RULES AND REGULATIONS ADOPTED BY THE ^rd of hea^B OF CLINTON, MASS. CLINTON: Press of William H. Benson 1906 RULES AND REGULATIONS ADOPTED BY THE BOARD OF HEALTH OF CLINTON, MASS. 1906 CLINTON: Press of William H. Benson 1906 RULES AND REGULATIONS The Board of Health of the Town of Clinton hereby makes and publishes, as required by the Revised Laws of the Commonwealth of Massa- chusetts, the following Rules and Regulations for the public health and safety: (See below J Revised Laws. Chapter 75, Section 65. The Board of Health shall examine into all nuisances, sources of filth and causes of sickness within its town, or on board of vessels within the harbor of such town, which may in its opinion be injurious to the public health, shall destroy, remove or prevent the same as the case may require and shall make regulations for the public health and safety relative thereto and relative to articles which are capable of containing or conveying infection or con- tagion or of creating sickness which ate brought into or conveyed from its town, or into or from any vessel. Whoever violates any such regulation shall forfeit not more than one hundred dollars. Diseases Dangerous to the Public Health Rule 1. Whereas, in addition to diseases mentioned by name in Section 1 of Chapter 251 of the Acts of 1905 (see below), the diseases of cholera, .yellow fever, typhus fever, small-pox, varioloid, diphtheria (membraneous croup), scar- let fever, measles, typhoid fever, opthalmia, cerebro-spinal meningitis, pulmonary tubercu- losis, hydrophobia, malignant pustule, glanders, 4 RULES AND REGULATIONS. trichinosis, are infectious or contagious diseases dangerous to the public health, a householder who knows that a person in his family or house is sick of any of said diseases, shall immediately give notice to the Board of Health, and upon the death, recovery or removal of such person, the rooms occupied, and the articles used by such person, shall be at once properly cleansed, fumi- gated or destroyed, as the Board of Health may direct. Section 49, of Chapter 75 of the Revised Laws, as amended by Chapter 251 of the Acts of 1905 A householder who knows that a person in his family or house is sick of small-pox, diphtheria, scarlet fever or any other infectious or contagious disease dangerous to the public health shall forthwith give notice thereof to the Board of Health of the city or town in which he dwells. Upon the death, recovery or removal of such person, the householder shall disinfect to the satisfaction of the Board such rooms of his house and articles therein as, in the opinion of the Board, have been exposed to infection or contagion. Should one or both eyes of an infant become inflamed, swollen and red, and show any unnatural dis- charge at any time within two weeks after its birth, it shall be the duty of the nurse, relative or other attendant having charge of such infant to report in writing within six hours thereafter, to the Board of Health of the city or town in which the parents of the infant reside, the fact that such inflammation, swelling and redness of the eyes and unnatural discharge exists. On receipt of such report, or of notice of the same symptoms given by a physician as provided by the following section, the Board of Health shall take such immediate action as it may deem necessary in order that blindness may be prevented. Whoever violates the provisions of this section shall be punished by a fine of not more than one hundred dollars. RULES AND REGULATIONS. 5 Rule 2. Whereas, in addition to diseases mentioned by name in Section 2, of Chapter 251 of the Acts of 1905 (see below), the diseases of cholera, yellow fever, typhus fever, small-pox, varioloid, diphtheria, membraneous croup, scarlet fever, measles, typhoid fever, opthalmia, cerebro- spinal meningitis, pulmonary tuberculosis, hydro- phobia. malignant pustule, glanders, trichinosis, are infectious or contagious and dangerous to the public health, every physician who knows that a person whom he is called upon to visit is infected with any of said diseases, he shall immediately give notice thereof in writing over his own signature to the office of the Board of Health. Section 50, of Chapter 75, of the Revised Laws, as amended by Chapter 251 of the Acts of 1905. If a physician knows that a person whom he is called to visit is infected with small-pox, diphtheria, scarlet fever, or any other disease dangerous to the public health, or if one or both eyes of an infant whom or whose mother he is called to visit become inflamed, swollen and red, and show an unnatural discharge within two weeks after the birth of such infant, he shall immediately give notice thereof in writing over his own signature to the Selectmen or Board of Health; and if he refuses or neglects to give such notice, he shall forfeit not less than fifty nor more than two hundred dollars for each offence. Rule 3. Every dwelling where cholera, yellow fever, typhus fever, small-pox, diphtheria, scarlet fever, and measles is known to exist, shall be conspicuously labelled at its entrance with a card properly specifying the disease in such form and manner as may be determined by the Board of Health, and such placard shall not be removed except by a duly authorized agent of the Board of Health. 6 RULES AND REGULATIONS. Rube 4. No person shall remove or permit to be removed from any house or apartment upon which a placard has been placed, as provided in Rule 3, any clothing, books or other property, without a permit from the Board of Health; nor after a house is established as a hospital under the provisions of Section 42 of Chapter 75 of the Revised Laws, shall any occupant of such house take up a residence elsewhere, or remove or be removed from such house, room or apartment temporarily or otherwise, or visit or attend, any dwelling-house without such permit. No public or circulating library book shall be taken into any house or apartment whereon a placard has been placed as provided in Rule 3, before the authorized removal of such placard. Chapter 75, Section 42, Revised Laws. If a disease which is dangerous to the public health breaks out in a town, or if a person is infected or lately has been infected with such disease, the Board shall immedi- ately provide such hospital or place of reception, and such nurses and other assistance and necessaries, as is judged best for his accommodation and for the safety of the inhabi- tants, which shall be subject to the regulations of the Board' The Board may cause any sick or infected person to be removed thereto, if it can be done without danger to his health; otherwise the house or place in which he remains shall be considered as a hospital, and all persons residing in or in any way connected therewith shall be subject to the regulations of the Board and if necessary, persons in the neighborhood may be removed. Tuberculosis Pulmonary and laryngeal tuberculosis(consump- tion) being now classified by scientific authorities as infectious and communicable diseases, and in RULES AND REGULATIONS. 7 a large measure preventable, the Board, in the interest of public health, to prevent the unneces- sary spread of the disease and to protect the public from the ravages of a disease that is now, and has been for years, responsible for more deaths than any other single disease, in May adopted the following regulations: Rule 5. Pulmonary and laryngeal tubercu- losis (consumption) are hereby declared to be infectious and communicable diseases, dangerous to the public health. It shall be the duty of every physician who may be called to attend such cases, and of every householder in whose family these diseases exist, to report to the Board of Health in writing, the name, age, sex, occupation and address of every person having such disease. It shall also be the duty of the superintendent of every public or private institution or dispensary in this town to report to the Board of Health all cases of these diseases which may come under his observation. Rule 6. Any home in which any of the diseases mentioned in Rule 3 shall occur, may be declared in quarantine by the Board of Health, or its authorized agent or agents. When a house has been declared in quarantine, all persons residing therein shall be subject to the rules of the Board of Health relating to quarantine. Quarantine Rule 7. In case of any of the diseases men- tioned in Rule 3, the patient must, as far as possible, be nursed by only one person, and no member of the family coming in daily contact with the patient shall be allowed in public. No member of another household shall be allowed to 8 RULES AND REGULATIONS. enter the sick room, except in the capacity of nurse or physician, until the Board of Health certifies that said apartment or place has been satisfactorily disinfected. Rule 8. All persons residing in a house that has been declared in quarantine shall confine themselves to said house or its immediate grounds, and shall not hold communication with well persons. Communication with said house shall be limited to physicians, nurses, and under- takers, and such persons as may be needed to supply its inmates with the necessaries of life and in such manner as the Board of Health may direct. See Revised Laws, Chapter 75, Section 43. Whoever obstructs the Selectmen, Board of Health, or its agent in using such means, or wilfully removes, obliter- ates, defaces or handles such red flags or other signals shall forfeit not less than ten nor more than one hundred dollars for each offence. Rule 9. In diphtheria no patient will be considered well and freed from isolation until at least four weeks have elapsed from the onset of the illness, unless two release cultures, satisfac- tory to the Board of Health, have been taken from the throat of the patient, and the same pronounced negative as the result of a bacterio- logical examination. No release cultures will be accepted by the Board until two weeks have elapsed from the onset of the disease. Rule 10. A report of a case of diphtheria will be received from physicians upon clinical evidence, but the additional culture testimony is advised and desired. RULES AND REGULATIONS. 9 Cultures and antitoxin may be obtained at the office of the Board of Health from 8 A. M. to 5 P. M. daily, and from the chairman of the Board. Rule 11. In scarlet fever, no patient will be considered well and freed from isolation until at least four weeks have elapsed from the com- mencement of the illness, unless the attending physician, or the physician employed by the Board of Health, certifies that he has personally inspected the patient, found that the period of desquamation has ceased, and that the patient is no longer a source of danger. No such certifi- cate will be received by the Board of Health until at least three weeks have elapsed from the begin- ning of the illness. Rule 12. Upon the death, recovery or removal of any person sick of any disease dangerous to the public health, the Board of Health shall when the necessity of quarantine has passed, declare the quarantine raised, and disinfect the rooms of the house where such sickness has occurred, and such of the articles therein contained as may be deemed by them advisable, and such disinfection if done by the householder shall be performed in a manner satisfactory to the Board of Health. Disinfection Rule 13. No child from a family in which there shall occur a case of Asiatic cholera, yellow fever, small-pox, varioloid, diphtheria, mem- braneous croup, scarlet fever, typhus fever, measles, or purulent opthalmia, shall attend any school, public or private, in the town during the continuance of the disease, or for a period of two weeks after the death, recovery or removal of the person or persons sick. School Attendance 10 RULES AND REGULATIONS. Rule 14. No person who, by reason of the foregoing rule, has been debarred from school attendance, shall be readmitted to any school in the town without the written permit from the Board of Health. Such permit may be issued when the attending physician has certified in writing to the Board of Health that in his opinion the child may attend school without danger of communicating any contagious disease. Rule 15. When children are absent from school on account of illness, and whenever the principal has reason to suspect the existence of contagious disease in any household, he is author- ized to exclude pupils from school until the case can be properly ivestigated. The teachers are required to exercise caution in sending pupils to the houses of absent pupils to ascertain the reason for such absence. Pupils are not permitted to be sent where contagious diseases are believed to exist in the household of absent pupils. Rule 16. If it comes to the teacher's knowl- edge that any pupil visits the house infected or attends the funeral of any person dying of any of the diseases mentioned in Rule 3, such pupil must be excluded at once and the case referred in writing to the Board of Health. Rule 17. Teachers in the public and private schools are directed to follow the letter and intent of these rules and refer all questions that may arise to the Board of Health. Superintendents and officers of Sunday Schools are requested to comply with these regulations as far as practicable. Use of Public Library Rule 18. No person from any dwelling wherein a disease dangerous to the public health exists RULES AND REGULATIONS. 11 shall take any book or magazine to or from the public library or public schools without a permit from the Board of Health. The Board will inform the librarian and superintendent of all cases of said diseases, and until a written permit is given, the librarian or superintendent shall allow neither books nor magazines to be taken to or returned from the dwelling where such cases exist. Vaccination Section 136. A parent or guardian who neglects to cause his child or ward to be vaccinated before the child or ward attains the age of two years, except as provided in Section one hundred and thirty-nine, shall forfeit five dollars for every year during which such neglect continues. Revised Laws, Chapter 75. Section 137, as amended by Acts of 1902, Chap. 190, Sec. 1: The Board of Health of a city or town if. in its opinion, it is necessary for the public health or safety, shall require and enforce the vaccination and re-vaccination of all inhabitants thereof, and shall provide them with the means of free vaccination. Whoever refuses or neglects to comply with such requirements shall forfeit five dollars. Section 139, as amended by Acts of 1902, Chap. 190, Sec. 2, further amended by Acts of 1902, Chap. 544, Sec. 10: Any person over twenty-one years of age who presents a certifi- cate signed by the register of a probate court that he is under guardianship shall not be subject to the provisions of section one hundred and thirty-seven; and any child who presents a certificate signed by a registered physician designated by the parent or guardian, that the physician has at the time of giving the certificate personally exam- ined the child, and that he is of the opinion that the physical condition of the child is such that his health will be endangered by vaccination shall not, while such condi- 12 RULES AND REGULATIONS. tion continues, be subject to the provisions of the preceding sections of this chapter; and the parent or guardian o^ such child shall not be liable to the penalties imposed by Section one hundred and thifty-six of this chapter. Section 138. The Board of Health of a city or town in which any incorporated manufacturiug company, alms- house, reform or industrial school, hospital or other establishment where the poor or sick are received, prison, jail or house of correction or any institution which is supported or aided by the commonwealth is situated may, if it decides that it is necessary for the health of the inmates or for the public safety, require the authorities of said establishment or institution, at the expense thereof, to cause all said inmates to be vaccinated. Revised Laws, Chapter 44. Section 6. A child who has not been vaccinated shall not be admitted to a public school except upon presentation of a certificate signed by a regular practicing physician that he is not a fit subject for vaccination. A child who is a member of a household in which a person is ill with small-pox, diphtheria, scarlet fever or measles, or of a household exposed to such contagion from another house- hold as aforesaid, shall not attend any public school during such illness or until the teacher of the school has been furnished with a certificate from the Board of Health of the city or town, or from the attending physician of such person, stating that, in a case of measles, at least three days have elapsed since the recovery, removal or death of such person, and that danger of conveying such disease by such child has passed. Regulations made Pursuant to Revised Laws,. Chapter 76, Sections 38 to 44. Burials and Removal of Bodies Rule 19. Any undertaker or other person having in his care or possession the body of » RULES AND REGULATIONS. 13 person who has died of a disease dangerous to the public health shall give immediate notice to the Board of Health, and shall cause such body, including the face, to be wrapped in a sheet saturated with a solution of corrosive sublimate not less than 1-500 in strength, or a 40-100 solu- tion of formaldehyde, and shall immediately place it in a sealed coffin, which shall not there- after be opened; no draperies shall be used. He shall uotify the said Board or its agent of time when body is to be removed, and shall sign a certificate containing a true statement of the fact that he has complied with the foregoing provision of this section, and he, and every person having charge or custody, or right of disposal of the body, shall cause the burial to take place immedi- ately, and in all cases within twelve hours after the time of death, unless further time shall be allowed by the Board of Health. A private funeral shall be held, at which none but the immediate adult members of the deceased person's family who are resident at the place of death, and the officiating clergyman or minister, to be present thereat. The body shall in no case be removed in any carriage used in conveying passengers; if placed in a receiving tomb, the body shall be enclosed in a metallic-lined casket and hermeti- cally sealed. No permit either for burial or removal of the body shall be issued until such statement is filed with the agent of this Board, who shall thereupon certify on such permit as follows: Satisfactory evidence having been furnished, I certify that the body has been so encased and prepared as to preclude any danger of communicating the disease (here state disease) to others by its transportation. Agent Board of Health. 14 RULES AND REGULATIONS. Rule 20. All undertakers or persons in charge of the remains of any person passing through the town shall, whenever requested, exhibit the certificate required by Chapter 78, Section 43, Revised Raws. (See below.) Revised Laws, Chapter 78. Section 43. No common carrier or other person shall convey or cause to be conveyed, through or from any city or town in this commonwealth, the body of any person who has died of small-pox, scarlet fever, diphtheria or typhus fever until such body has been so encased and prepared to preclude any danger of contagion or infection by its transportation; and no city or town clerk, or clerk or agent of the Board of Health, shall give a permit for the removal of such body until he has received from the Board of Health of the city or town in which the death occurred a certificate stating the cause of death, and that said body has been prepared in the manner prescribed in this section, which certificate shall be delivered to the agent or person who received the body. Whoever violates the provisions of this section shall forfeit not more than twenty-five dollars. Rule 21. No person shall inter or cause to be interred the body of any dead person in a grave less than three feet deep from the surface of the ground surroundiug the grave to the top of the coffin. No person shall open a grave or remove the body of a dead person or its remains from a grave or tomb, except in accordance with a permit from the Board of Health. Rule 22. The superintendent, sexton or other person having charge of any burying ground or crematory, shall not inter, disinter, or cremate within the town limits, any human body, until a permit has been given as required by law. He shall require of the undertaker, or person deliv- rui.es and regulations. 15 ering a body for burial, if the cause of death be any disease named in Rule 3, a written statement of what precautions have been taken to encase the body. He shall prevent the opening of the casket, or coffin, and report to this Board any breaking of the seals thereon. He shall keep a separate record of each burial when the permit states the cause of death to be any disease named in Rule 3, which record shall be open to examination by the Board of Health. Rule 23. Any burial permit issued by any officer outside this commonwealth must be filed at the office of this Board, and a permit from this Board applied for in all cases where burial is contemplated within the town limits. Cleanliness of Houses and Premises "The Board, if satisfied upon examination that a building, tenement, room or cellar in its town which is occupied as a dwelling place, has become, by reason of the number of occupants, uncleanliness or other cause, unfit for such purpose, and is liable to become a nuisance or be a cause of sickness to the occupants or to the public, may issue a notice in writing to such occupants or any of them, requiring the premises to be put into a cleanly condition, or to be vacated within such time as the Board may deem reason- able. If the persons so notified neglect or refuse to comply with the terms of the notice, the Board may cause the premises to be properly cleansed at the expense of the owner, or may remove the occupants forcibly and close up the premises, which shall not be again occupied as a dwelling place without its permission in writing. If the owner thereof occupies or knowingly permits the same to be occupied without such permission in writing, he shall forfeit not less than ten nor more than fifty dollars." Revised Laws, Chapter 75, Section 71, provides: 16 RULES AND REGULATIONS. Rule 24. Any person owning or occupying or having charge of any building or premises in or upon which is any dirt, sawdust, soot, ashes, cinders, shavings, hair, manure, oyster, clam or lobster shells, waste or stagnant water, or any offensive animal or vegetable substance, rubbish or filth of any kind, shall when ordered by the Board of Health remove the same within such time as may be stated in the order. Rule 25. No person shall place, or cause to be placed, or empty, or cause to be emptied, upon any street, way, lane or sidewalk, any house dirt, offal or rubbish, any sewage, or the draining of any sink or stable, or the contents of any cesspool, vault, privy or privy well. No person shall cast any decayed vegetable or dead animal substance, house dirt, offal, or rubbish, ashes or cans, into any cesspool, privy-vault, or into any well, cistern, reservoir, pond or waters within the town, nor drown, nor cause to be drowned, any animals in any of said waters. And the carcasses of animals dead of disease or killed for any cause, shall be buried at such distance from dwellings, or wells, or other source of water supply, that no danger or nuisance can result; and no person shall establish or maintain any swine pen, privy, or privy-vault, cesspool or sink drain within thirty feet of any stream, watercourse or pond, or to allow the overflow from any stable, swine pen, privy-vault, cesspool or sink drain to enter any stream, watercourse or pond in this town. Rule 26. No person shall burn on premises occupied by him any garbage, refuse woolen, silk, leather or india rubber goods or other substances so that the same shall evolve offensive odors and gases while burning. Further, no person shall RULES AND REGULATIONS. 17 clean or wash fish or meat upon any street, lane, alley or public grounds of the towm. Rule 27. No person shall erect or maintain within the limits of the town, any building or structure used for a slaughter-house, or for the manufacturing or refining of kerosine, oil or soap, the trying out of lard, the business of tallow- chandler, or the tanning, dressing or coloring of leather or skins, or any other noxious or offensive trade, or exercise or carry, on such trade, business or employment, without a license of the Board of Health defining the place for the same, and any such license may at any time be revoked. Rule 28. The owner or lessee of any hotel, lodging or tenement house within the limits of the town shall, when in the opinion of the Board of Health or its duly authorized agent it is deemed necessary, white-wash, paint or otherwise clean and make wholesome the walls and ceilings of the rooms and passage-ways of the building. Contagious Diseases Among Domestic Animals {Regulations made pursuant to Chapter 90, Revised Laws.) Rule 29. Whoever has knowledge of, or has good reason to suspect, the existence of a con- tagious disease among any species of domestic animals, whether such knowledge is obtained by personal examination or otherwise, shall forth- with give notice thereof to the Board of Health. Rule 30. No person, except as ordered or directed by the Board of Health, shall drive or cause to pass through said town, from place to place, or from place to place therein, animals 18 RULES AND REGULATIONS. diseased or infected with pleuro-pneumonia, farcy, or glanders, or rabies or any other con- tagious or infectious disease. Rui^b 31. Persons having the care and custody of animals diseased or infected with pleuro- pneumonia, farcy, glanders, or rabies, or any other contagious or infectious disease, whether their own property or otherwise, and having received an order for their isolation, shall neither sell, sw'ap, trade, give nor in any way dispose of such animals; nor drive, nor work, nor move, nor allow them to be moved away from the place of isolation, nor allow other animals, not already exposed, to come in contact with them until otherwise ordered by the Board of Health of the Town of Clinton or the Cattle Bureau of the State Board of Agriculture. Whoever violates any of the provisions of the foregoing regulations (30, 31 and 32) shall be punished by a fine not exceeding five hundred dollars, or by imprisonment not exceeding one year. Revised Laws, Chapter 56. Meat and Provisions Section 70. Boards of Health of cities and towns may inspect the carcasses of all slaughtered animals and all meat, fish, vegetables, produce, fruit or provisions of any kind found in their cities and towns, and for such purpose may enter any building, enclosure or other place in which such carcasses or articles are stored, kept or exposed for sale. If, on such inspection, it is found that such carcasses or articles are tainted, diseased, corrupted, decayed, unwholesome or, from any cause, unfit for food, the Board of Health shall seize the same and cause it or them to be destroyed forthwith or disposed of otherwise than for food. All money received by the Board of Health for property RULES AND REGULATIONS. 19 disposed of as aforesaid shall, after deducting the expenses of such seizure, be paid to the owner of such property. If the Board of Health seizes or condemns any such carcass or meat for the reason that it is affected with a contagious disease, it shall immediately give notice to the Board of Cattle Commissioners of the name of the owner or person in whose possession it was found, the nature of the disease and the disposition made of said meat or carcass. ANIMALS RULE 32. No person shall keep any fowl or swine or any animal in any place in the town where the Board of Health may deem such keep- ing detrimental to the health or comfort of the residents of the neighborhood or to those w'ho may pass thereby; and the said Board shall have the power to remove or cause to be removed therefrom such fowl, swine or animal so kept. Rule 33. No person shall abandon or leave in any street, alley, lot or other public place within said town any sick or injured horse or other animal. It shall be the duty of the owner of such sick or injured animal to make provision for the care and shelter of the same, or, if such sick or injured animal shall be adjudged past recovery, to kill or cause to be killed the same and remove under the rules and regulations of the Board of Health. Rule 34. Any sick or injured animal found or abandoned upon any street, alley, lot or public place within said town, without an owner, which is adjudged by the Board of Health or the Inspector of Animals to be past recovery shall, after an interval of two hours, if unclaimed and uncared for by the owner thereof, be killed and removed by order of said Board. 20 RULES AND REGULATIONS. FOOD Rule 35. No diseased animal or its flesh shall be sold or offered for sale, and no decayed, diseased, or unwholesome meat, fish, vegetables, fruit or other article of food shall be sold or offered for sale in this town. RueE 36. Any tainted, diseased or decayed article of food found in this town shall be destroyed by the person having it in possession, or otherwise disposed of as this Board may direct. Rule 37. No hawker or peddler shall sell or expose for sale any provisions, fruits or agricul- tural products within the town of Clinton until he has recorded his name and residence with, and been granted a license therefor by, the Board of Health or the Inspector of Meats and Provisions, and been assigned a number by said Board or Inspector. The attention of bakers and all other persons interested, engaged or employed in the business therein specified, is called to the provisions of the following Sections of Chapter 75, Revised Laws, and they are directed to comply with the same: Bakeries Section 28. All buildings which are occupied as biscuit, bread or cake bakeries shall be properly drained and plumbed. They shall be provided with a proper wash room and water closets, having ventilation apart from the bake room or rooms where food products are manufactured; and no water closet, earth closet, privy or ash pit shall be within or communicate directly with the bake room of any bakery. Section 29. Every room which is used for the manufac- ture of flour or meal food products shall, if required by the RULES AMD REGULATIONS. 21 Board of flealth, have an impermeable floor constructed of cement or of tiles laid in cement, and an additional floor of wood properly saturated with linseed oil. The walls and ceiling of such room shall be plastered or wainscoted, and, if required by the Board of Health, shall be whitewashed at least once in three months. The furniture and utensils therein shall be so arranged that they and the floor may at all times be kept clean and in good sanitary condition. Section 30. The sleeping-places for persons who are employed in a bakery shall be separate from the rooms in which flour or meal food products are manufactured or stored. Section 31. The manufactured flour or meal food products shall be kept in perfectly dry and airy rooms, so arranged that the floors, shelves and all other facilities for storing the same can be easily and perfectly cleaned. Section 32. The owner, agent or lessee of any property affected by the provisions of section twenty-eight and twenty-nine shall, within sixty days after service of notice requiring any alterations to be made in such property, comply therewith. Such notice shall be in writing, and may be served upon such owner, agent or lessee personally or by mail directed to his last known address. Section 33. Whoever violates the provisions of the five preceding sections, or refuses to comply with any require- ments of the Board of Health authorized therein, shall, for the first offence, be punished by a fine of not less than twenty nor more than fifty dollars; for the second offence, by a fine of not less than fifty nor more than one hundred dollars or by imprisonment for not more than ten days; for the third offence, by a fine of not less than two hundred and fifty dollars or by imprisonment for not more than thirty days or by both such fine or imprisonment. Section 34. The Board of Health of a city or town in which a bakery is situated, or in which the business regu- lated by the six preceding sections is carried on, shall cause the provisions of said sections to be enforced and shall cause copies thereof to be printed and posted in all such bakeries and places of business. 22 RULES AND REGULATIONS. Regulations for the Sale and Care of Milk Rule 38. No person shall sell milk within the limits of the town of Clinton without a license therefor from the Board of Health of said town. All such licenses shall expire on the 30th day of April of each year. Rule 39. No milk which has been watered, adulterated, reduced or changed in any respect by the addition of water, or other substance, or by the removal of cream, shall be brought into, held, kept, or offered for sale at any place in the town of Clinton, nor shall anyone keep, have, or offer for sale in the said town any such milk. Rule 40. Any milk found to be adulterated, either by the addition of water, or other substance, or by the removal of cream, or which has been brought into, or is held or offered for sale, in the town of Clinton contrary to the provisions of Chapter 56, Section 55, Revised Laws, may be seized and destroyed by any inspector, or other officer of this department authorized to inspect milk. Rule 41. No milk kept for sale shall be stored, strained, cooled or mixed in any room used in whole or in part for domestic or sleeping purposes or for the stabling of horses or cattle or other animals or for the storage of manure, offal or other offensive matter. Rule 42. After the day's sales are over, measures and utensils used in the sale of milk shall be thoroughly cleansed with boiling water, to which a small amount of soda has been added in the proportion of one tablespoonful of washing soda to a gallon of water. RULES AND REGULATIONS. 23 Skim Milk Rule 43. Skim milk shall not be sold, exchanged or delivered unless a special license for the same shall first have been obtained from the Board of Health; the provisions of Chapter 56, Section 58. Revised Laws, must be observed and the number of the wagon and the number of the license must be painted on both sides of the wagon in letters two (2) inches in length and one-half inch in width in some contrasting color to the wagon. Cows, Condition and Care Rule 44. No milk shall be brought into, held, delivered or offered for sale in this town, from cows that are diseased, from cows that are not properly cared for, or that are kept in a stable that is improperly located, or in a stable that is not kept in a clean, wholesome and sanitary condition. Rule 45. Every person engaged in the pro- duction, storage, transportation, sale, delivery, or distribution of milk, shall immediately on the occurrence of any case of any disease specified in Rule 3, either in himself or in his family, or amongst his employees, or within the building or premises, where milk is stored, sold, or distrib- uted, shall at once notify the Board of Health, and may be made to suspend the sale and distri- bution of milk until authorized to resume the same by the Board of Health. No person having any disease specified in Rule 3, or having recently been in contact with a person having any such disease shall milk or handle any cow used for producing milk intendeddor sale or any measure, 24 RULES AND REGULATIONS. or other vessel used for such milk, or in any way take part or assist in handling such milk until the Board of Health shall certify that all danger of communicating such disease to other persons shall have passed. No bottle, can, or receptacle for the reception of milk shall be removed from any tenement or dwelling wherein any person has any of the diseases specified in Rule 3, but the milk shall be poured into receptacles furnished by the customer. Offensive Trades and Occupations The attention of all persons interested, engaged or employed in the business therein specified, is called to the provisions of the following Sections of Chapter 75, Revised Laws, and they are directed to comply with the same: Section 91. The Board of Health of a city or town shall from time to time assign certain places for the exercise of any trade or employment which is a nuisance or hurtful to the inhabitants, injurious odors, and may prohibit the exercise thereof within the limits of the city or town or in places not so assigned. Such assignment shall be entered in the records of the city or town, and may be revoked when the Board shall think proper. Section 99. The proprietor of every slaughter-house, canning, salting, smoking or rendering establishment, and of every establishment used for the manufacture of sausages or chopped meat of any kind, who is engaged in the slaughter of neat cattle, sheep or swine, the meat or product of which is to be sold or used for food, shall annually in April apply for a license to the Mayor and Aidermen of the city, the Selectmen of the town or, in a town having a population of more than five thousand, to the Board of Health, if any, in which such slaughter- RULES AND REGULATIONS. 25 house or establishment is located. The application shall be in writing, signed and sworn to by one or more of the owners or by one or more persons carrying on such business, or, if a corporation, by some authorized officer thereof, shall state the name and address of all the owners or persons carrying on said business, the location of the slaughter-house or establishment in which said business is to be conducted, the estimated number of neat cattle, sheep or swine to be slaughtered per week, the days of the week upon which they are to be slaughtered and the nature of the products thereof to be sold or used for food. Section 100. The Mayor and Aidermen, Selectmen, or such other officers as they shall designate, or in a town having a population of more than five thousand, the Board of Health, if any, may annually issue licenses to carry on the business of slaughtering neat cattle, sheep or swine, to applicants therefor. The fee for each license shall be one dollar. The license shall name the persons licensed to conduct such business, and the building or establishment in which it is to be carried on, and it shall continue in force until the first day of May of the next year ensuing, unless sooner forfeited or rendered void. A record shall be kept by the board of officers authorized to issue licenses of all applications for licenses under the provisions of the preceding section and of all licenses issued, which shall be evidence of the issue of any such license. Such board of officers shall annually, on or before the first day of June, send to the Board of Cattle Commissioners a copy of every application made to them under the provisions of the preceding section and their action thereon, and a list of all persons with their addresses, who although engaged in the business named in the preceding section on the last day of the previous April, failed to make application for a license. Section 111. A person, partnership or corporation engaged in or desiring to engage in the business of killing 26 RULES AND REGULATIONS. horses, or in the carrying on of a melting or rendering estab- lishment, shall annually, in March, apply for a license to the Board of Health of the city or town in which such business is. to be carried on. The application shall be in writing and signed by the person or persons who desire to carry on such business, or, if the applicant is a corporation, by a duly authorized officer thereof. It shall state the names in full and the addresses of all the persons who desire to carry on such business, or, if a corporation is the applicant, the names of all the officers thereof and the street or other place where the business is to be conducted. The Board of Health of a city or town may grant such licenses after it is satisfied that the applicants have a suitable building and plant in a situation approved by said Board, and that they have suitable trucks or wagons for the removal of dead animals. The license shall state the name of the licensee, the situation of the building or establishment in which the business is to be carried on, and shall continue in force until the first day of April of the year next ensuing, unless sooner revoked. The Board of Health shall keep a record of such licenses which are granted by it, and shall notify the Board of Cattle Commissioners of the granting of any such license, giving the name and address of the licensee. The fee for a license shall not exceed one dollar, and a license may be revoked at any time by the Board of Health. Licensees shall report to the Board of Cattle Commis- sioners, in such form and at such times as it may order, every animal received by them which is found to be infected with a contagious disease. No unlicensed person shall carry on the business of killing horses, or of melting and rendering So much of Section twenty-five of Chapter ninety as provides that no person shall knowingly sell an animal with a contagious disease shall not apply to any person who sells such animal to a licensee under the provisions of this Section, if such animal is to be killed or rendered at the establishment of such licensee. Whoever violates the provisions of this Section shall be punished by RULES AND REGULATIONS. 27 a fine of not more than two hundred dollars or by imprisonment for not nore than ninety days, or by both such fine and imprisonment. Rule 46. Every house shall be provided with a suitable water-tight covered receptacle to keep garbage and swill until the same is removed by the garbage collector. All house offal, whether consisting of animal or vegetable substances, shall be placed therein, and no refuse, tin cans, glass, sawdust, cork dust, old boots, or shoes, dead animals, lawn clippings, water, or poisonous substances shall be mingled therein, and the same shall be kept in some convenient place to be taken away by the garbage collector, as often as twice each week. Any garbage containing foreign matter of any kind enumerated above must be cared for by the owners at their own expense. House Offal Rule 47. No person, unless expressly licensed therefor by the Board of Health, shall collect, transport or convey swill, offal, mannre, fat, grease, bones, soap-grease, rough tallow, slaughter-house refuse, or any decaying, putre- fying or offensive animal matter or vegetable substance through any of the public streets or ways of the town. All vehicles and vessels for the transportation of the above named substances shall be made and kept in such condition as will prevent the escape of any of their contents, or the odor thereof, and if any of the contents thereof shall be spilled or fall upon any street, walk or premises, it shall be the duty of the keeper or driver to replace the same immediately and remove all traces thereof. Every vehicle so 28 RULES AND REGULATIONS. used shall have the initials of the owner and number of the license, in letters and figures two inches in size, painted on the outside of each side thereof. Any violation of this regulation will be pun- ished by a fine not exceeding one hundred dollars. Rule 48. All persons licensed by the Board to remove the contents of privy vaults and cess- pools, and all who collect and transport swill, refuse and offensive animal or vegetable sub- stances, shall keep all carts, equipments, and implements used therefor, disinfected and free from all obnoxious or offensive odors when not in immediate use, and shall not allow the same to become obnoxious or offensive to the public or to the owners or occupants of premises adjoining those where the same are kept or stored. ■ House Drainage, Plumbing, Etc. Rule 49. The sewage from each building on every street provided with a common sewer shall be conducted into said sewer; and, if such sewer is not provided, the sewage shall be disposed of in a manner satisfactory to the Board of Health. Rule 50. That portion of a house drain which is outside of the building, and more than seven feet from the foundation wall, shall be constructed of six (6) inch akron pipe, and shall be laid with uniform grade and with a fall of not less than one inch in four feet, except in cases where a certificate by the town engineer is filed with the Board of Health, stating that a less fall will be sufficiently effective. The pipe passing through the walls of the buildings and to . a distance outwardly of at least ten (10) feet from inside RULES AND REGULATIONS. 29 face of foundation walls, shall be of a quality known as "extra heavy'' cast-iron soil pipe, size to be not less than four (4) inch. Such drains and pipes shall in material and workmanship be in accordance with the laws and ordinances relating to plumbing, and shall be reconstructed whenever in the opinion of the Board of Health this may be necessary. Rule 51. The owner or agent of any property desiring to make connection with the sewers of said town shall make application to the Board of Health so to do, and said application shall be in the following form: OFFICE* OF THE BOARD OF HEALTH. Application Paper for Sewer Connection. Mr No Street Clinton, Massl 190.. The undersigned hereby makes application to the Board of Health of the Town of Clinton, Mass., for permission to lay sewer connection from his building to the above street and number, to street main, to be under the direction and supervision of the Board of Road Commissioners, in accord- ance with the Rules and Regulations of the Board of Health. This application paper must be signed by owner, or agent of owner, of the property. REPORT OF ENGINEER. Length of Akron Pipe Size of Akron Pipe Length of Soil Pipe, 10 Feet Size of Soil Pipe Inches ..... Inches below Cellar Bottom Sewer to enter on Front Side of House. Grade of Pipe Remarks Supt. 30 RULES AND REGULATIONS. Attention is called to the following: Revised Laws, Chapter 49. An Act to provide for Connecting Buildings with Public Sewers. Section 30. The Board of Health of a city or town may require the owner or lessee of any building upon land abutting on a public or private way in which there is a public sewer to connect the same therewith by a sufficient drain, and such owner or lessee who fails or neglects to comply with such order shall be punished by a fine of not more than two hundred dollars. Cess-pools, Privies and Vaults Rule 52. No person or persons shall construct a privy-vault or cess-pool upon any premises within the limits of the town, without first having obtained a permit to do so from the Board of Health. Rule 53. Every tenement in said town used as a dwelling-house shall be furnished with sufficient drain, underground, to carry off the waste water into a common sewer or cess-pool; and also with suitable water-closets, or with a privy, the vault of which shall be underground, and of sufficient capacity for the number of occupants in such tenement, built and kept in the manner prescribed in the following Rule. Rule 54. Every privy-vault or cess-pool shall be built in a thorough and substantial manner, and located so that the inside of the same shall be at least three feet from the line of every adjoining lot, unless the owner of such lot shall consent or agree otherwise; and also three feet from every street, lane, passage-way or public place. Cess.-pools must be of sufficient size to RULES AND REGULATIONS. 31 contain at least eighty cubic feet, and its contents shall never be within eighteen inches of the surface of the ground. Nor shall any cess-pool for the retention of waste water be within ten feet of any house, unless the cess-pool be cemented water-tight and satisfactory to the sanitary inspector. No privy-vault or cess-pool that is not water-tight shall be maintained within two rods of any well, spring, or other source of water supply used for drinking purposes. Rule 55. Whenever any privy-vault or cess- pool shall become offensive, the same shall be cleaned ; and in case the condition or construction of any privy-vault or cess-pool shall be different from the requirements of the above Rule, the Board of Health may cause the same to be cleaned, repaired, amended, altered or removed, and shall charge all the expenses incurred in so doing, to the owner or party occupying the estate in which such privy-vault or cess-pool may be: provided, they shall first give such owner or party occupying, a legal notice, and allow the space of at least forty-eight hours for such owner or occupant to comply with such notice. Rule 56. Whenever the use of any privy- vault or cess-pool is discontinued, such privy- vault or cess-pool shall be cleaned to the bottom and filled up with earth or other suitable material. Rule 57. In no case shall the contents of any privy-vault be removed unless the same is properly disinfected before the work is com- menced, and also during the progress of the cleaning, and after the completion of the cleaning, by such disinfectants as shall be approved by the Board of Health. 32 RULES AND REGULATIONS. Rule 58. No privy-vault or cess-pool shall be emptied without the permission of the Board of Health, nor in any other mode, nor at any other time than such as the Board of Health may direct; and whenever any privy-vault or cess- pool shall be cleaned, the entire contents shall be moved. Rule 59. The licensee shall not open or work at vaults or cess-pools between the hours of 11 A. M. and 1.30 p. M., or between the hours of 5 and 7 p. m. ; he shall keep the wagon and complete outfit in repair, well-painted, clean, and air-tight, and free from any leakage; he shall remove the contents of vaults and cess-pools outside of the town limits, and shall not deposit the contents of any vault or cess-pool upon any premises within the limits of the town without first having obtained a permit to do so from the Board of Health; he shall avoid, as far as pos- sible travelling in the principal streets when crowded. Rule 60. The licensee's charge for cleaning vaults and cess-pools shall not exceed the follow- ing prices, and one or more vaults in the same enclosure, the property of one owner, and cleansed in the same day, shall be considered as one vault, and the charge therefor to be limited to two dollars and fifty cents ($2.50) per load, the number of loads at this price not to exceed three. If the number of loads be more than three and not over five, the price shall be two dollars ($2.00) per load. If the number of loads taken out exceed five, the owner shall be consulted before removing any further loads, each load to contain thirty cubic feet. The work shall be done in accordance with the Rules and RULES AND REGULATIONS. 33 Regulations, in any case all charges to be col- lected of the owner or occupant of the premises. Rule 61. For the purpose of allowing the property owners an opportunity to ascertain the quantity taken from any privy-vault or cess-pool, any police officer is authorized to detain for not more than thirty minutes any wagon or tank used for removing the contents of privy-vaults or cess-pools. Rule 62. No person shall engage in vault or cess-pool cleaning without a license first obtained from the Board of Health, and any person holding such license will forfeit the same by failing to comply fully with the foregoing terms and regu- lations, and such other rules as the Board of Health may hereafter adopt. Stables and Manure RulE 63. The owner and occupants of livery and other stables within the town shall not wash or clean their carriages or horses in the streets or public ways of this town, or permit them to be so washed or cleaned. They shall keep their stables and yards clean and hot allow more than five cords of manure to accumulate or remain upon their premises at any one time, and no manure shall be thrown from the stable into any yard, or court, or alleyway that abuts upon property not in the possession of the owner of the stable; nor shall any manure from said stable be exposed without cover in any yard, or court, or alleyway. Rule 64. Manure shall not be loaded upon or across any passage-way or sidewalk, except in stables heretofore constructed, from which it is impossible to load it otherwise, and in such cases the passage-way or sidewalk shall be thoroughly cleaned and swept immediately after such load- 34 RULES AND REGULATIONS. ing. Manure shall only be removed in a vehicle so constructed as to prevent leakage. Rags and Junk Rule 65. No person shall store, put or place any old rags or bones which have been purchased or bartered, in any house, storeroom, stable, building or place within twenty-five feet of any dwelling-house other than the dwelling-house of the person storing such rags or bones; nor shall such old rags or bones remain exposed on any public or private premises. The entire stock of old rags or bones so collected, shall be removed from the premises or shipped every thir y days or oftener if the Board of Health deem advisable. RULE 66. No person collecting or buying junk shall keep or store the same in any room or cellar in any living-house, or shall have it exposed without cover in any yard. Barber Shops Rule 67. Every barber shop and the furniture and utensils therein shall be kept at all times in a cleanly condition. Mugs, shaving-brushes and razors shall be sterilized by immersion in boiling water after every separate use thereof. A separate clean towel shall be used for each person. Alum or other material used to stop the flow of blood shall be so used only in powdered form and applied on a towel. The use of powder puffs and sponges is prohibited. livery barber shop shall be provided with running hot and cold water. Every barber shall cleanse his hands thoroughly immediately after serving each customer. A copy of these regulations shall be conspicuously dis- played in every barber shop in the town. RULES AND REGULATIONS. 35 Expectoration in Public Places Hawking and spitting in public places is a filthy and disgusting habit and is declared detri- mental to public health, and the following regu- lation is adopted: RULE 68. Spitting upon the floor, platform or any other part of public conveyances (street cars, hacks, carriages, etc.,) upon the floor, steps or stairs of any public building, hall, church, theatre, railway station or shop, upon the sidewalk of any public or private street, or upon the pathway of any park or square, is prohibited under penalty provided for violation of rules and regulations of the Board of Health. Rule 69. These regulations shall take effect on the first day of June in the year nineteen hundred and six, and shall on that date supersede the rules and regulations of this Board adopted the twelfth day of July in the year eighteen hundred and ninety-five. Penalties Any person who shall violate any of the within rules and regulations where the penalty is not prescribed by statute, shall forfeit a sum not exceeding twenty dollars. The foregoing is a true copy from the records of the Board of Health, of the rules and regula- tions adopted at the meeting of said Board, held the ninth day of May in the year nineteen hundred and six. GEORGE L. TOBEY, Chairman. CHARLES L. FRENCH, WILLIAM O. JOHNSON, Sec'y. Attest, William O. Johnson, SeCy. REGULATIONS OF THE INSPECTOR OF ANIMALS AND PROVISIONS. Made Pursuant to the Revised Laws of Massachusetts. Contagious diseases among domestic animals shall include glanders, farcy, pleuro-pneumonia, Contagiosa, tuberculosis, texas fever, foot and mouth disease, rinderpest, hog cholera, rabies, anthrax or anthracoid diseases, sheep scab and actinomicosis. Any person having knowledge of the existence of any of the above diseases, whether such information is obtained by personal examination or otherwise, must at once notify the Inspector of Animals or the Cattle Bureau of the Commonwealth. Whoever fails to give such notice shall be punished by a fine of not over one hundred dollars. See Section 28, Chapter 90, of the Revised Laws. The Inspector shall keep a record of all inspec- tions and make regular returns to the Cattle Bureau of the State Board of Agriculture. The Inspector shall make a regular and thorough inspection of all neat cattle, sheep and swine in RULES AND REGULATIONS. 37 the limits of the town, and during the prevalency of a contagious disease, make inspections when- ever it is deemed necessary or at 'such times as the Cattle Bureau shall order. The Inspector shall also examine the stables and barns as to their cleanliness, light, ventilation and water supply and report the same in the book furnished for that purpose by the Cattle Bureau. The Inspector, when satisfied that an animal has a contagious disease, shall immediately quaran- tine said animal and take other sanitary precau- tions to prevent the spread of the disease, and shall give to the owner or person in charge an order of quarantine with the quarantine laws printed thereon, and send a duplicate to the Cattle Bureau. The Inspector shall give notice to no other person. Whoever interferes with the Inspector or secretly removes an animal affected with a con- tagious disease, shall, in accordance with the Revised Laws, be punished by a fine of not more than one hundred dollars or by imprisonment of not more than sixty days, or by both. Slaughter-house licenses shall be granted by the Board of Health in April, and only to those applicants who can show to the Inspector that they are properly qualified by virtue of the sanitary condition of the premises. No person shall carry on the business of slaughtering animals for market unless being regularly licensed. The application for license must be in writing and sworn to, giving location, estimated number of animals slaughtered each week and the days of the week when the slaughtering is to take place. The Inspector shall be present at the slaughter-house on the days designated. If, in the opinion of the Inspector, any carcass or 38 RULES AND REGULATIONS. product thereof is unfit for food, he shall seize the same and cause it to be destroyed. All carcasses not condemned shall be stamped in accordance with Section 103, Chapter 75, Revised Laws. The Board of Health or the Inspector may inspect the carcasses of all slaughtered animals, fish, vegetables, produce, fruit or provisions, and may enter any building where such are stored or exposed for sale, and if any such carcass or articles are tainted, decayed, diseased or from any cause unfit for food, the same shall be seized and destroyed or otherwise disposed of. All moneys received by the Board of Health for property so disposed of shall, after deducting expense of said seizure, be paid to the owner of such property. If seized because of a contagious disease, the Cattle Bureau must be notified of the nature and disposition of said meat or carcass. Veal calves offered for sale must be at least four weeks old. The Board of Health, through the Inspector, shall seize, if in their opinion the veal calf is legally immature, and dispose of as pro- vided above, subject to the provision thereof relative to the disposal of money, or punished as provided in Section 74, Chapter 56, of Revised Laws. Whoever interferes or obstructs the Board of Health or the Inspector, or secretes any carcass, shall be punished in accordance with Section 72 of Chapter 56. Whoever knowingly sells or exposes for sale any food not fit for consumption shall be punished as provided in Section 73, Chapter 56, of Revised Laws. Milk Inspection Every person before selling milk or offering it for sale in store, from carriage or otherwise, shall annually, before the first of June, register his RULES AND REGULATIONS. 39 name in the license book, and pay the Inspector the sum of fifty cents for the town. Each license shall contain the number thereof, the name, place of business, residence, and names of drivers employed. The number of the license and name of the owner shall be placed legibly on each outer side of the vehicle. Whoever has in his possession with intent to sell, milk not up to standard quality or milk adulterated in any way, or milk from diseased cows, shall be punished in accordance with Sec- tions 55 and 57, Chapter 56, of Revised Laws. Milk in April, May, June, July, August and September must have not less than three per cent fats and twelve per cent total solids; milk in the other months shall contain three seven-tenths per cent fats and thirteen per cent total solids. The Inspector shall make a complaint upon information of any person who lays before him satisfactory evidence by which to sustain such complaint. The Inspector may withhold or cancel a milk dealer's license whose dairy or cow barn is found to be flagrantly unsanitary, or who has not conformed to the regulation issued by the State Board of Health in 1905. The applicant for a license must satisfy the Inspector that proper precautions are taken to insure pure milk before he can secure a license. The stable where possible should have a southerly exposure with plenty of windows and adequate means of ventilation. The stable, with the exception of the floor, should be whitewashed every year. The floor of the stable and passage- way behind the cows must be kept clean. The cows and their udders should be carded every day; particular pains must be taken to see that 40 RULES AND REGULATIONS. the udders are clean. A filthy condition of the cows and stable will not be tolerated. The basement or cellar, where such exists, must be kept reasonably dry and well drained. The cows must not have access to any brook or stream containing sewage or refuse. The water supply must be pure. The milk when drawn must be immediately carried to the dairy room and well cooled. The dairy room must be clean and suffi- ciently far removed from the stable so that no odors will penetrate. The milk must be cleanly strained. The dairy utensils must be kept scrupulously clean. These rules of the Board of Health are easily within the dairyman's means, and when followed out will give him better milk and better business. The Inspector, or others employed to do so, shall collect samples of milk and test the same by the Babcock method, and any other method that the town may provide. Dealers in milk may have samples tested by leaving them at the office of the Inspector Skim milk can only be conveyed in cans so marked.