immediately investigate and take proper measures to prevent the spread of such disease for the protection of public health, and he shall direct such person to report regularly for treatment to a licensed physician or to a public clinic, if facilities for clinical treatment are available, there to be treated until such person is free from infectious discharges. If such person refuses or fails to submit to such treatment and if, in the opinion of the health officer, such person is a menace to public health, it shall be the duty of the health officer to order the removal of such person to an isolation hospital or other proper place there to be received and kept until he shall no longer be a menace to public health. REG. 39. Examinations by approved laboratories may be required.—When the control or release of a case, contact or carrier of a communicable disease is dependent upon laboratory findings, the health officer may require such findings to be obtained by a State department of health laboratory or a laboratory approved by the State department of health. The health officer shall by himself or his agent secure and submit final cultures or specimens for examination.

REG. 40. Laboratories must register; approved laboratorics.—Every person, firm or corporation operating or maintaining a laboratory in which body fluids, secretions or excretions are examined for the determination of the presence or absence of an infectious agent in the material examined or in the person or animal from which it was secured, shall register annually with the State department of health giving the name of such laboratory, its location, and the name of the person or persons owning or operating the same. Laboratories operated by physicians for their personal convenience need not register.

Laboratories which, after inspection, are found to conform to the standards required by the State department of health will be given a certificate of approval, and such laboratories will thereafter be designated as approved laboratories.

REG. 41. Laboratories must report positive findings.—Every physician or person who makes an examination of any body fluid, secretion or excretion, and finds evidence indicating the probable existence of a communicable disease in the body from which the fluid, secretion or excretion was obtained, shall report within 12 hours of such finding to the local health officer of the town from which such specimen or culture was obtained, giving the name and address of the person or persons for whom such examination or test was made.

RFG. 42. Druggists and others must report sales of antitoxin.-The owner or manager of every drug store and every other person who sells or distributes diphtheria antitoxin or antimeningitic sérum shall immediately record such transaction in a book kept for that purpose and also report to the local health officer within 12 hours giving the amount of the antitoxin or serum sold or distributed and the name of the person to whom delivered. Such record books shall be open to the inspection of health officers at all reasonable hours.

REG. 43. Duty of health officer to quarantined persons in need.—When a person under quarantine is, in the opinion of the health officer, unable to obtain medical care, food, or other actual necessities, it shall be the duty of the health officer to report his findings to the proper town, city or borough authority. Should such town, city or borough authority fail at once to supply the needed care it shall be the duty of the health officer to supply such quarantined person with medical attention, food, and other actual necessities, and the expense incurred in performing such duty shall constitute a legal expense of the health officer.

REG. 44. Undertakers to report deaths from communicable discases.—Within 12 hours after being called to take charge of a body dead of a communicable disease, the undertaker shåll report the case to the local health officer, and he

shall prepare such body for burial in accordance with the regulations of the State department of health.

REG. 45. Funerals of those dead of certain communicable diseases.-Funerals of those dead of cerebrospinal meningitis, cholera, diphtheria, glanders, leprosy, plague, poliomyelitis, scarlet fever, septic sore throat, smallpox, typhoid, typhus fever, when conducted in or on the premises where such deceased person died shall be attended only by the members of the immediate household, the clergyman and the undertaker with his assistants; when held from a place other than where such a person died, the health officer may, if the body has been embalmed and is permanently inclosed to his satisfaction, permit a public funeral: Provided, Such persons as may be carriers of the infection by reason of contact shall be forbidden to attend such funeral. Bodies dead of the diseases mentioned, if not embalmed, must be buried within 24 hours.

REG. 46. Unusual conditions to be controlled by the State department of health. When an unusual or rare disease occurs in any part of the State, or when any disease becomes so prevalent as to endanger the State as a whole, it shall be the duty of the health officer, upon request of the commissioner of health, to cooperate with the representatives of the State department of health acting under the direction of the State commissioner of health.

REG. 47. When certain regulations become effective.-Regulations 1 to 47 of this chapter shall take effect on the first day of March, 1918.

DISTRICT OF COLUMBIA.

Influenza-Notification of Cases-Isolation-Disinfection-Restrictions upon Movements of Infected Persons-Duties of Health Officer. (Reg. Comrs., Oct. 3, 1918.)

That every person in charge of any patient in the District of Columbia who is suffering from epidemic influenza (Spanish influenza), immediately after be coming aware of the existence of such disease shall send to the health officer of said District a certificate, written in ink, signed by such person, stating the name of the disease, the name, age, sex, and color of the person suffering therefrom, and the school which he or she has attended, if any, and setting forth by street and number, or by other sufficient designation, the location of the house, room, or other place in which said patient can be found. As soon as practicable after the recovery of any patient suffering from epidemic influenza, the person in charge shall send to the health officer of said District a certificate, written in ink and certifying to that fact.

SEC. 2. The term " person in charge of any patient," as used in these regulations, shall be held to mean, first, each physician in attendance on, called in to visit, or examining a patient, unless called in to visit or examining the patient solely as a consultant to a physician already in attendance; second, in the absence or disability of any physician aforesaid, or in event of default on the part of such physician, the head of the family to which the patient belongs; third, in the absence or disability of such person, or in event of default on the part of the physician aforesaid, the nearest relative or relatives of such patient present on the premises and in attendance on such patient; fourth, in the absence or disability of all persons aforesaid, or in event of default on the part of the physician aforesaid, every person in attendance on such patient.

SEC. 3. It shall be the duty of the person in charge of any patient suffering from epidemic influenza, if said person has power and authority so to do, to adopt each and every one of the following precautions to prevent the spread of such disease:

(a) To isolate the patient immediately upon the discovery of the nature of the disease, as thoroughly as is practicable, from all persons who are not suffering from the same disease and who are not necessarily in attendance upon the patient, and to maintain such isolation until the temperature of the patient has returned to normal.

(b) To disinfect each and every article used by or about the patient and all excreta from the patient, and such other articles, if any, as have been specially exposed to infection, before the removal of such article or excreta from said room or rooms if practicable, and otherwise as soon thereafter as is practicable. SEC. 4. It shall be unlawful for any person having power and authority to prevent, to permit a patient suffering from epidemic influenza, at any time between the onset of the disease and the return of the patient's temperature to normal, to do, and it shall be unlawful for any such patient to do, any of the following things:

(a) To appear upon the public street.

(b) To appear in school, church, store or place of amusement or in any other place of public assemblage.

(c) To enter a public conveyance, except a vehicle designated by the health officer for the conveyance generally of persons suffering from minor contagious diseases, or a vehicle designated by the health officer for the conveyance of the particular case.

(d) To go or to be carried from place to place over the public streets without authority from the health officer, except that in case of an emergency, and prior to the reporting of a case, the patient may be moved under direction of a registered physician, from the place where the case is found to some other place in the District of Columbia suitable for its reception, but in such instances the report cards shall indicate the place where the case occurred as well as the place to which the patient has been moved.

SEC. 5. No person shall knowingly expose himself or any other person, or if he has power and authority to prevent, permit any other person to be exposed to infection by epidemic influenza unless such exposure is necessary for the proper care and treatment of the patient.

SEC. 6. No person who is nursing a patient suffering from epidemic influenza shall mingle with other persons who are not so engaged and who are not suffering from the disease from which the patient is suffering, until after said person has properly disinfected the hands and face.

SEC. 7. The health officer shall make such investigations into the nature and origin of cases of epidemic influenza occurring in the District of Columbia, as in his judgment may be necessary to prevent the spread of said disease, and shall cooperate, with persons having charge of patients suffering from such disease as he deems needful for the prevention of the spread thereof. And in the discharge of each and every of the duties herein imposed, the health officer may act not only in person, but also through employees in the service of the health department duly designated by him for that purpose.

SEC. 8. No person shall interfere with the health officer, or with any officer, employee, or agent of the health department in the enforcement of these regulations.

SEC. 9. Any person who is suffering from symptoms that so resemble those of epidemic influenza that they can not be distinguished therefrom with reasonable certainty, shall be regarded for the purpose of these regulations as suffering from said disease.

SEC. 10. Any person who violates any of the provisions of these regulations shall be punished upon conviction thereof, by a fine not exceeding $50 for the first offense, and for each subsequent offense by a fine not exceeding $100. Influenza-Certain Temperature Required to Be Maintained in Dwellings as Measure Against. (Reg. Comrs., Oct. 11, 1918.)

That the owner, manager, superintendent, or other person in control of every apartment house, lodging house, hotel, or rooming house, or other place in the District of Columbia used as a dwelling, who as principal or agent is under obligation to supply the inmates thereof with heat, is hereby required to heat such building to a temperature of not less than 70° F. and maintain it at such temperature while this ordinance remains in force: Provided, That a fluctna tion of temperature of not more than 5° from 70° F. and continuing for not more than one hour, shall not be considered a violation of this order.

For each and every day any person liable hereunder shall fail to comply with the provisions of this ordinance he shall be liable to a fine not to exceed

Dogs--Muzzling Required. (Reg. Comrs., July 2, 1918.)

That under the provisions of section 7 of the act of Congress approved June 19, 1878, entitled, “An act to create a revenue in the District of Columbia by levying a tax upon all dogs therein, to make such dogs personal property, and for other purposes," the commissioners hereby give notice that every dog in said District shall, for a period of one year from and after July 9 wear a good substantial muzzle, securely put on, so as to prevent it from biting or snapping; and any dog going at large during said period without such muzzle shall be taken up by the poundmaster and impounded.

Garbage and Refuse-Collection and Disposal. (Act of Congress, May 6, 1918.)

That in order that the service of the collection of garbage and miscellaneous refuse in the District of Columbia and the disposal of the same may be continued without further interruption, the Commissioners of the District of Columbia, if in their judgment it is deemed to be to the best interest of said District, are hereby authorized to purchase or lease all or any part of the plant, equipment, buildings, and grounds used by the Washington Fertilizer Co., the present contractor, for the collection, removal, reduction, or disposal of garbage, and for the purchase or lease of all or any part of the plant, equipment, buildings, and grounds used by M. R. Ready, the present contractor, for the collection, removal, and disposal of miscellaneous refuse.

SEC. 2. That in case a price can not be agreed upon between the commissioners and the parties in interest, for the purchase or lease of all or such parts of said plants, equipment, buildings, and grounds as may be required, then, and in that event, all or such parts of the said plants, equipment, buildings, and grounds hereinbefore described as may be necessary are hereby declared to be and the same are hereby condemned and appropriated to and for the use of the United States of America, to be used, operated, and controlled by it, by and through the agency hereafter provided, and the Commissioners of the District of Columbia, as agents of the United States, be, and they are hereby, authorized and directed on the 1st day of July 1918 to take charge and possession, in the name of, for, and by the authority of the United States of America, of all or so much of the property, real and personal, described in section 1, paragraph 1, as may be necessary, and to use the same for the collection, removal, reduction, or disposal of garbage and miscellaneous refuse in the District of Columbia.

SEC. 3. That in the event the property hereinbefore described is not purchased or leased, and is condemned as hereinbefore provided, it shall be the duty of the Attorney General of the United States to appoint a commission of appraisal and award, consisting of three persons, to appraise the value of the properties condemned and appropriated, and to award to the respective owners just compensation therefor. The said commission of appraisal and award shall, as soon as possible, file an inventory of the physical assets in use and useful in conducting the service of the collection and removal of garbage and miscellaneous refuse, and the value of the same, proper allowance being made for depreciation. Each commissioner of the commission of appraisal and award shall make oath before a judge of a court of the United States to faithfully perform such duty. The said commission of appraisal and award shall have power and it shall be its duty to summon witnesses with books and papers before it for all of the parties in interest and to re180482-20 4