Form 17. 
Commontoealtfj of Pennsplbania. 
DEPARTMENT OF HEALTH. 
RULES TO BE OBSERVED IN THE CARE AND 
AND MANAGEMENT OF 
QUARANTINE, ISOLATION AND DISINFECTION. 
INSTRUCTIONS FOR THE REGULATION OF QUARANTINE, ISOLATION AND 
DISINFECTION IN THE SEVARAL COMMUNICABLE DISEASES. 
ABSOLUTE QUARANTINE includes first, absolute prohibition of entrance to or 
exit from the building or conveyance except by officers or attendants authorized by 
the health authorities, and the placing of guards if necessary to enforce this prohi- 
bition ; second, the posting of a warning placard stating the name of the disease, 
in a conspicuous place or places on the outside of the building or conveyance; third, 
the prohibition of the passing out of any object or material from the quarantined 
house or conveyance; fourth, provision for conveying the necessaries of life under 
careful restrictions to those in quarantine. 
MODIFIED QUARANTINE includes first, prohibition of entrance and exit, as 
in absolute quarantine except against certain members of the family authorized by 
the health authorities to pass in and out under certain definite restrictions; second, 
the placing of a placard as before; third, isolation of patient and attendant; fourth, 
prohibition of the carrying out of any object or material unless the same shall have 
been thoroughly disinfected. 
The wage earner is allowed, under modified quarantine, to continue work provided 
he or she at no time comes in contact with the patient, or those having the care of 
the patient, and that he or she has a room entirely separated from the patient and 
those atending the same, as provided in instructions on isolation. In permitting 
householders and wage earners to continue work when cases of Diphtheria, Scarlet 
Fever or Epidemic Cerebro-Spinal Meningitis appear upon the premises, the greatest 
care should be taken to prevent the carrying of the infection and such a person shall 
not be employed in an establishment in which is conducted the production, sale or 
manufacture of fabrics, wearing apparel, upholstered furniture, bedding, food 
stuffs, cigars, cigarettes, candy, etc. If so employed he should leave the premises 
after taking an antiseptic bath and having his clothing disinfected and thereafter re- 
main away from the premises up to the time of the recovery of the last patient and 
the disinfection of the household. (The Health Officer will issue permit cards to 
wage earners from the household under the above conditions.) 
ABSOLUTE ISOLATION includes first, the confinement of the patient and at- 
tendants to one apartment or suite of apartments, to which none but authorized of- 
ficers or ottendants shall have admission; second, the prohibition of passing out of 
the sick room of any object or material, until the same has been thoroughly disin- 
fected; third, protection of the air of the house by hanging a sheet, kept constantly 
moist with a disinfectant solution, over the doorway of the patient's room or rooms 
and reaching from the top to the floor. 
MODIFIED ISOLATION includes the confinement of the patient and attendants 
to one room or suite of rooms to which none but authorized officers or attendants 
shall have admission, but allowing the attendants to pass out of the room after dis- 
infection of person and complete change of clothing; second, th eprohibition of pass- 
ing any object or material out of the sick room until it has been disinfected; third, 
protection of the doorway as before. 
SPECIAL ISOLATION includes first, prohibition of patient from attending any 
place of public assemblage; second, the providing of separate eating utensils for the 
patient; third, prohibition of sleeping with others or using the same towels or 
napkins. Diseases to be Reported. 
Quarantine. 
Isolation. 
Disinfection. 
$ 
Placard. 
Quarantine Period. 
Period of exclusion 
from school (a). 
Exclusion from 
school after ill- 
ness. 
Remarks. 
Partial, 
Partial, 
Partial, 
Complete, 
Complete, 
Complete, 
Complete, 
Complete, 
Partial, 
Partial, 
Complete, 
Partial, 
Partial, 
Complete, 
Immunize others exposed 
by the use of Diphtheria 
Antitoxin. 
Pasteur treatment through 
County aid (Act May 7, 
1907). 
Mosquito exclusion. 
Destruction of Suctorial in- 
sects. 
Beneral Vaccination. 
Destruction of Sputum by 
fire or by germicides. 
Mosquito exclusion. 
Special, 
Special, 
Absolute, 
Modified, 
Modified, 
Absolute, 
Absolute, 
Special, 
Special, 
Modified, 
Special, 
Special, 
Absalute, 
During Illness, 
During Illness, 
During Illness, 
21 days (g), 
30 days (e). 
30 days (e). 
30 days (e). 
Placard, 
Placard, 
Placard, 
Placard, 
Placard, 
Placard, 
Bubonic Plague, 
Absolute, 
Modified, 
Modified, 
Absolute, 
Modified, 
(b) 
21 days, 
(b) 
21 days (c), 
30 days (e). 
During Illness, 
Placard, 
Placard, 
Placard, 
During Illness, 
21 days (g), 
30 days. 
Modified, 
21 days, 
Absolute, 
Placard, 
Placard, 
Placard, 
Placard, 
(b) 
30 days (e). 
Modified, 
Modified, 
Modified, 
Special, 
Special, 
Special, 
Special, 
Modified, 
Absolute, 
Absolute, 
Special, 
Special, 
Complete, 
Complete, 
Partial, 
Partial, 
Complete, 
21 days, 
21 days, 
21 days (g), 
21 days (g), 
Modified, 
Modified, 
Absolute, 
Placard, 
Placard, 
Placard, 
(b) 
30 days (f), 
30 days (f), 
During Illness, 
During Illness, 
During Illness, 
30 days (e), 
30 days (h). 
30 days (e , 
Scarlet Fever, 
Smallpox, 
Complete, 
Complete, 
Partial, 
Partial, 
Partial, 
Partial, 
Partial, 
Complete, 
Partial, 
Partial, 
Special, 
Absolute, 
Special, 
Special, 
Absolute, 
Placard, 
Placard, 
Absolute, 
(b) 
30 days (e). 
30 days. 
30 days (e), 
During Illness, 
Modified. 
Placard, 
Placard, 
(b) 
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25 (a) School—Public, private, parochial, Sunday or other school. 
(b) Quarantine continued until released by written order of the Commissioner of Health. 
(c) Or 14 days from onset where two negative cultures are obtained from the diseased area on two successive days, with such addi- 
tional time as may be necessary, in the opinion of the attending physician, for the complete recovery of the case, provided antitoxin has 
been used for curative and immunizing purposes. 
(e) Cases and contacts readmitted to school 30 days after the date of disinfection. 
(f) With such additional time as may be necessary, in the opinion of the attending physician, for the complete recovery of the case. 
(g) Contacts not developing the disease shall be allowed, after taking a disinfecting bath and putting on clean clothing, to take up their 
abode in a house occupied exclusively by adults, and may after 14 days return to school. 
(h) Cases readmitted 30 days after disinfection. Where isolation has been carried out contacts may return to school at the end 
of the quarantine period. Where isolation has not been carried out the contacts are to be excluded from school for 10 days after dis- 
infection. 
Date of onset reckoned from date given in report to Health authorities. 
“Those actually suffering from the following diseases shall be excluded from school during illness and shall be readmitted on the cer- 
tificate of a physician attesting to their recovery and non-infectiousness: Tonsillitis, Scabies (Itch), Pediculosis capitis and corporis (Head 
and body lice); Trachoma, Impetigo Contagiosa, Favus, Acute Contagious Conjunctivitis (Pink Eye), Tinea Circinata.” 
Regulation of Advisory Board, Adopted Jan. 23, 1906. 
NOTE—It is expected that the requirements of local Boards of Health will conform to those of the State Department of Health, but 
such exactions shall in no sense be construed as abrogating any additional precautionary measures enforced by local Boards of Health. 4 
DISINFECTION may be either complete or partial. 
By complete disinfection is meant disinfection during illness, under direction of 
attending physician, of patient's body, of all secretions, of all discharges of patient 
and of all articles of clothing and utensils used by patient; and after recovery, death 
or removal, the disinfection of walls, wood work, furniture, bedding, etc., by the 
Health Officer. (See Department’s circular on Room Disinfection.) 
By partial disinfection is meant, disinfection of discharges or excretions of 
patients and their clothing and the room or rooms occuped by the patient during 
illness. 
SAMUEL G. DIXON, M. D., 
Commissioner of Health. 
Revised, July 1, 1911.