The said State board of health may also provide accommodations and treatment, and make reasonable charges therefor at not more than cost, for tuberculosis patients desiring to avail themselves of such facilities.

12. The provisions of this act shall apply to the assessment and collection of the taxes herein provided for for the year 1918 and thereafter until otherwise provided.

13. Any surplus to the credit of any fund created by this act which may exist at the end of any fiscal year shall not lapse or revert to the general treasury of the State, but may be used during the next ensuing year for the purpose for which said fund was collected and appropriated: Provided, That any such surplus remaining to the credit of the tuberculosis fund may be used by the State board of health, in its discretion, either for tuberculosis work or for any other health work that said board may properly do in discharge of the duties imposed upon it by law.

14. The sum of $10,000 from the tuberculosis fund shall be set aside for the use of the State board of health in extending general work and educational propaganda, including the employment of additional doctors and nurses, and field maintenance and other necessary activities in promoting this feature of tuberculosis prevention and control.

Tuberculosis-Erection of Cottage at State Sanatorium for Treatment of Teachers. (Ch. 177, Act Mar. 14, 1918.)

1. That the sum of $10,000 be, and the same is hereby, appropriated to build a cottage for tubercular teachers at Catawba; provided the sum of $15,000 is contributed to this fund by the State teachers' association.

2. The State board of health shall have full charge of erecting said cottage and all money used for this purpose shall be paid out on vouchers issued by the State board of health.

3. Admittance to the teachers' cottage shall be on recommendation of the State teachers' association, and under regulations prescribed by the State board of health.

School Children-Medical Inspection of-Employment of School Nurses or Physicians in Counties-Normal Schools to Give Course in Preventive Medicine and Medical Inspection of School Children. (Ch. 233, Act Mar. 15, 1918.)

1. That the boards of supervisors of every county be and are hereby authorized to make direct appropriation out of the public funds of the county from the levies raised in the county for county purposes, to provide for the inspection of school children and the employment of a school nurse to visit the schools and the homes, in an effort to prevent the spread of disease and to provide for the treatment of many ailments which, if allowed to continue, will result disastrously to the pupils.

2. That all such money appropriated by the boards of supervisors shall be placed to the credit of the county school board to be spent in the employment of a nurse or physician; the said nurse or physician shall not be employed or contracted with by the said school board until the person or persons to be employed have been approved by the health commissioner of the Commonwealth.

4 [3]. That the teachers of the Commonwealth shall be prepared for public health work, every normal school of the State be and is hereby required to give a course in preventive medicine, medical inspection of school children, upon

which course every person graduating from a normal school must have passed a satisfactory examination and every normal school certificate shall therefore have as a prerequisite a knowledge of preventive medicine and medical inspe tion.

The said course shall conform to the standard and requirement to be fival by the State health commissioner and the superintendent of public instruction.

Orthopedic Hospital for Treatment of Children-Appropriation for Establishment of, Under State Board of Health. (Ch. 49, Act Feb. 16, 1918.)

1. That the sum of $10,000 a year for two years is hereby appropriated out of any funds in the hands of the treasurer not otherwise appropriated, to be used by the State board of health to establish an orthopedic hospital for the treatment of crippled and deformed children in Virginia.

State Health Commissioner-Appointment, Powers, and Duties-Employees of State Board of Health. (Ch. 106, Act Mar. 6, 1918.)

That sections 2 and 3 of an act entitled: "An act to amend and reenact sec tions 1, 2, 3, and 4 of an act entitled: 'An act providing for the appointment of a State board of health and of local boards of health, defining the duties and powers and compensation thereof, and of their members, officers, and agents in connection with the preservation of public health, and prescribing penalties against witnesses failing to obey subpoenas issued by said State board of health, or any authorized member thereof, for refusing to testify or otherwise acting in contempt of said State board or its duly authorized members,'" ap proved March 7, 1900 (sec. 1713 d, code of 1904); to repeal sections 1714. 1715, 1716, 1717, and 1718 of the Code of Virginia, 1857, and all other acts and parts of acts in conflict herewith; to provide for the appointment of a health commissioner and assistants, to define their duties, to provide for their compensation, and to appropriate money to carry the provisions of this act into effect, approved March 14, 1908, be amended and reenacted so as to read 15 follows:

SEC. 2. The governor shall appoint a health commissioner, who shall be versed in bacteriology and sanitary science and otherwise fitted and equipped to execute the duties incumbent upon him by law. The health commissioner shall be the executive officer of the State board of health, but shall not be a member thereof. He shall hold office for the term of four years, unless sooner removed by the governor, and he shall reside and have his headquarters in the city of Richmond. The health commissioner shall receive a salary to be fixed by the State board of health, not to exceed $4,000 per year, and shall devote his entire time to his official duties. The commissioner shall perform such duties as the State board of health may require, in addition to the other duties required of him by law. He shall be vested with all the authority of the board when it is not in session, and subject to such rules and regulations. as may be prescribed by the board. It shall be his duty to institute ai. together with his assistants, to carry out such a course of lectures and demonstrations as he may deem advisable in various sections of the State and in the State educational institutions, to the end that the medical profession ard the people of the Commonwealth may be instructed in matters of hygiene and sanitation. It shall be the duty of the health commissioner, whenever required so to do, to furnish to the governor and to the general assembly, when in session, such information as may from time to time be required, and he shail

make an annual report to the governor of all expenditures made by the State board of health and by himself and of persons under him.

SEC. 3. The health commissioner, with the approval of the State board of health, shall appoint and may employ such clerical and other assistants as are necessary for the proper performance of his duties as executive officer of the State board of health. The salaries of assistants and employees shall be fixed by the State board of health. All persons appointed by the health commissioner shall be primarily responsible to him and may be removed by him for good cause.

Water Supplies of Certain Cities-Prevention of Pollution.

Mar. 15, 1918.)

(Ch. 244, Act

That it shall be unlawful for any person to boat, fish, hunt, gun, or skate in, on, or over the waters of any lake, pond, or reservoir used as, or in connection with, the public water supply of any city in this Commonwealth, having by the last United States census a population of more than 19,000 inhabitants, without the consent, in writing, of the city or the water supply company owning such lake, pond, or reservoir, or entitled to use the waters of the same in connection with the water supply of any such city.

Any person violating the terms of this act shall be deemed guilty of a misdemeanor, and shall be punished for each offense by a fine of not less than $10 nor more than $100, or by imprisonment in jail not exceeding 30 days, or by both, at the discretion of the court.

Slaughterhouses, Sausage Factories, Etc.-Licensing-Sanitary Regulation. (Ch. 279, Act Mar. 16, 1918.)

28

1. That section 3 of an act 2 entitled "An act providing for the sanitation of slaughterhouses, abattoirs, packing houses, sausage factories, rendering plants, and other places where animals are slaughtered for sale for human food or where animal carcasses, or parts thereof, are prepared for human food; providing for the licensing of such establishments; defining violations of the act, and fixing penalties therefor," approved February 17, 1916, be amended and reenacted so as to read as follows:

SEC. 3. No person, firm, or corporation shall operate or conduct any slaughterhouse, abattoir, packing house, sausage factory, rendering plant, or place where animals are slaughtered for sale for human food, or where animal carcasses, or parts thereof, are prepared for human food, unless a license, for which no charge shall be made, has first been issued by the dairy and food commissioner to the owner, operator, or manager of such establishment, authorizing said person, firm, or corporation to operate and conduct a slaughterhouse, abattoir, packing house, sausage factory, rendering plant, or other similar business, and no person shall conduct or operate any such establishment or business after the revocation of such license, nor slaughter animals for sale for food in any place other than in a slaughterhouse which is licensed as therein provided, and the said dairy and food commissioner is hereby authorized and empowered to cause inspection to be made of every building, premises, or place in or upon which animals are slaughtered for human food, or animal carcasses, or parts thereof, are prepared for human food, and to grant license for the operation of the same whenever, in the judgment of the said commissioner, the business conducted in or upon said building, premises, or place is managed in a sanitary

28 Pub. Health Repts. Reprint 406, p. 204.

manner, and in accordance with the requirements of the law and of the rules and regulations provided in section 1 of this act, and of such rules and regulations as may be adopted as provided in section 2 of this act, and whenever, in his judgment, such building, premises or place, and the surroundings are suitable for the proper sanitary operation of a slaughterhouse, abattoir, or other similar business: Provided, That nothing in this act shall apply to established slaughterhouses, abattoirs, packing houses, sausage factories, rendering plants, or other similar establishments, when such establishments are licensed and conducted under the rules and regulations of the United States Department of Agriculture: And provided, further, That the provisions of this act shall not apply to the preparation or sale of meat or meat food products from animals raised or purchased for farm purposes by the farmers offering said products for sale: Provided, the said products Lave been handled and prepared in a sanitary manner, and are sound and wholesome, and the provisions of this act shall not be construed to prohibit the sale of said products by merchants purchasing from such farmers; provided the said products are kept and handled in a sani ary

manner.

Habit-Forming Drugs-Possession, Sale, and Dispensing. (Ch. 250, Act Mar. 15, 1918.)

That section 1 of chapter 3 of an act entitled an act to regulate the practice of pharmacy and the composition, branding, possession, dispensing, and sale of drugs, poison, and narcotics, and to repeal certain existing acts in relation thereto, approved March 14, 1908, be amended and reenacted so as to read as follows:

1. It shall be unlawful for any person to sell, furnish, or give away any morphine, heroin, opium, and preparations thereof containing a higher per centage of morphine than tincture of opium of the strength ordered by the United States Pharmacopoeia, or any salt or compound of the foregoing substances, except upon the original written prescription or order of a lawfully authorized practitioner of medicine, dentistry, or veterinary medicine, which must have plainly written upon it the name and address of the patient, and must be signed by the person giving it, which prescription can be filled only once. It shall be unlawful for any person except a licensed physician, dentist, or veterinary surgeon, manufacturing pharmacist or chemist, or a wholesale or retail pharmacist or druggist to have in his possession the drugs mentioned in this section, and possession of the same by other persons shall be prima facie evidence of the intent to sell or give away or otherwise dispose of the same. Provided, That the provisions of this section shall not apply to sales made by any manufacturers, wholesale or retail druggists to other manufacturers, wholesale or retail druggists; nor to sales made to hospitals, colleges, scientific or public institutions, or to physicians, dentists, or veterinary surgeons; nor to the sale of cough sirups and other domestic and proprietary remedies of this character, which are prepared and sold in good faith as medicines and not intended for defeating the purposes of this chapter, if such remedies do not contain more than two grains of opium or one-third grain of morphine or onefourth grain of heroin in one fluid ounce, or if a solid preparation in one avoirdupois ounce, nor to preparations containing opium which are prepared and sold in good faith for diarrhoea and cholera, each bottle or package of which is accompanied by specific directions for use and a caution against habitual use; nor to powder of ipecac and opium, commonly known as "Dover's powder "; nor to liniments or ointments, when plainly labeled "For external use."

Common Drinking Cups-Prohibited in Public Places. (Ch. 313, Act Mar. 16,

1918.)

1. That the use of the common drinking cup on railroad trains and in railroad stations, public hotels, boarding houses, restaurants, clubs, steamboats, schools, factories, stores, or publicly frequented places in Virginia is hereby prohibited. No person or corporation in charge of the aforesaid places, and no person or corporation [sic] shall permit on the said railroad train, in railroad stations, public hotels, boarding houses, restaurants, clubs, steamboats, schools, factories, stores, or any publicly frequented place in Virginia, the use of the drinking cup in common.

Any person or corporation violating the provisions of this act shall, upon conviction, be fined in any sum not less than $1 and not more than $10, and each day's violation of any of the provisions of this act shall be considered a separate offense, punishable by fine in the amount named above.

Births and Deaths-Registration. (Ch. 58, Act Feb. 16, 1918.)

1. That the sections 15, 18, and 20 of an act 20 entitled an act to provide for the immediate registration of all births and deaths throughout the State of Virginia by means of certificates of births and deaths; and burial or removal permits; to require prompt returns to the bureau of vital statistics at the capital of the State, as required to be established by the State board of health; to insure the thorough organization and efficiency of the registration of vital statistics throughout the State; to provide certain penalties; to repeal all acts and parts in conflict herewith, approved March 12, 1912, be, and the same are hereby, amended and reenacted so as to read as follows:

SEC. 15. That when any certificate of birth of a living child is presented without the statement of the given name, then the local registrar shall make out and deliver to the parents of the child a special blank for the supplemental report of the given name of the child, which shall be filled out as directed, and returned to the local registrar as soon as the child shall have been named.

That every physician, midwife, undertaker and dealer in coffins shall, without delay, register his or her name, address, and occupation with the local registrar of the district in which he or she resides, or may hereafter establish a residence; each midwife shall upon registration be given without cost a permit to practice her profession from the State registrar of vital statistics, countersigned by the local registrar. This permit may be revoked by the State registrar upon evidence that the midwife has failed to comply with the law in the report of births, or to obey the sanitary rules of the State board of health governing midwives. Any person who practices the profession of midwife for pay without a permit shall be subject to a fine of from $1 to $10 for each such offense.

Within 30 days after the close of each calendar year, or earlier, each local registrar shall make a return to the State registrar of all physicians, midwives, or undertakers who have been registered in his district during the whole or any part of the preceding calendar year: Provided, That no fee or other compensation shall be charged by local registrars to physicians, midwives, or undertakers for registering their names under this section or making returns thereof to the State registrar.

SEC. 18. That it shall be the duty of the local registrars to supply blank forms of certificates to such persons as require them. Each local registrar shall carefully examine each certificate of birth or death when presented for record, to see

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