whenever, in the opinion of said health officer, or the State board of health, or its secretary, quarantine is necessary for the protection of the public health. In establishing quarantine the health officer shall designate and define the limits of the area in which the person known to have, or reasonably suspected of having, syphilis, gonorrhea, or chancroid, and his immediate attendant are to be quarantined and no persons other than the attending physicians shall enter or leave the area of quarantine without the permission of the health officer.

Every breach of such quarantine and every refusal to abide by it shall be considered a violation of this ordinance, and each hour such breach or refusal continues shall be considered a separate violation.

No one but the health officer shall terminate said quarantine, and this shall not be done until the diseased person has become noninfectious, as determined by the local health officer or his authorized deputy through the clinical examination and all necessary laboratory tests, or until permission has been given him so to do by the State board of health or its secretary.

(b) The local health officer shall inform all persons who are about to be released from quarantine for venereal disease, in case they are not cured, what further treatment should be taken to complete their cure. Any person not cured before release from quarantine shall be required to sign the following statement after the blank spaces have been filled to the satisfaction of the health officer:

hereby acknowledge the fact that I am at this time infected with

and agree to place myself under the medical care of

within hours, and that I will remain under treatment of said physician or clinic until released by the health officer of the city of Louisville or until my case is transferred with the approval of said health officer to another regularly licensed physician or an approved clinic.

"I hereby agree to report to the health officer within four days after beginning treatment as above agreed, and will bring with me a statement from the above physician or clinic of the medical treatment applied in my case, and thereafter will report as often as may be demanded of me by the health officer.

"I agree, further, that I will take all precautions recommended by the health officer to prevent the spread of the above disease to other persons, and that I will not perform any act which would expose other persons to the above disease.

"I agree, until finally released by the health officer, to notify him of any change of address and to obtain his consent before moving my abode outside his jurisdiction.

"Date---

"Signature__

"All persons signing the above agreements shall observe its provisions, and any failure so to do shall be a violation of this ordinance. All such agreements shall be filled with the health officer and kept inaccessible to the public as provided in rule 10."

SEC. 5. Conditions under which the name of a patient is required to be reported. (a) When a person applies to a physician or other person for the diagnosis or treatment of syphilis, gonorrhea, or chancroid, it shall be the duty of the physician or person so consulted to inquire of and ascertain from the person seeking such diagnosis or treatment whether such person has theretofore consulted with or has been treated by any other physician or person last consulted. It shall be the duty of the applicant for diagnosis or treatment to furnish this information, and a refusal to do so or a falsification of the name and address of such physician or person consulted by such applicant shall be deemed a violation of this ordinance. It shall be the duty of the physician or other person whom the applicant consults to notify the physician or other person last consulted of the change of advisers. Should the physician or person previously consulted fail to receive such notice within 10 days after the last date upon

which the patient was instructed by him to appear, it shall be the duty of such physician or person to report to the local health officer the name and address of such venereally diseased person.

(b) If an attending physician or other person knows or has good reason to suspect that a person having syphilis, gonorrhea, or chancroid is so conducting himself or herself as to expose other persons to infection, or is about so to conduct himself or herself, he shall notify the health officer of the name and address of the diseased person and the essential facts of the case.

SEC. 6. Druggists forbidden to prescribe for venereal diseases.-No druggist or other person not a physician licensed under the laws of the State shall prescribe or recommend to any person any drugs, medicines, or other substances to be used for the cure or alleviation of gonorrhea, syphilis, or chancroid, or shall compound any drugs or medicines for said purpose from any written formula or order not written for the person for whom the drugs or medicines are compounded and not signed by a physician licensed under the laws of the State.

SEC. 7. Spread of venereal disease unlawful.-It shall be a violation of this ordinance for any infected person knowingly to expose another person to infeetion with any of the said venereal diseases or for any person to perform an act which exposes another person to infection with venereal disease.

SEC. 8. Prostitution to be repressed.-Prostitution is hereby declared to be a prolific source of syphilis, gonorrhea, and chancroid, and the repression of prostitution is declared to be a public-health measure. The health officer is therefore directed to cooperate with the proper officials whose duty it is to enforce laws directed against prostitution and otherwise to use every proper means for the repression of prostitution.

SEC. 9. Giving certificates of freedom from venereal diseases prohibited.— Physicians, health officers, and all other persons are prohibited from issuing certificates of freedom from venereal disease: Provided, This rule shall not prevent the issuance of necessary statements of freedom from infectious diseases written in such form or given under such safeguards that their use in solicitation for sexual intercourse would be impossible.

SEC. 10. Records to be secret.-All information and reports concerning persons infected with venereal diseases shall be inaccessible to the public except in so far as publicity may attend the performance of the duties imposed by these regulations and by the laws of the State.

SEC. 11. The duties and authority herein imposed on and given the health officer may be performed and exercised by any of his assistants.

SEC. 12. Any person violating any of the provisions of this ordinance shall be fined not less than $5 nor more than $50.

MILWAUKEE, WIS.

Venereal Diseases-Posting of Notices ir. Toilets by Commissioner of Health. (Ord. 238, Dec. 17, 1917.)

SECTION 1. There are added to the Milwaukee Code of 1914 two new sections to read:

SEC. 756.7. The commissioner of health is hereby directed to prepare and post in a conspicuous place in all public and semipublic toilets in the city of Milwaukee a notice to the effect that any person afflicted or believing himself or herself afflicted with a contagious or infectious venereal disease may apply to the department of health for a laboratorical test and for advice as to the best method of treatment. It shall be the duty of the commissioner of health to pro

vide for an examination of all such applicants by a physician of the health lepartment who shall forthwith advise applicant as regards his condition of ealth.

SEC. 756.8. It is hereby made the duty of every owner and every person in charge of any toilet in which notices are posted in conformity with section 756.7 to see that said notices are kept so posted and to report to the commissioner of health forthwith if any such notice is torn down, defaced, destroyed, or removed. Any person who shall deface, destroy, tear down, or remove any notice posted in accordance with the provisions of section 756.7 shall be subject to a penalty of not less than $10 nor more than $25 for each offense, together with the costs of prosecution, and in default of payment of such penalty and costs shall be imprisoned in the county jail or house of correction of Milwaukee County for a period not to exceed 30 days or until such penalty and costs are paid.

NEW ORLEANS, LA.

Venereal Diseases-Examination of Prisoners for-Isolation and Treatment When Found Infected. (Ord. 5464, July 29, 1919.)

SECTION 1. That it shall be the duty of the board of health for the parish of Orleans and the city of New Orleans (hereinafter called the city board of health), and it shall have full power and authority to examine all persons who are or shall hereafter be confined in the parish prison, the house of detention, the police jails, or any other prison or place of judicial confinement, located within and under the authority of the city of New Orleans, to ascertain if such persons so confined are infected with a venereal disease as defined in ordinance No. 5112, commission council series, and to that end the said city board of health shall have authority to take from such person such blood, mucus, or other specimens for laboratory tests as may be necessary in the ascertainment of the existence of venereal diseases.

SEC. 2. That it shall be the duty of every person so confined or imprisoned in such parish prison, house of detention, police jail, or other prison or place of judicial confinement, to agree to and subject himself or herself to such examination and to authorize and submit to the taking of the specimens provided for in section 1 of this ordinance.

SEC. 3. That it shall be the duty of every person found, under the provisions of this ordinance, to be infected with a venereal disease, to comply with and submit to the provisions of this ordinance relating to the isolation, treatment, and care of persons infected with venereal diseases.

SEC. 4. That should the examination of laboratory tests herein provided for disclose the existence of a venereal disease, such person shall be removed to and shall be isolated and confined in an isolation department, which has been provided for that purpose, in the "house of detention" in this city, and shall be treated in such manner as may be required to cure said disease, and such person shall be held in such isolation department until the said city board of health shall deem it safe to the public for such person to be d ́scharged therefrom.

If at the date such person may be discharged from said isolation department such person be under sentence, which sentence has not then expired, such person shall be returned to the parish prison, the house of detention, police jail, or other prison or place of judicial confinement from which such person was taken to serve the remainder of such sentence.

If any person under sentence is confined in such isolation department under treatment for a venereal disease, and the term of such sentence shall have expired before such person shall be deemed to be safe to the public to discharge

such person shall be detained in said isolation department of the house of detention until the said city board of health shall deem it safe to the public for such person to be discharged therefrom.

SEC. 5. That the said city board of health is hereby invested with the an thority and charged with the duty of enforcing the provisions of this ordinance, and to that end such officers, agents, employees, inspectors, and appointees as shall be designated by it for that purpose shall have the right to enter said parish prison, house of detention, police jails, or other prisons or places of judicial confinement for the purpose of inspection for violations thereof and to make the examinations and to take the specimens provided for in section 1 hereof.

SEC. 6. That whenever such officer, agent, employee, inspector, or appointee authorized by section 5 of this ordinance shall remove a person suffering from a venereal disease from the parish prison, the house of detention, the police jails, or other prison or place of judicial confinement to the isolation department of the house of detention, he shall give a receipt for such person to the city or parish official or deputy in charge of such parish prison, house of detention, police jail, or other prison or place of judicial confinement from which such person was removed.

SEC. 7. That it shall be the duty of the city and parish officials and their atthorized deputies in charge of the parish prison, the house of detention, the police jails and other prisons or places of judicial confinement, to cooperate with the city board of health, its officers, agents, employees, inspectors, and appointees, provided for in section 5 of this ordinance, in the enforcement of the provisions of this ordinance, and to deliver to the city board of health, or to its representative, as provided for in sections 5 and 6 of this ordinance such person as the said city board of health, through its authorized representative, shall find to be suffering from a venereal disease, and take a receipt for such person from the representative of the said city board of health who removes such person, and should such person be returned to serve the remainder of his or her sentence. such representative of the said city shall give a receipt to said board of health for the return of said person.

SEC. 8. That each day's violation of any of the provisions of this ordinance shall constitute a separate and distinct offense.

SEC. 9. That any person violating any of the provisions of this ordinance shall, on conviction, be punished by a fine of not less than $5 nor more than $25, or, in default of payment of such fine, by imprisonment in the parish jail for not less than 5 nor more than 30 days, or both, at the discretion of the court having jurisdiction.

SEC. 10. That nothing in this ordinance shall be construed as repealing, amerding, or in any way affecting the provisions of ordinance No. 5112, commission council series, entitled "An ordinance to better protect the public health and particularly to prevent the introduction into and the spread of venereal diseases in the city of New Orleans; to define venereal diseases; to provide for the inspec tion of suspected and reported cases, and the isolation, care, and cure of persons infected with such diseases, under the authority and direction of the board of health for the parish of Orleans and the city of New Orleans, and providing penalties for its violation,” approved May 28, 1918.

NEW YORK, N. Y.

Syphilis and Gonorrhea-Notification of Cases-Circular of Information and Ir.structions to Be Given Patient-Reports to Be Confidential. (Res. Bd. of H., June 28, 1917.)

Resolved, That section 88 of the sanitary code be and is hereby amended to read as follows:

SEC. 88. Duty of superintendents of hospitals and dispensaries and of physicians, to report cases of venereal disease.-It shall be the duty of the manager, superintendent, or person in charge of any correctional institution and of every public public or private hospital, dispensary, clinic, asylum, or charitable institution in the city of New York to report promptly to the department of health the name or initials, together with the sex, age, marital state, and address of every occupant or inmate thereof or person treated therein affected with syphilis or gonorrhea; and it shall also be the duty of every physician in the said city to promptly make a similar report to the department of health relative to any person found by such physician to be affected with syphilis or gonorrhea. All reports made in accordance with the provisions of this section, and all records of clinical or laboratory examinations indicating the presence of syphilis or gonorrhea shall be regarded as confidential, and shall not be open to inspection by the public or by any person other than the official custodian of such reports or records in the department of health, the commissioner of health, and such other persons as may be authorized by law to inspect such reports or records, nor shall the custodian of any such report or record, the said commissioner of health, or any such other person divulge any part of any such report or record so as to disclose the identity of the person to whom it relates.

It shall be the duty of every physician to furnish and deliver to every person found by such physician to be affected with syphilis or gonorrhea a circular of instruction and advice, issued or approved by the department of health of the city of New York, and to instruct such person as to the precautions to be taken in order to prevent the communication of the disease to others. No person affected with syphilis or gonorrhea shall, by a negligent act, cause, contribute to, or promote the spread of such diseases.

Venereal Diseases-Examination of Certain Persons for-Laboratory Examınations-Treatment-Isolation-Hospitalization-Prohibited Acts and Occupations. (Reg. Bd. of H., July 23, 1918.)

REGULATION 1. Medical examination.—Whenever a person is required under and by virtue of the provisions of section 343m or section 343n of chapter 264, laws of 1918, to submit to a medical examination for the purpose of ascertaining whether or not such person is suffering from or infected with an infectious venereal disease, such examination shall be made by a physician of the department of health of the city of New York or, at the option of the person to be examined, by a licensed physician engaged by such person who, in the opinion of the director of the bureau of preventable diseases, is qualified for this work and is approved by him, and shall include the following:

(a) An inspection of the skin of the entire body, including the anal and perianal regions, to determine the presence or absence of syphilitic manifestations. (b) An inspection of the mucous membrane of the mouth, throat, nose, and of the genitalia, so far as accessible, to determine the presence or absence of syphilitic manifestations.