2. Every physician, nurse or other person treating or attempting to treat by prescription, formula, patented or proprietary medicine or compound or otherwise, and every physician, nurse or other person selling or giving away any prescription, formula, patented or proprietary medicine or compound, which either by itself or in connection or conjunction with any other treatment, medicine or compound is claimed to be useful, or to cure, relieve or to arrest in any way or manner any venereal disease such as chancroid, gonorrhea, syphilis or any of the varieties or stages thereof, shall report immediately to the department of health of this State the name, sex, address, color and nationality of the said person so infected with such disease, and the age as nearly as practicable, together with the character of the disease and the probable source of infection and whether previously reported or not, and if so, when, where and by whom; and every physician, nurse or other person treating or attempting to treat in any manner any of the venereal diseases or varieties or stages thereof, and every physician. nurse or other person selling or giving away any prescription, formula, patented or proprietary medicine or compound for the uses and purposes mentioned in this section who shall fail to perform the above-mentioned duty at the time and in the manner named, shall be liable to a penalty of $50 for each such failure.

3. The department of health of this State shall make and enforce such rules and regulations for the quarantining and treatment of venereal diseases such as chancroid, gonorrhea, syphilis or any of the varieties or stages of such diseases reported to it as may be deemed necessary for the protection of the public. Said department of health shall not disclose the names or addresses of such persons reported or treated to any person other than a prosecuting officer or in court in prosecutions under this or any other State law.

4. The department of health of this State shall provide facilities for the free bacteriological examination of discharges for the diagnosis of gonorrheal infections, and also shall provide, at cost, vaccines or antitoxins for the treatment of such infections. And the said department shall make, at the expense of the State, the Wasserman or other approved tests or examine smears for the diagnosis of syphilis; and shall furnish the treatment known as "salvarsan" or other accredited specific treatment at cost. But such diagnosis and treatment shall not be furnished until the data required for the registration of the case has been furnished by the physician, nurse, or institution treating the patient.

5. For the expenses of carrying into effect the purposes of this act, the sum of $2,000 is hereby appropriated annually, when included in any annual or supplemental appropriation bill.

Venereal Diseases-Unlawful for Infected Persons to Marry or Have Sexual Intercourse. (Ch. 23, Act Mar. 14, 1917.)

1. Any person who, knowing himself or herself to be infected with a venereal disease, such as chancroid, gonorrhea, syphilis or any of the varieties or stages of such diseases, marries, shall be guilty of a misdemeanor.

2. Any person who, while infected with a venereal disease, such as chancroid. gonorrhea, syphilis or any of the varieties or stages of such diseases, has sexual intercourse, shall be guilty of a misdemeanor.

Communicable Disease Hospitals in Cities-Establishment. (Ch. 144, Act Mar. 27,

1917.)

1. Section 1 of the act [An act to amend an act entitled "An act to authorize and provide for the establishment and maintenance of hospitals for contagious diseases for cities in this State," approved March 23, 1900, which amendatory act was approved March 18, 1913] to which this is an amendment be and the same is hereby amended so as to read as follows:

1. Whenever the board of health of any city of this State shall, by resolution passed by the votes of a majority of the members thereof, declare that it is necessary to establish and maintain in and for such city a hospital which shall be devoted exclusively to the treatment and relief of persons suffering from contagious and infectious diseases, and setting forth the estimated cost thereof, a copy of the said resolution, certified under the hands of the president or chairman and secretary or clerk of such board or body, shall be forthwith transmitted to the common council, board of aldermen, or other board having charge and control of the finances of such city, and thereupon such financial board, by resolution, shall make an appropriation or appropriations as hereinafter mentioned; that is to say, in all cities having by the census last preceding the adoption of such resolution a population of not more than 15,000, a sum not exceeding $10,000; in all cities having by such census a population exceeding 15,000 and not exceeding 30,000, a sum not exceeding the sum of $20,000; in all cities having by such census a population exceeding 30,000 and not exceeding 100,000, a sum not exceeding the sum of $75,000, and in all cities having by such census a population exceeding 100,000 a sum not exceeding the sum of $125,000, nor shall the minimum of such appropriations be less than one-fourth of the said amounts in each case respectively; for the purchase of lands, if required, and the erection and furnishing of a suitable building or buildings in and for such city by such board of health, and upon the adoption of such resolution by such financial board, such board shall from time to time issue bonds in the corporate name of such city for the amount so appropriated, which bonds shall be of such denomination as such financial board shall determine, and shall be made payable in not less than 20 years nor more than 50 years; they shall bear interest at a rate not greater than 4 per centum per annum, which shall be payable semiannually and may be registered or coupon bonds, or may be registered and coupon bonds combined, at the option of said financial board; they shall be sold at public or private sale, but for not less than, par and accrued interest, and there shall be raised by tax in each year the interest on the whole amount of the bonds so issued, together with at least 4 per centum per annum of the principal of such bonds for a sinking fund, to be paid to the commissioners of the sinking fund of such city for the purpose of meeting the said bonds when they shall become due; there shall further be raised in each annual tax levy in any city for which such hospital is established an amount sufficient to provide for the support and maintenance of such hospital in that year: Provided, however, That no city shall issue bonds under the provisions of this act where the amount of such bonds, together with all other funded and floating indebtedness of such city then outstanding after deducting the available sinking fund thereof, shall exceed 10 per centum of the valuation of the real and personal property of said city as assessed for municipal purposes for the year next prior to the incurring of such indebtedness.

And whenever any city has already erected such a hospital, but has not sufficient funds to fully furnish or equip the same out of the proceeds of bonds already sold hereunder, then in any such case the common council, board of aldermen or other board having charge of and control of the finances of said city, on the request of the board of health of said city may issue additional bonds hereunder in a sum sufficient to fully and properly equip and furnish such hospital: Provided, however, That the total of such additional bonds, together with those already issued, shall, in no case exceed the amount authorized to be originally issued hereunder in any such city. Communicable Disease Hospitals in Certain Counties-Annual Appropriation for Construction, Maintenance, and Repair. (Ch. 257, Act Mar. 29, 1917.)

1. Amend section 1 to read as follows:

1. Section 1 of the act [An act to amend an act entitled "A further supplement to an act entitled 'An act to incorporate the chosen freeholders in the respective counties of this State' (Revision), approved April 16, 1846," which supplement was approved

April 11, 1889, the amendatory act having been approved April 6, 1911] to which this is an amendment be and the same is hereby amended to read as follows:

1. The board of chosen freeholders in any county of the first class within this State, and in which there is or may hereafter be established by law a county board of health. shall appropriate and set apart a sum not to exceed $7,500 annually for the construction, maintenance and repair of a public hospital for such county for the treatment of cases of a contagious nature, other than smallpox.

2. Amend section 2 to read as follows:

2. Section 2 of the act to which this is an amendment be and the same is hereby amended to read as follows:

2. It shall and may be lawful for such board of chosen freeholders to render annually to such board of health the said sum not to exceed $7,500, to be by said board of health expended for the purposes aforesaid.

County Tuberculosis Hospitals-Powers and Duties of Superintendent—Admission. Care, and Treatment of Patients-Commitment of Persons to Hospitals by Order of Court. (Ch. 172, Act Mar. 27, 1917.)

1

1. That section 4 of the act [An act concerning tuberculosis, approved March 28, 1912] of which this is an amendment shall be and the same is hereby amended to read as follows:

4. The superintendent shall be the chief executive officer of the hospital, and subject to the by-laws, rules and regulations thereof, and to the powers of the board of

managers.

Shall, with the consent of the board of managers, equip the hospital with all neces sary furniture, appliances, fixtures and other needea facilities for the care and treat ment of patients, and for the use of officers and employees thereof, and shall purchase all necessary supplies.

Shall have general supervision and control of the records, accounts and buildings of the hospital, and all internal affairs, and maintain discipline therein, and enforce compliance with and obedience to all rules, by-laws and regulations adopted by the board of managers for the government, discipline and management of said hospital and the employees and inmates thereof. He shall make such further rules, regulations and orders as he may deem necessary, not inconsistent with law or with the rules, regulations and directions of the board of managers.

Shall, with the consent of the board of managers, appoint such resident officers and such employees as he may think proper and necessary for the efficient performance of the business of the hospital, and prescribe their duties; and for cause stated in writing, after an opportunity to be heard, discharge any such officer or employee at his discretion.

Shall cause proper accounts and records of the business and operations of the hospital to be kept regularly from day to day in books and on records provided for that purpose; and see that such accounts and records are correctly made up for the annual report to the board of freeholders, as required by section 3 of this chapter, and present the same to the board of managers, who shall incorporate them in their report to the said supervisors.

Shall receive into the hospital, under the general direction of the board of managers, in the order of application, any person found to be suffering from tuberculosis in anv form, who has a legal settlement in the county, or who has been an actual resident and inhabitant of the county for a period of at least 1 year prior to his application for admission to said hospital, or any person who may be committed to said hospital

1 Pub. Health Repts. Reprint 200, p. 136.

by an order of any judge of the court of common pleas. Said superintendent shall cause to be kept proper accounts and records of the admission of all patients, their rames, age, sex, color, marital condition, residence, occupation and place of past employment.

Shall cause a careful examination to be made of the physical condition of all persons admitted to the hospital, and provide for the treatment of each such patient according to his need; and shall cause a record to be kept of the condition of each patient when admitted and from time to time thereafter.

Shall temporarily discharge from said hospital any patient who shall wilfully or habitually violate the rules thereof; or who is found not to have tuberculosis; or who is found to have recovered therefrom; or who for any other reason is no longer a suitable patient for treatment therein; and shall make a full report thereof at the next meeting of the board of managers; who shall make such final disposition of the case as they may think proper.

Shall collect and receive all moneys due the hospital, keep an accurate account of the same, report the same at monthly meeting of the board of managers, and transmit the same to the county collector within 10 days after such meeting.

Shall, before entering upon the discharge of his duties, give a bond in such sum as the board of managers may determine to secure the faithful performance of such duties. 2. That section 5 of the act of which this is an amendment shall be and the same is hereby amended to read as follows:

5. Any resident of the county in which the hospital is situated desiring treatment in such hospital may apply in person to the superintendent or to any reputable physician for examination, and such physician, if he find that said person is suffering from tuberculosis in any form, may apply to the superintendent of the hospital for his admission. Blank forms for such applications shall be provided by the hospital, and shall be forwarded by the superintendent thereof gratuitously to any reputable physician in the county upon request. So far as practicable, applications for admission to the hospital shall be made upon such forms. The superintendent of the hospital, upon receipt of such application, if it appears therefrom that the patient is suffering from tuberculosis, and if there be a vacancy in the said hospital, shall notify the person named in such application to appear in person at the hospital. If upon personal examination of such patient, or of any patient applying in person for admission, the superintendent and board of managers are satisfied that such person is suffering from tuberculosis, he shall admit him to the hospital as a patient. All such applications shall state whether, in the judgment of the physician, the person is able to pay in whole or in part for his care and treatment while at the hospital; and every application shall be filed and recorded in a book kept for that purpose in the order of their receipt. When said hospital is completed and ready for the treatment of patients, or whenever thereafter there are vacancies therein, admission to said hospital shall be made in the order in which the names of applicants shall appear upon the application book, to be kept as above provided, in so far as such applicants are rertitied to by the superintendent to be suffering from tuberculosis. No discrimination shall be made in the accommodation, care or treatment of any patient because of the fact that the patient or his relatives contribute to the cost of his maintenance in whole or in part, and no patient shall be permitted to pay for his maintenance in Fuch hospital a greater sum than the average per capita cost of maintenance therein, including a reasonable allowance for the interest on the cost of the hospital; and no officer or employee of such hospital shall accept from any patient thereof any fee, payment or gratuity whatsoever for his services: Provided, however, That the said board of managers, with the consent of the board of chosen freeholders, may set apart a building, or portion of a building, for the care of patients suffering from tuberculosis who are able to pay a sum in excess of the actual cost of their maintenance; and the

said board of managers are authorized to fix a sum for the care and maintenance of said patients, which patients shall be known as private patients: Provided, Jurther, That the standard of care and maintenance for indigent patients shall be the standard usually maintained, and that no private patient shall be admitted to or retained in the hospital to the exclusion of any indigent patient properly admissible.

3. That section 11 of the act of which this is an amendment shall be and the same is hereby amended to read as follows:

11. If any person fails to obey any of said rules or regulations, or is an actual menace to the community, the said person may be committed to the county hospital by any judge of the court of common pleas upon proof of service upon said person of said rules and regulations and proof of violation thereafter, or upon proof by any health officer of the municipality in which said person may reside that said person is suffering from tuberculosis, and is an actual menace to the community. Two days notice of the time and place of hearing shall in all cases be served upon the person to be committed. Proof of such service shall be made at the hearing. The court may also make such order for the payment for care and treatment as may be proper. After commitment such person may be discharged by the said court at any time when said court thinks it proper to do so.

Local Boards of Health-Powers.

(Ch. 166, Act Mar. 27, 1917.)`

1. Section 12 of the act [An act to establish in this State boards of health and a bureau of vital statistics, and to define their respective powers and duties, approved March 31, 1887] of which this is amendatory be and the same hereby is amended to read as follows:

12. The said local boards of health shall have power to pass, alter or amend ordinances, and make rules and regulations in regard to the public health within their several jurisdictions for the following purposes, but such ordinance shall have three readings before its final passage, and at least one week shall intervene between the second and third readings of said ordinance, and a notice stating the title of said ordinance, and the date when it passed its second reading, shall be published at least one week prior to its final passage in at least one newspaper published in the township, city, town, borough or other local municipal government, if any newspaper is published therein, and if there be no newspaper published therein then in some newspaper of the county circulating in such township, city, town, borough or other local municipal government:

I. To aid the enforcement of the law as to the adulteration of all kinds of food and drink, and to prevent the sale or exposure for sale of any kind of meat or vegetable that is unwholesome or unfit for food;

II. To define and declare what shall constitute nuisances in lots, streets, docks, wharves, vessels and piers, and all public or private places;

III. To prevent the spreading of dangerous epidemics or contagious diseases, and to declare that the same has become epidemic, and to maintain and enforce proper and sufficient quarantine whenever deemed necessary;

IV. To regulate, control and prohibit the keeping or slaughtering of all kinds of animals;

V. To regulate, control and prohibit the accumulation of offal and all decaying or vegetable substances;

VI. To prohibit and remove any offensive matter or abate any nuisance in any public highway, road, street, avenue, alley or other place, public or private, and to cause the removal at the expense of the owner;

VII. To compel the return of all births, deaths and marriages by physicians, midwives, nurses, clergymen, magistrates and other persons professional officiating at such death, birth or marriage;