the wage earner of the family may be released from such restrictions if the work of the wage earner does not bring him in contact with children or that he does not attend places of public assemblage.

(b) All children exposed to scarlet fever, scarlatina or scarlet rash, who have not previously had scarlet fever, scarlatina or scarlet rash, must be quarantined for seven days after the last exposure.

(c) Any teacher in a public school who has been living or visiting with any family in which a case of scarlet fever, scarlatina or scarlet rash develops, must not return to her school duties until seven days have elapsed from the date of the last exposure. RULE 29. Measles and German measles.--(a) No member of any household in which measles or German measles exists, except those who have previously had the disease, and no person afflicted with or recovering from measles or German measles shall be permitted to appear on the public streets or highways or in any public place, or attend any place of public amusement or worship, or visit any other private house, until they shall be declared by the local health officer free from danger of transmission of the infection.

(b) All premises on or in which measles or German measles occur shall be placarded. (c) No person, except those who have previously had the disease, exposed to measles or German measles shall be permitted to attend school or places of public assemblage for 14 days after exposure.

(d) The minimum duration of quarantine or isolation of all cases of measles or German measles shall be until 7 days after the appearance of the rash and until all discharges from the nose, ears and throat have disappeared and until the cough has ceased. RULE 30. Whooping cough.-(a) No persons under 14 years of age of any household in which whooping cough exists, except those who have previously had the disease, and no person afflicted with or recovering from whooping cough shall be permitted to appear on the public streets or highways or in any public place, or attend any place of public amusement or worship, or visit any other private house, until they shall be declared by the local health officer free from danger of transmitting the infection. (b) All premises on or in which whooping cough occurs shall be placarded.

(c) No person, except those who have previously had the disease, exposed to whooping cough shall be permitted to attend school or places of public assemblage for 14 days after exposure.

(d) The minimum duration of quarantine or isolation of all cases of whooping cough shall be until six weeks after the development of the disease or until one week after the last characteristic paroxysmal cough, or whoop.

RULE 31. Chicken pox.—(a) No member of any household in which chicken pox exists, except those who have previously had the disease, and no person afflicted with or recovering from chicken pox shall be permitted to appear on the public streets or highways or in any public place, or attend any place of public amusement or worship, or visit any other private house, until they shall be declared by the local health officer free from danger of transmitting the infection.

(b) All premises on or in which chicken pox occurs shall be placarded.

(c) No person, except those who have previously had the disease, exposed to chicken pox shall be permitted to atterd school or places of public assemblage for 16 days after exposure.

(d) The minimum duration of quarantine or isolation of cases of chicken pox shall be until 12 days after the appearance of the eruption and until the crusts are fallen and the scars are completely healed.

(e) Since chicken pox in adults occurs but rarely and since this name is frequently a mistaken diagnosis of smallpox or given to evade the diagnosis of mild cases of smallpox, it is hereby required that every such case shall be subject to the same quarantine restrictions as smallpox.

RULE 32. Mumps.—(a) No person afflicted with or recovering from mumps shall be permitted to appear on the public streets or highways or in any public place or attend any place of public amusement or worship, or visit any other private house, until they shall be declared by the local health officer free from danger of transmitting the infection.

(b) All premises on or in which mumps occurs shall be placarded.

(e) The minimum quarantine or isolation of all cases of mumps shall be until two weeks after the appearance of the disease and one week after the disappearance of the swelling.

RULE 33. Trachoma.-No child suffering from trachoma shall be permitted to attend any public, private or parochial school unless under the close supervision of a competent physician, who shall certify in writing to the school board and the health officer that the case is not in a contagious state.

RULE 34. Gonorrhea or syphilis; public bath.-No person who is suffering from gonorrhea or syphilis shall be served in a public bath room in this State; and no person suffering from syphilis shall be served in any barber shop, such prohibition to continue until 12 months have elapsed from date of infection.

PART 3. RULE 35. Exclusion from school.—(a) Whenever the school principal or teacher in any private, parochial or public school has reason to suspect that any pupil is suffering from or has been exposed to any infectious, contagious or communicable diseases required by the rules and regulations of the State board of health to be excluded from school, such principal or teacher shall send such child home, and any pupil so excluded shall not be permitted to attend school again until such pupil shall present a certificate from the health officer or from a legally qualified physician acting by the consent of the health officer, stating that the child is not suffering from any infectious, contagious or communicable disease.

(b) Within the meaning of this rule, principals or teachers shall exclude any child suffering from or exhibiting any of the following symptoms: (1) Sore throat or tonsilitis. (2) Any eruption of the skin, or rash. (3) Any catarrhal symptoms accompanied by fever, or fever alone. (4) Severe cough or cold.

RULE 36. Tuberculosis in schools.—(a) No child, janitor or teacher suffering from tuberculosis in a communicable form shall be allowed to attend or work in any public, private or parochial school.

(b) In the event that any child, janitor or teacher is believed to be suffering from pulmonary or laryngeal tuberculosis, the local health officer upon receipt of information of such belief shall make prompt investigation and satisfy himself either by personal examination or by a written certification from a legally qualified physician of the necessity of the exclusion of such individual from school, and until such examination and certification shall be made the individual shall be excluded from school.

RULE 37. Other diseases to be excluded.—In addition to the diseases elsewhere declared by these rules to be subject to quarantine or isolation, any child shall be excluded from any private, parochial or public school, who is afflicted with the following diseases: Contagious conjunctivitis (pink eye), impetigo contagiosa, ring worm, or scabies (itch): Provided, That in cases of ring worm or scabies, the child may be allowed to continue school attendance at the discretion of the health officer if proper treatment be immediately instituted.

RULE 38. Duties of parents.-Parents, guardians or other persons having custody of any child or children, shall not permit such child or children if afflicted with or exposed to any infectious, contagious or communicable diseases required by the State board of health regulations to be excluded from school, to attend any school.

RULE 39. Closing of schools.—Whenever in the judgment of the State board of health (or its executive officer), or any local county or city board of health or health officer, it is advisable to close the school because of the prevalence of any infectious, contagious or communicable disease or diseases, he or they shall serve written notice

upon the board of school directors (board of education) or the responsible officials in any private, parochial or Sunday school in the same district in which such disease or diseases prevail, directing them to close all schools immediately, nor shall any such school be reopened until permission is given by the proper health officials.

RULE 40. Inspection of schools.—(a) In the interests of the public health, all schoolhouses shall be thoroughly cleansed at some time during the annual vacation and disinfected at such times when known to be infected by an infectious, contagious or communicable disease; that the source of the water supply be inspected as to its wholesomeness and purity, and that the privies are required to be put in a sanitary condition before the fall term of school begins.

(b) The enforcement of the provisions of this regulation shall be a part of the duties of the city health officer in cities of the first class and of the county health officers in all territory outside of cities of the first class in their respective jurisdictions.

Tuberculosis-Admission and Maintenance of Patients at State Sanatorium. (Ch. 305, Act Mar. 12, 1917.)

SECTION 1. Section 9664 of the General Statutes of 1915 is hereby amended to read as follows:

SEC. 9664. The State board having charge of the said State tubercular sanatorium is hereby given power and authority to receive therein patients who have no ability to pay, but no person shall be admitted to the hospital who has not been a citizen of this State for at least one year. Every person desiring free treatment in such hospital shall apply to the local authorities of his or her county having charge of the relief of the poor, who shall thereupon issue a written request to the superintendent of such State sanatorium for the admission of such persons. Such request shall state in writing whether the person is able to pay for his or her care and treatment while at the hospital, which request or statement shall be kept on file by the superintendent of the hospital. Such request shall be filed by the superintendent in a book kept for that purpose, in the order of their receipt by him. Whenever there are vacancies caused by death, or removal, said superintendent shall thereupon issue a request to an examining physician, appointed as provided for in section 1, in the same city or county, and if there be no such examining physician in said city or county, then to the nearest examining physician, for the examination by him of said patient. Upon the request of such superintendent said examining physician shall examine all persons applying for free admission and treatment in said institution and determine whether such persons applying are suffering from incipient pulmonary tuberculosis. No person shall be admitted as a patient in said institution without the certificate of one of such examining physicians, certifying that such applicant is suffering from incipient pulmorary tuberculosis, and if upon the reception of a person in the said hospital, it is found by the authorities thereof that he or she is not suffering from incipient pulmonary tuberculosis, or is suffering from pulmonary tuberculosis in such an advanced state as to prevent his receiving any benefit from the care and treatment in eaid hospital, he or she can be returned to the place of his residence, and the expense of transportation to and from said hospital shall be paid by the county sending such patient. Admission to said hospital shall be made in the order in which the names of the applicants appear upon the application book to be kept as above provided by the superintendent of said hospital, in so far as such applicants are subsequently certified by such examining physicians to be suffering from incipient pulmonary tuberculosis. Every person who is admitted as and who is a county charge at the time of making his or her application shall be transported to and from the hospital at the expense of said county, and cared for and treated at the expense of such county, which would otherwise be chargeable with the support of indigent persons, and the expense of transportation, treatment and maintenance, and the actual cost of articles of clothing furnished by the hospital to such poor or indigent

person, shall be a charge against such county. And the State board, in charge of the said State tubercular sanatorium, shall fix the price of maintenance in such institution, for county patients, and the different counties having county patients contained therein will be liable for the maintenance cost as fixed by such State board not to exceed $1 per day.

SEC. 2. Original section 9664 of the General Statutes of 1915 is hereby repealed. Common Carriers-Sanitary Regulation of Cars and Depots-Control of Communicable Diseases. (Reg. Bd. of H., June 13, 1917.)

PART 6, RULE 1. Common carriers shall maintain at all times in a clean and sanitary condition all cars, vehicles, or conveyances so being operated by them.

RULE 2. Toilets and lavatories on cars, vehicles or conveyances engaged in intrastate traffic, or in any depots, waiting rooms or other places used by passengers traveling within the State shall be of adequate size, design and number, and shall be maintained in a clean and sanitary condition.

RULE 3. All cars, vehicles, or conveyances engaged in intrastate traffic for the use of passengers shall be so ventilated as to insure an adequate supply of fresh air.

RULE 4. Common carriers shall not permit nor cause to be cleaned any car, vehicle or conveyance engaged in intrastate traffic while the same is occupied by passengers, unless said cleaning is done in such manner as to prevent the distribution of dust.

RULE 5. Common carriers while engaged in intrastate commerce shall take adequate measures by use of warning signs or cuspidors or both for the prevention of soiling of cars, vehicles, or conveyances with sputum, and said cuspidors shall be adequate in size and number and suitable in design for the reception of sputum, and shall be maintained in a clean and sanitary condition.

RULE 6. Common carriers shall not provide in any cars, vehicles or conveyances engaged in intrastate traffic, or any depots, waiting rooms, or in other places used by passengers traveling within the State, any towel for use by more than one person: Provided, That towels may be used again after having been cleansed and sterilized with boiling water.

RULE 7. Any person, firm, or corporation supplying sleeping accommodations for passengers traveling within the State shall furnish the bed, couch or other appliance used for sleeping purposes with clean sheets and pillow cases which have not been used by any other person since last laundered: Provided, That blankets, pillows, and mattresses which have not been used by any persons suffering from a disease mentioned in rule 13 (hereafter given), if physically clean and free from vermin, may be used if they are so enveloped as not to come in contact in any way with any occupant of such bed, couch or other appliance for sleeping purposes.

RULE 8. Common carriers shall not provide in any cars, vehicles, or conveyances engaged in intrastate traffic, or in any depots, waiting rooms or other places used by passengers traveling within the State any drinking cup, glass or vessel for common use: Provided, That this regulation shall not be held to preclude the use of drinking cups, glasses, or vessels which are thoroughly cleansed or sterilized after use by each individual, nor shall it be held to preclude the use of sanitary devices for individual use only. RULE 9. Persons, firms, or corporations engaged in the business of furnishing food or drink for the use of passengers traveling within the State shall not supply any article of food or drink, unless the same shall have been obtained from a source known to be free from the contagion or infection of the diseases mentioned in rule 13 (hereafter given, or unless the same shall have been sterilized, pasteurized, or otherwise treated in such manner as to insure that the article is free from the danger of conveying contagion or infection as aforesaid; and all articles of food or drink for said passengers shall be so handled and stored as to prevent contamination with the said contagion or infection.

RULE 10. After notification in writing by the proper health authorities, common carriers shall not transport or accept for transportation, within the State, milk from premises on which there exists a case of cholera, smallpox, diphtheria, septic sore throat, scarlet fever, epidemic cerebrospinal meningitis, acute epidemic poliomyelitis, typhoid fever or paratyphoid fever, unless said milk is accompanied by a certificate that it has been properly pasteurized under official supervision.

RULE 11. Water provided by common carriers on cars, vehicles or conveyances operating within the State for the use of passengers shall be furnished under the conditions provided by regulations of the State board of health under the authority granted by sections 10179, 10180 and 10181, General Statutes of 1915.

RULE 12. No person knowing that he is in a communicable stage of any of the diseases enumerated in rule 13 (hereafter given), shall travel on any car, vehicle or conveyance engaged in intrastate traffic, except as hereinafter provided, nor shall any parent, guardian, physician, nurse, or other person allow or procure such transportation for any minor, ward, patient or other person under his charge who may be affected with any such disease.

RULE 13. (a) No common carrier shall accept for transportation any person affected with chicken pox, cholera, diphtheria, German measles, leprosy, measles, epidemic cerebrospinal meningitis, paratyphoid fever, plague, poliomyelitis, scarlet fever, septic sore throat, smallpox, tuberculosis, typhoid fever, typhus fever, whooping cough, or yellow fever, except as otherwise hereafter provided.

(b) Anything, living or dead, which has been affected with or exposed to the contagion or infection of any disease named in paragraph (a) shall be regarded as contagious or infectious until the contrary has been proven and shall not be accepted for transportation by common carriers.

RULE 14. No person, firm, or corporation shall offer for shipment in intrastate traffic, and no common carrier shall accept for shipment, or transportation in intrastate traffic, any article or anything known to have been exposed to the contagion or infection of any of the diseases enumerated in rule 13, unless a certificate has previously been obtained from the proper health authority that all necessary measures have been taken to render the said article or thing free from infection; and in the case of yellow fever, Rocky Mountain spotted or tick fever or typhus fever, free from mosquitoes, ticks or lice.

RULE 15. Any person or anything either living or dead, which has been exposed to or is infected with any of the diseases enumerated in rule 13, if found in any car, vehicle or conveyance, undergoing intrastate transportation shall be subjected to such inspection, disinfection or other measures as may be necessary to prevent the spread of the infection from them.

RULE 16. In the event of the appearance of any disease mentioned in rule 13, with the exception of tuberculosis, in any person enroute or aboard any car, vehicle or conveyance engaged in intrastate traffic, a common carrier shall at once isolate the sick person and remove him from the car, vehicle or conveyance at the first convenient place at which reasonable provision may be had for the protection of the patient and the public health, and shall immediately notify the State and local health officer of the place at which the person was removed from such car, vehicle or conveyance, and shall disinfect the compartment from which the person was removed.

RULE 17. No person affected with plague, cholera, smallpox, scarlet fever, typhus fever or yellow fever shall be received upon any car, vehicle or conveyance engaged

in intrastate traffic.

RULE 18. Common carriers shall not receive upon any car, vehicle or conveyance engaged in intrastate traffic any person affected with typhoid fever or paratyphoid fever unless removal and entrance permits have been granted by the State or local health officers at place of departure and arrival and unless said person is placed in separate compartment and is accompanied by a properly qualified nurse or attendant,