health of others or for any other reason which he may deem adequate and suffi cient, shall transmit, through the proper channels, to the commissioner of health a recommendation that such person be discharged from such hospital. The commissioner of health may discharge such person and shall report each such discharge, together with a statement of the reasons therefor, to the board of health. If the medical officer in charge of the hospital does not recommend the discharge of such person in the manner hereinbefore provided, the patient may apply to the commissioner of health or the board of health for his or her dis charge, and the commissioner of health or the board of health may thereupon afford such patient an opportunity to be heard in behalf of his application. Any person so detained may, however, apply to the commissioner of health or the board of health at any time for his or her discharge from such hospital and upon receipt of an application therefor such person shall be given an oppor tunity to be heard before the commissioner of health, the board of health, or his or its duly authorized representative.

REG. 7. Medical officer in charge authorized to permit of temporary leave of absence. The medical officer in charge of such hospital is authorized and empowered to permit of the temporary absence from such instiution of patients removed and detained in accordance with these regulations: Provided, That the physical condition of the patient is such as to warrant such absence without danger to his or her life or health; that such person will not during such temporary period of absence be a danger to those with whom he or she may come in contact or be associated with; and that there is a substantial cause for such absence.

Laboratories for Diagnosis of Communicable Diseases-Permit RequiredMust Comply with Requirements of Board of Health. (Res. Bd. of H., June 28, 1917.)

Resolved, That article 7 of the sanitary code be and is hereby amended by adding thereto a new section to be known as section 105, to read as follows: SEC. 105. Diagnostic laboratories regulated.-No laboratory offering facilities for the diagnosis of communicable diseases shall be conducted or maintained In the city of New York without a permit therefor issued by the board of health or otherwise than in accordance wtih the regulations of the said board. Laboratories for Diagnosis of Communicable Diseases-Conduct and Maintenance. (Res. Bd. of H., June 28, 1917, and Dec. 31, 1918.)

Resolved, That the following regulations governing the conduct and maintenance of laboratories offering facilities for the diagnosis of communicable dis eases be and the same are hereby adopted, to read as follows:

REGULATION 1. Applications.—Applications for permits to conduct and maintain laboratories offering facilities for the diagnosis of communicable disease shall be made by the person in charge of the laboratory upon official application blanks furnished by the department of health.

REG. 2. A duly qualified person to be in charge.-The person in charge of the laboratory shall be a duly licensed physician or a person whose qualifications are satisfactory to the department of health.

REG. 3. Specimens to be numbered.-Every specimen received at the labora tory for the purpose of determining the presence of communicable diseases shall be numbered and so designated as to definitely establish the identity of each particular specimen.

REG. 4. Records to be kept.-The person in charge of the laboratory shall cause a record to be kept wherein shall be entered the following information: a. The laboratory number and date of the receipt of every specimen to be tested to determine the presence of an infectious disease.

b. The name and address of the person from whom the specimen was taken. c. The name and address of the physician submitting the specimen.

d. The name of the person to whom, and date of, the report of the result of the test was forwarded.

e. The date the report of the result of the examination was forwarded to the department of health.

f. The result of the laboratory test.

Such register shall be open to inspection by a duly authorized representative of the department of health.

REG. 5. Equipment.-The laboratory shall be equipped with adequate facilities to properly perform such tests of specimens as the laboratory undertakes to make.

REG. 6. Methods.-The methods employed shall be such as are generally recognized as effective.

REG. 7. Report of result of examination to be forwarded to the department of health. Whenever an examination of a specimen submitted to the laboratory for diagnosis discloses the existence of a case of infectious disease, the person in charge of such laboratory shall report to the department of health, in writing, within 24 hours after the time the diagnosis is made, the name and address of the person from whom the specimen was taken, the name and address of the physician submitting the specimen, the date the specimen was received at the laboratory, and the name of disease found.

Communicable Disease Dispensaries-Must Comply with Board of Health

Regulations. (Res. Bd. of H., June 28, 1917.)

Resolved, That article 12 of the sanitary code be, and is hereby, amended by adding thereto a new section to be known as section 223:

SEC. 223. Dispensaries; communicable disease; regulations.-No public dispensary where communicable diseases are treated or diagnosed shall be conducted or maintained otherwise than in accordance with the regulations of the board of health.

Dispensaries for Treatment of Communicable Eye Diseases-Conduct and Maintenance. (Res. Bd. of H., Sept. 27, 1917.)

Resolved, That regulations governing the conduct and maintenance of dispensaries wherein human beings affected with communicable eye diseases are treated and cared for and relating to section 223 of the sanitary code be and the same are adopted, to read as follows:

REGULATION 1. Examination and treatment to be conducted in special department. The examination and treatment of persons affected with communicable eye diseases shall be conducted in a special dispensary or a special department connected with a dispensary or hospital maintained solely for such purpose.

REG. 2. Bacteriological and microscopical examination.—Every such dispensary should be provided with adequate facilities for making bacteriological and microscopical examinations, where practicable, of the secretions from eyes affected with a communicable disease. If such facilities be not provided at the dispensaries, proper provision shall be made for the prompt delivery of specimens to

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the department of health or other approved laboratories where such examinations are made.

REG. 3. Number of patients to be examined.-The number of patients to be treated at a dispensary shall be regulated by the number of physicians in attendance and the equipment and facilities provided in the dispensary. The maximum number of patients examined by a physician shall not exceed 35 per hour. REG. 4. Dispensaries to be open three days of each week; medical attendance.Every such dispensary shall be open at least three days of each week for the reception of patients, their treatment and proper disposition. The necessary medical and nursing staff shall be on duty on all the days set apart for the reception of patients.

REG. 5. Follow-up system.-A follow-up system approved by the department of health to secure regular and adequate care and treatment of patients shall be established and maintained.

REG. 6. Circular of instruction and advice.-A circular of instruction and advice, issued or approved by the department of health, shall be furnished and delivered to every person found to be affected with a communicable eye disease, and individual instruction shall be given every such person as to the precautions to be taken in order to prevent the communication of the disease to others.

REG. 7. All applicants to be examined.-Every such dispensary shall examine, and if necessary treat, at the time of their first visit all applicants irrespective of their place of residence.

REG. 8. Records.-A complete and adequate record shall be kept of every case of communicable eye disease examined or treated at a dispensary. The department of health may require, in its discretion, regular and uniform statistical reports relating to the examination, care, and treatment of all persons coming within the jurisdiction and control of such dispensary. Such reports shall not be open to inspection by the public or to any person other than a representative of the department of health of the city of New York, and such persons as may be authorized by law to inspect such records.

REG. 9. Procedure governing the discharge of patients.-A standard procedure governing the discharge of patients shall be followed. Such procedure shall embrace suitable tests and subsequent persistent observations.

Communicable Diseases-Reports by Medical Examiners of Deaths from. (Res. Bd. of H., Dec. 31, 1917.)

Resolved, That article 6 of the sanitary code be generally revised and amended, to read as follows:,

ART. 6. MEDICAL EXAMINERS.

SEC. 80. Duties of medical examiners.-The chief medical examiner, the deputy medical examiners, and the assistant medical examiners shall transmit and cause to be delivered to the department of health within two hours after viewing the dead body of any person who has died from any infectious disease the following facts so far as known or reported to such chief medical examiner, deputy medical examiners, and assistant medical examiners: The name of the deceased; the place of death, giving the street and street number or such other particulars as will identify said place of death; the location of the body; the cause of death; the date and time of death; the name or names of physician or physicians, if any, attending the deceased in his or her last illness; the occupation of deceased; the place of employment; the place to which body has been removed, if removal permit has been issued; and if autopsy was performed, the findings thereof.

Coughing and Sneezing-Nose and Mouth to Be Covered. (Reg. Bd. of H., Oct. 17, 1918.)

SEC. 226. Persons to protect nose and mouth when coughing or sneezing.— In order to prevent the conveyance of infective material to others, all persons shall, when coughing or sneezing, properly cover the nose and mouth with an handkerchief or other protective substance.

OAKLAND, CALIF.

Influenza-Wearing of Masks Required. (Ord. 1498, Nov. 1, 1918.) SECTION 1. During the period of the epidemic of the so-called Spanish influenza, which is now prevalent in the city of Oakland, which, for the purpose of this ordinance shall be deemed to exist until proclamation, provided for in section 2 of this ordinance, shall have been issued, every person appearing on the public streets, in any public place, or in any assemblage of persons, or in any place where two or more persons are congregated, except in homes where only two members of the family are present, and every person engaged in the sale, handling, or distribution of foodstuffs or wearing apparel, shall wear a mask or covering, except when partaking of meals, over the nose and mouth, consisting of four-ply material known as butter cloth or of fine-mesh gauze, at the four corners of which are attached tape or other fastening so that the mask or covering can be made to firmly cover the nose and mouth, said mask to be not less than 5 inches in width and 7 inches in length.

SEC. 2. When the health officer shall determine that the said epidemic of Spanish influenza has ceased to exist in the city of Oakland, said health officer shall communicate his determination to the mayor of said city, who thereupon shall issue a proclamation to the people of the city of Oakland proclaiming the fact that the health officer has determined that said epidemic has ceased to exist.

SEC. 3. Every person who shall violate any of the provisions of section 1 of this ordinance shall be deemed guilty of a misdemeanor, and shall be punished by a fine of not less than $5 nor more than $100, or by imprisonment in the city prison for a period of not exceeding 10 days, or by both such fine and imprisonment.

SEC. 4. This ordinance shall take effect immediately, and shall remain in force and effect until the date of said proclamation provided for in section 2 hereof.

PASADENA, CALIF.

Influenza, Pneumonia, and Coryza-Notification of Cases-Quarantine-Placarding-Creation of Office of Deputy Health Officer. (Ord. 1746, Dec. 14,

1918.)

SECTION. 1. It shall be the duty of the health department to immediately quarantine every house, building, structure, or tent in the city of Pasadena in which there is any person reported by any physician, or deemed by the health officer to be afflicted with the disease of influenza, Spanish influenza, grippe, acute cold in the head or coryza, or pneumonia of any infectious type: Provided, That the portion of any hotel, boarding house, rooming house, apartment or flat designated by the health officer may be so quarantined, separately from other portions of any such building.

SEC. 2. It shall be unlawful for any person residing or being in any place named in section 1 hereof which is quarantined by the health department, to

leave such place without the written consent of the health officer: Provided, however, That any physician, or any member of the health department, or upon a written permit issued by the health officer, any person residing or being in any such place who has no quarantinable disease, and whose clothing and person is free from any infection therefrom, may leave such place upon conditions prescribed by the health officer. Any such permit shall be revokable upon failure to comply with any of the conditions thereof.

SEC. 3. It shall be unlawful for any person except a physician or any member of the health department to enter any place named in section 1 hereof, which is under quarantine, without the consent of the health officer.

SEC. 4. Each case of influenza, Spanish influenza, grippe, acute cold in the head, or coryza, or pneumonia of any infectious type, shall, as soon as possible, be reported to the health department by the physician or person in charge or having knowledge thereof, and not later than 9 o'clock a. m. of the day following the time such case is diagnosed as such disease.

The office of deputy health officer is hereby created. The city physician shall be deputy health officer of the city, and as such shall take charge of all matters relating to the quarantine hereby established. It shall be the duty of the city physician to cause to be posted, conspicuously, on or near the front of all places under quarantine on account of diseases named in section 1 hereof, a card not less than 5 by 12 inches in size, the name of the disease to be printed thereon in black on a light blue ground for cases of influenza, Spanish influenza, grippe or acute cold in the head, or coryza, and in black on a white ground for cases of pneumonia of any infectious type.

It shall be unlawful for any person to remove, deface, or destroy any such card without permission from the health officer.

SEC. 5. The regulations hereby made are imperatively demanded, and this ordinance is required for the immediate preservation of the public health, safety and welfare, and this ordinance shall take effect upon its publication.

SEC. 6. Any person who or which shall violate any of the provisions of this ordinance shall be deemed guilty of a misdemeanor, and upon conviction thereof shall be punishable by a fine of not more than $500 or by imprisonment for not more than six months, or by both such fine and imprisonment.

PITTSBURG, KANS.

Influenza-Notification of Cases-Placarding-Quarantine-Isolation-Attendance at Schools and Public Gatherings-Preventive Measures Authorized. (Ord. 1727, Dec. 7, 1918.)

SECTION 1. Unless inconsistent with the contents, the words "physician," "attending physician" or "practicing physician" shall be construed and held to mean all persons practicing medicine, osteopathy, chiropractic or any other person practicing the healing art in the city of Pittsburg, Kans.

SEC. 2. It shall be the duty of every practicing physician in the city of Pittsburg, Kans., to report to the health department of the city of Pittsburg, Kans., all cases of influenza that such practicing physician may be called upon to attend in the city of Pittsburg, Kans. In cases of influenza occurring in s residence, where no practicing physician is called or is in attendance, such cases shall be reported by the head of the house. In case of influenza occur ring in hotels, apartment houses, and rooming houses, where no practicing physician is called or is in attendance, such cases shall be reported by the proprietor or manager of such hotel, apartment house or rooming house. Such reports shall be made within 24 hours from the time of the discovery or diag