Marriage Examination of Male Applicants for Licenses as to Freedom from Venereal Diseases. (Ch. 212, Act May 11, 1917.)

SECTION 1. Subsections 1 and 2 of section 2339m of the statutes are amended to read: SEC. 2339m. 1. All male persons making application for license to marry shall at any time within 15 days prior to such application, be examined as to the existence or nonexistence in such person of any venereal disease, and it shall be unlawful for the county clerk of any county to issue a license to marry to any person who fails to present and file with such county clerk a certificate setting forth that such person is free from venereal diseases so nearly as can be determined by a thorough examination and by the application of the recognized clinical and laboratory tests of scientific search, when in the discretion of the examining physician such clinical and laboratory tests are necessary. When a microscopical examination for gonococci is required such examination shall upon the request of any physician in the State be made by the State laboratory of hygiene free of charge. The Wasserman test for syphilis when required shall upon application be made by the Psychiatric Institute at Mendota free of charge. Such certificate shall be made by a physician, licensed to practice in this State or in the State in which such male person resides, shall be filed with the application for license to marry, and shall read as follows, to wit:

I,... ... (name of physician), being a physician, legally licensed to practice in the State of ... my credentials being filed in the office of ......, in the city of ..... county of ......, State of ......, do certify that I have this ...... day of 19.., made a thorough examination of ...... (name of person), and believe him to be free from all venereal diseases.

(signature of physician).

2. Such examiners shall be physicians duly licensed to practice in this State, or in the State in which such male person resides. The fee for such examination, to be paid by the applicant for examination before the certificate shall be granted, shall not exceed $2. The county or asylum physician of any county, shall, upon request, make the necessary examination and issue such certificate, if the same can be properly issued, without charge to the applicant, if said applicant be indigent.

Public Health Laws and Regulations-Applicants for License to Practice Medicine Must be Familiar with. Notifiable Diseases-Card Containing List of, to be Displayed in Doctors' Offices and Hospitals. (Ch. 110, Act Apr. 20, 1917.), SECTION 1. There are added to the statutes two new sections to read: SEC. 14126. No license to practice medicine shall be issued to any person until after the applicant shall have filed with the State board of medical examiners a verified statement that said applicant has familiarized himself with the public-health laws of the State and the rules and regulations of the State board of health relating to the prevention and control of the various dangerous, communicable diseases. A copy of such statement shall be forwarded, when the license is issued, to the State board of health.

SEC. 1412c. A card upon which a list of the notifiable, communicable diseases has been printed shall be displayed in a prominent place in the office of each person engaged in the practice of medicine and in each hospital, asylum, or other public or private institution for the treatment of the sick. Such card shall be not less than 1 foot square in size and shall be furnished to each such institution and licensed physician without cost by the State board of health.

Hygienic Laboratories—Annual Appropriation for Establishment and Maintenance. (Ch. 459, Act June 20, 1917.)

SECTION 1. Subsection 3 of section 20.43 of the statutes is amended to read:

20.43 (3). Annually, beginning July 1, 1917, not to exceed $7,950 for equipping and operating laboratories of hygiene. Of this there is allotted:

(a) Not to exceed $2,000 annually for equipping and operating a State branch laboratory of hygiene, to be situated in a city accessible to physicians and health officers in the northern part of the State of Wisconsin, for the conducting of bacteriological and chemical examinations of material from the various contagious and infectious diseases or material from suspected contagious or infectious diseases of men and animals when public health is concerned; on condition that suitable quarters for such laboratory shall be offered to the State free of charge for rent, light, heat, and janitor service.

(b) Not to exceed $5,950 annually for the establishment and aid in maintenance of not more than seven State cooperative laboratories. All such cooperative laboratories shall be operated in such manner and under such conditions as the State board of health, in its rules and regulations governing the State public health laboratories, may determine.

SEC. 3. This act shall take effect upon July 1, 1917.

State Board of Health-Powers and Duties. (Ch. 145, Act May 2, 1917.) SECTION 1. Subsection 1 of section 1407a-6 of the statutes is amended to read: SEC. 1407a-6. 1. The State board of health shall have supervision of the health and life of the citizens of the State and possess all powers necessary to fulfill the duties prescribed in the statutes and to bring action in the courts for the enforcement of health laws and health rules. They shall have power to make sanitary inspections and surveys in all parts of the State and, after due notice, to enter upon and inspect private property in regard to the presence of cases of infectious and contagious diseases and to determine the cause and source of disease. The State board of health at any regular or special meeting may in its discretion empower the State health officer to act for the board upon such matters as it may determine in issuing and enforcing orders in compliance with the public health laws and rules and regulations adopted by the board. Whenever any person, firm, or corporation, feels himself or itself aggrieved by any order of a State health officer, they may have a right of appeal to the State board of health.

Full-Time Health Officers-Municipalities May Employ Jointly. (Ch. 72, Act Apr. 11, 1917.)

SECTION 1. There is added to the statutes a new section to read:

SEC. 1411a. Towns, villages, and cities, however organized, occupying contiguous territory, through their proper officers, may employ a full-time officer or health commissioner jointly, but in all other respects the local health organization in each such town, village, or city shall not be changed. The salary of the health officer or health commissioner, including necessary traveling expenses, shall be paid jointly by the cities, incorporated villages and townships so employing a full-time health officer or health commissioner, in proportion to the population of each such town, village, or city, as determined by the last Federal census, or in such other manner as may be agreed upon by the common councils, village boards and town boards adopting this system. The health officer or health commissioner so appointed shall perform all the duties imposed upon a health officer or health commissioner by the State laws, local ordi180457°-20-34

nances or the rules and regulations of the State or local boards of health. No full-time health officer or health commissioner appointed under the provisions of this section shall engage in any other occupation which will conflict with the performance of his official duties.

Public Health Nurses-Employment by Municipalities Severally or Jointly—Duties. (Ch. 123, Act Apr. 25, 1917.)

SECTION 1. There is added to the statutes a new section to read:

SEC. 1411a. 1. The local board of health, health commissioner or health officer of any town, village or city may employ public health nurses within the limits of the appropriation made therefor by such town, village or city. The public health nurses shall work under the direction of the health officer, or health commissioner, and may be assigned to investigate infant mortality, the examination or visitation of childrer. excluded from school, the investigation or visitation of cases of tuberculosis, the visitation of the sick, who may be unable otherwise to secure adequate care, the instruction of members of households where sickness exists, or to such other duties as may be appropriate in improving the public health.

2. Towns, villages and cities may through their proper officials employ publie health nurses jointly. The salary and other expenses of such public health nurses shall be paid jointly by the towns, villages and cities so employing public health nurses in proportion to the population of each such town, village or city, as deter mined by the last Federal census, or in such manner as may be agreed upon by the common councils, village boards and town boards adopting this plan.

State and County Tuberculosis Hospitals—Admission and Maintenance of Patients. (Ch. 568, Act July 5, 1917.)

SECTION 1. Subsections 2 and 3 of section 1421-8, sections 1421-12, 1421-13 and subsection 1 of section 1421-14 of the statutes are amended to read:

SEC. 1421-8. 2. Said judge, upon presentation of the report of the examining physician that said person is afflicted with pulmonary tuberculosis in the incipient of slightly advanced stage and a statement from the superintendent of the sanatorium, that in his opinion the applicant is eligible and that he or she can be received, shall make an investigation and if in his judgment said applicant or his legal representatives are unable to pay such charges, shall approve in writing the application of such person: Provided, That such judge may in his discretion require the approval of the chairman of the county board thereto, and in all cases the said judge shall notify the chairman of the county board of his action in such matters. Said judge shall immediately forward to the superintendent of the sanatorium a certificate in writing that said patient is unable to pay said charges and that he or she has a legal settlement in the county in which such application has been so approved.

3. The county from which such patient has been so certified shall be responsible for such patient being provided with the clothes and toilet articles required for each patient and shall be charged with the maintenance of such patient at the rate one-half of the sum charged for maintenance as fixed by the superintendent and the State board of control during the time that he or she remains in said institution as an inmate. Such charges shall be collected in the manner provided by section 561e of the statutes. Any person who may be unable to pay the full charge for maintenance may be received upon paying the amount charged for county patients if the State board of control, after investigation, shall first have found that the patient has truly represented circumstances and is really unable to pay more than the amount charged for county patients.

SEC. 1421-12. Any person suffering from tuberculosis, who shall have been a rese dent of the State for at least one year, and who is unable to pay for his or her mairtenance, shall be received into the institution, within the limits of its capacity, as

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determined by the State board of control.

file a statement with the county judge of the couch person shall be admitted he shall setting forth the fact that he is unable to pay for his carchich he has a legal residence judge of the county in which such person has a legal residencement. The county investigation of the case, and if in his judgment the applicant, or his

thorough

atives, are unable to pay for his care, he shall approve in writing the applica such person. The judge shall immediately forward to the superintendent of the institution a statement in writing that such person is unaole to pay for his or her maintenance and is suffering from tuberculosis. Upon receipt of such certificate it shall be the duty of the superintendent of the institution to receive and care for such person until the superintendent shall recommend his discharge or removal.

SEC. 1421-13. In all cases where persons desire to be admitted into the institution, at public expense, the county judge of the county in which such person has a legal residence shall, before issuing an order for his admission, cause such person to be examined by a regularly licensed physician who shall file a report with such judge, and if it is found by such judge from the report of such physician that such person is suffering from tuberculosis the order for the admission of such person shall be issued.

SEC. 1421-14. 1. Any person suffering from tuberculosis, who shall have been a resident of the State not less than one year, may be received into any institution provided for by sections 1421-9 to 1421-16, inclusive, and cared for at a rate which shall not exceed the actual cost of maintenance therein: Provided, That before such admission, he shall furnish to the superintendent of the institution a certificate of a regularly licensed physician that he is suffering from tuberculosis.

SEC. 2. There is added to section 1421-14 of the statutes, a new subsection to read: SEC. 1421-14. 4. On the first day of July the trustees of any county operating such an institution shall also certify to the secretary of state the names of all persons who are nonresidents of the county operating such institution and who have been cared for at public expense in such institution, and said secretary of state shall further credit the county in whose sanatorium said nonresident patients are cared for, to the amount of the difference between the regular weekly charge at said sanatorium as determined by the board of trustees and the amount credited by the State under subsection 8 of section 20.17 for the care of such persons. The amount of the difference so credited shall be charged by the secretary of state to the county in which such tubercular patients have a legal settlement and charged thereto in the next tax levy after such certificate is received and approved by the State Board of Control of Wisconsin.

State Tuberculosis Camps-Care and Maintenance of Patients at. (Ch. 607, Act July 10, 1917.)

SECTION 1. Subsection 2 of section 1421-30 of the statutes is hereby repealed and subsections 3 and 4 of section 1421-30 are hereby numbered subsections 2 and 3 respectively.

SEC. 2. There are added to the statutes two new sections to read:

SEC. 1421-31. Any person who is threatened with or recovering from tuberculosis and who shall have been a resident of the State not less than one year may be received into this institution and cared for at the rate determined by the superintendent and State board of control to be the cost of maintenance. Any person who is unable to pay the regular charge per week as fixed by the superintendent and State board of control may, with the approval of the State Board of Control of Wisconsin, be credited for work or services in lieu of the payment of a part, not to exceed one-half, of this charge.

SEC. 1421-32. Any person unable to pay such charges who is threatened with or recovering from tuberculosis and who shall have been a resident of the State for at

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PUBLIC HEALTH LAWS AND

u institution within the limits of its capacity

shall

least one year, shall be receivaru of Control of Wisconsin. Before such person as determined by the a statement with the county judge of the county in which sidence, setting forth the facts that he is unable to pay for his care and be admitted ent. The county judge of the county in which such person has such legal residence shall make a thorough investigation of his case and if he finds that the applicant or his legal representatives are unable to pay for his care he shall approve in writing the application of such person. The judge shall immediately forward to the superintendent of the institution a statement in writing that such person is unable to pay for his care and is threatened with or recovering from tuberculosis. Upon receipt of such certificate it shall be the duty of the superintendent of the institution to receive and care for such patient until the superintendent shall recommend his discharge and removal. The county in which such patient has a residence shall be charged at the rate of one-half of the sum charged for maintenance for the time that such person receives treatment at the institution, such charges to be collected in the manner provided by section 561e of the statutes, and the patient shall be required to do such work as may be prescribed by the superintendent and physician. District Tuberculosis Hospitals-Counties Authorized to Raise Money for Establishment and Maintenance of-Regulation. County Tuberculosis Hospitals— Regulation. (Ch. 298, Act May 28, 1917.)

SECTION 1. A new subsection is added to section 1421-17 of the statutes to read: SEC. 1421-17. 3. The board of supervisors of any county is authorized to levy taxes, borrow money, or issue bonds to raise a sufficient amount of money, to cover such county's share of the cost of procuring a site, constructing the building or shack, equipping the institution, and for the maintenance thereof.

SEC. 2. Subsection 1 of section 1421-20, and subsection 2 of section 1421-11 of the statutes are amended to read:

SEC. 1421-20. 1. Such trustees shall receive their actual expenses incurred in the performance of their duties and may receive the same compensation for their services as is allowed members of the county board. The trustees shall appoint as superintend ent of such institution a graduate trained nurse or a regular licensed physician. In case a graduate trained nurse is appointed as superintendent, the trustees shall also appoint a visiting physician and may also appoint a business manager, other than the superintendent. The trustees shall fix the compensation of the superintendent, and also of the visiting physician and business manager, if any, and shall designate the number of employees of such institution and fix their compensation. The employees shall be selected by the superintendent, subject to the confirmation of the board of trustees. The board of trustees shall appoint one of their members as president and the superintendent of the hospital may be the secretary of the board. The county treasurer of the county in which such institution is located shall be the treasurer of such institution and shall receive all moneys paid for the maintenance of the inmates of such institution and shall disburse all moneys to be paid on account of such institution, such disbursement to be made upon the order of the trustees. The warrants for such disbursements to be drawn on the treasurer by the president and secretary.

SEC. 1421-11. 2. Such trustees shall receive their actual expenses in the performance of their duties and may receive the same compensation for their services as is allowed members of the county board. The trustees shall appoint in all counties, except those counties having a population of over 300,000, as superintendent of such institution a graduate trained nurse, or a regular licensed physician. In case a graduate trained nurse is appointed, the trustees shall also appoint a visiting physician, and may also appoint a business manager, other than the superintendent. The