NEW JERSEY.

Sanitary Code-Definition of Terms. (Reg. Dept. of H., Apr. 17, 1917.)

Chapter 4. RegULATION 1. Definitions.-Certain words and terms used in the sanitary code of the State of New Jersey are defined as follows:

1. The term "communicable diseases" refers to the diseases named as such in chapter 6 of this code, and to all others that may hereafter be declared communicable by the State department of health.

2. The term "board of health" or "local board of health" refers to any board of health in any county, city, town, village, township or any other form of municipal government in this State, or to any board or body exercising the powers and performing the duties of a local board of health.

3. The terms "health officer" and "executive officer" as used in this code refer to and include the person so designated by a local board of health or by any board of body who shall exercise the powers and perform the duties of a local board of health, as the executive officer of such board or body.

4. The term "isolation" refers to the placing apart of infected persons for the purpose of preventing contact with other persons, and to the establishment of restrictions directly surrounding such persons.

5. The term "quarantine" refers to the condition resulting from restrictive measures which are applied to households, premises or areas of greater magnitude, for the prevention of the spread of communicable diseases to other areas, and also to restrictions applied at ports of entry to prevent the introduction of diseases from other ports, States or countries.

6. The term "cleansing" means the thorough removal of dust and other contaminating material in such a way as to prevent the entry thereof, as far as may be possible, into other rooms or dwellings; washing with soap and hot water; scouring, airing and exposure to sunlight.

7. The term "disinfection" means the application of disinfecting substances to infected materials, in sufficient concentration and for a sufficient length of time to destroy pathogenic bacteria. When gaseous disinfectants are used, all cracks, crevice and openings shall first be closed.

Communicable Diseases-Notification of Cases-Diphtheria Cultures-IsolationQuarantine-Hospitalization-Cleaning and Disinfection-Precautions by Physicians and Attendants-Placarding Contact With Infected Persons-Attendance at Schools and Gatherings-Vaccination-Incubation Periods-Handling and Sale of Milk and Foodstuffs-Carriers-Diagnosis-Inoculation With Living BacteriaLaboratories-Destruction of Infected Articles. (Reg. Dept. of H., Apr. 17, 1917.) CHAPTER 6. REGULATION 1. The following diseases are hereby declared to be communicable:

Anthrax.

Chicken pox.

Cholera, Asiatic.

Diphtheria (membranous croup).

Dysentery, amebic and bacillary.
Glanders.

Leprosy.

Malaria.
Measles.

Measles, German.

Meningitis, epidemic cerebrospinal.
Ophthalmia neonatorum.

Paratyphoid fever.
Plague.

REG. 2. Reporting of communicable diseases by physicians.-Every physician shall within 12 hours after his first professional attendance upon any person who is affected with any of the diseases enumerated in regulation 1, report such sickness to the assessor of the township in which such sickness may be; if such sickness be within the limits of the jurisdiction of any local board of health other than the board of health of any township, then such physician shall report such sickness to the executive officer or such other officer of the local board of health who has been designated by such board to receive such reports; such reports shall be in writing, signed by such physician, and shall set forth the nature of the disease, and the name, age, sex, color and precise location of the person suffering from or affected by such disease.

When a case of communicable disease is believed to have been contracted in any municipality other than the municipality in which it is reported, the local officer receiving such report shall send a copy thereof, together with such other information relating to said case as he may have, to the executive officer of the place where the disease was believed to have been contracted, if said municipality is located within this State, and if said municipality is located without the State he shall send such information as aforesaid to the director of health of New Jersey, who shall forward it to the executive officer of the department of health of the State in which said municipality is located.

REG. 3. Reporting of communicable diseases occurring in institutions.—(a) Every physician, superintendent or other person having control or supervision over any State, county or municipal hospital, sanitorium or other public or private institution in which any person suffering from any of the communicable diseases enumerated in regulation 1 is received for care or treatment, shall, within 24 hours after any such case of sickness has been received into said institution, report such sickness to the officer designated to receive such reports by the local board of health having jurisdiction over the territory in which such institution is located. Said report shall be in writing, signed by such physician, superintendent or other person having charge over said institution, and shall set forth the nature of the disease and also the name, age, sex, color of the sick person and the exact place of residence of such person or the name of the place from which he was received into the institution, together with the date upon which he was received.

(b) Every person designated by any local board of health to receive such reports of the communicable diseases enumerated in regulations 1 and 2, who shall receive any report of such sickness from any physician, superintendent, or other person having charge over any of the institutions referred to in section (a) of regulation 3, shall, when the sick person referred to in such report resides in some municipality or township other than that in which such institution is located, make a duplicate of any such report received by him and transmit the same, by mail, within 24 hours after the receipt of the original, to the officer legally designated to receive such reports, in the locality in which the sick person resided before being admitted into such institution.

REG. 4. Reporting by physicians of certain communicable diseases occurring on dairy premises.-(a) Every physician who shall attend any person sick with or infected with the causative agent of Asiatic cholera, diphtheria, dysentery (amebic or bacillary), paratyphoid fever, scarlet fever, tuberculosis or typhoid fever, on any dairy or other premises where milk or milk products are produced for sale or distribution

or in any dwelling in which any person resides who is employed on any such dairy or other premises, shall report by telegram if practicable, and also in writing, to the Director of Health of New Jersey, within 12 hours after he has first had reason to believe any such person is sick with or infected with the causative agent of any of the said diseases, and shall state the name of the disease, the name, age, sex and color of the person who is ill with or infected with such disease, the location of the place where such person is ill as aforesaid, and the name of the owner or manager of said dairy or other premises if the same can be ascertained.

(b) Where no physician is in attendance it shall be the duty of the owner or person in charge of any dairy or other premises on which milk, cream or other milk products are produced for sale or distribution, to report forthwith by telephone or telegram if practicable, and also in writing to the director of health of New Jersey, and also to the officer designated by the local board of health to receive such reports within the municipality within the jurisdiction of which the said dairy or other premises is located, the name, age, sex, color and exact location of any person employed about such dairy who appears to be affected with any of the diseases named in subdivision (a) of this regulation.

(c) When any of the diseases named in this regulation occur on a dairy or other premises on which milk or other dairy products are produced for sale or distribution, in any municipality other than that in which the dairy upon which they are produced is located, it shall be the duty of the health officer to notify the director of health of New Jersey in writing within 24 hours after he has knowledge of the existence of any such case, of the action that is being taken by him to prevent the transmission of infection through milk or other food products produced or stored on any such premises.

REG. 5. Reporting of communicable diseases by houseowner or householders.—Every houseowner or householder who has reason to believe that any person living, dwelling or being in any building or apartment under his control, is affected with any of the communicable diseases enumerated in regulation 1, shall, when no physician has attended such sick person, within 12 hours after discovering the same, report the fact in writing to the person designated to receive such reports by the local board of health within whose jurisdiction the said case may occur.

REG. 6. Reporting cases and suspected cases of communicable disease occurring in children in attendance at schools. It shall be the duty of every teacher, nurse and medical school inspector to report forthwith to the principal or other person in charge of a school, the name of any child in such school who appears to be affected with a disease declared by this code to be communicable. It shall be the duty of the principal or person in charge of every school to report forthwith in writing, and by telephone or in person if practicable, to the person designated by this code or by the local board of health to receive such reports, the supposed nature of the disease and the name, age, sex, color and address of any person attending such school who appears to be affected with any communicable disease. Such person shall be at once sent home or isolated.

REG. 7. Reporting cases and suspected cases of communicable disease in hotels, boarding or lodging houses.-When no physician is in attendance, it shall be the duty of the proprietor or keeper of any hotel, boarding or lodging house, to report forthwith in writing, and by telephone or in person if practicable, to the person designated by this code or by the local board of health to receive such reports, the name, age, sex and color and address of any person in any hotel or lodging house under his charge who appears to be affected with any communicable disease.

REG. 8. Reporting cases and suspected cases of communicable disease by nurses and persons in charge of camps.-When no physician is in attendance, it shall be the duty of every person in charge of any labor or other camp, having knowledge that any person living in or attached to such camp is affected with any communicable disease, to report

at once in writing, and by telephone or in person if practicable, to the person designated by this code or by the local board of health to receive such reports, within whose jurisdiction the said case occurs, the name, age, sex, color and address of such person and the suspected nature of the disease.

REG. 9. Reporting cases and suspected cases of communicable disease on vessels.— When no physician is in attendance, it shall be the duty of the master or person in charge of any vessel located in waters within the jurisdiction of any local board of health of this State, to report or cause to be reported immediately in writing, and by telephone or in person if practicable, to the person designated by such local board of health to receive such reports, the name, age, sex, color and location of any person in or on such vessel, suspected to be affected with any communicable disease, together with the name of the vessel upon which such person is located.

REG. 10. Reporting of cases of rabies.—It shall be the duty of all persons owning or having interest in, or having in their possession or under their control, or having knowledge of any dog or cat or other animal, affected with rabies, or suspected of being affected with rabies, to forthwith notify the person designated by the local board of health having jurisdiction over the place in which such animal is located, to receive such reports, by telephone, telegraph or in person, if practicable, and also in writing, signed by the person making the same, which report shall state where such animal may be found, and shall contain, if possible, a description of the animal, the location of the animal, and the name and address of the owner.

REG. 11. Reporting of communicable diseases to the State department of health.-The officer to whom reports of communicable diseases are made in accordance with the provisions of regulation 2 of this chapter, shall transmit in writing, within 24 hours after the receipt by him of such reports, the facts stated therein, to the director of health of New Jersey, and upon request by said director of health, shall give full information concerning the measures which are being employed by the local board of health to prevent the spread of the disease named in such reports.

REG. 12. Diphtheria; material for cultures to be submitted.-In every case of illness which there is reason to believe may be diphtheria, it shall be the duty of the attending physician, or if there be no physician in attendance, then of the nurse or other person in attendance, to take cultures forthwith from the throat and nose of the person suspected of being infected, or to permit the health officer or his representatives to take such cultures: Provided, however, That if such cultures are forthwith taken by the health officer having jurisdiction, or his representative, it shall not be necessary for the attending physician or nurse to take such cultures. Such cultures shall be immediately submitted by the person taking the same, for examination, to the State laboratory of hygiene, or to a laboratory which has been approved by the director of health of New Jersey.

REG. 13. Establishment of isolation or quarantine by executive officers of local boards of health.—It shall be the duty of the executive officer of every local board of health, upon receiving a report of a communicable disease, to forthwith establish such isolation or quarantine, or other restrictive measures, as may be required by the State sanitary code or by local ordinances. Whenever isolation or quarantine is to be established on any premises, the health officer shall cause a written order establishing such isolation or quarantine to be served upon the person in charge of such premises. Service upon any responsible member of a household shall be deemed sufficient service upon all the members of the household of the person so served. In lieu of such service, such order may be posted on the building or premises occupied by the affected person or persons. When so posted all persons on such premises shall be bound by such notice. When such isolation or quarantine has been established, it shall remain in force until the health officer has caused to be served on the affected person or persons or posted on the premises, a notice in writing terminating such isolation or quarantine.

REG. 14. Persons not to be isolated or quarantined in certain cases.-When a person affected with a communicable disease is effectually isolated on the premises, the executive officer of the local board of health may, at his discretion, refrain from isolating or quarantining other members of the family or household in which such disease may exist, who do not come in contact with the patient or his secretions or excretions, or with the nurse or other person caring for the patient.

REG. 15. Removal of cases of communicable disease.-After isolation or quarantine of any person affected with or exposed to a communicable disease shall have been established, such person shall not leave the apartment or premises where he is isolated nor shall any other person remove such person, or permit him to be removed, unless a permit for such removal shall first have been issued by the executive officer of the local board of health.

REG. 16. Right of entrance and inspection.-No person shall interfere with or obstruct the entrance to any building, apartment or vessel by any inspector or officer of the State or local health authorities, in the discharge of his official duties; nor shall any person interfere with or obstruct the inspection or examination of any occupant of such building, apartment or vessel by any State or local medical inspector in the discharge of his official duties.

REG. 17. Disinfection of discharges of persons affected with communicable diseases.— It shall be the duty of the physician in attendance on any case known or suspected by him to be a case of communicable disease, to inform the nurse or other person in attendance in regard to the disinfection and disposal of bodily discharges. Such information shall be given on the first visit, and shall be in accordance with the regulations of the State department of health, and it shall be the duty of the nurse or other person in attendance to carry out such disinfection and disposal until further or different directions have been given by the executive officer of the local board of health.

REG. 18. Executive officer to visit premises where communicable disease is reported.It shall be the duty of the executive officer of each local board of health, as soon as a case of Asiatic cholera, bubonic plague, diphtheria, epidemic cerebrospinal meningitis, acute anterior poliomyelitis (infantile paralysis), scarlet fever, paratyphoid fever, smallpox or typhoid fever, is reported to the official designated to receive such reports, to visit the premises, or cause the same to be done, for the purpose of ascer taining the source of the infection, and to give all necessary directions in writing, or printed instructions, to the person in charge of the patient, regarding the disinfection and disposal of excreta and other discharges from the body, and other materials which may be or may have become infected.

REG. 19. Precautions to be observed by physicians and attendants.-The physician, nurse, or other necessary attendant upon a case of communicable disease, after attending upon the case, shall take such precautions and practice such measures of cleansing or disinfection of his person and garments as will prevent the conveyance to others of infective material from the patient, or as may be required by the regulations of the State department of health.

REG. 20. Fusting placards.-When a case of diphtheria, epidemic cerebrospinal meningitis, measles, acute anterior poliomyelitis (infantile paralysis), scarlet fever, smallpox, or typhus fever exists in any house or apartment, it shall be the duty of the health officer to post or cause to be posted upon such house, in plain view, near the entrance thereof, or upon the door of the apartment in which the case is isolated, a placard stating the existence therein of a communicable disease, and the name of such disease.

REG. 21. Interference with placards.-No person shall interfere with or obstruct the posting of any placard by any health official in or on any place or premises, nor shall