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disease, he shall be isolated during the persistence of the inflammation of the conjunctiva and discharges therefrom.

RULE 4. Advice to be given to patient and contacts; and by whom.-It shall be the duty of the attending physician to advise the patient, the patient's family, and any other members of the household, of the nature of the disease, the means whereby the spread of infection may be avoided, and of the provisions of these rules. In the absence of an attending physician it shall be the duty of the local health authority to impart this information and advice to the persons specified above.

RULE 5. Minimum precautions to be observed. At least the following precautions must be observed: Patients must wash their hands frequently and as often as their hands become soiled by discharges from the eyes. An ample supply of towels, basins, water, and an approved disinfectant must always be on hand for the disinfection of the hands of the patient.

All discharges from the conjunctiva shall be received in cloths or paper and immediately destroyed by burning. Such cloths or paper may be kept in paper bags until the bag and contents can be destroyed by burning. Towels, handkerchiefs, etc., which can not be burned shall be disinfected by boiling for 20 minutes or immersion for 5 minutes in a 5 per cent cresol solution.

RULE 6. Investigation of case. The local health authority shall make diligent investigation as to the source or sources of infection of all cases of trachoma reported to him., If the source or probable source is discovered, the State department of public health shall be immediately apprised of the facts. However, in no case shall the original report of a case of trachoma be delayed by reason of such investigation.

RULE 7. Removals.-No person having trachoma in its communicable stage shall move or be moved from one health jurisdiction to another without first securing permission to do so from the local health authorities of the place from which and to which removal is to be made or from the Illinois Department of Public Health. Such permission may be granted under the following conditions:

(1) Removal can and will be made without endangering the health of others, either in transit or at destination.

(2) Patient agrees to report in person to the local health authority immediately upon the arrival at destination, or agrees to place self under the care of a reputable physician, who shall report the presence of such patient to the local health authority.

In the event that it is necessary for a patient to go at intervals from one health jurisdiction to another for treatment, the permit issued in accordance with the foregoing provisions may authorize such necessary and frequent removals, one permit and one report to the local health officer at destination being sufficient under such circumstances.

RULE 8. Exclusion from school, public and private gatherings.—No person suffering from trachoma in its communicable stage shall be permitted to attend any public, private, or parochial school or any public gathering until there is no longer any discharge from the eyelids. Readmittance at school by certificate.

It shall be the duty of the principal or any other person in charge of any private, public, parochial, or Sunday school to exclude therefrom any child, teacher, or other person afflicted with trachoma until such child, teacher, or other person afflicted with trachoma shall have presented a certificate issued by the local health authority, if he be a physician, or by the attending physician, countersigned by the local health authority, certifying that such child, teacher, or other person is noninfectious.


County Tuberculosis Hospitals—Admission, Maintenance, and Treatment of Patients from Other Counties. (Ch. 19, Act July 26, 1920.)

SECTION 1. That section 7 of "An act1 relating to the establishment and maintenance of county hospitals for the care of persons afflicted with tuberculosis, providing for the maintenance thereof and matters properly connected therewith," approved March 10, 1913, be amended so as to read as follows:

SEC. 7. In any county not having a county hospital for the care and treatment of persons suffering from tuberculosis, the county commissioners of any such county may by contract arrange for the care and treatment of citizens of said respective county in any institution of any other county operating under this act. And said board of commissioners shall have the power and authority to enter into such contract with such county having such institution, fixing in said contract the minimum number of patients to be sent to said institution for any one year, the amount of compensation to be paid per patient by said board of commissioners to the other county for the care and treatment f said patients, which said compensation, however, shall be no higher than that fixed in section [s] 5 and 8 of this act. And the county council of said county so contracting for the care and treatment of said tuberculosis patients shall appropriate out of the general fund of such county a sum of money sufficient for said purposes, and said fund shall constitute a special fund for said purpose providing that said county shall have the right to levy such tax as may be necessary for the purpose aforesaid.

Any person residing in a county in which there is no such hospital, who desires treatment in the hospital of another county as aforesaid, may apply therefor in writing to the county auditor of said county on a blank to be provided by the superintendent of the institution of the other county, submitting with such application a certificate signed by a reputable physician on a blank to be furnished by said superintendent, stating that such physician has within 10 days examined such person, and that in his judgment such person is suffering from tuberculosis. The auditor as aforesaid on receipt of such application and certificate shall forward the same to the county commissioners, and the county commissioners, after they find the facts contained in said application to be true, shall make a record thereof and send the application to the superintendent of any such county hospital organized under and pursuant to this act, with whom they may have contracted. After such patient be accepted by such hospital, said board of commissioners shall provide for the transportation thereto and for his maintenance therein and [at?] the rate fixed as provided in other sections of this act.

That section 8 of "An act relating to the establishment and maintenance of a county hospital for the care of persons afflicted with tuberculosis, providing for the maintenance thereof and matters properly connected therewith," approved March 10, 1913, be amended to read as follows:

Reprint 264 from Public Health Reports, p. 152.

SEC. 8. Whenever a superintendent of such a county hospital shall receive from the board of commissioners of any other county an application for the admission of a patient, if it appears from such application that the person therein referred to is suffering from tuberculosis, the superintendent shall notify said person to appear in person at the hospital, provided there be a vacancy in such hospital and there be no pending application from a patient residing in the county in which the hospital is located. If, upon personal examination of the patient, the superintendent is satisfied that such patient is suffering from tuberculosis, he shall admit him to the hospital. Every patient so admitted shall be a charge against the said board of commissioners of the county sending such patient, at a rate to be fixed by the board of managers, which shall not exceed the per capita cost of maintenance therein, including a reasonable allowance for interest on the costs of the hospital; and the bill therefor shall, when verified, be audited and paid by the auditor of said county. The said board of commissioners shall cause an investigation to be made into the circumstances of such patient, and of his relatives legally liable for his support, and shall have the same authority as an overseer of the poor in like circumstances to collect therefrom, in whole or in part, according to their financial ability, the cost of the maintenance of such person in said hospital.

Sanitary District Bonds-Issuance. (Ch. 46, Act July 31, 1920.)

SECTION 1. That section 17 of an act2 entitled, "An act concerning the department of public sanitation in cities of the first class, defining its powers and duties, creating sanitary districts consisting of such cities and any incorporated towns located within the boundaries thereof, repealing conflicting laws, and declaring an emergency," approved March 9, 1917, be, and the same is hereby, amended to read as follows:

SEC. 17. For the purpose of raising money to pay for said property and said construction, and in anticipation of said special tax to be levied as provided in sections 9 and 19 of this act, the board of sanitary commissioners shall cause to be issued, in the name of said city, the bonds of said sanitary district not to exceed in amount the total cost of all lands, rights of way and other property so to be acquired and the contract price of all work of construction as provided for in said resolution, and including all expenses necessarily incurred in connection with said proceedings, together with a sum sufficient to pay the cost of supervision and inspection during the period of construction of said work. The said expenses to be covered in the amount of such bond issued shall include all expenses of every kind actually incurred preliminary to the acquiring of said property and the construction of such work, such as the cost of necessary records, engineering expenses, publication of notices, salaries, and other expenses necessary to be incurred prior to and in connection with the acquiring of such property, the letting of such contract, and the sale of bonds as herein authorized. In case different parcels of land are to be acquired, or more than one contract for work is let by said board at approximately the same time, whether under one or more resolutions of said board, it shall be lawful to provide for the total cost of the same in one issue of bonds. Such bonds shall be issued in any denomination not more than $1,000 each, in not less than 20 nor more than 50 equal series, as said board shall determine, and shall be payable one series each year beginning on the first day of January of the second year following the date of their issue: Provided, That if said bond issue shall be made in any calendar year after the first day of October, then the first bond shall mature on the first day of January of the third succeeding

2 Supplement 37 to Public Health Reports, p. 147.

year thereafter, and the balance of the bonds at the regular annual intervals hereinabove prescribed.

Said bonds shall be negotiable as inland bills of exchange, and shall bear interest at a rate not exceeding 4 per cent per annum, payable semiannually, on the first days of January and July of each year, the first interest to be payable on the first day of July [preceding] proceding the maturity of the first series of such bonds. On adopting a resolution ordering said bonds, said board shall certify a copy of the same to the city controller of said city of the first class, who shall thereupon prepare said bonds, and the same shall be executed by the mayor of said city, and attested by the said city controller. Such bonds shall be exempt from taxation for any and all purposes. All bonds so issued by said board shall be sold by the city controller to the highest bidder therefor but in no event at less than par, after giving notice of sale of such bonds by publication in two newspapers of the largest general circulation printed and published in the city where said bonds are sold, which publication shall be made not less than 15 days prior to the date fixed for the sale of said bonds. It shall be unlawful for said board of sanitary commissioners to cause to be issued under this section of this act any bonds of said sanitary district payable by special taxation when the total issue for that purpose, including the bonds already issued and to be issued, is in excess of eight-tenths of 1 per cent of the total assessed valuation (after deducting all mortgage exemptions) of the property within said sanitary district, and all bonds or obligations issued in violation of this provision shall be void. Said bonds shall not in any respect be a corporate obligation or indebtedness of said city, but shall be and constitute an indebtedness of said sanitary district, as a special taxing district, and said bonds and interest thereon shall be payable only out of a special tax levied upon all the property of said sanitary district as in this act provided; and said bonds shall so recite such terms upon their face, together with the purpose for which they are issued: Provided, however, That said board of sanitary commissioners shall have the right, instead of selling the said bonds in series as above provided, to sell bonds of said sanitary district as provided in said act to run for a period of five years from date thereof for the purposes as provided in said act, for work either heretofore or hereafter commended [commenced]. Said bonds to be sold at a rate of interest not to exceed 6 per cent per annum, payable semiannually. Said five year bonds to be exempt from taxation for any and all purposes. Said board of sanitary commissioners shall have the right to sell bonds of said sanitary districts as provided in said act in series as provided in aid act at 4 per cent per annum, payable semiannually, for the purpose of refunding said 5-year bonds. No suit to question the validity of said bonds so issued for said sanitary district or to prevent their issue shall be intituted after the date set for the sale of said bonds, and all said bonds from and after said date shall be incontestable for any cause what



Influenza-Regulation Governing Well Persons Living in Building Under Quarantine for. (Reg. Bd. of H., Jan. 22, 1920.)

SEC. 5. Directions for members of households.-In case of quarantine of influenza the well inhabitants of the building under quarantine shall be permitted to enter and leave the building, provided they keep out of the room where the patient is confined.


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