NORTH CAROLINA.

Additional Diseases Made Notifiable. (Reg. Bd. of H., Nov. 11, 1918.)

[The following diseases have been made notifiable: Bronchial pneumonia, lobar pneumonia, dysentery, trachoma, venereal diseases, and summer complaint in children.]

Chicken Pox, Septic Sore Throat, and German Measles-Made Notifiable. (Reg. Bd. of H., June, 1918.)

Chicken pox.-The North Carolina State board of health, under chapter 263, sections 7, 8, and 9, public laws 1917, hereby declares chicken pox infectious and contagious, and therefore reportable.

Septic sore throat (epidemic tonsillitis).—The North Carolina State board of health, under chapter 263, sections 7, 8, and 9, public laws 1917, hereby declares septic sore throat (epidemic tonsillitis) infectious and contagious, and therefore reportable.

German measles (roscola).-The North Carolina State board of health, under chapter 263, sections 7, 8, and 9, public laws 1917, hereby declares German measles (roseola) infectious and contagious, and therefore reportable. I Communicable Diseases-Duties of County Quarantine Officers. (Reg. Bd. of H., June, 1918.)

RULE 1. The county quarantine officer, within 12 hours after receiving notice of the existence of a case of whooping cough, measles (either kind), diphtheria, scarlet fever, septic sore throat (epidemic tonsillitis), chicken pox, cerebrospinal meningitis (epidemic meningitis), or poliomyelitis (infantile paralysis) in any village or town having a population of 1,000 or more persons within the county in which he has official jurisdiction, shall visit in person, or have visited in the person of the sanitary inspector or police or city physician of such village or town, the household in which the disease is reported to be, and shall (1) instruct, or have instructed, the householder with reference to the State law and the rules and regulations adopted by the North Carolina State board of health under the requirements of the State law as to the duties of the householder under the circumstances; (2) have the house placarded in accordance with instructions prepared by the North Carolina State board of health for the householder; (3) leave with the householder a pamphlet prepared by the North Carolina State board of health setting forth the dangers of the disease and the best means for preventing the spread of the disease.

RULE 2. The county quarantine officer, within 12 hours after receiving notice of the existence of a case of whooping cough, measles (either kind), diphtheria, scarlet fever, septic sore throat (epidemic tonsilitis), chicken pox, cerebrospinal meningitis (epidemic meningitis), or poliomyelitis (infantile paralysis) in any rural section of the county in which he has official jurisdiction, or in any village or town in such county with a population of less than 1,000 persons, shall go in person or shall dispatch by registered mail, with return receipt

attached, or, where special arrangements have been made with the village or town authorities, may send by sanitary inspector or police or city physician to the householder in whose household the disease is reported to be, an official notice calling the said householder's attention to (1) the State law and the rules and regulations adopted under the requirements of the State law by the North Carolina State Board of Health as to the duties of the said householder under the circumstances; (2) an inclosed placard which shall be posted as directed in the rules for the householder; and (3) a pamphlet prepared by the North Carolina State Board of Health setting forth the dangers of the disease and the best known methods for preventing the spread of the disease. RULE 3. The county quarantine officer, within 12 hours after receiving notice of the existence of a case of whooping cough, measles (either kind), diphtheria, scarlet fever, septic sore throat (epidemic tonsillitis), chicken pox, cerebrospinal meningitis (epidemic meningitis), or poliomyelitis (infantile paralysis), stall mail to the teacher or principal in charge of the school or schools that have been attended recently by the children of the household in which the disease is reported to be an official notice, and shall furnish the aforesaid teacher or principal (1) the rules and regulations adopted by the North Carolina State Board of Health defining the duties of the principals or teachers of the public schools under the circumstances; (2) a sufficient quantity of suitable literature on the disease which has been reported, for distribution through the children attending the school to all the families represented in the school.

Venereal Diseases-Notification of Cases-Quarantine-Placarding. (Reg. Bd. of H., Nov. 11, 1918.)

That under the provisions of chapter 263, public laws of 1917, and for the purposes of the said law, syphilis, gonorrhea, and chancroid are hereby declared to be infectious and contagious, and made reportable under the provisions of the aforesaid law.

That under the provisions of chapter 263, public laws of 1917, the rules and regulations heretofore adopted for the control of infectious and contagious diseases are hereby amended by adding the following rules and regulations for the control of persons infected with syphilis, gonorrhea, and chancroid:

RULE 1. It shall be the duty of every physician who makes a diagnosis of syphilis, gonorrhea, or chancroid in a person consulting him professionally, to report the disease with which such person is infected to the county quarantine officer as provided for in chapter 263, section 7, public laws of 1917: Provided, however, That physicians may report persons infected with syphilis, gonorrhea, and chancroid, without giving the names and addresses of such persons, under the following conditions:

Condition 1. That a special venereal disease report form, furnished by the North Carolina State Board of Health to the physician, is used.

Condition 2. That the physician give to such patients a circular or pamphlet of information and instructions regarding venereal diseases furnished by the North Carolina State Board of Health.

Condition 3. That where a person reported under above condition 1 ceases or refuses treatment before becoming noninfectious, the physician will addres and mail a letter, supplied by the North Carolina State Board of Health, to the correct address of the person reported in accordance with above conditions.

Condition 4. That in the event the patient does not return for treatment within 10 days after receiving notice as set forth in condition 3, or does not have some registered physician notify the State board of health, who in turn

will notify physician previously reporting such patient, that he is again being treated, the correct name and address of such patient will be reported to the State board of health for quarantine as hereinafter prescribed.

RULE 2. Any person suffering from a venereal disease (syphilis, gonorrhea, or chancroid), and who has persistently and without sufficient reason refused or neglected to be treated until no longer infectious, shall be restricted to his home or premises, which shall be placarded with a yellow placard with "Venereal disease here" written across it, until he is no longer infectious, as determined by an officer of the State board of health or his deputy.

Chicken Pox-Placarding-Attendance at Schools and Public Gatherings. (Reg. Bd. of H., May, 1918.)

RULE 1. Every parent, guardian, or householder, in the order named, in whose family or household chicken pox exists shall post securely a placard, with the name of the above disease printed thereon, in a conspicuous place on the front of his or her home (when living in an apartment house or hotel, on the main entrance to the apartment or rooms), immediately upon the receipt of such placard from the county quarantine officer, and no one shall remove the said placard until the disappearance of all scabs, or until the written permission of the quarantine officer has been obtained.

RULE 2. No parent, guardian, or householder, in the order named, in whose house chicken pox exists shall permit any child or minor who has chicken pox to attend any public or private school, Sunday school, church meeting, theater, party, picnic, or other public assemblage, or go near a public park, while the house is placarded.

RULE 3. No parent, guardian, or householder, in the order named, shall permit any child or minor who has never had chicken pox but who has been exposed to chicken pox, to attend any public or private school, Sunday school, or other church meeting, theater, party, picnic, or other public assemblage, or go near a public park, within 14 days of the time of last exposure.

RULE 4. No person who has chicken pox shall attend any public or private school, Sunday school, church meeting, theater, party, picnic, or other public assemblage, or go near a public park, until the disappearance of all scabs, unless sooner released by the written permission of the quarantine officer.

Chicken Pox-Measures to Prevent Spread of, in Schools. (Reg. Bd. of H., May, 1918.)

Upon the receipt of an official notice from the county quarantine officer that chicken pox exists in a family or household from which children attend or have recently attended the school, the teacher or principal of such school is hereby empowered and required to enforce the following precautions against the spread of the disease:

1. No teacher residing in a family where there is a person sick with chicken pox and where the housing arrangements are such as to make contact of the teacher with the diseased person frequent or intimate, shall attend a public or private school.

2. The teacher or principal shall make a statement to the school concerning the disease in accordance with the information of the pamphlet supplied him or her by the county quarantine officer, calling the attention of the pupils to the presence of the disease in the community, to the danger of the disease, and the means of preventing its spread.

3. The teacher or principal of the school shall distribute to the children or pupils of the school literature on the disease, supplied by the quarantine officer,

and shall direct the children to give the said literature to their parents or guardians.

4. The teacher or principal of any school shall exclude from the school all children who have never had chicken pox and who live in families where the disease exists.

5. The teacher or principal shall observe the pupils daily for any indication of fever, malaise or unusual thirst, and shall observe especially those children who have never had chicken pox, and on finding a pupil with such indications of the disease shall exclude immediately such pupil from the school until the symptoms have disappeared, or until a period of 14 days has elapsed.

6. The teacher shall caution the children frequently during the existence of chicken pox in the community as to the danger from coughing and sneezing without holding a handkerchief or cloth in front of their mouths and noses, and shall also caution the pupils as to the danger of eating from the same pieces of food, using the same slate and pencil and other things in common that might convey small particles of saliva or nasal secretion from child to child.

7. The common dipper, drinking cup, and the open bucket shall be absolutely prohibited by all schools patronized by any community in which chicken pox exists.

Septic Sore Throat-Placarding-Attendance at Schools and Public Gatherings-Infected Persons Prohibited from Handling Milk-Food and Milk Containers to Be Retained on Premises-Disinfection of Certain ArticlesCleaning of Premises. (Reg. Bd. of H., May, 1918.)

RULE 1. Every parent, guardian, or householder, in the order named, in whose family or household septic sore throat (epidemic tonsillitis) exists shall post securely a placard, with the name of the above disease printed thereon, in a conspicuous place on the front of his or her home (when living in an apartment house or hotel, on the main entrance to the apartment or room), immediately upon the receipt of such placard from the county quarantine officer, and no one shall remove the said placard until seven days have passed since the beginning of the disease, and until all clinical symptoms have disappeared.

RULE 2. No parent, guardian, or householder, in the order named, in whose family or household septic sore throat (epidemic tonsillitis) exists shall pernit any child or minor to attend any public or private school, Sunday school, church meeting, theater, party, picnic, or other public assemblage, or go near a public park, while the house is placarded.

RULE 3. No person who has septic sore throat (epidemic tonsillitis) shal attend any public or private school, Sunday school, church meeting, theater, party, picnic, or other public assemblage, or go near a public park, or be engaged in the handling or distribution of milk while the house is placarded.

RULE 4. No parent, guardian, or householder, while septic sore throat (e;idemic tonsillitis) exists in the family or household, shall receive food supplies, including milk, from grocers and dairymen in containers that are to be returned while the disease exists in the family or household.

RULE 5. No wearing apparel, bed clothes, curtains, carpets, or other fabrics with which a person suffering from septic sore throat (epidemic tonsillitis, comes in contact shall be sent away from the family or household, while the house is placarded, without first being boiled.

RULE 6. At the expiration of the quarantine, the room or rooms occupied by the sick shall be thoroughly cleansed in accordance with directions prepared by the North Carolina State Board of Health.

Septic Sore Throat-Measures to Prevent Spread of, in Schools. (Reg. Bd. of H., May, 1918.)

Upon the receipt of an official notice from the county quarantine officer that septic sore throat (epidemic tonsillitis) exists in a family or household from which children attend or have attended recently the school, the teacher or principal of such school is hereby empowered and required to enforce the following precautions against the spread of the disease:

1. No teacher residing in a family where there is a person sick with septic sore throat (epidemic tonsillitis) shall conduct or attend a public or private school.

2. The teacher or principal shall make a statement to the school concerning the disease in accordance with the information of the pamphlets supplied him or her by the county quarantine officer, calling the attention of the pupils to the presence of the disease in the community, to the dangers of the disease and the means of preventing its spread.

3. The teacher or principal of the school shall distribute to the children or pupils of the school the literature on the disease supplied by the county quarantine officer, and shall direct the children to give the said literature to their parents or guardians.

4. The teacher or principal of any school shall exclude from the school all children who live in families where septic sore throat (epidemic tonsillitis) exists.

5. The teacher or principal shall observe daily the pupils for symptoms or indications of sore throats, and shall observe especially those children with history of probable association during the previous week, with known

such indications of the disease shall exclude immediately such pupil from school until the symptoms have disappeared or until a period of one week has elapsed.

of septic sore throat (epidemic tonsillitis), and on finding a pupil w cases

6. The pupils of the school shall be cautioned frequently during the existence of septic sore throat (epidemic tonsillitis) in the community as to the danger from coughing and sneezing without holding a handkerchief or cloth in front of their mouths and noses, and they shall also be cautioned as to the danger of eating from the same piece of food, using the same slate and pencil and other things in common that might convey small particles of saliva or nasal secretion from child to child.

7. The common dipper, drinking cup, and the open bucket shall be absolutely prohibited in all schools patronized by any community or family in which septic sore throat (epidemic tonsillitis) exists.

Convict Camps-Sanitary Regulation. (Reg. Bd. of H., Apr. 1, 1918.)

1. Location of camp.-In locating a camp due regard should be had to drainage, prevailing direction of winds, the relation to marshes and swamps, the habitation of domestic animals, and places of deposit of human excrement which are not under the control of the camp supervisor. The camp site should be elevated and well drained. Where conditions permit the camp should be located to the southwest of hills, forests, and other obstructions to the prevailing wind of summer, and with the protection of such obstructions against the prevailing wind of winter. Camps should be located as far as conditions will permit from marshes and swamps, and where possible, located so that the prevailing wind of summer is from the marsh to the camp rather than in the reverse direction. The malarial mosquito travels by scent. Camps should be located as far as condi