KANSAS.

Venereal Diseases-Notification of Cases-Circular of Information to Be Furnished Patients. (Reg. Bd. of H., June 25, 1918.)

RULE 2. (a) In addition to the diseases named in rule 1, the following are hereby declared to be infectious, contagious, or communicable in their nature and are declared to be notifiable diseases:

GROUP II.

Gonococcus infection. Syphilis.

(b) Hereafter, each and every physician or other practitioner of the healing art practicing in the State of Kansas, or any other person who treats or examines any person suffering from or afflicted with gonococcus infection or syphilis in any of their stages of manifestations shall report, as hereinafter required, in writing to the State board of health the existence of such disease: Provided, That, in cities where ordinances have been adopted which require the reporting of gonococcus infection, syphilis, or other venereal disease directly to the local health officers or boards of health, said local health officers or boards of health shall, within seven days after the receipt by them of the reports of cases of the diseases herein named, forward by mail to the State board of health the original written reports made by persons required to make such reports, after first having transcribed the information given in the respective reports in a book or other form of record for the permanent files of the local health office. Said permanent records or files shall be confidential records and open to public inspection only in so far as is necessary for the protection of the public health and the enforcement of the provisions of the regulations of the State board of health or of local city ordinances.

(c) All such reports shall be made in writing within 48 hours after diagnosis, on blank forms supplied or approved by the State board of health, and shall give the number of the case, which number shall correspond with the serial number of the circular of instructions given to the patient; the name and address of the patient as hereinafter required; the type and stage of such disease; the color, the sex, the marital state, and the occupation of the person affected with the disease; and a statement as to whether or not the nature of the occupation or place of employment of the person afflicted with such disease makes him or her a menace to the health of any other person or persons: Provided, That whenever the person making the report will assume full responsibility for such conduct of the person afflicted with either of these diseases as will prevent the transmission of these infections to others, and except in cities where local ordinances otherwise require, nothing in this paragraph shall be construed to require the reporting of the name and address of persons afflicted with a gonococcus infection or syphilis, as aforesaid. In the event that the person making the report is unwilling to assume such responsibility and shall know or suspect that a person having gonococcus infection or syphilis is so conducting or about to conduct himself or herself in such manner as to expose other persons to such infection, he shall then report the name and address of such afflicted person, together with such other essential facts as may be required by the State board of health.

(d) It shall be the duty of each and every physician or other practitioner of the healing art practicing in the State of Kansas, or any other person who visits, attends, advises professionally, prescribes for, or renders medical or surgical assistance to, or is consulted for medical advice by any person having gonococcus infection or syphilis as aforesaid, to at once give to such person a serially numbered circular of instructions furnished or approved by the State board of health entitled "Instructions for preventing the transmission of gonorrhea" (or "syphilis"), and to report such fact in writing in the report required to be made of such cases.

Venereal Diseases-Investigation by Local Health Officers-Examination of Persons Suspected of Being Infected-Quarantine-Suppression of Prostitution-Certificates of Freedom from Venereal Diseases Not to Be Issued to Prostitutes. (Reg. Bd. of H., Mar. 29, 1918, as amended June 25, 1918.) RULE 1. The local county or city health officers throughout the State are hereby authorized to use every available means to ascertain the existence of and immediately investigate all suspected cases of syphilis in the infectious stages and gonococcus infections within their respective jurisdictions, and to ascertain the source of such infections.

RULE 2. In such investigations said local health officers, or their duly authorized representatives, are hereby vested with full powers of inspection, examination, isolation, and disinfection of all places, persons, and things, and as such inspectors said local health officers, or their duly authorized representatives, are hereby authorized:

(a) To make examinations of all persons reasonably suspected of having syphilis in the infectious stages or gonococcus infection. Owing to the preva lence of such diseases among prostitutes, all such persons may be considered in the above class.

(b) To isolate such persons whenever in the opinion of said local health officer, the State board of health, or its secretary, isolation is necessary to protect the public health. In establishing isolation the health officer shall define the place and the limits of the area in which the person reasonably suspected or known to have syphilis or gonococcus infection, and his (or her) attendant, are to be isolated, and no persons, other than the attending physi cians, shall enter or leave the area of isolation without the permission of the local health officer. In the event of the inability of the health officer to designate such place of isolation within his jurisdiction, he may by arrange ment with the State board of administration designate as such place of isolation the State Industrial Farm for Women.

(c) In cases of quarantine or isolation not to terminate said quarantine or isolation until the cases have become noninfectious or until permission has been given by the local health officer.

Cases of gonococcus infection are to be regarded as infectious until at least two successive smears taken not less than 48 hours apart fail to show gonococci. Cases of syphilis are to be regarded as infectious until all lesions of skin of mucous membranes are completely healed.

(d) Inasmuch as prostitution is the most prolific source of syphilis and gon. ococcus infection, said local health officers or their duly authorized representatives are authorized to use every proper means to aid in suppressing the same, and not to issue certificates of freedom from venereal disease, as such certificates may be used for the purpose of solicitation.

(6) Keep all records pertaining to said inspections and examinations in files not open to public inspection, and to make every reasonable effort to keep secret

the identity of those affected by venereal disease control measures inasmuch as may be consistent with the protection of the public health.

Communicable Diseases-Attendance at Schools or Public Gatherings. (Reg. Bd. of H., June 25, 1918.)

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 or to be quarantined, to attend any school, or any other place of public assemblage.

KENTUCKY.

Influenza and Pneumonia-Notification of Cases-Isolation-Placarding. (Reg. Bd. of H., Oct. 3, 1918.)

By virtue of the authority vested in it by law, and in order to meet the emergency of influenza now threatening to become widespread in Kentucky, the regulations of the State board of health are so amended as to provide that it shall be the duty of physicians, nurses, heads of families, and of all publie Institutions to report to the county or city board of health of the jurisdiction, as may be, any case presenting any of the symptoms of influenza or pneumonia, including especially coughs and sneezing, associated with temperature, during the period of the present epidemic; and

That it shall be the duty of such board of health, upon receipt of such report, to cause an immediate investigation to be made and to placard the house, ward, or subdivision of a public institution, and to give such instructions as will secure such an isolation of the case as will protect the family, other residents of the house or institution, and the public from influenza, pneumonia, or associated infection; the isolation to continue for a period of 10 days from the onset of the attack or of complications likely to extend the danger of infec tion from the case.

Venereal Diseases and Other Sexual Ailments-Advertisements Relating to, Prohibited. (Ch. 174, Act of 1918.)

SECTION 1. Advertisement relating to certain diseases prohibited.—Whoever publishes, delivers, distributes, or causes to be published, delivered, or distributed in a newspaper or otherwise an advertisement containing a statement, description, or discussion of or concerning a venereal disease or a disease, infirmity, or condition of the sexual organs caused by sexual vice, or referring to a person or persons as having suffered from such a disease, infirmity, or condition; which advertisement shall call attention to a medicine, article, or preparation that may be used therefor or to a person or persons who may or will treat or give advice concerning the same or to an office or place where such disease, infirmity, or condition may or will be treated or where advice may or will be given concerning the same, shall be punished by imprisonment for not more than six months or by a fine of not less than $50 nor more than $500, or by both such fine and imprisonment: Provided, however, That this section shall not be construed to apply to didactic or scientific treatises on sex conditions, diseases, or infirmities which do not advertise or call attention to any person or persons who will treat or advise concerning the same, nor to any office or place where the same may be treated or where advice will be given concerning the same, other than a person or an office or a place affiliated with a licensed hospital or dispensary or the State or county board of health of the State of Kentucky.

Tuberculosis-Powers and Duties of State Board of Health-Establishment. Maintenance, and Control of Tuberculosis Sanatorium Districts. (Ch. 65, Act Mar. 27, 1918.)

SEC. 4. That section 2061 [Kentucky Statutes, Carroll's edition of 1915] as amended and reenacted shall read as follows:

(1) The powers and duties of the State board of health in the study and prevention of tuberculosis shall be coextensive with the State, and the objects of its bureau of tuberculosis shall be as follows:

(a) The study of this disease in all its forms and relations, and to secure and disseminate information with reference to tuberculosis, to promote and carry on a campaign of education with reference thereto, and in general to pursue any other activities with reference to informing the public as to the nature of tuberculosis, its dangers, and the means whereby its spread may be prevented.

(b) Investigation of the prevalence of tuberculosis in Kentucky, and the collecting and publishing of useful information.

(c) Securing of proper legislation for the relief and prevention of tuberculosis.

(d) Cooperation with the public authorities, State and local boards of health, the National Association for the Study and Prevention of Tuberculosis, medical societies, and other organizations in approved measures adopted for the prevention of the disease.

(e) To encourage the establishment throughout Kentucky of local associations for the purpose of undertaking in their particular localities the work proposed to be carried on by this board.

(f) Encouragement of adequate provision for consumptives by the establishment of sanatoria, hospitals, and dispensaries.

(2) And they shall have full power and authority to carry out and execute all of the foregoing purposes, and, in addition thereto, it shall be the duty of the board to recommend to the proper authorities suitable persons for appointment by it as members of the boards of trustees of any sanatoria that may be established under the provisions of this act, and it shall further be their duty to visit at such periods as in their discretion may be sufficient, any sanatoria that may be established under the provisions of this act, and to recommend to the boards of trustees of such sanatoria any changes in management or in the employees that they may deem necessary and proper, and it shall be their duty, if in the opinion of such board any board of trustees or members of such board or employees under such board of any sanatoria, State, or county, are incompetent or neglectful of duty to prefer charges against such board or such member of such board or such employees under such board. All charges against a board of trustees or a member thereof shall be made to the officer authorized to make such appointment, and, if he deem such charges adequate and sustained, it shall be his duty to remove such board or such member thereof, and all charges against employees shall [be] made to the board by whom employed, and, if in the opinion of said board such charges are adequate and sustained, such board shall at once remove such employee or employees. It shall be the duty of the head of the bureau to visit all sanatoria, both public and private incorporated, at least once during each calendar year and to report and file with their records a statement of the condition and efficiency of each sanatorium.

(3) That sanatoria for the treatment of tuberculosis may be erected and maintained in and by districts in this Commonwealth in the following manner: A district for the erection and maintenance of a tuberculosis sanatorium may consist of one or more counties. The fiscal court of any county may by resolution declare that such county shall be a district for the erection and maintenance of a sanatorium for the treatment of tuberculosis, and said fiscal court, upon such resolution being passed, shall immediately take steps to provide for the construction, equipment, and maintenance of such sanatorium.

The fiscal courts of two or more counties may by resolution duly passed by each court, unite said counties into a district for the purpose of establishing therein a sanatorium for the treatment of tuberculosis. Upon the passage of said resolution, each court shall immediately take steps to provide for the