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No case of cholera has developed in the United States, nor has any case arrived at quarantine since those noted in the Public Health Reports of July 28.

BOSTON, MASS.

Examination for Cholera Bacillus Carriers.

Passed Asst. Surg. McLaughlin reports July 29: Bacteriological examination of dejecta of 140 passengers, mostly Russians, from the steamship Cymric from Liverpool and Queenstown, which arrived at this port July 27, was negative. To date there have been examined under my supervision 70 specimens from individuals in Boston and 140 from the steamship Cymric. One from the city of Boston was positive of cholera. This was in the case of the Italian woman previously reported. Examinations of material from the

Italian quarter are being continued.

Dr. McLaughlin further reports August 10:

The steamship Canopic arrived August 8 with 100 first-cabin passengers and 395 steerage passengers from the Azores, who were segregated, inspected, and passed. Two hundred and ninety-seven secondcabin passengers were held on board for bacteriologic examination. Eight hundred and ninety-six steerage passengers from Naples were landed on Gallops Island and segregated in five groups. Bacteriologic examination of second-cabin passengers was negative and these passengers were discharged August 9. Bacteriologic examination of steerage passengers, completed 9 a. m., August 10, was negative. The last group was released at 1.30 to-day. The entire transaction occupied 54 hours. Have 10 expert assistants and can handle 1,000 specimens daily.

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Record of Passengers and Crews Detained at Quarantine on Account of Cholera.

Names of vessels.

Berlin.

Europa.

Duca degli Ab

Laura.

One case cholera in passenger died at time of arrival. One case cholera in a fireman died in transit to Swinburne Island. One case cholera, developed in a passenger while in quarantine, recovered and discharged July 21, 1911. Five passengers still at Swinburne Island Aug. 3. Two passengers were sent to Hoffmann Island June 23, 1911, and 341 passengers (steerage) were en route to Ellis Island (June 23) when they were ordered to return to quarantine for detention.

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MUNICIPAL ORDINANCES, RULES, AND REGULATIONS PERTAINING TO PUBLIC HYGIENE.

[Adopted since Jan. 1, 1910.]

WALTHAM, MASS.

MILK PRODUCTION, CARE, AND SALE.

RULE 1. No person shall sell or distribute milk in the city of Waltham except in accordance with the Revised Laws of Massachusetts, chapter 56, and in the acts which amend the same and the rules adopted by the Waltham board of health.

RULE 2. All persons who wish to engage in the sale, delivery, or distribution of milk in the city of Waltham shall first make application for permission so to do upon blanks provided for that purpose, and annually thereafter on or before March 1, and no license will be issued until all regulations governing the production and care of milk are complied with by the dairies which supply milk to the applicant. Such dairies will be inspected by the board of health of Waltham, and no license will be granted for the distribution or sale of milk which is produced or obtained at any dairy which fails to comply with these regulations or which at any time refuses permission to any inspector of this board to examine into its conditions.

RULE 3. All persons engaged in the sale, delivery, or distribution of milk in the city of Waltham shall file with the board of health, upon proper blanks provided, a list of the dairies or farms, and their location, from which the milk so distributed is obtained, and shall, before making any changes in their supply, notify the board of health in writing of such intended changes. Any person neglecting to comply with this regulation, or who dispenses milk from any dairy whose milk has been excluded from Waltham by this board, shall have his license revoked.

RULE 4. All wagons or other vehicles and utensils used in the conveyance of milk for distribution or sale in Waltham shall be kept at all times in a clean condition and free from offensive odors. Receptacles containing milk shall at all times during transportation be properly covered. Each wagon or vehicle used for the sale, delivery, or distribution of milk shall have the name of the owner, residence, and license number painted thereon. Milk utensils shall not be used for containing any other substances whatsoever.

RULE 5. No certificate will be issued for the sale of milk in any store, shop, market, or bakery or other establishment outside of a properly equipped milk plant, except in properly labeled and stoppered bottles. All milk so kept for sale must be maintained at a temperature below 50° F., in a suitable refrigerator or cooler, properly drained and cared for, and as approved by the board of health. The attendant making a sale of milk may transfer it to a container furnished by the customer at the time of purchase, but no bottle of milk shall be left unstoppered. A special permit must be obtained for the sale of milk from bulk containers to be drunk on the premises.

Milk distributors may obtain permission from the board to deliver milk in bulk containers to boarding houses, restaurants, etc., in sealed cans, but they must first file at the office of the board of health a list of such places, and the said list must be approved by the board of health.

RULE 6. Bottles shall be filled only at a dairy or milk plant, or in such other manner as may be acceptable to the board of health. In no case shall milk bottles be filled from the delivery wagon or from bulk containers, left in places where milk is sold. All milk sold in bottles shall have a properly fitting stopper which shall have stamped thereon the name and license number of the dealer supplying the milk. Milk tickets shall not be used a second time. No can or utensil used to contain milk shall be transported in any vehicle used for conveyance of garbage or other material, or in any other manner liable to cause milk contamination.

RULE 7. No milk bottles shall be removed from any place where scarlet fever, diphtheria, membranous croup, or typhoid fever exists, until such bottles have been thoroughly washed and sterilized by boiling them for 15 minutes, said sterilization to be done by the party using the milk. Any dealer receiving such bottles not so treated, or at any time refilling bottles which have not been to his knowledge properly washed and sterilized, will have his license suspended or revoked.

RULE 8. No milk shall be delivered, held, or offered for sale in Waltham from cows that are either diseased, not properly cared for, or kept in any stable which is not at all times maintained in a clean, wholesome, and sanitary condition; or from

any dairy refusing permission of inspection to the Waltham Board of Health as to the equipment and methods used in producing milk.

The board of health will issue a permit to any dairy wishing to send milk to Waltham after an approved sanitary inspection has been made, and a permanent dairy number will be assigned to each dairy farm, to be used by dealers and this department for purposes of identification.

RULE 9. No milk shall be brought into, held, delivered, or offered for sale in Waltham from cows within fifteen days before or five days after parturition, nor from any cow having any inflammatory disease of the udder.

RULE 10. No person engaged in the business of producing milk to be sold or distributed in Waltham shall store, cool, mix, or strain said milk in any room which is occupied by horses, cows, or other animals, or for the storage of manure, or in any room used in whole or in part for domestic or sleeping purposes, or in any room not satisfactory to the board of health. All rooms in which milk is stored, cooled, mixed, or strained shall be kept clean at all times to the satisfaction of the board of health, and all utensils employed in the storage, sale, or distribution of milk shall be washed with boiling water or sterilized with live steam before they are again used.

RULE 11. No urinal, water-closet, or privy shall be located in the rooms called for in the preceding section, or so situated as to pollute the atmosphere of said rooms. No swine shall be kept within 50 feet of a stable or room in which milk is produced, handled, or stored. Manure shall not be stored in any room where cows are kept, or in other manner liable to contaminate the milk.

RULE 12. All milk produced for distribution or sale in the city of Waltham shall be strained and cooled to 50 degrees Fahrenheit, or lower, as soon as it is drawn, but it shall not be cooled or stored in any well, drinking trough used for watering animals, or in any receptacle located in a barnyard, or other places not approved by the board of health. In handling and storing milk the importance of protecting it from flies shall always be borne in mind and proper screens used for this purpose. No milk shall be held, distributed, or sold in Waltham at a temperature above 50 degrees Fahrenheit.

RULE 13. Every person engaged in the production, storage, transportation, delivery, or distribution of milk to be sold in Waltham shall notify the board of health of Waltham immediately on the occurrence of any case of diphtheria, membranous croup, scarlet fever, or typhoid fever, either in himself or in his family, or amongst his employees or their immediate associates, or within the building or premises where milk is stored, handled, or distributed; and at the same time shall suspend the sale and distribution of milk until authorized to resume the same by the board of health of Waltham.

RULE 14. Every person, firm, or corporation engaged in the sale, delivery, or distribution of milk in the city of Waltham, shall, upon request from the board, certify that the above rules are complied with by their dairies. [Ordinance adopted Aug. 17, 1910.]

SALEM, MASS.

Rules and Regulations of the Board of Health Adopted March 22, 1910.

ENACTING CLAUSE.

The board of health of the city of Salem, in pursuance of the authority conferred on it by the laws of the Commonwealth, hereby makes and publishes, as required by law, the following regulations from Revised Laws, chapter 75, section 65:

SEC. 65. The board of health shall examine into all nuisances, sources of filth, and causes of sickness within its towns. 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 contagion or of creating sickness which are 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.

CONTAGIOUS DISEASES-NOTIFICATION, DISINFECTION, PLACARDING, ISOLATION, SCHOOL ATTENDANCE, VACCINATION OF SCHOOL CHILDREN.

REG. 1. Whereas in addition to the diseases mentioned by name in the Revised Laws, chapter 75, section 49 (see below), the diseases of membranous croup, typhoid fever, typhus fever, and cholera are infectious or contagious diseases dangerous to the public health, every householder who knows that a person within his family or house is sick of any of said diseases shall immediately give notice thereof to this board, and upon the death, recovery, or removal of such person shall disinfect to the satisfaction

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