WASHINGTON.

Venereal Diseases-Unlawful for Infected Persons to Expose Others to Infection-Examination of Persons Suspected of Being Infected-Treatment-Isolation-Quarantine-Repression of Prostitution—Examination and Treatment of Prisoners-Regulations to be Made by State Board of Health Confirmation of Diagnosis by Laboratory Examinations-Appeals by Quarantined Persons to State Commissioner of Health-Establishment of Quarantine Districts-Establishment and Conduct of Quarantine Stations and Clinics-Commitment of Infected Women. (Ch. 114, Act Mar. 14, 1919.)

SECTION 1. That syphilis, gonorrhea, and chancroid, hereinafter designated as venereal diseases, are hereby declared to be contagious, infectious, communicable, and dangerous to the public health. It shall be unlawful for anyone infected with these diseases, or any of them, to expose another person to infection.

SEC. 2. State, county, and municipal health officers, or their authorized deputies, who are licensed physicians within their respective jurisdictions, are hereby directed and empowered, when in their judgment it is necessary to protect the public health, to make examination of persons reasonably suspected of being infected with venereal disease of a communicable nature, and to require persons infected with venereal disease of such communicable nature to report for treatment to a reputable physician and continue treatment until cured, or to submit to treatment provided at public expense until cured, and also, when in the judgment of the State commissioner of health it is necessary to protect the public health, to isolate or quarantine persons infected with venereal disease of such communicable nature. It shall be the duty of all local and State health officers to investigate sources of infection of venereal diseases, to cooperate with the proper officials whose duty it is to enforce laws directed against prostitution, and otherwise to use every proper means for the repression of prostitution: Provided, That any person suspected as herein set out may have present at the time of taking the blood test, .sample, or smear a physician of his or her own choosing, who may satisfy himself that the blood or smear taken is that of the suspected person and that the same shall be forwarded to the proper State authorities for laboratory tests: And provided further, That the suspected person shall be informed by the health officer of his or her rights under this act.

SEC. 3. Any person who shall be confined or imprisoned in any State, county, or city prison in the State, and who may be reasonably suspected by the health officer of being infected with venereal disease, shall be examined for and, if infected, treated for venereal diseases by the health authorities or their deputies who are licensed physicians. The prison authorities of any State, county, or city prison are directed to make available to the health authorities such portion of any State, county, or city prison as may be necessary for a clinic or hospital wherein all persons who may be confined or imprisoned in any such prison and who are infected with venereal disease, and all such persons who are suffering with venereal disease at the time of the expiration of

their terms of imprisonment, and, in case no other suitable place for isolation or quarantine is available, such other persons as may be isolated or quarantined under the provisions of section 2 shall be isolated and treated at public expense until cured, or in lieu of such isolation any such persons may, in the discretion of the board of health, be required to report for treatment to a licensed physician or submit to treatment provided at public expense as provided in section 2. Nothing herein contained shall be construed to interfere with the service of any sentence imposed by a court as a punishment for the commission of crime.

SEC. 4. The State board of health is hereby empowered and directed to make such rules and regulations as shall in its judgment be necessary for the carrying out of the provisions of this act, including rules and regulations providing for the control and treatment of persons isolated or quarantinued under the provisions of section 2, and such other rules and regulations, not in conflict with provisions of this act, concerning the control of venereal diseases, and concerning the care, treatment, and quarantine of persons infected therewith, as it may from time to time deem advisable. All such rules and regulations so made shall be of force and binding upon all county and municipal health officers and other persons affected by this act, and shall have the force and effect of law: Provided, That such regulations shall prescribe reasonable safeguards against the disclosure of the names of any such infected persons who faithfully comply with the provisions of this act and the lawful regulations of the State board of health, except to officers and physicians charged with the enforcement of this act, and such rules and regulations and any violation of such safeguarding regulations shall be a gross misdemeanor.

SEC. 5. Any person who shall violate any of the provisions of this act or any lawful rule or regulation made by the State board of health pursuant to the authority herein granted, or who shall fail or refuse to obey any lawful order issued by any State, county, or municipal health officer pursuant to the authority granted in this act shall be deemed guilty of a gross misdemeanor. SEC. 6. Diagnosis in every instance must be confirmed by laboratory examinations in a laboratory approved by the State board of health before any person shall be isolated or committed to quarantine and before any person committed to quarantine shall be discharged therefrom.

SEC. 7. Any person committed to quarantine under the provisions of this act feeling aggrieved at the finding of any health officer that he or she is infected, or at the finding of any quarantine officer that he or she has not been cured of infection, shall have the right of appeal from such finding to the State commissioner of health; and it shall be the duty of every health officer making an examination, and of every quarantine officer to notify all persons examined or quarantined of their rights in that regard, and to supply them with the forms necessary for that purpose upon which to make such appeals, to be provided by the State commissioner of health, and to immediately transmit any such appeals by mail to the State commissioner of health; and the State commissioner shall, within five days after receiving any such appeal, either in person or by regular or special physician deputy appointed for that purpose and skilled in the diagnosis of contagious venereal diseases, examine or cause to be examined the person taking the appeal, and the finding and conclusion of the commissioner of health or his deputy so making such examination shall be final and conclusive.

SEC. 8. For the purpose of carrying out the provisions of this act the State board of health shall have the power and authority from time to time to divide the State into such number of quarantine districts consisting of one

or more counties or parts of counties or municipalities as it shall deem expedient, and to establish at such place or places as it shall deem necessary quarantine stations and clinics for the detention and treatment of persons found to be infected, and to establish any such quarantine station and clinic in connection with any county or city jail, or in any hospital or other public or private institution having, or which may be provided with, such necessary detention, segregation, isolation, clinic, and hospital facilities as may be required and prescribed by the board, and to enter into arrangements for the conduct of such quarantine stations and clinics with the public officials or persons, associations, or corporations in charge of or maintaining and operating such institutions: Provided, That from and after the date of the procla mation of the governor that that certain public institution, if established by the sixteenth legislature, to be known as the Women's Industrial Home and Clinic, is ready for the reception of inmates, all infected women committed to quarantine under the provisions of this act may be committed to said institution; and all women committed to quarantine in said institution shall be entitled to receive all benefits of the mental, physical, and moral training provided for the inmates of such institution.

SEC. 9. The provisions of this act shall be cumulative with the existing laws and regulations, and nothing herein contained shall abridge or limit the powers of health authorities as construed by the Supreme Court of the State of Washington, except as herein otherwise provided.

County Tuberculosis Hospitals-State Aid to. (Ch. 35, Act Feb. 18, 1919.)

SECTION 1. That section 5554-10 of Remington & Ballinger's Annotated Codes and Statutes of Washington be amended to read as follows:

SEC. 5554-10. There shall be paid by the State treasurer quarterly to the counties maintaining such hospitals $5 per week for each person in such institution during time of confinement, as hereinafter provided, excepting those paying full maintenance.

Milk and Milk Products-Production, Manufacture, Handling, and Sale. Bovine Animals-Examination and Testing for Tuberculosis—Appraisal and Destruction When Infected-Payments to Owners. (Ch. 192, Act Mar. 20, 1919.)

SECTION 1. That for the purpose of this act certain words, terms, and expressions therein contained shall be construed as follows:

The term “dairy" shall mean any place where milk from two or more cows is produced for sale.

The term "creamery" shall mean any place, building, or structure wherein milk or cream is manufactured into butter.

The term "milk plant" shall mean any place, building, or structure wherein milk is received for bottling, pasteurizing, clarifying, or otherwise processing. The term "cheese factory" shall mean any place, building, or structure wherein milk is manufactured into cheese.

The term "factory of milk products" shall mean any place, building, or structure, other than a creamery, milk plant, cheese factory, or milk-condensing plant, wherein milk or any of its products is manufactured, altered, changed, or compounded into any article, compound, or product designed and intended for human consumption.

The term "milk" shall mean the fresh, clean, lacteal secretion obtained by milking one or more healthy cows, properly fed and kept, and not obtained or

taken within 10 days preceding the parturition of such cow or cows, nor within 5 days thereafter, and which contains not less than 8.50 per cent of milk solids, and not less than 3.25 per cent of fat: Provided, however, That nothing in this act shall prohibit the sale of the whole, unadulterated and unskimmed milk of any cows whose milk tests below the butter-fat standard herein fixed.

The term "skimmed milk" shall mean any milk from which the cream has been removed, or which contains less than 3.25 per cent of butter fat, and not less than 8.8 per cent of milk solids exclusive of fat.

The term sterilized milk" shall mean milk that has been heated to the temperature of boiling water or to a higher temperature and maintained at such temperature for a length of time which shall be sufficient to kill all organisms present in such milk,

The term "blended milk" shall mean milk which is modified in its composition so as to have a definite and stated percentage of one or more of its constituents.

66

The term "condensed milk," "evaporated milk," and concentrated milk," and each or either of them, shall mean the product resulting from the evaporation of a considerable portion of the water from the whole, fresh, clean. lacteal secretion obtained by the milking of one or more healthy cows, and not obtained within 10 days before nor within 5 days after parturition, and which contains, all tolerances being allowed for, not less than 25.5 per cent of total solids and not less than 7.8 per cent of milk fat.

The words "condensed milk," when used in this act not in connection with "sweetened condensed milk," shall include condensed milk to which sucrose has been added.

The term " condensed skimmed milk," "evaporated skimmed milk," and "concentrated skimmed milk," and each or either of them, shall mean the product resulting from the evaporation of a considerable portion of the water from skimmed milk, and which contains, all tolerances being allowed for, not less than 18 per cent of milk solids.

The term "sweetened condensed milk," "sweetened evaporated milk," and "sweetened concentrated milk," and each or either of them, shall mean condensed milk conforming to the standards and definitions of this act, to which sugar (sucrose) has been added.

The term "sweetened condensed skimmed milk," "sweetened evaporated skimmed milk," and "sweetened concentrated skimmed milk," and each or either of them, shall mean the product resulting from the evaporation of a considerable portion of the water from skimmed milk, to which sugar (sucrose) has been added, and which contains, all tolerances being allowed for, not less than 28 per cent of milk solids.

The term dried milk" shall mean the product resulting from the removal of water from milk, and which contains, all tolerances being allowed for, not less than 26 per cent of milk fat and not more than 5 per cent of moisture.

The term "dried skimmed milk" shall mean the product resulting from the removal of water from skimmed milk, and which contains, all tolerances being allowed for, not more than 5 per cent of moisture.

The term "malted milk” shall mean the product made by combining whole milk with the liquids separated from a mash of ground barley malt and wheat flour, with or without the addition of sodium chloride, sodium bicarbonate, or potassium bicarbonate, in such manner as to secure the full enzymic action of the malt extract, and by removing water, and which contains not less than 7 per cent of butter fat and not more than 34 per cent of moisture.

111388-22-57

The term "buttermilk" shall mean that portion of the cream which remains after the separation and removal therefrom of the butter fat without the addition of water.

The term "ice cream" shall mean the frozen product made from the combination of milk fats, milk solids, and sugar, with or without harmless coloring or flavoring matter and with or without the addition of pure gelatine or vegetable gums, and which contains not less than 8 per cent of milk fats and not less than 18 per cent of milk fats and milk solids not fat combined.

The term "fruit ice cream" shall mean the frozen product made from the combination of milk fats, milk solids, and sugar, with or without harmless coloring or flavoring matter, and with or without the addition of pure gelatine or vegetable gums, and to which has been added sound, clean, and mature fruits and which contains not less than 8 per cent of milk fat, and not less than 18 per cent of milk fats and milk solids, not fat, combined.

The term "nut ice cream" shall mean the frozen product made from the combination of milk fats, milk solids, and sugar, with or without harmless coloring or flavoring matter, and with or without the addition of pure gelatine or vegetable gums, and to which has been added sound, clean, and nonrancid nuts, and which contains not less than 8 per cent of milk fat and not less than 18 per cent of milk fat and milk solids, not fat, combined. The term "ice milk" shall mean the frozen product made from the combination of pure, sweet milk and sugar, with or without harmless coloring or flavoring matter, and containing not less than 2.4 per cent of milk fat, and not more than six-tenths of 1 per cent of pure and harmless vegetable gum or gelatine.

The term "milk fat" and "butter fat," and each or either of them shall mean the fat of milk having a Reichert-Meissel number not less than 24° and a specific gravity not less than 0.905 at a temperature of 40° C.

The term "cream” shall mean that portion of milk rich in butter fat which rises to the surface on standing, or is separated from it by centrifugal force, and which is fresh and clean and contains not less than 18 per cent of milk fat. The term "butter" shall mean the clear, nonrancid product made by gather ing in any manner the fat of fresh or ripened milk or cream into a mass containing not less than 80 per cent of milk fat, and which also contains a small portion of other milk constituents with or without harmless coloring matter.

The term "renovated butter" shall mean butter that has been reduced to a liquid state by melting and drawing off such liquid or butter oil, and hasthereafter been churned or manipulated in connection with milk, cream, or other product of milk.

The term "reworked butter" shall mean the product obtained by mixing. rechurning, or reworking butter manufactured on different dates or at different places: Provided, however, That the mixing of the clean, fresh trimmings or remnants from one day's churning or cutting with butter from the churning of the same creamery on the day next following shall not make the product reworked butter within the meaning of this act.

The term "milk products" shall mean and include each, every, and any article. substance, product, or compound manufactured, produced, or compounded from milk, whether such milk conform to the standard and definitions set forth in this section or not.

The term "milk by-product" shall mean any and all products of milk derived or made therefrom after the removal of the milk fat or milk solids in the process of making butter or cheese, and shall include skimmed milk, buttermilk, whey. casein, and milk powder.