and fatty acid profile in bovine milk. American Journal of Food Technology, 10 (6), 265-272.  Thomas, M. and Sasidharan, M. (2015). Factors affecting milk fat percentage and solids-not-fat percentage and milk price of dairy cattle in humid tropics. Advances in Applied Agricultural Science, 3 (1) 11-17.  Trombete, F. M., dos Santos, R. R., & Souza, A. L. (2014). Antibiotic residues in Brazilian milk: a review of studies published in recent years. Revista Chilena de Nutrición, 41 (2), 191-197.  Watrous Jr, G. H., Barnard, S. E., & Coleman, W. W. (1976). Freezing points of raw and pasteurized milks. Journal of Milk and Food Technology, 39 (7), 462-463.  World Health Organization. (2001). WHO global strategy for containment of antimicrobial resistance (No. WHO/CDS/CSR/DRS/2001.2). Geneva: World Health Organization. 72  World Health Organization. (2018). Antimicrobial resistance and primary health care: brief (No. WHO/HIS/SDS/2018.57)