not, in the opinion of the health officer, be properly cleansed, disinfected, or sterilized, shall upon his der be destroyed in the manner designated by him. REG. 42. Cleansing and disinfection of the person.-It shall be the duty of the patient, upon convalescence or recovery from any communicable disease, and of the nurse or persons in attendance on such case, throughout the course of the disease, as well as its close, suitably to cleanse and, when necessary, to disinfect their persons in accordance with the manner prescribed by the special rules and regulations of the State department of health.

REG. 43. Letting of rooms forbidden while contaminated with infective material. No proprietor of a hotel, boarding house, or lodging house shall let for hire or cause or permit anyone to occupy a room or apartment previously occupied by a person affected with diphtheria, epidemic cerebrospinal meningitis, measles, poliomyelitis (infantile paralysis), scarlet fever, smallpox, tuberculosis, or typhus fever, until such room or apartment has been cleansed, renovated, or disinfected under the direction of the health officer.

When an order requiring the cleansing, renovation, or disinfection of articles or premises is not complied with, the health officer shall post a placard on the premises, reading as follows:

Notice: These apartments have (or this room has) been occupied by a person affected with They (or it) must not again be occupied until orders for cleansing, renovation or disinfection have been complied with. This notice must not be removed under penalty of the law.

Date

Health Officer.

REG. 44. Placarding by common carriers.-When the declaration in reference to common carriers receiving or admitting persons for carriage or transportation within this municipality has been made by the State commissioner of health in accordance with the provisions of regulation 50 of chapter 2 of the sanitary code, and a common carrier of passengers or officer or agent thereof is notified by the State commissioner of health or by the health officer of such declaration it shall be the duty of such common carrier operating public conveyances in this municipality to forthwith conspicuously place or post in every station within such area as the State commissioner of health may designate, and in every conveyance, the placard hereinafter described and to keep the same posted until the epidemic is declared ended by the State commissioner of health.

Said placard shall be in heavy block letters in red ink on a white background, with each letter not less than 2 inches in height and 1 inches in width, and shall be posted so that the same shall be in plain view of passengers when they are seated.

REG. 45. Duties of undertakers.-It shall be the duty of every undertaker taking charge of the preparation for burial of the body of any person to ascertain whether such person died of a communicable disease and if such person died of Asiatic cholera, diphtheria, epidemic cerebrospinal meningitis, glanders, plague, scarlet fever, smallpox, or typhus fever it shall be his duty to cause it immediately to be wrapped in a sheet saturated with disinfecting solution and promptly thereafter placed in a coffin or casket, which shall then be immediately and permanently closed. This regulation shall not be construed to prohibit the embalming of any such body, but the undertaker shall cause such embalm

ing to be done immediately upon taking charge of the body, except that, when a permit for embalming is required, this shall not proceed until the receipt of such permit. But immediately after the embalming he shall cause such body to be wrapped in a sheet and placed in a coffin or casket as hereinabove directed. After handling, embalming, or preparing for burial the body of a person dead of any of the communicable diseases enumerated in this regulation, such parts of the persons, garments, and utensils or other articles of the undertaker or his assistants, as may have been liable to contamination with infective material, shall be immediately cleansed or disinfected or sterilized in the manner prescribed by the rules and regulations of the State department of health.

REG. 46. Public funerals forbidden in certain cases.-A public or a church funeral shall not be held of any person who has died of diphtheria, measles, scarlet fever, smallpox, or typhus fever; but any funeral of such person shall be private.

PORTLAND, ME.

Communicable Diseases-Notification of Cases-Powers and Duties of Health Officer to Prevent Spread-Attendance at Schools and Public Gatherings— Needless Exposure Prohibited-Control of Animals. Industrial DiseasesNotification of Cases. (Reg. Bd. of H., Oct. 2, 1918.)

SECTION 1. The following-named diseases and disabilities are hereby notifiable to the local board of health, and the occurrence of cases shall be reported as herein provided:

SEC. 2. Each and every physician practicing in the city of Portland who treats or examines any person suffering from or afflicted with any one of the notifiable diseases, and each and every other person in the city of Portland who assumes responsibility and care of any person suffering from or afflicted with any one of said notifiable diseases, shall immediately report such case of notifiable disease in writing to the health officer. Said report shall be forwarded either by mail or by special messenger and shall give the following information:

1. The date when report is made.

2. The name of the disease or suspected disease.

3. The name, age, sex, color, occupation, address, and school attended or place of employment of patient.

4. Number of adults and of children in the household.

5. Source or probable source of infection or the origin or probable origin of the disease.

6. Name and address of the reporting physician or person.

Provided, That if the disease is or is suspected to be smallpox the report shall in addition show whether the patient has been successfully vaccinated, and, if the patient has been successfully vaccinated, the number of times and dates or approximate date of such vaccination; and if the disease is or is suspected to be cholera, diphtheria, plague, scarlet fever, smallpox, or yellow fever the physician or other person making such report shall, in addition to the written report, give immediate notice of the case to the health officer in the most expeditious manner available; and if the disease is or is suspected to be typhoid fever, scarlet fever, diphtheria, septic sore throat, tuberculosis, or any venereal disease, the report shall also show whether the patient has been, or any member of the household in which the patient resides has been, or is engaged or employed in the handling of milk, milk products, or other foods for sale or preliminary to sale: And provided further, That the reports of cases of the venereal disease may be by case number.

SEC. 3. The requirements of the preceding section shall be applicable to physicians attending patients ill with any of the notifiable diseases in hospitals, asylums, or other institutions, public or private, and said requirements shall be applicable also to each and every other person in the city of Portland who assumes responsibility and care of any person ill with any of said notifiable diseases in any of said institutions. The superintendent or other person in charge of any such hospital, asylum, or other institution in which the sick are cared for, must report the cases of notifiable diseases and disabilities occurring in or admitted to said hospital, asylum, or other institution in the same manner as that prescribed for physicians.

SEC. 4. Whenever a person is known or is suspected to be afflicted with a notifiable disease, or whenever the eyes of an infant under two weeks of age

become reddened, inflamed, or swollen, or contain an unnatural discharge, and no physician is in attendance, an immediate report of the existence of the case shall be made to the health officer by the midwife, nurse, attendant, or other person in charge of the patient.

SEC. 5. Teachers or other persons employed in or in charge of public or private schools, including Sunday schools, shall report immediately to the health officer each and every known or suspected case of a notifiable disease in persons attending or employed in their respective schools.

SEC. 6. Every householder, hotel keeper, or lodging-house keeper shall report immediately to the health officer each and every known or suspected case of a notifiable disease occurring in residents, guests, or employees of such house, hotel, or lodging house.

SEC. 7. The written reports of cases of the notifiable diseases required by this by-law shall be made upon blanks supplied for the purpose by the health officer. These blanks shall conform to those adopted and approved by the State authorities in conference with the United States Public Health Service.

SEC. 8. The health officer or his deputy is hereby authorized and directed, whenever a complaint is made or he has reason to believe that an infectious or contagious disease prevails in any house or other locality, to inspect such house or locality, and the inmates thereof, or to cause inspection thereof to be made, and in houses or localities where such diseases are most liable to prevail the said health officer may inspect or cause inspection thereof to be made periodically as frequently as he may deem for the best interest of the health of the community.

SEC. 9. The health officer, under the direction and with the approval of the city board of health, shall in all cases of pestilence, contagious, infectious, or epidemic diseases, or of danger from anticipated or impending pestilence, contagious, infectious, or epidemic diseases, or in case the sanitary condition of the city shall be of such a character as to warrant it, take such measures, and adopt such specific rules, and do and order, and cause to be done such acts for the preservation of the public health as the public safety and health shall demand, and to that end may cause any and all schools, libraries, theaters, churches, and all buildings or places where people are accustomed to congregate and all other houses, buildings, and places where said health officer and the board of health shall have reason to believe there is or may be special danger of contagion, to be closed for a specified period or until the danger from such pestilence, contagious, infectious, or epidemic disease shall have ceased to exist, and to cause all such buildings to be disinfected when in the opinion of the health officer it is necessary to do so. Any person who violates or neglects or refuses to obey any such specific rules, regulations, or orders shall be subject to the penalties herein provided.

SEC. 10. No principal or superintendent of any school and no parent or custodian of any child or minor (having the power and authority to prevent) shall permit any child or minor having acute poliomyelitis (infantile paralysis), smallpox, chicken pox, German measles, measles, mumps, epidemic cerebrospinal meningitis, or whooping cough, or any child or minor in any family or living with any family in which any such disease exists, or has recently existed, to attend any public or private school or Sunday school until the health officer shall have given his permission therefor, nor shall any such principal, superintendent, parent, or custodian permit any child or minor to be unnecessarily exposed or to needlessly expose any other person to the taking or to the infection of any communicable disease.

SEC. 11. No person living in a house or apartment upon which a quarantine placard has been placed shall attend or visit any school or public assembly in the city without a written permit from the health officer.

SEC. 12. No cat, dog, or other household animal shall be allowed to run in and out of the house during the quarantine period. Such animal must be confined outside or kept away from the premises altogether.

SEC. 13. Any person who shall fail, neglect, or refuse to comply with, or who shall violate any of the provisions of this by-law shall be guilty of a misdemeanor, and upon conviction thereof shall be punished by a fine of not exceeding $50.

SACRAMENTO, CALIF.

Communicable Diseases-Notification of Cases-Quarantine-Placarding— Removal of Infected Persons-Attendance at Schools and Gatherings-Disinfection-Funerals. (Ord. 318, Oct. 11, 1917.)

SECTION 1. It is hereby made the duty of every physician, Christian Science practitioner, or purported healer of any and every kind and character or name in the city of Sacramento, who visits for treatment, or treats any person for contagious sickness, no matter by what name the same may be designated by such physician or person whether as illness, disease, or error, or in what manner the same may be treated by such person, to report such contagious case immediately in writing to the health officer, either in person or through a regular physician called in for that purpose; and it is also made their duty to report to such health officer all cases or suspected cases of Asiatic cholera, yellow fever, typhus fever, plague, smallpox, scarlet fever, diphtheria, and all contagious, infectious, and communicable diseases, which are required by the rules of the State board of health to be reported to such board.

SEC. 2. Every head of a household and every person keeping a boarding or lodging house or a hotel in the city of Sacramento, shall, if a report has not already been made as provided in section 1 hereof, forthwith report in writing to the health officer of said city, the name of every person who is an inmate of his or her home or his or her hotel, whom he or she shall have reason to believe sick of any disease mentioned in section 1 thereof, or any contagious or infectious disease, and shall also report the death of any person occurring at his or her house or hotel from any such contagious disease.

SEC. 3. It shall be the duty of the health officer, or of some person authorized by him, immediately after the receipt of notice announcing the existence in any building of any infectious or contagious disease, to quarantine the same, if so directed by the State board of health, or if in his judgment said building should be quarantined. Said building shall be quarantined by posting in such places as may be designated by the health officer a placard or flag, upon which shall be printed the name of the disease, in plain and legible letters of at least 2 inches in length. The health officer may in his judgment quarantine the whole or any portion of such building. Placards or flags announcing the exist ence of a contagious or infectious disease in a building or part of a building shall not be removed, defaced, or destroyed by any person except the health officer or some person authorized by him, and in no case until the premises have been thoroughly disinfected. Premises or parts of premises while quarantined shall not be visited, nor resided in, by any person or persons other than those who are sick or by those in attendance on such sick person or persons.

SEC. 4. No person shall drive or use any vehicle, or permit any vehicle belonging to him or her, or under his or her control, to be driven or to be used, for the conveyance or removal of any persons infected with any infectious or con