is reason to believe such person is affected with pulmonary tuberculosis, and if by suitable physical or sputum examination, or both, he ascertains that the person is affected with pulmonary tuberculosis, he shall then proceed in accordance with the provisions of the public health law and the rules of the State department of health.

REG. 39. Cleansing, renovation, and disinfection required.-Adequate cleansing of rooms, furniture, and belongings, when deemed necessary by the health officer, or required by the sanitary code, these regulations, or otherwise by law, shall immediately follow the recovery, death, or removal of a person affected with a communicable disease. Such cleansing shall be performed by and at the expense of the occupant of said premises, upon the order and under the direction of the health officer, in accordance with the sanitary code and these regulations. Adequate renovation of premises when deemed necessary by the health officer, or required by the sanitary code or these regulations, or otherwise by law, shall immediately follow the recovery, death, or removal of a person affected with a communicable disease. Such renovation shall be performed by and at the expense of the owner of said premises or his agents, upon the order and under the direction of the health officer, in accordance with the sanitary code and these regulations.

Adequate disinfection of premises, furniture, and belongings, when deemed necessary by the health officer or required by the sanitary code, these regulations, or otherwise by law, shall immediately follow the recovery, death, or removal of a person affected with a communicable disease. Such disinfection shall be performed by or under the direction of the health officer in accordance with the sanitary code or these regulations, and at the public expense, unless otherwise provided pursuant to law.

REG. 40. Methods and precautions in cleansing, renovation, and disinfection.— The following methods and precautions shall be observed in cleansing, renovation, and disinfection:

(a) Cleansing shall be secured by the thorough removal of dust and other contaminating material in such a way as to prevent the entry thereof, as far as may be possible, into other rooms or dwellings; washing with soap and water; scouring; airing; and exposure to sunlight; in accordance with the special rules and regulations of the State department of health.

(b) Renovation shall be secured by removing old paper from walls and ceilings, and repainting, recalcimining, or repapering of walls, ceilings, and woodwork as may be ordered by the health officer in accordance with the special rules and regulations of the State department of health.

(c) Disinfection of rooms shall be secured by the use of such disinfecting agents in such quantities and in such manner, and of such sterilizing procedures as may be ordered by the health officer, in accordance with the special rules and regulations of the State department of health. When gaseous disinfectants are to be used, all cracks, crevices, and openings into the room shall first be pasted over with paper. Thereafter, all rugs, carpets, upholstered furniture and such textile fabrics in the said room as can not, in the opinion of the health officer, be washed or soaked in a disinfecting solution, may be removed for disinfection by steam when ordered by the health officer, in accordance with the special rules and regulations of the State department of health. REG. 41. Destruction of furniture, clothing, and other articles.-Furniture, bedding, clothing, carpets, rugs, and other articles, which may have been contaminated with infective material from any case of diphtheria, scarlet fever, or smallpox, and which are of such a nature or in such condition that they can 35495°-21-8

not, in the opinion of the health officer, be properly cleansed, disinfected, or sterilized, shall upon his der be destroyed in the manner designated by him. REG. 42. Cleansing and disinfection of the person.—It shall be the duty of the patient, upon convalescence or recovery from any communicable disease, and of the nurse or persons in attendance on such case, throughout the course of the disease, as well as its close, suitably to cleanse and, when necessary, to disin fect their persons in accordance with the manner prescribed by the special rules and regulations of the State department of health.

REG. 43. Letting of rooms forbidden while contaminated with infective ma terial. No proprietor of a hotel, boarding house, or lodging house shall let for hire or cause or permit anyone to occupy a room or apartment previously oc cupied by a person affected with diphtheria, epidemic cerebrospinal meningitis, measles, poliomyelitis (infantile paralysis), scarlet fever, smallpox, tubercu losis, or typhus fever, until such room or apartment has been cleansed, reno vated, or disinfected under the direction of the health officer.

When an order requiring the cleansing, renovation, or disinfection of articles or premises is not complied with, the health officer shall post a placard on the premises, reading as follows:

Notice: These apartments have (or this room has) been occupied by a person affected with They (or it) must not again be occupied until orders for cleansing, reto vation or disinfection have been complied with. This notice must not be removed under penalty of the law.

Date

Health Ofeer.

REG. 44. Placarding by common carriers.-When the declaration in reference to common carriers receiving or admitting persons for carriage or transportation within this municipality has been made by the State commissioner of health in accordance with the provisions of regulation 50 of chapter 2 of the sanitary code, and a common carrier of passengers or officer or agent thereof is notified by the State commissioner of health or by the health officer of such declaration it shall be the duty of such common carrier operating public conveyances in this municipality to forthwith conspicuously place or post in every station within such area as the State commissioner of health may designate, and in every conveyance, the placard hereinafter described and to keep the same posted until the epidemic is declared ended by the State commissioner of health.

Said placard shall be in heavy block letters in red ink on a white background. with each letter not less than 2 inches in height and 14 inches in width, and shall be posted so that the same shall be in plain view of passengers when they are seated.

REG. 45. Duties of undertakers.-It shall be the duty of every undertaker taking charge of the preparation for burial of the body of any person to ascer tain whether such person died of a communicable disease and if such pers died of Asiatic cholera, diphtheria, epidemic cerebrospinal meningitis, glanders, plague, scarlet fever, smallpox, or typhus fever it shall be his duty to cause it immediately to be wrapped in a sheet saturated with disinfecting solution ar promptly thereafter placed in a coffin or casket, which shall then be immed ately and permanently closed. This regulation shall not be construed to prohibit the embalming of any such body, but the undertaker shall cause such embalm.

ing to be done immediately upon taking charge of the body, except that, when a permit for embalming is required, this shall not proceed until the receipt of such permit. But immediately after the embalming he shall cause such body to be wrapped in a sheet and placed in a coffin or casket as hereinabove directed. After handling, embalming, or preparing for burial the body of a person dead of any of the communicable diseases enumerated in this regulation, such parts of the persons, garments, and utensils or other articles of the undertaker or his assistants, as may have been liable to contamination with infective material, shall be immediately cleansed or disinfected or sterilized in the manner prescribed by the rules and regulations of the State department of health.

REG. 46. Public funerals forbidden in certain cases.-A public or a church funeral shall not be held of any person who has died of diphtheria, measles, scarlet fever, smallpox, or typhus fever; but any funeral of such person shall be private.

PORTLAND, ME.

Communicable Diseases-Notification of Cases-Powers and Duties of Health Officer to Prevent Spread-Attendance at Schools and Public GatheringsNeedless Exposure Prohibited-Control of Animals. Industrial DiseasesNotification of Cases. (Reg. Bd. of H., Oct. 2, 1918.)

SECTION 1. The following-named diseases and disabilities are hereby notifiable to the local board of health, and the occurrence of cases shall be reported as herein provided:

SEC. 2. Each and every physician practicing in the city of Portland who treats or examines any person suffering from or afflicted with any one of the notifiable diseases, and each and every other person in the city of Portland who assumes responsibility and care of any person suffering from or afflicted with any one of said notifiable diseases, shall immediately report such case of notifiable disease in writing to the health officer. Said report shall be forwarded either by mail or by special messenger and shall give the following information:

1. The date when report is made.

2. The name of the disease or suspected disease.

3. The name, age, sex, color, occupation, address, and school attended or plac of employment of patient.

4. Number of adults and of children in the household.

5. Source or probable source of infection or the origin or probable origin of the disease.

6. Name and address of the reporting physician or person.

Provided, That if the disease is or is suspected to be smallpox the report shall in addition show whether the patient has been successfully vaccinated, and, if the patient has been successfully vaccinated, the number of times and dates or approximate date of such vaccination; and if the disease is or is suspected to be cholera, diphtheria, plague, scarlet fever, smallpox, or yellow fever the physician or other person making such report shall, in addition to the written report, give immediate notice of the case to the health officer in the most expeditious manner available; and if the disease is or is suspected to b typhoid fever, scarlet fever, diphtheria, septic sore throat, tuberculosis, or any venereal disease, the report shall also show whether the patient has been, o any member of the household in which the patient resides has been, or is engaged or employed in the handling of milk, milk products, or other foods for sale or preliminary to sale: And provided further, That the reports of cases of the venereal disease may be by case number.

SEC. 3. The requirements of the preceding section shall be applicable to phys cians attending patients ill with any of the notifiable diseases in hospitas asylums, or other institutions, public or private, and said requirements shall be applicable also to each and every other person in the city of Portland whe assumes responsibility and care of any person ill with any of said notifiabe diseases in any of said institutions. The superintendent or other person is charge of any such hospital, asylum, or other institution in which the sick are cared for, must report the cases of notifiable diseases and disabilities occurrug in or admitted to said hospital, asylum, or other institution in the same manter as that prescribed for physicians.

SEC. 4. Whenever a person is known or is suspected to be afflicted with a notifiable disease, or whenever the eyes of an infant under two weeks of age

become reddened, inflamed, or swollen, or contain an unnatural discharge, and no physician is in attendance, an immediate report of the existence of the case shall be made to the health officer by the midwife, nurse, attendant, or other person in charge of the patient.

SEC. 5. Teachers or other persons employed in or in charge of public or private schools, including Sunday schools, shall report immediately to the health officer each and every known or suspected case of a notifiable disease in persons attending or employed in their respective schools.

SEC. 6. Every householder, hotel keeper, or lodging-house keeper shall report immediately to the health officer each and every known or suspected case of a notifiable disease occurring in residents, guests, or employees of such house, hotel, or lodging house.

SEC. 7. The written reports of cases of the notifiable diseases required by this by-law shall be made upon blanks supplied for the purpose by the health officer. These blanks shall conform to those adopted and approved by the State authorities in conference with the United States Public Health Service.

SEC. 8. The health officer or his deputy is hereby authorized and directed, whenever a complaint is made or he has reason to believe that an infectious or contagious disease prevails in any house or other locality, to inspect such house or locality, and the inmates thereof, or to cause inspection thereof to be made, and in houses or localities where such diseases are most liable to prevail the said health officer may inspect or cause inspection thereof to be made periodically as frequently as he may deem for the best interest of the health of the community.

SEC. 9. The health officer, under the direction and with the approval of the city board of health, shall in all cases of pestilence, contagious, infectious, or epidemic diseases, or of danger from anticipated or impending pestilence, contagious, infectious, or epidemic diseases, or in case the sanitary condition of the city shall be of such a character as to warrant it, take such measures, and adopt such specific rules, and do and order, and cause to be done such acts for the preservation of the public health as the public safety and health shall demand, and to that end may cause any and all schools, libraries, theaters, churches, and all buildings or places where people are accustomed to congregate and all other houses, buildings, and places where said health officer and the board of health shall have reason to believe there is or may be special danger of contagion, to be closed for a specified period or until the danger from such pestilence, contagious, infectious, or epidemic disease shall have ceased to exist, and to cause all such buildings to be disinfected when in the opinion of the health officer it is necessary to do so. Any person who violates or neglects or refuses to obey any such specific rules, regulations, or orders shall be subject to the penalties herein provided.

SEC. 10. No principal or superintendent of any school and no parent or custodian of any child or minor (having the power and authority to prevent) shall permit any child or minor having acute poliomyelitis (infantile paralysis), smallpox, chicken pox, German measles, measles, mumps, epidemic cerebrospinal meningitis, or whooping cough, or any child or minor in any family or living with any family in which any such disease exists, or has recently existed, to attend any public or private school or Sunday school until the health officer shall have given his permission therefor, nor shall any such principal, superintendent, parent, or custodian permit any child or minor to be unnecessarily exposed or to needlessly expose any other person to the taking or to the infection of any communicable disease.