PUBLIC HEALTH LAWS OF FLORIDA RULES AND REGULATIONS i OF THE STATE BOARD OF HfW OF FLORIOS AND UNITED STATES QUARANTINE REGULATIONS STATE BOARD OF HEALTH JACKSONVILLE, FLA. Statutes of Florida RELATING TO Public Health. EXTRACTS FROM Ml Sil® If rail! 760. Governor to Appoint.-The governor shall appoint three discreet citizens of the State of Florida, who shall be confirmed by the senate, and who shall, after taking and subscribing an oath before some person com- petent to administer oaths, faithfully to perform the duties of their offices, constitute the state board of health. 761. Governor may Convene Board.-It shall be the duty of members of said board to convene upon the call of the governor at such time and place as he may direct. 762. -Board to elect president and health officer.-It shall be the duty of said board, at their first meeting, to elect one of their number as' president of said board. At the same meeting it shall be the duty of said board to designate and employ a physician, who shall be an expert in the diagnosis of yellow fever, small-pox, cholera, and other infectious diseases, and who must be a person of recognized ability and skilled in hygiene and sanitary science, and a graduate physician of a recognized and reputable medical college, which said person shall be known as the state health officer. The state health officer 2 shall be the executive officer of the board and secretary of the same, and shall hold the office for the term hereinafter specified, unless removed by the board for just cause. 763.-Terms of office.-The term of office of each member of the board of health shall be four years from the date of his appointment, or until his successor is appointed and qualified, and the term of employment of state health officer shall be for four years from the daite of his appoint- ment, or until his successor is appointed and qualified; Provided, That should any member of the said board be and remain absent from the State for ten days after any disease has been declared epidemic, the governor may declare his office vacant, and proceed to fill the same by appointment, and should the health officer be and remain absent from the State for five days after his attention has been called to the presence of any disease in the State, the board1 of health may declare the office vacant and pro- ceed to fill the same by designation and employment of a suitable person to perform the duties thereof. 764-Physicians to make certain reports.-It shall be the duty of every practicing or licensed physician in the State of Florida to report immediately to the pres- ident of the board of health, by telegram or in the most expeditious manner, every case of yellow fever, small-pox or cholera that comes within his practice, such telegram to be paid for out of the funds to be provided for the expenses of said board of health. 765. -Penalty For failure To report.-Any practicing or licensed physician who shall fail to report to said president any such case, in the manner provided in the preceding section, shall be guilty of a< misdemeanor, and upon conviction thereof shall be fined in a sum of not less than $ioo nor more than $i,ooo. or be imprisoned in the county jail for not less than three nor more than six months. 766. -Pen/alty For spreading fat.se reports of disease.-Any person or persons who shall falsely or 3 maliciously disseminate or spread rumors or reports concerning the existence of any infectious or contagious disease, shall be guilty of a misdemeanor, and upon con- viction thereof, shall be punished as provided by section 765. 767. -Charge to grand jury.-It shall be the duty of the several judges of the circuit courts of this State to give in charge to the grand juries of their respective courts, sections 764, 765 ajid 766 of this act at each term thereof, and it shall be the duty of the grand juries of the said several courts especially to investigate in their respective counties the offences therein specified and to present impartially all offenders against the same. 768. -Duty of county solicitors.-In the several counties of this State where county criminal courts of record exist, or may hereafter be established, it shall be the duty of the county solicitor of the said several courts to present and prosecute all offenders under sections 765 and 766. 769. -Duties of president and health officer CONCERNING INVESTIGATION AND QUARANTINE- It shall be the duty of the president of the board of health, imme- diately upon receipt of information that there is any case of yellow fever, small-pox, cholera or hydrophobia in any portion of this State, to order the state health officer by telegram, if he is not at hand, to proceed immediately to said place, and there to investigate theisaid reported case or cases of yellow fever, small-pox, cholera or hydrophobia and to report to the said president by telegram the result of his said investigation ; provided, in case of hydrophobia the state health officer may be represented by an author- ized agent or agents of the state board of health, and said state health officer shall have power, and it shall be his duty to declare said infected point, and animal or animals, to be in quarantine a,nd to place any and all such restric- tions upon ingress and egress of animals or persons there- 4 at as, in his judgment, shall be necessary to prevent a spread of the disease from the infected locality, or animal or animals; and it shall be the duty of the state health officer, when he shall have declared any city, town or other place or animals, to be in quarantine, to so control the population or animals of said city, town or other place, and make such disposition of the same as shall in his judgment best protect that population, and at the same time prevent a spread of the infection or running at large of animals infected with rabies among the same. The snei ills and constables of the several counties of this State, and the police officers of all the cities and towns of this Jutate, shall be under the control of the said state health officer to enforce and carry out any and all quarantine regulations that he may prescribe, which said regulations shall be immediately published in the most practicable manner in the several counties, cities, towns or other places where quarantine may be establshed; and said state health officer shall make immediate report of hi>s actings and doings in the premises to the president of the board of health, and from time to time, so long as quarantine shall continue. (As amended by Chapter 4348, approved June 1, 1895.) 770. -Duty of governor to furnish means of enforcing quarantine.-It shall be the duty of the governor of this Stale, whenever called upon by the state health officer so to do, to furnish the said officer with all requisite means to enforce whatever quarantine regula- tions it may be necessary in his judgment to prescribe, including such armed force from the militiai of the State as in the judgment of the governor may be required, upon information furnished by said officer. 771. -Regulations concerning railways and vessels.-The board of health shall have power, and it shall be their duty at all times, to impose upon all railway and navigation companies and upon all individ- uals who may own or operate steamships or other vessels 5 plying between any of the West Indian, South American, or any other foreign ports and the ports of the State of Florida, such restrictions and regulations as, to inspection, quarantine and sanitary rules as in their judgment may be necessary to protect the health of the people of this State, and which may not be in conflict with the acts of congress already passed, or that may hereafter be passed, and do not amount to an absolute interruption of commerce with said foreign ports; Provided, rha.t whenever any case of yellow-fever, small-pox, cholera or other infectious disease shall appear, or be developed among the passengers, officers or crew of any such steam- ship or other vessel, said steamship or other vessel shall be ordered in quarantine for such time and under such regulations as may be prescribed by said board of health; provided further, that should said board of health at any time be convinced that yellow fever, small-pox, cholera or other infectious disease exists in any foreign port, in isuch form that the landing of any steamship or other vessel hailing from said infected foreign port, at any of the ports in Florida, will put in peril the health of the people of said State, it shall be the duty of said board to put all and any such steamships or vessels, their crew, passengers and cargo, in quarantine for such time and under such rules and regulations as may be prescribed by said board of health; provided further, that said board of health shall charge and receive from such vessels undergoing inspec- tion or sanitation, as provided in this section such fee or fees as said board may prescribe. 772.-General powers of board.-The state board of health shall have general supervision of the public health of the State of Florida, and shall have power to make, promulgate and enforce such rules and regulations as may be necessary for the preservation of the same, and to prevent the importation or spread of hydrophobia. (As amended by Chapter 4342, approved June 1, 1895.) 6 77$.-Visits by health officer and condemna- tion of certain property.-It shall be the duty of the state health officer, between the first of November and the first of May of each and every year, and oftener, if deemed necessary by the board, to visit all the cities and towns or other points where two or more railroads meet, in the biate of Florida, which in the judgment of the board it may be necessary tor him to inspect, and to thoroughly investigate tiie sanitary condition of cities or towns; and De shall have the power, and it shall be his duty, to condemn in any oi said cities or towns any sidewalks, pavements, buildings, wharves, or other things, that m ms judgment shall be likely to produce or cause the spread ot epidemic diseases; and he shall give notice to the mayor and council ot such city or town, or other authority, to i epair, remove, cleanse, or remedy the same within thirty- six hours, and if the same shall not be done, as so required, it shall be his duty to have the same done himself, and the expense thereof shall be paid out of the health fund here- inafter provided, and be afterward assessed as a tax upon the assessable property of said city or town, to be assessed by the county assessor upon notification by the health officer of the amount, and collected by the county collector at the next annual assessment and col- lection thereafter, said amount so realized to be replaced in the health fund of the State by the proper authorities. Provided, a list and memorandum of property to be com demned shall be made and valuation placed upon the same by three disinterested freeholders, one to be selected by said health officer, one to be selected by said owner of the property or his agent, and the third to be selected, by the two freeholders alreadv selected, before being condemned or destroyed, and the value of the private property that may be condemned and ordered to be des,- troved by the health officer, shall be paid to the owner thereof out of any funds provided and appropriated for 7 the expenses of the state board of health, upon the certifi- cate of said health officer that said property wap so des- troyed, approved by the board of health and endorsed by the-president of the board. 774. -Board to make and publish rules.-it shall be the duty of said state board of health to formu- late such rules and regulations for the preservation of the public heaiui as, in their judgment, they may deem nec- essary, and to meet upon the first Monday of' May of each year to formulate such additional rules and regulations lor the preservation of the public health as their expe- rience may suggest; and they shall have the same publish- ed in such place and in such manner as they may deem best to give greatest publicity to the sarnie. 775. -Health officer to act as secretary.-It shall be the duty of the state heahh officer to attend all meetings of said board of health and act as secretary of the same. 776. -President may call meetings.-The pres- ident of said board of health shall have power to call meetings of said board at any time, and at such place as he may designate, to take measures, for the public safety. 777. -Board may abrogate quarantine.-The state beard of health ,shall have the power, after close personal inspection, to modify or abrogate any and all quarantine regulations after they may be established by said state heahh officer. 778. -With consent of governor may call on general Government.-The state board-of health shall have the power, by and with the consent of the governor, when the occasion demandp it, to call upon the general government for such aid as the necessities arising out of any epidemic may require. 779. -Penalty for violating rules.- Any per- son who violates, disobeys, omits, neglects or refuses to comply with any quarantine regulations which may be 8 established by the state health officer, or any of the rules aaid regulations which may be adopted by the slate board of health as hereinbefore provided, that may be duly promulgated by said state health officer, or the said board of health, shall be guilty of a misdemeanor, and. upon conviction thereof, shall be fined in a sum not less than $100 nor more than $1,000, or be imprisoned in the county jail for not less than one nor more than six months. 780. -Compensation of members of board and health officer.-The state health officer shaJl receive a. salary of three thousand dollars, a year, to, be paid quarterly, upon his requisition, approved by the president of the board of health, out of the fund hereinafter provid- ed, together with his actual traveling expenses while en- gaged in the discharge of his duties as stale health officer. The members of the state board of health shall receive a per diem of six dollars for each day of actual session, with mileage to and from their homes to the place of meeting, by the nearest and most practic- able route, at the rate of ten cents per mile. 781. -Assistant health officer.-There shall be designated and employed, by the state board of health, an assistant state health officer who must also be a phy- sician of experience and skilled in the diagnosis of infec- tious and contagious diseases, and who shall be subject to the orders and instructions of the state health officer, and in case of sickness or disability of the state health officer he shall succeed to the duties of the office for the time being of the state health officer. The assistant health officer shall receive fifteen dollars per diem for each day that he is engaged in active service under the direction of the state health officer, and five cents per mile for every mile traveled in the performance of such service, and shall hold the appointment until removed for cause by the state board of health. 9 782.-Oath and bond ok state health ofeicer. -The state health officer, before entering upon his duties, shall take before some person competent to administer oaths, an oath to faithfully perform the duties of his office, and enter into a bond, with good and sufficient sureties, in the sum of $10,000, payable to the president of the board of health, said bond to be approved by the said president, conditioned for the faithful discharge of his duties. Said bond to be prosecuted by the attorney- general for any neglect of duty or abuse of power herein conferred, and if said bond should be forfeited aJl amounts collected from such prosecution shall be placed to the credit of the before-named health fund by said president of the board. 703.-president to certify expenses and report lo governor.-za.11 expencilluies 01 me Doaici 01 neatm snail oe cer lined by me presjaem 01 me ooarci, ana ne shall make an annual report to tlie governor oi all sued 111 a cieai anu concise statement, logemer with any special observation, recommendations, or races li.ul iic uiaj picseiii, mat wouiu ue conuucive 10 me neauli and sanitary conditions of the State, and such annual statements shall finally be submitted by the governor to tlie state legislature, when in regular session convened, and snail be published like other reports of state officers, uiiu cue picbiuen.L ui said board shall hold for inspection properly certified vouchers lor such expenditures, a copy of which shall be furnished the comptroller, who shall not draw his warrant on the treasurer without the proper cer- tificates and vouchers. 784.-Special tax.-There shall be annually levied and collected upon the assessable property of the State, a tax of not more than half a mill, the revenue derived from which assessment and collection shall constitute a special fund to be used- for public health purposes of the State. 10 783.-State board to control county boards.- The state board of health shall have general supervision and control over such county boards of health as the leg- islature may establish. CHAPTER 4345- An Act to increase the efficiency of the state board of health. Be it enacted by the legislature of the State of Florida: Section i. The regular meeting of the state board of health shall be on die second Tuesday of February of each year. Sec. 2. The state health officer, under the direction of the state board of health shall have the general administrative and executive control of all the maritime and domestic quarantine systems of the State. He shall have the power to make arrests without warrants for any violation of the quarantine rules and regulations of the state board of health after they have been duly pro- mulgated. He shall also have power to deputize sanitary agents for that purpose. In all such cases the person or persons arrested for violating the quarantine and sanitary rules aforesaid shall be surrendered without delay to the custody of the nearest sheriff and formal complaint made against him, her or them in accordance with law. Sec. 3. No quarantine regulations of commerce or travel (sea coast or inland) shall be instituted or operated by any port, place or county of this State against any* other port, place or county in this or anv other state or any foreign country, except by authority of the state board of health ; Provided that nothing contained in this act shall give to the state boa,rd of health, or to any of its members, or to the state health officer, anv other or further powers than they now possess over matters now within the jurisdiction or control of the county boards of health of Escambia and Franklin counties 11 Sec. 4. All laws and parts of in conflict with the provisions hereof be and the same are hereby repealed. Sec. 5. This act shall take effect from and after its approval by the governor. Approved May 31, 1895. CHAPTER 4346. An Act to define and declare what shall be deemed nuisances injurious, to health and to provide for the removal thereof and punishment therefor. Be it enacted by the legislature of the State of Florida • Section i. A sanitary nuisance is hereby declared to be the commission of any act by an individual, munici- pality, organization or corporation, or the keeping, main- taining, propagation, existence, or permission of any thing by an individual, municipality, organization or cor- poration, by which the health or life of an individual, or the health or lives of individuals, may be threatened or impaired, or by which or through which, directly or indirectly, disease may be caused. Sec. 2. That filth, the contents of cess-pools, offal, garbage, foul water, dye water, refuse from manufac- tories, urine, stable manure. decayed animal or vege able matter, or other offensive substance detrimental to health, thrown, placed or allowed to remain. ill or upon any pri- vate premises, street, avenue, alley, sidewalk, gutter, pub- lic reservation, or open lot, within any incorporated city or unincorporated town or village of the State of Florida, are hereby declared nuisances injurious to health : and any person who shall commit, create or maintain the afore- said nuisances,, or either of them, shall upon conviction be fined not less than five nor more than twenty-five dol- lars for every such offense. 12 Sec. 3. That the filling, levelling or raising the surface of any ground or lot within any incorporated city, or unincoirporaled town or village of the State of Florida, with animal or vegetable substances, filth gathered in cleaning yards, or streets, or waste material from mills or factories, or the removal of the surface of any ground or lot within said cities, towns or villages, filled with such offensive matter or substance, in such manner as to cause noisome odors or noxious gases to arise, are here- by declared nuisances injurious to health; and any person who shall cause, commit, create, or maintain such nuisance shall upon conviction be fined not less than five nor more than twenty dollars for each offense. Sec. 4. That all water-closets and privies connected with any house, building or premises, within any incor- porated city or unincorporated town or village of the State of Florida, in or upon which people live, or where they congregate or assemble, or any kind of business is done, kept in a filthy and offensive condition, or from which noisome odors and noxious gases arise, and all water-closets/ located within and being a part of anv such house or building, not provided with proper sewer traps so as to prevent the return and escape of noxious gases and offensive odors from anv public or private sewer connected therewith, are hereby declared nuisances injuri- ous to health, and anv person creating, keeping or main- taining such nuisance shall upon conviction lie fined not less than five ndf more than twenty-five dollars. Sec. That fecal matter not thoroughly deodoriz- ed and1 disinfected remainino- in Drivies in anv incornora- ted citv or unincoimorated town or village of the state of Florida, is hereby declared a nuisance injurious to health ; and tbe sta(te health officer shall iron receint of com- plaint in writing cause anv privy to be inspected, and. if necessary, cleaned bv the persons authorized for said purpose: and any person owning or occupying premises 13 on which any privy is situated, who shall refuse to permit the same to be inspected and cleansed at the times desig- nated by the said state health officer, or whenever neces- sary, shall upon conviction be fined not less than five nor more than twenty dollars for every such offense. Sec. 6. Th?,t it shall be unlawful for any person to deposit the contents of any privey in any other place th?,n such as may l>e approved by the state health officer, the health authorities of any incorporated city, or by the inspector of the state board of health if in an unincor- porated town in 'he State of Florida, and any person so offending shall upon conviction be fined not less than five nor more than fifty dollars for every such offense. Sec. 7. That die keeping, herding and feeding of hogs, in pens or otherwise, within any incorporated city or unincorporated town of the State of Florida, of over two thousand (2,000) inhabitants, is hereby declared a nuisance injurious to health; and any person creating or maintaining!- such nuisance who shall fail, after due notice from the «fo,te health officer, to abate die same. ffiall upon conviction he fined not less than five nor more than twenty- five for every such offense. Sec. 8. That anv animal affected by glanders or other contagious or pestilential disease, kept in any part of the State of Florida,, is hereby declared a nuisance injurious to health; and anv person keeping or main- taining rtich nuisance who shall fail, after due notice from the state health officer, to aba'e the <=ame. shall upon con- viction be fined not less than five nor more than twenty- five dollars for everv such offense. Sec. 9. That the boiling of offal, swill, bones, fat. tallow or lard, the crushing, grinding or burning of bonef or shells, clea.ning guts, making glue from anv dead animal or part thereof, making or boiling varnish or oil. making lampblack, turpentine or tar. distilling ardent, alcoholic or fermented spirits, stor- 14 ing or keeping fat scraps, grease, or other offensive ani- mal matter, rendering or trying out dead, undressed and unslaughtered animals, or any other business or trade, whereby noisome stenches and odors and noxious gases arise or are generated within any incorporated city or unincorporated town of the State of Florida of over two hundred inhabitants, are hereby declared nuisances in- jurious to health, and any person who shall cause, erect, create, maintain or continue any such nuisance, and who shall fail, after due notice from the state health officer, to abate the same, shall upon conviction thereof be fined not less than ten nor more than one hundred dollars for every such offense. SEC. io. That unclean and filthy slaughter-houses, rooms, buildings or places., where sheep, hogs, cattle or other animals are slaughtered, within any incorporated city or town, or any unincorporated town or village of the State of Florida, are hereby declared nuisances injurious to health ; and any person, creating, keeping or maintain- ing such nuisances,, who shall fail, after due notice from the state health officer, to abate the same, shall upon conviction be fined not less than ten nor more than fifty- dollars for every such offense. Sec. it. That it shall be the duty of the state health officer, upon the request of the proper authorities,, or of any three responsible resident citizens, or whenever it may seem necessary to the president of the ptate boalrd of health, or to the state health officer himlself, to investi- gate the sanitary condition of any city, town or place in the State of Florida; and if upon examination the state health officer shall ascertain the existence of any sanitary nuisance, as defined in the preceding sections of this act. it shall be his duty to serve notice upon the proper party or parties, to remove or abate the said nuisance, or if necessary, to proceed to remove or aba,te the said nuisan- ces in the manner provided in Section 13 hereof. 15 Sec. 12. That it shall be the duty of the state health officer, upon receiving information or obtaining knowl- edge of the existence of any thing or things herein declar- ed to be nuisances by law, to notify the person or persons committing, creating, keeping or maintaining the same, to remove or cause to be removed the same within twenty- four hours, or such other reasonable time as may be determined by the state health officer, after such notice being duly given; and1 if the same is not removed by such person otr persons within the time prescribed in said notice, it shall be the duty of the state health officer to remove or cause to be removed such nuisance or nuisan- ces, and all costs or expenses of such removal shall be paid by the person or persons committing, creating, keep- ing or maintaining such nuisance or nuisances; and if the said costs and expenses thus accruing shall not be paid within ten days after such removal the same shall be collected from the person or persons committing, creat- ing, keeping or maintaining such nuisances by suit at law. Sec. 13. That all fines and penaJties imposed by any section of this act shall be collected by prosecution in the state court having jurisdiction thereof. (As amended by Chapter 4342, approved May 27, 1897.) Sec. 14. All laws or parts of laws in conflict here- with are hereby repealed. Sec. 15. This act shall take effect from its passage and approval by the governor. Approved June 1, 1895. CHAPTER 4351. An Act to prohibit the introduction into this State and the sale therein of horses, mules, cattle, hogs, or other domestic amimaJs which may be or are at the time, of their introduction or sale suffering from diseases 16 known as glanders, farcy, cholera, Texas fever or other virulent, infectious or contagious diseases, or which were known at the lime of such introduction or sale to have been in contact with any of such ani- mals having had any of such diseases, and prescrib- ing penalties for the violation of this act. Be it enacted by the legislature of the State of Florida: Section i. That hereafter it shall be unlawful for any person to bring into this State or to offer for sale therein any horses, mules, cattle, hogs, or other domestic animals, knowing at the time of such introduction or offering for sale of any such animals that they are suffer- ing from diseases known as glanders, farcy, cholera. Texas fever or other virulent, contagious or infectious diseases. Sec. 2. That any person who shall knowingly vio- late the first section of this act shall be guilty of a< felony, and upon conviction thereof shall be imprisoned in the state penitentiary for a term of not less than two years or more than four years, or shall be fined in a sum of not less than five hundred dollars or more than one thousand dollars, or by both such fine and imprisonment. Approved Maly 25th, 1895. CHAPTER 4692. An Act making an appropriation for the immediate nec- essities of the state board of health, and providing for a proper official receipt for a,ll moneys paid to the state board of health. Be it enacted by the legislature of the State of Florida. Section i. The sum of fifteen thousand dollars or so much thereof as is necessary is hereby appropriated out of any money in the state treasury not otherwise appro- priated, for the immediate necessities of the state board 17 of health as shown by the state health officer in an official statement of indebtedness. Sec. 2. Vouchers and receipts signed by the state health officer shall be legal receipts for all moneys, paid to the state board of health. Sec. 3. All laws and parts of laws in conflict with this act be and the same are hereby repealed. Sec. 4. This act shall take effect immediately upon its passage and approval by the governor. Approved May 27, 1899. CHAPTER 4993- An Act to provide for the annual levy and collection of a tax for the maintenance and support of the state board of health. Be it enacted by the legislature of the State of Florida: Section i. There shall be levied and collected annually upon the atssessable property of the State a tax of one-half of one mill to create a special fund for the maintenance and support of the state board of health other than for maintenance of quarantine or maritime sanitation. Sec. 2. That upon presentation to the comptroller of any accounts duly approved bv the staite board of health, accompanied bv such itemized vouchers as shall be required by him the comptroller is hereby authorized to audit the same and draw a warrant on the state treas- urer for the amount for which the account is audited payable out of the money received from the special tax. provided for in Section i of this act. Sec. 3. The state board of health is hereby authorized to forward to the comptroller of the State at the end of each month a requisition for ai sum of not more than $2,500.00 for current and incidental expenses for the ensuing mbnth. Upon the receipt of such requisition 18 the comptroller shall endorse on same the amount that may be so required and the treasurei shall transmit the amount named in the requisition to the state board of health, which amount so advanced shall be covered and accounted for to the comptroller by proper vouchers and payment of any unexpended balance during the current month and before a succeeding monthly advance is made and the comptroller shall audit the accounts and vouchers and draw his warrants upon the treasury for the amount due and shall pay over to the treasurer such warrant and any amount returned by the state board of health as provided for in this section, taking up the requisition of the state board of health given to the treasurer. Sec. 4. All laws and parts of laws in conflict here with a(re hereby repealed. Approved June 1, 1899. X CHAPTER 4694. An Act creating a state bureau of vital statisics, and a registrar thereof, and requiring reports of births and deaths and providing a penalty for failure to make such reports. Be it enacted by the legislature of the State of Florida. Section i. The state board of health of Florida shall compile accurate vital statistics of marriages, births and deaths occurring in the State, arranged by counties and incorporated cities, with statements of the prevailing diseases and ail information of a medical or sanitary nature that may be of value in the preservation of the public health, and for this purpose a state bureau of vital statistics is created, to be under the supervision of the state health officer, as registrar of said bureau, with office at the office of the state board of health. The said regis- trar of vital statistics shall formulate, print and furnish suitable blanks for collecting and compiling such statistics, 19 and he shall, as often as once a month, tabulate and pub- lish such statistics, and furnish copies of the same to the incorporated cities within the State, and gratuitously dis- tribute copies to persons and to health boards of other states of the union, as may be deemed advisable by the state board of health. SEC 2. Every birth and death occurring in this State shall be reported by the attending physician, midwife, nurse or head of family, to the .state board of health or their agent as soon thereafter as, possible, on blanks fur- nished free and in accordance with the forms prescribed by the state board of health. Where cities or towns have a health department as a part of the municipal govern- ment, the report provided for may be rendered through the city or town health officer. Sec. 3. Any physician, midwife, nurse or head of a family* whose duty it is to make report and who fads to make report, as required in section 2, shall be guilty of a misdemeanor and liable upon conviction to a fine of not more than fifty dollars, or imprisonment of not over thirty days, or both, in the discretion of the court. Sec. 4. This act shall take effect immediately upon its passage and approval by the governor. Approved May 11, 1899. CHAPTER 4695. An Act regulating the treatment of suspicious cases of contagious or infectious diseases, prescribing the duties of the state, county and municipal authorities therein, and providing for necessary costs and ex- penses thereof. Be it enacted by the legislature of the State of Florida: Section i. Whenever a physician or other person, shall report a suspicions case of disease to the state board of health as required by the provisions of Section 764 20 of the Revised Statutes of Florida, he shall also immedi- ately give notice thereof to the city health officer, if there be any heajth officer, and if not, to1 the mayor of the incorporated city or town in which the stick person may be; or if the sick person resides or be found outside of the limits of a city or town, to the county health physician or his representative, if there be any, and if not, to the chairman of the county commissioners, cf the county with- in which the sick person may be. SkC. 2. It shall be the duty of the city or county health officer, or the mayor, or the chairman of the board of county commissioners, to whom a suspicious case of disease is reported in accordance with the provisions of section I of this act, to take immediate measures to examine the case reported, to furnish medical attention, food, clothing, and whatever may be necessary to care for, segregate and guard such suspicious, reported case, in accordance with the rules and regulations of the state board of health for the protection of the public heaJth now: in force, or hereafter adopted, and shall manage and control such case or cases until the anival of the state health officer or his agent. Sec. 3. Whenever the state health officer shall investigate any suspicious case or cases of disease, in accordance with the provisions of Section 769 of the Revised Statutes as amended by Section 1, Chapter 4348, Act of Florida, 1895, and shall determine that such dis- ease is contagious or infectious and a menace to the pub- lic health of the citizens of the State, then, he or his agent shall assume charge and management of every such case of contagious and infectious disease. All neces- sary and legitimate attendant upon such case or cases of disease after the state health officer or1 his agent shall ha.ve investigated and determined the same and1 assumed management and control, shall be paid out of the public health fund of the State on vouchers 21 approved by the president of the state board of health as now provided by law. SEC. 4. Any physician, city health officer, mayor, county health physician, or chairman of the board of county commissioners who shall neglect or fail to com- ply with the provisions O'f this act, shall be deemed guilty of a misdemeanor, and upon conviction shall be liable to a fine of one hundred dollars or imprisonment for thirty days, or both, in the discretion of the court having juris- diction. Sec. 5. All laws or parts of laws in conflict here- with are hereby repealed. Sec. 6. This act shall go into effect immediately upon its passage and approval by the governor. Approved May 24, 1899. CHAPTER 4696. An Act providing for the sanitary inspection of hotels and boarding houses by the tstate board of health, and prescribing a penalty for failure to place and keep said buildings in sanitary condition. Be it enacted by the legislature of the State of Florida: Section i. The state board of health shall cause, as often as. may be necessary upon information or com- plaint of any person, or at the request of any town or city council, or health officer, an examination to' be made of any building or buildings, and the premises connected therewith, used for board and lodging of visitors and other persons, containing ten or more rooms, such exami- nation to be made by or under the supervision of the state board of health or by persons under its appointment, as soon as possible after such application or complaint shall have been made. Sec. 2. That it shall be the purpose in making such examination, to ascertain the source and sufficiency of the 22 water supply, the quality of the water, the methods of removal of waste water, slops, excreta, house-refuse, garbage and all other putrescible matter of any kind, the ventilation available, and all other condi- tions relating to the health, sanitary condition and safety of said buildings and premises. That for each inspection so made, the owner or managing occupant of the premises so inspected shall pay to the state board of health the sum of two dollars, if premises are found to be in unsanitary condition, which amount shall be used by said board in defraying the expenses of such inspection, and issuing the certificates hereinafter provided for. Sue. 3. That upon the completion of such inspec- tion, the said state board of health shall authorize the state health officer to issue a certificate, reciting in detail the sanitary and other conditions of the examined prem- ises, in accordance with the facts) ascertained by such examination, and said certificate shall forthwith be posted by the owner or managing occupant of such premises in a safe and conspicuous place, where it may be easily seen and read by all persons, guests or other occupants of said premises,; and if the said certificate shall become defaced or destroyed said managing occupant shall imme- diately procure a copy of the same, which shall be placed in a like conspicuous position, for which copy the state board of heajth shall not be entitled1 to receive any fee. Sec. 4. Every owner, agent or lessee of any build- ing or buildings used for the purpose of providing board and lodging for the entertainment of guests, containing ten rooms or more, who shall have obtained and posted a certificate provided for herein may present the same as evidence in his defense in any suit in any of the courts in this State in which damages are claimed for injuries from alleged unsanitary conditions of said buildings and prem- ises and every owner, agent or lessee of any building opened for the purpose aforesaid, who has not had sucv< 23 sanitary examination of such buildings and premises as provided for herein, shall be liable for damages occasioned by such neglect, at the suit of any person injured thereby. Sec. 5. That whenever, upon an examination of any premises the inspection of which is required by this act, it shall be found by said state board of health that the premises and buildings so inspected are in an unsani- tary condition, such as to constitute a mlenace to the health and safety of the occupants thereof, it shall then be the duty of said state board of health to cause to be posted upon some conspicuous place on said premises., a written or printed notice, requiring the owner or managing oc- cupant of said premises, or both, to make such changes, or to perform or refrain from the performance of such acts as may be necessary to place said premises in a sani- tary and safe condition for the occupants thereof, within a reasonable time to be fixed by said notice. That if the own- er or managing occupant, or both, who shall be required by said notice from the state board of health to remedy such unsanitary conditions, shall fail to. comply there- with within the time therein mentioned, he shall be guilty of a misdemeanor, punishable by fine not exceeding one hundred dollars, or imprisonment not to exceed thirty days, or both, in the discretion of the court. Sec. 6. All laws or parts of laws in conflict with this act, or any part thereof are hereby repealed. Approved May 11, 1899. CHAPTER 5261. An Act to provide for the investigation of diseases, among domestic animals and to prevent the spread of con- tagious diseases among such. Be it enacted by the legislature of the State of Florida: Section i. The Board of Trustees o'! the Univer- sity of Florida is hereby authorized and empowered to 24 investigate diseases, among domestic animals, to prescribe rules and regulations for such investigations, and to adopt such methods ajs will prevent the spread of conta- gious diseases among such. Said board is hereby authoriz- ed to employ an agent, to be known as ''Veterinarian," who shall be a graduate of a veterinary college, and have had at least five years experience in the practice of veterinary medicine, and who has made original investiga- tions in veterinary science, to require of such veterinarian such duties as in the judgment of the said board will promote the welfare of domestic animals of the State of Florida, and to aid in the discrimination of knowledge of veterinary science. SkC. 2. The said board of trustees shall have the same power to promulgate rules and regulations and to enforce the same concerning segregation and quarantine of domestic animals, when they have reason to believe they are infected with any contagious disease or in any danger of conveying it to other animals, as is now by law conferred upon the state health officers concerning per- sons. The duties and powers of the said board of trustees, and said veterinarian, shall be regulated and controlled by the laws regulating the {Towers and duties of the state board of health and state health officers, in so far as such rules and regulations may be applied to the duties herein imposed. Sec. 3.-This act shall take effect upon its approval by the governor. Approved June 3, 1903. RULES OF THE State Board of Health OF FLORIDA- Rule i. Vital Statistics, Local Registrars.-That for the more efficient and convenient enforcement and administration of the laws of Florida relating to the collection and compilation of vitaJ statistics, the .state health officer in his capacity of registrar of vital statistics shall in writing appoint one person in each county or incorporated city or town of this state, as local registrar of vital statistics for the county, city or town in which he resides. Each such local registrar shall have jurisdiction only for the city, town or county (exclusive of incorpo- rated cities or towns in such county) for which he is appointed. Local registrars sha.ll receive only jsuch com- pensation as may be provided by the rules of the state board of health; and they shall be subject to removal at any time by the state hea.lth officer, as the state registrar of vital statistics, or by the state board of health. Whenever it may appear to the local registrar that it is necessary for the convenience of the people in any county, he ma.y, with the approval of the state registrar, appoint one or more suitable and proper persons as deputy local registrars who shall be authorized to receive of births and deaths and to issue burial permits in and for such portions of the county as may be designated by their appointment, and generally to perform such duties as may be delegated to them by loca.1 registrars. Each deputy! local registrar shall note the da.te each certificate was filed, and forward the same to the local registrar of the county within ten days and not more than three days after the 26 beginning of the following month. Deputy local registrars shall be subject to the supervision and control of the state registrar and may be removed by him at any time. Deputy local registrars shall be paid for their services by the local registrars under whom they act, and shall receive no compensation from this board. Rule 2. Reports of Marriages.-That on the first day of each month each local registrar shall procure from the county judge a list of all marriages occurring in the county during the preceding month, and jshall report the same forthwith to the state registrar on blanks to be supplied by the state board of health for this purpose. And the county judges of the several counties, of this State shall permit the local registrar to copy from the records of the martriage licenses in their offices the names of persons procuring licenses to marry and such other data in connection therewith as may be required by these rules. Rule 3. Burial Permits.-That the body of no per- son whose death occurs, in this State shall be interred deposited in a vault or tomb, cremated, or otherwise dis- posed of, or removed from or into any registration dis- trict until a permit for burial or removal shall have been properly issued by the local registrar of the registra- tion district in which the death occurs. No such burial or removal pef17n.it shall be issued by any local registrar until a complete and satisfactory return of the death ha|s been filed with him as hereinafter provided: But in case of any death outside of the State wh'ere the body is accom- panied by a removal or transportation permit issued in accordance with the law and the rules of the state board bf health, such removal or transportation permit may be accepted as of the same authority as a permit from the local registrar. Rule 4. Still Births.-Still born children or those dead at birth shall be registered as deaths under these 27 rules, and a certificate of dearth and burial or removal per- mit in usual form shall be required. The medical certificate of cause of death shall be signed by the attending physi- cian or midwife and shall state the cause of death as "still- born," with the cause of the stillbirth, if known, whether a premature birth, and if born prematurely, the period of utero-gestation in months, if known. Rule 5. Form of Certificate.-That the certificate of birth and return of marriages shall be of the form ordered and prepared by the state board of health, a.nd that the certificate of death shall be of the standard form adopted bv the state board of health of Florida. Rule 6. Contents of Certificate.-That the returns and certificates required by these rules shall be written legibly in permanent black ink. and no certificate of death shall be held to be complete that does not supply all items of information which the blanks specify or satisfactorily account for the omission of any of said items. The per- sonal and statistical particulars shall be authenticated by lhe signature of the informant, who may be any com- petent person acquainted with the facts. The statement of facts relating to the disposition of a dead body sha.ll be signed by the undertaker or person acting as such. The medical certificate of death shall be made and signed by the physician, if any, last in attendance on the deceased, who shall specify the time he last saw the deceased alive and the hour of the day at which death occurred; and he shall further state the cause of death so as to show the cause of disease or sequence of causes, resulting in death, giving primary and intermediate causes, and con- tributing causes, if any, and the duration of each. Indef- inite and unsatisfactory terms indicating only symptoms of disease or conditions resulting from disease, will not be held sufficient for issuing burial or removal permit, and any certificate containing such terms, a,s defined by the state registrar as indefinite shall be returned to the physi- cian for correction and definition. Causes of death which 28 may be the result of either disease or violence shall be carefully defined, and if from violence, its nature fihall be stated, and whether accidental, suicidal or homicidal. And in case of deaths in hospital's, institutions, or away from home, the physician shall furnish the information requir- ed, and shall state where, in his opinion, the disease was contracted. And the cause of death and all other facts required shall be in all cases stated in accordance with the instructions and directions of the state registrar. Rule /. Reports in Cases Where no Attending Physician.-In case of any death occurring without medi- cal attendance, it shall be the duty of the undertaker to notify the local registrar of such death, and when so notified the local registrar shall inform the local health officer and refer the case to him for immediate investi- gation and certification prior to issuing the permit; Pro- vided, that when the local health officer is not a quali- fied physician, or where there is no such official, and only in such cases, the local registrar is authorized to make the certificate and return from the statement of relatives or other persons having adequate knowledge of the facts: Provided, further, that if the circumstances of the case render it probable that the death was caused by unlawful means the local registrars shall then call the case to the at'ention of the proper coroner for his investigation and inquest. Rule 8. Duties of Undertakers.-The undertaker or person acting as undertaker shall be responsible for obtaining and filing the certificate of death with the local registrar and securing a burial or removal permit prior to any disposition of the body. He shall obtain the per- sonal and statistical particulars required from the person best qualified to supply them over the signature and address of his informant. He shall then present the cer- tificate to the attending physician,;, if any, or to the health officer or coroner, as directed by the local registrar for the medical certificate of the cans? of death and other par- 29 ticula<rs necessary 1o complete the record, as specified in the preceding rules. And he shall then state the facts required relative to the date aind the place of burial over his signature and with his address, and present the completed certificate to the local registrar within the time limit, if any, designated by the state board of health for the issuance of a burial or removal permit. Rule p. Records of Local Registrars.-That it shall be the duty of the local registrar without charge to sup- ply blank forms of birth and death certificate to such per- sons as require them, said blank forms to' be printed and distributed to ihe local registrars and other persons requiring them, by the state board of health. The local registrar shall carefully examine each certificate when presented for record to see that it has been made out in accordance with the provisions of these rules, and the instructions of the state registrar, and if any certificate is incomplete or unsatisfactory, it shall be his duty to' call attention to the defects in the return and withhold issuing a permit for burial or removal until ihey are corrected. He shall then number them in consecutive order, beginning with number one for the first death in each calendar year, and pign his name as local registrar in attest of the date of filing in his office. If the certificate is properly executed and comple'e, he shall then issue a burial or removal per- mit to the undertaker; Provided, That in case the death occurred from some disease that is held by the state board of heal h to be infectious, contagious or communicable, and dangerous to the public health, no permit for the, removal or other disposition of the body shall be granted by the local registrar except under such conditions as may be prescribed by the state board of health. He shall also make a complete and accurate copy of each certificate regis'ered by him. upon a form identical with the original certificate, to be filed and permanently preserved in his office as the local record of such birth and death, in such manner as directed by the state registrar. And he shall, 30 on or before the fifth day of each month, transmit to the slate registrar all original certificates registered by him during the preceding month. If no death occurred in any month he shall, on or before the 5th day of the following month, report that fact to the state registrar in such man- ner as the state registrar may direct. Rule 10. Contents of Burial Permit.-If the inter- ment, or other disposition of the body is to be made in the registration district in which the death occurred, the wording of the burial permit may be limited to a statement by the local registrar and over his signature, that a sat- isfactory certificate of death having been filed with him as required by these rules, permission is granted to inter, remove or otherwise dispose of the body of the deceased, stating the name, age, sex and cause of death and other necessary details upon the form prescribed by the state registrar. But in case the interment, or other disposition of the body is to be made in some registration district other than that in which the death occurred, a complete copy of the certificate of death shall be attached to and made a part of the permit. Rule 11. Duties of Sextons and Cemetery Keepers. -No sexton or person in charge of any premises in which interments are made shall inter or permit the interment of any body unless it is accompanied by a burial, removal or transit permit as herein provided. And each sexton or person in change of any burial ground shall endorse upon the permit the date of interment, over his signature, and shall return all permits, so endorsed, to the local regis- trar of his district within ten days from the diate of inter- ment. He shall also keep a record of all interments made in the premises under his charge, stating the name of the deceased person, place of death, date of burial, a.nd name and address of the undertaker, which record shall at all times be open to public inspection. 31 Rule 12. Compiling and Preservation of Returns.- The state board of health of Florida, by the state health officer as state registrar, shall prepare, print and supply all local registrars, blanks and forms used in registering recording and preserving the returns ar in otherwise carrying out the purposes of these rules, ajid shall pre- pare and issue such detailed instructions as may be requir- ed to secure the uniform observance of its provisions and the maintenance of a. perfect system of registration, and no other blanks shall be used than those supplied by the state board of health. The s:ate registrar shall care- fully examine the certificates received monthly from the loca.l registrars, and if any such are incomplete or unsat- isfactory he shall require such further information to be furnished as may be necessary to make the report satis- factory. All physicians, informants, or undertakers con- nected with die case, and all other persons having knowl- edge of the facts, are hereby required to furnish such information as they may possess regarding any death, upon demand of the state registrar in person, by mail, or through the local registrar. Said state registrar shall further arrange, bind, and personally preserve the certi- ficates, in a systematic manner, and shall prepare and maintain a comprehensive and continuous card index of all births and deaths registered, the cards to show, in case of deaths, the names of deceased, place and date of death, number of certificate and the volume in which it is con- tained. He shall inform all local registrars whar diseases are to be considered as infectious, contagious, or com- municable and dangerous to the public health, as decided by the state board of health, in order that when deaths- occur from such diseases proper precautions, may be taken to prevent the spreading of dangerous diseases. Rule 13. Amending Certificates and Returns.- Whenever it may be alleged that the facts are not cor- rectly stated in any certificate of birth or death hereto- 32 fore registered, the local registrar shall require a deposi- tion under oath to be made by the person asserting the fact, to be supported by the deposition of two or more per- sons having knowledge of the facts, setting forth the changes necessary to make the record correct. Having received such depositions, he shall file them and if satis- fied of their correctness, he shall then draw a line through the incorrect statement or statements in the certificate, without erasing them, and make the necessary corrections, noting on the margin of the certificate his authority for so doing, and transmit the depositions, attached to the origi- nal certificate, when making his regular monthly returns to the state registrar. If the correction relates to a certif- icate previously returned to the state registrar, he shall transmit the depositions forthwith to the state registrar. If the correction is first made upon the original certificate on file in the state bureau of vital statistics, the state registrar shall immediately transmit a certified copy of the original certificate, corrected as above, to the local registrar, who shall thereupon substitute such certified copy for the copy of the certificate in his records. All such corrections and marginal notes referring to them shall be made in permanent red ink. Rule 77. Compensation of Local Registrars.-Each local registrar shall be entitled to be paid the sum of ten cents for each birth and death certificate properly* and completely made out and registered with and returned by him and for each marriage reported by him to the state registrar on or before the 5th day of the following month, which sum shall cover and include the making out each birth and marriage report, and burial permit and the copy of the certificates to be filed and preserved in his office. Provided, That in cities, in which the city clerk or health officer, acting as local registrar, receives a fixed salary in lieu of fees, the state registrar may fix other fee> for such services not greater than the fees herein provided. And in case no births, marriages or deaths were reg- 33 istered during any month, the local registrar shall be entitled to be paid the sum of twenty-five cents tor each report to that effect promptly made in accordance with the directions of the state registrar. All amounts payable to local registrars under provisions of this rule .shall be paid by the state board of health from the state health fund, upon warrants and vouchers issued and certified to by the state healthf officer as state registrar, ats all other accounts against the state board of health are ap- proved and paid. And the state registrar shall issue war- rants in favor of local registrars at the end of each quarter, specifying the number of the certificates properly registered and properly returned and the number of reports promptly made by each to the effect that there were no births, marriages or deaths registered, with the amount due at the rate fixed herein. Provided further, that in the ca,se of reports of marriages, if the county judge shall prefer to make a report direct to the state registrar at the end of each month of the number of majrriage licenses issued by him during the previous month, on blanks which shall be furnished by the state board of health, then he shall be entitled to receive the sum of twenty-five cents for each report made in accord- ance with requirements and instructions of the state reg- istrar. Rule 15. Furnishing Copies of Records.-The state registrar shall upon request furnish any applicant a certified copy of the record of any birth, marriage or death, registered under the provisions of this act, for the making a,nd certification of which there shall be no charge, Rule 16. Records to be kept in Hospitals and other Institutions-,-All superintendents or managers or other persons in charge of hospitals or institutions, public or private, to which persons resort for treatment of diseases or are committed by process of law, are- hereby required to make a record of all of the persona] and statistical par- ticulars relative to the inmates in their institutions at the 34 date of the adoption of these rules, that are required in the form of certificate herein provided for, in addition to such other record as may be required by existing law or the circumstances of the case, and thereafter such record shall be by them made for all future inmates at the time of admission. And in case of persons admitted for medical treatment the physician in charge shall specify, for entry in the record, the nature of the disease and where in his opinion it w,ais contracted. The personal particulars and information required by this rule shall be obtained from the individual himself or herself, if it is practicable to do so, and when they cannot be so obtained they shall be secured in as complete a manner as possible from relatives, friends, or other persons acquainted with the facts. Rule 17. Registration of Physicians, Midwives and Undertakers.-That every physician, midwife and under- taker residing in, at the date of the adoption of this rule, or hereafter establishing a residence in any registration district of this State, shall forthwith register his or her name, address and occupation, with the local reg- istrar of the district in which they reside, and they shall thereupon be furnished by the local registrar with a copy of these rules, and such other rules, regulations and instructions as may/ be prepared by the state registrar with relation to their duties hereunder. Rule 18. General Duties of Local Registrars.- Local registrars are hereby changed with the strict and thorough enforcement of the provisions of these rules in their districts, under the supervision and direction of the state registrar. And they shall make immediate report to the state registrar of any violation of these rules com- ing to their notice by observation or upon complaint of any person or otherwise. The state registrar is hereby charged with the thorough and efficient execution of the provisions of these rules in every part of the State, and with supervisory power over local registrars to the end 35 that all of the requirements of these rules shall be uni- formly complied with. He ishall have authority to1 investi- gate capes of irregularity or violation of these rules, per- sonally or by accredited representatives, and all local registrars shall aid him, upon request, in such investi- gations. Rule ip. Burials.-The body of any person dying from diphtheria, scarlet fever, smallpox, asiatic cholera, leprosy, bubonic plague, typhus fever or yellow fever, shall be buried or cremated within twelve hours from the time of death. The body of any person dying from a disease other than those hereinabove named shall be buri- ed or cremated within twenty-four hours from the time of death, unless properly embalmed and encased in a metal lined casket or container, in which case such body may be held for interment or transportation for a period not exceeding five days. Rule 20. When Transportation Forbidden.-The bodies of persons who have died of smallpox or bubonic plague shall not be transported or disinterred in Florida, or from another state to any place in this state, or from any place in this state to another state or territory. Rule 21. When Required to be Embalmed.-The transportation of bodies of persons who have died of asiatic cholera, yellow fever, typhus fever, diphtheria, membraneous croup, scarlet fever, erysipelas, glanders, anthrax or leprosy shall not be accepted for transportation unless prepared for shipment by' being thoroughly dis- infected by (a) arterial and cavity injection with an approved disinfecting fluid : (b) disinfection and stopping all orifices with absorbent cotton, and (c) washing the body with a disinfectant, all of which must be done by an experienced embalmer holding a certificate from the state board of health. After being disinfected as above, such body shall be enveloped in a layer of cotton, not less than one inch thick, completely wrapped in a sheet secure- ly fastened, and encased in an airtight zinc, tin, copper, 36 or lead lined coffin or iron casket, all joints ajid seams hermetically sealed, and all inclosed in a strong tight wooden box : or, the body being prepared for shipment by disinfecting and wrapping as above, may be placed in a strong coffin or casket, and said coffin or casket encased in an airtight zinc, copper or tin lined box, all joints and seams hermetically soldered. For transportation under this rule, only embalmers holding a license or certificate issued or approved by the sta.te board of health shall be recognized as competent to prepare such bodies for ship- ment. Rule 22. When required to be embalmed or other- wise especially prepared.-The bodies of those dead of typhoid fever, puerperal fever, tuberculosis or measles may be received for transportation when prepared for shipment by arterial and cavity injection with an approved disinfecting fluid, washing the exterior of the body with the same, and enveloping the entire body with a layer of cotton not less than one inch thick, and all wrapped in a sheet securely fastened, and encased in an airtight coffin or casket or airtight metal lined box; provided that this shall apply only to bodies which can reach their destina- tion within thirty hours from the time of death, in all other caises such bodies shall be prepared by a licensed embalmer holding a certificate as provided for in the pre- ceding rule. When prepared by a licensed embalmer, as defined and directed in the;?e rules,, the airtight sealing and bandaging with cotton may be dispensed with. Rule 2y. When Death not caused by Malignant Disease.-The bodies of those dead from any cause not stated in rules 21 and 22 may be received for transporta- tion when encased in a sound coffin or casket and enclosed in a strong outside wooden box, provided they can reach their destination within thirty hours', from the time of death. If the body cannot reach its destination within thirty hours from the time of death, it must be prepared 37 for shipment by arterial and cavity' injection with an approved disinfecting fluid, washing the exterior of the body with the same, and enveloping the entire body with a layer of dry cotton not less than one -inch thick, and all wrapped in a sheet fastened and encased in an air-tight metalic coffin or casket or in an air-tight metal-lined box. Rule 24. Transportation Regulations.-In the ship- ment of bodies dead from any disease named in rule 2ly such body must not be accompanied by persons or articles which have been exposed to the infection of the disease, unless certified by the local or state health officer as having been properly disinfected. Before selling tickets, agents of the carrier must carefully examine the transit permit and note the name of the passenger in charge, and of any others, proposing to accompany the body, and see that all necessary precautions have been taken to prevent the spread of the disease. The transit permit in such cases shall specifically state who is, authorized by the health authorities to accompany the remains. In all cases where bodies, are forwarded under rule 21, notice mupt be sent by telegraph by the shipping embalmer to the health officer, or, when there is no health officer, to- other com- petent authority, at destination of such body, advising the date and train on which the body may be expected. Rule 25. Hozv Corpse must be Shipped.-Every dead body must be accompanied by a transit permit show- ing physician's or coroner's certificate, name of deceased, date and hour of death, age, place of death, cause of death, and all other items of the standard certificate of death recommended by the American Public Health Association and adopted by the United States census bureau, which are hereby adopted by this board, so far as obtainable, including health, officer's or registrar's permit for removal, whether a communicable or non-com- municable disease, the point to which the body is to be shipped, and when death is caused by any of the diseases 38 specified in rule 21, the names of those authorized by the health authorities to accompany the body, also the under- taker's1 certificate as to how the body has been prepared for shipment. The transit permit must be made in tripli- cate, and the signature of physician or coroner, health officer and undertaker must be on both the original, dup- licate and triplicate copies. The undertaker's or regis- trar's certificate and palter of the original shall be detached from the transit permit and securely fastened on the end of the coffin box. All coffin boxes must be provided with at least four handles. The physician's certificate and transit permit shall be handed to, the passenger or agent in charge of the corpse, if any. The whole duplicate copy shall be sent to the official in charge of the baggage department of the initial line, and by him to be forwarded to the state board of health of the state of destination, and the trip- licate copy to the state board of health of Florida. Rule 26. Shipments of Bodies by Express.-'When bodies are shipped by express, a transit permit, as describ- < ed in rule 24, must be made out in triplicate. The under- taker's certificate and paster of the original shall be detach- ed from the transit permit and securely fastened on the coffin box. The physician's certificate and transit permit shall be attached to and accompany the express waybill covering the remains, and be delivered with the body at the point of destination to the person to whom it is con- signed. The whole duplicate copy shall be sent by the for- warding express agent to the state board of health of the state from which said shipment was made, and the triplicate copv to the state board of health of Florida. Rule 27. Disinterments.-Disintered bodies of per- sons who have died from any disease or cause, shall be treated as infectious or dangerous to the public health, and shall not be accepted for transportation in or removed from this State unless said removal has been approved by the state health officer, if the disinterment be in this 39 State, and the consent of the health authorities of the locality to which the corpse is consigned has first been obtained; and no such dead body shall be brought into Florida without the approval of the public health author- ities having jurisdiction of the place where such body was disinterred, and no such bodies shall be transported, received or buried in this State unless satisfactory evi- dence of compliance with the rules of this board res- pecting same shall be submitted to the state health officer and his written consent obtained to such receipt or burial; and no disinterred body shall be shipped or transported from one place to another in this State without the written permission of the state health officer and full compliance with the rule of this board respect- ing disinterments of bodies. And all such disinterred re- mains or the coffin or casket containing the same, must be wrapped in a woolen blanket thoroughly saturated with a i-iooo solution of corrosive sublimate and enclosed in a hermetically soldered zinc, tin or copper-lined box. But bodies deposited in receiving vaults, shall not be treated and considered the same as buried bodies, when originally prepared by a licensed embalmer, as defined in rule 21, (according to the nature of the disease causing death), provided shipment takes place within thirty days from the time of death. The shipment of bodies prepared in the manner above directed by licensed embalmers from receiv- ing vaults may be made within thirty days from time of death without having to obtain permission from the health authorities of the locality to which the body is consigned. After thirty days the casket or coffin box containing said body must be inclosed in a hermetically soldered box. Riile 28. Reports of Communicable Diseases.-It shall be the duty of every physician in the State of Florida to report immediately to the state health officer or to an agent of the state board of health, by first mail, every case of diph- 40 theria, leprosy or scarlet fever which occurs within his practice or which he may be called to attend, in the same manner as is now required by law for reporting cas.es of cholera, smallpox and yellow fever. Where there is no physician in attendance upon any case of diphtheria, lep- rosy or scarlet fever, it shall be the duty of any person having charge of or in attendance upon or upon whose premises such case exists to report the same in manner hereinabove provided. Rule 29. Concealing Contagious Diseases.-No per- son shall willfully or knowingly hide, conceal or prevent the discovery of or assist in hiding, concealing or pre- venting the discovery of any case of yellow fever, small- pox, cholera or other infectiousi or contagious disease within the State of Floridai. No person shall hinder, pre- vent or impede the reporting of the existence of any case of yellow' fever, scarlet fever, smallpox, cholera or any other contagious or infectious disease in the State of Florida to the state health officer. No person shall secrete or conceal or assist in secreting or concealing from the state health officer or the local health authorities, any personal effects, clothing, bedding or other articles which have been used in or about any case of infectious or contagious disease whereby contagion or infection may be conveyed or imported. Rule 30. Seggregation of Persons having Contagi- ous Diseases.-When any person coming from abroad or residing within this State is found to be infected with smallpox, yellow fever, typhus, cholera, leprosy, bubonic plague or other malignant, contagious or infectious dis- ease, so dangerous to public health that complete isola- tion thereof is necessary, the state health officer and his assistants and the agents of the state board of health are empowered and authorized to remove such infected per- son to a safe, suitable and proper place, and there pro- vide medical treatment and all necessaries for such person, provided same can be done without danger to the life of 41 such person. If, in the opinion of the state health officer or such assistant or agent, complete isolation of such infected person can be had in the house where he or she is found, such person may be permitted to remain there, in which event a complete isolation of the room or rooms and house in which such infected person is shall be estab- lished, and the physician, nurse, attendant and persons sick therein, and all persons approaching or coming with- in, the limits thereof, and all furniture and other articles used or brought there, shall be subject to such regulations a,s the state health officer may prescribe. The state health officer is hereby further authorized and empower- ed to take such other measures of precaution for the pre- vention of the spread of smallpox and other malignant, contagious or infectious diseases as he may deem neces- sary and proper under the circumstances of each case. Rule 31. Vaccination.-All persons residing in any city or town of this State shall be vaccinated, and it shall be the duty of the common council or board of aidermen of every incorporated city and town in this State to prescribe and enforce regulations for the enforce- ment of this rule. Every parent, guardian or other per- son in charge of or having the custody or control of any child shall have said child properly vaccinated. When, in the opinion of a licensed practicing physician of this State, vaccination of any particular person would be dangerous to the health of such person, the requirements of this rule need not be enforced as to such person at such time; provided that at such time smallpox does not threaten to become epidemic or prevalent in the com- munity in which such person resides.. The state board of health will furnish free of cost fresh bovine virus for use in vaccinating, which virus shall first be examined'and approved by the state bacteriologist. Rule 32. Vaccination{ in Schools.-Nd superin- tendent of public instruction, member of a school board or principal or teacher of any school shall admit as a 42 pupil to any school or institution of learning' in this State any child or person who cannot produce satisfactory evi- dence of having been successfully vaccinated. Ride 33. Vaccination of Employees.-No owner, lessor, manager, superintendent or agent operating any manufactory, phosphate plant, saw-mill, turpentine still or farm, store, railroad or other business employing workmen, laborers or gangs of men, women or children who sleep or eat together, shall employ any man, woman or child who cannot produce satisfactory evidence of having been successfully vaccinated within five years of such employment. It shall be the duty of such owner, lessor, superintendent, manager or agent to see that such employees are vaccinated as often as the health officers of the State, city, town or county in which such work or business is carried on may deem necessary and require. Rule 34. Appointment of Officers and Agents.- The state health officer is hereby authorized and empow- ered to employ, with the approval of the president of this board, suitable and proper to serve in the capacity of county sanitary agents, special agents, and in such other capacities and to perform such other duties as may be necessary to prevent the introduction or spread of disease, for the preservation of the public health and to secure the performance of the powers and duties of this board. Such persons shall be so employed only while their services are necessary, and shall be subject to removal at the pleasure of the state health officer or of the president of this board. The compensation of such persons shall be fixed at the time of employment by the state health officer and president of this board at such sum as they shall consider just and reasonable for the services to be rendered. Rule 35. Duties of County Agents, etc.-Any county sanitary agent or other officer or employee of this board, who shall learn of any sanitary) nuisance, or of any cause or things which threaten to endanger the 43 public health, or of any infraction or violation of the rules of this board, shall immediately report same to the state health officer, and, if required by him, shall call upon the municipal authorities of any incorporated city or town in which the same may be found, or the county commissioners, if same be not within any incorporated city or town, to abate such nuisance or prevent such vio- lation of rules, and in the event such authorities shall fail to remedy such evil within a reasonable and proper time, the facts thereof shall be reported to the state health officer. Rule 36. Municipal Sanitation: Garbage.-No dumping ground for garbage or refuse matter of any kind s,hall bo maintained at or near any city, town or settle- ment in this State; and the mayor or other chief execu- tive officer of any incorporated cityf or town and the chairman of the county commissioners of the county in which any unincorporated village is situated, shall prompt- ly cause any such nuisance to be destroyed by fire, when the same occurs within his city, town or unincorporated village, as the case may be, and shall by the same means prevent the accumulation of refuse matter or garbage in such quantity as to endanger the health or life of any citizen or citizens. Rule 33. Tainted Foods.-No decayed or diseased or tainted meat, fowl, fish, fruit or vegetables shall be brought into, landed, kept, sold or offered for sale at any port, harbor, city or town of this State; and any such diseased, decayed or tainted meat, fowl, fish, fruit or vegetables kept in, brought into, or landed at any city, harbor, port or town of this. State shall be immediately destroyed, a,nd the local health authorities and other officers of any such harbor, port, city or town, are hereby empowered and charged with the duty of carrying out the provisions of this rule a,nd enforcing obedience hereto. Rule 38. Offensive Fertilisers.-No green salted 44 hides, bones, bone-dust, guano or fertilizer of any kind that has become damaged by water or otherwise so as to be detrimental to the public health shall be landed on any wharf or dock of, or in any manner brought into, or kept in any city, town, port or settlement in this State. Rule 39. Interstate Quarantine and Inspection.- Whenever yellow fever, smallpox or any other contag- ious or infectious disease shall exist or prevail in any city or town of any state of the United States, Mexico, Canada or any other foreign country, to such an extent as the state health officer may deem dangerous to the health of the State of Florida, then the statfe board of health may declare a quarantine against such place, and all persons entering the State of Florida from such infect- ed locality, be detained at such points on or near the border line of Florida as may be selected by the state health officer for observation, isolation and treatment of the sick and for fumigation of baggage, freight and mails ais the case may require and as may be suitable and proper. The length of time of detention and methods of treat- ment of the sick and fumigation of baggage, wearing apparel, freight and baggage of persons and property coming from such infected points shall be determined by this board at the time of the declaration of such quaran- tine and from time to time thereafter as may be convenient to the board. And the board shall make such other and further rules for the conduct and operation of places of detention and fumigation as may be necessary and proper. Rule 40. Health Certificates.-Persons desiring to enter the State of Florida when any quarantine has been declared on any railroad, steamboat, stage coach or other carrier, passing any quarantine station, are required to exhibit to the inspecting officer appointed by this board, a certificate, signed by the mayor or citv health officer, under the corporate seal, if such person is from a municipal corporation, or in other cases by a justice of 45 the peace, or state health officer, that neither said per- son or his baggage has been exposed to the infection or contagion against which said quarantine has been declared within fifteen days prior to the date of said certificate. Said certificate sha.ll bear date not more than five days before itys presentation. Any person failing to present such certificate shall be subject to detention at such quarantine station as provided in Rule 24. Rule 41. Shipment of Infected Goods.-No bed- ding, household goods or rags shall be brought into this State from any city, town or place without thi/s State where any epidemic, infectious or contagious disease •exists. Rule 42. Disinfection of Infected Goods.-All bag- gage, freight and other goods brought into this State from any city, town or place of any other State of the United States, or any foreign country, where any epidemic contagious or infectious disease exists, except such freight as in the opinion of the state health officer may be free from danger of infection or contagion, shall be thorough- ly disinfected by an agent of this board by superheated steam, dry heat of high temperature or medicated vapor according to the nature of the article. Rule 4?. Disinfection of Cars.-All railroad cars, steamboats, or other conveyances on which any epidemic, contagious or infectious disease is; found to exist, or on which any case of cholera, sma.llpox, scarlet fever, yellow fever, typhus fever, diptheria or leprosy is found to ex- ist, whether the same then be epidemic or not, and all cars or other conveyances coming from an infected place ■or place where any epidemic exists, /shall be inspected and thoroughlv disinfected when necessary by an agent of this board, before being allowed to enter the State of Florida. Rule 44. Duties of Carriers.-No carrier, transpor- tation company, vessel or individual shall transport or bring into this State any passengers, freight, baggage or 46 cars without detaining the same for inspection and disin- fection when the same is, required by these rules. Rule 45. Spitting in Piiblic Places.-That it shall be unlawful for any person to spit upon side-walks, rail- road depots and platforms, or the floors, walls or other parts of any church, theatre, street-car, railroad car, sleeping car, steamboat, cigar factory, public hall or other public building or room where people are accustomed to gather, except in spittoons or other receptacles especi- ally provided for such purpose; and the person or corpora- tion who shall own or be in charge or control of such church, theatre, street car, railroad car, sleeping car, steamboat, cigar factory, public hall or other public build- ing or room shall furnish same with a sufficient number of ispittoonis for the use of the persons frequenting such places. It shall be unlawful for any person or corporation owning, conducting or having charge of such place where- in spitting is forbidden as aforesaid knowingly to permit the viola* ion of this rule. All spittoons provided under this rule shall be thoroughly cleaned and disinfected at least once each day, and each spittoon after being cleaned, shah contain at least one-half pint of some germicidal solution. Rule 46. Sanitation of Cars.-That it shall be the dutv of all railroad companies, sleeping car companies, and other transportation companies, and a,11 persons do- ing the business of common carriers of persons in this State, and their officers, agents and employees, to keep and maintain all passenger cars, sleeping cars, street cars, steamboats and other vehicles of transportation of persons in this State, in a clean and sanitary condition at all times. At the end of each trip all railroad passenger cars and sleeping cars shall be thoroughly cleaned, the cushions and all carpets and upholstery therein well beaten to expel dust which shall afterwards be collected bv wiping with a moist cloth and thoroughly treated with some efficient 47 germicide, when required, and all other necessary mea- sures taken to prevent said cars from conveying or trans- mitting disease of any kind; and in addition to the fore- going regulations, the bedding and blankets in all sleep- ing cars shall be thoroughly srterilized at least once each trip, and if same shall be stained or known to have been exposed to contagious or infectious disease, they shall be disinfected or destroyed forthwith. QUARANTINE LAWS OF THE UNITED STATES. An Act granting additional quarantine powers and imposing additional duties uppnl the Marine-Hospital Service. (Approved, February 15, 1893.) Be it enacted by the Senate and House of Represen- tatives of the United States of America' in Congress assembled, That it shall be unlawful for any merchant ship or other vessel from any foreign port or place of (to) en er any port of the United States except in accordance with the provisions of this act and with such rules and regulations of State and municipal health authorities? as may be mwle in pursuance of, or consistent with, this act; and any such vessel which shall enter, or attempt 'o enter a port of the United States in violation thereof shall forfeit to the United State? a sum, to be awarded in the discretion of the court, no' exceeding five thousand dol- lars, which sha.ll be a lien upon said vessel, to' be recovered by proceedings in the proper district court of the United States. In all such proceedings the United States district attorney for such district shall appear on behalf of the United States, and all such proceeding,? shall be conducted in accordance with the rules and laws governing cases of seizure of vessels for violation of the revenue laws of the United States. Sec. 2. That any vessel at any foreign port clearing for any port or place in the United State?? shall be required to obtain from the consul, vice-consul, or other consular officer of the United States at the port of departure, or from the medical officer where such officer hais been detailed by the President for that purpose, a bill of health, 49 in duplicate, in the form prescribed by the Secretary of the Treasury, setting forth the sanitary history and con- dition of said vessel, and that it has in all respects com- plied with the rules arid regulations in such cases pre- scribed for securing the best sanitary condition of the said vessel, its cargo, passengers, and crew; and said consular or medical officer is required, before granting such dupli- cate bill of health, to be satisfied that the matters and things therein stated are true; and for his services in that behalf he shall be entitled to demand and receive such fees as shall by lawful regulation be allowed, to be accounted for as is required in other cases. The President, in his discretion, is authorized to detail any medical officer of the Government to serve in the office of the consul at any foreign port for the purpose of furnishing information and making the inspection and giving the bills of health hereinbefore mentioned. Any vessel clearing and sailing from any such port without such bill of health, and entering any port of the United States, shall forfeit to the United States not more than five thousand dollars, the amount to be determined by the court, which shall be a lien on the .same, to be recovered by proceedings in the proper district court of the United Staites. Tn all such proceedings the United States district attorney for such district shall appear on behalf of the United States; and all such proceedings, shall be conduct- ed in accordance with the rules and laws governing cases of seizure of vessels for violation of the revenue laws of the United States. Sec. 3. That the Supervising Surgeon-General of the Marine-Hcrpital Service shall, immediately after this act takes effect, examine the quarantine regulations of all State and municipal boards of health, and shall, under the direction of the Secretary of the Treasury, cooperate with and aid State and municipal boards of health in the execution and enforcement of the rules and regulations 50 of such boards and in the execution and enforcement of the rules and regulations made by the Secretary of the Treasury, to prevent the introduction of contagious or infectious diseases, into the United States from foreign countries, and into one State or Territory or the District of Columbia from another State or Territory or the District of Columbia; and all rules and regulations made by the Secretary of the Treas- ury (shall operate uniformly and in no manner discrimi- nate against any port or place; and at such ports and places within the United States as have no quarantine regulations under State or municipal authority, where such regulations are, in the opinion of the Secretary of the Treasury, necessary to prevent the introduction of contagious or infectious diseases into the United States from foreign countries, or into one State or Territory or the District of Columbia from another State or Territory or the District of Columbia, and at such ports and places within the United States where quarantine regulations exist under the authority of the State or municipality which, in the opinion of the Secretary of the Treasury, are not sufficient to prevent the introduction of such dis- eases into the United States, or into one State or Terri- tory or the District of Columbia from another State or Territory or the District of Columbia, the Secretary of the Treasury shall, if in his judgment it is neces- sary and proper, make such additional rules, and regulations as are necessary to1 prevent the intro- duction of such diseases into the United States from foreign countries, or into one State or Terri- tory or the District of Columbiai from another State or Territory or the District of Columbia!, and when said rules and regulations have been made they shall be promulgated by the Secretary of the Treasury and enforced by the sanitary' authorities of the States and municipalities, where the State olr municipal health authorities will undertake to execute and enforce them; but if the State 51 or municipal authorities, shall fail or refuse to enforce said rules and regulations; the President shall execute and en- force the same and adopt such measures as in his judg- ment shall be necessary to prevent the introduction or spread of such and may detail or appoint officers for that purpose. The Secretary of the Treasury shall make such rules and regulations as are necessary to be observed by vessels at the port of departure and on the voyage, where such vessels jsail from any foreign port or place to any port or place in the United States, to secure the best sanitary condition of such vessel, her cargo, passengers, and crew; which shall be published and com- municated to and enforced by the consular officers of the United States. None of the penalties herein imposed sha.ll attach to any vessel or owner or officer therof until a copy of this act, with the rules and regulations made in pur- suance thereof, has been posted up in the office of the con- sul or other consular officer of the United States for ten days, in the port from which said vessel sailed; and the certificate of such consul or consular officer over his official signature shall be competent evidence of such porting in any court of the United States. Sec. 4. That it shall be the duty of the Supervising Surgeon-General of the Marine-Hospital Service, under the direction of the Secretary of the Treasury, to perform all the duties in respect to quarantine and quarantine reg- ulations which are provided for by this act, and to obtain information of the sanitary condition of foreign ports and places from which contagious and infectious diseases are or may be imported into the United States, and to this end the consular officer of the United Stages at such ports and places as shall be designated by the Secretary of the Treasury shall make to the Secretary of the Treas- ury weekly reports of the sanitary condition of the ports and places at which they are respectively stationed, according to such form's, as the Secretary shall prescribe; and the Secretairy of the Treasury (shall also obtam, 52 through all sources accessible, including State and municipal sanitapy authorities throughout the United States weekly reports of the sanitary condition of reports and places within the United States, and shall prepare, publish, and transmit to collec- tors of customs and to State and municipal health officers and other sanitarians weekly abstracts of the consular sanitary reports and other pertinent information received by him, and shall also, as far as he may be able, by means, of the voluntary cooperation of State and municipal authorities, of public associations, and private persons, procure information relating to the climatic and other affecting the public health, and shall make an annual report of his operations to Congress,, with such recommendations as he may deem important to the public interests. Sec. 5. That the Secretary of the Treasury shall from time to time issue to1 the consular officers of the United States and to the medical officers serving at any foreign port, and otherwise make publicly known, the rules and regulations made by him, to be used and complied with by vessels in foreign ports, for securing the best sanitary condition of such vessels, their cargoes, passengers, and crew, before their departure for any port in the United States, and in the course of the voyage; and all such other rules and regulations as shall be observ- ed in the inspection of the.pame on the arrival thereof at anv quarantine station at the port of destination, and for the disinfection and isolation of the same, and the treat- ment of cargo and persons on board, so as to prevent the introduction of cholera, yellow fever, or other contagious on infectious diseases; and it shall not be lawful for any vessel to enter said port to discharge itjs cargo, or land its passengers, except upon a certificate of the health offi- cer at such quarantine station certifying that said rules and regulations have in all respects been observed and com- plied with, a>s well on his part as on the part of the .said 53 vessel and its master, in respect to the same and to its car- go, passengers, and crew; and the master of every such vessel shall produce and deliver to the collector of cus- toms at said port of entry, together with the other papers of the vessel, the said bills of health required to be obtain- ed at the port of departure and the certificate herein re- quired to be obtained from the health officer at the port of entry; and that the bills of health herein prescribed shall be considered as part of the ship's papers, and when duly certified to by the proper conisular officer or other officer of the United States, over his official signature and sea,l, shall be accepted as evidence of the statements therein contained in any court of the United States. Sec. 6. That on the arrival of an infected vessel at any port not provided with proper facilities for treatment of the same, the Secretary of the Treasury may remand said vessel, at its own expense, to the nearest national or other quarantine station, where accommodations and appli- ances are provided for the necessary disinfection and treatment of the vessel, passengers, and cargo; and after treatment of any infected vessel at a national quarantine station, and after certificate shah have been given by the United States quarantine officer at said station that the vessel, cargo, and passengers are each and all free from infectious disease, or danger of conveying the same, said vessel shall be admitted to entry to any port of the United States named within the certificate. But at any ports where sufficient quarantine provision has been made by State or local authorities the Secretary of the Treasury- may direct vessels bound for said ports to undergo quar- antine at said State or local station. Sec. 7 That whenever it shall be shown to the satisfaction of the President that by reason of the exist- ence of cholera or other infectious or contagious diseases in a foreign country there is serious, danger of the intro- 54 duction of the jsame into the United States, and that not- withstanding the quarantine defense this danger is so increased by the introduction of persons or property from such country that a suspension of the right to introduce the same is demanded in the interest of the public health, the President shall have power to prohibit, in whole or in part, the introduction of persons and property from such countries or plaices as he shall designate and for such period of time as he may deem necessary. Sec. 8. That whenever the proper authorities of a State shall surrender to the United States the use of the buildings and disinfecting apparatus at a) State quarantine station the Secretary of the Treasury shall be authorized to receive them and to pay a reasonable compensation to the State for their use, if, in his opinion, they are neces- sary to the United States. Sec. 9. That the act entitled "An act to prevent the introduction of infectious or contagious diseases into the United Stages, and to establish a national board of health," approved March 3, 1879, t>e> and die same is hereby, repealed. And the Secretary of the Treasury is directed to obtain possession of any property, furniture, books, paper, or record's belonging to the United States which are not in the possession of an officer of the United States under the Treasury Department which were for- merly in the use of the National Board of Health or any officer or employee thereof. ACT OF CONGRESS APPROVED AUGUST 18. 1804. An Act to1 amend section two of the ajct approved February fifteenth, eighteen hundred and ninety- three, entitled "An a<ct granting additional quarantine powers and imposing additional duties upon the Marine-Hospital Service." Be it enacted by the Senate and House of Represent- atives of the United States of America in Congress 55 assembled, That section two of the act approved February fifteenth, eighteen hundred and ninety-three, entitled "An act granting additional quarantine powers and imposing additional duties upon the Marine-Hospital Service," is hereby amended by adding to the end of said section the following: "The provisions of this section shall not apply to vessels plying between foreign ports, on or near th% front- iers of the United States and ports of the United States adjacent thereto; but the Secretary of the Treasury is hereby authorized, when, in his discretion, it is expedient for the preservation of the public health, to establish regulations governing such vessels." UNITED STATES REVISED STATUTES. Sec. 4794. There shall be purchased or erected, under the orders of the President, suitable warehouses, with wharves and inclosures, where merchandise may be unladen and deposited, from any vessel which ishall be subject to a quarantine or other restraint, pursuant to the health laws of any State at such convenient places therein as the safety of the public revenue and the observance of such health laws may require. Sec. 4795. Whenever the cargo of a vessel is unladen at some other place than the port of entry or delivery under the foregoing provisions, all the articles of such cargo shall be deposited, at the risk of the parties concerned therein, in such public or other warehouses or inclosures as the collector shall designate, there to remain under the joint custody of such collector and of the own- er, or master, or other person having charge of (such vessel, until the same are entirely unladen or discharged, and until the articles so deposited may be safely removed without contravening such health laws. And when such removal is allowed, the collector having charge of 3uch articles may grant permits to the respective owners or 56 consignees., their factors or agents, to receive all merchan- dise which hais been entered, and the duties accruing upon which have been paid, upon the payment by them of a reasonable rate of storage; which shall be fixed by the Secretary of the Treasury for all public warehouses, and inclosures. SE£. 4796. The Secretary of the Treasury is authorized, whenever a conformity to such quarantines and health laws requires it, and in respect to vessels sub- ject thereto, to prolong the terms limited for the entry of the same and the report or entry of their cargoes, and to vary or dispense with any other regulations applicable to such reports or entries. No part of the cargo of any vessel phall, however, in any case, be taken out or unladen therefrom otherwise than is allowed by law, or according to the regulations hereinafter established. Sec. 4797. Whenever, by the prevalence of any contagious or epidemic disease in or near the place by law established as the port of entry for any collection district, it becomes dangerous or inconvenient for the officers of the revenue employed therein to continue the discharge of their respective offices at such port,' the Secretary of the Treasury, or, in his absence, the First Comptroller, may direct the removal of the officers of the revenue from such port to any other more convenient place within or as near as may be to such collection district. And at such place such officers may exercise the same powers and shall be liable to the same duties, according to exist- ing circumstances, as in the port or district established by law. Public notice of any such removal shall be given as soon as may be. (See *1776.) Sec. 4798. In case of the prevalence of a contag- ious or epidemic disease at the seat of Government, the President may permit and direct the removal of any or all the public offices to such other place or places as he 57 shall deem most safe and convenient for conducting- the o public business. (See *1776.) SEC. 4799. Whenever, in the opinion of the Chief Justice, or, in cape o<f bis, death or inability, of the senior associate justice, of the Supreme Court, a contagious or epidemic sickness shall render it hazardous to hold the next stated session of the court at the iseat of Govern- ment, the chief or such associate-justice may issue his order to the marshal of the Supreme Court directing him to adjourn the next session of the court to such other place as such justice deems convenient. The marshal shall thereupon adjourn the court by making publication thereof in one or more public papers printed at the seat of Government from the time he shall receive such order until the time by law prescribed for commencing the session. The several circuit and district judges shall, respectively, under the same circumstances, have the same power, by the same means, to direct adjournments of the several circuit and district courts to some conven- ient place within their districts, respectively. (See *1776). SEC. 4800. The judge of any district court within whose district any contagious or epidemic disease shall at any time prevail, so as, in his opinion, to endanger the lives of persons confined in the prison of such district, in pursuance of any law of the Unitel States, may direct the marshal to cause the persons so confined to be removed to the next adjacent prison where such disease does not prevail, there to be confined until they may safely be removed back to the place of their first confinement. Such removals shall be at the expense of the United States. Sec. 4263. The master of any vessel employed in transporting passengers between the United Stales and Europe is authorized to maintain good discipline and such habits of cleanliness among the passengers as will tend to the preservation and promotion of health, and to that end he shall cause ruch regulations as he may adopt for 58 this, purpose to be posted up, before sailing, on board such vessel, in a place accessible to such passengers, and shall keep the same so posted up during the voyage. Such master shall cause the apartments occupied by such passengers to be kept at all times in a clean, healthy state; and the owners of every such vessel |so employed are re- quired to construct the decks and all parts of the apart- ments s,o that they can be thoroughly cleansed, and also to provide ai safe, convenient privy or water-closet for the ex- clusive uf-e of every one hundred such passengers. The master shall also, when the weather is such that the passen- gers cannot be mustered on deck with their bedding, and at such other times as he may deem necessary, cause the deck occupied by such passengers to be cleaned with chloride of lime or some other equally efficient disinfect- ing agent. And for each neglect or violation of any of the provisions of this section the master and owner of any such vessel shall be (Severally liable to the United States in a penalty of fifty dollars, to be recovered in any circuit or district court within the jurisdiction of which such vessel may arrive or from which she is about to depart, or at any place where the owner or master may be found. EXTRACT FROM ACT AUGUST 1. 1883. Whenever any person .shall trespass upon the grounds belonging to any quarantine reservation. * * ♦ such person, tresspassing, * * * shall, upon conviction thereof, pay a fine of not more than three hundred dol- lars, or be sentenced to imprisonment for a period of not more than thirty days, or shall be punished by both fine and imprisonment at the discretion of the court. And it shall be the duty of the United States attorney in the district where the misdemeanor shall have been committed to take immediate cognizance of the offense, Upon report made to him by any medical officer of the Marine- Hospital Service, or by any officer of the customs ser- 59 vice, or by any State officer a,cting under authority of section five of said act. ACT MARCH 27, 1890. An Act to prevent the introduction of contagious dis- from one Stale to another and for the punishment of certain offenses. Be it enacted by the Senate and House of Represen- tatives of the United States of America in Congress assembled, That whenever it shall be made to appear to the satisfaction of the President that cholera, yellow fever, smallpox, or plague exists in any State or Terri- tory, or in the District of Columbia, and that there is danger of the spread of such disease into other States, Territories, or the District of Columbia, he is hereby authorized to' cause the Secretary of the Treasury to' pro- mulgate such rules and regulations, as in his judgment may be necessary to prevent the spread of such disease from one State or Territory into another, or from any State or Territory into the District of Columbia, or from the District of Columbia into any State or Territory, and to employ isuch inspectors and other perrons as may be necessary to execute such regulations to prevent the spread of such disease. The said rules and regulations shall be prepared by the Supervising Surgeon-General of the Marine-Hospital Service under the discretion of the Secretary of the Treasury. And any person who shall willfully violate any rule or regulation so made and pro- mulgated shall be deemed guilty of a misdemeanor, and upon, conviction shall be punished by a fine of not more than five hundred dollars, or imprisonment for not more than two years, or both, in the discretion of the court. Sec. 2. That any officer, or person acting as an officer, or agent of the United States at any quarantine station, or other person employed to aid in preventing the spread of such disease, who shall willfully violate any of 60 the quarantine laws of the United States, or any of the rules and regulations made and promulgated by the Secre tary of the Treasury as provided for in Section I of this act, or any lawful order of his superior officer or officers, ishall be deemed guilty of a misdemeanor, and upon con- viction shall be punished by a fine of not more than three hundred dollars or imprisonment for not more than one year, or both, in the discretion of the court. Sec. 3. That when any common carrier or officer, agent, or employee of any common carrier shall wilfully violate any of the quarantine la.ws of the United States, or the rules and regulations made and promulgated as provided for in Section 1 of this act, such common car- rier, officer, agent, or employee shall be deemed guilty of a misdemeanor, and ishall, on conviction, be punished by a fine of not more than five hundred dollars, or imprison- ment for not more than twio years, or both, in the discre- tin of the court. ACT MARCH 2, 1901. An Act to amend "An Act granting additionaf quaran- tine powers and imposing additional duties upon the Marine-Hospital Service.*' approved February fif- teenth, eighteen hundred and ninety-three. Be it enacted by the Senate and House of Represen- tatives of the United States of America in Congress assembled, That an Act granting additional quarantine powers and imposing additional duties upon the Marine- Hospital Service, approved February fifteenth, eighteen hundred and ninety-three, be amended by addition of the following sections: "SEC. io. That the Supervising Surgeon-General, with the approval of the Secretary of the Treasury, is authorized to designate and mark the boundaries of the quarantine grounds and quarantine anchorages for ves- sels which are reserved for use at each United States 61 quarantine station; and any vessel or officer of any vessel or other person, other than State or municipal health or quarantine officers, tr'espaissling or otheijw'ise entering upon such grounds or anchorages in disregard of the quar- antine rules and regulations, or without permission of the officer in charge of such station, shall be deemed guilty of a misdemeanor and subject to arrest, and upon conviction thereof be punished by a fine of not more than three hundred dollars or imprisonment for not more than one year, or both, in the discretion of the court. Any mas- ter or owner of any vessel, or any person violating any provision of this Act or any rule or regulation made in accordance with this Act, relating to inspection of vessels or relating to the prevention of the introduction of con- tagious or infectious diseases, or any master, owner, or agent of a(ny vessel making a false statement relative to the sanitary condition of said vessel or its contents or as to the health of any passenger or person thereon, shall be deemed guilty of a misdemeanor and subject to arrest, and upon conviction thereof be punished by a fine of not more than five hundred dollars or imprisonment for not more than one year, or both, in the discretion of the court. "Sec. ii. That any vessel sailing from any foreign port without the bill of health required by section two of this Act, and arriving within the limits of any collection district of the United States, and not entering or attempt- ing to enter any port of the United Spates, shajl be sub- ject to such quarantine measures as. shadl be prescribed by regulations of the Secrefary of the Treasury, and the cost of such measures shall be a lien on said vessel, to be recovered by proceedings in the proper district court of the United States and in.the manner set forth above as regards vessels from foreign ports without bills of health and entering any port of the United States. "Sec 12. That the medical officer? of the United 62 States, duly clothed with authority to act as quarantine officers at any port or place within the United States, and when performing the said duties, are hereby authorized to take declarations and administer oaths in matters per- taining to the administration of the quarantine laws and regulations' of the United States." UNITED STATES QUARANTINE REGULATIONS PROMULGATED APRIL 1, 1903. QUARANTINABLE DISEASES. 1. For the purpose of these regulations the qua.ran- tina.ble diseases are cholera, yellow fever, smallpox, typhus fever, leprosy, and plague. FOREIGN REGULATIONS. QUARANTINE REGULATIONS TO HE OBSERVED AT FOREIGN PORTS AND AT PORTS IN THE POSSESSIONS AND DEPENDENCIES OF THE UNITED STATES. BILLS OF HEALTH. 2. Masters of vessels departing from any foreign port, or from any port in the'possessions or other depend- encies of the United States for a port in the United States or its possessions or other dependencies, must obtain a bill of health, in duplicate, signed by die proper officer or officers of the United States as provided for by law, except as provided for in paragraph 4. The following form is prescribed : Form No. 1937. United States Bill of Health. Name of vessel, . Nationality, . Rig, . Master, --. Tonnage, gross, ; net . Iron or wood. Number of compartments for cargo, ; for steerage passengers, ; for crew, . Name of medical officer, . Number of officers, . Number of members of officers' families, . Number of crew, including petty officem, . Number of passengers, cabin, ---. Number of passengers, steerage, . Number of persons on board, all told, . 64 Port of departure, . Where last from, . Number of cases of (sickness and character, during last voyage, . Vessel engaged in trade, and plies between and . Sanitary condition of vessel, . Nature, sanitary history, and condition of cargo, Source and wholesomeness of water supply, . Source and wholesomeness of food supply, . Sanitary history and health of officers and crew, Sanitary history andi health of passengers,, cabin, Sanitary history and health of passengers, (Steerage, Sanitary history and condition of their effects, Prevailing diseases at port and vicinity, . Location of vessel while discharging and loading- open bay or wharf, . Number of cases and deaths from the following- named diseases during the past two weeks: Diseases. No. of cases,. No. of deaths Yellow fever Asiatic cholera Cholera nostras or cholerine Smallpox Typhus fever Plague - Leprosy Number of cases of sickness, and character of same while vessel was in this port, . Any conditions affecting the public health existing in the port of departure or vicinity to be here stated, 65 I certify that the vessel has complied with the rules and regulations, made under the act of February 15, 1893, and that the vesjsel leaves this port bound for , U. S. of America, via . Given under my hand and iseal this day. of , 190 . (Signature of consular officer:) - , 3. Vessels clearing from a foreign port or from any port in the possessions or other dependencies of the United States for any port in the United States, its pos- sessions or other dependencies, and entering or calling at intermediate ports, must procure at all said ports a sup- plemental bill of health in duplicate signed by the proper officer or officers of the United States, as provided in the law. If a quarantinable disease has appeared on board the vessel after leaving the original port of departure, or other circumstances presumably render the vessel infect- ed, the supplemental bill of health should be withheld until such sanitary measures haive been taken as are nec- essary. The following form is prescribed: Supplemental Bill of Health. Port of . Vessel , bound from to , U. S. A. Sanitary condition of port, . State diseases prevailing at port and in surrounding country. Number of cases and the deaths from the following- named diseases during the past two weeks: 66 L Remarks. | (Any condition affecting the public health existing in the port to'be stated here.) Diseases. No. of cases. No. of deaths. Yellow fever.... Asiatic cholera.. Cholera nostras, or cholerine.. Smallpox Typhus fever... Plague Leprosy N limb er and sanitary condition of passengers and crew landed at this port. Cabin, No. . Sanitary condition and history, Steerage, No. . Sanitary condition and history, Crew, No. . Sanitary condition and history, Note. - If disembarked on account of sickness state disease, . Number and sanitary condition of passengers and "crew taken on at this port, and sanitary condition of effects. Cabin, No. . Sanitary condition and history, Steerage, No. . Sanitary condition and history, Crew, No. . Sanitary condition and history, Sanitary condition of effects, . Sanitary history of vessel since leaving last port. (Cancel Form A, B, or C, as the case requires.) 67 Form. A. -To the best of my knowledge and belief- (Form A will be used at intermediate ports where the vessel does not enter and clear.) B. -I have satisfied myself that- (Form B will be used at in- termediate ports where the vessel enters and clears.) no quarantinable dis- ease has appeared aboard since leaving C.-Since leaving the following quarantinable dis- ease has appeared on board , and I certify that the necessary sanitary measures have been taken. I certify also that with reference to the passengers, effects, and cargo, taken on at this port, the vessel has complied with the rules, and regulations made under the act of February 15, 1893. Given under my hand and seal this day of -•-, 190 . (Signature of consular officer:) , 4. Under the act of Congress/ approved August 18, 1894, vessels plying between Canadian ports on the St. Croix River, the St. Lawrence River, the Niagara River, the Detroit River, the St. Clair River, and the St. Marys River, and adjacent ports of the United States/ on the same waters; also vessels plying between Canadian ports on the following-named lakes, viz, Ontario, Erie, St. Clair, Huron, Superior, Rainy Lake, Lake of the Woods, and Lake ChamplaJn, and ports in the United States; also vessels plying between Mexican ports on the Rio Grande River and adjacent ports in the United States, are exempt from the provisions of section 2 of the act granting additional quarantine poweqs and imposing additional 68 duties upon the Marine-Hospital Service, approved Feb- ruary 15, 1893, which requires vessels clearing from' a foreign port for a port in the United States to obtain from the consular or medical officer a bill of health. Dur- ing the prevalence of any of the quarantinable diseases at the foreign port of departure, vessel/' above referred to are hereby required to obtain from* the consular officer of the United States, or from the medicaJ officer of the United States, when such officer has been detailed by the President for this purpose, a bill of health, or a supple- mental bill of health, in duplicate, in the form prescribed by the Secretary of the Treasury. inspection of vessels leaving foreign ports and PORTS IN THE POSSESSIONS OR OTHER DEPENDENCIES OF THE UNITED STATES FOR PORTS IN THE UNITED STATES OR ITS POSSESSIONS OR OTHER DEPENDENCIES. 5. The officer issuing the bill of health shall satisfy himself, by inspection if necessary, that the conditions certified to therein are true, and is authorized, in accord- ance with the law, to withhold the bill of health or the supplemental bill of health until he is, satisfied that the ves- sel, the passengers, the crew and the cargo have complied with all the quarantine laws and regulations of the United States. 6. Inspection is required of- (a) vessels from ports at which cholera, yellow fever, or plague prevails, or at which smallpox or typhus fever prevails in epidemic form. (b) All vessels carrying steerage passengers; but need only include the inspection of such passengers and their living apartments, if sailing from a healthy port. 7. Inspection of the vessel is such an examination of the vessel, cargo, passengers, crew, personal effects of same, including examination of manifests and other papers, food and water supply, the ascertainment of its relations with the shore, the manner of loading and pos- 69 sibilities of invasion by small animals ap will enable the inspecting officer to determine if these regulations have been complied with. 8. When an inspection is required, it should be made by daylight, as late as practicable before sailing. The vessel should be inspected before the passengers go aboard, the passengers just before embarkation, and the crew on deck; and no- communication should be had with the vessel after such inspection except by permission of the officer issuing the bill of health. REQUIREMENTS with regard to vessels. 9. Vessels, prior to- stowing cargo or receiving passengers, should be mechanically clean in all parts, especially the hold, forecastle, and steerage; the bilges and limbers free from odor and deposit. The air streaks should be sufficient in number and open for ventilation. 10. Any portions of the vessel liable to have been infected by any communicable disease should be disin- fected before the issuance of the bill of health. 11. The air space, ventilation, food and water sup- ply, hospita.l accommodations, and all other matters men- tioned therein promotive of the health and comfort of the passengers must be in accordance with the provisions of the act of Congress approved August 2, 1882, entitled "An act to regulate the carriage of passengers by sea." 12. At ports where cholera prevails in epidemic form, special care should be taken to- prevent the water and the food supply from being infected. The drinking water should be boiled and the food thoroughly cooked and protected against contamination by flies, etc. 13. At portp where yellow fever prevails, in addi- tion to the other measures presented hereafter, precau- tions should be taken to prevent the introduction of mos- quitoes on board the vesjsel. Waiter tanks, water buckets and other collections of water about the vessel should be guarded in puch a manner that they shall not become 70 breeding places for mosquitoes. Measures should also be taken to destroy mosquitoes, that may have come on board. Baggage destined directly or indirectly for any State .should be disinfected at the request of the health officer of said State. All baggage from isuch ports must be rigidly inspected and the exclusion of mosquitoes assured. 14. At ports or places where plague prevails, every precaution must be taken to prevent the vessel becoming infected through the agency of rats, ants, flies, fleas, or other animals. At such ports or places the vessel should not lie at a dock, or tie to the ishore, or anchor near any place where such animals may gain access to the vessel. In case cables are led to the shore they should be freshly tarred and provided with inverted cones or such other devices asi may prevent rats and other animals passing to the ship. The introduction of vermin on board the vessel from lighters and all other sources should be guarded against. In such ports sulphur fumigation should be resorted to in the holds when empty and from time to time during loading in order to destroy vermin. 15. At all infected ports or places, communication between the vessel and shore should be reduced to a mini- mum. 16. Vessels carrying passengers from any port or place where quarantinable disease prevails in epidemic form should have one medical officer: and from ports where cholera or plague prevails in epidemic form should have two medical officers if more than 250 passengers are carried. CARGO. 17. Earth, loam, soft or porous rock should not be taken as ballast at ports infected with cholera or plague. Street sweepings, city cleanings, or anything containing organic refuse should not be taken as ballast from any port. Where practicable, hard rock or clean beach sand or sea-water ballast should be given preference. 71 18. Household goods, personal effectp, becHding, and second-hand articles generally, coining from a district known to be infected with cholera, smallpox, typhus fever, or plague, or as to the origin of which no positive evi- dence can be obtained, and which the consular or medical officer has reason to believe are infected, should be disin- fected prior to (shipment. Measures should be taken with articles of thijs class from districts infected with yellow fever to insure their freedom from mosquitoes. 19. New merchandise in general may be accepted for shipment without restriction, and articlesi of new merchandise-textile fabrics and the like-which have been packed or prepared for shipment in an infected port or place, with a special view to protect the same from moisture incident to the voyage, may be accepted and exempted from! disinfection. 20. Certaan food products, viz, unsalted meats, sausages, dressed poultry, fresh butter, fresh milk (un- sterilized), fresh cheese, coming from cholera-infected localities or through such localities, if exposed to infec- tion therein, should not be shipped. Fresh fruits and vege- tables, from districts where cholera prevails, shall be shipped only under such sanitary supervision as will enable the inspector to certify that they have not been exposed to infection. 21. All rags and textile fabrics used in the manu- facture of paper and! for other purposes which are col- lected, packed, or handled in any foreign port or place, with the exceptions as hereinafter specified, shall, prior to shipment to the United States, be subjected to disin- fection by one of the prescribed methods. (Jute bags or bagging used in baling cotton, old rope, new cotton, or linen cuttings from factories not included.) The disinfec- tion of the articles mentioned above shall be performed under the supervision of a United States consul or a medi- cal officer of the United Stales, and a certificate in dupli- cate, signed by said consul or medical officer, shall be 72 issued with each consignment of same, which certificate shall identify the articles and state that they have been disinfected in accordance with the United States quaran- tine regulations. The original certificate of disinfection shall be attached to the consignee's invoice, and where the articles are carried by yea the duplicate certificate of dis- infection shall be attached to the bill of health issued to the vessel conveying the same. Exceptions.-Such articles shipped from the Domin- ion of Canada directly to the United States shall be exempt from this requirement if accompanied by affidavits demonstrating to the satisfaction of the collector of cus- toms at the port of arrival that they have actually origi- nated in Canada and have not been shipped from a foreign country to Canada, and thence shipped to the United States; and further, that the port or place where collected or handled has been free from quaran- tinable disease for thirty days prior to shipment. 22. New1 feathers for bedding, human and other hair (unmanufactured), bristles, wool, hides not chemic- ally cured, coming from a district where cholera or plague prevails, shall be refused entry into' the United States until thirty days have elasped since last exposure in case of cholera, and sixty days in case of plague, unless unpack- ed and disinfected. Feathers which have been used should be disinfected, and invariably by .steam. Bristles which have been boiled, and wool and new feathers which have been packed in napthalin preparatory to shipment, may be shipped without further treatment. Dry hides packed in napthalin may he shipped as chemically cured hides. Unsalted green hides from a district where cholera prevails must not be shipped. 23. The articles enumerated in the preceding para- graph coming from a district where smallpox, typhus fever, cholera, or plague prevails in epidemic form, should 73 be refused) shipment unless disinfected as hereinafter provided. 24. Nothing in these regulations shall be construed to modify or affect in any way any existing restrictions promulgated byi the Secretary of the Treasury at the instance of the Bureau of Animal Industry, Department of Agriculture, regarding the importation of hides of neat cattle. 25. Any covering, shipped from or through an infected port or place, and which the consul or medical officer has reason to believe infected should be disinfected. 26. Any article presumably infected, which cam not be disinfected, should not be shipped. PASSENGERS AND CREW. 27. Passengers, for the purposes, of these regula- tions, are divided into two classes, cabin and steerage. 28. When practicable, passengers, should not ship from an infected port. 29. No person suffering from a* quarantinable dis- ease, or scarlet fever, measles, diptheria, or other com- municable disease, should be allowed to ship. 30. Steerage passengers, and crew coming from cholera-infected districts ishould be detained five days in suitable houses or barracks located where there is no danger from infection, and1 all baggage disinfected. 31. Steerage passengers and crew from districts not infected with cholera, shipping at a port infected with cholera, unlesp passed through without danger of infec- tion and no communication allowed between such persons and the infected locality, should be treated as those in the last paragraph. 32. Cabin passengers coming from cholerannfected districts embarking at a clean or an infected port should produce satisfactory evidence as to their places of abode during the five days immediately preceding embarkation. And if it appears that they or their baggage have l>een 74 exposed to infection the baggage should be disinfected and the passengers detained under medical supervision a sufficient time to cover the period of incubation since last exposure. 33. Steerage passengers and crew who, in the opin- ion of the inspecting, officer, have been exposed to the infection of yellow fever, should be held under medical observation in a place free from danger of infection for a period of five days, before embarkation. 34. Steerage passengers and crew, coming from districts where smaJlpox prevails in epidemic form, or who have been exposed to smallpox, should be vaccinated before embarkation, unless they show evidence of having acquired immunity to smallpox by previous, attack or recent successful vaccination. 35. Steerage passengers and crew who,'in the opin- ion of the inspecting officer, have been exposed to the infection of typhus fever, should not be allowed to embark for a period of at least twelve days after such exposure and the disinfection of their baggage. 36. Steerage passengers and crew who, in the opin- ion of the inspecting officer, have been exposed to the infection of plague should be held under medical observa- tion in a place free from danger of infection for a period of seven days, before embarkation, and their baggage disinfected. 37. Cabin passengers coming from plague-infected districts, whether embarking at a clean or an infected port, should produce satisfactory evidence as to their exact places of abode during the seven days immediately preced- ing embarkation. And if it appears that they or their baggage have been exposed to infection the baggage should be disinfected and the passengers detained under medical supervision a sufficient time to cover the period of incubation since last exposure. 38. Should quarantinable disease appear in the bar- racks or houses in which passengers are undergoing deten- 75 tion, no passenger from said houses or barracks who has been presumably exposed to this new infection should embark until after the expiration of the period of incuba- tion of the disease in question [subsequent to the last exposure to infection and the application of all necessary sanitary measures. 39. All baggage of steerage passengers destined for the United States should be labeled. If the baggage is in good sanitary condition the label shall be a red label bearing the name of the port, the steamship on which the baggage is to be carried* the word "passed" in large type, the date of inspection, and the seal or stamp of the consular or medical officer of the United States. All baggage that has been disinfected shall bear a yellow label, upon which shall be printed the name of the port, the steamship upon which the baggage is to be car- ried, the word "disinfected" in large type, the date of disinfection and the seal or stamp of the consular or med- ical officer of the United States. It is understood, and it will be so printed on the blank, that the label is not valid unless bearing the consular or medical officer's stamp or seal. 40. Each steerage passenger shall be furnished with an inspection card (see page 76). This card, stamped by the consular or medical officer, is to be issued to every member of a family as well as to- the head thereof. 76 INSPECTION CARD. (Immigrants and steerage passengers.) Port of departure . Date of departure . Name of ship . bast permanent residence . Name of immigrant . Inspected and passed at [Seal or stamp of consular or medical officer.] Passed at quaran- tine, port of United States. Passed by Immigra- tion Burean, port of [DateJ [Date.] [The following to be filled in by ship's surgeon or agent prior to or after embarkatiSn.] Ship's list or manifest . No. on ship's list or manifest . Berth No. Steam- ship inspec- tion. * ~ 8 •= fl .a ■ - - VACCINATED. [Signature or stamp.] [Reverse Side.] Keep this Card to avoid detention at Quarantine and on Railroads in the United States. Diese carte muss aufbewahrt werden, um Aufenthalt an der Quarantine sowie auf den Eisenbahnen der Vereinigten Staaten zu vermeiden. Cette carte doit etre conservee pour eviter une detention a la Quarantaine, ainsi que sur les chemins de fer des Etats-Unis. \ Deze kaart moet bewaard worden, ten einde oponthoud aan de Quarantijn, alsook op de ijzeren wegen der Vereenigde Staten te vermijden. Conservate questo biglietto onde evitare detenzione alia Quarantina e sulle Ferrovie degli Stati Uniti. Tento listek musite uschovati, nechcete-li ukaranteny (zas- taveni ohledne zjisteni zdravi) neb na draze ve spojenych statech zdrzeni byti. Tuto kartocku treba trimat u sebe aby sa predeslo zderzovanu v karantene aj na zeleznici ve Spojenych Sataoch 77 41. In a port where any quarantinable disease pre- vails, the personnel of vessels should remain on board during their stay in such port. 42. Passengers and crews, merchandise and bag- gage, prior to (shipment at a noninfected port, but coming from an infected locality, should be subject to the same restrictions as are imposed at an infected port. RECORDS, REPORTS, ETC. 43. The officer making the inspection will preserve in his office a record of each inspection made and of each immunity certificate given; a copy of each certificate of disinfection and of each bill of health issued. A weekly report of the transactions of his office shall be forwarded to the Surgeon-General at Washington, D. C. 44. In addition to the duties prescribed, the medical officer when detailed in accordance with the act of Con- gress approved February 15, 1893, shall furnish such reports to the Surgeon-General of the Public Health and Marine-Hospital Service as he may be able to make upon sanitary conditions and other matters affecting the pub- lic health and the welfare of the Service administration. REQUIREMENTS AT SEA. a 45. The master of a vessel should observe the following measures on board his vessel: (a) The water-closet, forecastle, bilges, and simi- lar of the vessel liable to harbor infec.ion should be disinfected and frequently cleansed. (b) Free ventilation and rigorous cleanliness should be maintained in all portions of the ship during the voyage and measures taken to destroy ratjs, mice, fleas, a These requirements at sea are largely advisory in charac- ter, but it is nevertheless true that a careful compliance with them should tend, at the port of arrival, to largely relieve the stringency of quarantine measures. 78 flies, roaches, mosquitoes, and other vermin. (c) A patient sick of a communicable disease should be isolated and one member of the crew detailed for his care and comfort who, if practicable, should be immune to the disease. (d) Communication between the patient or his nurse and other persons on board should be reduced to a minimum. (e) Used clothing, body linen, and bedding of the patient and nurse should be immersed at once in boiling water or in a disinfecting solution. (f) The compartment from which the patient was removed should be disinfected and thoroughly cleansed. Articles liable to convey infection should remain in the compartments during the disinfection when gaseous, dis- infection ip used. (g) Any person suffering from malaria or yellow fever should be kept under mosquito bars and the apart- ment in which he is confined closely screened with mos- quito netting. All mosquitoes on board should be destroy- ed by burning pyrethrum powder (Persian insect powder) or by fumigation with sulphur. Mosquito' larvae (wigglers or wiggle-tails) should be destroyed in water barrels, casks, and other collections of water about the vessel by the use of petroleum (kerosene) ; where this is not prac- ticable, use mosquito netting to prevent the exit of mos- quitoes from such breeding places. (A) In the case of plague, special measures must be taken to destroy rats, mice, fleas, flies, ants,, and other vermin on board. (f) In the cafe of cholera, typhoid fever, or dysen- tery, the drinking water should be boiled and the food thoroughly cooked. The discharges from the patient should be immediately disinfected and thrown overboard. 46. An inspection of the vessel, including the steer- age, should be made by the ship's physician once each day. 47. Should cholera, yellow fever, smallpox, typhus 79 fever, plague, or any other communicable disease appear on board a ship while at /sea, those who show symptoms of these diseases should be immediately isolated in a prop- er place; the ship's physician should then immediately no>- tify the captain, who should note same in his log, and all of the effects: liable to convey infection which have been exposed to infection should be destroyed or disinfected. 48. The hospital should be disinfected as soon as it becomes vacant. 49. The dead should be enveloped in a sheet sat- urated with one of the (Strong disinfecting solutions, with- out previous washing of the body, and at once buried at sea or placed in a coffin hermetically sealed. 50. A complete clinical record should be kept by the ship's surgeon of all cases of sickness, on board, and the record delivered to the quarantine officer at the port of arrival. 51. The following disinfecting solutionis are recom- mended for use at sea : Formulae for strong disinfecting solutions. BICHLORIDE OF MERCURY. ( I :5OO.) Bichloride of mercury 1 part Sea water 500 parts Mix carbolic acid. (5 per cent.) Alcohol 50 parts Carbolic acid pure 50 parts Mix Then add fresh water 900 parts Formulae for weak solutions. BICHLORIDE OF MERCURY. I :5OO.) Bichloride of mercury 1 part Sea water 1,000 parts carbolic acid. (2% per cent.) Carbolic acid, pure 25 parts Fresh water 1,000 parts 80 formalin. (5 per cent.) Formalin (or formol) 50 parts Water 950 parts It is suggested that a vessel should carry for every 100 passengers: Bichloride of mercury, 5 pounds; car- bolic a»cid, 10 pounds; alcohol, 10 pounds, and formalin, 10 pounds. DOMESTIC REGULATIONS quarantine regulations to observe at ports and on the FRONTIERS OFTHU UNITED STATES AND ITS POSSESSIONSAND DEPENDENCIES, PREAMBLE. 52. At or convenient to the principal ports, quaran- tine stations should be equipped with all appliances for the inspection and treatment of vessels, their passengers, crews, and cargoes. 53. For all ports where such provisions have not been made, inspection rtations should be maintained. An inspection service should be maintained for every port throughout the year. 54. At a fully equipped quarantine s ation there should be adequate provision for boarding and inspection, apparatus for mechanical cleansing of vessels, apparatus for disinfection by (Steam, by sulphur, by formaldehyde, by disinfecting solutions, or any methods prescribed in these regulations; also a clinical laboratory, hospitals for contagious and doubtful cases, a, steam laundry, de'.ention barrackp for suspects, bathing facilities, a crematory, a sufficient supply of good water, and a proper system for the disposal of sewage. 55. The personnel of quarantine stations in the yel- low fever zone and on fruiters, and other vessels of regular lines bound for (Southern ports from ports where yellow fever prevails should be immune to yellow fever. 56. At quarantine stations all articles liable to con- 81 vey infection should be handled only by the employees of said station unless the services of the crew of the vessel in quarantine are indispensable. 57. Vessels having been treated at national quaran- tine stations that are located a considerable distance from the ports of entry of said vessels may be inspected by the local quarantine officer, and if for any sanitary reason it is considered inadvisable to admit the vessel, he should report the facts immediately by telegraph, when possible, to the Surgeon-General of the Public Health and Marine- Hospital Service, detaining the vessel pending his action. 58. Thle following1 regulations arte the required minimum standard and do not prevent the addition of such other rule)? as, for special reasons, may be legally made by State or local authorities. INSPECTION. 59. Every vessel subject to quarantine inspection, entering a port of the United States, its possessions or dependencies, shall be considered in quarantine until given free pratique. Such vessel shall fly a yellow flag at the foremost head from sunrise to sunset, and shall observe all the other requirements of vessels actually quarantined. 60. Vessels arriving at ports of the United States under the following conditions shall be inspected by a quarantine officer prior to entry: (a) All vessels from foreign ports except thope enumerated in paragraph 4. (&) Any vessel with sickness on board. (c) Vessels from domestic ports where cholera, plague, or yellow fever prevails, or where smallpox or typhus fever prevails in epidemic form. (d) Vessels from ports suspected of infection with yellow fever, having entered a port north of the southern boundary of Maryland without disinfection, shall be sub- jected to a second inspection before entering any ports south of said latitude during the quarantine season of such port. 82 61. The inspections of vessels required by these regulations shall be made between sunrise and sunset, except in case of vessels in distress. 62. In making the inspection of a vessel, the bill of health and clinical record of all cases treated during the voyage, crew and passengers' lists and manifests, and when necessary, the ship's log shall be examined. The crew and passengers shall be mustered and examined and compared with the lists and manifests and any dis- crepancies investigated. The clinical thermometer should be used in the examination of the personnel of vessels under suspicion. When a freight manifest shows that rags and other articles requiring disinfection under these regulations are carried by the vessel, a certificate of dis- infection, signed by a United States consul or a medical officer of the United States, shall be exhibited and com- pared with same. If no certificate of disinfection is pro- duced the collector of customs at the port of entry shall be notified' of same by the quarantine officer. The collector of customs shall then hold such consignment in a designat- ed place separate from other freight pending the arrival of the certificate of disinfection; and in the event of its nonarrival, sthe articles shall be disinfected as hereinbefore prescribed, or shall be returned by the common carrier conveying same. 63. The medical officers of the United States, duly clothed with authority to act as quarantine officers at any port or place within the United States, and when perform- ing the said duties, are hereby authorized to take declara- tions and aidminister oaths in matters pertaining to the administration of the quarantine laws and regulations of the United States. (Act of Mar. 2, 1901, sec. 12.) 64. No person, except the quarantine officer, his employees, United States officers, pilots, or other persons authorized by the quarantine officer, shall be permitted to board any vessel subject to quarantine inspection until after the vessel has been inspected by the 83 quarantine officer and granted free pratique, and all such persons so boarding such vessel shall, in the discretion of the quarantine officer, be Subject to the same restrictions as the personnel of the vessel. 65. Towboats or any other vessels having had com- munication with vessels subject to inspection -shall them- selves be subject to inspection. 66. After arrival at a quarantine station of a vessel carrying immigrants and upon which there has appeared during the la,st voyage a case of cholera, smallpox, typhus fever, or plague, and after quarantine measures provided by regulations of the Treasury Department have been enforced and the vessel given free pratique, it is hereby ■ordered tha.t notification of the above-mentioned facts be transmitted by the quarantine officer to the Commissioner •of Immigration at the port of arrival, who shall be request- ed to transmit, by mail or telegraph, to the State health authorities of the several States to which immigrants from said vessel are destined, the date of departure, route, number of immigrants, and the point of destination in the respective States, of the immigrants from said ves- sel, together with the statement that said immigrants are from a vessel which has been subject to quarantine by reason of infectious disease, naming the disease. This information i>s furnished to State health officers for the purpose of enabling them to maintain such surveillance over the arriving immigrants as they may deem necessary. 67. When a vessel arriving at quarantine- has on board any of the communicable but nonquarantinable dis- eases the quarantine officer shall promptly inform the local health authorities of the existence of such disease aboard and shall make every effort to furnish such notifi- cation in ample time, if possible, to permit of the case being seen by the local authorities before discharge from the vessel. 84 QUARANTINE. 68. Vessels arriving under the following condi- tionp shall be placed in quarantine: (a) With quarantinable disease on board or having had such disease on board during the voyage. (&) Any vessel which the quarantine officer consid- ers infected. (c) If arriving at a port south of the southern boundary of Maryland in the season of close quarantine, May i to November i, directly or via a northern port, from a tropical American port, unless said port is known to be free from yellow fever. (J) In the case of vessels arriving at a northern port without sickness on board from ports where yellow- fever prevails the personnel phall be detained under obser- vation at quarantine to complete five days from the port of departure. (e) Towboats and other vessels having had com- munication with vessels subject to quarantine shall them- selves be quarantined if they have been exposed to infec- tion. 69. Vessels arriving under the following conditions need not be subject to quarantine: A. Vessels from yellow fever ports bound for ports in the United States north of the southern boundary of Maryland, with good sanitary condition and history, hav- ing had no sickness on board at ports of departure, en route or on arrival, provided they have been five days from last infected or suspected port. B. Vessels engaged in the fruit trade may be admit- ted to entry without detention, provided that they have complied in all respects with the special rules and regula- tions made by the Secretary of the Treasury with regard to vessels engaged in said trade. GENERAL REQUIREMENTS AT QUARANTINE. 70. Pilots will be detained in quarantine a sufficient time to cover the period of incubation of the disease for 85 which the vessel is quarantined, if, in the opinion of the quarantine officer, such pilots have been exposed to infec- tion. The dunnage of pilots shall be disinfected when necessary. 71. No direct communication shall be allowed between any vessel in quarantine and any person or place outside, and no communication whatever between quarantine or any vessel in quarantine and any person or place outyide except under the supervision of the quaran- tine officer. 72. Street cleanings, street sweepings, or any other form of ballast containing organic refuse must be dis- charged at the quarantine station. 73. No presumably infected ballast shall be allowed to leave the quarantine station until disinfected. 74. After a vessel has been rendered free from infection, it may be furnished with a fresh crew and releas- ed from quarantine, while all or part of the personnel are detained. Under these circumstances the quarantine officer mufSt exercise the greatest care that the vessel shall not become reinfected, especially by contact with persons in quarantine or infected objects.. 75. Vessels detained at any national quarantine will be subject to such additional rules and regulations as may be promulgated from time to time by the Surgeon- General. 76. The form of certificate which shall be issued to a< vessel by the health officer when he releases her from quarantine shall be subscribed by the Surgeon-General of the Public Health and Marine-Hospital Service, and shall embody the statement that the vessel has in all respects complied with the quarantine regulations pre- scribed by the Secretary of the Treasury, and that in the opinion of the quarantine officer (she will not convey quarantinable disease, and that said vessel is granted free pratique to enter her port of destination, the name of which is to be embodied in the blank. 86 77- The persons detained shall be inspected by the physician twice daily, and be under his constant surveil- lance, and no intercourse will be allowed between different groups while in quarantine. 78. No articles, from an infected vessel shall be carried into the place of detention until disinfected. 79. Cleanliness of quarters and of person shall be enjoined and daily enforced. Disinfection shall be practic- ed where there is any possibility of infection. 80. The water and food supply shall be strictly guarded to prevent any contamination. 81. Water-closets, urinals, privies, or troughs shall be provided, and their contents disinfected before they are discharged. 82. In any group in which communicable disease appears, the sick will be immediately isolated in hospital, and the remaining persons in the group and their effects appropriately treated and then removed to other quarters if possible, and the compartments disinfected. 83. Communication between the physician and attendants of the hospital and thope detained in other parts of the quarantine station shall be reduced to a minimum. 84. No convalescent shall be discharged from quar- antine until after a sufficient time has elasped to insure hif> freedom from1 infection, and this is to be determined by bacteriological examination where possible. 85. No other person shall be discharged from quar- antine until the period of incubation of the disease has elasped since the la»st exposure to infection. 86. The body of no person dead of quarantinable disease shall be allowed to pass through quarantine until one year has elapsed since death. Such bodies must be transported in hermetically -sealed coffins, the outsides of which have been carefully disinfected. In the case of the bodies of such persons as may 87 have died on the voyage or upon arrival at quarantine, cremation should be resorted io if practicable and con- sented to; if not, the body should be wrapped without preliminary washing in a sheet saturated with a solution of bichloride of mercury i :5oo and buried, surrounded by caustic lime. 87. The quarantine officer shall report to the Secre- tary of the Treasury all violations of the quarantine laws. He should also report the facts in the case to the Surgeon- General of the Public Health and Marine-Hospital Ser- vice. 88. The quarantine officer shall report to the col- lector of customs any vessel which arrives without the bill of health hereinbefore prescribed. 89. All vessels requiring inspection under these regulations must present to the collector of customs at the port of entry the quarantine certificate above pre- scribed. SPECIAL REGULATIONS ON ACCOUNT OF CHOLERA. 90. For the purpose of these regulations five days shall be considered asi the period of incubation of cholera. 91. If the vessel carry persons from choleradnfect- ed ports or places, ai bacteriological examination should be made of any cases of diarrhea to exclude cholera before granting free pratique. 92. If cholera has appeared on board, remove all passengers from the vessel and all of the crew, save those necessary to care for her; place the sick in hospital. Carefully isolate those especially .suspected and segregate the remainder in small groups No communication should be held between these groups. Those believed to be especially capable of conveying infection must not enter the place of detention until they a,re bathed and furnished with noninfected clothing; nor shall any material capable of conveying infection be taken into the place of deten- tion, especially food and water. 88 93- Water and food supply must be strictly guarded to prevent contamination and issued to each group sepa- rately. 94. Food of a simple character, sufficient in quan- tity, thoroughly cooked, shall be isr-ued to those detained in quarantine. No fruit or uncooked vegetables shall be permitted. 95. The greatest care must be exercised to prevent the spread of the infection through the agency of flies or other insects. 96. The dejecta from all persons in quarantine on account of cholera shall be disinfected before final dis- position. 97. The water supply of the vessel, if suspected of infection, must be disinfected and then changed without delay; the casks or tanks disinfected and after thorough rinsing refilled from a source of undoubted purity, or the water furnished must have been recently boiled. 98. The baggage or effects of passengers and crew that may have been exposed to infection must be disin- fected. 99. Articles of cargo which have been exposed to infection and are liable to convey the same must be disin- fected. too. Living apartments and their contents and such other portions of the vessel as have been exposed to infec- tion must be disinfected. 101. Water ballast taken on at a cholera-infected port should be discharged at sea, or if discharged in fresh or brackish water must previously be disinfected. Vessels arriving with water ballast presumably infected must return to sea under guard in order to discharge such ballast. If practicable the tanks should be disinfected before being flushed, and refilled with sea water. special regulations on account of yellow fever. 102. For the purpose of these regulations,, five days 89 shall be considered as the period of incubation of yellow fever. 103. Where practicable remove the sick to hospital; remove and isolate all persons not required for care of vessel. 104. For the destruction of mpsquitoes there shall be a preliminary and simultaneous fumigation of all parts of the vessel by sulphur dioxide gas. In cabins contain- ing articles liable to' damage by sulphur dioxide, pyre- thrum powder may be burned instead1. 105. If, from the disposition of the cargo or any other reason, the previous fumigation isi deemed not to have been effective, a complete fumigation is now to be done, simultaneously, of the whole vessel. Measures are in all cases to' be taken to destroy larvae of mosquitoes aboard. 106. The personnel of the vessel shall be detained five days from completion of disinfection, or if they have been removed before disinfection of the vessel, their detention shall begin from last possible exposure to infec- tion. If cases of yellow fever have occurred aboard, the time of detention at stations south of the southern bound- ary of Maryland must be extended to six days,.a 107. If the vessel has in all respects complied with the quarantine regulations to be observed at foreign ports in such cases, and has been disinfected under the super- vision of an accredited medical officer of the United States at the port of departure, she may, upon arrival at her port of destination in the United States, with good sanitary history and in good condition, be subject to the following treatment: (a) If arriving in five days or less,, she may be admitted to pratique without disinfection or further deten- tion than is necessary to complete the five days. a The period of incubation of yellow fever is not rarely over five days. 90 (b') If arriving after five clays and within ten days, she may be immediately fumigated and admitted without detention. (c) If arriving after a longer voyage than ten days, she may be treated as if she had not been subjected to any previous treatment.b 108. Passenger traffic without detention may be allowed during the close quarantine season, May I to November I, from ports infected with yellow fever to ports in the United States south of the southern boundary of Maryland under the following conditions: (a) Vessels to be of iron or the best class of wood- en vessels, and to be cleaned immediately prior to taking on passengers. The officer issuing the bill of health to these vesselsyhall withhold the same if the vessel is not in fiifst-'clajss sanitary condition and complying ini every respect with the conditions stated in this paragraph. (b) The vessel must lie at approved moorings in the open harbor; must not approach the wharves, nor must the crew be allowed ashore at the port of departure. Every possible precaution must be taken to prevent the ingress of mosquitoes, and to provide for the destruction of these should they find ingress. (c) All passengers and crew must be immune to yellow fever and so certified by the United States medical 109. The disinfection of baggage for yellow fever is not required, but baggage destined directly or indirectly for any State shall be disinfected at the request of the health officer of said State. All baggage shall be inspected b If the vessel should have been in transit for a considerable number of days, it is obvious that a case of yellow fever may have recovered, leaving the vessel infected, and not affording any opportunity to the quarantine officer to determine same. c The evidence of immunity which may be accepted by the sanitary inspector is: First, proof of previous attack of yellow fever; second, proof of continued residence in an endemic focus of yellow fever for ten years. 91 and the absence of mosquitoes definitely proven. The pres- ence of any mosquitoes, regarding the infection of which the quarantine officer has doubts, shall be sufficient grounds for such further measures, as the quarantine officer may deem justifiable. special regulations on account of smallpox no. For the purpose of these regulations, fourteen days shall be considered as the period of incubation of smallpox. in. On all vessels arriving with smallpox on board, or having had smallpox on board during the voy- age, any of the personnel who have been exposed to the infection of the disease must be vaccinated or detained in quarantine not less than fourteen days, unless they show satisfactory evidence of recent successful vaccination or of having had smallpox. 112. Vessels arriving with smallpox on board which has been properly isolated and other sufficient pre- cautions taken to prevent the spread of the disease need not be quarantined further than the removal of the sick, the disinfection of all compartments, baggage, and objects that have been exposed to the liability of infection, and such vaccination of the personnel as required in paragraph m. 113. On vessels arriving with smallpox on board and where the proper isolation and other precautions have not been taken, all those whom the quarantine officer believes to have been exposed to the infection will be detained unless they have had smallpox or unless they show satisfactory signs of having been properly vaccinat- ed within one year. 114. Living compartments and their contents or any other parts of the vessel exposed to, the infection must be disinfected. 115. The baggage and effects of passengers and 92 crew that have been exposed to the infection must be disinfected. SPECIAL REGULATIONS ON ACCOUNT OF TYPHUS FEVER. 116. For the purpose of these regulations, twelve days shall be considered as the period of incubation of typhus fever. 117. Vessels in otherwise good sanitary condition, but having typhus fever on board which has, been properly isolated, need not be quarantined further than the removal of the sick, and disinfection of the compartments and their contents exposed to infection. 118. If the case has not been isolated, or the disease has spread on board from person to1 person, the vessel will be quarantined, the sick removed, and those who have been exposed to the infection detained under obser- vation. 119. Vessels in bad sanitary condition, on which the disease has appeared, will be quarantined until thoroughly cleansed and disinfected throughout; the sick will be cared for at isolated hospitals, and those exposed to the infection detained under observation. 120. The baggage and effects of passengers and crew that have been exposed to the infection must be dis- infected. 121. Living compartments and their contents, or any other parts of the vessel exposed to the infection must be disinfected. SPECIAL REGULATIONS ON ACCOUNT OF LEPROSY. 122. Vessels arriving at quarantine with leprosy on board shall not be granted pratique until the leper with his or her baggage has been removed from the vessel to the quarantine station. 123. No alien leper shall be landed. 124. If the leper is an alien passenger arid the ves- 93 sei is from a foreign port, action will be taken as provided by the immigration laws and regulations of the United States. And to this end the case shall be certified as a. leper and reported to the nearest commissioner of immigration 125. If the leper is an alien and a member of the crew and the vessel is from a foreign port, said leper shall be detained at the quarantine at the vessel's expense until taken aboard by the same vessel when outward bound. Such case of leprosy should be promptly reported to the collector of customs at the port of arrival of the vessel, and the collector shall exact a bond from the vessel for the reshipment of the said alien leper upon the depart- ure of the vessel. SPECIAL REGULATIONS ON ACCOUNT OE PLAGUE- 126. For the purpose of these regulations, seven days shall be considered asi the period of incubation of plague. 127. In those actually exposed to the infection of plague, the administration of antipes serum is regarded as a valuable prophylactic measure; for the prevention of the introduction of plague through commercial inter- course, immunization by Haffkine's prophylactic is to be recommended. 128. Vessels infected with plague, or suspected of such infection, should be anchored at a sufficient distance from the shore or other vessels, to prevent the escape of rats by swimming. 129. In inspecting vessels from plague-infected ports, or vessels with plague on board ait port of depart- ure, en route or on arrival, the personnel of the vessel should be examined with special reference to the glandular regions, cervical, axillary, and inguinal, and for such examina'ion as much clothing should be removed as may interfere with the thoroughness of the process. When 94 possible, females should be examined by female inspect- ors.a 130. In the inspection of vessels for plague, special attention must be directed to ihe discovery of cases of a mild type or of the pneumonic form of the disease. Suspected or doubtful cases should be subjected to bacter- iological examination before the vessel is released. 131 On all plague-infected vessels, any of the per- sonnel of such vessels who in the opinion of die quaranr tine officer, are infected or have been exposed to infection, shall be bathed and body clothing and hand baggage dis- infected. 132. Nothing shall be thrown overboard from the vessel, not even deck sweepings. Such material shall be burned in the furnaces of a steamer, or in a place specially designated, but not in the galley. 133. Special precaudons, must be taken against rats mice, ants, flia>, fleas, and other animals, on account of the danger of the infection of the disease being spread through their agency. 134. As soon as practicable, there shall be a pre- liminary disinfection with sulphur dioxide for die purpose of killing rats and vermin, before further disinfecting processes are applied to die vessel and her cargo. The killing of any escaping rats shall be provided for by a water guard in small boats, and no person with abrasions or open sores should be employed in the handling of the vessel or her cargo. 135. The vessel shall be submitted to a simultaneous disinfection in all parts with sulphur dioxide to insure the destruction of rats and vermin. The rats shall be subsequently gathered and burned, due precautions being taken not to touch them with the bare hands, and the a The examination herein provided being an exceedingly delicate matter, the greatest possible care is to be used by the Quarantine officer to avoid any grounds for complaint of indecent exposure,, and more particuraly with regard to females. 95 places where found disinfected with a germicidal solu- tion; and the quarantine officer shall assure himself that the vessel is free of rats and vermin before granting free pratique. 136. Disinfection of vessels for plague shall be as follows: With cargo: After twelve hours' exposure to sulphur dioxide, the upper 4 to 6 foot layer of cargo may be removed and placed on lighters exposed to the sun. This process of disinfection by night, and removal of successive layers of cargo by day, to be continued until hold is empty. 137. Vessels without cargo shall be disinfected bv sulphur dioxide, followed by germicidal solutions, in accordance with the general regulations for disinfection, paragraphs 156 to 185. CANADIAN AND MEXICAN FRONTIERS. 138. When practicable, alien immigrants arriving at Canadian or Mexican, ports, destined for the United States, shall be inspected at the Canadian or Mexican port of arrival by the United States consular or medical officer, and be subjected to the same sanitary restrictions as are called for by the rules and regulations governing United States ports. 139. Inspection cards will be issued bv the consular or United States medical officer at the Canadian or M^vi- can port of arrival to all such alien immigrants, and labels affixed to their baggage, as is required at foreign ports in the case of those coming direct to anv port of the United States. T40. If any person be found suffering from a quarantinable disease, or be presumably infected, he shall be denied entry or shall be kept under quarantine observa- tion so long ais danger of conveying the infection exists. 141. Any baggage or other effects believed to be 96 infected shall be refused entry unless, disinfected in accordance with these regulations. 142. Persons coming from localities where cholera is prevailing shall not be allowed entry until after five daysi have elasped since last presumable exposure to infection, and their baggage disinfected. 143. During the quarantine season persons not pos- itively identified as immune to yellow fever, coming from places where yellow fever prevails, will not be permitted to enter until they have been away from said localities five full days. 144. Persons coming from localities! where small- pox is prevailing shall not be allowed entry without vaccination, unless they are protected by a previous attack of the disease ar a recent successful vaccination. The baggage of persons from such localities shall be disin- fected. 145. Persons coming from localities where typhus fever prevails in epidemic form shall not be allowed entry until twelve days have elapsed since their last possible exposure to infection and the disinfection of their bag- gage. 146. Persons coming from localities where is prevailing shall not be allowed entry until seven davs have elapsed since their last possible exposure to infection and the disinfection of their baggace. 147- No common carrier which is infected, or sus- pected of being- infected, shall be allowed to en*er tlw United States until after such measures have been taken 2is will render it safe. tjR. Articles of merchandise, personal effects, etc., which are presumably infected. shn11 not be allowed entry into the United States; until after disinfection. T/fQ. Pap's p'athered and labeled in Canada, accom- panied bv affidavits that the ports or nlaces where collect- ed or handled were free from quarantinable disease fob- thirty days prior to shipment, may be admitted to entry; 97 but rags from foreign ports shipped through Canada shall not be admitted to entry unless they are accompanied by a certificate of a United States consul or medical officer of the United States that they have been disinfected, or until after they have been unbaled and disinfected at the port of arrival. 150. Where not otherwise specifically stated, the rules and regulations for maritime quarantine shall be applied at stations on the Canadian and Mexican fron- tiers ; and the methods of disinfections shall be those prescribed in these regulations. special regulations relating to naval vessels. 151 Vessels of the U. S. Navy may be granted the hereinafter stated' exemptions from quarantine regula- tions. but are subject to quarantine inspection upon arrival at a port of the United States. m2. The certificates of the medical officers of the U. S. Naw as to the sanitarv histoirv and condition of the vessel and its personnel mav be accented for naval vessels bv the quarantine officer boarding the vessel in lieu of an actual inspection. m3. Vessels of the U. S. Naw having entered the harbors of infected ports, but having" held1 no communi- cation is liable to convev infection, mav be exempt- ed from the disinfection and detention imposed on mer- chant vessels from such ports'. INSPECTION OE STATE AND LOCAL QUARANTINES. IC4. In the performance of the duties imposed nnon him bv the act of February m, 1893, the Surgeon-Gen- eral of the Public Health and Marine-Hosnital Service shall, from time to time, personallv or through a dulv detailed officer of the Public Health and Marine-Hosnital Service, inspect the maritime quarantines of the United States. Stale and local, as well as national, for the pur- pose of ascertaining whether the quarantine regulations 98 prescribed by the Secretary of the Treasury have been or are being complied with. The Surgeon-General, or the officer detailed by him as inspector, shall, at his discretion, visit any incoming vessel or any vessel detained in quar- antine, and all portions of the quarantine establishment, for the above-named purpose, and with a> view to certify- ing, if need be, that the regulations have been or are being enforced. 155. The Surgeon-General of the Public Health and Marine-Hospital Service is authorized, when in his discretion such action is necessary in the interest of the public health, to remand, by direction of the Secretary of the Treasury, any vessel to the nearest national, State or local quarantine station provided with proper facilities for handling infected vessels. DISINFECTANTS AUTHORIZED BY THESE REGULATIONS AND THE PROPER METHODS OF GENERATING AND USING SAME. physical disinfectants. 156. Burning. Of unquestioned efficiency, but sei dom required. 157. Boiling. Very efficient and of wide range of applicability. The articles must be wholly immersed for not less than thirty minutes in water actually boiling (loodeg. C). The addition of 1 per cent of carbonate of soda renders the process applicable to polished steel, cut- ting instruments or tools. 158. Steapi. (a) blowing steam (not under pressure). Flow- ing steam (not under pressure) when applied under suitable conditions is an efficient disinfecting agent. The exposure must be continued thirty minutes after the tem- perature has reached 100 degs. C. (b) Steam under pressure without vacuum. Steam under pressure will sterilize, provided that the process is continued twenty minutes aifter the pressure reaches 99 15 pounds per square inch.The air must be expelled from the apparatus at the beginning of the process. If imprac- ticable to obtain the designated pressure, a longer exposure will accomplish the same result. (c) Steam under pressure with vacuum. Steam in a special apparatus with vacuum attached is the best method of applying steam under pressure, the object of the vacuum apparatus being to expel the air and to pro- mote the penetration of the steam. The process is to be continued for twenty minutes after the pressure reaches io pounds to the square inch. GASEOUS DISINFECTANTS. 159. Sulphur dioxide.. {Sulphur dioxide is efficient, but requires the presence o-i moisture, it is only a surtace disinfectant, and is lacking in penetrating properties. An atmosphere containing 4.5 per cent can be obtained by burning 5 pounds of sulphur per 1,000 cubic feet of space. This amount would require the evaporation or volatiliza- tion of about 1 pint of water. Under these conditions the time of exposure should be not lesjr> than twenty-four* hours for bacterial infections. A shorter time will suffice for fumigation necessary to kill mosquitoes and other vermin. 160. The sulphur may be burned in (shallow iron pots (Dutch ovens) containing not more than 30 pounds of sulphur for each pot, and the pots should stand in vessels of water. The sulphur poty should be elevated from the bottom of the compartment to be disinfected in order to obtain the maximum possible percentage of combustion of sulphur. The sulphur should be in a state of fine division, and ignition best accomplished by alco- hol ; special care to be taken with this method to prevent damage to cargo of vessel by fire; or the sulphur may be burned in special furnace, the sulphur dioxide being dis- tributed by a power fan. This method is peculiarly appli- cable to cargo vessels. 100 161. Liquefied sulphur dioxide may be used for disinfection in place of sulphur dioxide generated as above, it being borne in mind that this process will require 2 pounds of the liquefied gas for each pound of isulphur as indicated in the above paragraphs. 162. Sulphur dioxide is especially applicable to the holds of vessels, or to freight cars, and apartments that may be tightly closed and which do not contain objects injured by the gas. Sulphur dioxide bleacher fabrics or materials dyed with vegetable or aniline dyes. It destroys linen or cotton goods by rotting the fiber through the agency of the acids formed. It injures most metals. It is promptly destructive to all forms of animal life. This property renders, it a valuable agent for the extermina- tion of rats, insects, and other vermin. formaldehyde gas. 163. Formaldehyde gas is effective if applied by one ot die methods given below. Formaldehyde gas has the advantage as a disinfectant that it does not injure fabrics or most colors. It is not poisonous to the higher forms of the animal life. It fails to kill vermin .such as rats, mice, roaches, bedbugs, etc. The method is not applicable to the holds of large vessels. Formaldehyde is applicable to the disinfection of roomis, clothing, and fabrics, but should not be depended upon for bedding, unholstered furniture, and the like, when deep penetration is required.a 164. Many formaldehyde solutions do not contain 40 per cent of formaldehyde, and all are apt to deteriorate with time. It is therefore necessary to use a quantity in excels of the amount prescribed in these regulations, unless the solution has been recently analyzed. 165. The following methods of evolving the gas may be used: a It should be noted that formaldehyde disinfection is more efficient in warm, moist or still weather than in cold, dry or windy weather. 101 (a) Autoclave under pressure, 3 to 12 hours' exposure. (b) Lamp or generator, 6 to 18 hours' exposure. (c) Spraying, 12 to 24 hours' exposure. (d) Formaldehyde and dry heat in partial vacuum, 1 hour's exposure. 166. The minimum number of hours' exposure as given above applies to empty rooms of tight construction containing smooth, hard, surfaces; the maximum number of hours' exposure applying in all cases to textiles and other articles of a similar kind requiring more or less penetration. 167. Autoclave under pressure. This method has considerable penetrating power when applied as detailed below. Rooms or apartments need no special preparation beyond the ordinary closing of doors and windows. Past- ing, caulking, or chinking of ordinary cracks and crevices is not necessary. The doors of lockers and closets and the drawers of bureaus should be opened. I11 this appara- tus use formalin (40 per cent), with the addition of a neutral salt, such as calcium chloride (20 per cent). The gas must be evolved under pressure not less than 45 pounds After the gas is separated from its watery solution the pressure may be allowed to- fall and steam projected into the compart- ment to supply the necessary moisture. Use not less than 10 ounces of formalin per 1,000 cubic feet, and keep the room closed for three to twelve hours after the completion of the process. For large rooms the gas must be introduced at several points as far apart as possible. It is applicable to the disinfection of clothing and fabrics suspended loose- ly in such a manner that every article is freely accessible to the gas from all dicrections. 168. Lamp or generator. This method requires an apparatus producing formaldehyde by a partial oxidation of wood alcohol, and in using it the room or apartment should be rendered tight as practicable. Oxidize 24 ounces 102 of wood alcohol per 1,000 cubic feet, and keep the room closed tor six to eighteen hours, in accordance with the provisions of paragraph 165. This method leaves little or no odor. When applied to clothing and textiles, the articles phould be suspended in a tight room and so disposed as to permit free access of the gas. (See also Par. 166.) The wood alcohol should be of 95 per cent strength, and should not contain more than 5 per cent of acetone. 169. Spraying. The formalin (40 per cent) should be sprayed on sheep; suspended in the room in such a manner that the solution remains in small drops on the sheet. Spray not less that 10 ounces of formalin (40 per cent) for each 1,000 cubic feet. Used in this way a sheet will hold about 5 ounces without dripping or the drops running together. The room must be very tightly sealed in disinfecting with this process, and kept closed not lesp than twelve hours. The method is limited to rooms or apartments not exceeding 2,000 cubic feet. The formalin may also be upon the walls, floors,, and objects in the rooms. 170. Formaldehyde with dry heat in partial vacuum. This method has superior penetrating jjjowers and is espec- ially applicable to clothing and baggage. The requirements of this method are (1) dry heat of 60 degp. C. sustained for one hour; (2) a vacuum of 15 inches; (3) formalde- hyde evolved from a mixture of formalin with a neutral salt, in an autoclave under pressure, using not less than 30 ounces of formalin (40 per cent) for 1,000 cubic feet; and (4) a total exposure, under these combined condi- tions, of one hour. 171. The stated times of exposure to sulphur diox- ide and formaldehyde are sufficient to destroy bacterial infection due to non-spore-bearing organisms, providing that the infection is present on the surface. If the room is of peculiar construction, so as to impede the diffusion of the gas, or if the room is a dirty one, or if on account of any other condition rendering the germicidal action 103 of the gas more difficult, the time of exposure should be proportionately increased, or (Supplanted by other methods. CHEMICAL SOLUTIONS. 172. Bichloride of mercury. Bichloride of mercury is a disinfectant of undoubted potency and wide range 01 applicability, ft can not be depended upon to penetrate substances in the presence of albuminous matter. It should be uped in solutions of 1 to 1,000. The solubility of bichloride of mercury may be increased by using sea water for the solution, or by adding 2 parts per 1,000 of sodium or ammonium choride to the water employed. 173. Carbolic acid. Carbolic acid in the strength of 5 per cent (see par. 51) may be substituted for the bichloride of mercury, and should be employed in the dipinfection of the cabins and living apartments of ships to obvious injurious action on polished metals, bright work, etc., 174. Formalin. Formalin containing 40 per cent, of formaldehyde may be used in a 5-per cent solution as a substitute for bichloride of mercury or carbolic acid, and is useful for the disinfection of surfacer, dejectai, fabrics, and a great variety of objects, owing to its noninjurious character. APPLICATION of disinfectants in quarantine work. 175. Hold of iron vessels, empty, shall be disin- fected by either: (a) Sulphur dioxide generated by burning sulphur 5 pounds per 1,000 cubic feet of air ;space, or liberated from 10 pounds of liquid sulphur dioxide, sufficient moist- ure being present in both cases; time of exposure, twenty- four hours. (See par. 159.) (b) Washing with a solution of bichloride of mer- cury, 1; 1,000. 176. Holds of wooden vessels, empty, shall be dis- infected by: 104 (a) Sulphur dioxide in the manner prescribed above, followed by (b) Washing with a solution of bichloride of mer- cury. 177. In the case of all vessels, both iron and wood- en, when treated for yellow fever or plague infection, the first process shall be a preliminary fumigation by sulphur dioxide in the manner previously stated in para- graphs 159-160, in order to insure the destruction of mosquitoest, rats, and other vermin. 178. Holds of cargo vessels, when cargo can not be removed, phall be disiniected in so far as possible by sulphur dioxide not less than 4 per cent per volume strength, and where possible this should be generated from a furnace to minimize danger of fire in cargo. 179. Living apartments, cabins, and forecastles of vessels shall be disinfected by one or more of the follow- ing methods: (a) Sulphur dioxide, the destructive action of the gas on property being borne in mind. (b) Formaldehyds gas. (c) Washing with solution of bichloride of mer- cury, 1 ;i,ooo or 5 per cent solution of formalin, or 5 per cent solution of carbolic acid, preference being given to carbolic acid for application to polished woods, bright metals,, and other objects injured by metallic salts. The forecastle, steerage, and other living apartments in bad sanitary condition must be disinfected by method (a) followed by method (c). 180. Mattresses, pillows, and heavy fabrics are to be disinfected by: (01) Boiling. (b) Flowing steam, i. e., steam not under pressure. (c) Steam under pressure. (d) Steam in a special apparatus with vacuum attached. 105 181. Clothing, fabrics, textiles, curtains, hangings- etc., may be treated by either of the above methods from io {(1) inclusive, as circumstances may demand, or by formaldehyde gas or sulphur dioxide where the article is oi a character winch will not be damaged Dy sulphur dioxide. 182. Articles injured by steam, such as leather, iurs, sKinis, rubber, Lunns,, valises, hats and caps, bound books, silks, and fine woolens should not be disinlected by steam. Such articles should be disinlected by iormalde- hyde gas or by any of the agents allowed in tnes,e regula- tionp winch may be applicable thereto. Those which will be mjuied by wetting should be disinlected by a gaseous agent. 183. Clothing, textiles, and baggage, clean and in good condition, but suspected of infection, can be efficient- ly and least injuriously disinfected by formaJdehyde gas, generated by one of the methods prescribed in paragraph 165-(a), <b), or (d). 184. Textiles which are with the discharges of the sick or presumably are deeply infected, must be disinfected by: (a) Boiling. (b) Steam. (c) Immersion in one of the germicidal solutions. 185. Cooking and eating utensils a>re always to be disinfected by immersion in boiling water or by steam. Numbers refer to pages. INDEX. AMENDMENTS, Of certificates cf births and deaths, how made 3J ANIMALS, diseased. Penalty if or bringing into State or selling 16 APPROPRIATIONS, For immediate necessities State Board of Health 16 For maintenance of State Board of Health 17 ARRESTS. Power of State Health Officer to make 10 ASSISTANT HEALTH OFFICER. Appointment, duties and compensation of 8 BIRTHS, Physicians or attendant must report 19 BOARD TRUSTEES UNIVERSITY OF FLORIDA, To investigate diseases among domestic animals 23 To employ Veterinarian 24 To make and enforce quarantine of infected animals 24 BURIALS, Of persons dying from contagious diseases, how made ...35 BURIAL PERMITS, No interment or removal without 26 Contents of 30 CATTLE, Penalty for bringing into State or selling, diseased 16 CERTIFICATES. Form and contents of birth and death 27 Amendment of birth and death 31 Health certificate, when required 44 CITIES AND TOWNS, Power of State Health Officer to condemn unsanitary build- ings, etc. therein 6 Council to require vaccination of all persons therein ....41 Garbage dumping grounds prohibited near 43 CITY HEALTH OFFICERS, Duty as to suspicious cases contagious diseases 43 COMPENSATION. For property condemned by Health Officers 6 Of members of State Board of Health 8 Of State Health Officer 8 Of Assistant Health Officer 8 108 COMPENSATION, Cont'd. Of Local Registrars 32 Of County Sanitary Agents, how fixed 42 COMPILING RETURNS, Duty of State Registrar 31 CONCEALING CONTAGIOUS DISEASES, Prohibited 40 CONTAGIOUS AND INFECTIOUS DISEASES, Treatment of suspicious cases of 19 Animals having cannot be brought into State or sold 16 Investigation of among domestic animals 23 Must be reported to State Health Officer 39 Concealing prohibited 40 Segregation of persons having 40 COPIES, Of birth and death records furnished free 33 CORPSES, Regulations as to shipment of 35 to 37 COUNTY HEALTH OFFICERS, Duties as to suspicious cases communicable disease 20 COUNTY SANITARY AGENTS, Appointment by State Health Officer 42 Compensation of, how fixed 42 Duties of ; 42 COUNTY SOLICITORS, Duty to prosecute for violation of rules 3 DEATHS, Physicians to report 19 Reports when no attending physician 28 DISINFECTION, Of baggage 44 Of infected goods 45 Of railroad cars and vessels 45 DISINTERMENT. Of certain bodies prohibited 38 DOMESTIC ANIMALS, Trustees University of Florida to investigate diseases ...23 To quarantine infected 24 EXPENDITURES OF BOARD, Must be certified by, President to Governor of State 9 109 FALSE REPORTS, As to contagious diseases, penalty for spreading 2 FERTILIZERS, Offensive, may not be brought into or kept in cities, etc. . .44 GOVERNOR, To furnish means of enforcing quarantine 4 GENERAL GOVERNMENT, State Board may call on, when 7 GRAND JURIES, Duty to investigate certain cases 3 HEALTH CERTIFICATE, When require 44 HOSPITALS AND SIMILAR INSTITUTIONS, Shall keep statistical record of cases 33 HOTELS ANO BOARDING HOUSES, Sanitary inspection of by State Board 21 Certificate of State Board as to sanitary condition 22 INFECTED GOODS, Sh indent nf prohibited 45 Disinfection of 45 INTERSTATE QUARANTINE, Regulations as to 44 ISOLATION, Of persons having contagious or infectious disease 40 MARRIAGES. Renort by Local Registrars 26 MIDWIVES. Registration of required 34 MUNICIPAL SANITATION, Garbage dumping grounds prohibited 43 NUISANCES, Act defining 11 Penalties for maintainging 11 Filth etc., declared to be 11 Filling ground with filth, etc 12 Fecal matter 12 Water closets and privies 12 Contents of privies, where deposited 13 Hogs in pens 13 Animals with contagious disease 13 110 NUISANCES, Cont'd. Boiling of offal, bones, etc13 Unclean slaughter houses 14 Duty of State Health Officer in regard to 15 PENALTIES, For failure of physician to make reports 2 For spreading false reports 2 For violating "ules of State Beard of Health7 For bringing into State or selling diseased animals 16 For maintaining sanitary nuisance11 For failure of physician to report births and deaths19 For failure of physicians and others to perform certain duties as to contagious and infectious diseases ....21 For keeping unsanitary hotel or boarding house...23 PHYSICIANS, Must report contagious diseases 2 Penalty for failure to report 2 Must report births and deaths 19 Must report suspicious cases contagious diseases19 To sign certificates of still births 27 In charge of hospitals, duties of 34 Must report communicable diseases 39 Registration of required 34 PRESIDENT OF STATE BOARD OF HEALTH, May call meetings when 7 To certify expenditures to Governor 9 QUARANTINE, Duty of Governor to furnish means to enforce, when 4 State Board may abrogate 7 Only on authority of State Board of Health '..10 Regulations as to inter-state 44 State Board may declare and regulate 44 Of persons having contagious or infectious disease 40 RAILWAY CARS AND VESSELS, Power of Board to prescribe quarantine and sanitary regulations for 4 Inspection and disinfection of 45 Sanitation of prescribed 46 REGISTRATION, Of physicians, midwives and undertakers required 34 REGISTRARS, LOCAL, Appointment of 25 Duties of 25 Duties of 29 Duty to report marriages 26 Compensation of Duty to enit'ore rules '34 111 REGISTRAR, STATE, State Health Officer shall be 18 Shall furnish copies of records free 33 Duty to enforce rules 34 REPORTS, By physicians to State Board 2 By local Registrars 26 Of communicable diseases required 39 REVISED STATUTES OF FLORIDA, Provisions of relating to public health matters1 to 10 RULES, State Board of Health to make and publish 7 Penalty for violating 7 Promulgated by State Board of Health 25 SCHOOL CHILDREN, All must be vaccinated 41 SECRETARY OF BOARD, State Health Officer to act as 7 SEXTONS AND CEMETERY KEEPERS, Shall not inter without permit 30 Shall keep record of interments 30 SPECIAL TAX, For public health purposes 9 SPITTING, In public places prohibited 46 STATE BOARD OF HEALTH, Appointed by Governor 1 Compensation of members 8 Duty as to unsanitary hotels and boarding houses 22 Powers, general 5 Governor may convene 1 May abrogate quarantine of State Health Officer 7 May call on Federal Government, when 7 Reports of physicians to 2 Terms of office 2 To elect President and State Health Officer 1 To make sanitary regulations for railroads and vessels ..4 To control county Boards of Health 10 To make quarantine regulations 10 To make sanitary inspections of hotels, etc 21 To furnish fresh vaccine virus free 41 Vacancies, how filled 2 STATE HEALTH OFFICER, Elected by State Board of Health 1 Duty to investigate and quarantine certain cases 3 To act as Secretary of Board 7 112 STATE HEALTH OFFICER, Cont'd. Compensation of ° 1 Oath and bond of 9 Power to arrest for violations of rules for quarantine and sanitation It) Duty to investigate sanitary condition of cities and towns 15 Duty as to suspicious cases contagious or infectious diseases 20 Shall be State Registrar of Vital Statistics 18 Duties of State Registrar 31 Power to segregate persons having contagious or infectious diseases 40 To prevent spread of contagious diseases 41 May appoint County Sanitary Agents 42 SHERIFFS AND CONSTABLES, Under control of State Board, when 4 STATUTES RELATING TO PUBLIC HEALTH, Bureau of Vital Statistics created 18 Diseased animals, prohibitions as to 15 Domestic animals, investigation of diseases among 23 Efficiency of State Board, to increase 10 Revised Statutes, provisions of . 1 to 10 Sanitary nuisance defined and punished 11 Hotels and boarding houses, sanitary regulations 21 Suspicious cases, regulations and treatment 19 Tax for maintenance of Board 17 STILL BIRTHS, Must be registered 26 Certificate signed by physician or midwife 27 SUSPICIOUS CASES INFECTIOUS OR CONTAGIOUS DISEASES, Duty of physician or attendant to report 19 Duty of County and City Health Officer as to 20 Duty of State Health Officer as to 20 TAINTED FOODS, Bringing into or keeping within State prohibited 8 TAXES, For support of State Board of Health 7 TRANSPORTATION OF CORPSES, When prohibited 35 Preparation for shipment of certain 35 When required to be embalmed 36 When death not due to contagious or infections diseases 36 Regulations for shipping 37 How shipped 37 By express 38 As to disinterred bodies, regulations 38 113 UNDERTAKERS, Registration of required 34 To file certificate of deaths with Local Registrai' 38 UNITED STATES QUARANTINE LAWS, Powers of Marine Hospital Service 48-GO Provisions of U. S. Revised Statutes 55-58 To prevent carrying of contagious diseases 59 Regulations as to iforeign vessels 63 Regulations as to foreign cargoes 70 Regulations as to foreign passengers 73 Regulations as to domestic vessels 80 Quarantine of domestic vessels 84 Inspection of domestic vessels 81 Cholera regulations 87 Small-pox regulations 91 Leprosy regulations 92 Plague regulations 93 Canadian and Mexican frontier regulations 95 Naval vessels, regulations 97 Inspection of State quarantines 97 Physical disinfectants 98 Gaseous disinfectants 99 Formaldehyde gas 100 Chemical solutions 103 Disinfectants in quarantine work 103 VACANCIES, In State Board of Health, how filled 2 VACCINATION, All persons in cities and towns 41 When not required 41 All school children 41 All employees of mills, turpentine camps, etc 42 VITAL STATISTICS, Act creating Bureau of 18 Rule of State Board of Health as to 25 Burial permits 26 Certificates of still births 26 Registration of physicians, midwives and undertakers ...34 Records of Local Registrars 29 Records of hospitals 33 Reports of births 19 Reports of deaths 19 Reports of marriages < 2<